|
<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">
<P><CENTER><TABLE BORDER=0 WIDTH="80%"
HEIGHT=79><TR><TH WIDTH=300><P
ALIGN=left>Choisir deux options
maximum</TH><TD
WIDTH=154><P>
<INPUT TYPE=checkbox NAME=Options
VALUE=Villa CHECKED>Villa<P><INPUT TYPE=checkbox
NAME=Options
VALUE=Camping>Camping</TD><TD
WIDTH=154><P>
<INPUT TYPE=checkbox
NAME=Options
VALUE=Appartement>Appartement<P><INPUT
TYPE=checkbox NAME=Options
VALUE="Hôtel">Hôte</TD></TR></TABLE><P>
<INPUT TYPE=submit NAME=Envoyer
VALUE="Envoyer">
<INPUT TYPE=reset NAME=Effacer VALUE="Effacer"
></CENTER></FORM>
</BODY></HTML>
|
