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formulaire_contact_technique.html
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<!DOCTYPE html>
<html lang="fr">
<head>
<link rel="stylesheet" href="formulaire_style.css">
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<title>FormSvTechnique</title>
</head>
<body>
<form id="contact_form" name="contactform" method="post" action="send_form_email.php">
<p>Cher Hackers Poulette,</p>
<p>
<label for="you_are">je suis</label>
<select name="gender" id="your_gender" required class="form-control">
<option value="madame" selected="selected">madame</option>
<option value="monsieur">monsieur</option>
</select>
<input type="text" name="firstname" id="your_firstname" minlength="3" placeholder="(ton prénom)" required>
<input type="text" name="lastname" id="your_lastname" minlength="3" placeholder="(ton nom)" required> ,</p>
<p>
<label for="country">j'habite en/au</label>
<select name="country" id="your_country" required class="form-control">
<option value="" selected="selected">(choisis un pays dans la liste)</option>
<option value="AF">Afghanistan</option>
<option value="ZA">Afrique du Sud</option>
<option value="AL">Albanie</option>
<option value="DZ">Algérie</option>
<option value="DE">Allemagne</option>
<option value="AD">Andorre</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctique</option>
<option value="AG">Antigua-et-Barbuda</option>
<option value="SA">Arabie saoudite</option>
<option value="AR">Argentine</option>
<option value="AM">Arménie</option>
<option value="AW">Aruba</option>
<option value="AU">Australie</option>
<option value="AT">Autriche</option>
<option value="AZ">Azerbaïdjan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahreïn</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbade</option>
<option value="BE">Belgique</option>
<option value="BZ">Belize</option>
<option value="BJ">Bénin</option>
<option value="BM">Bermudes</option>
<option value="BT">Bhoutan</option>
<option value="BY">Biélorussie</option>
<option value="BO">Bolivie</option>
<option value="BA">Bosnie-Herzégovine</option>
<option value="BW">Botswana</option>
<option value="BR">Brésil</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgarie</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodge</option>
<option value="CM">Cameroun</option>
<option value="CA">Canada</option>
<option value="CV">Cap-Vert</option>
<option value="EA">Ceuta et Melilla</option>
<option value="CL">Chili</option>
<option value="CN">Chine</option>
<option value="CY">Chypre</option>
<option value="CO">Colombie</option>
<option value="KM">Comores</option>
<option value="CG">Congo-Brazzaville</option>
<option value="CD">Congo-Kinshasa</option>
<option value="KP">Corée du Nord</option>
<option value="KR">Corée du Sud</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d’Ivoire</option>
<option value="HR">Croatie</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="DK">Danemark</option>
<option value="DG">Diego Garcia</option>
<option value="DJ">Djibouti</option>
<option value="ES">Espagne</option>
<option value="EE">Estonie</option>
<option value="EZ">Eurozone</option>
<option value="DM">Dominique</option>
<option value="EG">Égypte</option>
<option value="SV">El Salvador</option>
<option value="AE">Émirats arabes unis</option>
<option value="EC">Équateur</option>
<option value="ER">Érythrée</option>
<option value="VA">État de la Cité du Vatican</option>
<option value="FM">États fédérés de Micronésie</option>
<option value="US">États-Unis</option>
<option value="ET">Éthiopie</option>
<option value="FJ">Fidji</option>
<option value="FI">Finlande</option>
<option value="FR">France</option>
<option value="GA">Gabon</option>
<option value="GM">Gambie</option>
<option value="GE">Géorgie</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Grèce</option>
<option value="GD">Grenade</option>
<option value="GL">Groenland</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernesey</option>
