document.write('  <form method="post" action="http://www.formmail.fr/send.php">');
document.write('                ');
document.write('  <table width="356" border="0" cellspacing="2" cellpadding="2">');
document.write('    <tr valign="top"> ');
document.write('      <td width="20%"><DIV ALIGN="right">Pr&eacute;nom :</DIV></td>');
document.write('      <td width="80%"> <input type="text" name="prenom">');
document.write('         </td>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td width="20%"><DIV ALIGN="right">Nom :</DIV></td>');
document.write('      <td width="80%"> <input type="text" name="nom"></td>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td width="20%"><DIV ALIGN="right"><U>Courriel</U> :</DIV></td>');
document.write('      <td width="80%"> <input type="text" name="email" size="35"><BR><FONT SIZE=2>Ex : <FONT COLOR="FF0000">mon-nom@videotron.ca</FONT> .com .net etc.</FONT>');
document.write('         </td>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td width="20%"><DIV ALIGN="right">Sujet :</DIV></td>');
document.write('      <td width="80%"> <input type="text" name="sujet" size="35"><BR><FONT SIZE=2>Ex : <U><FONT COLOR="FF0000">inscription</FONT></U> au cours, <U><FONT COLOR="FF0000">information</FONT></U> ou autre</FONT> </td>');
document.write('    </tr>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td colspan="2">Votre message ici :</td>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td colspan="2"> <div align="center"> ');
document.write('          <textarea name="message" cols="40" rows="6">Bonjour, </textarea>');
document.write('        </div></td>');
document.write('    </tr>');
document.write('    <tr valign="top"> ');
document.write('      <td colspan="2">  <div align="center"> ');
document.write('          <input type="hidden" name="compte" value="696923Coursd">');
document.write('          <input type="submit" name="Submit" value="Envoyer votre message">');
document.write('        </div></td>');
document.write('    </tr>');
document.write('  </table>');
document.write('              </form>');