69 lines
2.1 KiB
HTML
Executable File
69 lines
2.1 KiB
HTML
Executable File
<HTML>
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<HEAD>
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<TITLE>Coordonnées du client</TITLE>
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<HEAD>
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<BODY BGCOLOR="#ffffff">
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<!- Formulaire d'affichage du descriptif des articles ->
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<FORM METHOD="post" ACTION="http://o2000/cgi/infos-clients.pl">
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<TABLE BORDER=0 CELLSPACING=0>
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<TH colspan=5><FONT SIZE=5>Vos coordonnées</FONT></TH>
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<TR >
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<TD>Société : </TD>
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<TD COLSPAN=4><INPUT TYPE=text SIZE=36 MAXLENGHT=37 NAME="societe"></TD>
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</TR>
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<TR >
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<TD>Nom : </TD>
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<TD><INPUT TYPE=text SIZE=10 MAXLENGHT=11 NAME="nom_client"></TD>
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<TD></TD>
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<TD ALIGN="right">Prénom : </TD>
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<TD><INPUT TYPE=text SIZE=15 MAXLENGHT=16 NAME="prenom_client"></TD>
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</TR>
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<TR >
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<TD>Adresse : </TD>
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<TD COLSPAN=4><INPUT TYPE=text SIZE=36 MAXLENGHT=37 NAME="adresse_client"></TD>
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</TR>
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<TR >
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<TD>Code postal : </TD>
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<TD><INPUT TYPE=text SIZE=5 MAXLENGHT=6 NAME="code_postal"></TD>
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<TD></TD>
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<TD ALIGN="right">Commune : </TD>
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<TD><INPUT TYPE=text SIZE=15 MAXLENGHT=16 NAME="commune"></TD>
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</TR>
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<TR >
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<TD>tel : </TD>
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<TD><INPUT TYPE=text SIZE=10 MAXLENGHT=16 NAME="tel_client"></TD>
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<TD></TD>
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<TD ALIGN="right">Fax : </TD>
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<TD><INPUT TYPE=text SIZE=15 MAXLENGHT=16 NAME="fax_client"></TD>
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</TR>
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<TR >
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<TD>E-mail : </TD>
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<TD COLSPAN=4><INPUT TYPE=text SIZE=36 MAXLENGHT=37 NAME="e-mail_client"></TD>
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</TR>
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<TR >
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<TD COLSPAN=5><HR SIZE=5 WIDTH="100%"></TD>
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</TR>
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<TR >
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<TD COLSPAN=5>Adresse de livraison (si différente de la précédente) : </TD>
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</TR>
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<TR >
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<TD></TD>
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<TD COLSPAN=4><INPUT TYPE=text SIZE=36 MAXLENGHT=37 NAME="adresse_livr"></TD>
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</TR>
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<TR >
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<TD>Code postal : </TD>
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<TD><INPUT TYPE=text SIZE=5 MAXLENGHT=6 NAME="cpt_livr"></TD>
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<TD></TD>
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<TD ALIGN="right">Commune : </TD>
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<TD><INPUT TYPE=text SIZE=15 MAXLENGHT=16 NAME="commune_livr"></TD>
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</TR>
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<TR >
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<TD COLSPAN=5 ALIGN="right"><INPUT TYPE="submit" VALUE="OK"></TD>
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</TR>
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</TABLE>
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</FORM>
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</BODY>
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</HTML>
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