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From: Keyyo <cou...@ar...> - 2007-10-28 05:28:01
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<TITLE>Keyyo -- Testez gratuitement la téléphonie sur IP pour votre entreprise. 1er mois OFFERT</TITLE>
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<DIV align='center'><SPAN class='mentionslegales'>Si ce message ne s'affiche pas correctement, vous pouvez le visualiser en suivant <A href='http://www.capdecision.fr/ope/solo0207a_pg2.php?cid=906&refcd=mirrorpage'>ce lien</A><BR></SPAN></DIV>
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<DIV align="left" class="CAPFLECHE03">Pour recevoir une information complète sur l'offre présentée,<BR>
Merci de remplir le formulaire ci-dessous.</DIV>
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<TD bgcolor="#EEEEEE" class="txtannoncegauche" width="190" valign="top" align="left"><INPUT name="qre_16141_multi_0" type="hidden" value="ok"><SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Votre e-mail:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="email" type="text"><BR>
<B><SPAN class="cd_form_text">Civilité:</SPAN></B><BR>
<SELECT class="cd_form_select" name="civilite">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="Mme">Mme</OPTION>
<OPTION value="Melle">Melle</OPTION>
<OPTION value="M.">M.</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Nom:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="nom" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Prénom:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="prenom" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Société:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="societe" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Adresse Société:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="adresse_societe" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Code Postal:</SPAN></B><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="cp_societe" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Ville:</SPAN><BR>
<INPUT size="18" maxlength="240" class="cd_form_input" name="ville_societe" type="text"><BR></B><SPAN class="cd_form_text">Pays:</SPAN><BR>
<SELECT class="cd_form_select" name="pays_societe">
<OPTION value="France">France</OPTION>
<OPTION value="Afrique du Sud">Afrique du Sud</OPTION>
<OPTION value="Alg&eacute;rie">Algérie</OPTION>
<OPTION value="Allemagne">Allemagne</OPTION>
<OPTION value="Andorre">Andorre</OPTION>
<OPTION value="Arabie saoudite">Arabie saoudite</OPTION>
<OPTION value="Arm&eacute;nie">Arménie</OPTION>
<OPTION value="Australie">Australie</OPTION>
<OPTION value="Autriche">Autriche</OPTION>
<OPTION value="Belgique">Belgique</OPTION>
<OPTION value="Canada">Canada</OPTION>
<OPTION value="Chine">Chine</OPTION>
<OPTION value="Danemark">Danemark</OPTION>
<OPTION value="Espagne">Espagne</OPTION>
<OPTION value="Etats-Unis d'Am&eacute;rique">Etats-Unis d'Amérique</OPTION>
<OPTION value="Finlande">Finlande</OPTION>
<OPTION value="Guyane française">Guyane française</OPTION>
<OPTION value="Guadeloupe">Guadeloupe</OPTION>
<OPTION value="Hongrie">Hongrie</OPTION>
<OPTION value="Irlande">Irlande</OPTION>
<OPTION value="Islande">Islande</OPTION>
<OPTION value="Israël">Israël</OPTION>
<OPTION value="Italie">Italie</OPTION>
<OPTION value="Japon">Japon</OPTION>
<OPTION value="Lettonie">Lettonie</OPTION>
<OPTION value="Liechtenstein">Liechtenstein</OPTION>
<OPTION value="Lituanie">Lituanie</OPTION>
<OPTION value="Luxembourg">Luxembourg</OPTION>
<OPTION value="Malte">Malte</OPTION>
<OPTION value="Maroc">Maroc</OPTION>
<OPTION value="Martinique">Martinique</OPTION>
<OPTION value="Maurice">Maurice</OPTION>
<OPTION value="Monaco">Monaco</OPTION>
<OPTION value="Norv&egrave;ge">Norvège</OPTION>
<OPTION value="Pays-Bas">Pays-Bas</OPTION>
<OPTION value="Pologne">Pologne</OPTION>
<OPTION value="Portugal">Portugal</OPTION>
<OPTION value="Roumanie">Roumanie</OPTION>
<OPTION value="Royaume-Uni">Royaume-Uni</OPTION>
<OPTION value="Slovaquie">Slovaquie</OPTION>
<OPTION value="Slov&eacute;nie">Slovénie</OPTION>
<OPTION value="Su&egrave;de">Suède</OPTION>
<OPTION value="Suisse">Suisse</OPTION>
<OPTION value="Tunisie">Tunisie</OPTION>
<OPTION value="Turquie">Turquie</OPTION>
<OPTION value="Ukraine">Ukraine</OPTION>
<OPTION value="Yougoslavie">Yougoslavie</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Tel. Standard:</SPAN></B><BR>
<INPUT size="10" maxlength="18" class="cd_form_input" name="tel_standard_societe" type="text"><BR>
<B><SPAN class="cd_form_text">Tel. ligne directe:</SPAN></B><BR>
<INPUT size="10" maxlength="18" class="cd_form_input" name="tel_direct_societe" type="text"><BR>
<B><SPAN class="cd_form_text">Fax société:</SPAN></B><BR>
<INPUT size="10" maxlength="18" class="cd_form_input" name="fax_societe" type="text"><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Fonction:</SPAN></B><BR>
<SELECT class="cd_form_select" name="fonction">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="Assistant">Assistant</OPTION>
<OPTION value="Employé">Employé</OPTION>
