<form METHOD="post" ACTION="reserva.asp">
<p><img src="image/00.jpg" width="622" height="420"></p>
<img src="image/line01.gif" width="626" height="2"><BR><BR>
<div align="center"><center> <table width="509" border="0" cellspacing="2" cellpadding="5" align="center">
<tr>
<td width="118"><font face="Monotype Corsiva" size="3">Nombre (*)</font></td>
<td width="170"> <input type="text" name="nombre"></td>
<td rowspan="4" width="183" valign="top">
<table width="28" border="0" cellspacing="2" cellpadding="5">
<tr>
<td><img src="image/00RED.JPG" width="69" height="51"></td>
<td><img src="image/00BL.JPG" width="69" height="51"></td>
</tr>
<tr>
<td> </td>
<td><img src="image/00YL.JPG" width="69" height="51"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3">Rut (*) </font></td>
<td width="170"> <input type="text" name="rut">
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> E-mail (*)</font></td>
<td width="170"><input type="text" name="email">
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> Telefono (*)</font></td>
<td width="170"> <input type="text" name="telefono">
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> Ciudad (*)</font></td>
<td width="170"><input type="text" name="ciudad">
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> Cantidad (*)</font></td>
<td width="170"> <SELECT name="cantidad"><OPTION>
</OPTION>
<OPTION value=1>1 ENTRADA</OPTION>
<OPTION value=2>2 ENTRADAS</OPTION>
<OPTION value=3>3 ENTRADAS</OPTION>
<OPTION value=4>4 ENTRADAS</OPTION>
<OPTION value=5>5 ENTRADAS</OPTION>
<OPTION value=6>+ DE 5 ENTRADAS</OPTION>
</SELECT>
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> Ubicación (*)</font></td>
<td width="170"> <SELECT name="ubicacion"><OPTION>
</OPTION>
<OPTION value="Vipgolden">VIP GOLDEN - $80.000</OPTION>
<OPTION value="Vippreferncial">VIP PREFERENCIAL - $50.000</OPTION>
<OPTION value="Preferencial">PLATEA - $30.000</OPTION>
<OPTION value="Preferencial">TRIBUNA - $15.000</OPTION>
</SELECT>
</td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3"> Edad (*)</font></td>
<td><input type="text" name="edad" size="5" maxlength="2"></td>
</tr>
<tr>
<td width="118"><font face="Monotype Corsiva" size="3">Comentarios</font></td>
<td colspan="2">
<textarea name="comentarios" cols="45" rows="4"></textarea>
</td>
</tr>
<table width="509" border="0" align="center" cellpadding="5" cellspacing="2" dwcopytype="CopyTableCell">
<tr>
<td colspan="3">
<div align="center">
<p>
<input TYPE="button" VALUE="Enviar" onClick="Validar(this.form)">
<input type="reset" name="reset" value="Limpiar">
</p>
</div>
</td>
</tr>
</table>
</table>
</center></div>
</table>
</form>