1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68
|
<form method="POST" action="http://formfixer.com/ff/ff.cgi" onSubmit="return checkrequired(this)">
<input type="hidden" name="s_email" value="fastcup_brigadeqnc@hotmail.com">
<input type="hidden" name="s_retur" value="http://ts.teamqnc.eu/brigade/www/fastcup/">
<HEAD>
<script>function checkrequired(which){
var pass=true
if (document.images){
for (i=0;i<which.length;i++){
var tempobj=which.elements[i]
if (tempobj.name.substring(0,8)=="required"){
if (((tempobj.type=="text"||tempobj.type=="textarea")&&tempobj.value=='')||(tempobj.type.toString().charAt(0)=="s"&&tempobj.selectedIndex==-1)){
pass=false
break
}
}
}
}
if (!pass){
alert("Certains champs de ce formulaire sont obligatoires, merci de bien vouloir les renseigner")
return false
}
else
return true
}
</script>
</HEAD>
<HTML><center><b>Vous êtes sur la page d'enregistrement de votre team pour l'inscription à nos FastCup's<br>
Veillez à fournir <u>toutes</u> les informations nécessaires.</b></center></HTML>
<br>
<TABLE>
<TR><TD>Nom de la Team *</TD><TD><input name="requirednom de la team"></TD></TR><br>
<TR><TD>Leader line-up *</TD><TD><input name="requiredleader"></TD></TR><br>
<TR><TD>Steam amis du leader *</TD><TD><input name="requiredsteam amis"></TD></TR><br>
<TR><TD>Email *</TD><TD><input name="requiredemail"></TD></TR><br>
<TR><TD>Site *</TD><TD><input name="requiredsite"></TD></TR><br>
<TR><TD>--------</TD></TR>
<TR><TD>X on X</TD>
<TD><select name="vs">
<option value="empty">
<option value="1on1 AIM">1on1 AIM
<option value="1on1 AWP">1on1 AWP
<option value="2on2 mr12">2on2 mr12
<option value="5on5 mr 15">5on5 mr15
</select></TD></TR>
<TR><TD>--------</TD></TR>
<TR><TD>ENREGISTREMENT TEAM</TD></TR>
<TR><TD>Name du Player 1* :</TD><TD><input name="pseudo1"></TD> <TD> Steam_id</TD><TD><input name="steam1"></TD></TR>
<TR><TD>Name du Player 2* :</TD><TD><input name="pseudo2"></TD> <TD> Steam_id</TD><TD><input name="steam2"></TD></TR>
<TR><TD>Name du Player 3* :</TD><TD><input name="pseudo3"></TD> <TD> Steam_id</TD><TD><input name="steam3"></TD></TR>
<TR><TD>Name du Player 4* :</TD><TD><input name="pseudo4"></TD> <TD> Steam_id</TD><TD><input name="steam4"></TD></TR>
<TR><TD>Name du Player 5* :</TD><TD><input name="pseudo5"></TD> <TD> Steam_id</TD><TD><input name="steam5"></TD></TR>
<TR><TD>Name du Player 6 :</TD><TD><input name="pseudo6"></TD> <TD> Steam_id</TD><TD><input name="steam6"></TD></TR>
<TR><TD>Name du Player 7 :</TD><TD><input name="pseudo7"></TD> <TD> Steam_id</TD><TD><input name="steam7"></TD></TR>
<TR><TD>Name du Player 8 :</TD><TD><input name="pseudo8"></TD> <TD> Steam_id</TD><TD><input name="steam8"></TD></TR>
<TR><TD>--------</TD></TR>
</TABLE>
<br>
<br>
<br>
<i><FONT COLOR="FF0000">(*) champs obligatoires</i></FONT>
<TR><TD><input type="submit" value="Envoyer"></TD><TD><input type="reset" value="Effacer"></TD></TR>
<br>
<br>
<br>
© Formulaire by Foulosophe designed for FastCup QNC |
Partager