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>