2 submit dans le même formulaire
aidez moi svp pour corriger ce code :
les 2 boutons submit renvoie la m^me réponse
<table width="600" align="center" cellpadding="4" cellspacing="4" class="table_n">
<tr>
<td>
<div style="text-align: justify">
L'inscription est obligatoire pour pouvoir participer aux rubriques sécurisées,
ainsi qu'aux forums réservés aux seuls médecins.</div><br>
<div style="text-align: justify">Noter que toutes les données sont strictement confidentielles, et ne sont
accessibles qu'aux seuls responsables du site. </div><br>
<div style="text-align: justify">Les données obligatoires servent à s'assurer de l'identité du médecin pour
permettre de sécuriser au maximum les échanges entre les médecins.</div><br>
<div style="text-align: justify">Les données facultatives nous permettent de recueillir des données sur les
médecins qui fréquentent le site. Ceci nous permettra par exemple de vous
proposer des formations, des séminaires ou des abonnements selon votre profil. </div>
<br>
<hr size="1" color="#25518C">
<br>
<div style="text-align: justify">S'il vous plaît, prenez le temps de remplir tous les champs
portant un astérisque<font color="#FF0000">*</font>vous nous aiderez à traiter votre demande le plus rapidement
possible. Merci</div>
<br>
<hr size="1" color="#25518C">
<br>
</td>
</tr>
<tr>
<td align="center">
<form method="POST" action="action.php" enctype="multipart/form-data">
<table width="520" border="0" align="center" cellpadding="3" cellspacing="3">
<tr>
<td colspan="3"><div style="text-align: center"><b><font color="red"><h4>DONNÉES OBLIGATOIRES</h3></font></b> </div></td>
</tr>
<tr>
<td width="40%"><strong>Vous êtes :</strong></td>
<td><select name="anrede" id="anrede" size="1" class="eingabe" style="width: 90.5%">
<option value="Monsieur/Madame" selected>Sélectionnez</option>
<option value="Madame">Madame</option>
<option value="Mademoiselle">Mademoiselle</option>
<option value="Monsieur">Monsieur</option>
</select></td>
</tr>
<tr>
<td width="40%"><strong>Nom :<font color="#FF0000">*</font></strong></td>
<td><input name="name" type="text" id="name" size="43" maxlength="70" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>Prénom :<font color="#FF0000">*</font></strong></td>
<td><input name="prenom" type="text" id="prenom" size="43" maxlength="70" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>Adresse professionnelle :<font color="#FF0000">*</font></strong></td>
<td><input name="adresse" type="text" id="adresse" size="43" maxlength="90" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>Code postal :<font color="#FF0000">*</font></strong></td>
<td><input name="postal" type="text" id="postal" size="43" maxlength="5" onKeypress="if(event.keyCode < 48 || event.keyCode > 57) event.returnValue = false; if(event.which < 48 || event.which > 57) return false;" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>Ville :<font color="#FF0000">*</font></strong></td>
<td><select name="ville" type="text" id="ville" size="1" class="eingabe" style="width: 90.5%"/>
<option value="Sélectionnez" selected>Sélectionnez</option>
<option value="Agadir ">Agadir </option>
<option value="Aguelmous ">Aguelmous </option>
<option value="Agwanit ">Agwanit </option>
<option value="Aklim ">Aklim </option>
<option value="Ain Dorij ">Ain Dorij </option>
<option value="Ain Jemaa ">Ain Jemaa </option>
<option value="Ait Benhaddou ">Ait Benhaddou </option>
<option value="Ain Bni Mathar ">Ain Bni Mathar </option>
<option value="Ain Cheggag ">Ain Cheggag </option>
