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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="fr" lang="fr" dir="ltr"> <head> <title>Mod Mail</title> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <link rel="stylesheet" href="./style.css" type="text/css" media="projection, screen, tv" /> </head> <body> <div id="page"> <div id="header"> <h1>Demande de création de compte DokuWiki</h1> </div> <div id="content"> <h1>Merci de renseigner les champs suivants :</h1> <form method="post" action="./modmail.php"> <fieldset> <label for="input1">Votre Prénom :</label> <input id="input1" type="text" name="prenom" /><label></label> <br /> <label for="input2">Votre Nom :</label> <input id="input2" type="text" name="nom" /><label></label> <br /> <label for="input3">Votre adresse de messagerie :</label> <input id="input3" type="text" name="email" /><label></label> <br /> <label for="input4">Votre mot de passe:</label> <input id="input4" type="password" name="passwordmail" /> <br /> <input type="submit" value="Valider" /> </fieldset> </form> </div> </div> </body> </html>