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<HTML><HEAD><TITLE>----</TITLE></HEAD><BODY
>
<FORM
ACTION="http://perso.wanadoo.fr/bin/formulaire.cgi"
METHOD=POST>
<P><INPUT TYPE=hidden NAME=email
VALUE="toto@titine.com">
<INPUT TYPE=hidden NAME=url
VALUE="http://www.titine.com">
<INPUT TYPE=hidden NAME=sujet VALUE="Formulaire des Pages
Perso">
<CENTER><FONT
COLOR="#000000"><B>Choisir un
continent</B>
</FONT><FONT COLOR="#808080">:</FONT>
<P><FONT
COLOR="#FFFFFF"><SELECT
NAME=Continent>
<OPTION>Europe
<OPTION>Asie
<OPTION>Afrique
<OPTION>Amérique
<OPTION>Océanie
</SELECT>
</FONT><P></B> <P><FONT
COLOR="#FFFFFF"><B>
<INPUT TYPE=submit NAME=Envoyer
VALUE="Envoyer">
<INPUT TYPE=reset NAME=Effacer VALUE="Effacer"
></CENTER></FORM>
</BODY></HTML>
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