Envoi formulaire de contact (pForm)
LumiereDeNuit
-
LumiereDeNuit -
LumiereDeNuit -
Bonjour,
J'ai crée un formulaire de contact grâce à pForm - http://www.phpform.org/ -, et celui ci, en version gratuite, ne me fournit que la forme, et non la partie "envoi des donnée" dans cette page, et la page php annexe non plus (genre envoi.php qui récupère les données).
Je voudrais faire en sorte que je reçoive par mail tout les champs de ce formulaire.
La page de mon site est : http://lumieredenuit.free.fr/form/form.html
La code de la page est html : (+des fichiers CSS/JS pour le form)
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Proposer un centre</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
</head>
<body id="main_body" >
<img id="top" src="top.png" alt="">
<div id="form_container">
<h1><a>Proposer un centre</a></h1>
<form id="form_48711" class="appnitro" method="post" action="envoi.php">
<div class="form_description">
<h2>Proposer un centre</h2>
<p></p>
</div>
<ul >
<li id="li_22" >
<label class="description" for="element_22">Pseudo </label>
<div>
<input id="element_22" name="element_22" class="element text small" type="text" maxlength="255" value=""/>
</div><p class="guidelines" id="guide_22"><small>Qui signera votre contribution</small></p>
</li> <li id="li_1" >
<label class="description" for="element_1">Votre Adresse Mail </label>
<div>
<input id="element_1" name="element_1" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_2" >
<label class="description" for="element_2">Adresse du centre </label>
<div>
<input id="element_2_1" name="element_2_1" class="element text large" value="" type="text">
<label for="element_2_1">Street Address</label>
</div>
<div>
<input id="element_2_2" name="element_2_2" class="element text large" value="" type="text">
<label for="element_2_2">Address Line 2</label>
</div>
<div class="left">
<input id="element_2_3" name="element_2_3" class="element text medium" value="" type="text">
<label for="element_2_3">City</label>
</div>
<div class="right">
<input id="element_2_4" name="element_2_4" class="element text medium" value="" type="text">
<label for="element_2_4">State / Province / Region</label>
</div>
<div class="left">
<input id="element_2_5" name="element_2_5" class="element text medium" maxlength="15" value="" type="text">
<label for="element_2_5">Postal / Zip Code</label>
</div>
<div class="right">
<select class="element select medium" id="element_2_6" name="element_2_6">
<option value="" selected="selected"></option>
<option value="Afghanistan" >Afghanistan</option>
<option value="Albania" >Albania</option>
<option value="Algeria" >Algeria</option>
<option value="Andorra" >Andorra</option>
<option value="Antigua and Barbuda" >Antigua and Barbuda</option>
<option value="Argentina" >Argentina</option>
<option value="Armenia" >Armenia</option>
<option value="Australia" >Australia</option>
<option value="Austria" >Austria</option>
<option value="Azerbaijan" >Azerbaijan</option>
<option value="Bahamas" >Bahamas</option>
<option value="Bahrain" >Bahrain</option>
<option value="Bangladesh" >Bangladesh</option>
<option value="Barbados" >Barbados</option>
<option value="Belarus" >Belarus</option>
<option value="Belgium" >Belgium</option>
<option value="Belize" >Belize</option>
<option value="Benin" >Benin</option>
<option value="Bhutan" >Bhutan</option>
<option value="Bolivia" >Bolivia</option>
<option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option>
<option value="Botswana" >Botswana</option>
<option value="Brazil" >Brazil</option>
<option value="Brunei" >Brunei</option>
<option value="Bulgaria" >Bulgaria</option>
<option value="Burkina Faso" >Burkina Faso</option>
<option value="Burundi" >Burundi</option>
<option value="Cambodia" >Cambodia</option>
<option value="Cameroon" >Cameroon</option>
<option value="Canada" >Canada</option>
<option value="Cape Verde" >Cape Verde</option>
<option value="Central African Republic" >Central African Republic</option>
<option value="Chad" >Chad</option>
<option value="Chile" >Chile</option>
<option value="China" >China</option>
<option value="Colombia" >Colombia</option>
<option value="Comoros" >Comoros</option>
<option value="Congo" >Congo</option>
<option value="Costa Rica" >Costa Rica</option>
<option value="Côte d'Ivoire" >Côte d'Ivoire</option>
<option value="Croatia" >Croatia</option>
<option value="Cuba" >Cuba</option>
<option value="Cyprus" >Cyprus</option>
<option value="Czech Republic" >Czech Republic</option>
<option value="Denmark" >Denmark</option>
<option value="Djibouti" >Djibouti</option>
<option value="Dominica" >Dominica</option>