<OPTION value="Responsable de service">Responsable de service</OPTION>
<OPTION value="Directeur de département">Directeur de département</OPTION>
<OPTION value="Cadre">Cadre</OPTION>
<OPTION value="Cadre supérieur">Cadre supérieur</OPTION>
<OPTION value="Chef d&#039;entreprise/Gérant">Chef d'entreprise/Gérant</OPTION>
<OPTION value="PDG/DG">PDG/DG</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Effectif:</SPAN></B><BR>
<SELECT class="cd_form_select" name="effectif">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="moins de 5 salariés">moins de 5 salariés</OPTION>
<OPTION value="de 6 à 9 salariés">de 6 à 9 salariés</OPTION>
<OPTION value="de 10 à 20 salariés">de 10 à 20 salariés</OPTION>
<OPTION value="de 21 à 50 salariés">de 21 à 50 salariés</OPTION>
<OPTION value="de 51 à 100 salariés">de 51 à 100 salariés</OPTION>
<OPTION value="de 101 à 500 salariés">de 101 à 500 salariés</OPTION>
<OPTION value="plus de 500 salariés">plus de 500 salariés</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Activité:</SPAN></B><BR>
<SELECT class="cd_form_select" name="activite">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="Administration/Collectivités">Administration/Collectivités</OPTION>
<OPTION value="Agriculture">Agriculture</OPTION>
<OPTION value="Agro alimentaire">Agro alimentaire</OPTION>
<OPTION value="Association">Association</OPTION>
<OPTION value="Banque/Finance/Assurance">Banque/Finance/Assurance</OPTION>
<OPTION value="Commerce/Distribution">Commerce/Distribution</OPTION>
<OPTION value="Communication/Marketing">Communication/Marketing</OPTION>
<OPTION value="Conseil/Audit">Conseil/Audit</OPTION>
<OPTION value="Education/Recherche">Education/Recherche</OPTION>
<OPTION value="Hôtel/Restaurant/Tourisme">Hôtel/Restaurant/Tourisme</OPTION>
<OPTION value="Immobilier/B.T.P.">Immobilier/B.T.P.</OPTION>
<OPTION value="Industrie">Industrie</OPTION>
<OPTION value="Informatique">Informatique</OPTION>
<OPTION value="Internet">Internet</OPTION>
<OPTION value="Luxemode/textile">Luxe/mode/textile</OPTION>
<OPTION value="Professions libérales">Professions libérales</OPTION>
<OPTION value="Santé">Santé</OPTION>
<OPTION value="Services aux entreprises">Services aux entreprises</OPTION>
<OPTION value="Services aux particuliers">Services aux particuliers</OPTION>
<OPTION value="Télécoms">Télécoms</OPTION>
<OPTION value="Transports">Transports</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Service:</SPAN></B><BR>
<SELECT class="cd_form_select" name="service">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="Achats">Achats</OPTION>
<OPTION value="Commercial/Ventes">Commercial/Ventes</OPTION>
<OPTION value="Direction Générale">Direction Générale</OPTION>
<OPTION value="Fabrication/Production">Fabrication/Production</OPTION>
<OPTION value="Finances/Administration">Finances/Administration</OPTION>
<OPTION value="Informatique et Télécoms">Informatique et Télécoms</OPTION>
<OPTION value="Logistique">Logistique</OPTION>
<OPTION value="Marketing et Comm.">Marketing et Comm.</OPTION>
<OPTION value="Relation Clientèle">Relation Clientèle</OPTION>
<OPTION value="Ressources Humaines">Ressources Humaines</OPTION>
<OPTION value="Technique, R&D">Technique, R&D</OPTION>
</SELECT><BR>
<SPAN class='cd_form_text'>(*)</SPAN> <B><SPAN class="cd_form_text">Quelle est l'échéance de votre projet ?</SPAN></B><BR>
<SELECT class="cd_form_select" name="qre_16142_multi_0">
<OPTION value="=== Select ===">=== Select ===</OPTION>
<OPTION value="immédiate">immédiate</OPTION>
<OPTION value="1 mois">1 mois</OPTION>
<OPTION value="3 mois">3 mois</OPTION>
<OPTION value="6 mois">6 mois</OPTION>
<OPTION value="plus d'un an">plus d'un an</OPTION>
</SELECT><BR>
<B><SPAN class="cd_form_text">Commentaires:</SPAN></B><BR>
<TEXTAREA cols="30" rows="5" class="cd_form_textarea" name="qre_16143_multi_0">
</TEXTAREA>
<BR>
<SPAN class="cd_form_text">(*) champs obligatoires</SPAN>
<CENTER><BR>
<INPUT class="cd_form_button" name="capdec_submit" value="Envoyer" type="submit"></CENTER>
<DIV align='center'><SPAN class='mentionslegales'><BR>
<A href='http://www.capdecision.fr/ope/solo0207a_pg2.php?cid=906&refcd=mirrorformpage'>Cliquez ici si vous rencontrez des difficultés à remplir ce formulaire.</A></SPAN></DIV>
<BR>
<INPUT name="opt_in" type="checkbox" value="1" id="qf_2448c9" checked="checked"><LABEL for="qf_2448c9"><SPAN class='cd_form_text'>Oui, je souhaite recevoir les offres de la société Cap Décision et ses partenaires.</SPAN></LABEL></TD>
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<hr>
Désabonnement : Vous disposez d'un droit d'accès, de modification, de rectification et de suppression des données qui vous concernent (art. 34 de la loi"Informatique et Libertés"). Fichier de diffusion <a href="http://www.arawak-marketing.com">Arawak</a>, enregistré à la CNIL, sous le N°1026477<br>
<span class="texte3">Pour vous désabonner : <a href="http://www.arawak-emailing.com/desabonnement/email.php?email=spr...@li...">cliquez sur ce lien</a></span></font></TD>
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