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| <form action="/cgi-bin/send_form_mail.php.cgi" method="post" enctype="multipart/form-data" name="RESERVATION" id="RESERVATION">
<table width="100%" border="0">
<tr>
<td><label>
<input type="checkbox" name="Baptême Tandem" id="Baptême Tandem">
Baptême Tandem</label></td>
</tr>
<tr>
<td><label>
<input type="checkbox" name="Formation PAC" id="Formation PAC">
Formation PAC</label></td>
</tr>
<tr>
<td><label>
<input type="checkbox" name="Formation Traditionnelle" id="Formation Traditionnelle">
Formation Traditionnelle</label></td>
</tr>
<tr>
<td><label>
<input type="checkbox" name="Saut d'initiation PAC" id="Saut d'initiation PAC">
Saut d'initiation PAC</label></td>
</tr>
<tr>
<td><label>Nom
<input name="Nom2" type="text" id="Nom2" tabindex="2" size="40">
</label></td>
</tr>
<tr>
<td><label>Adresse
<input name="TO" type="hidden" id="TO" value="info@verticalwind.fr">
<textarea name="Adresse" id="Adresse" cols="45" rows="5"></textarea>
</label></td>
</tr>
<tr>
<td><label>Tél.
<input name="Téléphone" type="text" id="Téléphone" size="40">
</label></td>
</tr>
<tr>
<td><label>e.mail
<input name="FROM" type="text" id="FROM" size="37">
</label></td>
</tr>
<tr>
<td><label>Prix
<input name="Prix" type="text" id="Prix" size="40">
</label></td>
</tr>
<tr>
<td><input type="submit" name="Submit2" id="Submit2" value="Envoyer">
<input name="GOTOURL" type="hidden" id="GOTOURL" value="http://www.verticalwind.fr/Ok_reservation.htm"></td>
</tr>
</table>
</form>
</div>
<div id="apDiv3">Je réserve un saut !</div>
<div id="apDiv2">
<form action="/cgi-bin/send_form-mail.php.cgi" method="post" enctype="multipart/form-data" name="Renseignement" id="Renseignement">
<table width="100%" border="0">
<tr>
<td>Nom</td>
<td><label>
<input name="Nom" type="text" id="Nom" size="35">
</label></td>
</tr>
<tr>
<td>Prénom</td>
<td><label>
<input name="Prénom" type="text" id="Prénom" size="35">
</label></td>
</tr>
<tr>
<td>Adresse e.mail</td>
<td><label>
<input name="FROM" type="text" id="FROM" size="35">
</label></td>
</tr>
<tr>
<td>Téléphone</td>
<td><label>
<input name="Tél" type="text" id="Tél" size="35">
</label></td>
</tr>
<tr>
<td>Message</td>
<td><label>
<textarea name="Message" id="Message" cols="33" rows="5"></textarea>
</label></td>
</tr>
<tr>
<td><input name="TO" type="hidden" id="TO" value="info@verticalwind.fr"></td>
<td><label>
<input type="submit" name="Submit" id="Submit" value="Envoyer">
<input name="GOTOURL" type="hidden" id="GOTOURL" value="http://www.verticalwind.fr/Merci_contact.htm">
</label></td>
</tr>
</table>
</form> |
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