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 <form name="form1" method="post" action="">
 Numero de semaine:<input type="text" name="semaine" value=""><br />
 Ann&eacute;e:
 <select name="annee">
	 <option value="2008">2008</option>
	 <option value="2009">2009</option>
	 <option value="2010">2010</option>
 </select>
 <br />
 <br />
 <br />
 <input type="submit" name="calculer" value="Calculer">
 </form>