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<HTML>
<HEAD>
<STYLE TYPE="text/css">
#AproposMenu {POSITION: absolute; Z-INDEX: 20; VISIBILITY: hidden; TOP: 0px; LEFT: 0px;}
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</SCRIPT>
<SCRIPT LANGUAGE="Javascript" src="/js/menus.js"></SCRIPT>
<Title>Contactez-nous</title>
</HEAD>
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onMouseout='if (OFF){m1.src=main1_0.src}'><img
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alt="Programmes de formation"></a></td>
<td width="130" height="128" rowspan="2" valign="middle"><img
src="/img/anim_boreal.gif" width=130 height=96 border=0
alt="Logo anim&eacute;"></td>
</tr>
<tr>
<td colspan="4" width=486 align="left"><img src="img/contact_titre.gif" width=486 height=86 border=0 alt="Contactez-nous!"></td>
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<img src="img/search/bot_wave.gif" width=75 height=36 border=0>
<center>
<table border="0" cellpadding="0" cellspacing="0" width="95%">
<tr>
<td>
<font face="arial" size="-1">
<!-- ----------------------------------Début du contenu--------------------------------------- -->
<b>Remplissez ce formulaire et nous nous ferons un plaisir de vous r&eacute;pondre.</b><P>
<form action="contact.asp" method="post">
<input type="hidden" name="hname" value="hvalue">
<table border="0" cellpadding="5" cellspacing="0">
<tr>
<td align="right"><font face="arial" size="-1"><b>Nom:</b></font></td>
<td align="left"><input type="text" size="20" name="Nom"></td>
</tr>
<tr>
<td align="right"><font face="arial" size="-1"><b>Pr&eacute;nom:</b></font></td>
<td align="left"><input type="text" size="20" name="prenom"></td>
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<tr>
<td align="right"><font face="arial" size="-1"><b>Courriel:</b></font></td>
<td align="left"><input type="text" size="30" name="email"></td>
</tr>
<tr>
<td colspan="2" align="left"><font face="arial" size="-1"><b>S.V.P. cat&eacute;goriser votre question/commentaire:</b></font></td>
</tr>
<tr>
<td></td>
<td align="left">
<select name="type">
<option value="marketing:marketing@academe.borealc.on.ca:Question sur les programmes">Question sur les programmes
<option value="admissions:admissions@academe.borealc.on.ca:Question sur les admissions">Question sur les admissions
<option value="olivier:orateste@engmail.uwaterloo.ca:Commentaire sur le site">Commentaire sur le site
<option value="marketing:marketing@academe.borealc.on.ca:Question/Commentaire d'ordre general">Autre
</select><br>
</td>
</tr>
<tr>
<td align="left" colspan="2"><font face="arial" size="-1"><b>Votre question ou commentaire:</b></font><br></td>
</tr>
<tr>
<td></td>
<td align="left">
<font face="arial"><textarea name="texte" cols="50" rows="15" wrap="PHYSICAL"></textarea></font>
</td>
</tr>
<tr>
<td></td>
<td align="left"><input type="submit" value="Envoyez!"></td>
</tr>
</table>
</center>
</form>
<!-- -----------------------------------Fin du contenu---------------------------------------- -->
</font>
<P>&nbsp;<P>
</td>
</tr>
</table>
</center>
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