Formulaire webcreator html php
Fermé
ste75020
Messages postés
4
Date d'inscription
lundi 22 septembre 2014
Statut
Membre
Dernière intervention
22 septembre 2014
-
22 sept. 2014 à 07:23
ste75020 Messages postés 4 Date d'inscription lundi 22 septembre 2014 Statut Membre Dernière intervention 22 septembre 2014 - 22 sept. 2014 à 14:41
ste75020 Messages postés 4 Date d'inscription lundi 22 septembre 2014 Statut Membre Dernière intervention 22 septembre 2014 - 22 sept. 2014 à 14:41
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3 réponses
ste75020
Messages postés
4
Date d'inscription
lundi 22 septembre 2014
Statut
Membre
Dernière intervention
22 septembre 2014
Modifié par ste75020 le 22/09/2014 à 07:27
Modifié par ste75020 le 22/09/2014 à 07:27
sinon j'avais celui la code php
<?php
$TO = "contact@ààààs.fr";
$h = "From: " . $TO;
$message = "prospect";
while (list($key, $val) = each($_POST));
{
$message .= "$key : $val\n";
}
mail($TO, $subject, $message, $h);
Header("Location: <http://www.ààààà.fr/merci.html>");
?>
<?php
$TO = "contact@ààààs.fr";
$h = "From: " . $TO;
$message = "prospect";
while (list($key, $val) = each($_POST));
{
$message .= "$key : $val\n";
}
mail($TO, $subject, $message, $h);
Header("Location: <http://www.ààààà.fr/merci.html>");
?>
ste75020
Messages postés
4
Date d'inscription
lundi 22 septembre 2014
Statut
Membre
Dernière intervention
22 septembre 2014
22 sept. 2014 à 08:41
22 sept. 2014 à 08:41
finalement j utilise celui la
<?php
$TO = "contact@àààààà.fr";
$h = "From: " . $TO;
$message = "";
while (list($key, $val) = each($_POST)); {
$message .= "$key : $val\n";
}
mail($TO, $subject, $message, $h);
Header("Location: </merci.html>");
?>
<?php
$TO = "contact@àààààà.fr";
$h = "From: " . $TO;
$message = "";
while (list($key, $val) = each($_POST)); {
$message .= "$key : $val\n";
}
mail($TO, $subject, $message, $h);
Header("Location: </merci.html>");
?>
ste75020
Messages postés
4
Date d'inscription
lundi 22 septembre 2014
Statut
Membre
Dernière intervention
22 septembre 2014
22 sept. 2014 à 14:41
22 sept. 2014 à 14:41
voici mon html
désolé c'est un peu découper mais je suis pas super organisé mais le dernier php est bon et le dernier html
please help me !
<!doctype html>
<html>
<head>
<title>Devis de Déménagement</title>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<meta http-equiv="imagetoolbar" content="no">
<meta name="generator" content="LMSOFT Web Creator Pro, Version:6.0.0.13">
<meta http-equiv="X-UA-Compatible" content="IE=9">
<link href="./lmwcglobal.css?id=31772" rel="stylesheet" type="text/css">
<link href="formulaire-demenagement.css?id=31772" rel="stylesheet" type="text/css">
<script type="text/javascript" src="./jquery/jquery-1.5.1.min.js"></script>
<script type="text/javascript" src="./jquery/jquery-ui-1.8.11.custom.min.js"></script>
<link rel="stylesheet" href="./jquery/themes/base/jquery.ui.all.css?ver=60013" type="text/css" media="all" />
<script type="text/javascript" src="./jquery/LMCenterInWindow.js?ver=60013"></script>
<script type="text/javascript" src="./lmpres60013.js"></script>
devis demenagement
devis paris demenagement
devis demenagement paris province
devis demenagement paris paca
devis gratuit demenagement
demenager
demeco
gentlemen du demenagement
les demenageurs breton
devis demenagementdevis paris demenagementdevis demenagement paris provincedevis demenagement paris pacadevis gratuit demenagementdemenagerdemecogentlemen du demenagementles demenageurs breton
</head>
<body style="margin-Left:0px;margin-Top:0px;margin-Bottom:0px;margin-Right:0px; background-color:#eaeaea;">
<DIV class="cLinkHidden">
<a href="./blocs/merci-24h.html" title="Modèle A">Modèle A</a><br>
</DIV>
<div id='Page'>
<div id='PanelHeader'>
<div id='PanelHeaderAlpha'></div>
<div id='PanelHeaderNoAlpha'></div>
<div id='Img6'>
<img id='Img6Inner' src='./images/csd.png' alt="" />
</div>
<div id='Img1'>
<img id='Img1Inner' src='./images/logo-maison.jpg' alt="" />
</div>
<div id='Img5'>
<img id='Img5Inner' src='./images/logo-charte-qualite28129.jpg' alt="" />
</div>
</div>
<div id='PanelCenter'>
<div id='PanelCenterAlpha'></div>
<div id='PanelCenterNoAlpha'></div>
<div id='PanelBlocs'>
<div id='PanelBlocsAlpha'></div>
<div id='PanelBlocsNoAlpha'></div>
<div id='Box2'>
<div id='Img2'>
<img id='Img2Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Text2'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Adresse de départ * Adresse d'arrivée</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">CP * Ville de départ * CP * Ville d'arrivée *</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Etage * Ascenseur * Etage * Ascenseur *</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"> </p>
</div>
</div>
<div id='Box3'>
<div id='Img4'>
