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| <?xml version="1.0" encoding="utf-8"?> | |||||
| <odoo> | |||||
| <template id="opendon.makedonation" name="make donation form"> | |||||
| <html lang="en"> | |||||
| <head> | |||||
| <meta charset="utf-8" /> | |||||
| <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> | |||||
| <title> | |||||
| Make donation | |||||
| </title> | |||||
| <body> | |||||
| <div class="container-fluid"> | |||||
| <div class="row-fluid"> | |||||
| <h2>Faire un don en ligne</h2> | |||||
| <p> * Champs obligatoires</p> | |||||
| <form method="post" action="connexion-contact?middlepage" id="addForm"> | |||||
| <input type="hidden" name="type" value="don"> | |||||
| <ul id="left"> <li>Civilité<br></br> | |||||
| <select name="civ" form="addForm"> <option value="Monsieur">Monsieur</option> <option value="Madame">Madame</option> <option value="Mademoiselle">Mademoiselle</option> </select> </li> | |||||
| <li>*Prénom<br><input required="" onchange="inputCheck()" id="prenom" type="text" placeholder="Prenom" name="prenom"></li> | |||||
| <li>*Nom<br><input required="" onchange="inputCheck()" id="nom" type="text" placeholder="Nom" name="nom"></li> | |||||
| <li>*Adresse 1<br><input required="" type="text" placeholder="Adresse 1" name="adr1"></li> | |||||
| <li>Adresse 2<br><input type="text" placeholder="Adresse 2" name="adr2"></li> | |||||
| <li>*Ville<br><input required="" type="text" placeholder="Ville" name="ville"></li> | |||||
| <li>Pays<br><input onchange="inputCheck()" id="pays" type="text" placeholder="Pays" name="pays"></li> | |||||
| <li>*Code postal<br><input required="" onchange="inputCheck()" id="zip" type="text" placeholder="Code postal" name="zip"></li> | |||||
| <li>Telephone<br><input type="text" placeholder="Telephone" name="tel"></li> | |||||
| <li>*Email<br><input required="" onchange="inputCheck()" id="mail" type="text" placeholder="email@mail.fr" name="mail"></li> | |||||
| <li>Montant du don<br><input required="" type="float" id="donation_amount" name="montant" value="10"> € <input type="hidden" name="type" value="don"> </li> | |||||
| <li>Destination du don<br> <select name="dest" form="addForm"> <option value="KO" selected="true" disabled="disabled">Selection</option> | |||||
| <option value="Selon besoins du centre">Selon besoins du centre</option> | |||||
| <option value="Soutien Lamas">Soutien Lamas</option> | |||||
| <option value="Aider Sangha ordonnée">Aider Sangha ordonnée</option> | |||||
| <option value="Travaux centre de retraite">Travaux centre de retraite</option> | |||||
| <option value="Rituels et prières">Rituels et prières</option> | |||||
| <option value="Activités en ligne">Activités en ligne</option> | |||||
| <option value="Autre">Autre</option> </select> </li> | |||||
| <li><input type="submit" class="btn" value="Faire un don et payer par carte bancaire" style="width:300px;margin-left:0;"></li> | |||||
| </ul> | |||||
| </form> | |||||
| </div> | |||||
| </div> | |||||
| </body> | |||||
| </html> | |||||
| </template> | |||||
| </odoo> | |||||