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			<div><?=$champs['pass'] ?></div><br />
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			<div><?=$champs['pass'] ?></div><br />
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			<div><?=$champs['pays'] ?></div><br />
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			<div><?=$champs['pays'] ?></div><br />
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			<div><?=$champs['code_postal'] ?></div><br />
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			<div><?=$champs['code_postal'] ?></div><br />
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			<div><?=$champs['experience_bota'] ?></div><br />
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			<div><?=$champs['experience_bota'] ?></div><br />
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			<div><?=$champs['lettre_actu'] ?></div><br />
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			<div><?=$champs['lettre_actu'] ?></div><br />
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			<div><label style="display:inline">J'ai pris connaissance des <a href="http://www.tela-botanica.org/page:rejoindre_reseau">conditions d'utilisation</a> </label> <?=$champs['conditions_utilisation'] ?></div><br />
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			<div><label style="display:inline">J'ai pris connaissance des <a href="http://www.tela-botanica.org/page:rejoindre_reseau">conditions d'utilisation</a> </label> <?=$champs['conditions_utilisation'] ?></div><br />
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