Email me

<form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/4DaiJg95Kutrcza" name="emf-form">
  <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent">
    <tr>
      <td style="" colspan="2">
        <font face="Georgia" size="2" color="#000000"><b style="font-size:20px;">Pour m'écrire un mot doux, c'est par là.</b><br />
        <br /></font>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Vous êtes...</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td style="">
        <input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Je peux vous écrire à...</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td style="">
        <input id="element_1" name="element_1" class="validate[required,custom[email]]" value="" size="30" type="text" />
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Un mot, un titre...</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td style="">
        <input id="element_2" name="element_2" value="" size="30" class="validate[required]" type="text" />
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Ce que vous voulez me dire, c'est...</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td style="">
        <textarea id="element_3" name="element_3" cols="60" rows="10" class="validate[required]">
</textarea>
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Et puisqu'on y est, vous allez ajouter...</b></font>
      </td>
    </tr>
    <tr>
      <td style="">
        <input id="element_4" name="element_4" class="validate[optional]" type="file" />
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td style="" align="">
        <font face="Georgia" size="2" color="#000000"><b>Et si je veux venir vous rendre visite sur votre site...</b></font>
      </td>
    </tr>
    <tr>
      <td style="">
        <input id="element_5" name="element_5" class="validate[optional,funcCall[url_ex,optional]]" value="http://" size="30" type="text" />
        <div style="width:570px;padding-bottom:8px;color:#000000;"></div>
      </td>
    </tr>
    <tr>
      <td colspan="2" align="right">
        <input name="element_counts" value="6" type="hidden" /> <input name="embed" value="forms" type="hidden" /><br />
        <input value="On envoie!" type="submit" /><input value="Clear" type="reset" />
      </td>
    </tr>
  </table>
</form>
<div>
  <font face="Georgia" size="2" color="#000000">Powered by</font><span style="position: relative; padding-left: 3px; bottom: -5px;"><img src=
  "http://www.emailmeform.com/builder/images/footer-logo.png" /></span><font face="Georgia" size="2" color="#000000">EMF</font> <a style="text-decoration:none;" href="http://www.emailmeform.com"
  target="_blank"><font face="Georgia" size="2" color="#000000">Web Forms</font></a>
</div><a style="line-height:20px;font-size:70%;text-decoration:none;" href="http://www.emailmeform.com/report-abuse.html?http://www.emailmeform.com/builder/form/4DaiJg95Kutrcza" target=
"_blank"><font face="Georgia" size="2" color="#000000">Report Abuse</font></a>