<option value="Dominican Republic" >Dominican Republic</option>
<option value="East Timor" >East Timor</option>
<option value="Ecuador" >Ecuador</option>
<option value="Egypt" >Egypt</option>
<option value="El Salvador" >El Salvador</option>
<option value="Equatorial Guinea" >Equatorial Guinea</option>
<option value="Eritrea" >Eritrea</option>
<option value="Estonia" >Estonia</option>
<option value="Ethiopia" >Ethiopia</option>
<option value="Fiji" >Fiji</option>
<option value="Finland" >Finland</option>
<option value="France" >France</option>
<option value="Gabon" >Gabon</option>
<option value="Gambia" >Gambia</option>
<option value="Georgia" >Georgia</option>
<option value="Germany" >Germany</option>
<option value="Ghana" >Ghana</option>
<option value="Greece" >Greece</option>
<option value="Grenada" >Grenada</option>
<option value="Guatemala" >Guatemala</option>
<option value="Guinea" >Guinea</option>
<option value="Guinea-Bissau" >Guinea-Bissau</option>
<option value="Guyana" >Guyana</option>
<option value="Haiti" >Haiti</option>
<option value="Honduras" >Honduras</option>
<option value="Hong Kong" >Hong Kong</option>
<option value="Hungary" >Hungary</option>
<option value="Iceland" >Iceland</option>
<option value="India" >India</option>
<option value="Indonesia" >Indonesia</option>
<option value="Iran" >Iran</option>
<option value="Iraq" >Iraq</option>
<option value="Ireland" >Ireland</option>
<option value="Israel" >Israel</option>
<option value="Italy" >Italy</option>
<option value="Jamaica" >Jamaica</option>
<option value="Japan" >Japan</option>
<option value="Jordan" >Jordan</option>
<option value="Kazakhstan" >Kazakhstan</option>
<option value="Kenya" >Kenya</option>
<option value="Kiribati" >Kiribati</option>
<option value="North Korea" >North Korea</option>
<option value="South Korea" >South Korea</option>
<option value="Kuwait" >Kuwait</option>
<option value="Kyrgyzstan" >Kyrgyzstan</option>
<option value="Laos" >Laos</option>
<option value="Latvia" >Latvia</option>
<option value="Lebanon" >Lebanon</option>
<option value="Lesotho" >Lesotho</option>
<option value="Liberia" >Liberia</option>
<option value="Libya" >Libya</option>
<option value="Liechtenstein" >Liechtenstein</option>
<option value="Lithuania" >Lithuania</option>
<option value="Luxembourg" >Luxembourg</option>
<option value="Macedonia" >Macedonia</option>
<option value="Madagascar" >Madagascar</option>
<option value="Malawi" >Malawi</option>
<option value="Malaysia" >Malaysia</option>
<option value="Maldives" >Maldives</option>
<option value="Mali" >Mali</option>
<option value="Malta" >Malta</option>
<option value="Marshall Islands" >Marshall Islands</option>
<option value="Mauritania" >Mauritania</option>
<option value="Mauritius" >Mauritius</option>
<option value="Mexico" >Mexico</option>
<option value="Micronesia" >Micronesia</option>
<option value="Moldova" >Moldova</option>
<option value="Monaco" >Monaco</option>
<option value="Mongolia" >Mongolia</option>
<option value="Montenegro" >Montenegro</option>
<option value="Morocco" >Morocco</option>
<option value="Mozambique" >Mozambique</option>
<option value="Myanmar" >Myanmar</option>
<option value="Namibia" >Namibia</option>
<option value="Nauru" >Nauru</option>
<option value="Nepal" >Nepal</option>
<option value="Netherlands" >Netherlands</option>
<option value="New Zealand" >New Zealand</option>
<option value="Nicaragua" >Nicaragua</option>
<option value="Niger" >Niger</option>
<option value="Nigeria" >Nigeria</option>
<option value="Norway" >Norway</option>
<option value="Oman" >Oman</option>
<option value="Pakistan" >Pakistan</option>
<option value="Palau" >Palau</option>
<option value="Panama" >Panama</option>
<option value="Papua New Guinea" >Papua New Guinea</option>
<option value="Paraguay" >Paraguay</option>
<option value="Peru" >Peru</option>
<option value="Philippines" >Philippines</option>
<option value="Poland" >Poland</option>
<option value="Portugal" >Portugal</option>
<option value="Puerto Rico" >Puerto Rico</option>
<option value="Qatar" >Qatar</option>
<option value="Romania" >Romania</option>
<option value="Russia" >Russia</option>
<option value="Rwanda" >Rwanda</option>
<option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option>
<option value="Saint Lucia" >Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option>
<option value="Samoa" >Samoa</option>
<option value="San Marino" >San Marino</option>
<option value="Sao Tome and Principe" >Sao Tome and Principe</option>
<option value="Saudi Arabia" >Saudi Arabia</option>
<option value="Senegal" >Senegal</option>
<option value="Serbia and Montenegro" >Serbia and Montenegro</option>