<option value="Ain El Aouda">Ain El Aouda</option>
<option value="Ain Erreggada ">Ain Erreggada </option>
<option value="Ait Boubidmane ">Ait Boubidmane </option>
<option value="Ait Bouhlal ">Ait Bouhlal </option>
<option value="Ait Daoud ">Ait Daoud </option>
<option value="Ait Iaaza ">Ait Iaaza </option>
<option value="Ait Ourir ">Ait Ourir </option>
<option value="Ajdir ">Ajdir </option>
<option value="Al Aaroui ">Al Aaroui </option>
<option value="Al -Hoceima ">Al -Hoceima </option>
<option value="Amalou Ighriben ">Amalou Ighriben </option>
<option value="Amgala ">Amgala </option>
<option value="Amizmiz ">Amizmiz </option>
<option value="Aoufous ">Aoufous </option>
<option value="Arbaoua ">Arbaoua </option>
<option value="Arfoud ">Arfoud </option>
<option value="Asilah ">Asilah </option>
<option value="Assahrij">Assahrij</option>
<option value="Bab Berred ">Bab Berred </option>
<option value="Bab Taza">Bab Taza</option>
<option value="Bejaad ">Bejaad </option>
<option value="Beni Chiker ">Beni Chiker </option>
<option value="Beni Ansar ">Beni Ansar </option>
<option value="Beni Mellal ">Beni Mellal </option>
<option value="Ben Slimane ">Ben Slimane </option>
<option value="Ben Taieb ">Ben Taieb </option>
<option value="Ben Yakhlef ">Ben Yakhlef </option>
<option value="Berkane ">Berkane </option>
<option value="Berrechid ">Berrechid </option>
<option value="Bhalil ">Bhalil </option>
<option value="Bir GanBirdus ">Bir GanBirdus </option>
<option value="Bir Lehlou ">Bir Lehlou </option>
<option value="Bni Bouayach">Bni Bouayach</option>
<option value="Bni Drar">Bni Drar</option>
<option value="Bni Hadifa ">Bni Hadifa </option>
<option value="Bni Tadjite ">Bni Tadjite </option>
<option value="Bouarfa ">Bouarfa </option>
<option value="Bou Craa">Bou Craa</option>
<option value="Bouanane">Bouanane</option>
<option value="Boudnib ">Boudnib </option>
<option value="Boufakrane ">Boufakrane </option>
<option value="Bouguedra ">Bouguedra </option>
<option value="Bouizakarne ">Bouizakarne </option>
<option value="Boujad ">Boujad </option>
<option value="Boujdour">Boujdour</option>
<option value="Bouknadel ">Bouknadel </option>
<option value="Boulemane ">Boulemane </option>
<option value="Bouskoura ">Bouskoura </option>
<option value="Bouznika">Bouznika</option>
<option value="Bradia ">Bradia </option>
<option value="Brikcha ">Brikcha </option>
<option value="Casablanca ">Casablanca </option>
<option value="Chalwa ">Chalwa </option>
<option value="Chefchaouen ">Chefchaouen </option>
<option value="Chemaia ">Chemaia </option>
<option value="Chichaoua ">Chichaoua </option>
<option value="Dakhla ">Dakhla </option>
<option value="Dar Gueddari">Dar Gueddari</option>
<option value="Dar Kebdani ">Dar Kebdani </option>
<option value="Demnate ">Demnate </option>
<option value="Douar Bel Aguide">Douar Bel Aguide</option>
<option value="Driouch ">Driouch </option>
<option value="El Aioun Sidi Mellouk ">El Aioun Sidi Mellouk </option>
<option value="el Guerdane ">el Guerdane </option>
<option value="el Hajeb">el Hajeb</option>
<option value="el Hanchane ">el Hanchane </option>
<option value="el Jadida ">el Jadida </option>
<option value="Elkbab ">Elkbab </option>
<option value="el Menzel ">el Menzel </option>
<option value="el Ouatia ">el Ouatia </option>
<option value="Erfoud ">Erfoud </option>
<option value="Errachidia ">Errachidia </option>
<option value="Essaouira ">Essaouira </option>
<option value="Farcia ">Farcia </option>
<option value="Figuig ">Figuig </option>
