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