<center>
<div style="border: 4px solid #3D3D3D; padding: 0px 35px 0px 35px; background-image: url(http://i34.servimg.com/u/f34/15/74/60/94/fvhccf12.jpg);">

<div style="font-size: 25pt; font-family: courier new; text-shadow: #000000 1px 1px 1px; LETTER-SPACING: -4px; color: #D3275F; border-bottom: 5px dotted #ACD373; padding-bottom: 3px;">[center]Prénom Nom[/center]</div>

<table border="0" cellspacing="10px" width="500px"><tr><td width="150px"><div align="center"><div style="margin:25px;text-align:center;width:100%"><img src="http://i34.servimg.com/u/f34/15/74/60/94/d11.png" border="0" alt="" /></div></div></td><td><div align="justify"><div style="font-family: courier new; color: #474646;">
• <font size=-2><strong>Nom :</strong> </font>
• <font size=-2><strong>Prénom :</strong> </font>
• <font size=-2><strong>Âge :</strong> </font>
• <font size=-2><strong>Sexe :</strong> </font>
• <font size=-2><strong>Profession : </strong> </font>
• <font size=-2><strong>Statut de l'étudiant :</strong> </font>
• <font size=-2><strong>Objet fétiche :</strong> </font>
• <font size=-2><strong>Rang Personnalisé :</strong> </font>
</font></div></td></tr></table>

<div style="font-size: 25pt; font-family: courier new; text-shadow: #000000 1px 1px 1px; LETTER-SPACING: -4px; color: #D3275F; border-bottom: 5px dotted #ACD373; padding-bottom: 3px;">[center]Caractère[/center]</div>

<div style="padding: 0px 35px 0px 35px;">Blabla
</div>

<div style="font-size: 25pt; font-family: courier new; text-shadow: #000000 1px 1px 1px; LETTER-SPACING: -4px; color: #D3275F; border-bottom: 5px dotted #ACD373; padding-bottom: 3px;">[center]Physique[/center]</div>

<div style="padding: 0px 35px 0px 35px;">Blabla
</div>

<div style="font-size: 25pt; font-family: courier new; text-shadow: #000000 1px 1px 1px; LETTER-SPACING: -4px; color: #D3275F; border-bottom: 5px dotted #ACD373; padding-bottom: 3px;">[center]Aime / N'aime pas[/center]</div>

<div style="padding: 0px 35px 0px 35px;">Blabla
</div>

<div style="font-size: 25pt; font-family: courier new; text-shadow: #000000 1px 1px 1px; LETTER-SPACING: -4px; color: #D3275F; border-bottom: 5px dotted #ACD373; padding-bottom: 3px;">[center]Derrière l'écran[/center]</div>

<table border="0" cellspacing="10px" width="500px"><tr><td width="150px"><div align="center"><div style="margin:25px;text-align:center;width:100%"><img src="http://i34.servimg.com/u/f34/15/74/60/94/e11.png" border="0" alt="" /></div></div></td><td><div align="justify"><div style="font-family: courier new; color: #474646;">
• <font size=-2><strong>Prénom ou Pseudo :</strong> </font>
• <font size=-2><strong>Comment as tu trouvé le forum ?</strong> </font>
• <font size=-2><strong>Des remarque, suggestions pour celui-ci ?</strong> </font>
• <font size=-2><strong>Tu aimes les gâteaux ?</strong> </font>
• <font size=-2><strong>Autre chose ?</strong> </font>
</font></div></td></tr></table>

</div></div></div></div>
</center>