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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www.chauffagiste-essonne.com
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/srv/data/web/vhosts/www.chauffagiste-essonne.com/htdocs/pages/contact.php
<?php //start_block('title','keywords','description') start_block('','',''); ?> <div id="wrap-section"> <section class="container"> <article class="col-xs-9"> <span class="border"></span> <h1><b>Contact</b></h1> <?php include("contact-top.php"); ?> <div class="row"> <div class="col-sm-8 col-sm-offset-2"> <form action="https://formspree.io/f/xvgrkrwr" method="post"> <div class="form-group"> <label for="prenom">Prénom *</label> <input type="text" name="prenom" id="prenom" class="form-control" placeholder="Prénom" autofocus required> </div> <div class="form-group"> <label for="nom">NOM *</label> <input type="text" name="nom" id="nom" class="form-control" placeholder="NOM" required> </div> <div class="form-group"> <label for="email">E-mail *</label> <input type="email" name="email" id="email" class="form-control" placeholder="text@exemple.fr" required> </div> <div class="form-group"> <label for="telephone">Téléphone *</label> <input type="tel" name="telephone" id="telephone" class="form-control" placeholder="06 00 00 00 00" required> </div> <div class="form-group"> <label for="objet">Objet</label> <select name="objet" id="objet" class="form-control"> <option value="Demande d'information générale">Demande d'information générale</option> <option value="Demande d'information tarifaire">Demande d'information tarifaire</option> <option value="Proposition commerciale">Proposition commerciale</option> <option value="Recrutement">Recrutement</option> <option value="Autre">Autre</option> </select> </div> <div class="form-group"> <label for="message">Message *</label> <textarea name="message" id="message" class="form-control" rows="6" required></textarea> </div> <br> <div class="text-center"> <button type="reset" class="btn btn-default">Annuler</button> <button type="submit" class="btn btn-success">Envoyer</button> </div> </form> </div> </div> </article> <?php include "modules/aside.php"; ?> </section> </div> <?php end_block(); ?>