thank you, you are registered for the dance class on April 13. See you soon.

Fermer"; $to="sophie@sobanova.com"; $subject="Subscription on April 13"; $body="$champ[email]\n"; $body.="$champ[nom]\n"; $body.="$champ[prenom]\n"; $body.="$champ[adresse1]\n"; $body.="$champ[adresse2]\n"; $body.="$champ[code_postal]\n"; $body.="$champ[ville]\n"; $body.="$champ[telephone]\n"; $body.="$champ[mobile]\n"; $body.="$champ[adherent]\n"; $body.="$champ[st16]\n"; $body.="$champ[langue]\n"; $body.="cours $champ[choix]"; $headers="From: sobanova"; mail ($to,$subject,$body,$headers); $result=mysql_query($requete); }else{ ?>

SUBCRIPTIONFORM
Disco Dance Class
Sunday 13 April 2008

Name* :

First name* :

Address :

Post code* : City :

Country : Mobile :

Mail* :
*This information is required


Price : 35 €
Special member price :30 €

Your subscription will be confirmed
when you send your payment

Annual fee 15€
To become a member and enjoy all the advantages, fill out the membershipform and send it back to us together with your check.

Association Sobanova 14 villa Saint Charles 75015 Paris FRANCE