<option value="GN">Guinée</option>
<option value="GQ">Guinée équatoriale</option>
<option value="GW">Guinée-Bissau</option>
<option value="GY">Guyana</option>
<option value="GF">Guyane française</option>
<option value="HT">Haïti</option>
<option value="HN">Honduras</option>
<option value="HU">Hongrie</option>
<option value="CX">Île Christmas</option>
<option value="AC">Île de l’Ascension</option>
<option value="IM">Île de Man</option>
<option value="NF">Île Norfolk</option>
<option value="AX">Îles Åland</option>
<option value="KY">Îles Caïmans</option>
<option value="IC">Îles Canaries</option>
<option value="CC">Îles Cocos</option>
<option value="CK">Îles Cook</option>
<option value="FO">Îles Féroé</option>
<option value="GS">Îles Géorgie du Sud et Sandwich du Sud</option>
<option value="FK">Îles Malouines</option>
<option value="MP">Îles Mariannes du Nord</option>
<option value="MH">Îles Marshall</option>
<option value="UM">Îles mineures éloignées des États-Unis</option>
<option value="PN">Îles Pitcairn</option>
<option value="SB">Îles Salomon</option>
<option value="TC">Îles Turques-et-Caïques</option>
<option value="VG">Îles Vierges britanniques</option>
<option value="VI">Îles Vierges des États-Unis</option>
<option value="IN">Inde</option>
<option value="ID">Indonésie</option>
<option value="IQ">Irak</option>
<option value="IR">Iran</option>
<option value="IE">Irlande</option>
<option value="IS">Islande</option>
<option value="IL">Israël</option>
<option value="IT">Italie</option>
<option value="JM">Jamaïque</option>
<option value="JP">Japon</option>
<option value="JE">Jersey</option>
<option value="JO">Jordanie</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KG">Kirghizistan</option>
<option value="KI">Kiribati</option>
<option value="XK">Kosovo</option>
<option value="KW">Koweït</option>
<option value="RE">La Réunion</option>
<option value="LA">Laos</option>
<option value="LS">Lesotho</option>
<option value="LV">Lettonie</option>
<option value="LB">Liban</option>
<option value="LR">Libéria</option>
<option value="LY">Libye</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lituanie</option>
<option value="LU">Luxembourg</option>
<option value="MK">Macédoine</option>
<option value="MG">Madagascar</option>
<option value="MY">Malaisie</option>
<option value="MW">Malawi</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malte</option>
<option value="MA">Maroc</option>
<option value="MQ">Martinique</option>
<option value="MU">Maurice</option>
<option value="MR">Mauritanie</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexique</option>
<option value="MD">Moldavie</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolie</option>
<option value="ME">Monténégro</option>
<option value="MS">Montserrat</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar (Birmanie)</option>
<option value="NA">Namibie</option>
<option value="UN">Nations Unies</option>
<option value="NR">Nauru</option>
<option value="NP">Népal</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigéria</option>
<option value="NU">Niue</option>
<option value="NO">Norvège</option>
<option value="NC">Nouvelle-Calédonie</option>
<option value="NZ">Nouvelle-Zélande</option>
<option value="OM">Oman</option>
<option value="UG">Ouganda</option>
<option value="UZ">Ouzbékistan</option>
<option value="PK">Pakistan</option>
<option value="PW">Palaos</option>
<option value="PA">Panama</option>
<option value="PG">Papouasie-Nouvelle-Guinée</option>
<option value="PY">Paraguay</option>
<option value="NL">Pays-Bas</option>
<option value="BQ">Pays-Bas caribéens</option>
<option value="PE">Pérou</option>
<option value="PH">Philippines</option>
<option value="PL">Pologne</option>
<option value="PF">Polynésie française</option>
<option value="PR">Porto Rico</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="HK">R.A.S. chinoise de Hong Kong</option>
<option value="MO">R.A.S. chinoise de Macao</option>
