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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><B>Choisir une
race</B><P><TABLE BORDER=0
WIDTH="36%" HEIGHT=65><TR><TD
WIDTH=154><P><INPUT
TYPE=radio NAME=Race
VALUE="Défense">Défense<P><INPUT
TYPE=radio NAME=Race
VALUE=Sauvetage>Sauvetage</TD><TD
WIDTH=154><P>
<INPUT TYPE=radio NAME=Race
VALUE=Compagnie>Compagnie<P>
<INPUT TYPE=radio NAME=Race
VALUE=Chasse>Chasse</TD></TR></TABLE><P>
<INPUT TYPE=submit NAME=Envoyer
VALUE="Envoyer">
<INPUT TYPE=reset NAME=Effacer VALUE="Effacer"
></CENTER></FORM>
</BODY></HTML>
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