<option value="Fnideq ">Fnideq </option>
<option value="Fquih Ben Salah ">Fquih Ben Salah </option>
<option value="Guelmim ">Guelmim </option>
<option value="Goulmima">Goulmima</option>
<option value="Guelta Zemmour ">Guelta Zemmour </option>
<option value="Guerguerat ">Guerguerat </option>
<option value="Guisser ">Guisser </option>
<option value="Had Kourt ">Had Kourt </option>
<option value="Hagunia ">Hagunia </option>
<option value="Haj Kaddour ">Haj Kaddour </option>
<option value="Harhoura">Harhoura</option>
<option value="Ifrane ">Ifrane </option>
<option value="Imilchil">Imilchil</option>
<option value="Imilili ">Imilili </option>
<option value="Imintanoute ">Imintanoute </option>
<option value="Imouzzer Kandar ">Imouzzer Kandar </option>
<option value="Immouzer Marmoucha ">Immouzer Marmoucha </option>
<option value="Inezgane">Inezgane</option>
<option value="jerada ">jerada </option>
<option value="Jorf">Jorf</option>
<option value="Jorf El Melha ">Jorf El Melha </option>
<option value="Jemâa Sahim ">Jemâa Sahim </option>
<option value="Kassita ">Kassita </option>
<option value="Kattara ">Kattara </option>
<option value="Kénitra ">Kénitra </option>
<option value="Kehf Nsour ">Kehf Nsour </option>
<option value="Khémisset ">Khémisset </option>
<option value="Khemis Sahel">Khemis Sahel</option>
<option value="Khemis Zemamra ">Khemis Zemamra </option>
<option value="Khenichet ">Khenichet </option>
<option value="Khénifra">Khénifra</option>
<option value="Khouribga ">Khouribga </option>
<option value="Ksar el - Kébir ">Ksar el - Kébir </option>
<option value="Laayoune">Laayoune</option>
<option value="Lagouira">Lagouira</option>
<option value="Lalla Mimouna ">Lalla Mimouna </option>
<option value="Larache ">Larache </option>
<option value="Lixus ">Lixus </option>
<option value="Lqliâa ">Lqliâa </option>
<option value="Madagh ">Madagh </option>
<option value="Marrakech ">Marrakech </option>
<option value="Martil ">Martil </option>
<option value="Mechra Bel Ksiri">Mechra Bel Ksiri</option>
<option value="Mediek ">Mediek </option>
<option value="Mediouna">Mediouna</option>
<option value="Mehdia ">Mehdia </option>
<option value="Meknès ">Meknès </option>
<option value="Melloussa ">Melloussa </option>
<option value="Midelt ">Midelt </option>
<option value="Mirleft ">Mirleft </option>
<option value="Mohammédia ">Mohammédia </option>
<option value="Moqrisset ">Moqrisset </option>
<option value="Moulay Ali Cherif ">Moulay Ali Cherif </option>
<option value="Moulay Bousselham ">Moulay Bousselham </option>
<option value="Moulay Idriss Zerhoun ">Moulay Idriss Zerhoun </option>
<option value="Nador ">Nador </option>
<option value="Ouarzazate ">Ouarzazate </option>
<option value="Oualidia">Oualidia</option>
<option value="Ouezzane">Ouezzane</option>
<option value="Oujda ">Oujda </option>
<option value="Oukaimeden ">Oukaimeden </option>
<option value="Oulad Amrane">Oulad Amrane</option>
<option value="Oulad Ayad ">Oulad Ayad </option>
<option value="Oulad Berhil">Oulad Berhil</option>
<option value="Oulad Frej ">Oulad Frej </option>
<option value="Oulad Ghadbane ">Oulad Ghadbane </option>
<option value="Oulad H Riz Sahel ">Oulad H Riz Sahel </option>
<option value="Oulad M 'Rah">Oulad M 'Rah</option>
<option value="Oulad M Barek ">Oulad M Barek </option>
<option value="Oulad Teïma ">Oulad Teïma </option>
<option value="Oulad Zbair ">Oulad Zbair </option>
<option value="Ouled Tayeb ">Ouled Tayeb </option>
<option value="Ouled Youssef ">Ouled Youssef </option>
