ÿþ<html> <head> <title>Orl&eacute;ans Express</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <link rel="stylesheet" href="oe_style.css" type="text/css"> <script language="JavaScript"> <!-- function MM_swapImgRestore() { //v3.0 var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++) x.src=x.oSrc; } function MM_preloadImages() { //v3.0 var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array(); var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++) if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}} } function MM_findObj(n, d) { //v4.0 var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) { d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);} if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n]; for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document); if(!x && document.getElementById) x=document.getElementById(n); return x; } /*-----------------------------------------------------------------------------*/ function btok_Click() { var erreur = false; var formu = document.forms.form1.elements; var expTel1=new RegExp("^[0-9]{3}$","g"); var expTel2=new RegExp("^[0-9]{3}[-]*[0-9]{4}$","g"); var expCourriel=new RegExp("([\.a-zA-Z0-9_-])+@([a-zA-Z0-9_-])+(([a-zA-Z0-9_-])*\.([a-zA-Z0-9_-])+)","g"); if((!expTel1.test(formu.tel1.value)) || (!expTel2.test(formu.tel2.value)) ){ document.getElementById("tel").style.color = "#FF0000"; erreur = true; }else{ document.getElementById("tel").style.color = "#002552"; } if(formu.raison.value==""){ document.getElementById("raison").style.color = "#FF0000"; erreur = true; }else{ document.getElementById("raison").style.color = "#002552"; } if(formu.proprietaires.value==""){ document.getElementById("proprietaire").style.color = "#FF0000"; erreur = true; }else{ document.getElementById("proprietaire").style.color = "#002552"; } if(!expCourriel.test(formu.courriel.value)){ document.getElementById("courriel").style.color = "#FF0000"; erreur = true; }else{ document.getElementById("courriel").style.color = "#002552"; } if(erreur==true){ alert("Veuillez vérifier les champs obligatoires"); return false; }else{ document.getElementById("submit_bt").disabled = 'disabled'; window.document.forms["form1"].submit(); return false; } } //--> </script> <style type="text/css"> <!-- .orleans { font-family: Arial, Helvetica, sans-serif; font-size: 12px; border: 1px solid #B7B7B7; } .texte { font-family: Arial, Helvetica, sans-serif; font-size: 12px; color: #002552; } .orleans2 { font-family: Arial, Helvetica, sans-serif; font-size: 11px; } .title { font-family: Arial, Helvetica, sans-serif; font-size: 18px; color: #000033; } .TextBox4 { BORDER-RIGHT: #999999 1px solid; PADDING-RIGHT: 2px; BORDER-TOP: #999999 1px solid; PADDING-LEFT: 2px; FONT-WEIGHT: normal; FONT-SIZE: 12px; FLOAT: left; MARGIN-BOTTOM: 5px; PADDING-BOTTOM: 2px; BORDER-LEFT: #999999 1px solid; WIDTH: 140px; COLOR: #000000; PADDING-TOP: 2px; BORDER-BOTTOM: #999999 1px solid; FONT-FAMILY: Verdana; BACKGROUND-COLOR: #ffffff } .TextBox5 { BORDER-RIGHT: #999999 1px solid; PADDING-RIGHT: 2px; BORDER-TOP: #999999 1px solid; PADDING-LEFT: 2px; FONT-WEIGHT: normal; FONT-SIZE: 12px; FLOAT: left; MARGIN-BOTTOM: 5px; PADDING-BOTTOM: 2px; BORDER-LEFT: #999999 1px solid; WIDTH: 300px; COLOR: #000000; PADDING-TOP: 2px; BORDER-BOTTOM: #999999 1px solid; FONT-FAMILY: Verdana; BACKGROUND-COLOR: #ffffff } .style1 {color: #002552} .style3 { color: #002552; font-size: 20px; font-weight:normal; font-family: tahoma; } --> </style> </head> <body bgcolor="#FFEFCE" text="#000000" onLoad="MM_preloadImages('images/bouton_fermer_on.gif','images/bouton_soumettre_fondclair_on.gif')"> <p class="subtitle"><span class="style1">DEMANDE D'OUVERTURE DE COMPTE</span><br> <br> <span class="style3">Entreprise  Organisme  Gouvernement</span><br> <br> </p> <form name="form1" method="post" action="corporatif_entreprises_tx.asp"> <table border="0" cellspacing="0" cellpadding="8" style="BORDER-RIGHT: #999999 1px solid; BORDER-TOP: #999999 1px solid; BORDER-LEFT: #999999 1px solid; BORDER-BOTTOM: #999999 1px solid; "> <tr> <td valign="top" height="52" bgcolor="FDD799" width="10">&nbsp;</td> <td valign="top" height="52" bgcolor="FDD799" width="213" class="texte"><span id="raison">Raison sociale * </span> <input type="text" name="raison" size="25" maxlength="255" class="orleans"> </font></td> <td