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/srv/data/trash/vhost_www.glodie-evenements.com_1516803304/htdocs/pages/
/srv/data/trash/vhost_www.glodie-evenements.com_1516803304/htdocs/pages/devis.php
 <?php
	//start_block('title','keywords','description')
	start_block('','','');
?>
<?php include "functions/devis.php" ?>
<section class="one style5">
	<div class="container">
		

<div class="container " id=devis>
<h2>Devis Gratuit</h2>
	<?php if ($form_has_errors): ?>
		<div class='alert alert-danger alert-dismissable'>
		  <button type='button' class='close' data-dismiss='alert' aria-hidden='true'>&times;</button>
		 Nous n'avons pas reçu votre demande, merci de vérifier que les champs obligatoires du formulaire sont correctement remplis.
		</div>
	<?php endif ?>

	<div class="row">
		<div class="col-sm-12">
			<?=form_open($routes['devis'],array('enctype'=>'multipart/form-data'))?>
				<div class="row">
					<div class="col-sm-5">
						<fieldset>
							<legend>Coordonnées</legend>

							<div class="row">
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['firstname']['status']?>">
										<label for="firstname">Prénom</label>
										<input type="text" class="form-control " id="firstname" name="firstname" value="<?=$data['firstname']['value']?>" >
									</div>
								</div>
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['lastname']['status']?>">
										<label for="lastname">Nom</label>
										<input type="text" class="form-control " id="lastname" name="lastname" value="<?=$data['lastname']['value']?>" >
										<?php if($form_is_submitted)echo"<span class='fa ".(($data['lastname']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>
									</div>
								</div>
							</div>
							
							<div class="form-group has-feedback <?=$data['address']['status']?>">
								<label for="address">Adresse</label>
								<input type="text" class="form-control " id="address" name="address" value="<?=$data['address']['value']?>" >
							</div>
							<div class="row">
								<div class="col-sm-5">
									<div class="form-group has-feedback <?=$data['zipcode']['status']?>">
										<label for="zipcode">Code postal</label>
										<input type="text" class="form-control " id="zipcode" name="zipcode" value="<?=$data['zipcode']['value']?>" >
									</div>
								</div>
								<div class="col-sm-7">
									<div class="form-group has-feedback <?=$data['city']['status']?>">
										<label for="city">Ville</label>
										<input type="text" class="form-control" id="city" name="city" value="<?=$data['city']['value']?>" >
									</div>
								</div>
							</div>
							<div class="form-group has-feedback <?=$data['email']['status']?>">	
								<label for="email">E-mail</label>
								<input type="text" class="form-control " id="email" name="email" value="<?=$data['email']['value']?>" >
								<?php if($form_is_submitted)echo"<span class='fa ".(($data['email']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?>

							</div>
							<div class="form-group has-feedback <?=$data['phone']['status']?>">
								
								<label for="phone">Téléphone</label>
								<input type="text" class="form-control " id="phone" name="phone" value="<?=$data['phone']['value']?>" >
								<?php if($form_is_submitted)echo"<span class='fa ".(($data['phone']['status']=="has-success")?"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 <?=$data['select1']['status']?>">
							<label>Type d’évènement :</label>
							<?=form_select('select1',$data['select1']['value'],array("-----------","Particulier","Professionnel "),array('class'=>'form-control'))?>
							</div>

							<div class="form-group has-feedback <?=$data['select2']['status']?>">
							<label>Prestations :</label>
							<?=form_select('select2',$data['select2']['value'],array("-----------","Mariage ","Baptême ","Anniversaire","Séminaire ","Soirée d’entreprise","Autre "),array('class'=>'form-control'))?>
							</div>


							<div class="form-group has-feedback <?=$data['date1']['status']?>">
								<label for="date1">Date de l'évènement</label>
								<div class="input-group bootstrap-datepicker">
									<input type="text" class="form-control " id="date1" data-date-format="dd-mm-yyyy" name="date1" value="<?=$data['date1']['value']?>" >
								    <span class="input-group-addon"><span class="fa fa-calendar fa-fw"></span></span>
								</div>
							</div>
		
							
		
						</fieldset>
						<div class="form-group has-feedback <?=$data['message']['status']?>">
					<label for="message">Message</label>
					
					<textarea rows="6" name="message" class="form-control" id="message"><?= $data['message']['value'] ?></textarea>
				</div>
					</div>
				</div>
				
			
   <div class="checkbox" style="margin-top: 0;">
        <?= '<label><input type="checkbox" name="checkbox1" '.(($data['checkbox1']['value'])?'checked':'').'>'.$data['checkbox1']['label']. '</label>' ?>
        </div>

				<br>
				<div class="text-center">
					<button type="submit" name="devis" class="button2 btn3">Envoyer</button>
				</div>
			<?=form_close()?>
		</div>
	</div>
</div>
	</div>
</section>
<?php end_block(); ?>