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
| <html>
<head>
<title> diponibilité journalière</title>
</head>
<body>
<FORM method="post" action="mailto:hugues.dupont2@sfr.fr" enctype="text/plain">
<table border="0" cellspacing="2" cellpadding="2">
<tr>
<td>matricule</td>
<td><input type="text" name="matricule"></td>
</tr>
<tr>
<td>date</td>
<td><input type="text" name="date"></td>
</tr>
<tr>
<td>00h00-05h30</td>
<td><input type="checkbox" name="00h00-05h30" value="1"></td>
</tr>
<tr>
<td>05h30-07h30</td>
<td><input type="checkbox" name="05h30-07h30" value="1"></td>
</tr>
<tr>
<td>07h30-09h30</td>
<td><input type="checkbox" name="07h30-09h30" value="1"></td>
</tr>
<tr>
<td>09h30-11h30</td>
<td><input type="checkbox" name="09h30-11h30" value="1"></td>
</tr>
<tr>
<td>11h30-13h30</td>
<td><input type="checkbox" name="11h30-13h30" value="1"></td>
</tr>
<tr>
<td>13h30-15h30</td>
<td><input type="checkbox" name="13h30-15h30" value="1"></td>
</tr>
<tr>
<td>15h30-17h30</td>
<td><input type="checkbox" name="15h30-17h30" value="1"></td>
</tr>
<tr>
<td>17h30-19h30</td>
<td><input type="checkbox" name="17h30-19h30" value="1"></td>
</tr>
<tr>
<td>19h30-21h30</td>
<td><input type="checkbox" name="19h30-21h30" value="1"></td>
</tr>
<tr>
<td>21h30-24h00</td>
<td><input type="checkbox" name="21h30-24h00" value="1"></td>
</tr>
<tr>
<td>code</td>
<td><input type="text" name="code"></td>
</tr>
<tr align="center">
<td colspan="2"><input type="submit" value="insérer"></td>
</tr>
</table>
</form>
</body>
</html> |