generated from Templates_CodeFirst/templateHtmlCss
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71 lines
1.9 KiB
71 lines
1.9 KiB
<!IDOCTYPE html>
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<html lang="eng">
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<head>
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<meta charset="UTF-8">
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<title>Page de contact</title>
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<link type="text/css" href="lecss.css" rel="stylesheet" media="all" />
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<style></style>
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</head>
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<body>
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<header><h2>Formulaire</h2></header>
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<section>
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<form action="contact.php" method="POST">
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<div>
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<label for="Nom">Nom</label>
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<input type="text" name="Nom" id="iNom" required/>
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</div>
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<div>
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<label for="Email">Email</label>
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<input type="email" name="Email" id="iEmail" required/>
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</div>
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<div>
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<label for="Tel">Numéro de téléphone</label>
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<input type="tel" name="Tel" id="iTel"/>
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</div>
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<div>
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<label for="Motif">Motif</label>
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<select name="Motif" id="iMotif">
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<option value="" hidden selected disabled>Choisissez un motif</option>
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<option value="Rencontre">Je souhaite vous rencontrer</option>
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<option value="Collaboration">Je souhaite collaborer</option>
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<option value="Aide">Je souhaite demander de l'aide</option>
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<option value="Autre">Autre...</option>
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</select>
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</div>
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<div>
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<label for="Creneau">Créneau horaire (jour+horaire)</label>
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<input type="datetime-local" name="Creneau" id)"iCreneau"/>
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</div>
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<div>
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<span>Première demande de contact?</span>
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<span>Oui</span>
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<input type="radio" name="Pdemande" id="iPdemande" value="YES" checked/>
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<span>Non</span>
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<input type="radio" name="Pdemande" id="iPdemande" value="NO"/>
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</div>
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<div>
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<label for="Message">Votre message</label>
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<textarea name="Message" id="iMessage" rows="20" cols="100" placeholder="Écrivez ici votre message" required>
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</div>
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<div>
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<input type="submit" value="send"/>
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</div>
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<div>
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</div>
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</form>
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</section>
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<footer>
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<a href="accueil AA" title="Revenir à la page d'accueil" >Retour à la page d'accueil</a>
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</footer>
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</body>
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</html>
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