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| <form name="contrat" method="post" action="">
<table width="527" height="233" border="0">
<tr>
<td width="176">Nom entreprise </td>
<td width="341"><input name="nome" type="text" style="font-family:Courier New;font-size:12px"/></td>
</tr>
<tr>
<td>Référence kiosque </td>
<td><input name="refk" type="text" style="font-family:Courier New;font-size:12px" /></td>
</tr>
<tr>
<td>Date début location</td>
<td><input type="text" id="nom_champs_date" style="font-family:Courier New;font-size:12px" name="nom_champs_date" value="" />
<a href="javascript:popupwnd('calendrier.php?idcible=nom_champs_date&langue=fr','no','no','no','yes','yes','no','50','50','450','280')" target="_self"><img src="calendrier.gif" id="Image1" alt="" align="top" border="0" style="width:26px;height:26px;" /></a></td>
</tr>
<tr>
<td>Date fin location</td>
<td><input type="text" id="nom_champs_date2" style="font-family:Courier New;font-size:12px" name="nom_champs_date" value="" />
<a href="javascript:popupwnd('calendrier.php?idcible=nom_champs_date2&langue=fr','no','no','no','yes','yes','no','50','50','450','280')" target="_self"><img src="calendrier.gif" id="Image1" alt="" align="top" border="0" style="width:26px;height:26px;" /></a></td>
</tr>
<tr>
<td>Prix</td>
<td><input name="prix" type="text" style="font-family:Courier New;font-size:12px"/></td>
</tr>
<tr>
<td>Adresse logement</td>
<td><input name="adr" type="text" style="font-family:Courier New;font-size:12px"/></td>
</tr>
<tr>
<td><input name="verifier" type="submit" value="vérifier"/></td>
<td> </td>
</tr>
</table>
</form> |
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