Linux SRV-16 6.18.44-paas #1 SMP PREEMPT_DYNAMIC Thu Aug 13 10:08:12 UTC 2026 x86_64
/srv/data/web/vhosts/www.electricien-77.com/htdocs/modules/
//srv/data/web/vhosts/www.electricien-77.com/htdocs/modules/pre-devis.php
  
      <!--   <h2>Ne perdez plus de temps, réservez votre chauffeur ! </h2> -->
<form action="https://formspree.io/f/xdkgjplw" method="POST">
 <input type="hidden" name="_suject" value="Nouvelle demande de devis">
  
 <div class="row">
    <div class="col-sm-12">
      <div class="form-group">
        <input type="text" class="form-control" id="nom" name="nom" placeholder="Nom" required>
      </div>
    </div>
     <div class="col-sm-12">
      <div class="form-group">
        <input type="tel" class="form-control" id="telephone" name="telephone" placeholder="Téléphone" required>
      </div>
    </div>
    <div class="col-sm-12">
      <div class="form-group">
        <input type="email" class="form-control" id="email" name="email" placeholder="Mail" required>
      </div>
    </div>
     <div class="col-sm-12">
          <div class="form-group">
            <input type="text" class="form-control" id="codepostal" name="codepostal" placeholder="Code postal">
          </div>
    </div>
   
    <div class="col-sm-12">
      <div class="form-group">
        <select name="prestation" class="form-control" required>
          <option value="">Prestations :</option>
          <option value="Dépannage électrique">Dépannage électrique</option>
          <option value="Installation électrique">Installation électrique</option>
          <option value="Rénovation électrique">Rénovation électrique</option>
          <option value="Mise aux normes">Mise aux normes</option>
          <option value="Contrôle et diagnostic">Contrôle et diagnostic</option>
          <option value="Autre">Autre</option>
        </select>
      </div>
    </div>
    <div class="col-sm-12">
        <div class="form-group">
          <textarea rows="4" name="message" class="form-control" id="message" placeholder="Message"></textarea>
        </div>
    </div>
 </div>

 <div class="text-center">
      <button type="submit" class="button" style="width: 100%">Envoyer</button>
 </div>

</form>