NOUVELLES

<form method="post" enctype="multipart/form-data" action="http://pub43.bravenet.com/emailfwd/senddata.php">
<input type="hidden" name="usernum" value="3684505877">
<input type="hidden" name="cpv" value="2">
<!-- DO NOT CHANGE OR REMOVE THE 3 TAGS ABOVE THIS COMMENT-->

<table border="0" cellpadding="0" cellspacing="0" align="center">
<tr>
<td><h3 style="border-bottom:1px solid black;">Order Form</h3></td>
</tr>
<tr>
<td>

<label for="Prenom" style="float:left;width:140px;">Prenom</label><input type="text" name="Prenom" id="Prenom" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="Nom" style="float:left;width:140px;">Nom</label><input type="text" name="Nom" id="Nom" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="ville" style="float:left;width:140px;">ville</label><input type="text" name="ville" id="ville" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="pays" style="float:left;width:140px;">pays</label><input type="text" name="pays" id="pays" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="experience" style="float:left;width:140px;">experience</label><input type="text" name="experience" id="experience" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="courriel" style="float:left;width:140px;">courriel</label><input type="text" name="courriel" id="courriel" value="" maxlength="" style="width:200px;"><div style="clear:left;height:20px;"> </div>

<label for="autres" style="float:left;width:140px;">autres</label><textarea name="autres" id="autres" maxlength="" style="width:200px;height:100px;"></textarea><div style="clear:left;height:20px;"> </div>

<div style="clear:left;height:10px;"> </div>


</td>
<tr>
<td align="right">
<!-- YOU CAN MODIFY THE TEXT WITHIN VALUE="" TO MODIFY YOUR BUTTON TEXT-->
<input type="submit" value=" Submit "> <input type="reset" value=" Reset ">
</td>
</tr>
</table>
</form>
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Star Alliance Virtuel (SAV) est une compagnie d'aviation virtuelle qui n'a aucun lien avec Star Alliance ou les compagnies membres du Réseau Star Alliance.