<option value="Seychelles" >Seychelles</option>
<option value="Sierra Leone" >Sierra Leone</option>
<option value="Singapore" >Singapore</option>
<option value="Slovakia" >Slovakia</option>
<option value="Slovenia" >Slovenia</option>
<option value="Solomon Islands" >Solomon Islands</option>
<option value="Somalia" >Somalia</option>
<option value="South Africa" >South Africa</option>
<option value="Spain" >Spain</option>
<option value="Sri Lanka" >Sri Lanka</option>
<option value="Sudan" >Sudan</option>
<option value="Suriname" >Suriname</option>
<option value="Swaziland" >Swaziland</option>
<option value="Sweden" >Sweden</option>
<option value="Switzerland" >Switzerland</option>
<option value="Syria" >Syria</option>
<option value="Taiwan" >Taiwan</option>
<option value="Tajikistan" >Tajikistan</option>
<option value="Tanzania" >Tanzania</option>
<option value="Thailand" >Thailand</option>
<option value="Togo" >Togo</option>
<option value="Tonga" >Tonga</option>
<option value="Trinidad and Tobago" >Trinidad and Tobago</option>
<option value="Tunisia" >Tunisia</option>
<option value="Turkey" >Turkey</option>
<option value="Turkmenistan" >Turkmenistan</option>
<option value="Tuvalu" >Tuvalu</option>
<option value="Uganda" >Uganda</option>
<option value="Ukraine" >Ukraine</option>
<option value="United Arab Emirates" >United Arab Emirates</option>
<option value="United Kingdom" >United Kingdom</option>
<option value="United States" >United States</option>
<option value="Uruguay" >Uruguay</option>
<option value="Uzbekistan" >Uzbekistan</option>
<option value="Vanuatu" >Vanuatu</option>
<option value="Vatican City" >Vatican City</option>
<option value="Venezuela" >Venezuela</option>
<option value="Vietnam" >Vietnam</option>
<option value="Yemen" >Yemen</option>
<option value="Zambia" >Zambia</option>
<option value="Zimbabwe" >Zimbabwe</option>
</select>
<label for="element_2_6">Country</label>
</div>
</li> <li id="li_8" >
<label class="description" for="element_8">Note /10 </label>
<div>
<select class="element select medium" id="element_8" name="element_8">
<option value="" selected="selected"></option>
<option value="1" >1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
<option value="5" >5</option>
<option value="6" >6</option>
<option value="7" >7</option>
<option value="8" >8</option>
<option value="9" >9</option>
<option value="10" >10</option>
</select>
</div>
</li> <li id="li_3" >
<label class="description" for="element_3">J'ai aimé </label>
<div>
<textarea id="element_3" name="element_3" class="element textarea small"></textarea>
</div>
</li> <li id="li_4" >
<label class="description" for="element_4">Je n'ai pas aimé </label>
<div>
<textarea id="element_4" name="element_4" class="element textarea small"></textarea>
</div>
</li> <li id="li_9" >
<label class="description" for="element_9">Eau </label>
<span>
<input id="element_9_1" name="element_9" class="element radio" type="radio" value="1" />
<label class="choice" for="element_9_1">Thermale</label>
<input id="element_9_2" name="element_9" class="element radio" type="radio" value="2" />
<label class="choice" for="element_9_2">De ville</label>
<input id="element_9_3" name="element_9" class="element radio" type="radio" value="3" />
<label class="choice" for="element_9_3">De mer</label>
</span>
</li> <li id="li_10" >
<label class="description" for="element_10">Nombre de bassins intérieurs </label>
<div>
<select class="element select medium" id="element_10" name="element_10">
<option value="1" selected="selected">1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
</select>
</div>
</li> <li id="li_11" >
<label class="description" for="element_11">Nombre de bassins extérieurs </label>
<div>
<select class="element select medium" id="element_11" name="element_11">
<option value="1" selected="selected">1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
</select>
</div>
</li> <li id="li_12" >
<label class="description" for="element_12">Terrasse </label>
<span>
<input id="element_12_1" name="element_12" class="element radio" type="radio" value="1" />
<label class="choice" for="element_12_1">Oui</label>
<input id="element_12_2" name="element_12" class="element radio" type="radio" value="2" />
<label class="choice" for="element_12_2">Non</label>
</span>
</li> <li id="li_13" >
<label class="description" for="element_13">Pelouse </label>
<span>
<input id="element_13_1" name="element_13" class="element radio" type="radio" value="1" />
<label class="choice" for="element_13_1">Oui</label>
<input id="element_13_2" name="element_13" class="element radio" type="radio" value="2" />
<label class="choice" for="element_13_2">Non</label>
