document.write('<form method="post" action="">Je cherche<br /><select name="sexe" id="sexe"><option value="0">des filles</option><option value="1">des garcons</option></select><br />Villes<br /><select name="ville" id="ville"><option value="95-sarcelles">Sarcelles</option><option value="95-garges-les-gonesse">Garges-lès-Gonesse</option><option value="95-franconville">Franconville</option><option value="95-pontoise">Pontoise</option><option value="95-goussainville">Goussainville</option><option value="95-ermont">Ermont</option><option value="95-taverny">Taverny</option><option value="95-villiers-le-bel">Villiers-le-Bel</option><option value="95-sannois">Sannois</option><option value="95-gonesse">Gonesse</option><option value="95-herblay">Herblay</option><option value="95-eaubonne">Eaubonne</option><option value="95-cormeilles-en-parisis">Cormeilles-en-Parisis</option><option value="95-deuil-la-barre">Deuil-la-Barre</option><option value="95-montmorency">Montmorency</option><option value="95-vaureal">Vauréal</option><option value="95-saint-gratien">Saint-Gratien</option><option value="95-jouy-le-moutier">Jouy-le-Moutier</option><option value="95-montigny-les-cormeilles">Montigny-lès-Cormeilles</option><option value="95-soisy-sous-montmorency">Soisy-sous-Montmorency</option><option value="95-domont">Domont</option><option value="95-osny">Osny</option><option value="95-saint-leu-la-foret">Saint-Leu-la-Forêt</option><option value="95-eragny">Éragny</option><option value="95-montmagny">Montmagny</option><option value="95-saint-brice-sous-foret">Saint-Brice-sous-Forêt</option><option value="95-enghien-les-bains">Enghien-les-Bains</option><option value="95-fosses">Fosses</option><option value="95-mery-sur-oise">Méry-sur-Oise</option><option value="95-louvres">Louvres</option><option value="95-persan">Persan</option><option value="95-ezanville">Ézanville</option></select><br />Age<br /><select name="age_min" id="age_min"><option value="18">18</option><option value="20">20</option><option value="30">30</option><option value="40">40</option><option value="50">50</option><option value="60">60</option><option value="70">70</option></select> à <select name="age_max" id="age_max"><option value="25" selected>25</option><option value="30">30</option><option value="40">40</option><option value="50">50</option><option value="60">60</option><option value="70">70</option><option value="80">80</option></select><br /><br/><input type="submit" value="Go" /></form><p></p>')