<img id='Img4Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Text4'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Période de chargement * (format 00/00/00) Particularités (piano, coffre fort, portage, objets fragiles, etc...)</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Surface en M2 *(y compris pieces annexes cave, garage, etc..) Souhaitez vous faire vos cartons ? </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Nombre de pieces *(logement de départ) Souhaitez vous emballer vous-même vos objets fragiles ?</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p>
</div>
</div>
<div id='Box1'>
<div id='Img3'>
<img id='Img3Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Img8'>
<img id='Img8Inner' src='./images/familly.jpg' alt="" />
</div>
</div>
<div id='Text1'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">LIEU DE DEPART/ARRIVEE</span></font></p>
</div>
<form method=post id='Form1' name='Form1' action='http://www.lmsoft.com/services/form2email2.asp' onsubmit=FireEvent('Form1','_OnSubmit') onreset=FireEvent('Form1','_OnReset')>
<DIV id=Champ3>
<input type='text' id='objChamp3' name='vChamp3' onclick=FireEvent('Champ3','_OnClick'); ondblclick=FireEvent('Champ3','_OnDblClick'); onmousedown=FireEvent('Champ3','_OnMouseDown'); onmouseup=FireEvent('Champ3','_OnMouseUp'); onfocus=FireEvent('Champ3','_OnEnter'); onblur=FireEvent('Champ3','_OnLeave'); onchange=FireEvent('Champ3','_OnChange'); onkeydown=FireEvent('Champ3','_OnKeyDown'); onkeypress=FireEvent('Champ3','_OnKeyPress'); onkeyup=FireEvent('Champ3','_OnKeyUp'); onselect=FireEvent('Champ3','_OnSelect'); >
</DIV>
<DIV id=Champ1>
<input type='text' id='objChamp1' name='adresse_depart' onclick=FireEvent('Champ1','_OnClick'); ondblclick=FireEvent('Champ1','_OnDblClick'); onmousedown=FireEvent('Champ1','_OnMouseDown'); onmouseup=FireEvent('Champ1','_OnMouseUp'); onfocus=FireEvent('Champ1','_OnEnter'); onblur=FireEvent('Champ1','_OnLeave'); onchange=FireEvent('Champ1','_OnChange'); onkeydown=FireEvent('Champ1','_OnKeyDown'); onkeypress=FireEvent('Champ1','_OnKeyPress'); onkeyup=FireEvent('Champ1','_OnKeyUp'); onselect=FireEvent('Champ1','_OnSelect'); >
</DIV>
<DIV id=Champ2>
<input type='text' id='objChamp2' name='CP_depart' onclick=FireEvent('Champ2','_OnClick'); ondblclick=FireEvent('Champ2','_OnDblClick'); onmousedown=FireEvent('Champ2','_OnMouseDown'); onmouseup=FireEvent('Champ2','_OnMouseUp'); onfocus=FireEvent('Champ2','_OnEnter'); onblur=FireEvent('Champ2','_OnLeave'); onchange=FireEvent('Champ2','_OnChange'); onkeydown=FireEvent('Champ2','_OnKeyDown'); onkeypress=FireEvent('Champ2','_OnKeyPress'); onkeyup=FireEvent('Champ2','_OnKeyUp'); onselect=FireEvent('Champ2','_OnSelect'); >
</DIV>
<DIV id=Champ4>
<input type='text' id='objChamp4' name='etage_depart' onclick=FireEvent('Champ4','_OnClick'); ondblclick=FireEvent('Champ4','_OnDblClick'); onmousedown=FireEvent('Champ4','_OnMouseDown'); onmouseup=FireEvent('Champ4','_OnMouseUp'); onfocus=FireEvent('Champ4','_OnEnter'); onblur=FireEvent('Champ4','_OnLeave'); onchange=FireEvent('Champ4','_OnChange'); onkeydown=FireEvent('Champ4','_OnKeyDown'); onkeypress=FireEvent('Champ4','_OnKeyPress'); onkeyup=FireEvent('Champ4','_OnKeyUp'); onselect=FireEvent('Champ4','_OnSelect'); >
</DIV>
<DIV id=Champ5>
<select id='objChamp5' name='vChamp5' size='2' onclick=FireEvent('Champ5','_OnClick'); ondblclick=FireEvent('Champ5','_OnDblClick'); onmousedown=FireEvent('Champ5','_OnMouseDown'); onmouseup=FireEvent('Champ5','_OnMouseUp'); onfocus=FireEvent('Champ5','_OnEnter'); onblur=FireEvent('Champ5','_OnLeave'); onchange=FireEvent('Champ5','_OnChange'); onkeydown=FireEvent('Champ5','_OnKeyDown'); onkeypress=FireEvent('Champ5','_OnKeyPress'); onkeyup=FireEvent('Champ5','_OnKeyUp'); >
<option value='ascenseur_depart_oui'>oui</option>
<option value='sans ascenseur depart'>non</option>
</select>
</div>
<DIV id=Champ6>
<input type='text' id='objChamp6' name='CP_arrivee' onclick=FireEvent('Champ6','_OnClick'); ondblclick=FireEvent('Champ6','_OnDblClick'); onmousedown=FireEvent('Champ6','_OnMouseDown'); onmouseup=FireEvent('Champ6','_OnMouseUp'); onfocus=FireEvent('Champ6','_OnEnter'); onblur=FireEvent('Champ6','_OnLeave'); onchange=FireEvent('Champ6','_OnChange'); onkeydown=FireEvent('Champ6','_OnKeyDown'); onkeypress=FireEvent('Champ6','_OnKeyPress'); onkeyup=FireEvent('Champ6','_OnKeyUp'); onselect=FireEvent('Champ6','_OnSelect'); >
</DIV>
<DIV id=Champ7>
<input type='text' id='objChamp7' name='ville_arrivee' onclick=FireEvent('Champ7','_OnClick'); ondblclick=FireEvent('Champ7','_OnDblClick'); onmousedown=FireEvent('Champ7','_OnMouseDown'); onmouseup=FireEvent('Champ7','_OnMouseUp'); onfocus=FireEvent('Champ7','_OnEnter'); onblur=FireEvent('Champ7','_OnLeave'); onchange=FireEvent('Champ7','_OnChange'); onkeydown=FireEvent('Champ7','_OnKeyDown'); onkeypress=FireEvent('Champ7','_OnKeyPress'); onkeyup=FireEvent('Champ7','_OnKeyUp'); onselect=FireEvent('Champ7','_OnSelect'); >
</DIV>
<DIV id=Champ8>
