<html>  <head> <title>Comptoir du Caoutchouc</title> </head>  <body bgcolor="#FFFFFF"> <div align="center">  <p><img src="images/titre-contact.gif" width="600" height="75" alt="titre-contact.gif (3783 octets)"></p>  <p><script language="JavaScript"><!-- function FrontPage_Form1_Validator(theForm) {    if (theForm.nom.value == "")   {     alert("Tapez une valeur pour le champ \"nom\".");     theForm.nom.focus();     return (false);   }    if (theForm.prenom.value == "")   {     alert("Tapez une valeur pour le champ \"prenom\".");     theForm.prenom.focus();     return (false);   }   return (true); } //--></script> </p>  <form method="POST" name action="../_vti_bin/shtml.dll/english/page-contact.htm" webbot-action="--WEBBOT-SELF--">   <!--webbot bot="SaveResults" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Email-Format="TEXT/PRE" B-Email-Label-Fields="TRUE" B-Email-Subject-From-Field="TRUE" S-Email-Subject="Formulaire Web SORECO" S-Builtin-Fields="Date Time REMOTE_USER HTTP_USER_AGENT" U-File="formulaire" S-Format="HTML/BR" S-Email-Address="comptoir@france-bottes.com" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><div align="center"><center><table border="0" align="center" width="600">     <tr>       <td valign="top" width="600" align="center"><div align="center"><center><table border="0" bgcolor="#9DAFA6" bordercolor="#CCCCCC" bordercolorlight="#CCCCCC" bordercolordark="#CCCCCC" cellpadding="0" cellspacing="0" align="center" width="373" height="314">         <tr bgcolor="#669966">           <td nowrap align="left" colspan="5" bgcolor="#9DAFA6" width="418" height="34"><div align="center"><center><p><font face="Verdana"><small><small><small><small><small><small><small><small><small><small><small><small><small><a name="formul1"></a></small></small></small></small></small></small></small></small></small></small></small></small></small><strong><font color="#FFFFFF" size="1">Formulaire de renseignement et de demande d'informations</font><small><small><small><small><small><small><small><small><small><small><small><br>           </small></small></small></small></small></small></small></small></small></small></small></strong><font color="#FF0000" size="1">renseignements* Les champs obligatoires sont affichs en rouge.</font></font><font face="Arial" color="#FF0000" size="1"> </font>               </div>             </center></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="17" align="left" width="154" bgcolor="#C2D0CE"><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1"><strong>&nbsp;&nbsp;Nom: * </strong></font></td>           <td height="17" align="left" width="145" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">Prnom: *</font><font color="#ff 00 00" face="Arial" size="1"> </font></strong></td>           <td height="17" align="left" width="25" bgcolor="#C2D0CE"><strong><font face="Verdana, Arial, Helvetica, sans-serif" size="1">M.</font><font face="Arial" size="1">           </font></strong></td>           <td height="17" align="left" width="29" bgcolor="#C2D0CE"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><strong><small>Mme:</small></strong></font></td>           <td height="17" align="left" width="65" bgcolor="#C2D0CE"><small><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;           </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td align="left" valign="top" bgcolor="#C2D0CE" width="154" height="1"><small><strong>&nbsp;           <input type="text" name="nom" size="14"> </strong></small></td>           <td valign="top" align="left" bgcolor="#C2D0CE" width="145" height="1"><small><strong><input type="text" name="prenom" size="15"> </strong></small></td>           <td height="1" valign="top" align="left" width="25" bgcolor="#C2D0CE"><small><strong><input type="radio" name="Monsieur" value="M."> </strong></small></td>           <td valign="top" align="left" bgcolor="#C2D0CE" width="29" height="1"><small><strong><input type="radio" name="Madame" value="Mme"> </strong></small></td>           <td height="1" valign="top" align="left" width="65" bgcolor="#C2D0CE"><small><strong>&nbsp;           </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="15" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><font face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;No : </font></strong></td>           <td align="left" colspan="4" bgcolor="#C2D0CE" width="264" height="15"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><strong>Nom de la rue :</strong></font></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="25" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><small> <input type="text" name="no_rue" size="5"> </small></strong></td>           <td height="25" align="left" colspan="4" width="264" bgcolor="#C2D0CE"><small><strong><input type="text" name="nom_rue" size="25"> </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="16" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><font face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;Code postal :</font><font face="Arial" size="1"> </font></strong></td>           <td height="16" align="left" width="145" bgcolor="#C2D0CE"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><strong>Ville :</strong></font></td>           <td align="left" colspan="3" rowspan="2" bgcolor="#C2D0CE" width="119" height="41"><small><strong>&nbsp;           </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="25" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><small> <input type="text" name="ville" size="10"> </small></strong></td>           <td height="25" align="left" width="145" bgcolor="#C2D0CE"><small><strong><input type="text" name="pays" size="9"> </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="29" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;&nbsp;Prfixe Tlphonique:           *</font><font color="#ff 00 00" face="Arial" size="1"> </font></strong></td>           <td height="29" align="left" width="145" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">Tlphone : *</font><font color="#ff 00 00" face="Arial" size="1"> </font></strong></td>           <td colspan="3" align="left" bgcolor="#C2D0CE" width="119" height="29"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><strong>Tlcopieur:</strong></font></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="25" align="left" width="154" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><small> <input type="text" name="ind_telephone" size="5"> </small></strong></td>           <td height="25" align="left" width="145" bgcolor="#C2D0CE"><small><strong><input type="text" name="telephone" size="11"> </strong></small></td>           <td height="25" colspan="3" align="left" width="119" bgcolor="#C2D0CE"><small><strong><input type="text" name="fax" size="11"> </strong></small></td>         </tr>         <tr align="center" bgcolor="#99CC99">           <td height="28" align="left" colspan="5" width="418" bgcolor="#C2D0CE"><strong><font color="#ff 00 00" face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;</font><font face="Verdana, Arial, Helvetica, sans-serif" size="1">&nbsp;<br>           &nbsp;&nbsp;Commentaires:</font></strong></td>         </tr>         <tr align="center" bgcolor="#99CC99" valign="top">           <td align="left" colspan="5" bgcolor="#C2D0CE" width="418"><div align="center"><center><p><strong>&nbsp;&nbsp;           <textarea name="commentaires" cols="36" rows="3"> </textarea><br>           </strong>               </div>             </center></td>         </tr>       </table>       </center></div><div align="center"><div align="center"><center><p><input type="submit" value=" Envoyer " name="B1"> &nbsp; <input type="reset" value=" Effacer " name="B2"> </p>       </center></div><div align="center"><center><p><font color="#666666" size="2" face="Times New Roman, Times, serif"><i><strong>Merci! </strong>Nous rpondrons  votre       demande dans les meilleurs delais</i></font></p>       </center></div></div></td>     </tr>   </table>   </center></div><div align="center"><center><p>&nbsp;</p>   </center></div> </form> </div> </body> </html> 
