<div class="frm_form_fields">
<fieldset>
<div>
<input type="hidden" name="action" value="create">
<input type="hidden" name="form_id" value="2">
<input type="hidden" name="form_key" value="1337a">
<div id="frm_field_8_container" class="form-field frm_top_container">



<label class="frm_primary_label">Veuillez entrer le code de lancement FM-2012 / 60 60 60



<span class="frm_required"></span>



</label>



<input type="text" id="field_mercidentrerlecodedemiseenroute" name="item_meta[8]" value="" size="30" maxlength="30" class="text auto_width">

</div>
<input type="hidden" name="item_key" value="3z3t0z">
</div>
</fieldset>
</div>
<p class="submit">
<input type="submit" name="1337" value="1337">
</p>