<form name="formulaire" action="frmcontact.php?action=do2" method="post">

<input type="hidden" name="document" value="Demande de renseignements" />

<ul>

<li>Nom : *<br />

<INPUT type="text" size="30" maxlength="100" name="nom" value="">

</li>

<li> Prénom: * <br />

<INPUT type="text" size="30" maxlength="100" name="prenom" value="">

</li>

<li>E-mail : *<br />

<INPUT type="text" size="30" maxlength="100" name="email" value="">

</li>

<li>Votre demande : * <br />

<TEXTAREA rows="6" cols="32" name="demande"></TEXTAREA>

</li>

</ul>

<input type="submit" value=" envoyer ">

</FORM>