<?
// Edit this variable to match your requirement ======================
$notify_email="maxim@ktsz.spb.ru";
$from_name="Hunting Site";
$from_email="maxim@ktsz.spb.ru";
$subject="New reservation at hunting site";	//Subject of notification email
$error_color="red";				//Enter color in `red` or `#FF0000` format


# specify here as array elements types of hunting
# you can simply add or remove lines, but keep array elements
# numbering starting from 0 and forth without omission.
#
# PLEASE PAY ATTANTION !!! You can not use keywords such as
# "&agrave;" to put this symbol in next lines that describes types
# of hunting. Please type in sharacter itself for example to type
# "a" with accent grave use ALT-0224 combination
# (0, 2, 2 and 4 should be typed at additional section of your keyboard)
# for more symbols consult you Character Table application in Windows
$type[0]="Chasse a la becasse";
$type[1]="Chasse au grand tetras";
$type[2]="Chasse au petit tetras";
$type[3]="Chasse a l'ours";
$type[4]="Chasse au elan";
$type[5]="Chasse au loup";

// end of configuration lines ==========================================

$from="From: \"$from_name\" <$from_email>\nContent-Type: text/html; charset=\"windows-1252\"";

session_start ();

if (strip_tags($_GET['a']) == 'captcha_image') {

		$im = @imagecreate (80, 20) or die ("Cannot initialize new GD image stream!");
		$bg = imagecolorallocate ($im, 232, 238, 247);
		$char = $_SESSION['captcha_code'];

		//создаём шум на фоне
		for ($i=0; $i<=128; $i++) {
			$color = imagecolorallocate ($im, rand(0,255), rand(0,255), rand(0,255)); //задаём цвет
			imagesetpixel($im, rand(2,80), rand(2,20), $color); //рисуем пиксель
		}

		//выводим символы кода
		for ($i = 0; $i < strlen($char); $i++) {
			$color = imagecolorallocate ($im, rand(0,255), rand(0,128), rand(0,255)); //задаём цвет
			$x = 5 + $i * 20;
			$y = rand(1, 6);
			imagechar ($im, 5, $x, $y, $char[$i], $color);
		}

		/*/упрощённый вариант
		$color = imagecolorallocate($img, 0, 0, 0);
		imagestring($im, 3, 5, 3, $char, $color);*/

		//антикеширование
		header("Expires: Mon, 26 Jul 1997 05:00:00 GMT");
		header("Cache-Control: no-store, no-cache, must-revalidate");
		header("Cache-Control: post-check=0, pre-check=0", false);
		header("Pragma: no-cache");

		//создание рисунка в зависимости от доступного формата
		if (function_exists("imagepng")) {
		   header("Content-type: image/png");
		   imagepng($im);
		} elseif (function_exists("imagegif")) {
		   header("Content-type: image/gif");
		   imagegif($im);
		} elseif (function_exists("imagejpeg")) {
		   header("Content-type: image/jpeg");
		   imagejpeg($im);
		} else {
		   die("No image support in this PHP server!");
		}
		imagedestroy ($im);	
}
else {

