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| <form method="post" name="formulaire" onSubmit="return verify(this.nom, this.prenom, this.adresse, this.codepostal, this.ville, this.email, this.email1)" action="mapage.php">
<tr><td>Civilité</td><td>M.<input type="radio" name="civilite" value="mr"> Mme<input type="radio" name="civilite" value="mme"> Mlle<input type="radio" name="civilite" value="mlle"></td><td colspan="1" rowspan="8" align="center"><div style="width:60%;height:300px;overflow:auto;">
<br><br>
<?php
require("cgv_general.html");
?>
<br><br>
<br><br>
</p>
</div>
</td></tr>
<tr><td>Nom : </td><td><input name="nom" /> </td></tr>
<tr><td>Prénom: </td><td><input name="prenom" /> </td></tr>
<tr><td>Adresse: </td><td><input name="adresse" size="50"/> </td></tr>
<tr><td>Code postal: </td><td><input name="codepostal" size="6"/> </td></tr>
<tr><td>Ville: </td><td><input name="ville" size="30"/> </td></tr>
<tr><td>Email : </td><td><input name="email" size="30"/></td></tr>
<tr><td>Confirmation de l'email : </td><td><input name="email1" size="30"/></td></tr>
<tr><td colspan="2"><i>Tous les champs sont obligatoires. <br>Votre adresse email nous permettra de vous envoyer la confirmation et la facture de votre achat.</i><br><br></td></tr>
<tr>
<td></td>
<td colspan="2">
<p><br>
<input name="agree" id="agree" type="checkbox" />
<label for="agree">En cochant cette case, je confirme que mes coordonnées indiquées ci-dessus sont justes et que j'accepte les conditions générales de ventes.</label><br />
</p>
<center>
<input type="submit" id="submitA" title="CGV" value="Valider" />
</form>
<script type="text/javascript">
function toggleSubmit() {
document.getElementById('submitA').disabled = !document.getElementById('agree').checked;
}
document.getElementById('agree').onclick = toggleSubmit;
toggleSubmit();
</script>
<?php
include('../connexion.php');
$db = mysql_connect($host, $login, $password) or die(showError('1', mysql_error()));
mysql_select_db($base,$db) or die(showError('2', mysql_error()));
if (isset($_POST['civilite']) AND isset($_POST['nom']) AND isset($_POST['prenom']) AND isset($_POST['adresse']) AND isset($_POST['codepostal']) AND isset($_POST['ville']) AND isset($_POST['email']))
{
$civilite = mysql_real_escape_string(htmlspecialchars($_POST['civilite']));
$nom = mysql_real_escape_string(htmlspecialchars($_POST['nom']));
$prenom = mysql_real_escape_string(htmlspecialchars($_POST['prenom']));
$adresse = mysql_real_escape_string(htmlspecialchars($_POST['adresse']));
$codepostal = mysql_real_escape_string(htmlspecialchars($_POST['codepostal']));
$ville = mysql_real_escape_string(htmlspecialchars($_POST['ville']));
$email = mysql_real_escape_string(htmlspecialchars($_POST['email']));
$REMOTE_ADDR = mysql_real_escape_string(getenv('REMOTE_ADDR'));
mysql_query("INSERT INTO formulaire VALUES('', '" . $civilite . "','" . $nom . "', '" . $prenom . "', '" . $adresse . "', '" . $codepostal . "', '" . $ville . "', '" . $email . "', '".date("Y-m-d H:i:s")."', '".$REMOTE_ADDR ."')");
}
mysql_close();
?> |
