[md-form theme = "sombre"]
    [md-text label = "E-mail"]
    [/ md-text]
    [md-text label = "Nom"]
    [/ md-text]
    [md-text label = "Entreprise"]
    [/ md-text]
    [md-accepter]

    [/ md-accept]
    [md-captcha] [/md-captcha]
    [md-submit]
    [/ md-submit]
    [/ md-form]