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| <HTML><HEAD>
<TITLE>Avis</TITLE>
</HEAD><BODY><center>
<script language="JavaScript">
// Teste si le mail a une forme correcte
function checkmail(email) {
var reg = /^[a-z0-9._-]+@[a-z0-9.-]{2,}[.][a-z]{2,4}$/
return (reg.exec(email)!=null)
}
// Teste le contenu des champs du form avant submit
function test(nom,mail) {
if(nom.value=="") {
alert("Indiquez votre nom !"); nom.focus(); return false;
} else if(!checkmail(mail.value)) {
alert("Email incorrect !"); mail.focus(); return false;
}
return true;
}
</script>
<table><form method="post" onsubmit="return test(this.Nom,this.Email)">
<tr>
<td>Nom<br><input name="Nom" size="35"></td>
<td>Prénom<br><input name="Prénom" size="35"></td>
</tr><tr>
<td>Adresse<br>
<input name="Adresse" size="45"></td>
<td align=center>
<p align="left">N°<br>
<input name="Numéro" size="10"></td>
</tr><tr>
<td align=center>
<p align="left">Ville<br>
<input name="Ville" size="50"></td>
<td align=center>
<p align="left">Code postal<br>
<input name="CP" size="10"></td>
</tr><tr>
<td colspan=2 align=center>Email<br>
<input name="Email" size="55"></td>
</tr><tr>
<td colspan=2 align=center>Message<br>
<textarea wrap=virtual rows=5 cols=50 name="Message"></textarea></td>
</tr><tr>
<td align=center>Sexe
<input type="radio" name="Sexe" value="Homme" checked>M
<input type="radio" name="Sexe" value="Femme">F</td>
<td align=center>Pays
<select name="Pays">
<option>Belgique</option>
<option>France</option>
<option>Luxembourg</option>
<option>Autre</option>
</select></td>
</tr><tr>
<td colspan=2 align=center>
<input type="checkbox" name="Newsletter" value="ON">
Recevoir la newsletter</td>
</tr><tr>
<td colspan=2 align=center><br>
<input type="hidden" name="IP" value="">
<input type="submit" value="Envoyer le formulaire"></td>
</tr>
</form></table>
</BODY></HTML> |
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