-
Notifications
You must be signed in to change notification settings - Fork 0
/
contact.html
51 lines (50 loc) · 1.29 KB
/
contact.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<script type="text/javascript" src="contact.js"></script>
</head>
<body>
<h1 ALIGN=“CENTER”>Contact</h1>
<br>
Informations génerales:
<br>
<form>
Nom:
<br>
<input type="text" id="nom" Name="Nom" size="30" maxlength="40" required>
<br><br>
Prenom:
<br>
<input type="text" id="prenom" Name="Prenom" size="30" maxlength="40" required>
<br><br>
Civilité:
<br>
<input type="radio" id="mr" name="boutonradio" value="mr" required>Mr <br>
<input type="radio" id="mme" name="boutonradio" value="mme">Mme <br>
<input type="radio" id="mlle" name="boutonradio" value="mlle">Mlle <br>
<input type="radio" id="autre" name="boutonradio" value="autre">Autre <br>
<br><br>
E-mail:
<input type="email" id="email" name="email" pattern="^[a-zA-Z0-9.!#$%&’*+/=?^_`{|}~-]+@+[a-zA-Z0-9-]+.fr" required>
<br><br>
Telephone:
<input type="number" id="tel" name="usrtel" pattern=".{10,14}"
placeholder="(+216) 55555555" required >
<br><br>
Date d'arrivée :
<input type="datetime-local"
id="datearr" name="datearr" required>
Date de sortie :
<input type="datetime-local"
id="datesor" name="datesor" required>
<br>
<br>
Message:
<br>
<textarea id="message" name="avis" rows="3" cols="25" required></textarea>
<br><br>
<button type="submit" >Envoyer</button>
</form>
</body>
</html>