if ($_POST['Submit'] == "Soumettre") {

    $tf1 = strip_tags($_POST['tf1']);
    $tf2 = strip_tags($_POST['tf2']);
    $tf3 = strip_tags($_POST['tf3']);
    $tf4 = strip_tags($_POST['tf4']);
    $tf5 = strip_tags($_POST['tf5']);
    $tf6 = strip_tags($_POST['tf6']);
    $tf7 = strip_tags($_POST['tf7']);
    $tf8 = strip_tags($_POST['tf8']);
    $tf9 = strip_tags($_POST['tf9']);
    $tf10= strip_tags($_POST['tf10']);
    $tf11= strip_tags($_POST['tf11']);
    $tf12= strip_tags($_POST['tf12']);
    $tf13= strip_tags($_POST['tf13']);
    $tf14= strip_tags($_POST['tf14']);
    $tf15= strip_tags($_POST['tf15']);
    $tf16= strip_tags($_POST['tf16']);
    $tf17= strip_tags($_POST['tf17']);
    $tf18= strip_tags($_POST['tf18']);
    $tf19= strip_tags($_POST['tf19']);
    $tf20= strip_tags($_POST['tf20']);
    //for ($i=0; $i<count($type); $i++) {
	$tf21 = $_POST['tf21'];
    //}
	for ($i=0; $i<count($type); $i++) {
	    $tf21[$i] = strip_tags($tf21[$i]);
	}
    //$tf21[0] = strip_tags($_POST['tf21[0]');
    //$tf21[1] = strip_tags($_POST['tf21[1]');
    //$tf21[2] = strip_tags($_POST['tf21[2]');
    //$tf21[3] = strip_tags($_POST['tf21[3]');
    //$tf21[4] = strip_tags($_POST['tf21[4]');
    //$tf21[5] = strip_tags($_POST['tf21[5]');
    
    $tf22= strip_tags($_POST['tf22']);
    $tf23= strip_tags($_POST['tf23']);
    $tf24= strip_tags($_POST['tf24']);
    $tf25= strip_tags($_POST['tf25']);

	$captcha= strip_tags($_POST['captcha']);

    # Comment using "#" symbol lines corresponding to non obligatory fields of the form
    if ($tf1=="" or $tf1==" ") {$error.="\n<br>FIRST NAME"; $er1[0]="<font color=\"$error_color\">"; $er1[1]="</font>";}
    if ($tf2=="" or $tf2==" ") {$error.="\n<br>LAST NAME"; $er2[0]="<font color=\"$error_color\">"; $er2[1]="</font>";}
    if ($tf3=="" or $tf3==" ") {$error.="\n<br>ADDRESS 1"; $er3[0]="<font color=\"$error_color\">"; $er3[1]="</font>";}
//  if ($tf4=="" or $tf4==" ") {$error.="\n<br>ADDRESS 2"; $er4[0]="<font color=\"$error_color\">"; $er4[1]="</font>";}
    if ($tf5=="" or $tf5==" ") {$error.="\n<br>POSTAL CODE"; $er5[0]="<font color=\"$error_color\">"; $er5[1]="</font>";}
    if ($tf6=="" or $tf6==" ") {$error.="\n<br>CITY"; $er6[0]="<font color=\"$error_color\">"; $er6[1]="</font>";}
    if ($tf7=="" or $tf7==" ") {$error.="\n<br>NATIONALITY"; $er7[0]="<font color=\"$error_color\">"; $er7[1]="</font>";}
    if ($tf8=="" or $tf8==" ") {$error.="\n<br>PHONE"; $er8[0]="<font color=\"$error_color\">"; $er8[1]="</font>";}
//  if ($tf9=="" or $tf9==" ") {$error.="\n<br>MOBILE"; $er9[0]="<font color=\"$error_color\">"; $er9[1]="</font>";}
//  if ($tf10=="" or $tf10==" ") {$error.="\n<br>FAX"; $er10[0]="<font color=\"$error_color\">"; $er10[1]="</font>";}
    if ($tf11=="" or $tf11==" ") {$error.="\n<br>E-MAIL"; $er11[0]="<font color=\"$error_color\">"; $er11[1]="</font>";}
    if ($tf12=="" or $tf12==" ") {$error.="\n<br>Date of birth"; $er12[0]="<font color=\"$error_color\">"; $er12[1]="</font>";}
    if ($tf13=="" or $tf13==" ") {$error.="\n<br>Place of birth"; $er13[0]="<font color=\"$error_color\">"; $er13[1]="</font>";}
    if ($tf14=="" or $tf14==" ") {$error.="\n<br>Passport N°"; $er14[0]="<font color=\"$error_color\">"; $er14[1]="</font>";}
    if ($tf15=="" or $tf15==" ") {$error.="\n<br>Place of issue: "; $er15[0]="<font color=\"$error_color\">"; $er15[1]="</font>";}
    if ($tf16=="" or $tf16==" ") {$error.="\n<br>Issued by"; $er16[0]="<font color=\"$error_color\">"; $er16[1]="</font>";}
    if ($tf17=="" or $tf17==" ") {$error.="\n<br>Date of issue"; $er17[0]="<font color=\"$error_color\">"; $er17[1]="</font>";}
    if ($tf18=="" or $tf18==" ") {$error.="\n<br>Expiry date"; $er18[0]="<font color=\"$error_color\">"; $er18[1]="</font>";}
    if ($tf19=="" or $tf19==" " or $tf20=="" or $tf20==" ") {$error.="\n<br>Accommodation dates"; $er19[0]="<font color=\"$error_color\">"; $er19[1]="</font>";}

