<html> <head> 	<title>Concours Palmar&egrave;s Coup de Coeur</title> <script language="JavaScript" SRC="http://www.infinit.com/js_source/concours_formcour.js"></script> <script language="JavaScript" SRC="http://www.infinit.com/js_source/coup_de_coeur_extra.js"></script> </head>  <body leftmargin=0 topmargin=0 marginheight="0" marginwidth="0" bgcolor="#13115B" background="images/bkg-degrade.jpg"> <!-- NAV CANOE-TVA IN --> <table width="100%" height="100" border="0" cellpadding="0" cellspacing="0">     <tr>       <td valign="top" bgcolor="#0B3D75" background="http://tva.canoe.com/nav_tva/images_nav/navig_fond_bleu.gif"> 	  	  <table cellpadding="0" cellspacing="0" border="0"> 	  <tr> 	  <td><!-- DebutHeader --> <script language="JavaScript"> <!-- function header(){ var agt=navigator.userAgent; var browserName= navigator.appName; var show;  if (!((agt.indexOf("Win95")!=-1)||(agt.indexOf("Windows 95")!=-1)|| (agt.indexOf("Win98")!=-1)||(agt.indexOf("Windows 98")!=-1) ||  (agt.indexOf("WinNT")!=-1)||(agt.indexOf("Windows NT")!=-1) || (agt.indexOf("Win2000")!=-1)||(agt.indexOf("Windows 2000")!=-1))&& (browserName!="Microsoft Internet Explorer")) 	show = false; else  	show = true; 	 document.writeln('<table cellspacing="0" cellpadding="0" border="0" width="100%"> '+ '<tr><td width="70" valign="top"> '+ '<a href="http://www.canoe.qc.ca"> '+ '<img src="http://tva.canoe.com/nav_tva/images_nav/logo_reseau.gif" width="70" height="29"'+ 'border="0"></a></td> '+ '<td width="158" valign="top"> '+ '<img src="http://tva.canoe.com/nav_tva/images_nav/reseau.gif"  width="158" height="29" '+ 'border="0"></td> '); if (show) 	document.writeln('<td valign="top" width="293"> '+ 	'<applet '+ 		'codebase= "http://www2.canoe.com/menu/classes" '+ 		'archive= "MenuApplet.jar" '+ 		'code= "MenuApplet.class" '+ 		'name= "TestMenuApplet" '+ 		'width= "293" '+ 		'height= "29" '+ 		'hspace= "0" '+ 		'vspace= "0" '+ 		'align= "top"> '+ 					 		'<param name = "Author" '+   		'value = "Zulema Hernandez"> '+ 	'</applet>'+ 	'</td>'); else 	document.writeln('<td valign="top" width="293"> '+ 	'<a href="http://www2.canoe.com/reseau/"> '+ 	'<img src="http://tva.canoe.com/nav_tva/images_nav/bouton-entete.gif" width="293" '+  	'height="29" border="0"></a></td>'); document.writeln('<td width="16" valign="top">'+ '<img src="http://tva.canoe.com/nav_tva/images_nav/trouver_coin.gif" width="16" height="29" '+ 'alt="" border="0"></td>'+ '<td width="100%" valign="top"  '+ 'background="http://tva.canoe.com/nav_tva/images_nav/pixel-entete.gif"> '+ '<img src="http://tva.canoe.com/nav_tva/images_nav/pix.gif" width="1" height="1" alt="" '+ 'border="0"></td> '+ '</tr> '+ '</table>'); }  header();	 //--> </script> <!-- FinHeader --></td> 	  </tr> 	  </table> 	  </td>     </tr>	   	    <tr>       <td valign="top" background="http://tva.canoe.com/nav_tva/images_nav/navig_fond_bleu2.gif">   <table width="780" border="0" cellpadding="0" cellspacing="0">     <tr>       <td width="276"><map name="nav_gen_canoe">   <area shape="rect" coords="155,11,236,26" href="http://tva.canoe.com/emissions/" target="_top">   <area shape="rect" coords="155,28,236,43" href="http://tva.canoe.com/vedette/" target="_top">   <area shape="rect" coords="152,45,269,60" href="http://tva.canoe.com/information/" target="_top">   <area shape="rect" coords="7,4,139,64" href="http://tva.canoe.com" target="_top"> </map> <img src="http://tva.canoe.com/nav_tva/images_nav/navig_tva_concours01.gif" border="0" width="276" height="70" alt="" usemap="#nav_gen_canoe"></td>       <td width="504"><map name="zoneconcours"><area shape="rect" coords="254,45,402,67" href="http://tva.canoe.com/concours/" target="_top"></map><img src="http://tva.canoe.com/nav_tva/images_nav/navig_tva_concours03.gif" border="0" width="403" height="70" alt="" usemap="#zoneconcours"></td>     </tr> </table> 	  </td>     </tr> </table>  <!