</span>
</li> <li id="li_14" >
<label class="description" for="element_14">Bassin de natation </label>
<span>
<input id="element_14_1" name="element_14" class="element radio" type="radio" value="1" />
<label class="choice" for="element_14_1">Oui</label>
<input id="element_14_2" name="element_14" class="element radio" type="radio" value="2" />
<label class="choice" for="element_14_2">Non</label>
</span>
</li> <li id="li_5" >
<label class="description" for="element_5">Température de l'eau du bassin de détente </label>
<div>
<input id="element_5" name="element_5" class="element text small" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_15" >
<label class="description" for="element_15">Installations hydromassantes </label>
<span>
<input id="element_15_1" name="element_15_1" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_1">Jets sous l'eau</label>
<input id="element_15_2" name="element_15_2" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_2">Cols de cygne</label>
<input id="element_15_3" name="element_15_3" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_3">Cascades</label>
<input id="element_15_4" name="element_15_4" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_4">Lits à bulles</label>
<input id="element_15_5" name="element_15_5" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_5">Rivière à contre courant</label>
</span>
</li> <li id="li_16" >
<label class="description" for="element_16">Sauna </label>
<span>
<input id="element_16_1" name="element_16" class="element radio" type="radio" value="1" />
<label class="choice" for="element_16_1">Oui</label>
<input id="element_16_2" name="element_16" class="element radio" type="radio" value="2" />
<label class="choice" for="element_16_2">Non</label>
</span>
</li> <li id="li_17" >
<label class="description" for="element_17">Hammam </label>
<span>
<input id="element_17_1" name="element_17" class="element radio" type="radio" value="1" />
<label class="choice" for="element_17_1">Oui</label>
<input id="element_17_2" name="element_17" class="element radio" type="radio" value="2" />
<label class="choice" for="element_17_2">Non</label>
</span>
</li> <li id="li_18" >
<label class="description" for="element_18">Jacuzzi </label>
<span>
<input id="element_18_1" name="element_18" class="element radio" type="radio" value="1" />
<label class="choice" for="element_18_1">Oui</label>
<input id="element_18_2" name="element_18" class="element radio" type="radio" value="2" />
<label class="choice" for="element_18_2">Non</label>
</span>
</li> <li id="li_19" >
<label class="description" for="element_19">Salle de sport </label>
<span>
<input id="element_19_1" name="element_19" class="element radio" type="radio" value="1" />
<label class="choice" for="element_19_1">Oui</label>
<input id="element_19_2" name="element_19" class="element radio" type="radio" value="2" />
<label class="choice" for="element_19_2">Non</label>
</span>
</li> <li id="li_20" >
<label class="description" for="element_20">Massages </label>
<span>
<input id="element_20_1" name="element_20" class="element radio" type="radio" value="1" />
<label class="choice" for="element_20_1">Oui</label>
<input id="element_20_2" name="element_20" class="element radio" type="radio" value="2" />
<label class="choice" for="element_20_2">Non</label>
</span>
</li> <li id="li_23" >
<label class="description" for="element_23">Café/Restaurant </label>
<span>
<input id="element_23_1" name="element_23" class="element radio" type="radio" value="1" />
<label class="choice" for="element_23_1">Oui</label>
<input id="element_23_2" name="element_23" class="element radio" type="radio" value="2" />
<label class="choice" for="element_23_2">Non</label>
</span>
</li> <li id="li_6" >
<label class="description" for="element_6">Tarif de base </label>
<div>
<input id="element_6" name="element_6" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_7" >
<label class="description" for="element_7">Autres activités </label>
<div>
<textarea id="element_7" name="element_7" class="element textarea small"></textarea>
</div>
</li>
<li class="buttons">
<input type="hidden" name="form_id" value="48711" />
<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
</li>
</ul>
</form>
<div id="footer">
Generated by <a href="http://www.phpform.org">pForm</a>
</div>
</div>
<img id="bottom" src="bottom.png" alt="">
</body>
</html>
J'ai crée un formulaire de contact grâce à pForm - http://www.phpform.org/ -, et celui ci, en version gratuite, ne me fournit que la forme, et non la partie "envoi des donnée" dans cette page, et la page php annexe non plus (genre envoi.php qui récupère les données).