height="52" colspan="3" valign="top" bgcolor="FDD799" class="texte"><span id="autresraison">Autre raison sociale ou nom courant</span><br> <input type="text" name="autreraison" size="25" maxlength="255" class="orleans"> </td> <td valign="top" class="texte" height="52" bgcolor="FDD799" width="149"><span id="proprietaire">Propri&eacute;taires *</span></font> <input type="text" name="proprietaires" size="15" maxlength="255" class="orleans"></td> </tr> <tr> <td valign="top" width="10">&nbsp;</td> <td width="213" rowspan="2" valign="top" class="texte">Adresse<br> <textarea name="adresse" cols="35" class="orleans" rows="3"></textarea> </td> <td valign="top" class="texte" width="170">Ville <br> <input type="text" name="ville" size="25" maxlength="255" class="orleans"> </td> <td valign="top" class="texte" width="1">&nbsp;</td> <td valign="top" class="texte" width="151">Province<br> <input type="text" name="province" size="25" maxlength="255" class="orleans"> </td> <td valign="top" class="texte" width="149"> Code postal <br> <input type="text" name="cp" size="7" maxlength="7" class="orleans"> </td> </tr> <tr> <td valign="top" height="28" width="10">&nbsp;</td> <td valign="top" height="28" class="texte"><span id="tel">T&eacute;l&eacute;phone *<br /> (Ex: 555 555-555)</span><br> <input type="text" name="tel1" size="3" maxlength="3" class="orleans"> <input type="text" name="tel2" size="9" maxlength="8" class="orleans"><br></td> <td valign="top" height="28"><br> </td> <td valign="top" class="texte" height="28" width="151"><span id="courriel">Courriel *</span> <br> <input name="courriel" type="text" class="orleans" id="courriel" size="45" maxlength="255"></td> <td valign="top" class="texte" height="28" width="149">T&eacute;l&eacute;copieur<br> <input type="text" name="fax1" size="3" maxlength="3" class="orleans"> <input type="text" name="fax2" size="9" maxlength="8" class="orleans"></td> </tr> <tr> <td valign="top" height="15" bgcolor="FDD799" width="10">&nbsp;</td> <td class="texte" valign="top" height="15" bgcolor="FDD799" width="213">Nature des activit&eacute;s </font> <input type="text" name="nature" size="25" maxlength="255" class="orleans"></td> <td valign="top" height="15" bgcolor="FDD799" width="170" class="texte">Num&eacute;ro de TPS <input type="text" name="tps" size="25" maxlength="255" class="orleans"> </font></span></td> <td valign="top" class="texte" height="15" bgcolor="FDD799" width="1">&nbsp;</td> <td valign="top" class="texte" height="15" bgcolor="FDD799" width="151">En affaires depuis <input type="text" name="enaffaires" size="15" maxlength="15" class="orleans"> </font></td> <td valign="top" class="texte" height="15" bgcolor="FDD799" width="149">Num&eacute;ro de TVQ</font> <input type="text" name="tvq2" size="15" maxlength="25" class="orleans"></td> </tr> <tr > <td width="10" height="15" valign="top" >&nbsp;</td> <td width="213" height="15" valign="top" class="texte"> <p>Banque<br> <input type="text" name="banque" size="25" maxlength="255" class="orleans"> <br> <br> </p> </td> <td width="170" height="15" valign="top" class="texte">Num&eacute;ro de compte <input type="text" name="compte" size="15" maxlength="15" class="orleans"> </td> <td width="1" height="15" valign="top" >&nbsp;</td> <td width="151" height="15" valign="top" class="texte">Ville <br> <input type="text" name="villeb" size="25" maxlength="255" class="orleans"></td> <td width="149" height="15" valign="top" class="texte">Province<br> <input type="text" name="provinceb" size="25" maxlength="255" class="orleans"></td> </tr> <tr> <td valign="top" width="10">&nbsp;</td> <td width="213" rowspan="2" valign="top" class="texte">Adresse<br> <textarea name="adresseb" cols="35" class="orleans" rows="3"></textarea> <br> </td> <td valign="top" class="texte" width="170">T&eacute;l&eacute;phone<br> <input type="text" name="tel1b" size="3" maxlength="3" class="orleans"> <input type="text" name="tel2b" size="9" maxlength="8" class="orleans"></td> <td valign="top" class="texte" width="1">&nbsp;</td> <td valign="top" class="texte" width="151">T&eacute;l&eacute;copieur <br> <input type="text" name="fax1b" size="3" maxlength="3" class="orleans"> <input type="text" name="fax2b" size="9" maxlength="8" class="orleans"></td> <td valign="top" class="texte" width="149"> Code postal<br> <input