    $ok=FALSE;
    for ($i=0; $i<count($type); $i++) {
	for ($k=0; $k<count($type); $k++) {
	    if($tf21[$i]==$type[$k]) $ok=TRUE;
	}
    }
    if(!$ok) {$error.="\n<br>Type de chasse sauhait&eacute;"; $er21[0]="<font color=\"$error_color\">"; $er21[1]="</font>";}

    if ($tf22=="" or $tf22==" ") {$error.="\n<br>Firearms make"; $er22[0]="<font color=\"$error_color\">"; $er22[1]="</font>";}
    if ($tf23=="" or $tf23==" ") {$error.="\n<br>Firearms type"; $er23[0]="<font color=\"$error_color\">"; $er23[1]="</font>";}
    if ($tf24=="" or $tf24==" ") {$error.="\n<br>Calibre"; $er24[0]="<font color=\"$error_color\">"; $er24[1]="</font>";}
    if ($tf25=="" or $tf25==" ") {$error.="\n<br>Firearms serial number"; $er25[0]="<font color=\"$error_color\">"; $er25[1]="</font>";}

	//Проверка правильности введения CAPTCHA кода
	if (empty($captcha) or empty($_SESSION['captcha_code'])) {
			$error.="\n<br>Code d'image"; $ercaptcha[0]="<font color=\"$error_color\">"; $ercaptcha[1]="</font>";
	} elseif ($captcha != $_SESSION['captcha_code']) {
			$error.="\n<br>Code faux d'image"; $ercaptcha[0]="<font color=\"$error_color\">"; $ercaptcha[1]="</font>";
	}

