Linux SRV-16 6.18.44-paas #1 SMP PREEMPT_DYNAMIC Thu Aug 13 10:08:12 UTC 2026 x86_64
/srv/data/trash/vhost_www.art2t.fr_1669198987/htdocs/_bin/pages/
/srv/data/trash/vhost_www.art2t.fr_1669198987/htdocs/_bin/pages/devis.php
 <?php include "functions/devis.php" ?>
<div id="devis">
	<h1 id="formD">Devis</h1>
	<?=$devisMessage?>
	<?php if ($_GET['state']!="success"): ?>
	<div class="row">
		<div class="col-sm-12">
			<form role="form" method="post" action="devis#formD" enctype="multipart/form-data">
				<div class="row">
					<div class="col-sm-5">
						<fieldset>
							<legend>Coordonnées</legend>
							<div class="form-group has-feedback <?=$companyClass?>">
								<label for="companyForm">Entreprise</label>
								<input type="text" class="form-control " id="companyForm" name="company" value="<?=$company?>" <?=(!$formSend)?"autofocus":""?>>
								<?php if($formSend)echo"<span class='fa ".( ($companyClass=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
							</div>
							<div class="row">
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$firstnameClass?>">
										<label for="firstnameForm">Prénom</label>
										<?php  //=(!$formSend AND !isset($_POST['firstnamePreD']))?"autofocus":"" ?>
										<input type="text" class="form-control " id="firstnameForm" name="firstname" value="<?=$firstname?>">
										<?php if($formSend)echo"<span class='fa ".( ($firstnameClass=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
									</div>
								</div>
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$lastnameClass?>">
										<label for="lastnameForm">Nom</label>
										<input type="text" class="form-control" id="lastnameForm" name="lastname" value="<?=$lastname?>">
										<?php if($formSend)echo"<span class='fa ".( ($lastnameOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
									</div>
								</div>
							</div>
							<div class="form-group has-feedback <?=$addressClass?>">
								<label for="addressForm">Adresse</label>
								<input type="text" class="form-control" id="addressForm" name="address" value="<?=$address?>">
								<?php if($formSend)echo"<span class='fa ".( ($addressOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
							</div>
							<div class="row">
								<div class="col-sm-4">
									<div class="form-group has-feedback <?=$zipCodeClass?>">
										<label for="zipCodeForm">Code postal</label>
										<input type="text" class="form-control" id="zipCodeForm" name="zipCode" placeholder="75001" value="<?=$zipCode?>">
										<?php if($formSend)echo"<span class='fa ".( ($zipCodeOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
									</div>
								</div>
								<div class="col-sm-8">
									<div class="form-group has-feedback <?=$cityClass?>">
										<label for="cityForm">Ville</label>
										<input type="text" class="form-control" id="cityForm" name="city" value="<?=$city?>">
										<?php if($formSend)echo"<span class='fa ".( ($cityOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
									</div>
								</div>
							</div>
							<div class="form-group has-feedback <?=$emailClass?>">
								<label for="emailForm">Email</label>
								<input type="email" class="form-control" id="emailForm" name="email" placeholder="text@exemple.fr" value="<?=$email?>">
								<?php if($formSend)echo"<span class='fa ".( ($emailOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
							</div>
							<div class="form-group has-feedback <?=$phoneClass?>">
								<label for="phoneForm">Téléphone</label>
								<input type="text" class="form-control" id="phoneForm" name="phone" placeholder="06 00 00 00 00" value="<?=$phone?>">
								<?php if($formSend)echo"<span class='fa ".( ($phoneOk)?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
							</div>
						</fieldset>
						
					</div>
					<div class="col-sm-6 col-sm-offset-1">
						<fieldset>
							<legend>Demande</legend>
							<div class="form-group has-feedback <?=($formSend)?'has-success':''?>">
								<label for="select1Form">Select 1</label>
								<select id="select1Form" name="select1" class="form-control">
									<?php 
										$list=array("Option 1","Option 2","Option 3","Option 4","Option 5");
										foreach ($list as $value)echo "<option ".( ($select1==$value)?"selected='selected'":"" ).">$value</option>"
									?>
								</select>
								<?php if($formSend)echo"<span class='fa fa-check form-control-feedback'></span>" ?>
							</div>
							
							<div class="form-group has-feedback <?=($formSend)?'has-success':''?>">
								<label>Checkbox</label>
								<div class="checkbox" style="margin-top: 0;">
									<label><input type="checkbox" name="checkbox1" <?=($checkbox1)?"checked":""?>>Checkbox 1</label>
								</div>
								<div class="checkbox" style="margin-top: 0;">
									<label><input type="checkbox" name="checkbox2" <?=($checkbox2)?"checked":""?>>Checkbox 2</label>
								</div>
								<div class="checkbox" style="margin-top: 0;">
									<label><input type="checkbox" name="checkbox3" <?=($checkbox3)?"checked":""?>>Checkbox 3</label>
								</div>
								<?php if($formSend)echo"<span class='fa fa-check form-control-feedback'></span>" ?>
							</div>
							
							<div class="form-group has-feedback <?=($formSend)?'has-success':''?>">
								<label>Radio 1</label>
								<div class="radio" style="margin-top: 0;">
									<label><input type="radio" name="radio1" value="option1" <?=(!$formSend OR $radio1=="option1")?"checked":""?>>Option 1</label>
								</div>
								<div class="radio">
									<label><input type="radio" name="radio1" value="option2" <?=($radio1=="option2")?"checked":""?>>Option 2</label>
								</div>
								<?php if($formSend)echo"<span class='fa fa-check form-control-feedback'></span>" ?>
							</div>

							<div class="form-group has-feedback <?=$input1Class?>">
								<label for="input1Form">Input</label>
								<input type="text" class="form-control " id="input1Form" name="input1" value="<?=$input1?>">
								<?php if($formSend)echo"<span class='fa ".( ($input1Class=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
							</div>

							<div class="form-group <?=$amount1Class?>">
								<label for="amount1Form">Amount</label>
								<div class="input-group">
									<input type="text" class="form-control " id="amount1Form" name="amount1" placeholder="29,90" value="<?=$amount1?>">
									<span class="input-group-addon"><span class="fa fa-eur fa-fw"></span></span>
								</div>
							</div>

							<div class="form-group has-feedback <?=$date1Class?>">
								<label for="date1Form">Date</label>
								<div class="input-group bootstrap-datepicker">
									<input type="text" class="form-control " id="date1Form" name="date1" placeholder="<?=date("d/m/Y")?>" value="<?=$date1?>">
									<span class="input-group-addon"><span class="fa fa-calendar fa-fw"></span></span>
								</div>
							</div>

							<div class="form-group">
								<label for="inputFileForm">Pièce jointe</label>
								<input type="file" id="inputFileForm" name="inputFile">
								<p class="help-block">Indication sur la pièce jointe attendue (<?=($max_size/1000000)?> Mo maximum).</p>
							</div>
						</fieldset>
					</div>
				</div>

				<div class="form-group has-feedback <?=$messageClass?>">
					<label for="messageForm">Informations complémentaires <i>(facultatif)</i></label>
					<textarea id="messageForm" name="message" class="form-control" rows="6"><?=$message?></textarea>
				</div>
				<br>
				<div class="text-center">
					<button type="reset" class="btn btn-default">Annuler</button>
					<button type="submit" name="contact" class="btn btn-success">Envoyer</button>
				</div>
			</form>
		</div>
	</div>
	<?php endif; ?>

</div>