".$msg['subs_titre_form']."

".(($opac_websubscribe_show_location && $pmb_lecteurs_localises) ? "" : "")."

".$msg['subs_f_nom']."			".$msg['subs_txt_codeverif']." ".$msg['subs_f_verifcode']."
".$msg['subs_f_prenom']."
".$msg['subs_f_email']."
".$msg['subs_f_login']."
".$msg['subs_f_password']."
".$msg['subs_f_passwordv']."
".$msg['subs_f_adr1']."
".$msg['subs_f_adr2']."
".$msg['subs_f_cp']." ".$msg['subs_f_ville']."
".$msg['subs_f_pays']."
".$msg['subs_f_tel1']."
".$msg['subs_f_msg']."
".$msg['subs_f_loc']."	!!f_loc!!