ÿþ<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//FR" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr" lang="fr"> <META http-equiv="Content-Type" Content="text/html; charset=utf-8"> <head> <title>Volleyaif.be - Abonnement</title> <link type="text/css" rel="stylesheet" href="Newsletter_Form.css" /> </head> <body> <div id="banner_out"> <table width="100%" border="1"> <tr> <td align="left"> <table width="100%"> <tr> <td>&nbsp;&nbsp;&nbsp;&nbsp;<a href="site/index.php" border="0"><img src="site/images/aif.gif" border="0" alt="logo aif" width="56" height="72"></a></td> <td valign=middle>&nbsp;<b><a href="mailto:aif@volleyaif.be"><font color="#FFFFFF" SIZE="4"> A. I. F. Association Interprovinciale Francophone de VolleyBall.</font></a><font color="#FFFFFF" SIZE="4"><br></font><font color="#FFFFFF" SIZE="1">&nbsp;&nbsp;&nbsp;&nbsp;Boulevard Lambermont, 278 &nbsp;&nbsp;&nbsp;&nbsp;1030&nbsp;&nbsp;BRUXELLES.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;02/242.02.64&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;FAX : 02/245.61.76</font></td> <td>&nbsp;&nbsp;&nbsp;&nbsp;</td> </tr> </table> </td> <td align="right"> <table width="100%"> <tr align="right"> <td align="right"><img src="site/images/logoaif.jpg" border="0" alt="logo aif"></td> </tr> </table> </td> </tr> </table> </div> <h2>AIF -- Bulletin d'Information -- Abonnement.</h2> <div id="subscribeForm"> <form method="post" action="http://admin.volleyaif.be/mail/newsletter/user/process.php?sExternalid=d5c9034cd84cb7cfe797f96115ab5af8"> <fieldset> <legend>S'abonner à la Newsletter</legend> <input type="hidden" name="formSubmitted" value="1" /> <div class="notes"> <p>Les champs en <span class="required">gras</span> sont obligatoires.</p> </div> <div> <label class="required" for="email"><strong>Votre Email:</strong></label> <input type="text" size="32" maxlength="60" name="Email" id="email" value="" /> </div> <div> <label for="field12"><strong class="required">Titre</strong>:</label> <select name="d[12]" id="field12"> <option value="">Choisir sélection</option> <option>M</option> <option>Mme</option> <option>Mlle</option> <option>Me</option> <option>Pr</option> <option>Dr</option> </select> </div> <div> <label for="field4"><strong class="required">Nom</strong>:</label> <input type="text" size="32" name="d[4]" id="field4" value=" " /> </div> <div> <label for="field5"><strong class="required">Prénom</strong>:</label> <input type="text" size="32" name="d[5]" id="field5" value=" " /> </div> <b>Je choisis de recevoir les :</b> <blockquote> <div> <label for="field11">News d'intérêt général:</label> <input type="checkbox" name="d[11]" id="field11" checked="checked" /> </div> <div> <label for="field6">News aux Responsables des Clubs/Comités:</label> <input type="checkbox" name="d[6]" id="field6" /> </div> <div> <label for="field8">News aux Arbitres:</label> <input type="checkbox" name="d[8]" id="field8" /> </div> <div> <label for="field7">News aux Entraîneurs/Coachs:</label> <input type="checkbox" name="d[7]" id="field7" /> </div> <div> <label for="field14">News aux Loisirs:</label> <input type="checkbox" name="d[14]" id="field14" /> </div> </blockquote> </fieldset> <div class="buttons"> <input type="hidden" name="pommo_signup" value="true" /> <input type="submit" name="pommo_signup" value="S'abonner" /> </div> </form> </div> </body> </html>