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    <h1>Anmeldung</h1><hr>
     <form method=post action="/community/anmeldung.php?form=1">
     <table border=0 cellspacing=0 cellpadding=2 align=center width=100%>
      <tr>
       <td valign=top align=right>Benutzername:</td>
       <td><input type=text name=username size=18 maxlength=100></td>
       <td valign=top align=right>Anrede:</td>
       <td>
        <select name=anrede>
         <option value="Herr">Herr</option>
         <option value="Frau">Frau</option>
        </select>
       </td>
      </tr>
      <tr>
       <td valign=top align=right>Name:</td>
       <td><input type=text name=name size=18 maxlength=250></td>
       <td valign=top align=right>Vorname:</td>
       <td><input type=text name=vorname size=18 maxlength=250></td>
      </tr>
      <tr>
       <td valign=top align=right>Strasse | Hausnr.:</td>
       <td><input type=text name=anschrift size=18 maxlength=250></td>
       <td valign=top align=right>Geburtsdatum:</td>
       <td>
        <input type=text name=day size=2 maxlength=2>
        <input type=text name=month size=2 maxlength=2>
        <input type=text name=year size=4 maxlength=4>
       </td>
      </tr>
      <tr>
       <td valign=top align=right>PLZ:</td>
       <td><input type=text name=plz size=18 maxlength=5></td>
       <td valign=top align=right>Wohnort:</td>
       <td><input type=text name=wohnort size=18 maxlength=250></td>
      </tr>
      <tr>
       <td colspan=4><strong>Festnetznummer:</strong></td>
      </tr>
      <tr>
       <td valign=top align=right>Vorwahl:</td>
       <td><input type=text name=home1 size=18 maxlength=7></td>
       <td valign=top align=right>Nummer:</td>
       <td><input type=text name=home2 size=18 maxlength=7></td>
      </tr>
      <tr>
       <td colspan=4><strong>Mobilfunknummer*:</strong></td>
      </tr>
      <tr>
       <td valign=top align=right>Vorwahl:</td>
       <td><input type=text name=mobil1 size=18 maxlength=7></td>
       <td valign=top align=right>Nummer:</td>
       <td><input type=text name=mobil2 size=18 maxlength=7></td>
      </tr>
      <tr>
       <td colspan=4><strong>Fax*:</strong></td>
      </tr>
      <tr>
       <td valign=top align=right>Vorwahl:</td>
       <td><input type=text name=fax1 size=18 maxlength=7></td>
       <td valign=top align=right>Nummer:</td>
       <td><input type=text name=fax2 size=18 maxlength=7></td>
      </tr>
      <tr>
       <td colspan=4><strong>E-Mail:</strong></td>
      </tr>
      <tr>
       <td valign=top align=right>Adresse:</td>
       <td colspan=3><input type=text name=email size=18 maxlength=250></td>
      </tr>
      <tr>
       <td colspan=4>&nbsp;</td>
      </tr>
      <tr>
       <td valign=top align=right>Passwort:</td>
       <td><input type=password name=passwort size=18 maxlength=100></td>
       <td></td>
       <td><input type=submit value="Anmelden"></td>
      </tr>
      <tr>
       <td colspan=4><br>* keine Pflichtangaben</td>
      </tr>
     </table>
    </form>
   <br><br>
   
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