<html>
<head>
<title>Nom
&n
bsp; &nbs
p;
&n
bsp; Prenom</title>
</head>
<body>
<form method="POST" enctype="text/plain" action="mailto:inserer%20votre%20e-mail%20ici">
<p> Nom
&n
bsp; &nbs
p;
&n
bsp; Prenom</p>
<p><input type="text" name="T1" size="13">
&n
bsp; <input type="text" name="T2"
size="13"></p>
<p><select name="D1" size="1">
<option value="Question">Question</option>
<option value="Suggestion">Suggestion</option>
<option value="Commentaire">Commentaire</option>
<option value="Autres">Autres</option>
</select></p>
<p><textarea rows="7" name="S1" cols="54"></textarea></p>
<p>Adresse E-mail</p>
<p><input type="text" name="T3" size="20"></p>
<p> </p>
<p><input type="submit" value="Envoyer" name="B1"><input type="reset" value="Effacer"
name="B2"></p>
</form>
</body>
</html>