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<script src="<?= $base_url_styles ?>squelettes/scripts/jquery.js" type="text/javascript"></script>
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2 |
<script src="<?= $base_url_styles ?>squelettes/scripts/inscription.js" type="text/javascript"></script>
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| 312 |
aurelien |
3 |
<script src="<?= $base_url_styles ?>squelettes/scripts/longueurmax.js" type="text/javascript"></script>
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| 190 |
aurelien |
4 |
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aurelien |
5 |
<h2> Inscription </h2>
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aurelien |
6 |
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<p> <h3> Devenez Tela botaniste <br />
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Rejoignez le réseau de la botanique francophone</h3>
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</p>
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| 190 |
aurelien |
10 |
<div id="form_inscription">
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| 103 |
aurelien |
11 |
<form method="post" id="inscription" action="<?php $url_form = clone($base_url);
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| 4 |
aurelien |
12 |
$url_form->setVariableRequete('m','annuaire_ajout_inscription');
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echo $url_form;
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?>">
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<div><?=$champs['nom'] ?></div><br />
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<div><?=$champs['prenom'] ?></div><br />
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18 |
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<div><?=$champs['mail'] ?></div><br />
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20 |
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<div><?=$champs['pass'] ?></div><br />
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22 |
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23 |
<div><?=$champs['pays'] ?></div><br />
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24 |
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| 39 |
aurelien |
25 |
<div><?=$champs['ville'] ?></div><br />
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26 |
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| 4 |
aurelien |
27 |
<div><?=$champs['code_postal'] ?></div><br />
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| 7 |
aurelien |
28 |
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| 4 |
aurelien |
29 |
<div><?=$champs['experience_bota'] ?></div><br />
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30 |
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<div><?=$champs['lettre_actu'] ?></div><br />
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32 |
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| 190 |
aurelien |
33 |
<div><label> J'ai pris connaissance des </label> <?=$champs['conditions_utilisation'] ?></div> <br />
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| 4 |
aurelien |
34 |
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aurelien |
35 |
<input type="hidden" name="aa_id_annuaire" id="aa_id_annuaire" value="<?=$aa_id_annuaire ?>">
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aurelien |
36 |
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<input type="submit" value="Valider" />
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</form>
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</div>
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