-<tr><td><table border="0">
-<tr><td valign="top"><input type="radio" name="payment" value="order" onclick="disable_fields(this)" /></td>
- <td><table border="0">
- <tr><td colspan="2">Platbu za pøedplatné uhradím(e) pøevodním pøíkazem na základì vystavené faktury</td></tr>
- <tr><td>IÈO/DIÈ:</td ><td><input type="text" name="payment_order_ico" size="60" onfocus="activate_subform(this)" /></td></tr>
- <tr><td>Èíslo úètu:</td><td><input type="text" name="payment_order_account" size="60" onfocus="activate_subform(this)" /></td></tr>
- </table></td></tr>
-<tr><td valign="top"><input type="radio" name="payment" value="postA" onclick="disable_fields(this)" /></td>
- <td><table border="0">
- <tr><td>Po¹tovní poukázkou typu <span class="post-type">A</span>
- na úèet AKRA CZ, s.r.o.: 0212532359/0800 u ÈS a.s., Praha 8</td></tr>
- </table></td></tr>
-<tr><td valign="top"><input type="radio" name="payment" value="postC" onclick="disable_fields(this)" /></td>
- <td><table border="0">
- <tr><td colspan="2">Po¹tovní poukázkou typu <span class="post-type">C</span> na adresu redakce
- (po¹tovní poukázky typu <span class="post-type">A</span> i <span class="post-type">C</span> obdr¾íte na po¹tì)</td></tr>
- <tr><td>Kontaktní osoba:</td><td colspan="3"><input type="text" name="payment_postC_contact" size="60" onfocus="activate_subform(this)" /></td></tr>
- <tr><td>Telefon:</td><td><input type="text" name="payment_postC_tel" size="25" onfocus="activate_subform(this)" /></td>
- <td >Fax:</td ><td><input type="text" name="payment_postC_fax" size="25" onfocus="activate_subform(this)" /></td></tr>
- <tr><td>e-mail:</td ><td><input type="text" name="payment_postC_email" size="40" onfocus="activate_subform(this)" /></td>
- <td >Datum platby:</td><td><input type="text" name="payment_postC_paymentdate" size="10" onfocus="activate_subform(this)" /></td></tr>
- </table></td></tr>
-</table></td></tr>
-<tr><td><table border="0">
-<tr><td>Adresa pro zasílání èasopisu (pokud se li¹í od fakturaèní adresy), pøíp. jiné sdélení redakci:</td></tr>
-<tr><td><textarea name="comments" rows="5" cols="100"></textarea></td></tr>