Je voudrais faire en sorte que je reçoive par mail tout les champs de ce formulaire.
La page de mon site est : http://lumieredenuit.free.fr/form/form.html
La code de la page est html : (+des fichiers CSS/JS pour le form)
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Proposer un centre</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
</head>
<body id="main_body" >
<img id="top" src="top.png" alt="">
<div id="form_container">
<h1><a>Proposer un centre</a></h1>
<form id="form_48711" class="appnitro" method="post" action="envoi.php">
<div class="form_description">
<h2>Proposer un centre</h2>
<p></p>
</div>
<ul >
<li id="li_22" >
<label class="description" for="element_22">Pseudo </label>
<div>
<input id="element_22" name="element_22" class="element text small" type="text" maxlength="255" value=""/>
</div><p class="guidelines" id="guide_22"><small>Qui signera votre contribution</small></p>
</li> <li id="li_1" >
<label class="description" for="element_1">Votre Adresse Mail </label>
<div>
<input id="element_1" name="element_1" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_2" >
<label class="description" for="element_2">Adresse du centre </label>
<div>
<input id="element_2_1" name="element_2_1" class="element text large" value="" type="text">
<label for="element_2_1">Street Address</label>
</div>
<div>
<input id="element_2_2" name="element_2_2" class="element text large" value="" type="text">
<label for="element_2_2">Address Line 2</label>
</div>
<div class="left">
<input id="element_2_3" name="element_2_3" class="element text medium" value="" type="text">
<label for="element_2_3">City</label>
</div>
<div class="right">
<input id="element_2_4" name="element_2_4" class="element text medium" value="" type="text">
<label for="element_2_4">State / Province / Region</label>
</div>
<div class="left">
<input id="element_2_5" name="element_2_5" class="element text medium" maxlength="15" value="" type="text">
<label for="element_2_5">Postal / Zip Code</label>
</div>
<div class="right">
<select class="element select medium" id="element_2_6" name="element_2_6">
<option value="" selected="selected"></option>
<option value="Afghanistan" >Afghanistan</option>
<option value="Albania" >Albania</option>
<option value="Algeria" >Algeria</option>
<option value="Andorra" >Andorra</option>
<option value="Antigua and Barbuda" >Antigua and Barbuda</option>
<option value="Argentina" >Argentina</option>
<option value="Armenia" >Armenia</option>
<option value="Australia" >Australia</option>
<option value="Austria" >Austria</option>
<option value="Azerbaijan" >Azerbaijan</option>
<option value="Bahamas" >Bahamas</option>
<option value="Bahrain" >Bahrain</option>
<option value="Bangladesh" >Bangladesh</option>
<option value="Barbados" >Barbados</option>
<option value="Belarus" >Belarus</option>
<option value="Belgium" >Belgium</option>
<option value="Belize" >Belize</option>
<option value="Benin" >Benin</option>
<option value="Bhutan" >Bhutan</option>
<option value="Bolivia" >Bolivia</option>
<option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option>
<option value="Botswana" >Botswana</option>
<option value="Brazil" >Brazil</option>
<option value="Brunei" >Brunei</option>
<option value="Bulgaria" >Bulgaria</option>
<option value="Burkina Faso" >Burkina Faso</option>
<option value="Burundi" >Burundi</option>
<option value="Cambodia" >Cambodia</option>
<option value="Cameroon" >Cameroon</option>
<option value="Canada" >Canada</option>
<option value="Cape Verde" >Cape Verde</option>
<option value="Central African Republic" >Central African Republic</option>
<option value="Chad" >Chad</option>
<option value="Chile" >Chile</option>
<option value="China" >China</option>
<option value="Colombia" >Colombia</option>
<option value="Comoros" >Comoros</option>
<option value="Congo" >Congo</option>
<option value="Costa Rica" >Costa Rica</option>
<option value="Côte d'Ivoire" >Côte d'Ivoire</option>
<option value="Croatia" >Croatia</option>
<option value="Cuba" >Cuba</option>
<option value="Cyprus" >Cyprus</option>
<option value="Czech Republic" >Czech Republic</option>
<option value="Denmark" >Denmark</option>
<option value="Djibouti" >Djibouti</option>
<option value="Dominica" >Dominica</option>
<option value="Dominican Republic" >Dominican Republic</option>
<option value="East Timor" >East Timor</option>
<option value="Ecuador" >Ecuador</option>
<option value="Egypt" >Egypt</option>
<option value="El Salvador" >El Salvador</option>
<option value="Equatorial Guinea" >Equatorial Guinea</option>
