<div class="ajax">
	

<div id="article_corps" style="line-height:normal;width:550px;">
	
		
		
		 
			<div class="titre" style="padding-bottom:15px;">
				Ecrire un courriel à :
			</div>
		
		<form action='email.html?lang=fr&amp;id_article=5272&amp;mode_contexte=cache&amp;width=530&amp;height=600&amp;box=1' method='post' name="form1">
			<div><input name="lang" value="fr" type="hidden" />
<input name="id_article" value="5272" type="hidden" />
<input name="mode_contexte" value="cache" type="hidden" />
<input name="width" value="530" type="hidden" />
<input name="height" value="600" type="hidden" />
<input name="box" value="1" type="hidden" /><input type='hidden' name='formulaire_action' value='contact' /><input type='hidden' name='formulaire_action_args' value='ulgaHTqQ6nCPZrhiIP6rfZHUmD+ZV+8a9rAmn3MCoIZ0IXuOfHF5a2QEWtHMlyE4P4wMaptEEVTvrxsA2lHrMHTojV3iP5ZNaNthyLNRFAWVxZuFAuyAw7m+gl4h6/PytkX2KAEIXlov67/llUUtxie0z0FRGnCc8xLPgWgmo8t8MfRG8w6DU/0D4P+dx5hsHKWspZUg2rcSlrROZW2ICuIf4G9x7TGoC1JbhzQXATWWnV0LPhp/QopfdgEpvZsaeLQGEX64WQpiYEAmPkcoqoGKASolGGVv+japteQfwrynUHaq0ErelUF3auSj2ZqOyLYmOUcsAx48Q/m+2/YMOSnea8pCgicL4/gDxbv4NLXXVrzbKClmnuQhCp4P9uxCeer8ZdqKL3LvN/RCQfhnHv1zUlO5EWHSXvUXdV44tA==' /></div>
			<select name="destinataire">
				
					<option value="0" selected>Section consulaire de l&#8217;ambassade à Pékin</option>
				
					<option value="1">Médecin</option>
				
			</select>
			<br/><br/>
			<label>Votre nom</label><br/>
			<input type="text" name="nom" value=""/>
			<br/><br/>
			<label>Votre adresse courriel</label><br/>
			<input type="text" size="30" name="email" value=""/>
			<br/><br/>
			<p style="display: none;">
			    <label for="vide">Veuillez laisser ce champ vide&nbsp;:</label>
			    <input type="text" class="text" name="vide" id="vide" value="" size="10" />
			</p>
			<label>Sujet de votre message</label><br/>
			<input type="text" size="77" name="titre" value=""/>
			<br/><br/>
			<label>Votre message</label><br/>
			<textarea name="message" rows="15" cols="60"></textarea>
			<br/><br/>

			<div class="colle_droite">
				<input type="submit" value='Envoyer'/>
			</div>
		</form>
	
	<a class="lien_archives" Onclick="javascript:$.mediaboxClose();" href="#">
		Fermer ce cadre
	</a>
</div></div>