// PB_914A_858C.js: script de formulaire déporté Pages Blanches
function wpj(t){ document.writeln(t);}

function AppelGuide(id, form) {
  if (form==null) form=document.form;
  form.input_image.value = id;
  form.faire.value="decode_input_image";
  form.submit();
  return true;
}
wpj('<link rel="stylesheet" href="http://www.pagesjaunes.fr/formulaire/fdep.css">');
wpj('<style type="text/css"><!--');
wpj('td.fh { color: #000000 }');
wpj('.txt10px {font-size: 10px}');
wpj('A.txt10px:link {font-size: 10px; text-decoration: none; color: #000000}');
wpj('A.txt10px:visited {font-size: 10px; text-decoration: none; color: #000000}');
wpj('A.txt10px:active {font-size: 10px; text-decoration: none; color: #000000}');
wpj('A.txt10px:hover {font-size: 10px; text-decoration: none; color: #FF0000}');
wpj('--></style>');
wpj('<table border=0 cellspacing=0 cellpadding=1>');
wpj('<tr>');
wpj('<td bgcolor="#FFCC00">');
wpj('<table bgcolor="#FFCC00" border=0 cellspacing=0 cellpadding=1>');
wpj('<tr bgcolor="#FFCC00">');
wpj('<td class=fh width=72%><b>&nbsp;Rechercher un particulier avec</b></td>');
wpj('<td width=28% align=rigth><img src="http://www.pagesjaunes.fr/formulaire/img/logo_pj.gif" width="91" height="29" border="0" alt="PagesJaunes"></td>');
wpj('</tr>');
wpj('</table>');
wpj('</td>');
wpj('</tr>');
wpj('<tr>');
wpj('<td bgcolor="#FFCC00">');
wpj('<table bgcolor="#EBEBEB" border=0 cellspacing=0 cellpadding=2 width=100% class=fh>');
wpj('<form name=form method=post action="http://www.pagesjaunes.fr/pb.cgi" target="_self">');
wpj('<input type=hidden name=faire value=decode_input_image>');
wpj('<input type=hidden name=DEFAULT_ACTION value=bf_inscriptions_req>');
wpj ('<input type=hidden name=id_partenaire value="fh">');

wpj('<input type=hidden name=lang value=fr>');
wpj('<input type=hidden name=srv value=PB>');
wpj('<input type=hidden name=site value=toutestgratos>');
wpj('<input type=hidden name=fh value="PB_914A_858C.js">');
wpj('<input type=hidden name="input_image" value=""><!-- AJOUT POUR AppelGuide -->');
wpj('<tr><td align=center><table border=0 cellspacing=0 cellpadding=0 class=fh>');
wpj('<tr>');
wpj('<td>&nbsp;</td>');
wpj('<td class=fh align=right>Nom&nbsp;</td>');
wpj('<td nowrap>');
wpj('<input type=text name=FRM_NOM size=20>');
wpj('</td>');
wpj('</tr>');
wpj('<tr>');
wpj('<td>&nbsp;</td>');
wpj('<td class=fh align=right>Pr&eacute;nom&nbsp;</td>');
wpj('<td nowrap>');
wpj('<input type=text name=FRM_PRENOM size=20>');
wpj('</td>');
wpj('</tr>');
wpj('<tr>');
wpj('<td>&nbsp;</td>');
wpj('<td class=fh align=right>Adresse&nbsp;</td>');
wpj('<td nowrap>');
wpj('<input type=text name=FRM_ADRESSE size=20>');
wpj('</td>');
wpj('</tr>');
wpj('<tr>');
wpj('<td>&nbsp;</td>');
wpj('<td class=fh align=right>Localit&eacute;&nbsp;</td>');
wpj('<td nowrap>');
wpj('<input type=text name=FRM_LOCALITE size=20 value="">');
wpj('<a href="javascript:AppelGuide(\'JF_GUIDE_GEO_ARR_TEXT\',document.form)"><img src="http://www.pagesjaunes.fr/formulaire/img/guide.gif" width=44 height=16 border=0 alt="Liste des localit&eacute;s" hspace=7></a>');
wpj('<input type=hidden name=SAV_LOCALITE value="">');
wpj('</td>');
wpj('</tr>');
wpj('<tr>');
wpj('<td>&nbsp;</td>');
wpj('<td class=fh align=right>D&eacute;partement&nbsp;</td>');
wpj('<td nowrap>');
wpj('<input type=text name=FRM_DEPARTEMENT size=20 value="">');
wpj('<a href="javascript:AppelGuide(\'JF_GUIDE_GEO_REG_TEXT\',document.form)"><img src="http://www.pagesjaunes.fr/formulaire/img/guide.gif" width=44 height=16 border=0 alt="Liste des localit&eacute;s" hspace=7></a>');
wpj('</td>');
wpj('</tr>');
wpj('</table></td></tr>');
wpj('<tr>');
wpj('<td colspan=2 align=center>');
wpj('<input type=image name=BF_INSCRIPTIONS_REQ src="http://www.pagesjaunes.fr/formulaire/img/rechercher.gif" width=69 height=16 border=0 alt=Rechercher>');
wpj('<img src="http://www.pagesjaunes.fr/audit_fh.cgi?fh=PB_914A_858C.js&act=AFF&site=toutestgratos&rnd=');
wpj(Math.round(Math.random()*10000000))
wpj('" width=1 height=1 border=0>');
wpj('</td>');
wpj('</tr>');
wpj('</form>');
wpj('</table>');
wpj('<tr>');
wpj('<td height="20" align="center" valign="middle">');
wpj('<a href="http://portail.pagesjaunes.fr/sites.cgi" target=_top class="txt10px">&gt; webmaster, affiliez-vous &lt;</a>');
wpj('</td>');
wpj('</tr>');
wpj('</table>');