-- NAV CANOE-TVA OUT --> <table width="706" cellpadding="0" cellspacing="0" border="0">  <tr>    <td><a href="http://www.leclubinternational.ca/index1.html" target="_blank"><img src="images/h-club-international.jpg" width="706" height="232" alt="" border="0"></a></td>   </tr>   </table>  <table width="706" cellpadding="15" cellspacing="0" border="0">    <tr>    <td width="300" valign="top"><font face="verdana, helvetica, arial" size="2" color="#ffffff"><br><br> Du 25 fvrier au 10 juin 2003, courez la chance de gagner un lecteur DVD en regardant le <i>Palmars Coup de Coeur</i> de la semaine prsent par le Club International Vido Film. Le Palmars est diffus tous les mardis dans l'mission Salut, Bonjour ! et en soire, entre 17h00 et 23h00.  Pour participer, identifiez un des films vedettes de la semaine et inscrivez-vous par Internet ou compltez un bon de participation disponible dans <i>Journal de Montral</i>. <br><br> Bonne chance !  </font><br><br> <div align="center"><a href="reglement.shtml"><img src="images/b-reglement.jpg" width="152" height="55" border="0" alt=""></a> <br><br> <a href="gagnants.shtml"><img src="images/b-gagnants.jpg" width="152" height="55" alt="" border="0"></a> </div> </td>  <td> <!-- debut formulaire --> <FORM NAME="formulaire" method="post" action="http://www.infinit.net/cgi-bin/FormCour_24h.pl" onSubmit="return (valider_formulaire() && valider_formulaire_extra());">  	<input type=hidden name="subject" value="Concours - Palmars printemps 2003"> 	<input type=hidden name="required" value="Adresse_electronique,subject"> 	<input type=hidden name="recipient" value=""> 	<input type=hidden name="redirect" value="http://tva.canoe.com/concours/validation.shtml"> 	<input type=hidden name="redirect_deja_participe" value="http://tva.canoe.com/concours/deja_participe.shtml"> 	<input type=hidden name="end_time" value="000000"> <!-- Heure de tombe du concours sur 24h / Value: HHMMSS -->  	<!-- Paramtres pour l'affichage des erreurs d'entre --> 	<input type=hidden name="title" value="Courrier InfiniT, palmares_2003"> 	<input type=hidden name="bgcolor" value="#ffffff"> 	<input type=hidden name="text_color" value="#FEFEFE"> 	<input type=hidden name="noDB" value="F"> 	<input type=hidden name="nom_bulletin" value="CPAL03">  <table border="0" cellpadding="2" cellspacing="0" width="90%">   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> Pr&eacute;nom: </font><font color = "red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE">  <input type="text" name="prenom" size="20" maxlength="30"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Nom: </font><font color = "red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="Nom" size="20" maxlength="30"> <input type=hidden name="realname" value="js_disabled!"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Adresse: </font><font color = "red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="adresse" value="" size="20" maxlength="40"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Appartement: </font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="appartement" value="" size="5" maxlength="5"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Ville: </font><font color="red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="ville" value="" size="20" maxlength="30"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Province: </font><font color = "red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <select name="province"> <option value= "Alberta">Alberta <option value = "Colombie-Britannique">Colombie-Britannique <option value = "Ile du Prince douard">Ile du Prince &Eacute;douard <option value = "Manitoba">Manitoba <option value = "Nouvelle-cosse">Nouvelle-&Eacute;cosse <option value = "Nouveau-Brunswick">Nouveau-Brunswick <option value = "Nunavut">Nunavut <option value = "Ontario">Ontario <option value = "Qubec" Selected>Qu&eacute;bec <option value = "Saskatchewan">Saskatchewan <option value = "Terre-Neuve">Terre-Neuve <option value = "Territoire du Nord-Ouest">Territoire du Nord-Ouest <option value = "Yukon">Yukon </select> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Code </font><font color = "red">*</font><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> postal: </font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="postal1" value="" size="3" maxlength="3"> - <input type="text" name="postal2" value="" size="3" maxlength="3"> </font></td> </tr>   <tr> <td align="RIGHT" valign="middle"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">T&eacute;l&eacute;phone </font><font color = "red">*</font><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">: </font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">( <input type="text" name="regional1" value="" size="3" maxlength="3">                           ) <input type="text" name="tel1" value="" size="3" maxlength="3">                           - <input type="text" name="tel2" value="" size="4" maxlength="4"></font></td> </tr>   <tr> <td align="RIGHT"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Courriel: </font><font color = "red">*</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> <input type="text" name="Adresse_electronique" size="20"> 	  <input type=hidden name="email" value="js_disabled!"></font></td> </tr>   <tr> <td align="RIGHT"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Sexe:</font></td> <td width="100%"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> M <input type="radio" name="sexe" value="M"> F <input type="radio" name="sexe" value="F"></font></td> </tr>   <tr> <td align="RIGHT"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Date de </font><font color = "red">*</font><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> naissance:</font></td>  <td width="100%"> <select name=jour> <option value=01>1</option> <option value=02>2</option> <option value=03>3</option> <option value=04>4</option> <option value=05>5</option> <option value=06>6</option> <option value=07>7</option> <option value=08>8</option> <option value=09>9</option> <option value=10>10</option> <option value=11>11</option> <option value=12>12</option> <option value=13>13</option> <option value=14>14</option> <option value=15>15</option> <option value=16>16</option> <option value=17>17</option> <option value=18>18</option> <option value=19>19</option> <option value=20>20</option> <option value=21>21</option> <option value=22>22</option> <option value=23>23</option> <option value=24>24</option> <option value=25>25</option> <option value=26>26</option> <option value=27>27</option> <option value=28>28</option> <option value=29>29</option> <option value=30>30</option> <option value=31>31</option> </select>   <select name=mois> <option value=01>Janvier</option> <option value=02>Fvrier</option> <option value=03>Mars</option> <option value=04>Avril</option> <option value=05>Mai</option> <option value=06>Juin</option> <option value=07>Juillet</option> <option value=08>Aot</option> <option value=09>Septembre</option> <option value=10>Octobre</option> <option value=11>Novembre</option> <option value=12>Dcembre</option> </select>    <font face="verdana, helvetica, arial, geneva" size="-1" color="#FEFEFE"> <input type="text" name="annee" value="" size="4" maxlength="4"> <font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">ex.:1978</font> </td> </tr>  <tr> <td align="RIGHT"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Film <font color = "red">*</font><br>vedette:</font></td> <td width="100%"><font color="#FEFEFE"> <input type="text" name="film_vedette" size="20" maxlength="40"></font></td> </tr>  <tr> <td align="left" colspan="2"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> Question math&eacute;matique obligatoire: </font><font color = "red">*</font><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"><br>((9 X 8) &#247; 2) + 3 = <input type="text" name="Question_Math" size="4" maxlength="4"><br><br> </font></td> </tr>   <tr>   <td align="left"  colspan="2"><font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF">Je d&eacute;sire recevoir par courriel les nouveaux produits et services du R&eacute;seau TVA et les offres promotionnelles de ses partenaires ou annonceurs.<br> OUI<input type="radio" name="bulletin" value="oui" checked> NON<input type="radio" name="bulletin" value="non"> <br><br> </font></td> </tr>  <tr> <td> <input TYPE=RESET VALUE="Effacer"></td>   <td> <input type="submit" value="Soumettre" name="submit"> </td> </tr> <tr> <td colspan="2"> <font face="verdana, helvetica, arial, geneva" size="-1" color="#FFFFFF"> <font color = "red">* </font>Champs obligatoires.</font> </td> </tr> </table> </form> <!-- fin formulaire -->  	</td> </tr> </table>   </body> </html> 