    if(!$error) {
	$body ="<html>\n";
	$body.="<head>\n";
	$body.="<style>\n";
	$body.="	a:active {font-family: Arial, Helvetica, sans-serif; color: #993300}\n";
	$body.="	a:hover {font-family: Arial, Helvetica, sans-serif; color: #CC6633; text-decoration: none}\n";
	$body.="	a:link {font-family: Arial, Helvetica, sans-serif; color: #990000; text-decoration: underline}\n";
	$body.="	p {font-family: Arial, Helvetica, sans-serif; color: #000000; font-size: 12px}\n";
	$body.="	td {font-family: Arial, Helvetica, sans-serif; color: #000000; font-size: 12px}\n";
	$body.="	a:visited {font-family: Arial, Helvetica, sans-serif; color: #006600}\n";
	$body.="	.small {font-family: Arial, Helvetica, sans-serif; font-size: 11px}\n";
	$body.="</style>\n";
	$body.="</head>\n";
	$body.="<body bgcolor=\"#99CC66\">\n";
	$body.="<center>\n";
	$body.="<table border=\"0\" cellspacing=\"0\" cellpadding=\"1\">\n";
	$body.="<tr><td bgcolor=\"#006600\">\n";
	$body.="<table width=\"100%\" border=\"0\" cellspacing=\"1\" cellpadding=\"3\">\n";
	$body.="<tr align=\"center\"><td colspan=\"2\"><b><font color=\"#99CC66\">FORMULAIRE DE RESERVATION<br><b>Formulaire a remplir sans aucunes erreurs<br>en lettres majuscules</b></font></b></td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">NOM :</td><td bgcolor=\"#669933\">$tf2</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">PRENOM :</td><td bgcolor=\"#669933\">$tf1</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">ADRESSE 1:</td><td bgcolor=\"#669933\">$tf3</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">ADRESSE 2:</td><td bgcolor=\"#669933\">$tf4</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">CODE POSTAL :</td><td bgcolor=\"#669933\">$tf5</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">VILLE :</td><td bgcolor=\"#669933\">$tf6</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">NATIONALITE :</td><td bgcolor=\"#669933\">$tf7</td></tr>";
	$body.="<tr><td bgcolor=\"#669933\">TEL :</td><td bgcolor=\"#669933\">$tf8</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">TEL MOBILE :</td><td bgcolor=\"#669933\">$tf9</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">FAX :</td><td bgcolor=\"#669933\">$tf10</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">E-MAIL :</td><td bgcolor=\"#669933\"><a href=\"mailto:$tf11\">$tf11</a></td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Date de Naissance :</td><td bgcolor=\"#669933\">$tf12</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Lieu de Naissance :</td><td bgcolor=\"#669933\">$tf13</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Passeport N° :</td><td bgcolor=\"#669933\">$tf14</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">D&eacute;livr&eacute; &agrave; :</td><td bgcolor=\"#669933\">$tf15</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Par :</td><td bgcolor=\"#669933\">$tf16</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Date de d&eacute;livrance du passeport :</td><td bgcolor=\"#669933\">$tf17</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Date d’expiration du passeport :</td><td bgcolor=\"#669933\">$tf18</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Dates du s&eacute;jour souhait&eacute; :</td><td bgcolor=\"#669933\"> Du $tf19<br>\n Au $tf20</td></tr>\n";
	for ($i=0; $i<count($type); $i++) {
	    if ($tf21[$i]) $type_of_hunting.=" $tf21[$i]<br>";
	}
	$type_of_hunting=ereg_replace("^ ", "", ereg_replace("<br>$", "", $type_of_hunting));
	$body.="<tr><td bgcolor=\"#669933\">Type de chasse sauhait&eacute; :</td><td bgcolor=\"#669933\">$type_of_hunting</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Marque de l’arme de chasse :</td><td bgcolor=\"#669933\">$tf22</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Type de l’arme de chasse :</td><td bgcolor=\"#669933\">$tf23</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Calibre :</td><td bgcolor=\"#669933\">$tf24</td></tr>\n";
	$body.="<tr><td bgcolor=\"#669933\">Numero de serie de l’arme :</td><td bgcolor=\"#669933\">$tf25</td></tr>\n";
	$body.="</table>\n";
	$body.="</td>\n";
	$body.="</tr>\n";
	$body.="</table>\n";
	$body.="</center>\n";
	$body.="</body>\n";
	$body.="</html>";

	if (mail($notify_email,$subject,$body,$from)) $success=1;
    }
}

	$_SESSION['captcha_code'] = substr(md5(uniqid("")),0,4);

?><html>
<head>
<title>Rancho Hunting</title>
<link rel="stylesheet" href="/hunt.css" type="text/css">
</head>
<body bgcolor="#99CC66" text="#000000" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<table border="0" cellspacing="0" cellpadding="0" width="100%" align="left">
<tr>
<td bgcolor="#006600" colspan="3" align="left" valign="bottom" background="/images/bcgr.gif"><img src="/images/domik.gif" width="468" height="93"></td>
<td bgcolor="#006600" rowspan="2" valign="top" background="/images/bcgr.gif" width="170">&nbsp;</td>
</tr>
<tr>
<td valign="top" rowspan="3" width="141"><img src="/images/leeves.gif" width="138" height="102">

