Le Temps des Enfants - recrutement

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Nom *
Prénom *
Adresse *	</tr> <tr> <td width="153" valign="top" class="txt-form"><font color="#333366" class="t01">Code postal</font></td> <td><div align="left"> <input type="text" name="txtCodePostal" class="input-classic2" /> </div></td> </tr> <tr> <td width="153" valign="top" class="txt-form"><font color="#333366" class="t01">Ville</font></td> <td valign="top"><div align="left"> <input type="text" name="txtVille" class="input-classic2" /> </div></td> </tr> <tr> <td width="153" class="txt-form"><font color="#333366" class="t01">Téléphone fixe</font></td> <td ><div align="left"> <input type="text" name="txtTelephone" class="input-classic2" /> </div></td> </tr> <tr> <td width="153" class="txt-form"><font color="#333366" class="t01">Téléphone portable</font></td> <td ><div align="left"> <input type="text" name="txtPortable" class="input-classic2" /> </div></td> </tr> <tr> <td width="153" class="txt-form"><font color="#333366" class="t01"><strong>Email</strong></font> * </td> <td ><div align="left"> <input type="text" name="txtEmail" class="input-classic2" /> </div></td> </tr> <tr> <td colspan="2"><img src="tech/img/fnaim.gif" alt="fnaim Toulouse" width="1" height="10" /></td> </tr> <tr> <td width="153" valign="top" class="txt-form"><font color="#333366" class="t01"><strong>Votre message * </strong></font></td> <td ><div align="left"> <textarea rows="10" name="txtMessage" class="input-classic4" /> <br /> <input type="submit" value="Envoyer" name="B1" /> </div></td> </tr> </table></td> </tr> </table> </form><br /> <font color="#333366" class="t01"><strong>* Champ obligatoire</strong></font><br /> <br /> </td> </tr> </table> </td> <td width="81"> </td> </tr> </table> </div> <div id="bottom"> <img src="tech/img/spacer.gif" alt="Le temps des enfants" height="160" /> <a href="plan-du-site.html" class="small">Plan du site</a> \| <a href="http://www.prestalog.com" target="_blank" class="small">Agence Web PRESTALOG ® 2007</a> \| <a href="mentions-legales.html" class="small">Mentions légales</a></div> </div> <script type="text/javascript"> var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); </script> <script type="text/javascript"> var pageTracker = _gat._getTracker("UA-3004356-4"); pageTracker._initData(); pageTracker._trackPageview(); </script> </div></body> </html>