<!-- [et_pb_line_break_holder] --> <form action="http://www.oscar-campus.com/form.php" method="post" enctype="multipart/form-data" name="F" id="form_texte"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="key" value="BcLH4VPXOuEpNR4GBg%3D%3D"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="id" value="23856"><!-- [et_pb_line_break_holder] --> <input type="hidden" name="a" value="edit"><!-- [et_pb_line_break_holder] --><input type="hidden" name="url_retour" value="https://iob-bordeaux.com/validation-formulaire/"><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <td><input type="text" name="contact_nom" placeholder="Nom (obligatoire)" size="35" maxlength="100"><br></td></tr><!-- [et_pb_line_break_holder] --> <tr><td><input type="text" name="contact_prenom" placeholder="Prénom" size="35" maxlength="50"><br></td></tr><!-- [et_pb_line_break_holder] --> <tr><td><input type="text" name="contact_email" placeholder="Email (obligatoire)" size="35" maxlength="150"><br></td></tr><!-- [et_pb_line_break_holder] --> <tr><td><input type="text" name="contact_portable" placeholder="Portable" size="35" maxlength="20"><br></td></tr><!-- [et_pb_line_break_holder] --> <tr><td><input id="texte" type="text" name="contact_ville" placeholder="Ville" size="35" maxlength="100"><br></td></tr><!-- [et_pb_line_break_holder] --> <tr><td id="largeur"><!-- [et_pb_line_break_holder] --> <select required type="select" name="contact_niveau_etude_id" size="1"><!-- [et_pb_line_break_holder] --> <option value="0">Niveau d'étude</option><!-- [et_pb_line_break_holder] --> <option value="9">Seconde</option><!-- [et_pb_line_break_holder] --> <option value="7">Première</option><!-- [et_pb_line_break_holder] --> <option value="8">Terminale</option><!-- [et_pb_line_break_holder] --> <option value="6">BAC</option><!-- [et_pb_line_break_holder] --> <option value="1">BAC+1</option><!-- [et_pb_line_break_holder] --> <option value="2">BAC+2</option><!-- [et_pb_line_break_holder] --> <option value="3">BAC+3</option><!-- [et_pb_line_break_holder] --> <option value="4">BAC+4</option><!-- [et_pb_line_break_holder] --> <option value="5">BAC+5 et +</option><!-- [et_pb_line_break_holder] --> <option value="19">DUT 1A</option><!-- [et_pb_line_break_holder] --> <option value="11">DUT 2A</option><!-- [et_pb_line_break_holder] --> <option value="20">BTS 1A</option><!-- [et_pb_line_break_holder] --> <option value="12">BTS 2A</option><!-- [et_pb_line_break_holder] --> <option value="22">BTSA 1A</option><!-- [et_pb_line_break_holder] --> <option value="23">BTSA 2A</option><!-- [et_pb_line_break_holder] --> <option value="17">CPGE 1A</option><!-- [et_pb_line_break_holder] --> <option value="18">CPGE 2A</option><!-- [et_pb_line_break_holder] --> <option value="13">CPGE SPE</option><!-- [et_pb_line_break_holder] --> <option value="14">L1</option><!-- [et_pb_line_break_holder] --> <option value="15">L2</option><!-- [et_pb_line_break_holder] --> <option value="16">L3</option><!-- [et_pb_line_break_holder] --> <option value="26">IUT 1A</option><!-- [et_pb_line_break_holder] --> <option value="27">IUT 2A</option><!-- [et_pb_line_break_holder] --> <option value="24">M1</option><!-- [et_pb_line_break_holder] --> <option value="25">M2</option><!-- [et_pb_line_break_holder] --> <option value="33">Doctorat</option><!-- [et_pb_line_break_holder] --> <option value="21">Collège</option><!-- [et_pb_line_break_holder] --> <option value="28">Bachelor 1</option><!-- [et_pb_line_break_holder] --> <option value="29">Bachelor 2</option><!-- [et_pb_line_break_holder] --> <option value="30">Bachelor 3</option><!-- [et_pb_line_break_holder] --> <option value="31">Bachelor 4</option><!-- [et_pb_line_break_holder] --> <option value="32">PACES</option><!-- [et_pb_line_break_holder] --> <option value="10">AUTRES</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> </td></tr><!-- [et_pb_line_break_holder] --> <select required type="select" name="contact_formation_id" size="1"><!-- [et_pb_line_break_holder] --> <option value="9363">Formation initiale Ostéopathie Humaine</option><!-- [et_pb_line_break_holder] --> </select><!-- [et_pb_line_break_holder] --> <tr><td><input type="submit" name="btn_submit" value="Valider"></td></tr><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> </form>