<!-- Menu -->
<table width="140" border="0" cellspacing="3" cellpadding="0">
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_home.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="index.html">Editorial</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_ter.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="territory.html">Nos 2 territoires</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_anim.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="animals.html">Animaux chass&eacute;s</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_serv.gif" width="15" height="15" hspace="3"></td><td nowrap width="107"><b><a href="service.html">Services propos&eacute;s</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_climat.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="climat.html">Climat</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_form.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="form.html">Formalit&eacute;s</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td width="21"><img src="images/ico_res.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="reserve.php3">R&eacute;servation</a></b></td></tr>
<tr><td width="14"></td><td colspan="2" background="images/bcgr_dot.gif"><img src="images/1x1.gif" width="3" height="3"></td></tr>
<tr><td width="14">&nbsp;</td><td valign="top" width="21"><img src="images/ico_cont.gif" width="15" height="15" hspace="3"></td><td width="107"><b><a href="contact.php3">Demande d'information</a></b></td></tr>
<!-- <tr><td width="14">&nbsp;</td><td width="21" align='center'><img src="/images/ico_press.gif"width="15" height="15"></td><td width="107"><b><a href="/press.html">Articles de Presse</a></b></td></tr> -->
<tr><td width="14" height="14">&nbsp;</td><td width="21" height="14"><div align="center"><img src="/images/ico_gal.gif" width="15" height="15" hspace="3"></div></td><td width="107" height="14"><a href="/gallery.html"><b>Photo Galerie</b></a></td></tr>
<tr><td width="14">&nbsp;</td><td width="21">&nbsp;</td><td width="107">&nbsp;</td></tr>

<tr><td width="14">&nbsp;</td><td colspan="2"><b>Langue:</b></td></tr>
<tr><td width="14">&nbsp;</td><td colspan="2">
<div id="LANGUAGENAV">
<ul id="LANGUAGENAVLIST">
<li><a href="/english/reserve.php3" title="English">EN</a></li>
<li><a href="/reserve.php3" title="French">FR</a></li>
<li><a href="/german/reserve.php3" title="Deutsch">DE</a></li>
<li><a href="/russian/reserve.php3" title="Russian">RU</a></li>
</ul>
</div>
</td></tr>
</table>

<!-- End Menu -->

<p align="center"><a href="index.html"><img src="/images/logo_sm.gif" width="90" height="90" border="0" alt="Runcho Hunting"></a></p>
</td>
<td valign="top" width="13"><img src="/images/1x1.gif" width="1" height="1" hspace="5"></td>
<td valign="top">
<table width="0%" border="0" cellspacing="0" cellpadding="0" align="right">
<tr>
<td valign="top" align="right"><img src="/images/leeves_r.gif" width="150" height="112"></td>
</tr>
</table>
<p><img src="/images/hunting.gif" width="98" height="15" align="top" vspace="1" hspace="70"></p>
<blockquote>

<? if (!$success) {?>

	<p><img src="/images/title_resr.gif" width="157" height="48"><br>
	</p>
	<?
	if ($error) echo "<p><font color=\"$error_color\"><b>Please, fill the fields marked red:</b></font><br>&nbsp;<br>\n";
	?>

