templates/front_otacos/devenir-franchise-form.html.twig line 1

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  1. {% extends 'base.html.twig' %}
  3. {% block title %}{{'franchise.22'|trans}}{% endblock %}
  5. {% block body %}
  7.     <div class="formcontact-bg">
  9.         <div class="formcontact-chapo">
  10.             <div class="wrapper">
  11.                 <ul class="breadcrumb">
  12.                     <li><a href="{{path('home')}}">{{'accueil'|trans}}</a></li>
  13.                     <li>{{'devenirfranchiseform.1'|trans|raw}}</li>
  14.                 </ul>
  16.                 <h1 class="titreDualFont"><div>{{'devenirfranchiseform.1'|trans|raw}}</div></h1>
  18.                 <p class="chapo">{{'devenirfranchiseform.2'|trans|raw}}<br/><b>{{'devenirfranchiseform.3'|trans|raw}}</b></p>
  19.             </div>
  20.         </div>
  22.         <div class="wrapper formcontact" >
  23.             {% if contact is null %}
  24.                 {{ form_start(form) }}
  25.                     <div class="formcontact_fields">
  26.                         <label>{{'devenirfranchiseform.4'|trans|raw}}*</label>
  27.                         {{ form_widget(form.nom) }}
  28.                     </div>
  29.                     <div class="formcontact_fields">
  30.                         <label>{{'devenirfranchiseform.5'|trans|raw}}*</label>
  31.                         {{ form_widget(form.prenom) }}
  32.                     </div>
  33.                     <div class="formcontact_fields">
  34.                         <label>{{'devenirfranchiseform.6'|trans|raw}}*</label>
  35.                         {{ form_widget(form.email) }}
  36.                     </div>
  37.                     <div class="formcontact_fields">
  38.                         <label>{{'devenirfranchiseform.7'|trans|raw}}*</label>
  39.                         {{ form_widget(form.telephone) }}
  40.                     </div>
  41.                     <div class="formcontact_fields">
  42.                         <label>{{'devenirfranchiseform.8'|trans|raw}}</label>
  43.                         {{ form_widget(form.adresse) }}
  44.                     </div>
  45.                     <div class="formcontact_fields">
  46.                         <label>{{'devenirfranchiseform.9'|trans|raw}}</label>
  47.                         {{ form_widget(form.postal) }}
  48.                     </div>
  49.                     <div class="formcontact_fields">
  50.                         <label>{{'devenirfranchiseform.10'|trans|raw}}</label>
  51.                         {{ form_widget(form.ville) }}
  52.                     </div>
  53.                     <div class="formcontact_fields">
  54.                         <label>{{'devenirfranchiseform.12'|trans|raw}}</label>
  55.                         {{ form_widget(form.situation) }}
  56.                     </div>
  57.                     <div class="formcontact_fields">
  58.                         <label>{{'devenirfranchiseform.11'|trans|raw}}*</label>
  59.                         {{ form_widget(form.zone) }}
  60.                     </div>
  61.                     <div class="formcontact_fields">
  62.                         <label>{{'devenirfranchiseform.13'|trans|raw}}</label>
  63.                         {{ form_widget(form.apport) }}
  64.                     </div>
  66.                     {{ form_widget(form.optin) }}
  67.                     <p>{{'devenirfranchiseform.14'|trans|raw}}</p>
  68.                     <p>{{'devenirfranchiseform.15'|trans|raw}}</p>
  70.                     <div>{{ form_widget(form.save, {'label' : 'devenirfranchiseform.16'|trans}) }}</div>
  71.                 {{ form_end(form) }}
  72.             {% else %}
  73.                 <p>Merci. <br/><br/><br/>Votre message a bien été envoyé</p>        
  74.             {% endif %}
  75.             
  76.             
  77.         </div>
  78.     </div>
  82. {% endblock %}