<center><div style=" text-align: center; background-color: #918976;width:500px;"><div style="padding:10px; text-align:justify;"><span style="display: block; width:470px; height: 100px; background: url(http://cf.imados.fr/1/divers/galerie-paysages-lieux/photo/8085295808/3805921d36/galerie-paysages-lieux-article-img.jpg) top; center; border:4px solid #c2b186;border-top-left-radius:5px;border-top-right-radius:5px;opacity:0.5;"></span><div style="margin-bottom:0px; background-color: #6b624b; text-transform:small-caps;font-size:15px; text-align:center;width:478px;color:#c2b186;">Formulaire</div><div style="color:#c2b186">
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[b]Nom:[/b]
[b]Prénom:[/b]
[b]Métier:[/b]
[b]En quoi il est différent? [/b]

[b]Date:[/b]

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</div>[size=8]° CODAGE PAR DITA | [url=http://epicode.bbactif.com/]EPICODE[/url] °[/size]</DIV></center><br>