	<table border="0" cellspacing="0" cellpadding="1" align="center">
	<tr>
	<td bgcolor="#006600">
	<table width="100%" border="0" cellspacing="1" cellpadding="3">
	<form name="form1" method="post" action="">
	<tr align="center"><td colspan="2"><b><font color="#99CC66">FORMULAIRE DE RESERVATION<br>
	<b>Formulaire a  sans aucunes erreurs<br>en lettres majuscules</font></b></td>
	</tr>
	<tr><td bgcolor="#669933"><? echo $er1[0];  ?>NOM:<? echo $er1[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf1"<? if ($tf1) echo " value=\"$tf1\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er2[0];  ?>PRENOM:<? echo $er2[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf2"<? if ($tf2) echo " value=\"$tf2\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er3[0];  ?>ADRESSE 1:<? echo $er3[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf3"<? if ($tf3) echo " value=\"$tf3\""?> size="30"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er4[0];  ?>ADRESSE 2:<? echo $er4[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf4"<? if ($tf4) echo " value=\"$tf4\""?> size="30"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er5[0];  ?>CODE POSTAL:<? echo $er5[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf5"<? if ($tf5) echo " value=\"$tf5\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er6[0];  ?>VILLE:<? echo $er6[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf6"<? if ($tf6) echo " value=\"$tf6\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er7[0];  ?>NATIONALITE:<? echo $er7[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf7"<? if ($tf7) echo " value=\"$tf7\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er8[0];  ?>TEL:<? echo $er8[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf8"<? if ($tf8) echo " value=\"$tf8\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er9[0];  ?>TEL MOBILE:<? echo $er9[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf9"<? if ($tf9) echo " value=\"$tf9\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er10[0]; ?>FAX:<? echo $er10[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf10"<? if ($tf10) echo " value=\"$tf10\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er11[0]; ?>E-MAIL:<? echo $er11[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf11"<? if ($tf11) echo " value=\"$tf11\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er12[0]; ?>Date de Naissance:<? echo $er12[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf12"<? if ($tf12) echo " value=\"$tf12\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er13[0]; ?>Lieu de Naissance:<? echo $er13[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf13"<? if ($tf13) echo " value=\"$tf13\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er14[0]; ?>Passeport N° (avec 2 lettres ua milleu):<? echo $er14[1]; ?>&nbsp;</td><td bgcolor="#669933">	<input type="text" name="tf14"<? if ($tf14) echo " value=\"$tf14\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er15[0]; ?>D&eacute;livr&eacute; &agrave;:<? echo $er15[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf15"<? if ($tf15) echo " value=\"$tf15\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er16[0]; ?>Par:<? echo $er16[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf16"<? if ($tf16) echo " value=\"$tf16\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er17[0]; ?>Date de d&eacute;livrance du passeport:<? echo $er17[1]; ?>&nbsp;</p></td><td bgcolor="#669933"> <input type="text" name="tf17"<? if ($tf17) echo " value=\"$tf17\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er18[0]; ?>Date d'expiration du passeport:<? echo $er18[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf18"<? if ($tf18) echo " value=\"$tf18\""?> size="15"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er19[0]; ?>Dates du s&eacute;jour souhait&eacute;es:<? echo $er19[1]; ?>&nbsp;</td><td bgcolor="#669933">Du&nbsp;<input type="text" name="tf19"<? if ($tf19) echo " value=\"$tf19\""?> size="6">&nbsp;&nbsp;Au&nbsp;<input type="text" name="tf20"<? if ($tf20) echo " value=\"$tf20\""?> size="6"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er21[0]; ?>Type de chasse souhait&eacute;:<? echo $er21[0]; ?>&nbsp;</td><td bgcolor="#669933"><select name="tf21[]" multiple size=3>
	    <? for ($i=0; $i<count($type); $i++) { $selected=""; for ($k=0; $k<count($type); $k++) { if($type[$i]==$tf21[$k]) $selected=" selected"; } ?>
	    <option value="<? echo $type[$i]; ?>"<? echo $selected; ?>><? echo $type[$i]; ?></option>
	    <? } ?>
	    </select></td></tr>
	<tr><td bgcolor="#669933"><? echo $er22[0]; ?>Marque de l'arme de chasse:<? echo $er22[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf22"<? if ($tf22) echo " value=\"$tf22\""?> size="30"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er23[0]; ?>Type de l'arme de chasse:<? echo $er23[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf23"<? if ($tf23) echo " value=\"$tf23\""?> size="30"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er24[0]; ?>Calibre:<? echo $er24[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf24"<? if ($tf24) echo " value=\"$tf24\""?> size="22"></td></tr>
	<tr><td bgcolor="#669933"><? echo $er25[0]; ?>Num&eacute;ro de s&eacute;rie de l'arme:<? echo $er25[1]; ?>&nbsp;</td><td bgcolor="#669933"> <input type="text" name="tf25"<? if ($tf25) echo " value=\"$tf25\""?> size="30"></td></tr>

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 <?
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else {
?>
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