<option value="Oulmès ">Oulmès </option>
<option value="Ounagha ">Ounagha </option>
<option value="Rabat ">Rabat </option>
<option value="Ras El Ain ">Ras El Ain </option>
<option value="Ras El Ma ">Ras El Ma </option>
<option value="Ribate El Kheir ">Ribate El Kheir </option>
<option value="Rissani ">Rissani </option>
<option value="Sabaa Aiyoun">Sabaa Aiyoun</option>
<option value="Safi">Safi</option>
<option value="Saidia ">Saidia </option>
<option value="Salé">Salé</option>
<option value="Sebt El Maârif ">Sebt El Maârif </option>
<option value="Sebt Gzoula ">Sebt Gzoula </option>
<option value="Sebt Jahjouh">Sebt Jahjouh</option>
<option value="Sefrou ">Sefrou </option>
<option value="Settat ">Settat </option>
<option value="Sid Zouin ">Sid Zouin </option>
<option value="Sidi Abdallah Ghiat ">Sidi Abdallah Ghiat </option>
<option value="Sidi Addi ">Sidi Addi </option>
<option value="Sidi Ali Ban Hamdouche ">Sidi Ali Ban Hamdouche </option>
<option value="Sidi Allal El Bahraoui ">Sidi Allal El Bahraoui </option>
<option value="Sidi Allal Tazi ">Sidi Allal Tazi </option>
<option value="Sidi Bou Othmane">Sidi Bou Othmane</option>
<option value="Sidi Boubker">Sidi Boubker</option>
<option value="Sidi Jaber ">Sidi Jaber </option>
<option value="Sidi Kacem ">Sidi Kacem </option>
<option value="Sidi Lyamani">Sidi Lyamani</option>
<option value="Sidi Rahhal ">Sidi Rahhal </option>
<option value="Sidi Slimane">Sidi Slimane</option>
<option value="Sidi Smaïl ">Sidi Smaïl </option>
<option value="Sidi Taibi ">Sidi Taibi </option>
<option value="Sidi Yahya el Gharb ">Sidi Yahya el Gharb </option>
<option value="Skhirat ">Skhirat </option>
<option value="Smara ">Smara </option>
<option value="Souq Larb ">Souq Larb </option>
<option value="Taddert ">Taddert </option>
<option value="Tafetachte ">Tafetachte </option>
<option value="Tafrisset ">Tafrisset </option>
<option value="Taghjijt">Taghjijt</option>
<option value="Tahala ">Tahala </option>
<option value="Tahannaout ">Tahannaout </option>
<option value="Tainaste">Tainaste</option>
<option value="Taliouine ">Taliouine </option>
<option value="Talmest ">Talmest </option>
<option value="Talssint">Talssint</option>
<option value="Tanger ">Tanger </option>
<option value="Tan -Tan">Tan -Tan</option>
<option value="Tamallalt ">Tamallalt </option>
<option value="Tamanar ">Tamanar </option>
<option value="Tameslouht ">Tameslouht </option>
<option value="Taourirte ">Taourirte </option>
<option value="Tarfaya ">Tarfaya </option>
<option value="Taroudannt ">Taroudannt </option>
<option value="Tata">Tata</option>
<option value="Taza">Taza</option>
<option value="Taznakht">Taznakht</option>
<option value="Télouet ">Télouet </option>
<option value="Temara ">Temara </option>
<option value="Temsia ">Temsia </option>
<option value="Tétouan ">Tétouan </option>
<option value="Thar Es - Souk ">Thar Es - Souk </option>
<option value="Tichla ">Tichla </option>
<option value="Tidass ">Tidass </option>
<option value="Tifariti">Tifariti</option>
<option value="Tiflet ">Tiflet </option>
<option value="Tinghir ">Tinghir </option>
<option value="Tinmel ">Tinmel </option>
<option value="Tiznit ">Tiznit </option>
<option value="Tiztoutine ">Tiztoutine </option>
<option value="Torres de Alcala">Torres de Alcala</option>
<option value="Tifelt ">Tifelt </option>
<option value="Youssoufia ">Youssoufia </option>
<option value="Zagora ">Zagora </option>
<option value="Zaio">Zaio</option>
</select></td>
</tr>
<tr>
