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.protection-voiture.fr_1509353638/htdocs/pages/
/srv/data/trash/vhost_www.protection-voiture.fr_1509353638/htdocs/pages/devis.php
 <?php
	//start_block('title','keywords','description')
	start_block('','','');
?>
<?php include "functions/devis.php"; ?>


<section class="one">
<div class="container">
<h2 >Devis</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>
		  <strong>Erreur!</strong> 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-8 col-sm-offset-2">
						<fieldset>
							
							
							<div class="row">
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['firstname']['status']?>">
										<?=form_label($data['firstname']['label'],'firstname')?>
										<?=form_text('firstname',$data['firstname']['value'],array('class'=>'form-control','placeholder'=>'Prénom','autofocus'=>'autofocus'))?>
										<?=form_feedback($form_is_submitted,$data['firstname']['status'])?>
									</div>
								</div>
								<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['lastname']['status']?>">
										<?=form_label($data['lastname']['label'],'lastname')?>
										<?=form_text('lastname',$data['lastname']['value'],array('class'=>'form-control','placeholder'=>'NOM'))?>
										<?=form_feedback($form_is_submitted,$data['lastname']['status'])?>
									</div>
								</div>

							<?php /* PSEUDO utilisé pour bloquer les robots, ne pas afficher. Si le robot rempli ce champs, il est redirigé sur la page success sans envoyer le mail */ ?>
						
							<div class="col-sm-12">
							<div class="form-group has-feedback <?=$data['email']['status']?>">
								<?=form_label($data['email']['label'],'email')?>
								<?=form_text('email',$data['email']['value'],array('class'=>'form-control','placeholder'=>'text@exemple.fr'))?>
								<?=form_feedback($form_is_submitted,$data['email']['status'])?>
							</div>
							</div>
							<div class="col-sm-12">
							<div class="form-group has-feedback <?=$data['phone']['status']?>">
								<?=form_label($data['phone']['label'],'phone')?>
								<?=form_text('phone',$data['phone']['value'],array('class'=>'form-control','placeholder'=>'06 00 00 00 00'))?>
								<?=form_feedback($form_is_submitted,$data['phone']['status'])?>
							</div>
							<div class="form-group has-feedback <?=$data['address']['status']?>">
								<?=form_label($data['address']['label'],'address')?>
								<?=form_text('address',$data['address']['value'],array('class'=>'form-control','placeholder'=>'Adresse'))?>
								<?=form_feedback($form_is_submitted,$data['address']['status'])?>
							</div>
							</div>

							<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['city']['status']?>">
										<?=form_label($data['city']['label'],'city')?>
										<?=form_text('city',$data['city']['value'],array('class'=>'form-control','placeholder'=>'Ville'))?>
										<?=form_feedback($form_is_submitted,$data['city']['status'])?>
									</div>
							</div>
							<div class="col-sm-6">
									<div class="form-group has-feedback <?=$data['zipcode']['status']?>">
										<?=form_label($data['zipcode']['label'],'zipcode')?>
										<?=form_text('zipcode',$data['zipcode']['value'],array('class'=>'form-control','placeholder'=>'75001'))?>
										<?=form_feedback($form_is_submitted,$data['zipcode']['status'])?>
									</div>
							</div>
							<div class="col-sm-12">
							<label>Prestations </label>
									<div class="form-group has-feedback <?=($form_is_submitted)?'has-success':''?>">
								
								<div class="col-sm-6">
									<div class="checkbox" style="margin-top: 0;">
									<?=form_checkbox('checkbox1',$data['checkbox1']['value'],$data['checkbox1']['label'])?>
								</div>
								<div class="checkbox" style="margin-top: 0;">
									<?=form_checkbox('checkbox2',$data['checkbox2']['value'],$data['checkbox2']['label'])?>
								</div>
								<div class="checkbox" style="margin-top: 0;">
									<?=form_checkbox('checkbox3',$data['checkbox3']['value'],$data['checkbox3']['label'])?>
								</div>
								
								<div class="checkbox" style="margin-top: 0;">
									<?=form_checkbox('checkbox4',$data['checkbox4']['value'],$data['checkbox4']['label'])?>
								</div>
								</div>
								<?=form_feedback($form_is_submitted,'has-success')?>
							</div>
							</div>
							<div class="col-sm-12">
									<div class="form-group has-feedback <?=$data['model']['status']?>">
									<label>Modèle véhicule </label>
									<?=form_text('model',$data['model']['value'],array('class'=>'form-control','placeholder'=>'Modèle véhicule '))?>
									<?=form_feedback($form_is_submitted,$data['model']['status'])?>
									</div>
							</div>
							</div>
							
						</fieldset>
						<div class="form-group has-feedback <?=$data['message']['status']?>">
					<?=form_label($data['message']['label'],'message')?>
					<?=form_textarea('message',$data['message']['value'],array('class'=>'form-control','rows'=>'6'))?>
				</div>
					</div>
					
				</div>
				
				<br>
				<div class="text-center">
					<button type="submit" name="devis" class="button">Envoyer</button>
				</div>
				<p><br/><br/><p>
			<?=form_close()?>
		</div>
	</div>
</div>
</section>
<?php end_block(); ?>