<?php include("share/header.php"); ?>
<h1>Vous voulez venir découvrir linux ? participer ? Inscrivez-vous !</h1>

<form action="register.php" method="post" >
<table width="100%">
<tbody>
	<tr>
	<td align="right">Nom : </td><td><input type="text" name="nom" size="30" />
	</td>
	</tr>
	<tr>
		<td align="right">Prénom : </td><td><input type="text" name="prenom" size="30" />
		</td>
	</tr>
	<tr>
		<td align="right">E-mail : </td><td><input type="text" name="email" size="30" />
		</td>
	</tr>
	<tr>
		<td align="right">Horaire souhaité :</td>
		<td>
			<select name="horaire">
			<option value="10h-12h">10h-12h</option>
			<option value="11h-13h">11h-13h</option>
			<option value="12h-14h">12h-14h</option>
			<option value="13h-15h">13h-15h</option>
			<option value="14h-16h">14h-16h</option>
			<option value="15h-17h">15h-17h</option>
			<option value="chaispas">Je ne sais pas</option>
			</select>
		</td>
	</tr>
	<tr>
		<td align="right">Distribution envisagée :</td>
		<td>
			<select name="distrib">
			<option value="Debian">Debian</option>
			<option value="Ubuntu">Ubuntu</option>
			<option value="Mandrake">Mandrake</option>
			<option value="Fedora">Fedora</option>
			<option value="Suse">Suse</option>
			<option value="Autre">Autre</option>
			<option value="chaispas">Je ne sais pas</option>
			</select>
		</td>
	</tr>

	<tr>
	<td align="right">Configuration Matérielle : </td>
	<td><textarea rows="5" cols="60" name="config"></textarea></td></tr>
	<tr><td align="right">Remarques : </td><td>
		<textarea rows="5" cols="60" name="rmq"></textarea>
		</td>
	</tr>
	<tr><td></td><td><input type="submit" name="boutok" value="envoyer"/></td></tr>
</tbody>
</table>
</form>

<?php include("share/footer.php"); ?>