<td width="40%"><strong>Secteur d'exercice :<font color="#FF0000">*</font></strong></td>
<td><input name="secteur" type="text" id="secteur" size="43" maxlength="20" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>Téléphone fixe :<font color="#FF0000">*</font></strong></td>
<td><input name="telephone" type="text" id="telephone" size="43" maxlength="9" onKeypress="if(event.keyCode < 48 || event.keyCode > 57) event.returnValue = false; if(event.which < 48 || event.which > 57) return false;" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>GSM :<font color="#FF0000">*</font></strong></td>
<td><input name="gsm" type="text" id="gsm" size="43" maxlength="9" onKeypress="if(event.keyCode < 48 || event.keyCode > 57) event.returnValue = false; if(event.which < 48 || event.which > 57) return false;" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong>E-Mail :<font color="#FF0000">*</font></strong></td>
<td><input name="email" type="text" id="email" value="@" size="43" maxlength="70" class="eingabe" /></td>
</tr>
<tr>
<td width="40%"><strong >Spécialité :<font color="#FF0000">*</font></strong></td>
<td><select name="specialite" id="specialite" size="1" class="eingabe" style="width: 90.5%">
<option value="Sélectionnez" selected>Sélectionnez</option>
<option value="ANGIOLOGIE">ANGIOLOGIE</option>
<option value="BIOLOGIE MEDICALE">BIOLOGIE MEDICALE</option>
<option value="CANCEROLOGIE">CANCEROLOGIE</option>
<option value="CARDIOLOGIE">CARDIOLOGIE </option>
<option value="CHIRURGIE CARDIO - VASCULAIRE">CHIRURGIE CARDIO - VASCULAIRE</option>
<option value="CHIRURGIE GENERALE">CHIRURGIE GENERALE </option>
<option value="CHIRURGIE MAXILO - FACIALE">CHIRURGIE MAXILO - FACIALE </option>
<option value="CHIRURGIE PEDIATRIQUE">CHIRURGIE PEDIATRIQUE</option>
<option value="CHIRURGIE PLASTIQUE">CHIRURGIE PLASTIQUE </option>
<option value="CHIRURGIE VISCERALE">CHIRURGIE VISCERALE </option>
<option value="CHIRURGIE ORTHOPEDIQUE">CHIRURGIE ORTHOPEDIQUE </option>
<option value="DERMATOLOGIE - VENEREOLOGIE">DERMATOLOGIE - VENEREOLOGIE </option>
<option value="DIABETOLOGIE">DIABETOLOGIE</option>
<option value="ENDOCRINOLOGIE">ENDOCRINOLOGIE</option>
<option value="GASTROLOGIE">GASTROLOGIE </option>
<option value="GENERALISTES">GENERALISTES</option>
<option value="GYNECOLOGIE MEDICALE">GYNECOLOGIE MEDICALE</option>
<option value="GYNECOLOGIE OBSTETRIQUE">GYNECOLOGIE OBSTETRIQUE </option>
<option value="HEMATOLOGIE">HEMATOLOGIE </option>
<option value="HOMEOPATHIE">HOMEOPATHIE </option>
<option value="MEDECINE APPLIQUEE">MEDECINE APPLIQUEE </option>
<option value="MEDECINE DU SPORT">MEDECINE DU SPORT</option>
<option value="MEDECINE DU TRAVAIL">MEDECINE DU TRAVAIL </option>
<option value="MEDECINE GENERALE">MEDECINE GENERALE</option>
<option value="MEDECINE INTERNE">MEDECINE INTERNE</option>
<option value="MEDECINE LEGALE">MEDECINE LEGALE </option>
<option value="MEDECINE NUCLEAIRE">MEDECINE NUCLEAIRE </option>
<option value="MEDECINE THERMALE">MEDECINE THERMALE</option>
<option value="NEONATALOGIE">NEONATALOGIE</option>
<option value="NEPHROLOGIE">NEPHROLOGIE </option>
<option value="NEUROCHIRURGIE">NEUROCHIRURGIE </option>
<option value="NEUROLOGIE">NEUROLOGIE </option>
<option value="NEUROPSYCHIATRIE">NEUROPSYCHIATRIE</option>
<option value="OPHTALMOLOGIE">OPHTALMOLOGIE</option>
<option value="O.R.L">O.R.L</option>
<option value="ORTHOPEDIE">ORTHOPEDIE </option>
<option value="PEDIATRIE">PEDIATRIE</option>
<option value="PHONIATRIE">PHONIATRIE </option>
<option value="PNEUMOLOGIE">PNEUMOLOGIE </option>