<option value="Eritrea" >Eritrea</option>
<option value="Estonia" >Estonia</option>
<option value="Ethiopia" >Ethiopia</option>
<option value="Fiji" >Fiji</option>
<option value="Finland" >Finland</option>
<option value="France" >France</option>
<option value="Gabon" >Gabon</option>
<option value="Gambia" >Gambia</option>
<option value="Georgia" >Georgia</option>
<option value="Germany" >Germany</option>
<option value="Ghana" >Ghana</option>
<option value="Greece" >Greece</option>
<option value="Grenada" >Grenada</option>
<option value="Guatemala" >Guatemala</option>
<option value="Guinea" >Guinea</option>
<option value="Guinea-Bissau" >Guinea-Bissau</option>
<option value="Guyana" >Guyana</option>
<option value="Haiti" >Haiti</option>
<option value="Honduras" >Honduras</option>
<option value="Hong Kong" >Hong Kong</option>
<option value="Hungary" >Hungary</option>
<option value="Iceland" >Iceland</option>
<option value="India" >India</option>
<option value="Indonesia" >Indonesia</option>
<option value="Iran" >Iran</option>
<option value="Iraq" >Iraq</option>
<option value="Ireland" >Ireland</option>
<option value="Israel" >Israel</option>
<option value="Italy" >Italy</option>
<option value="Jamaica" >Jamaica</option>
<option value="Japan" >Japan</option>
<option value="Jordan" >Jordan</option>
<option value="Kazakhstan" >Kazakhstan</option>
<option value="Kenya" >Kenya</option>
<option value="Kiribati" >Kiribati</option>
<option value="North Korea" >North Korea</option>
<option value="South Korea" >South Korea</option>
<option value="Kuwait" >Kuwait</option>
<option value="Kyrgyzstan" >Kyrgyzstan</option>
<option value="Laos" >Laos</option>
<option value="Latvia" >Latvia</option>
<option value="Lebanon" >Lebanon</option>
<option value="Lesotho" >Lesotho</option>
<option value="Liberia" >Liberia</option>
<option value="Libya" >Libya</option>
<option value="Liechtenstein" >Liechtenstein</option>
<option value="Lithuania" >Lithuania</option>
<option value="Luxembourg" >Luxembourg</option>
<option value="Macedonia" >Macedonia</option>
<option value="Madagascar" >Madagascar</option>
<option value="Malawi" >Malawi</option>
<option value="Malaysia" >Malaysia</option>
<option value="Maldives" >Maldives</option>
<option value="Mali" >Mali</option>
<option value="Malta" >Malta</option>
<option value="Marshall Islands" >Marshall Islands</option>
<option value="Mauritania" >Mauritania</option>
<option value="Mauritius" >Mauritius</option>
<option value="Mexico" >Mexico</option>
<option value="Micronesia" >Micronesia</option>
<option value="Moldova" >Moldova</option>
<option value="Monaco" >Monaco</option>
<option value="Mongolia" >Mongolia</option>
<option value="Montenegro" >Montenegro</option>
<option value="Morocco" >Morocco</option>
<option value="Mozambique" >Mozambique</option>
<option value="Myanmar" >Myanmar</option>
<option value="Namibia" >Namibia</option>
<option value="Nauru" >Nauru</option>
<option value="Nepal" >Nepal</option>
<option value="Netherlands" >Netherlands</option>
<option value="New Zealand" >New Zealand</option>
<option value="Nicaragua" >Nicaragua</option>
<option value="Niger" >Niger</option>
<option value="Nigeria" >Nigeria</option>
<option value="Norway" >Norway</option>
<option value="Oman" >Oman</option>
<option value="Pakistan" >Pakistan</option>
<option value="Palau" >Palau</option>
<option value="Panama" >Panama</option>
<option value="Papua New Guinea" >Papua New Guinea</option>
<option value="Paraguay" >Paraguay</option>
<option value="Peru" >Peru</option>
<option value="Philippines" >Philippines</option>
<option value="Poland" >Poland</option>
<option value="Portugal" >Portugal</option>
<option value="Puerto Rico" >Puerto Rico</option>
<option value="Qatar" >Qatar</option>
<option value="Romania" >Romania</option>
<option value="Russia" >Russia</option>
<option value="Rwanda" >Rwanda</option>
<option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option>
<option value="Saint Lucia" >Saint Lucia</option>
<option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option>
<option value="Samoa" >Samoa</option>
<option value="San Marino" >San Marino</option>
<option value="Sao Tome and Principe" >Sao Tome and Principe</option>
<option value="Saudi Arabia" >Saudi Arabia</option>
<option value="Senegal" >Senegal</option>
<option value="Serbia and Montenegro" >Serbia and Montenegro</option>
<option value="Seychelles" >Seychelles</option>
<option value="Sierra Leone" >Sierra Leone</option>
