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| <table cellSpacing="0" cellPadding="0" width="437" border="0">
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblCiv" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:dropdownlist id="m_cmbCiv" runat="server" width="33%"></asp:dropdownlist></td>
</tr>
<tr>
<td class="txtCopy" align="left" width="30" height="15"><span class="txt"><br>
</span></td>
<td class="txtCopy" align="left" width="200"><asp:label class="txt" id="m_lblName" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox class="txt" id="m_txtName" runat="server" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblFirst" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox class="txt" id="m_txtFirstName" runat="server" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblSexe" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:dropdownlist id="m_cmbSexe" runat="server" width="66%"></asp:dropdownlist></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lbDateOfBirth" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:dropdownlist id="m_cmbDay" runat="server" width="33%"></asp:dropdownlist><asp:dropdownlist id="m_cmbMonth" runat="server" width="33%"></asp:dropdownlist><asp:dropdownlist id="m_cmbYear" runat="server" width="33%"></asp:dropdownlist></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td align="left" width="200" height="15"><asp:label class="txt" id="m_lblCountry" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:dropdownlist id="m_cmbCountry" runat="server" width="100%"></asp:dropdownlist></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblMail" runat="server"></asp:label>¹
*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox class="txt" id="m_txtMail" runat="server" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox><asp:regularexpressionvalidator id="RegularExpressionValidator1" runat="server" ValidationExpression="\w+([-+.]\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*"
ControlToValidate="m_txtMail" ErrorMessage="!"></asp:regularexpressionvalidator></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblConfirmMail" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox class="txt" id="m_txtConfirmMail" runat="server" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox><asp:regularexpressionvalidator id="RegularExpressionValidator2" runat="server" ValidationExpression="\w+([-+.]\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*"
ControlToValidate="m_txtConfirmMail" ErrorMessage="!"></asp:regularexpressionvalidator></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblPwd" runat="server"></asp:label>*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox id="m_txtPwd" runat="server" TextMode="Password" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox></td>
</tr>
<tr>
<td class="txt" align="left" width="30" height="15"> </td>
<td class="txt" align="left" width="200" height="15"><asp:label class="txt" id="m_lblConfirmPwd" runat="server"></asp:label>²*</td>
<td height="15"><IMG src="/_images/px.gif" width="5"></td>
<td width="170" colSpan="2" height="15"><asp:textbox id="m_txtConfirmPwd" runat="server" TextMode="Password" width="100%" onKeydown="this.style.backgroundColor='white'"></asp:textbox></td>
</tr>
<tr>
<td colSpan="5" height="40"><asp:checkbox class="txt" id="m_chkIsineoNews" runat="server"></asp:checkbox><br>
<asp:checkbox class="txt" id="m_chkCgu" runat="server"></asp:checkbox><br>
<asp:label id="m_lblError" runat="server" ForeColor="Red"></asp:label><br>
</td>
</tr>
<tr align="center">
<td colSpan="5" height="35"><asp:button id="m_btnConfirm" runat="server" Width="200px" CssClass="bouton"></asp:button></td>
</tr>
<tr>
<td vAlign="bottom" colSpan="5" height="40"><span class="txt10">¹ Invisible pour les autres
utilisateurs <br>² Adresse valide
indispensable<br>* Champs obligatoires <br></span></td>
</tr>
</table> |