<input type='text' id='objChamp8' name='adresse_arrivee' onclick=FireEvent('Champ8','_OnClick'); ondblclick=FireEvent('Champ8','_OnDblClick'); onmousedown=FireEvent('Champ8','_OnMouseDown'); onmouseup=FireEvent('Champ8','_OnMouseUp'); onfocus=FireEvent('Champ8','_OnEnter'); onblur=FireEvent('Champ8','_OnLeave'); onchange=FireEvent('Champ8','_OnChange'); onkeydown=FireEvent('Champ8','_OnKeyDown'); onkeypress=FireEvent('Champ8','_OnKeyPress'); onkeyup=FireEvent('Champ8','_OnKeyUp'); onselect=FireEvent('Champ8','_OnSelect'); >
</DIV>
<DIV id=Champ9>
<input type='text' id='objChamp9' name='vChamp9' onclick=FireEvent('Champ9','_OnClick'); ondblclick=FireEvent('Champ9','_OnDblClick'); onmousedown=FireEvent('Champ9','_OnMouseDown'); onmouseup=FireEvent('Champ9','_OnMouseUp'); onfocus=FireEvent('Champ9','_OnEnter'); onblur=FireEvent('Champ9','_OnLeave'); onchange=FireEvent('Champ9','_OnChange'); onkeydown=FireEvent('Champ9','_OnKeyDown'); onkeypress=FireEvent('Champ9','_OnKeyPress'); onkeyup=FireEvent('Champ9','_OnKeyUp'); onselect=FireEvent('Champ9','_OnSelect'); >
</DIV>
<DIV id=Champ10>
<select id='objChamp10' name='ascenseur_arrivee' size='2' onclick=FireEvent('Champ10','_OnClick'); ondblclick=FireEvent('Champ10','_OnDblClick'); onmousedown=FireEvent('Champ10','_OnMouseDown'); onmouseup=FireEvent('Champ10','_OnMouseUp'); onfocus=FireEvent('Champ10','_OnEnter'); onblur=FireEvent('Champ10','_OnLeave'); onchange=FireEvent('Champ10','_OnChange'); onkeydown=FireEvent('Champ10','_OnKeyDown'); onkeypress=FireEvent('Champ10','_OnKeyPress'); onkeyup=FireEvent('Champ10','_OnKeyUp'); >
<option value='ascenseur_arrivee_oui'>oui</option>
<option value='sans ascenseur arrivee'>non</option>
</select>
</div>
<DIV id=Champ11>
<input type='text' id='objChamp11' name='vChamp11' onclick=FireEvent('Champ11','_OnClick'); ondblclick=FireEvent('Champ11','_OnDblClick'); onmousedown=FireEvent('Champ11','_OnMouseDown'); onmouseup=FireEvent('Champ11','_OnMouseUp'); onfocus=FireEvent('Champ11','_OnEnter'); onblur=FireEvent('Champ11','_OnLeave'); onchange=FireEvent('Champ11','_OnChange'); onkeydown=FireEvent('Champ11','_OnKeyDown'); onkeypress=FireEvent('Champ11','_OnKeyPress'); onkeyup=FireEvent('Champ11','_OnKeyUp'); onselect=FireEvent('Champ11','_OnSelect'); >
</DIV>
<DIV id=Champ12>
<input type='text' id='objChamp12' name='vChamp12' onclick=FireEvent('Champ12','_OnClick'); ondblclick=FireEvent('Champ12','_OnDblClick'); onmousedown=FireEvent('Champ12','_OnMouseDown'); onmouseup=FireEvent('Champ12','_OnMouseUp'); onfocus=FireEvent('Champ12','_OnEnter'); onblur=FireEvent('Champ12','_OnLeave'); onchange=FireEvent('Champ12','_OnChange'); onkeydown=FireEvent('Champ12','_OnKeyDown'); onkeypress=FireEvent('Champ12','_OnKeyPress'); onkeyup=FireEvent('Champ12','_OnKeyUp'); onselect=FireEvent('Champ12','_OnSelect'); >
</DIV>
<DIV id=Champ13>
<input type='text' id='objChamp13' name='vChamp13' onclick=FireEvent('Champ13','_OnClick'); ondblclick=FireEvent('Champ13','_OnDblClick'); onmousedown=FireEvent('Champ13','_OnMouseDown'); onmouseup=FireEvent('Champ13','_OnMouseUp'); onfocus=FireEvent('Champ13','_OnEnter'); onblur=FireEvent('Champ13','_OnLeave'); onchange=FireEvent('Champ13','_OnChange'); onkeydown=FireEvent('Champ13','_OnKeyDown'); onkeypress=FireEvent('Champ13','_OnKeyPress'); onkeyup=FireEvent('Champ13','_OnKeyUp'); onselect=FireEvent('Champ13','_OnSelect'); >
</DIV>
<DIV id=Champ14>
<input type='text' id='objChamp14' name='vChamp14' onclick=FireEvent('Champ14','_OnClick'); ondblclick=FireEvent('Champ14','_OnDblClick'); onmousedown=FireEvent('Champ14','_OnMouseDown'); onmouseup=FireEvent('Champ14','_OnMouseUp'); onfocus=FireEvent('Champ14','_OnEnter'); onblur=FireEvent('Champ14','_OnLeave'); onchange=FireEvent('Champ14','_OnChange'); onkeydown=FireEvent('Champ14','_OnKeyDown'); onkeypress=FireEvent('Champ14','_OnKeyPress'); onkeyup=FireEvent('Champ14','_OnKeyUp'); onselect=FireEvent('Champ14','_OnSelect'); >
</DIV>
<DIV id=Champ15>
<select id='objChamp15' name='vChamp15' size='2' onclick=FireEvent('Champ15','_OnClick'); ondblclick=FireEvent('Champ15','_OnDblClick'); onmousedown=FireEvent('Champ15','_OnMouseDown'); onmouseup=FireEvent('Champ15','_OnMouseUp'); onfocus=FireEvent('Champ15','_OnEnter'); onblur=FireEvent('Champ15','_OnLeave'); onchange=FireEvent('Champ15','_OnChange'); onkeydown=FireEvent('Champ15','_OnKeyDown'); onkeypress=FireEvent('Champ15','_OnKeyPress'); onkeyup=FireEvent('Champ15','_OnKeyUp'); >
<option value='oui client fait les cartons'>oui</option>
<option value='l entreprise fait les cartons'>non</option>
</select>
</div>
<DIV id=Champ16>
<select id='objChamp16' name='objet_fragile' size='2' onclick=FireEvent('Champ16','_OnClick'); ondblclick=FireEvent('Champ16','_OnDblClick'); onmousedown=FireEvent('Champ16','_OnMouseDown'); onmouseup=FireEvent('Champ16','_OnMouseUp'); onfocus=FireEvent('Champ16','_OnEnter'); onblur=FireEvent('Champ16','_OnLeave'); onchange=FireEvent('Champ16','_OnChange'); onkeydown=FireEvent('Champ16','_OnKeyDown'); onkeypress=FireEvent('Champ16','_OnKeyPress'); onkeyup=FireEvent('Champ16','_OnKeyUp'); >
