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<?php
echo '
<FORM NAME="Devenir membre =T.I.T=" ACTION="mailto:titpresident@spectreserveur.hd.free.fr" METHOD="post" ENCTYPE="text/plain">
<FORM>
<INPUT TYPE="radio" NAME="qualite" VALUE="H" CHECKED>Homme<BR>
<INPUT TYPE="radio" NAME="qualite" VALUE="F" CHECKED>Femme<BR>
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Nom:" SIZE="20" MAXLENGTH="20" VALUE="votre nom...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Prenom:" SIZE="20" MAXLENGTH="20" VALUE="votre prenom...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Date de naissance:" SIZE="20" MAXLENGTH="25" VALUE="XX/XX/XXXX">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Surnom:" SIZE="20" MAXLENGTH="20" VALUE="votre surnom...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Adresse:" SIZE="20" MAXLENGTH="20" VALUE="votre adresse...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Ville:" SIZE="20" MAXLENGTH="20" VALUE="votre ville...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Code postal:" SIZE="20" MAXLENGTH="20" VALUE="votre code postal...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Email:" SIZE="20" MAXLENGTH="20" VALUE="votre email...">
</FORM>
<FORM>
<INPUT TYPE="text" NAME="Telephone:" SIZE="20" MAXLENGTH="20" VALUE="votre telephone">
</FORM>
<FORM>
<INPUT TYPE="checkbox" NAME="Nos teams" VALUE="Air Soft Gun">Air Soft Gun<BR>
<INPUT TYPE="checkbox" NAME="Nos teams" VALUE="Lan Party">Lan Party<BR>
<INPUT TYPE="checkbox" NAME="Nos teams" VALUE="Projets informatiques">Projets informatiques<BR>
<INPUT TYPE="checkbox" NAME="Nos teams" VALUE="Jeux en ligne">Jeux en ligne<BR>
</FORM>
<FORM>
<INPUT TYPE="checkbox" NAME="Nos services" VALUE="Email =T.I.T=">Email =T.I.T=<BR>
<INPUT TYPE="text" NAME="Adresse choisie" SIZE="20" MAXLENGTH="20" VALUE="Adresse choisie avant @">
<INPUT TYPE="password" NAME="Mot de pass choisi:" SIZE="12" MAXLENGTH="8">
</FORM>
<FORM>
<INPUT TYPE="checkbox" NAME="Nos services" VALUE="Compte teamspeak">Compte teamspeak<BR>
<INPUT TYPE="password" NAME="Mot de pass choisi:" SIZE="12" MAXLENGTH="8">
</FORM>
<FORM>
<INPUT TYPE="checkbox" NAME="Nos services" VALUE="Compte FTP">Compte FTP<BR>
<INPUT TYPE="password" NAME="Mot de pass choisi:" SIZE="12" MAXLENGTH="8">
</FORM>
<FORM>
<INPUT TYPE="checkbox" NAME="Nos services" VALUE="Hebergement">Hebergement<BR>
<INPUT TYPE="password" NAME="Mot de pass choisi:" SIZE="12" MAXLENGTH="8">
</FORM>
<FORM>
<TEXTAREA NAME="Autre?" ROWS="10" COLS="60">
</TEXTAREA>
</FORM>
<FORM NAME="Image" ACTION="mailto:titpresident@spectreserveur.hd.free.fr" METHOD="post" ENCTYPE="multipart/form-data">
<INPUT TYPE="hidden" NAME="MAX_FILE_SIZE" VALUE="50">
<INPUT TYPE="file" NAME="Votre photo" SIZE="taille">
</FORM>
<INPUT TYPE="hidden" NAME="Origine" VALUE="Site officiel =T.I.T=">
<INPUT TYPE="submit" VALUE="Envoyer">
<INPUT TYPE="reset" VALUE="Effacer">
</FORM>
';
?> |
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