voila le code html du formulaire :
<html dir="rtl">
<head>
<meta http-equiv="Content-Language" content="ar-dz">
<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1256">
<title>Nom</title>
</head>
<body>
<FORM METHOD=POST ACTION="mailto:webmaster@commentcamarche.net">
<table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%" id="AutoNumber1">
<tr>
<td width="56%" style="border-style: none; border-width: medium">
<p align="left"><span lang="fr">
<!--webbot bot="Validation" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" --><input type="text" name="Nom" size="20">
Nom </span></td>
</tr>
<tr>
<td width="56%" style="border-style: none; border-width: medium">
<p align="left"><span lang="fr">
<!--webbot bot="Validation" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-WhiteSpace="TRUE" --><input type="text" name="Prenom" size="20">
Prénom </span></td>
</tr>
<tr>
<td width="56%" style="border-style: none; border-width: medium">
<p align="left"><span lang="fr">
<!--webbot bot="Validation" S-Data-Type="String" B-Allow-Letters="TRUE" B-Allow-Digits="TRUE" B-Allow-WhiteSpace="TRUE" --><input type="text" name="Adresse" size="55">
Adresse </span></td>
</tr>
<tr>
<td width="56%" style="border-style: none; border-width: medium">
<p align="left"><span lang="fr"> <input type="text" name="Wilaya" size="35">
Wilaya </span></td>
</tr>
</table>
<table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%" id="AutoNumber2">
<tr>
<td width="56%" style="border-style: none; border-width: medium">
<p align="left"><span lang="fr"><input type="text" name="email" size="49">
Email </span></td>
</tr>
</table>
<p align="left"><span lang="fr"><select size="1" name="Domaine" dir="ltr">
<option>Autre</option>
<option>Etudiant</option>
<option>Employer</option>
<option>Chomeur</option>
<option>Particulier</option>
</select> Domaine</span></p>
<p align="left"><span lang="fr">Suggestions </span></p>
<p align="left"><span lang="fr"> <textarea rows="6" name="S1" cols="60" dir="ltr"></textarea></span></p>
<p align="center"><input type="submit" value="Envoyer" name="B1"><input type="reset" value="Rétablir" name="B2"><span lang="fr">
</span></p>
</form>
</body>
</html>