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form.html
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<!DOCTYPE html>
<html lang="fr">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Plainte</title>
<link href="vendor/css/bootstrap.min.css" rel="stylesheet">
</head>
<body>
<div class="container-fluid">
<div class="row">
<div class="col-xs-9 col-xs-offset-3">
<h1>Déposer une plainte</h1>
</div>
</div>
<div class="row">
<div class="col-xs-12">
<form class="form-horizontal" role="form">
<div class="form-group">
<label class="control-label col-xs-3" for="form-nom">Nom :</label>
<div class="col-xs-4">
<input type="text" class="form-control input-sm" id="form-nom">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3" for="form-prenom">Prénom :</label>
<div class="col-xs-4">
<input type="text" class="form-control input-sm" id="form-prenom">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3" for="form-courriel">Courriel :</label>
<div class="col-xs-4">
<input type="email" class="form-control input-sm" id="form-courriel" placeholder="example@siteweb.com">
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3" for="form-sujet">Sujet de la plainte :</label>
<div class="col-xs-4">
<select class="form-control" id="form-sujet">
<option>Produit manquant</option>
<option>Mauvais service</option>
<option>Produit brisé</option>
</select>
</div>
</div>
<div class="form-group">
<label class="control-label col-xs-3" for="form-details">Détails :</label>
<div class="col-xs-6">
<textarea class="form-control" id="form-details" rows="5"></textarea>
</div>
</div>
<div class="form-group">
<div class="col-xs-4 col-xs-offset-3">
<p class="form-control-static">Vous recevrez une réponse d'ici 5 jours ouvrables.</p>
</div>
</div>
<div class="form-group">
<div class="col-xs-4 col-xs-offset-3">
<button type="submit" class="btn btn-success">Soumettre</button>
</div>
</div>
</form>
</div>
</div>
</div>
<script src="vendor/js/jquery-1.11.0.min.js"></script>
<script src="vendor/js/bootstrap.min.js"></script>
</body>
</html>