1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56
| <form action="add_user.php" method="post">
<table width="92%" align="center" bgcolor="#000000">
<tr><td height="30" > </td>
<td width="64%" ><h3><strong>Inscription </strong></h3></td>
</tr>
<tr>
<td width="36%" ><font size="2" face="Verdana, Arial, Helvetica, sans-serif">*Location
:</font></td>
<td ><input type="text" name="location" /></td>
</tr>
<tr>
<td ><font size="2" face="Verdana, Arial, Helvetica, sans-serif">*Name
: </font></td>
<td ><input type="text" name="name" /></td>
</tr>
<tr>
<td><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Téléphone : </font></td>
<td ><input type="text" name="telephone" /></td>
</tr>
<tr>
<td ><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Mobile :</font></td>
<td ><input type="text" name="mobile" /></td>
</tr>
<tr>
<td height="26" ><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Departement
: </font></td>
<td ><input type="text" name="departement" /></td>
</tr>
<tr>
<td ><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> Main Project: </font></td>
<td ><input type="text" name="main_project" /></td>
</tr>
<tr>
<td ><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Manager : </font></td>
<td ><input type="text" name="manager" /></td>
</tr>
<tr>
<td ><font size="2" face="Verdana, Arial, Helvetica, sans-serif">*Adresse
E-Mail : </font></td>
<td ><input type="text" name="mail" size="40" /></td>
</tr>
<tr>
<td >*Login</td>
<td ><input type="text" name="login_user" /></td></tr>
<tr>
<td >*Password</td>
<td ><input type="password" name="pass_user" /></td></tr>
<tr>
<td ><input type="hidden" name="valider" value="non"/></td>
<td ><input type="submit" name="OK" value="Envoyer" />
<input type="reset" name="effacer" value="Effacer" /></td>
</tr>
</table></form>
* champ obligatoire</td></tr></table>
</body>
</html> |
Partager