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}</SCRIPT><TABLE BORDER="0" CELLPADDING="0" CELLSPACING="2" BACKGROUND="iso_icons/empty.gif" WIDTH="100%"><TR><TD COLSPAN="2" CLASS="text"><BR><DIV CLASS="text"><B>Serimage films</B><BR>Forum  de Ville Active - Bt C -  32 rue Robert Mallet Stevens   30900 NIMES -  FRANCE<BR>(33) 04 66 29 09 33   <BR>(33) 04 66 29 09 57<BR></DIV><BR></TD></TR><TR><TD BGCOLOR="#000000" COLSPAN="2"><IMG SRC="iso_icons/empty.gif" WIDTH="1" HEIGHT="1"></TD></TR><FORM METHOD="post" NAME="form" ENCTYPE="text/plain"><TR><TD COLSPAN="2" CLASS="text" ALIGN="left"><INPUT TYPE="radio" NAME="genre" VALUE="Mme">&nbsp;Mme&nbsp;&nbsp;&nbsp;<INPUT TYPE="radio" NAME="genre" VALUE="Mlle">&nbsp;Melle&nbsp;&nbsp;&nbsp;<INPUT TYPE="radio" NAME="genre" VALUE="M." CHECKED="true">&nbsp;M&nbsp;&nbsp;&nbsp;</TD></TR><TR><TD CLASS="text" WIDTH="20%">Nom Prénom</TD><TD WIDTH="80%" CLASS="text"><INPUT TYPE="text" NAME="nom" VALUE="" SIZE="30"> (*)</TD></TR><TR><TD CLASS="text">Fonction</TD><TD CLASS="text"><INPUT TYPE="text" NAME="fonction" VALUE="" SIZE="30"></TD></TR><TR><TD CLASS="text">Société</TD><TD WIDTH="50%" CLASS="text"><INPUT TYPE="text" NAME="societe" VALUE="" SIZE="30"> </TD></TR><TR><TD VALIGN="top" CLASS="text">Adresse</TD><TD CLASS="text"><TEXTAREA NAME="adresse" ROWS="4" COLS="25" WRAP="hard"></TEXTAREA></TD></TR><TR><TD CLASS="text">Pays</TD><TD CLASS="text"><INPUT TYPE="text" NAME="pays" VALUE="" SIZE="30"></TD></TR><TR><TD CLASS="text">e-mail</TD><TD CLASS="text"><INPUT TYPE="text" NAME="email" VALUE="" SIZE="30"> (*)</TD></TR><TR><TD CLASS="text">Téléphone</TD><TD CLASS="text"><INPUT TYPE="text" NAME="telephone" VALUE="" SIZE="30"></TD></TR><TR><TD CLASS="text">Télécopie</TD><TD CLASS="text"><INPUT TYPE="text" NAME="fax" VALUE="" SIZE="30"></TD></TR><TR><TD VALIGN="top" CLASS="text">Message</TD><TD CLASS="text"><TEXTAREA NAME="message" COLS="25" ROWS="10" WRAP="hard"></TEXTAREA></TD></TR><TR><TD COLSPAN="2" HEIGHT="10" CLASS="text"><IMG SRC="iso_icons/empty.gif" HEIGHT="10"></TD></TR><TR><TD COLSPAN="2" HEIGHT="10" CLASS="text">(*) = obligatoire</TD></TR></FORM><FORM METHOD="post" NAME="Realform" ONSUBMIT="return sendForm(this);" ENCTYPE="text/plain" ACTION="mailto:michelmangin30@orange.fr?subject=Demande d'information"><INPUT TYPE="hidden" NAME="message" VALUE=" "><TR><TD ALIGN="center" CLASS="text" COLSPAN="2"><INPUT TYPE="image" SRC="iso_icons/form_submit.png" STYLE="border:0 none;" BORDER="0">&nbsp;&nbsp;&nbsp;&nbsp;<A HREF="#" ONCLICK="form.reset();return false;"><IMG SRC="iso_icons/form_reset.png" BORDER="0"></A></TD></TR></FORM></TABLE>
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