<% emailContact = "industrie.pays-de-la-loire@ademe.fr" set obj_formulaire = New PA_FORMULAIRE obj_formulaire.ajouter_champ "TEXT","site","site","annuaire dechets Pays de la Loire","","N","" obj_formulaire.ajouter_champ "MENU_DEROULANT","civilite","civilite",request("civilite"),"","Y","0" obj_formulaire.ajouter_champ "TEXT","nom","nom",request("nom"),"","Y","" obj_formulaire.ajouter_champ "TEXT","prenom","prenom",request("prenom"),"","Y","" obj_formulaire.ajouter_champ "TEXT","organisme","organisme",request("organisme"),"","N","" obj_formulaire.ajouter_champ "EMAIL","courriel","courriel",request("courriel"),"","Y","" obj_formulaire.ajouter_champ "TEXT","adresse","adresse",request("adresse"),"","N","" obj_formulaire.ajouter_champ "TEXT","code_postal","code_postal",request("code_postal"),"","Y","" obj_formulaire.ajouter_champ "TEXT","ville","ville",request("ville"),"","Y","" obj_formulaire.ajouter_champ "TEXT","telephone","telephone",request("telephone"),"","Y","" obj_formulaire.ajouter_champ "TEXT","telecopie","telecopie",request("telecopie"),"","N","" obj_formulaire.ajouter_champ "TEXT","message","message",request("message"),"","Y","" if request("valid") = "o" then obj_formulaire.format_mail = "HTML" if request("courriel") <> "" then obj_formulaire.email_from = request("courriel") obj_formulaire.expediteur = request("courriel") else obj_formulaire.email_from = "serveur@r-numerique.fr" obj_formulaire.expediteur = "serveur@r-numerique.fr" end if obj_formulaire.destinataire = emailContact 'obj_formulaire.destinataire = "contact@lambertlocation.fr" obj_formulaire.serveur_smtp = serveur_smtp obj_formulaire.objet = "Contact" obj_formulaire.envoyer() response.Redirect("index_merci.asp") else obj_formulaire.nom_formulaire = "formulaire" obj_formulaire.nom_fonction_javascript = "envoyer()" javascript = obj_formulaire.recup_javascript end if %>
Nouveau prestataire
Corrections/Compléments
sur un prestataire

Nous contacter
Qui sommes nous ?
Mentions légales



ADEME - Délégation régionale des Pays de la Loire :
Secrétariat entreprises
BP90302
44203 Nantes Cedex 2
Tél. : 02 40 35 80 23
Fax : 02 40 35 27 21
Site : http://www.ademe.fr/paysdelaloire



Civilité*    
Nom*   Prénom*
Organisme   Courriel*
Adresse   Code postal*
    Ville*
Téléphone*   Télécopie
Votre message*