https://www.uhpc.be/spip.php/ fr SPIP - www.spip.net https://uhpc.be/local/cache-vignettes/L100xH100/siteon0-b9b71.png?1790153139 https://www.uhpc.be/spip.php/ 100 100 https://uhpc.be/spip.php?article14 https://uhpc.be/spip.php?article14 2015-11-13T13:32:44Z text/html fr <p>Titre : choisir Monsieur Madame Mlle Maître Nom : Prénom : email : Adresse : (…)</p> - <a href="https://uhpc.be/spip.php?rubrique2" rel="directory">Inscriptions</a> <div class='rss_texte'><form name="inscription" method="post" action="spip.php?page=mail"> <table width="580" border="0" cellspacing="0" cellpadding="0" height="406"> <tr> <td colspan="2" align="center"> <input type="hidden" name="FORMULE" value="Auditeur occasionnel"> <input type="submit" name="ok" value="Je m'inscris"> </td></tr> <tr> <td height="25" width="114"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Titre :</font></td> <td colspan="2" ><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><select size="5" name="titre" style="font-family: Verdana; font-size: 10 pt"> <option value="" selected>choisir <option value="Monsieur">Monsieur</option> <option value="Madame">Madame</option> <option value="Mlle">Mlle</option> <option value="Maître">Maître</option> </select></font></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Nom :</font></td> <td colspan="2" ><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="NOM" type="text" id="nom" style="font-family: Verdana; font-size: 10 pt" size="30"> </font></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Prénom :</font></td> <td colspan="2" ><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="prenom" type="text" id="prenom" style="font-family: Verdana; font-size: 10 pt" size="30"> </font></td> </tr> <tr> <td width="114" ><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> email :</font><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> </font></td> <td colspan="2" ><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input type="text" name="email" size="40" style="font-family: Verdana; font-size: 10 pt"> </font></td> </tr> <tr> <td><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Adresse :</font></td> <td colspan="2"><input name="adresse" type="text" style="font-family: Verdana; font-size: 10 pt" value="" size="50"></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Code Postal :</font></td> <td colspan="2"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="cp" type="text" id="cp" style="font-family: Verdana; font-size: 10 pt" size="10" maxlength="10"> </font> </td> </tr> <tr> <td> <font size="2" face="Geneva, Arial, Helvetica, sans-serif">Localité :</font></td> <td colspan="2"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ville" type="text" id="ville" style="font-family: Verdana; font-size: 10 pt" size="35"> </font></td> </tr> <tr> <td width="114"> <font size="2" face="Geneva, Arial, Helvetica, sans-serif">Remarques :</font> </td> <td colspan="2"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <textarea name="message" cols="40" rows="2" id="message" style="font-family: Verdana; font-size: 10 pt"></textarea> </font> </td> </tr></table> </form></div> https://uhpc.be/spip.php?article12 https://uhpc.be/spip.php?article12 2015-11-13T11:32:54Z text/html fr <p>Titre : Monsieur Madame Mlle Maître Nom : Prénom : Société : email : (…)</p> - <a href="https://uhpc.be/spip.php?rubrique2" rel="directory">Inscriptions</a> <div class='rss_texte'><form name="inscription" method="post" action="spip.php?page=mail"> <table width="580" border="0" cellspacing="0" cellpadding="0" height="406"> <tr> <td height="25" width="114"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Titre :</font></td> <td colspan="2" height="25"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><select size="4" name="titre" style="font-family: Verdana; font-size: 10 pt"> <option value="Monsieur">Monsieur</option> <option value="Madame">Madame</option> <option value="Mlle">Mlle</option> <option value="MaÎtre">Maître</option> </select></font></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Nom :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="NOM" type="text" id="nom" style="font-family: Verdana; font-size: 10 pt" size="30"> </font></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Prénom :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="prenom" type="text" id="prenom" style="font-family: Verdana; font-size: 10 pt" size="30"> </font></td> </tr> <tr> <td width="114" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Société :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="societe" type="text" id="societe" style="font-family: Verdana; font-size: 10 pt" size="30"> </font></td> </tr> <tr> <td width="114" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> email :</font><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> </font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input type="text" name="email" size="50" style="font-family: Verdana; font-size: 10 pt"> </font></td> </tr> <tr> <td width="114" height="26"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Adresse :</font></td> <td colspan="2" height="26"><input name="adresse" type="text" style="font-family: Verdana; font-size: 10 pt" value="" size="50"></td> </tr> <tr> <td width="114" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Code Postal :</font></td> <td height="26" colspan="2"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="cp" type="text" id="cp" style="font-family: Verdana; font-size: 10 pt" size="10" maxlength="10"> </font><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> </font></td> </tr> <tr> <td width="114" height="26"> <font size="2" face="Geneva, Arial, Helvetica, sans-serif">Localité :</font></td> <td height="26" colspan="2"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="ville" type="text" id="ville" style="font-family: Verdana; font-size: 10 pt" size="35"> </font></td> </tr> <tr> <td width="114" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif">Téléphone :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="tel" type="text" id="tel" style="font-family: Verdana; font-size: 10 pt" size="20" maxlength="20"> </font></td> </tr> <tr> <td width="114" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif">GSM :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="gsm" type="text" id="gsm" style="font-family: Verdana; font-size: 10 pt" size="20" maxlength="20"> </font></td> </tr> <tr> <td height="25" width="114"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Institut :</font></td> <td colspan="2" height="25"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><select size="3" name="institut" style="font-family: Verdana; font-size: 10 pt"> <option value="" selected>Aucun <option value="I.T.A.A.">I.T.A.A.</option> <option value="I.R.E.">I.R.E.</option> </select></font></td> </tr> <tr> <td><font size="2" face="Geneva, Arial, Helvetica, sans-serif">N ° d'inscription à l'institut :</font></td> <td colspan="2" height="26"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <input name="nom" type="text" id="num_institut" style="font-family: Verdana; font-size: 10 pt" size="15"> </font></td> </tr> <tr> <td height="25" width="114"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Statut Institut :</font></td> <td colspan="2" height="25"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><select size="3" name="statut_institut" style="font-family: Verdana; font-size: 10 pt"> <option value="" selected>Aucun <option value="Membre">Membre</option> <option value="Stagiaire">Stagiaire</option> </select></font></td> </tr> <tr> <td height="25" width="114"><font face="Geneva, Arial, Helvetica, sans-serif" size="2">Réduction de cotisation (50%) :</font></td> <td colspan="2" height="25"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"><select size="4" name="reduction" style="font-family: Verdana; font-size: 10 pt"> <option value="Aucune" selected>NON</option> <option value="Stagiaire">OUI - STAGIAIRE</option> <option value="Enseignant">OUI - ENSEIGNANT</option> <option value="Pensionné">OUI - PENSIONNÉ</option> </select></font><br><strong>(Un justificatif pourra vous être demandé.)</strong></td> </tr> <tr> <td width="114" height="28"> <font size="2" face="Geneva, Arial, Helvetica, sans-serif">Remarques :</font> </td> <td colspan="2" height="28"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> <textarea name="message" cols="50" rows="2" id="message" style="font-family: Verdana; font-size: 10 pt"></textarea> </font> </td></tr> <tr> <td width="114" height="28"> <p align="center"><font size="2" face="Geneva, Arial, Helvetica, sans-serif"> </font></p> </td> <td colspan="2" height="28"> <input type="hidden" name="FORMULE" value="Membre actif"> <input type="submit" name="ok" value="Je m'inscris"> </td> </tr> </table> </form></div>