<option value="CF">République centrafricaine</option>
<option value="DO">République dominicaine</option>
<option value="RO">Roumanie</option>
<option value="GB">Royaume-Uni</option>
<option value="RU">Russie</option>
<option value="RW">Rwanda</option>
<option value="EH">Sahara occidental</option>
<option value="BL">Saint-Barthélemy</option>
<option value="KN">Saint-Christophe-et-Niévès</option>
<option value="SM">Saint-Marin</option>
<option value="MF">Saint-Martin</option>
<option value="SX">Saint-Martin (partie néerlandaise)</option>
<option value="PM">Saint-Pierre-et-Miquelon</option>
<option value="VC">Saint-Vincent-et-les-Grenadines</option>
<option value="SH">Sainte-Hélène</option>
<option value="LC">Sainte-Lucie</option>
<option value="WS">Samoa</option>
<option value="AS">Samoa américaines</option>
<option value="ST">Sao Tomé-et-Principe</option>
<option value="SN">Sénégal</option>
<option value="RS">Serbie</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapour</option>
<option value="SK">Slovaquie</option>
<option value="SI">Slovénie</option>
<option value="SO">Somalie</option>
<option value="SD">Soudan</option>
<option value="SS">Soudan du Sud</option>
<option value="LK">Sri Lanka</option>
<option value="SE">Suède</option>
<option value="CH">Suisse</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard et Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SY">Syrie</option>
<option value="TJ">Tadjikistan</option>
<option value="TW">Taïwan</option>
<option value="TZ">Tanzanie</option>
<option value="TD">Tchad</option>
<option value="CZ">Tchéquie</option>
<option value="TF">Terres australes françaises</option>
<option value="IO">Territoire britannique de l’océan Indien</option>
<option value="PS">Territoires palestiniens</option>
<option value="TH">Thaïlande</option>
<option value="TL">Timor oriental</option>
<option value="TG">Togo</option>
<option value="TK">Tokélaou</option>
<option value="TO">Tonga</option>
<option value="TT">Trinité-et-Tobago</option>
<option value="TA">Tristan da Cunha</option>
<option value="TN">Tunisie</option>
<option value="TM">Turkménistan</option>
<option value="TR">Turquie</option>
<option value="TV">Tuvalu</option>
<option value="UA">Ukraine</option>
<option value="UY">Uruguay</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="WF">Wallis-et-Futuna</option>
<option value="YE">Yémen</option>
<option value="ZM">Zambie</option>
<option value="ZW">Zimbabwe</option>
</select>,</p>
<p>mon
<label for="your_email">adresse email</label> est
<input type="email" name="email" id="your_email" placeholder="(ton email)" required>,
</p>
<p>j'ai un
<label for="your_topic">soucis</label>
<input type="checkbox" id="topic_1" name="topic" value="materiel" />de matériel,
<input type="checkbox" id="topic_2" name="topic" value="montage" /> de montage,
<input type="checkbox" id="topic_3" name="topic" value="fonctionnement" /> de fonctionnement et
</p>
<p>
<p>je voudrais
<label for="your_message">t'en parler</label> plus en détail: </p>
<p>
<textarea name="message" id="your_message" placeholder="(ton message ici)" class="expanding" required></textarea>
</p>
<p>
<button type="submit">
<svg version="1.1" class="send-icn" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" width="100px" height="36px" viewBox="0 0 100 36" enable-background="new 0 0 100 36" xml:space="preserve">
<path d="M100,0L100,0 M23.8,7.1L100,0L40.9,36l-4.7-7.5L22,34.8l-4-11L0,30.5L16.4,8.7l5.4,15L23,7L23.8,7.1z M16.8,20.4l-1.5-4.3
l-5.1,6.7L16.8,20.4z M34.4,25.4l-8.1-13.1L25,29.6L34.4,25.4z M35.2,13.2l8.1,13.1L70,9.9L35.2,13.2z" />
</svg>
<small>Envoi</small>
</button>
</p>
<p>
<img id="logo" src="images/hackers-poulette-logo.png" alt="Logo de Hackers Poulette ™" />
</p>
</form>
<small class='website'>Cette page répond aux normes d'accessibilité <a href='http://www.w3.org' target='_blank'><abbr title="World Wide Web Consortium">W3C</abbr></a></small>
</body>
</html>