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- <form id="contactForm" class="contact-form-recaptcha-v3" action="php/contact_us.php" method="POST">
- <div class="contact-form-success alert alert-success d-none mt-4" id="contactSuccess">
- <strong>Message enovoyé avec succès!</strong>
- </div>
- <div class="contact-form-error alert alert-danger d-none mt-4" id="contactError">
- <strong>Une erreur est survenue!</strong>
- <span class="mail-error-message text-1 d-block" id="mailErrorMessage"></span>
- </div>
- <div class="form-row">
- <div class="form-group col-lg-6">
- <label class="required font-weight-bold text-dark text-2">Nom - Prénom</label>
- <input type="text" value="" data-msg-required="Entrez votre nom et prénom." maxlength="100" class="form-control" name="name" id="name" required>
- </div>
- <div class="form-group col-lg-6">
- <label class="required font-weight-bold text-dark text-2">Ville de résidence</label>
- <input type="text" value="" data-msg-required="Entrez votre nom et prénom." maxlength="100" class="form-control" name="city" id="city" required>
- </div>
- <div class="form-group col-lg-6">
- <label class="required font-weight-bold text-dark text-2">Email</label>
- <input type="email" value="" data-msg-required="Please enter your email address." data-msg-email="Please enter a valid email address." maxlength="100" class="form-control" name="email" id="email" required>
- </div>
- <div class="form-group col-lg-6">
- <label class="required font-weight-bold text-dark text-2">Numéro de téléphone</label>
- <input type="text" value="" data-msg-required="Entrez votre numéro de téléphone" maxlength="100" class="form-control" name="phonenumber" id="phonenumber" required>
- </div>
- </div>
- <div class="form-row">
- <div class="form-group col">
- <label class="required font-weight-bold text-dark text-2">Décrire rapidement votre projet</label>
- <textarea maxlength="5000" data-msg-required="Entrez une description de votre projet" rows="5" class="form-control" name="message" id="message" required></textarea>
- </div>
- </div>
- <div class="form-check">
- <input type="checkbox" class="form-check-input" id="exampleCheck1" required data-validation-required-message="Vous devez accepter la politique de configentialité">
- <label class="form-check-label" for="exampleCheck1">EN COCHANT CETTE CASE, J'ACCEPTE <a href="rgpd.html" target="_blank">LA POLITIQUE DE CONFIDENTIALITÉ DE CE SITE</a>.</label>
- </div>
- <div class="form-row">
- <div class="form-group col">
- <input type="submit" value="Envoyer" class="btn btn-primary btn-modern" data-loading-text="Loading...">
- </div>
- </div>
- </form>
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