document.write("<form action=\"https://www.service-webmaster.fr/includes/modules/actions.php\" method=\"post\" name=\"connexion_membre\" id=\"connexion_membre\">");
document.write("		<input type=\"hidden\" name=\"connexion\" value=\"1\" />");
document.write("   <table border=\"0\" cellspacing=\"0\" cellpadding=\"3\" align=\"left\">");
document.write("  <tr>");
document.write("    <td nowrap=\"nowrap\">Nom d'utilisateur : </td>");
document.write("    <td><input name=\"pseudo_membre\" type=\"text\" id=\"pseudo_membre\" size=\"20\" maxlength=\"25\" class=\"inp_head\" /></td>");
document.write("    <td nowrap=\"nowrap\">Mot de passe : </td>");
document.write("    <td><input name=\"passe_membre\" type=\"password\" id=\"passe_membre\" size=\"20\" maxlength=\"25\" class=\"inp_head\" /></td>");
document.write("    <td><input type=\"submit\" name=\"button\" id=\"button\" value=\"OK\" class=\"bnt_header\" onclick=\"return check_login_membre();\" /></td>");
document.write("    <td nowrap=\"nowrap\"><a href=\"/mot.de.passe.perdu.php\">Mot de passe perdu ?</a></td>");
document.write("  </tr>");
document.write("</table>");
document.write("</form>");