a draft for an unaccessible form

Hi all,
Here is a draft for a possible unaccessible form for the bad site version.
Every barriers covered inthere are directely listed on the page itself.
I would appreciate your comments on that. I don't really think we can do it so worse. But if any idea...
regards
Tanguy

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Tanguy Lohéac
Association BrailleNet
Tél.: +33 (0) 1 44 27 26 25
Web:
http://www.braillenet.org