====== Suggest a discussion theme for Thursday Coffee ======

<form>
action mail staff.psmn.ens-lyon.fr  admin-psmn@ens-lyon.fr
subject "Thursday Coffee [%Y-%m-%d]"
Thanks "Thanks, your request has been taken into account."

fieldset "Identification"
textbox "Surname" "=SURNAME"
textbox "First Name(s)" "=First Name"
select "Laboratory" "Choose a Lab |CIRI - U1111,UMR5308|CITI|CRAL - UMR 5574|EVS - UMR 5600|GATE - UMR 5824|ICBMS - UMR 5246|ICJ - UMR 5208|IGFL - UMR 5242|IHRIM - UMR 5317|ILM - UMR 5306|IP2I - UMR5822|ISA - UMR 5280|LBMC - UMR 5239|LCH - UMR 5182|LIP - UMR 5668|LMI - UMR 5615|LMFA-ECL - UMR C5509|LMFA-Lyon1 - UMR C5509|LPH - UMR 5672|LGL - UMR 5276|RDP - UMR 5667|UMPA - UMR 5669|CRMN - FRE 2034|IBCP - FR 3302|CBP|IXXI|PALGEN|CSSI"
textbox "Other :" !
email "Email"

fieldset "Theme/Question"
textarea "Theme or question :" "=Registration" x4

fieldset "Confirm request"
submit "Send"
</form>

//Fields marked with a star (*) are mandatory!//