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document.write('<form action="service-newsletter.html" method="post"><input type="hidden" name="action" value="valider" /><table border="0" cellspacing="0" cellpadding="0" style="border-style:solid; border-width:1px;" bordercolor="#CC99FF" align="center"><tr><td><table width="100%"  border="0" cellspacing="0" cellpadding="0">  <tr>    <td><div align="center"><strong><u>Inscription à la newsletter :</u></strong></div></td>  </tr> <tr>  <td><div align="center">          Votre adresse email :          <input name="email" type="text" size="10"/></div></td> </tr> <tr>   <td><div align="center"><br>     Recopiez le caractère suivant :<br /> <table cellspacing="5" class="nouveaute" align="center"><tr><td bgcolor="#FFFFFF">  <img src="http://lettres-code-securite.wifeo.com/068.gif">&nbsp;&nbsp;<input name="lettre_tappe" type="text" maxlength="1" size="1" /><font size="1" color="red">(Obligatoire)</font> <input name="lettre_donne" type="hidden" value="068" /></td></tr></table></div></td>  </tr>  <tr>    <td><div align="center"> <input type="submit" name="bouton" value="Inscription" /></div></td>  </tr></table></td></tr></table><br><table border="0" cellspacing="0" cellpadding="0" style="border-style:solid; border-width:1px;" bordercolor="#CC99FF" align="center"><tr><td><table width="100%"  border="0" cellspacing="0" cellpadding="0">  <tr>    <td><div align="center"><strong><u>Désinscription de la newsletter :</u></strong></div></td>  </tr>  <tr>    <td><div align="center">   Votre adresse email :         <input name="emaildesinsc" type="text" size="10"/></div></td> </tr><tr>   <td><div align="center"><br>     Recopiez le caractère suivant :<br /><table cellspacing="5" class="nouveaute" align="center"><tr><td bgcolor="#FFFFFF">           <img src="http://lettres-code-securite.wifeo.com/068.gif">&nbsp;&nbsp;<input name="lettre_tappe_2" type="text" maxlength="1" size="1" /><font size="1" color="red">(Obligatoire)</font>  <input name="lettre_donne_2" type="hidden" value="068" /></td></tr></table></div></td>  </tr>  <tr>    <td><div align="center">     <input type="submit" name="bouton" value="Desinscription" /></div></td>  </tr></table></td></tr></table> </form>')
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