<tr>
<td colspan="4"> </td>
</tr>
<tr>
<td>Název</td>
<td> <input type="text" class="inputClass" name="nazev_[NUM]" /> </td>
<td colspan="2"></td>
</tr>
<tr>
<td>Oddělení</td>
<td> <input type="text" class="inputClass" name="oddeleni_[NUM]" /> </td>
<td colspan="2"></td>
</tr>
<tr>
<td>Ulice a č.p.</td>
<td> <input type="text" class="inputClass" name="ulice_[NUM]" /> </td>
<td colspan="2"></td>
</tr>
<tr>
<td>Město</td>
<td> <input type="text" class="inputClass" name="mesto_[NUM]" /> </td>
<td colspan="2"></td>
</tr>
<tr>
<td>PSČ</td>
<td> <input type="text" class="inputClass" name="psc_[NUM]" /> </td>
<td colspan="2"></td>
</tr>
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Položky označené hvězdičkou jsou povinné.