<option value="PROCTOLOGIE">PROCTOLOGIE </option>
<option value="PSYCHIATRIE">PSYCHIATRIE </option>
<option value="RADIOLOGIE DIAGNOSTIC">RADIOLOGIE DIAGNOSTIC</option>
<option value="RADIOLOGIE THERAPEUTIQUE">RADIOLOGIE THERAPEUTIQUE</option>
<option value="REANIMATION">REANIMATION </option>
<option value="REEDUCATION">REEDUCATION </option>
<option value="RESONANCE MAGNETIQUE">RESONANCE MAGNETIQUE</option>
<option value="RHUMATOLOGIE">RHUMATOLOGIE</option>
<option value="SCANOGRAPHIE">SCANOGRAPHIE</option>
<option value="SEXOLOGUE">SEXOLOGUE</option>
<option value="STOMATOLOGIE">STOMATOLOGIE</option>
<option value="TRAUMATOLOGIE">TRAUMATOLOGIE</option>
<option value="UROLOGIE">UROLOGIE</option>
</select></td>
</tr>
<tr>
<td colspan="3"><br><h4><div style="text-align: center"><font color="red">DONNÉES FACULTATIVES</font></div></h4> </td>
</tr>
<tr>
<td width="40%"><strong>Année d'obtention du diplôme :</strong></td>
<td><input name="betreff" type="text" id="betreff" size="43" maxlength="9" class="eingabe" /></td>
</tr>
<tr>
<td width="40%" ><strong>Faculté d'origine :</strong></td>
<td><input name="nachricht" type="text" id="nachricht" size="43" maxlength="9" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Date d'installation dans le privé :</strong></td>
<td><input name="installation" type="text" id="installation" size="43" maxlength="9" onKeypress="if(event.keyCode < 48 || event.keyCode > 57) event.returnValue = false; if(event.which < 48 || event.which > 57) return false;" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Certificats et autres diplômes universitaires :</strong></td>
<td><textarea name="certificat" cols="42" rows="8" id="certificat" size="43" maxlength="250" class="eingabe"/></textarea></td>
</tr>
<tr>
<td width="40%" ><strong>Expertise auprès des tribunaux :</strong></td>
<td><input name="tribunaux" type="text" id="tribunaux" size="43" maxlength="9" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Activité de médecine de travail :</strong></td>
<td><input name="travail" type="text" id="travail" size="43" maxlength="60" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Abonnement à une revue médicale :</strong></td>
<td><input name="revue" type="text" id="revue" size="43" maxlength="60" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Association professionnelle locale :</strong></td>
<td><input name="locale" type="text" id="locale" size="43" maxlength="60" class="eingabe"/></td>
</tr>
<tr>
<td width="40%" ><strong>Expérience dans l'animation de la FMC :</strong></td>
<td><input name="animation" type="text" id="animation" size="43" maxlength="60" class="eingabe"/></td>
</tr>
<tr>
<td><?php
require_once "captcha.class.php";
$captcha = new FS_captcha();
$result = "";
if (isset($_POST["reponse"]) && !empty($_POST["reponse"])) {
if ($captcha->check($_POST["reponse"])) {
$result = '<input type="submit" name="send_m" value="Visualiser" class="button" />';
}
}
$question = $captcha->generate();
?>
<?php echo $result; ?>
<form action="" name="test" method="post">
<p>Question: <?php echo $question; ?></p>
<p>
Answer: <input type="text" name="reponse" value="" />
<input type="submit" name="submit" value="GO!" />
</p>
</form></td>
</tr>
<tr>
<td height="40" colspan="2" valign="middle">
<div align="center">
<span style='display: none;'><input name='web_url' size='30' value='*****' maxlength='50' /></span>
<input type="reset" name="reset" value="Effacer" class="button" />
</div> </td>
</tr>
</table>
</form>
</td>
</tr>
</table>
<br />