Subversion Repositories Applications.annuaire

<script src="<?= $base_url_styles ?>squelettes/scripts/jquery.js" type="text/javascript"></script>

<script src="<?= $base_url_styles ?>squelettes/scripts/inscription.js" type="text/javascript"></script>

<h2> Inscription </h2>

<p> <h3> Devenez Tela botaniste <br />

	Rejoignez le réseau de la botanique francophone</h3>

</p>

<div id="form_inscription">

	<form method="post" id="inscription" action="<?php $url_form = clone($base_url);

				$url_form->setVariableRequete('m','annuaire_ajout_inscription');

				echo $url_form;

	 		?>">

			<div><?=$champs['nom'] ?></div><br />

			<div><?=$champs['prenom'] ?></div><br />

			<div><?=$champs['mail'] ?></div><br />

			<div><?=$champs['pass'] ?></div><br />

			<div><?=$champs['pays'] ?></div><br />

			<div><?=$champs['ville'] ?></div><br />

			<div><?=$champs['code_postal'] ?></div><br />

			<div><?=$champs['experience_bota'] ?></div><br />

			<div><?=$champs['lettre_actu'] ?></div><br />

			<div><label> J'ai pris connaissance des </label> <?=$champs['conditions_utilisation'] ?></div> <br />

			<input type="hidden" name="aa_id_annuaire" id="aa_id_annuaire" value="<?=$aa_id_annuaire ?>">

		<input type="submit" value="Valider" />

	</form>

</div>