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<form>
<div align="center"></div>
<p align="center">
<table width="566" border="0" align="center">
<p align="center"></p><tr>
<td><font face="Verdana" size="2">Nom * </font></td>
<td><input name="nom" type="text"style="background-color: #FFFFFF;font: Verdana; border: 2px;"></td>
</tr><tr>
<td><font face="Verdana" size="2">Prénom * </font></td>
<td><input name="prenom" type="text"style="background-color: #FFFFFF;font: Verdana; color: #000000; border: 0px;" /></td>
</tr>
<tr>
<td valign="top">
<p> </p>
<p> </p></td><td><div align="center">
<input type="reset" name="Reset" value="Rétablir" />
<input type="submit" name="envoi" value="Envoyer" onclick="valider()" />
</div></td>
</tr>
</table>
<div align="center"></div>
</form> |
