<div class="modaLoader"></div>
<div class="row">
    <div class="col-md-12">
        <div class="form-group">
            <label>nom :</label>
            <input type="text" class="form-control" name="nom" placeholder="nom">
        </div>
        <div class="form-group">
            <button class="btn btn-xs btn-default pull-right glyphicon glyphicon-edit btnEditTarif"></button>
            <label>tarif :</label>
            <div class="input-group"> 
                <input type="text" class="form-control" name="prix" placeholder="prix" ref="new" disabled>
                <span class="input-group-addon">unité :</span> 
                <select class="form-control" name="unite" disabled>
                    <option value="kg" selected>kg</option>
                    <option value="pièce">pièce</option>
                    <option value="botte">botte</option>
                </select>
                <span class="input-group-addon">date :</span>
                <input type="date" class="form-control" name="date" placeholder="date'" disabled>
            </div>
        </div>
    </div>
</div>