61 lines
1.7 KiB
PHP
61 lines
1.7 KiB
PHP
|
<?php include("share/header.php"); ?>
|
|||
|
|
<h1>Vous voulez venir d<EFBFBD>couvrir linux ? participer ? Inscrivez-vous !</h1>
|
|||
|
|
|
|||
|
|
<form action="register.php" method="post" >
|
|||
|
|
<table width="100%">
|
|||
|
|
<tbody>
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">Nom : </td><td><input type="text" name="nom" size="30" />
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">Pr<EFBFBD>nom : </td><td><input type="text" name="prenom" size="30" />
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">E-mail : </td><td><input type="text" name="email" size="30" />
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">Horaire souhait<EFBFBD> :</td>
|
|||
|
|
<td>
|
|||
|
|
<select name="horaire">
|
|||
|
|
<option value="10h-12h">10h-12h</option>
|
|||
|
|
<option value="11h-13h">11h-13h</option>
|
|||
|
|
<option value="12h-14h">12h-14h</option>
|
|||
|
|
<option value="13h-15h">13h-15h</option>
|
|||
|
|
<option value="14h-16h">14h-16h</option>
|
|||
|
|
<option value="15h-17h">15h-17h</option>
|
|||
|
|
<option value="chaispas">Je ne sais pas</option>
|
|||
|
|
</select>
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">Distribution envisag<EFBFBD>e :</td>
|
|||
|
|
<td>
|
|||
|
|
<select name="distrib">
|
|||
|
|
<option value="Debian">Debian</option>
|
|||
|
|
<option value="Ubuntu">Ubuntu</option>
|
|||
|
|
<option value="Mandrake">Mandrake</option>
|
|||
|
|
<option value="Fedora">Fedora</option>
|
|||
|
|
<option value="Suse">Suse</option>
|
|||
|
|
<option value="Autre">Autre</option>
|
|||
|
|
<option value="chaispas">Je ne sais pas</option>
|
|||
|
|
</select>
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
|
|||
|
|
<tr>
|
|||
|
|
<td align="right">Configuration Mat<EFBFBD>rielle : </td>
|
|||
|
|
<td><textarea rows="5" cols="60" name="config"></textarea></td></tr>
|
|||
|
|
<tr><td align="right">Remarques : </td><td>
|
|||
|
|
<textarea rows="5" cols="60" name="rmq"></textarea>
|
|||
|
|
</td>
|
|||
|
|
</tr>
|
|||
|
|
<tr><td></td><td><input type="submit" name="boutok" value="envoyer"/></td></tr>
|
|||
|
|
</tbody>
|
|||
|
|
</table>
|
|||
|
|
</form>
|
|||
|
|
|
|||
|
|
<?php include("share/footer.php"); ?>
|