<option value='client emballe fragile'>oui</option>
<option value='entreprise emballe fragile'>non</option>
</select>
</div>
<DIV id=Champ17>
<select id='objChamp17' name='vChamp17' size='2' onclick=FireEvent('Champ17','_OnClick'); ondblclick=FireEvent('Champ17','_OnDblClick'); onmousedown=FireEvent('Champ17','_OnMouseDown'); onmouseup=FireEvent('Champ17','_OnMouseUp'); onfocus=FireEvent('Champ17','_OnEnter'); onblur=FireEvent('Champ17','_OnLeave'); onchange=FireEvent('Champ17','_OnChange'); onkeydown=FireEvent('Champ17','_OnKeyDown'); onkeypress=FireEvent('Champ17','_OnKeyPress'); onkeyup=FireEvent('Champ17','_OnKeyUp'); >
<option value='MR'>Mr</option>
<option value='Mme'>Mme</option>
</select>
</div>
<DIV id=Champ18>
<input type='text' id='objChamp18' name='nom' onclick=FireEvent('Champ18','_OnClick'); ondblclick=FireEvent('Champ18','_OnDblClick'); onmousedown=FireEvent('Champ18','_OnMouseDown'); onmouseup=FireEvent('Champ18','_OnMouseUp'); onfocus=FireEvent('Champ18','_OnEnter'); onblur=FireEvent('Champ18','_OnLeave'); onchange=FireEvent('Champ18','_OnChange'); onkeydown=FireEvent('Champ18','_OnKeyDown'); onkeypress=FireEvent('Champ18','_OnKeyPress'); onkeyup=FireEvent('Champ18','_OnKeyUp'); onselect=FireEvent('Champ18','_OnSelect'); >
</DIV>
<DIV id=Champ19>
<input type='text' id='objChamp19' name='prenom' onclick=FireEvent('Champ19','_OnClick'); ondblclick=FireEvent('Champ19','_OnDblClick'); onmousedown=FireEvent('Champ19','_OnMouseDown'); onmouseup=FireEvent('Champ19','_OnMouseUp'); onfocus=FireEvent('Champ19','_OnEnter'); onblur=FireEvent('Champ19','_OnLeave'); onchange=FireEvent('Champ19','_OnChange'); onkeydown=FireEvent('Champ19','_OnKeyDown'); onkeypress=FireEvent('Champ19','_OnKeyPress'); onkeyup=FireEvent('Champ19','_OnKeyUp'); onselect=FireEvent('Champ19','_OnSelect'); >
</DIV>
<DIV id=Champ20>
<input type='text' id='objChamp20' name='email' onclick=FireEvent('Champ20','_OnClick'); ondblclick=FireEvent('Champ20','_OnDblClick'); onmousedown=FireEvent('Champ20','_OnMouseDown'); onmouseup=FireEvent('Champ20','_OnMouseUp'); onfocus=FireEvent('Champ20','_OnEnter'); onblur=FireEvent('Champ20','_OnLeave'); onchange=FireEvent('Champ20','_OnChange'); onkeydown=FireEvent('Champ20','_OnKeyDown'); onkeypress=FireEvent('Champ20','_OnKeyPress'); onkeyup=FireEvent('Champ20','_OnKeyUp'); onselect=FireEvent('Champ20','_OnSelect'); >
</DIV>
<DIV id=Champ21>
<input type='text' id='objChamp21' name='telephone' onclick=FireEvent('Champ21','_OnClick'); ondblclick=FireEvent('Champ21','_OnDblClick'); onmousedown=FireEvent('Champ21','_OnMouseDown'); onmouseup=FireEvent('Champ21','_OnMouseUp'); onfocus=FireEvent('Champ21','_OnEnter'); onblur=FireEvent('Champ21','_OnLeave'); onchange=FireEvent('Champ21','_OnChange'); onkeydown=FireEvent('Champ21','_OnKeyDown'); onkeypress=FireEvent('Champ21','_OnKeyPress'); onkeyup=FireEvent('Champ21','_OnKeyUp'); onselect=FireEvent('Champ21','_OnSelect'); >
</DIV>
<DIV id=Champ22>
<select id='objChamp22' name='vChamp22' size='2' onclick=FireEvent('Champ22','_OnClick'); ondblclick=FireEvent('Champ22','_OnDblClick'); onmousedown=FireEvent('Champ22','_OnMouseDown'); onmouseup=FireEvent('Champ22','_OnMouseUp'); onfocus=FireEvent('Champ22','_OnEnter'); onblur=FireEvent('Champ22','_OnLeave'); onchange=FireEvent('Champ22','_OnChange'); onkeydown=FireEvent('Champ22','_OnKeyDown'); onkeypress=FireEvent('Champ22','_OnKeyPress'); onkeyup=FireEvent('Champ22','_OnKeyUp'); >
<option value='9h/12h'>matin 9h/12h</option>
<option value='apres midi 14h/18h'>apres midi 14h/18h</option>
<option value='soir 18h/21h'>soir 18h/21h</option>
</select>
</div>
<input type='hidden' name='lmcheck' value='0'>
<input type='hidden' name='lmserialwc' value=''>
<input type='hidden' name='lmto' value=''>
<input type='hidden' name='lmfrom' value='DATAFORM@lmsoft.com'>
<input type='hidden' name='lmsubject' value='prospet'>
<input type='hidden' name='lmadr' value=''>
<input type='hidden' name='lmserial' value=''>
<input type='hidden' name='lmserialemail' value=''>
</form>
<div id='Text3'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">DATE / VOLUME</span></font></p>
</div>
<div id='Text6'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Civilité * Nom* Prenom</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">E-mail * Téléphone * Me contacter de preference </span></font></p>
</div>
<div id='Text5'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">COORDONNEES</span></font></p>
</div>
</div>
</div>
<div id='But1' class='Up'><p></p><div id='lBut1Up'>valider</div></div>
<div id='Groupe1'></div>
<script type="text/javascript" src="./formulaire-demenagement.js?id=13008"></script>
</div>
</body>
</html>
désolé c'est un peu découper mais je suis pas super organisé mais le dernier php est bon et le dernier html
please help me !
