
			<table width="98%" align="center">
			
				<p>
					<tr>
						<td width="35%" align="right">
							<label class="txtField_B">
								adresse MAC :&nbsp;
							</label>
						</td>
						<td align="left">
							<input type="text" id="aqcm_MAC_ADDRESS" name="aqcm_MAC_ADDRESS" value="e4:5f:01:xx:xx:xx" maxlength="17" size="18" class="txtField_A" oninput="isValidMacAddress()" style="width:247px;" >
						</td>
					</tr>
				</p>
				
			</table>


			<table width="98%" align="center">

				<tr>
					<td align="right" width="35%" >
						<label class="txtField_B">
							date :&nbsp;
						</label>
					</td>
					<td align="left">
						<select id="aqcm_JOUR" name="aqcm_JOUR" size="1" class="txtField_A" style="width:75px;" >
						<?php
							$jour_debut_periode = date("d");
							include ("../M0/selection_jour_0.php");
						?>
						</select>
						<select id="aqcm_MOIS" name="aqcm_MOIS" size="1" class="txtField_A" style="width:75px;" >
						<?php
							$mois_debut_periode = date("m");
							include ("../M0/selection_mois_0.php");
						?>
						</select>
						<select id="aqcm_ANNEE" name="aqcm_ANNEE" size="1" class="txtField_A" style="width:80px;" >
						<?php
							$annee_debut_periode = date("Y");
							include ("../M0/selection_annee_0.php");
						?>
						</select>

					</td>
				</tr>
					
				<tr>
					<td align="right" >
						<label class="txtField_B">
							heure :&nbsp;
						</label>
					</td>
					<td align="left">
						<select id="aqcm_HEURE" name="aqcm_HEURE" size="1" class="txtField_A" style="width:75px;" >
						<?php
							$heure_debut_periode = date("H");
							include ("../M0/selection_heure_0.php");
						?>
						</select>
						<select id="aqcm_MINUTES" name="aqcm_MINUTES" size="1" class="txtField_A" style="width:75px;" >
						<?php
							$minutes_debut_periode = date("i");
							include ("../M0/selection_minutes_0.php");
						?>
						</select>

					</td>
				</tr>
					
				<tr>
					<td align="center" colspan="2">
						<label>
							&nbsp;
						</label>
					</td>
				</tr>
				
				<tr>
					<td align="center" colspan="2">
					
						<input type="submit" id="submit_button" value="obtenir le code temporaire" class="button_A" disabled >
							
					</td>
				</tr>

			</table>
			
