use CGI;
require("db.pl");

$form = new CGI;


print $form->header();
print $form->start_html("Registration");
print $form->h1("Registration | Ausleihe MMSZ.org");



print $form->h4("Bitte geben Sie Ihre Daten ein");

print $form->startform(-action => 'bestaetigen.pl',
		       -method => 'POST'
		      );

print $form->table({-border=>0},
	$form->Tr({-align=>LEFT,-valign=>TOP},
               [
                     $form->td(['Vorname', $form->textfield(-name=>'Vorname', -size=>30, -maxlength=>30), "", ""]),
                     $form->td(['Nachname' , $form->textfield(-name=>'Nachname', -size=>30, -maxlength=>30), "", ""]),
                     $form->td(['E-Mail' , $form->textfield(-name=>'Email', -size=>30, -maxlength=>30), "", "@ ostfalia.de"] ), 
					 $form->td(['Passwort' , $form->password_field(-name=>'Passwort', -size=>30, -maxlength=>30), "", ""]),
                     $form->td(['Telefon' , $form->textfield(-name=>'Phone', -size=>15, -maxlength=>15), ])
               ]
           
            )       
       );


print $form->p();

print $form->submit("Registrieren");
print " ";
print $form->reset("Löschen");


print $form->endform();
print $form->end_html();