<!doctype html>
<html>
<head>
<title>Devis de Déménagement</title>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<meta http-equiv="imagetoolbar" content="no">
<meta name="generator" content="LMSOFT Web Creator Pro, Version:6.0.0.13">
<meta http-equiv="X-UA-Compatible" content="IE=9">
<link href="./lmwcglobal.css?id=31772" rel="stylesheet" type="text/css">
<link href="formulaire-demenagement.css?id=31772" rel="stylesheet" type="text/css">
<script type="text/javascript" src="./jquery/jquery-1.5.1.min.js"></script>
<script type="text/javascript" src="./jquery/jquery-ui-1.8.11.custom.min.js"></script>
<link rel="stylesheet" href="./jquery/themes/base/jquery.ui.all.css?ver=60013" type="text/css" media="all" />
<script type="text/javascript" src="./jquery/LMCenterInWindow.js?ver=60013"></script>
<script type="text/javascript" src="./lmpres60013.js"></script>
devis demenagement
devis paris demenagement
devis demenagement paris province
devis demenagement paris paca
devis gratuit demenagement
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demeco
gentlemen du demenagement
les demenageurs breton
devis demenagementdevis paris demenagementdevis demenagement paris provincedevis demenagement paris pacadevis gratuit demenagementdemenagerdemecogentlemen du demenagementles demenageurs breton
</head>
<body style="margin-Left:0px;margin-Top:0px;margin-Bottom:0px;margin-Right:0px; background-color:#eaeaea;">
<DIV class="cLinkHidden">
<a href="./blocs/merci-24h.html" title="Modèle A">Modèle A</a><br>
</DIV>
<div id='Page'>
<div id='PanelHeader'>
<div id='PanelHeaderAlpha'></div>
<div id='PanelHeaderNoAlpha'></div>
<div id='Img6'>
<img id='Img6Inner' src='./images/csd.png' alt="" />
</div>
<div id='Img1'>
<img id='Img1Inner' src='./images/logo-maison.jpg' alt="" />
</div>
<div id='Img5'>
<img id='Img5Inner' src='./images/logo-charte-qualite28129.jpg' alt="" />
</div>
</div>
<div id='PanelCenter'>
<div id='PanelCenterAlpha'></div>
<div id='PanelCenterNoAlpha'></div>
<div id='PanelBlocs'>
<div id='PanelBlocsAlpha'></div>
<div id='PanelBlocsNoAlpha'></div>
<div id='Box2'>
<div id='Img2'>
<img id='Img2Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Text2'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Adresse de départ * Adresse d'arrivée</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">CP * Ville de départ * CP * Ville d'arrivée *</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Etage * Ascenseur * Etage * Ascenseur *</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"> </p>
</div>
</div>
<div id='Box3'>
<div id='Img4'>
<img id='Img4Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Text4'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Période de chargement * (format 00/00/00) Particularités (piano, coffre fort, portage, objets fragiles, etc...)</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Surface en M2 *(y compris pieces annexes cave, garage, etc..) Souhaitez vous faire vos cartons ? </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Nombre de pieces *(logement de départ) Souhaitez vous emballer vous-même vos objets fragiles ?</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"> </span></font></p>
</div>
</div>
<div id='Box1'>
<div id='Img3'>
<img id='Img3Inner' src='./images/formulaire-demenagement_Img2.png' alt="" />
</div>
<div id='Img8'>
<img id='Img8Inner' src='./images/familly.jpg' alt="" />
</div>
</div>
<div id='Text1'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">LIEU DE DEPART/ARRIVEE</span></font></p>
</div>
<form method=post id='Form1' name='Form1' action='http://www.lmsoft.com/services/form2email2.asp' onsubmit=FireEvent('Form1','_OnSubmit') onreset=FireEvent('Form1','_OnReset')>
<DIV id=Champ3>
<input type='text' id='objChamp3' name='vChamp3' onclick=FireEvent('Champ3','_OnClick'); ondblclick=FireEvent('Champ3','_OnDblClick'); onmousedown=FireEvent('Champ3','_OnMouseDown'); onmouseup=FireEvent('Champ3','_OnMouseUp'); onfocus=FireEvent('Champ3','_OnEnter'); onblur=FireEvent('Champ3','_OnLeave'); onchange=FireEvent('Champ3','_OnChange'); onkeydown=FireEvent('Champ3','_OnKeyDown'); onkeypress=FireEvent('Champ3','_OnKeyPress'); onkeyup=FireEvent('Champ3','_OnKeyUp'); onselect=FireEvent('Champ3','_OnSelect'); >
</DIV>
<DIV id=Champ1>
