1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63
| <!-- DEBUT de la table du FORMULAIRE DE CONTACT -->
<form name="formulaire" method="post" action="<?php echo($_SERVER['SCRIPT_NAME']); ?>" onsubmit="return verifSelection()">
<fieldset>
<legend>Formulaire de contact</legend>
<?php
if ($flag_erreur == 1) {
echo("<div id=\"error\" class=\"error-displayed\">$erreur</div><br />");
} else {
echo("<div id=\"error\" class=\"error\"></div><br />");
}
?>
<div class="txtSmall" style="text-align: center;">Les champs marqués d'un <span style="color: rgb(0, 255, 0);">*</span> sont obligatoires.</div>
<br /><br />
<div align="left"><label for="champ1">Votre Nom <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ1" id="champ1" type="text" maxlength="30" size="40" value="<?php echo(stripslashes($_SESSION['champ1'])); ?>" class="<?php echo($error_class_1); ?>" /></div><br />
<div align="left"><label for="champ2">Prénom <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ2" id="champ2" type="text" maxlength="30" size="40" value="<?php echo(stripslashes($_SESSION['champ2'])); ?>" class="<?php echo($error_class_2); ?>" /></div><br />
<div align="left"><label for="champ3">Email <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ3" id="champ3" type="text" maxlength="120" size="60" value="<?php echo(stripslashes($_SESSION['champ3'])); ?>" class="<?php echo($error_class_3); ?>" /></div>
<div style="text-align: left;"><span style="color: rgb(255, 255, 0);"><em><span style="font-size: 8pt;">Afin de vous répondre, vérifier l'exactitude de votre adresse mail.</span></em></span><br /></div>
<div align="left"><label for="champ4"><em>Adresse postale </em></label>
<textarea name="champ4" id="champ4" cols="60" rows="2" maxlength="120" size="60" class="<?php echo($error_class_4); ?>"><?php echo(stripslashes($_SESSION['champ4'])); ?></textarea></div><br />
<div align="left"><label for="champ5">Code Postal <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ5" id="champ5" type="text" maxlength="10" size="15" value="<?php echo(stripslashes($_SESSION['champ5'])); ?>" class="<?php echo($error_class_5); ?>" /></div><br />
<div align="left"><label for="champ6">Ville <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ6" id="champ6" type="text" maxlength="30" size="40" value="<?php echo(stripslashes($_SESSION['champ6'])); ?>" class="<?php echo($error_class_6); ?>" /></div><br />
<div align="left"><label for="champ7">Téléphone usuel <span style="color: rgb(0, 255, 0);">*</span></label>
<input name="champ7" id="champ7" type="text" maxlength="30" size="40" value="<?php echo(stripslashes($_SESSION['champ7'])); ?>" class="<?php echo($error_class_7); ?>" /></div><br />
<div align="left"><label for="champ8"><em>Téléphone autre </em></label>
<input name="champ8" id="champ8" type="text" maxlength="30" size="40" value="<?php echo(stripslashes($_SESSION['champ8'])); ?>" class="<?php echo($error_class_8); ?>" /></div><br />
<div align="left"><label for="champ9">Objet du message <span style="color: rgb(0, 255, 0);">*</span></label>
<select name="champ9" id="champ9" maxlength="120" class="<?php echo($error_class_9); ?>" ><option value="">Sélectionner...</option>
<option value="Chambres d'Hôtes"<?php
if ($_SESSION['champ1'] == "Chambres d'Hôtes") {
echo(" selected");
}
?>>Chambres d'Hôtes</option>
<option value="Autre..."<?php
if ($_SESSION['champ1'] == "Autre...") {
echo(" selected");
}
?>>Autre...</option>
</select></div><br />
<div align="left"><label for="champ10">Message <span style="color: rgb(0, 255, 0);">*</span></label>
<textarea name="champ10" id="champ10" cols="60" rows="10" maxlength="120" size="60" class="<?php echo($error_class_10); ?>"><?php echo(stripslashes($_SESSION['champ10'])); ?></textarea></div><br />
<!-- Insertion des BOUTONS "Effacer" et "Envoyer" -->
<style type="text/css">
input[type=submit]{
background:#D4D0C8;
cursor:pointer;
}
input[type=submit]:hover{
background:#FFF;
}
</style>
<div align="left" class="submit"><input type="reset" name="Reset" value="Effacer" />
<input type="submit" name="envoi" value="Envoyer" /></div>
</fieldset>
</form>
</div>
<!-- FIN de la table du FORMULAIRE DE CONTACT --> |
Partager