<option value="Singapore" >Singapore</option>
<option value="Slovakia" >Slovakia</option>
<option value="Slovenia" >Slovenia</option>
<option value="Solomon Islands" >Solomon Islands</option>
<option value="Somalia" >Somalia</option>
<option value="South Africa" >South Africa</option>
<option value="Spain" >Spain</option>
<option value="Sri Lanka" >Sri Lanka</option>
<option value="Sudan" >Sudan</option>
<option value="Suriname" >Suriname</option>
<option value="Swaziland" >Swaziland</option>
<option value="Sweden" >Sweden</option>
<option value="Switzerland" >Switzerland</option>
<option value="Syria" >Syria</option>
<option value="Taiwan" >Taiwan</option>
<option value="Tajikistan" >Tajikistan</option>
<option value="Tanzania" >Tanzania</option>
<option value="Thailand" >Thailand</option>
<option value="Togo" >Togo</option>
<option value="Tonga" >Tonga</option>
<option value="Trinidad and Tobago" >Trinidad and Tobago</option>
<option value="Tunisia" >Tunisia</option>
<option value="Turkey" >Turkey</option>
<option value="Turkmenistan" >Turkmenistan</option>
<option value="Tuvalu" >Tuvalu</option>
<option value="Uganda" >Uganda</option>
<option value="Ukraine" >Ukraine</option>
<option value="United Arab Emirates" >United Arab Emirates</option>
<option value="United Kingdom" >United Kingdom</option>
<option value="United States" >United States</option>
<option value="Uruguay" >Uruguay</option>
<option value="Uzbekistan" >Uzbekistan</option>
<option value="Vanuatu" >Vanuatu</option>
<option value="Vatican City" >Vatican City</option>
<option value="Venezuela" >Venezuela</option>
<option value="Vietnam" >Vietnam</option>
<option value="Yemen" >Yemen</option>
<option value="Zambia" >Zambia</option>
<option value="Zimbabwe" >Zimbabwe</option>
</select>
<label for="element_2_6">Country</label>
</div>
</li> <li id="li_8" >
<label class="description" for="element_8">Note /10 </label>
<div>
<select class="element select medium" id="element_8" name="element_8">
<option value="" selected="selected"></option>
<option value="1" >1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
<option value="5" >5</option>
<option value="6" >6</option>
<option value="7" >7</option>
<option value="8" >8</option>
<option value="9" >9</option>
<option value="10" >10</option>
</select>
</div>
</li> <li id="li_3" >
<label class="description" for="element_3">J'ai aimé </label>
<div>
<textarea id="element_3" name="element_3" class="element textarea small"></textarea>
</div>
</li> <li id="li_4" >
<label class="description" for="element_4">Je n'ai pas aimé </label>
<div>
<textarea id="element_4" name="element_4" class="element textarea small"></textarea>
</div>
</li> <li id="li_9" >
<label class="description" for="element_9">Eau </label>
<span>
<input id="element_9_1" name="element_9" class="element radio" type="radio" value="1" />
<label class="choice" for="element_9_1">Thermale</label>
<input id="element_9_2" name="element_9" class="element radio" type="radio" value="2" />
<label class="choice" for="element_9_2">De ville</label>
<input id="element_9_3" name="element_9" class="element radio" type="radio" value="3" />
<label class="choice" for="element_9_3">De mer</label>
</span>
</li> <li id="li_10" >
<label class="description" for="element_10">Nombre de bassins intérieurs </label>
<div>
<select class="element select medium" id="element_10" name="element_10">
<option value="1" selected="selected">1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
</select>
</div>
</li> <li id="li_11" >
<label class="description" for="element_11">Nombre de bassins extérieurs </label>
<div>
<select class="element select medium" id="element_11" name="element_11">
<option value="1" selected="selected">1</option>
<option value="2" >2</option>
<option value="3" >3</option>
<option value="4" >4</option>
</select>
</div>
</li> <li id="li_12" >
<label class="description" for="element_12">Terrasse </label>
<span>
<input id="element_12_1" name="element_12" class="element radio" type="radio" value="1" />
<label class="choice" for="element_12_1">Oui</label>
<input id="element_12_2" name="element_12" class="element radio" type="radio" value="2" />
<label class="choice" for="element_12_2">Non</label>
</span>
</li> <li id="li_13" >
<label class="description" for="element_13">Pelouse </label>
<span>
<input id="element_13_1" name="element_13" class="element radio" type="radio" value="1" />
<label class="choice" for="element_13_1">Oui</label>
<input id="element_13_2" name="element_13" class="element radio" type="radio" value="2" />