<input type='text' id='objChamp1' name='adresse_depart' onclick=FireEvent('Champ1','_OnClick'); ondblclick=FireEvent('Champ1','_OnDblClick'); onmousedown=FireEvent('Champ1','_OnMouseDown'); onmouseup=FireEvent('Champ1','_OnMouseUp'); onfocus=FireEvent('Champ1','_OnEnter'); onblur=FireEvent('Champ1','_OnLeave'); onchange=FireEvent('Champ1','_OnChange'); onkeydown=FireEvent('Champ1','_OnKeyDown'); onkeypress=FireEvent('Champ1','_OnKeyPress'); onkeyup=FireEvent('Champ1','_OnKeyUp'); onselect=FireEvent('Champ1','_OnSelect'); >
</DIV>
<DIV id=Champ2>
<input type='text' id='objChamp2' name='CP_depart' onclick=FireEvent('Champ2','_OnClick'); ondblclick=FireEvent('Champ2','_OnDblClick'); onmousedown=FireEvent('Champ2','_OnMouseDown'); onmouseup=FireEvent('Champ2','_OnMouseUp'); onfocus=FireEvent('Champ2','_OnEnter'); onblur=FireEvent('Champ2','_OnLeave'); onchange=FireEvent('Champ2','_OnChange'); onkeydown=FireEvent('Champ2','_OnKeyDown'); onkeypress=FireEvent('Champ2','_OnKeyPress'); onkeyup=FireEvent('Champ2','_OnKeyUp'); onselect=FireEvent('Champ2','_OnSelect'); >
</DIV>
<DIV id=Champ4>
<input type='text' id='objChamp4' name='etage_depart' onclick=FireEvent('Champ4','_OnClick'); ondblclick=FireEvent('Champ4','_OnDblClick'); onmousedown=FireEvent('Champ4','_OnMouseDown'); onmouseup=FireEvent('Champ4','_OnMouseUp'); onfocus=FireEvent('Champ4','_OnEnter'); onblur=FireEvent('Champ4','_OnLeave'); onchange=FireEvent('Champ4','_OnChange'); onkeydown=FireEvent('Champ4','_OnKeyDown'); onkeypress=FireEvent('Champ4','_OnKeyPress'); onkeyup=FireEvent('Champ4','_OnKeyUp'); onselect=FireEvent('Champ4','_OnSelect'); >
</DIV>
<DIV id=Champ5>
<select id='objChamp5' name='vChamp5' size='2' onclick=FireEvent('Champ5','_OnClick'); ondblclick=FireEvent('Champ5','_OnDblClick'); onmousedown=FireEvent('Champ5','_OnMouseDown'); onmouseup=FireEvent('Champ5','_OnMouseUp'); onfocus=FireEvent('Champ5','_OnEnter'); onblur=FireEvent('Champ5','_OnLeave'); onchange=FireEvent('Champ5','_OnChange'); onkeydown=FireEvent('Champ5','_OnKeyDown'); onkeypress=FireEvent('Champ5','_OnKeyPress'); onkeyup=FireEvent('Champ5','_OnKeyUp'); >
<option value='ascenseur_depart_oui'>oui</option>
<option value='sans ascenseur depart'>non</option>
</select>
</div>
<DIV id=Champ6>
<input type='text' id='objChamp6' name='CP_arrivee' onclick=FireEvent('Champ6','_OnClick'); ondblclick=FireEvent('Champ6','_OnDblClick'); onmousedown=FireEvent('Champ6','_OnMouseDown'); onmouseup=FireEvent('Champ6','_OnMouseUp'); onfocus=FireEvent('Champ6','_OnEnter'); onblur=FireEvent('Champ6','_OnLeave'); onchange=FireEvent('Champ6','_OnChange'); onkeydown=FireEvent('Champ6','_OnKeyDown'); onkeypress=FireEvent('Champ6','_OnKeyPress'); onkeyup=FireEvent('Champ6','_OnKeyUp'); onselect=FireEvent('Champ6','_OnSelect'); >
</DIV>
<DIV id=Champ7>
<input type='text' id='objChamp7' name='ville_arrivee' onclick=FireEvent('Champ7','_OnClick'); ondblclick=FireEvent('Champ7','_OnDblClick'); onmousedown=FireEvent('Champ7','_OnMouseDown'); onmouseup=FireEvent('Champ7','_OnMouseUp'); onfocus=FireEvent('Champ7','_OnEnter'); onblur=FireEvent('Champ7','_OnLeave'); onchange=FireEvent('Champ7','_OnChange'); onkeydown=FireEvent('Champ7','_OnKeyDown'); onkeypress=FireEvent('Champ7','_OnKeyPress'); onkeyup=FireEvent('Champ7','_OnKeyUp'); onselect=FireEvent('Champ7','_OnSelect'); >
</DIV>
<DIV id=Champ8>
<input type='text' id='objChamp8' name='adresse_arrivee' onclick=FireEvent('Champ8','_OnClick'); ondblclick=FireEvent('Champ8','_OnDblClick'); onmousedown=FireEvent('Champ8','_OnMouseDown'); onmouseup=FireEvent('Champ8','_OnMouseUp'); onfocus=FireEvent('Champ8','_OnEnter'); onblur=FireEvent('Champ8','_OnLeave'); onchange=FireEvent('Champ8','_OnChange'); onkeydown=FireEvent('Champ8','_OnKeyDown'); onkeypress=FireEvent('Champ8','_OnKeyPress'); onkeyup=FireEvent('Champ8','_OnKeyUp'); onselect=FireEvent('Champ8','_OnSelect'); >
</DIV>
<DIV id=Champ9>
<input type='text' id='objChamp9' name='vChamp9' onclick=FireEvent('Champ9','_OnClick'); ondblclick=FireEvent('Champ9','_OnDblClick'); onmousedown=FireEvent('Champ9','_OnMouseDown'); onmouseup=FireEvent('Champ9','_OnMouseUp'); onfocus=FireEvent('Champ9','_OnEnter'); onblur=FireEvent('Champ9','_OnLeave'); onchange=FireEvent('Champ9','_OnChange'); onkeydown=FireEvent('Champ9','_OnKeyDown'); onkeypress=FireEvent('Champ9','_OnKeyPress'); onkeyup=FireEvent('Champ9','_OnKeyUp'); onselect=FireEvent('Champ9','_OnSelect'); >
</DIV>
<DIV id=Champ10>