type="text" name="cpb" size="7" maxlength="7" class="orleans"> </td> </tr> <tr> <td valign="top" height="25" width="10">&nbsp;</td> <td valign="middle" height="25" width="170">&nbsp;</td> <td valign="middle" height="25" width="1">&nbsp;</td> <td valign="middle" height="25" width="151">&nbsp;</td> <td valign="middle" height="25" width="149">&nbsp;</td> </tr> <tr> <td valign="top" height="15" bgcolor="FDD799" width="10">&nbsp;</td> <td valign="top" height="15" bgcolor="FDD799" width="213" class="texte">Chiffre d'affaires annuel <input type="text" name="can" size="25" maxlength="25" class="orleans"></td> <td height="15" colspan="3" valign="top" bgcolor="FDD799" class="texte">Volume annuel estim&eacute; en nombre de d&eacute;placements<br> <input type="text" name="deplacements" size="25" maxlength="25" class="orleans"> <br></td> <td valign="top" class="texte" height="15" bgcolor="FDD799" width="149"> Nombre d'employ&eacute;s</font> <br> <input type="text" name="employes" size="4" maxlength="10" class="orleans"> </td> </tr> </table> <p><span class="texte">* Champs obligatoires / NOTE: Pour les gouvernements, svp nous faire parvenir votre exemption de taxes par courriel &agrave; <a href="mailto:commande@orleansexpress.com">commande@orleansexpress.com</a>.</span><br> </p> <p class="subtitle style1">AUTRES R&Eacute;F&Eacute;RENCES ET FOURNISSEURS</p> <table border="0" cellspacing="0" cellpadding="7" style="BORDER-RIGHT: #999999 1px solid; BORDER-TOP: #999999 1px solid; BORDER-LEFT: #999999 1px solid; BORDER-BOTTOM: #999999 1px solid; "> <tr valign="top" bgcolor="9FB7E7"> <td width="10" height="15" bgcolor="FDD799">&nbsp;</td> <td width="127" height="15" bgcolor="FDD799" class="texte">Nom<br> <input type="text" name="nomfou1" size="25" maxlength="255" class="orleans"> </td> <td width="19" height="15" bgcolor="FDD799">&nbsp;</td> <td width="147" height="15" bgcolor="FDD799" class="texte">Adresse<br> <textarea name="adressefou1" cols="25" class="orleans" rows="2"></textarea> </td> <td width="19" height="15" bgcolor="FDD799">&nbsp;</td> <td width="146" height="15" bgcolor="FDD799" class="texte">T&eacute;l&eacute;phone <br> <input type="text" name="tel1fou1" size="3" maxlength="3" class="orleans"> <input name="tel2fou1" type="text" class="orleans" id="tel2fou1" size="9" maxlength="8"></td> <td width="7" height="15" bgcolor="FDD799">&nbsp; </td> </tr> </table> <p class="subtitle style1">RESPONSABLE DES COMPTES FOURNISSEURS</p> <table width="630" border="0" cellpadding="8" cellspacing="0" style="BORDER-RIGHT: #999999 1px solid; BORDER-TOP: #999999 1px solid; BORDER-LEFT: #999999 1px solid; BORDER-BOTTOM: #999999 1px solid; "> <tr valign="top" > <td width="5" height="15" bgcolor="FDD799" >&nbsp;</td> <td width="148" height="15" valign="top" bgcolor="FDD799" class="texte" >Nom<br> <input type="text" name="nomres" size="25" maxlength="25" class="orleans"> </td> <td width="142" height="15" valign="top" bgcolor="FDD799" class="texte">T&eacute;l&eacute;phone<br> <input type="text" name="tel1res2" size="3" maxlength="3" class="orleans"> <input type="text" name="tel2res2" size="9" maxlength="8" class="orleans"> </td> <td width="271" height="15" valign="top" bgcolor="FDD799" class="texte">Nombre de livrets de 20 billets demand&eacute;s<br> <input type="text" name="nblivrets" size="3" maxlength="3" class="orleans"></td> </tr> </table> <table width="620" height="132" border="0" cellpadding="0" cellspacing="0"> <tr> <td width="688" height="66" align="right"><div align="center"> <!-- <a href="#" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('submit_bt','','images/bouton_soumettre_fondclair_on.gif',1)"> <input id="submit_bt" type="image" name="submit_bt" src="images/bouton_soumettre_fondclair.gif" width="92" height="24" onClick="return btok_Click();"> </a> --> <input id="submit_bt" type="submit" name="submit_bt" value="Soumettre" onClick="return btok_Click();"> <label></label> </div></td> </tr> <tr> <td height="66" align="center"> <input type="button" value="Fermer la fenêtre" onClick="window.close()"> <!-- <div align="center"><a id="test_bt" href="javascript:window.close()" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('Image7','','images/bouton_fermer_on.gif',1)"><img name="Image7" border="0" src="images/bouton_fermer.gif" width="172" height="22"></a></div>--> </td> </tr> </table> </form> </body> </html>