<label class="choice" for="element_13_2">Non</label>
</span>
</li> <li id="li_14" >
<label class="description" for="element_14">Bassin de natation </label>
<span>
<input id="element_14_1" name="element_14" class="element radio" type="radio" value="1" />
<label class="choice" for="element_14_1">Oui</label>
<input id="element_14_2" name="element_14" class="element radio" type="radio" value="2" />
<label class="choice" for="element_14_2">Non</label>
</span>
</li> <li id="li_5" >
<label class="description" for="element_5">Température de l'eau du bassin de détente </label>
<div>
<input id="element_5" name="element_5" class="element text small" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_15" >
<label class="description" for="element_15">Installations hydromassantes </label>
<span>
<input id="element_15_1" name="element_15_1" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_1">Jets sous l'eau</label>
<input id="element_15_2" name="element_15_2" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_2">Cols de cygne</label>
<input id="element_15_3" name="element_15_3" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_3">Cascades</label>
<input id="element_15_4" name="element_15_4" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_4">Lits à bulles</label>
<input id="element_15_5" name="element_15_5" class="element checkbox" type="checkbox" value="1" />
<label class="choice" for="element_15_5">Rivière à contre courant</label>
</span>
</li> <li id="li_16" >
<label class="description" for="element_16">Sauna </label>
<span>
<input id="element_16_1" name="element_16" class="element radio" type="radio" value="1" />
<label class="choice" for="element_16_1">Oui</label>
<input id="element_16_2" name="element_16" class="element radio" type="radio" value="2" />
<label class="choice" for="element_16_2">Non</label>
</span>
</li> <li id="li_17" >
<label class="description" for="element_17">Hammam </label>
<span>
<input id="element_17_1" name="element_17" class="element radio" type="radio" value="1" />
<label class="choice" for="element_17_1">Oui</label>
<input id="element_17_2" name="element_17" class="element radio" type="radio" value="2" />
<label class="choice" for="element_17_2">Non</label>
</span>
</li> <li id="li_18" >
<label class="description" for="element_18">Jacuzzi </label>
<span>
<input id="element_18_1" name="element_18" class="element radio" type="radio" value="1" />
<label class="choice" for="element_18_1">Oui</label>
<input id="element_18_2" name="element_18" class="element radio" type="radio" value="2" />
<label class="choice" for="element_18_2">Non</label>
</span>
</li> <li id="li_19" >
<label class="description" for="element_19">Salle de sport </label>
<span>
<input id="element_19_1" name="element_19" class="element radio" type="radio" value="1" />
<label class="choice" for="element_19_1">Oui</label>
<input id="element_19_2" name="element_19" class="element radio" type="radio" value="2" />
<label class="choice" for="element_19_2">Non</label>
</span>
</li> <li id="li_20" >
<label class="description" for="element_20">Massages </label>
<span>
<input id="element_20_1" name="element_20" class="element radio" type="radio" value="1" />
<label class="choice" for="element_20_1">Oui</label>
<input id="element_20_2" name="element_20" class="element radio" type="radio" value="2" />
<label class="choice" for="element_20_2">Non</label>
</span>
</li> <li id="li_23" >
<label class="description" for="element_23">Café/Restaurant </label>
<span>
<input id="element_23_1" name="element_23" class="element radio" type="radio" value="1" />
<label class="choice" for="element_23_1">Oui</label>
<input id="element_23_2" name="element_23" class="element radio" type="radio" value="2" />
<label class="choice" for="element_23_2">Non</label>
</span>
</li> <li id="li_6" >
<label class="description" for="element_6">Tarif de base </label>
<div>
<input id="element_6" name="element_6" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_7" >
<label class="description" for="element_7">Autres activités </label>
<div>
<textarea id="element_7" name="element_7" class="element textarea small"></textarea>
</div>
</li>
<li class="buttons">
<input type="hidden" name="form_id" value="48711" />
<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
</li>
</ul>
</form>
<div id="footer">
Generated by <a href="http://www.phpform.org">pForm</a>
</div>
</div>
<img id="bottom" src="bottom.png" alt="">
</body>
</html>
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