<select id='objChamp10' name='ascenseur_arrivee' size='2' onclick=FireEvent('Champ10','_OnClick'); ondblclick=FireEvent('Champ10','_OnDblClick'); onmousedown=FireEvent('Champ10','_OnMouseDown'); onmouseup=FireEvent('Champ10','_OnMouseUp'); onfocus=FireEvent('Champ10','_OnEnter'); onblur=FireEvent('Champ10','_OnLeave'); onchange=FireEvent('Champ10','_OnChange'); onkeydown=FireEvent('Champ10','_OnKeyDown'); onkeypress=FireEvent('Champ10','_OnKeyPress'); onkeyup=FireEvent('Champ10','_OnKeyUp'); >
<option value='ascenseur_arrivee_oui'>oui</option>
<option value='sans ascenseur arrivee'>non</option>
</select>
</div>
<DIV id=Champ11>
<input type='text' id='objChamp11' name='vChamp11' onclick=FireEvent('Champ11','_OnClick'); ondblclick=FireEvent('Champ11','_OnDblClick'); onmousedown=FireEvent('Champ11','_OnMouseDown'); onmouseup=FireEvent('Champ11','_OnMouseUp'); onfocus=FireEvent('Champ11','_OnEnter'); onblur=FireEvent('Champ11','_OnLeave'); onchange=FireEvent('Champ11','_OnChange'); onkeydown=FireEvent('Champ11','_OnKeyDown'); onkeypress=FireEvent('Champ11','_OnKeyPress'); onkeyup=FireEvent('Champ11','_OnKeyUp'); onselect=FireEvent('Champ11','_OnSelect'); >
</DIV>
<DIV id=Champ12>
<input type='text' id='objChamp12' name='vChamp12' onclick=FireEvent('Champ12','_OnClick'); ondblclick=FireEvent('Champ12','_OnDblClick'); onmousedown=FireEvent('Champ12','_OnMouseDown'); onmouseup=FireEvent('Champ12','_OnMouseUp'); onfocus=FireEvent('Champ12','_OnEnter'); onblur=FireEvent('Champ12','_OnLeave'); onchange=FireEvent('Champ12','_OnChange'); onkeydown=FireEvent('Champ12','_OnKeyDown'); onkeypress=FireEvent('Champ12','_OnKeyPress'); onkeyup=FireEvent('Champ12','_OnKeyUp'); onselect=FireEvent('Champ12','_OnSelect'); >
</DIV>
<DIV id=Champ13>
<input type='text' id='objChamp13' name='vChamp13' onclick=FireEvent('Champ13','_OnClick'); ondblclick=FireEvent('Champ13','_OnDblClick'); onmousedown=FireEvent('Champ13','_OnMouseDown'); onmouseup=FireEvent('Champ13','_OnMouseUp'); onfocus=FireEvent('Champ13','_OnEnter'); onblur=FireEvent('Champ13','_OnLeave'); onchange=FireEvent('Champ13','_OnChange'); onkeydown=FireEvent('Champ13','_OnKeyDown'); onkeypress=FireEvent('Champ13','_OnKeyPress'); onkeyup=FireEvent('Champ13','_OnKeyUp'); onselect=FireEvent('Champ13','_OnSelect'); >
</DIV>
<DIV id=Champ14>
<input type='text' id='objChamp14' name='vChamp14' onclick=FireEvent('Champ14','_OnClick'); ondblclick=FireEvent('Champ14','_OnDblClick'); onmousedown=FireEvent('Champ14','_OnMouseDown'); onmouseup=FireEvent('Champ14','_OnMouseUp'); onfocus=FireEvent('Champ14','_OnEnter'); onblur=FireEvent('Champ14','_OnLeave'); onchange=FireEvent('Champ14','_OnChange'); onkeydown=FireEvent('Champ14','_OnKeyDown'); onkeypress=FireEvent('Champ14','_OnKeyPress'); onkeyup=FireEvent('Champ14','_OnKeyUp'); onselect=FireEvent('Champ14','_OnSelect'); >
</DIV>
<DIV id=Champ15>
<select id='objChamp15' name='vChamp15' size='2' onclick=FireEvent('Champ15','_OnClick'); ondblclick=FireEvent('Champ15','_OnDblClick'); onmousedown=FireEvent('Champ15','_OnMouseDown'); onmouseup=FireEvent('Champ15','_OnMouseUp'); onfocus=FireEvent('Champ15','_OnEnter'); onblur=FireEvent('Champ15','_OnLeave'); onchange=FireEvent('Champ15','_OnChange'); onkeydown=FireEvent('Champ15','_OnKeyDown'); onkeypress=FireEvent('Champ15','_OnKeyPress'); onkeyup=FireEvent('Champ15','_OnKeyUp'); >
<option value='oui client fait les cartons'>oui</option>
<option value='l entreprise fait les cartons'>non</option>
</select>
</div>
<DIV id=Champ16>
<select id='objChamp16' name='objet_fragile' size='2' onclick=FireEvent('Champ16','_OnClick'); ondblclick=FireEvent('Champ16','_OnDblClick'); onmousedown=FireEvent('Champ16','_OnMouseDown'); onmouseup=FireEvent('Champ16','_OnMouseUp'); onfocus=FireEvent('Champ16','_OnEnter'); onblur=FireEvent('Champ16','_OnLeave'); onchange=FireEvent('Champ16','_OnChange'); onkeydown=FireEvent('Champ16','_OnKeyDown'); onkeypress=FireEvent('Champ16','_OnKeyPress'); onkeyup=FireEvent('Champ16','_OnKeyUp'); >
<option value='client emballe fragile'>oui</option>
<option value='entreprise emballe fragile'>non</option>
</select>
</div>
<DIV id=Champ17>
