21 lines
777 B
Smarty
21 lines
777 B
Smarty
<div class="modaLoader"></div>
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<div class="row">
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<div class="col-md-12">
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<div class="form-group">
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<label>nom :</label>
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<input type="text" class="form-control" name="nom" placeholder="nom">
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</div>
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<div class="form-group">
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<label>prenom :</label>
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<input type="text" class="form-control" name="prenom" placeholder="prenom">
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</div>
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<div class="form-group">
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<label>téléphone :</label>
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<input type="tel" class="form-control" name="tel" placeholder="téléphone">
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</div>
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<div class="form-group">
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<label>email :</label>
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<input type="email" class="form-control" name="email" placeholder="email">
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</div>
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</div>
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</div> |