{filelink=14090}
<html> <head> <title>Inscription</title> </head> <body> <h2 align="center">Formulaire d'inscription</h2> <form name="forml" method="post" action="executerInscription.php" enctype="multipart/form-data"> <table width="53%" border="0" align="center" cellpadding="5" cellspacing="0"> <tr> <td width="49%">Nom</td> <td colspan="2"> <div align="left"> <input type="text" name="nom" size="25" maxlength="25"> </div> </td> </tr> <tr> <td width="49%"></td> <td height="2" colspan="2"></td> </tr> <tr> <td width="49%" height="57">Adresse</td> <td height="57" colspan="2"> <textarea name="address" cols="25" rows="4"> </textarea> </td> </tr> <tr> <td width="49%"></td> <td height="2" colspan="2"></td> </tr> <tr> <td width="49%"> Date de Naissance</td> <td height="2" colspan="2"> <select name=mois_naissance> <option selected value=1>Janvier <option value=2> Fevrier <option value=3>Mars <option value=4>Avril <option value=5>Mai <option value=6>Juin <option value=7>Juillet <option value=8>Août <option value=9>Septembre <option value=10>Octobre <option value=11>Novembre <option value=12>Decembre </select> <select name=jour_naissance> <option selected value=1>01 <option value=2>02 <option value=3>03 <option value=4>04 <option value=5>05 <option value=6>06 <option value=7>07 <option value=8>08 <option value=9>09 <option value=10>10 <option value=11>11 <option value=12>12 <option value=13>13 <option value=14>14 <option value=15>15 <option value=16>16 <option value=17>17 <option value=18>18 <option value=19>19 <option value=20>20 <option value=21>21 <option value=22>22 <option value=23>23 <option value=24>24 <option value=25>25 <option value=26>26 <option value=27>27 <option value=28>28 <option value=29>29 <option value=30>30 <option value=31>31</option> </select> <input maxlength=4 name=annee_naissance size=4> (Year)</td> </tr> <tr> <td width="49%" height="2"></td> <td height="2" width="17%"></td> <td height="2" width="34%"></td> </tr> <tr> <td width="49%">Sexe</td> <td height="2" width="17%"><input type="radio" name="gender" value="M">Male </td> <td height="2" width="34%"><input type="radio" name="gender" value="F">Female </td> </tr> <tr> <td width="49%" height="5"></td> <td height="5" colspan="2"></td> </tr> <tr> <td width="49%">Loisirs </td> <td height="2" colspan="2"> <table width="100%" border="0"> <tr> <td> <input type="checkbox" name="sport" value="1"> Sport </td> <td> <input type="checkbox" name="lecture" value="1"> Lecture </td> </tr> <tr> <td> <input type="checkbox" name="surf" value="1"> Surf </td> <td> <input type="checkbox" name="cinema" value="1"> Cinema </td> </tr> <tr> <td> <input type="checkbox" name="musique" value="1"> Musique </td> <td></td> </tr> </table> </td> </tr> <tr> <td width="49%" height="2"></td> <td colspan="2" height="2"></td> </tr> <tr> <td colspan="3"> <div align="center"> <input type="submit" name="Submit" value="Envoyer"> </div> </td> </tr> </table> </form> </body> </html> <!-- executerInscription.php <html> <head> <title>Confirmation</title> </head> <body> <h2> Chèr(e) <?php if ($gender=='M') { echo "Mr."; } elseif ($gender=='F') { echo "Ms."; } echo " ", $nom; ?> ! You have entered the following information: </h2> <table border="1"> <tr> <td>Adresse </td> <td> <?php echo $address; ?> </td> </tr> <tr> <td>Date de Naissance </td> <td> <?php echo $mois_naissance, " ", $jour_naissance, " ", $annee_naissance; ?> </td> </tr> <tr> <td colspan=2>Vos Loisirs: <?php if (!(empty($sport))) { if ($sport==1){ echo " Sport "; } } if (!(empty($surf))) { if ($surf==1) { echo " Surf "; } } if (!(empty($lecture))) { if ($lecture==1){ echo " Lecture "; } } if (!(empty($musique))) { if ($musique==1) { echo " Musique "; } } if (!(empty($cinema))) { if ($cinema==1){ echo " Cinema "; } } ?> </td> </tr> </table> </body> </html> -->