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| <form method="post" name="test" mXattribut="action:ActionFormRegister">
<table class="form_auth" border="0" cellpadding="4" cellspacing="0">
<tr>
<td colspan="2" align="center"><b>Les champs marqué d'un <span style="color:red">*</span> sont obligatoires!</b><br></td>
</tr>
<mx:text id="errorMsg" />
<tr>
<td>
<table border="0" cellpadding="2" cellspacing="2">
<tr>
<td class="field_label_register" width="190">Login</td>
<td>: <input class="field" type="text" name="login" size="20" value=""/><span class="infos_field"></td>
</tr>
<tr>
<td class="field_label_register">Password</td>
<td>: <input class="field" type="password" name="password" size="20" value=""/></td>
</tr>
<tr>
<td class="field_label_register">Confirmation password</td>
<td>: <input class="field" type="password" name="confirmPass" size="20" value=""/></td>
</tr>
<tr>
<td class="field_label_register">Genre</td>
<td style="font-family: Verdana, sans-serif;font-size:9pt;">: <input type="radio" name="genre" value="M"/>Masculin <input type="radio" name="genre" value="F"/>Féminin</td>
</tr>
<tr>
<td class="field_label_register" width="150">Nom</td>
<td>: <input class="field" type="text" name="nom" size="20" value=""/></td>
</tr>
<tr>
<td class="field_label_register" width="150">Prenom</td>
<td>: <input class="field" type="text" name="prenom" size="20" value=""/></td>
</tr>
<tr>
<td class="field_label_register" width="150">Date de naissance</td>
<td>: <input class="field" type="text" name="date_jours" size="1" value=""/> / <input class="field" type="text" name="date_mois" size="1" value=""/> / <input class="field" type="text" name="date_annee" size="3" value=""/></td>
</tr>
<tr>
<td class="field_label_register" width="150">Club</td>
<td>: <input class="field" type="text" name="club_name" size="25" value=""/> <span style="padding:2px;" class="field_label_register">Dept.</span> : <input class="field" type="text" name="club_dept" size="3" value=""/></td>
</tr>
<tr>
<td class="field_label_register" width="150">Classement</td>
<td>: <input class="field" type="text" name="clt" size="1" value="" /></td>
</tr>
<tr>
<td class="field_label_register" width="150">Division (championnat FFTT)</td>
<td>: <select name="division"><option>Pro A<option>Pro B<option>Nationale 1<option>Nationale 2<option>Nationale 3<option>Régionale 1<option>Régionale 2<option>Régionale 3<option>Régionale 4<option>Départementale 1<option>Départementale 2<option>Départementale 3<option>Départementale 4</select>
</td>
</tr>
<tr>
<td>Email</td>
<td><input type="text" name="email"></td>
</tr>
<tr>
<td colspan="2" align="center">
<table border="0" cellpadding="0" cellspacing="5">
<tr>
<td><INPUT type="submit" name="SubmitRegister" value="S'enregistrer"> <INPUT type="reset" value="Annuler"></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table> |
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