Linux SRV-16 6.18.44-paas #1 SMP PREEMPT_DYNAMIC Thu Aug 13 10:08:12 UTC 2026 x86_64
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srv
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data
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web
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vhosts
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716cf56cb2.url-de-test.ws
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htdocs_backup
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htdocs
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etoile91
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modules
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/srv/data/web/vhosts/716cf56cb2.url-de-test.ws/htdocs_backup/htdocs/etoile91/modules/pre-devis.php
<?php include "functions/devis-ligne.php"; ?> <?=form_open($routes['home']) ?> <div class="row"> <div class="col-sm-3"> <div class="form-group has-feedback <?=$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 ".(($data['lastname']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?> </div> </div> <div class="col-sm-3"> <div class="form-group has-feedback <?=$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 ".(($data['email']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?> </div> </div> <div class="col-sm-2"> <div class="form-group has-feedback <?=$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 ".(($data['phone']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?> </div> </div> <div class="col-sm-2"> <div class="form-group has-feedback <?=$data['date1']['status']?>"> <label for="date1">Date de l'évènement</label> <div class="bootstrap-datepicker"> <input type="text" class="form-control " id="date1" name="date1" data-date-format="dd-mm-yyyy" value="<?=$data['date1']['value']?>" > </div> </div> </div> <div class="col-sm-2"> <div class="form-group has-feedback <?=$data['input1']['status']?>"> <label for="input1">Nombre de personnes</label> <input type="text" class="form-control " id="input1" name="input1" value="<?=$data['input1']['value']?>" > <?php if($form_is_submitted)echo"<span class='fa ".(($data['input1']['status']=="has-success")?"fa-check":"fa-times" )." form-control-feedback'></span>" ?> </div> </div> </div> <div class="row"> <div class="col-sm-4 col-sm-offset-8 text-right"> <div class="checkbox" style="margin-top: 0;"> <?= '<label><input type="checkbox" name="checkbox1" '.(($data['checkbox1']['value'])?'checked':'').'>'.$data['checkbox1']['label']. '</label>' ?> </div> </div> </div> <div class="row"> <div class="col-xs-12"> <button type='submit' name="devis" class='btn btn-primary'>Envoyer</button> </div> </div> <?=form_close()?>