<select id='objChamp17' name='vChamp17' size='2' onclick=FireEvent('Champ17','_OnClick'); ondblclick=FireEvent('Champ17','_OnDblClick'); onmousedown=FireEvent('Champ17','_OnMouseDown'); onmouseup=FireEvent('Champ17','_OnMouseUp'); onfocus=FireEvent('Champ17','_OnEnter'); onblur=FireEvent('Champ17','_OnLeave'); onchange=FireEvent('Champ17','_OnChange'); onkeydown=FireEvent('Champ17','_OnKeyDown'); onkeypress=FireEvent('Champ17','_OnKeyPress'); onkeyup=FireEvent('Champ17','_OnKeyUp'); >
<option value='MR'>Mr</option>
<option value='Mme'>Mme</option>
</select>
</div>
<DIV id=Champ18>
<input type='text' id='objChamp18' name='nom' onclick=FireEvent('Champ18','_OnClick'); ondblclick=FireEvent('Champ18','_OnDblClick'); onmousedown=FireEvent('Champ18','_OnMouseDown'); onmouseup=FireEvent('Champ18','_OnMouseUp'); onfocus=FireEvent('Champ18','_OnEnter'); onblur=FireEvent('Champ18','_OnLeave'); onchange=FireEvent('Champ18','_OnChange'); onkeydown=FireEvent('Champ18','_OnKeyDown'); onkeypress=FireEvent('Champ18','_OnKeyPress'); onkeyup=FireEvent('Champ18','_OnKeyUp'); onselect=FireEvent('Champ18','_OnSelect'); >
</DIV>
<DIV id=Champ19>
<input type='text' id='objChamp19' name='prenom' onclick=FireEvent('Champ19','_OnClick'); ondblclick=FireEvent('Champ19','_OnDblClick'); onmousedown=FireEvent('Champ19','_OnMouseDown'); onmouseup=FireEvent('Champ19','_OnMouseUp'); onfocus=FireEvent('Champ19','_OnEnter'); onblur=FireEvent('Champ19','_OnLeave'); onchange=FireEvent('Champ19','_OnChange'); onkeydown=FireEvent('Champ19','_OnKeyDown'); onkeypress=FireEvent('Champ19','_OnKeyPress'); onkeyup=FireEvent('Champ19','_OnKeyUp'); onselect=FireEvent('Champ19','_OnSelect'); >
</DIV>
<DIV id=Champ20>
<input type='text' id='objChamp20' name='email' onclick=FireEvent('Champ20','_OnClick'); ondblclick=FireEvent('Champ20','_OnDblClick'); onmousedown=FireEvent('Champ20','_OnMouseDown'); onmouseup=FireEvent('Champ20','_OnMouseUp'); onfocus=FireEvent('Champ20','_OnEnter'); onblur=FireEvent('Champ20','_OnLeave'); onchange=FireEvent('Champ20','_OnChange'); onkeydown=FireEvent('Champ20','_OnKeyDown'); onkeypress=FireEvent('Champ20','_OnKeyPress'); onkeyup=FireEvent('Champ20','_OnKeyUp'); onselect=FireEvent('Champ20','_OnSelect'); >
</DIV>
<DIV id=Champ21>
<input type='text' id='objChamp21' name='telephone' onclick=FireEvent('Champ21','_OnClick'); ondblclick=FireEvent('Champ21','_OnDblClick'); onmousedown=FireEvent('Champ21','_OnMouseDown'); onmouseup=FireEvent('Champ21','_OnMouseUp'); onfocus=FireEvent('Champ21','_OnEnter'); onblur=FireEvent('Champ21','_OnLeave'); onchange=FireEvent('Champ21','_OnChange'); onkeydown=FireEvent('Champ21','_OnKeyDown'); onkeypress=FireEvent('Champ21','_OnKeyPress'); onkeyup=FireEvent('Champ21','_OnKeyUp'); onselect=FireEvent('Champ21','_OnSelect'); >
</DIV>
<DIV id=Champ22>
<select id='objChamp22' name='vChamp22' size='2' onclick=FireEvent('Champ22','_OnClick'); ondblclick=FireEvent('Champ22','_OnDblClick'); onmousedown=FireEvent('Champ22','_OnMouseDown'); onmouseup=FireEvent('Champ22','_OnMouseUp'); onfocus=FireEvent('Champ22','_OnEnter'); onblur=FireEvent('Champ22','_OnLeave'); onchange=FireEvent('Champ22','_OnChange'); onkeydown=FireEvent('Champ22','_OnKeyDown'); onkeypress=FireEvent('Champ22','_OnKeyPress'); onkeyup=FireEvent('Champ22','_OnKeyUp'); >
<option value='9h/12h'>matin 9h/12h</option>
<option value='apres midi 14h/18h'>apres midi 14h/18h</option>
<option value='soir 18h/21h'>soir 18h/21h</option>
</select>
</div>
<input type='hidden' name='lmcheck' value='0'>
<input type='hidden' name='lmserialwc' value=''>
<input type='hidden' name='lmto' value=''>
<input type='hidden' name='lmfrom' value='DATAFORM@lmsoft.com'>
<input type='hidden' name='lmsubject' value='prospet'>
<input type='hidden' name='lmadr' value=''>
<input type='hidden' name='lmserial' value=''>
<input type='hidden' name='lmserialemail' value=''>
</form>
<div id='Text3'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">DATE / VOLUME</span></font></p>
</div>
<div id='Text6'>
<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">Civilité * Nom* Prenom</span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;"><br /></span></font></p><p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:10pt;line-height:15px;">E-mail * Téléphone * Me contacter de preference </span></font></p>
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<p style="line-height:0;text-align:left"><font face="Maiandra GD"><span style="font-size:16pt;line-height:24px;">COORDONNEES</span></font></p>
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