<div class="form_item">
<div class="form_element cf_text"> <span class="cf_text">bereken hier uw arrangement</span> </div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_dropdown">
<label class="cf_label" style="width: 150px;">wij willen varen met</label>
<select class="cf_inputbox validate-selection" id="select_1" size="1" title="maak uw keuze" name="select_1">
<option value="">maak uw keuze</option>
<option value="12">4 personen</option>
<option value="11">5 personen</option>
<option value="10">6 personen</option>
<option value="9">7 personen</option>
<option value="8">8 personen</option>
<option value="7">9 personen</option>
<option value="6">10 personen</option>
<option value="5">11 personen</option>
<option value="4">12 personen</option>
</select>
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_dropdown">
<label class="cf_label" style="width: 150px;">gedurende een</label>
<select class="cf_inputbox validate-selection" id="select_2" size="1" title="maak uw keuze" name="select_2">
<option value="">maak uw keuze</option>
<option value="5">ochtend</option>
<option value="5">middag</option>
<option value="8">gehele dag</option>
</select>
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_dropdown">
<label class="cf_label" style="width: 150px;">vooraf willen wij</label>
<select class="cf_inputbox validate-selection" id="select_3" size="1" title="maak uw keuze" name="select_3">
<option value="">maak uw keuze</option>
<option value="5">koffie bij Sluiszicht</option>
<option value="10">lunch bij Sluiszicht</option>
<option value="0">geen</option>
</select>
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_dropdown">
<label class="cf_label" style="width: 150px;">en afsluiten met</label>
<select class="cf_inputbox validate-selection" id="select_4" size="1" title="maak uw keuze" name="select_4">
<option value="">maak uw keuze</option>
<option value="10">lunch bij Sluizicht</option>
<option value="20">diner bij Sluizicht</option>
<option value="0">geen</option>
</select>
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_button">
<input value="bereken" name="button_5" type="submit" />
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_text"> <span class="cf_text">de kosten bedragen €<antwoord> per persoon</span>
</div>
<div class="cfclear"> </div>
</div>
<div class="form_item">
<div class="form_element cf_text"> <span class="cf_text">heeft u geen keuze kunnen maken? neem dan contact met
ons op</span> </div>
<div class="cfclear"> </div>
</div>
