| 12
 3
 4
 5
 6
 7
 8
 9
 10
 11
 12
 13
 14
 15
 16
 17
 18
 19
 20
 21
 22
 23
 
 |  
  <form name="test" method="post" action="" >
     <a>  <label for="name">»Civilité:</label></a>
<div class="spacer"></div>
	    <select name="civilite">
        <option value="Monsieur">Monsieur</option>
        <option value="Madame">Madame</option>
        <option value="Mademoiselle">Mademoiselle</option>
</select> 
	 <div class="spacer"></div>
 
 
 
       <a>  <label for="name">»Nom:</label></a>
        <input type="text" name="name" id="name" />
 
        <div class="spacer"></div>
 
      <a>   <label for="name">»Prénom:</label></a>
        <input type="text" name="prenom" id="prenom" /> 
       <div id="container2"><p id="add_field2"><span>» Fax</span></a></p> </div>
 
   <input id="go" name="btnSubmit" type="submit" value="Enregistrer" class="btn" /> |