Subversion Repositories Applications.annuaire

<h2> Inscription </h2>

<div id="choix_participation">

<a class="lien_en_ligne" href="<?=$base_url?>"> <img src="<?=$base_url_styles ?>squelettes/images/inscription.png"/>  </a>

<a class="lien_en_ligne" href=""><img src="<?=$base_url_styles ?>squelettes/images/participer.png"/>  </a>

<a class="lien_en_ligne" href=""><img src="<?=$base_url_styles ?>squelettes/images/soutenir.png"/>  </a>

</div>

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

	Rejoignez le réseau de la botanique francophone</h3>

</p>

<div id="contenu">

	<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><?=$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>