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{include file="header.tpl"}
{include file="top.tpl"}
{if $outter_1 =='1'}
<div class="outter"></div>
{/if}
<!-- Slideshow Full -->
{if $slideshows_on == '1' && $slide > '0'}
{if $picture_type != '0'}
{include file="Slideshow_full.tpl"}
{/if}
{/if}
<!-- /Slideshow Full -->
<div class="container">
<div class="col-sm-12">
<div class="wow fadeInDown">
{include file="options.tpl"}
<!-- Page -->
{foreach $list as $page}
{nocache}
<div class="header_content">
<h1 class="content-title">{$page.name}</h1>
</div>
<!-- content Haut -->
<div class="content">{$page.content}</div>
</div>
</div>
</div><!-- container -->
{/nocache}
{/foreach}
<section id="Milieu" >
<div class="container">
<div class="col-xs-12 col-md-12 ">
<div class="wow fadeInDown">
<p> </p>
<p> </p>
<div class="filet3" style="background:#fff; opacity: 1;">
<h2><i class="fa fa-envelope-o"></i> {$inscription}</h2>
<p> </p>
<center>
<form class="form-horizontal" id="contact-form" name="contact-form" method="post" enctype="multipart/form-data" action="rappel/submit_5.php">
<input type="hidden" name="from" value="contact">
<br />
<label class="control-label" style="margin-bottom: 10px; font-weight: normal;text-align: left;width: 100%;background: #eee; padding: 5px 0 7px 20px; border: 1px #ccc solid" for="cc">1- {$form_coordonnees}</label> <br />
<br />
{if !empty($er_nom)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_nom}
</div>
{/if} <div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="nom">{$form_2_nom} * : </label>
<div class="col-sm-10">
<input class="form-control" required type="text" name="nom" id="nom" value="{$rnom}" />
</div>
</div>
{if !empty($er_nom2)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_nom2}
</div>
{/if} <div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="nom2">{$form_1_prenom} * : </label>
<div class="col-sm-10">
<input class="form-control" required type="text" name="nom2" id="nom2" value="{$rnom2}" />
</div>
</div>
{if !empty($er_email)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_email}
</div>
{/if}
{if $mail_erreur>10}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$erreur_email}
</div>
{/if}
<div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="email">{$form_3_mail} * : </label>
<div class="col-sm-10">
<input class="form-control" required type="email" name="email" id="email" value="{$remail}" />
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="telephone"><i>{$form_4_tel}</i> : </label>
<div class="col-sm-10">
<input class="form-control" type="telephone" name="telephone" id="telephone" value="{$rtelephone}" />
</div>
</div>
<br />
<div class="form-group">
<label class="control-label" style="margin-bottom: 35px; font-weight: normal;text-align: left;width: 100%;background: #eee; padding: 5px 0 7px 20px; border: 1px #ccc solid" for="pass">2- {$text_pass}</label> <br />
<div style="padding: 0;">
{if !empty($er_captcha)}
<div class="alert alert-info" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_captcha2}
</div>
{/if}
{if !empty($er_compare)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_compare}
</div>
{/if}
{if !empty($er_pass)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_pass}
</div>
{/if}
<div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="nom">{$pass} * : </label>
<div class="col-sm-10">
<input class="form-control" style="width:200px; float:left; margin-left:50px" required type="text" name="pass" id="nom" value="" />
</div>
</div>
{if !empty($er_confpass)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_confpass}
</div>
{/if}
<div class="form-group">
<label class="col-sm-2 control-label" style="font-weight: normal;" for="nom">{$confpass} * : </label>
<div class="col-sm-10">
<input class="form-control" style="width:200px; float:left; margin-left:50px" required type="text" name="confpass" id="nom" value="" />
</div>
</div>
</div>
</div>
<br />
<label class="control-label" style="margin-bottom: 35px; font-weight: normal;text-align: left;width: 100%;background: #eee; padding: 5px 0 7px 20px; border: 1px #ccc solid" for="piecejointe">3- Captcha (<i>obligatoire</i>)</label> <br />
{if !empty($er_captcha)}
<div class="alert alert-danger" style="text-align:left"><i class="fa fa-info-circle"></i>
{$er_captcha}
</div>
{/if}
{$captchaTXT} : <div class="captcha"> <code>{$captcha}</code></div>
<input class="form-control" style="width:120px" required type="text" name="captcha" id="captcha" />
<br />
<div class="form-group">
<input class="btn btn-primary" type="submit" name="envoi_message" id="envoi_message" value="{$inscription}" />
</div>
<br />
<br />
</form>
</center>
</div>
<p> </p>
</div>
</div>
</div><!-- container -->
</section><!--/#Milieu-->
</div><!-- fadeInDown -->
</div><!-- class="col-sm-12" -->
</div><!-- container -->
{include file="bottom.tpl"}
{include file="footer.tpl"}