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- ((1))
- <form action="mailto:webmaster@abc.fr?subject='formulaire visiteur'" method="post" name="inscription">
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- ((2))
- <input type="hidden" name="source" value="mon site">
-
- ((3))
- <p>Votre <b><font color="#ff6600">n</font></b>om<br>
- <input type="text" name="nom" size=20 maxlength=30 value="Qui êtes-vous ?" accesskey="n">
- </p>
-
- ((4))
- <p>Votre <b><font color="#ff6600">m</font></b>ot de passe<br>
- <input type="password" name="motdepasse" size=10 maxlength=10 accesskey="m">
- </p>
-
- ((5))
- <p>
- <input type="radio" name="bouton" value="inscription" checked> inscription<br>
- <input type="radio" name="bouton" value="annulation"> annulation<br>
- </p>
-
- ((6))
- <p>
- <input type="checkbox" name="age" value="25ans"> Vous avez moins de 25 ans
- </p>
-
- ((7))
- <p>Vos <b><font color="#ff6600">c</font></b>ommentaires<br>
- <textarea name="commentaires" cols=35 rows=5 wrap="physical" accesskey="c">
- </textarea>
- </p>
-
- ((8))
- <p>
- <input type="submit" value="Envoyer">
- <input type="reset" value="Annuler">
- </p>
-
- ((9))
- </form>
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