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form.php
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50 lines (50 loc) · 1.12 KB
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<form name="contactform" method="post" action="traitement.php">
<h1>titre formulaire</h1>
<table width="450px">
<tr>
<td valign="top">
<label for="prenom">Prénom *</label>
</td>
<td valign="top">
<input type="text" name="prenom" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top"">
<label for="nom">Nom *</label>
</td>
<td valign="top">
<input type="text" name="nom" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="email">Email *</label>
</td>
<td valign="top">
<input type="text" name="email" maxlength="80" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="telephone">Telephone</label>
</td>
<td valign="top">
<input type="text" name="telephone" maxlength="30" size="30">
</td>
</tr>
<tr>
<td valign="top">
<label for="commentaires">Commentaires *</label>
</td>
<td valign="top">
<textarea name="commentaires" maxlength="1000" cols="25" rows="6"></textarea>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:center">
<input type="submit" value="Submit"> <a href="http://form.velvetcocoon.com/traitement.php">Envoyer</a>
</td>
</tr>
</table>
</form>