bebeboutik/modules/contactform/provider.tpl

<h1>{l s='Contact provider form' mod='contactform'}</h1>

<ul class="idTabs">
  <li><a href="/modules/contactform/provider.php" class="selected">{l s='Provider' mod='invite'}</a></li>
  <li><a href="/modules/contactform/press.php" >{l s='Press' mod='invite'}</a></li>
</ul>
<div class="sheets" style="padding: 20px 20px;">
  <div id="idTab1">
    <form action="/modules/contactform/provider.php" method="post">

      <label for="brand">{l s='brand' mod='contactform'}*</label>
      <input type="text" name="brand" id="brand">

      <label for="compagny">{l s='compagny' mod='contactform'}*</label>
      <input type="text" name="compagny" id="compagny">

      <label for="lastname">{l s='lastname' mod='contactform'}*</label>
      <input type="text" name="lastname" id="lastname">

      <label for="firstname">{l s='firstname' mod='contactform'}*</label>
      <input type="text" name="firstname" id="firstname">

      <label for="function">{l s='function' mod='contactform'}*</label>
      <input type="text" name="function" id="function">

      <label for="email1">{l s='email' mod='contactform'}*</label>
      <input type="text" name="email1" id="email1">

      <label for="email2">{l s='email_other' mod='contactform'}</label>
      <input type="text" name="email2" id="email2">

      <label for="phone1">{l s='phone' mod='contactform'}*</label>
      <input type="text" name="phone1" id="phone1">

      <label for="phone2">{l s='phone_other' mod='contactform'}</label>
      <input type="text" name="phone2" id="phone2">

      <label for="purpose">{l s='purpose' mod='contactform'}*</label>
      <input type="text" name="purpose" id="purpose">

      <label for="content">{l s='content' mod='contactform'}*</label>
      <textarea name="content" id="content"></textarea>

      <input type="hidden" name="type" value="{Contactform::TYPE_PROVIDER}">

      <button type="submit">{l s='send' mod='contactform'}</button>
    </form>
  </div>
</div>