<html>
<head>
<meta content="text/html; charset=ISO-8859-1"
http-equiv="content-type">
<title>Formulaire</title>
</head>
<body>
<div style="text-align: center;">
<div style="text-align: center;"></div>
<form method="post" action="envoi.php"
name="Formulaire">
<div style="text-align: center;"></div>
<table
style="width: 812px; text-align: left; margin-left: auto; margin-right: auto;"
border="1" cellpadding="2" cellspacing="2">
<tbody align="center">
<tr align="right">
<td style="width: 390px;">NOM:</td>
<td style="width: 402px; text-align: left;"><input
name="NOM"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Prénom:</td>
<td style="width: 402px; text-align: left;"><input
name="prenom"></td>
</tr>
<tr align="right">
<td style="width: 390px;">N°:</td>
<td style="width: 402px; text-align: left;"><input
size="6" name="numero"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Rue:</td>
<td style="width: 402px; text-align: left;"><input
name="Rue"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Code
postal:</td>
<td style="width: 402px; text-align: left;"><input
size="7" name="code"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Ville:</td>
<td style="width: 402px; text-align: left;"><input
name="Ville"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Mobile:</td>
<td style="width: 402px; text-align: left;"><input
name="Mobile"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Telephone:</td>
<td style="width: 402px; text-align: left;"><input
name="Telephone"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Fax:</td>
<td style="width: 402px; text-align: left;"><input
name="Fax"></td>
</tr>
<tr align="right">
<td style="width: 390px;">E-mail:</td>
<td style="width: 402px; text-align: left;"><input
name="e-mail"></td>
</tr>
<tr align="right">
<td style="width: 284px;">Type
de transaction:</td>
<td style="width: 284px;">
<div style="text-align: left;"> <label> <input
name="transaction" value="vendre" id="transaction_0"
type="radio"> vendre</label> <label> <input
name="transaction" value="louer" id="transaction_1"
type="radio">
louer</label></div>
</td>
</tr>
<tr align="right">
<td style="width: 390px;">Type
de bien:</td>
<td style="width: 402px; text-align: left;">
<select name="bien">
<option>Maison</option>
<option>Maison en pierre</option>
<option>Villa</option>
<option>Châlet</option>
<option>Appartement</option>
<option>studio T1/T1bis</option>
<option>T2/T2bis</option>
<option>T3 et +</option>
<option>Terrain</option>
<option>Autre...</option>
</select>
</td>
</tr>
<tr align="right">
<td style="width: 390px;">Description
du bien:</td>
<td style="width: 402px; text-align: left;"><span
style="font-family: MS Shell Dlg;"></span><span
style="font-style: italic;"><input name="Description2">(ex:Châlet
d'été)</span></td>
</tr>
<tr align="right">
<td style="width: 390px;">Surface:</td>
<td style="width: 402px; text-align: left;"><input
size="6" name="surface">m²</td>
</tr>
<tr align="right">
<td style="width: 390px;">Surface
de terrain:</td>
<td style="width: 402px; text-align: left;"><input
size="6" name="terrain">m²</td>
</tr>
<tr align="right">
<td style="width: 390px;">Prix:</td>
<td style="width: 402px; text-align: left;"><input
size="10" name="prix"></td>
</tr>
<tr align="right">
<td style="width: 390px;">Nombre
de piéces:</td>
<td style="width: 402px; text-align: left;">
<select name="piece">
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5 et +</option>
</select>
</td>
</tr>
<tr align="center">
<td style="width: 390px; text-align: right;">Description:</td>
<td style="width: 402px; text-align: left;"><textarea
wrap="hard" cols="30" rows="5" name="Description"></textarea></td>
</tr>
</tbody>
</table>
<input name="Validez" value="Validez ici"
type="submit"><br>
</form>
</div>
</body>
</html>
Merci d'avance a tt le monde
