2011-11-21 10:53:24 +00:00
|
|
|
<style>
|
|
|
|
|
form { }
|
|
|
|
|
form em { color:#FF0000;}
|
|
|
|
|
fieldset {border:0; margin:0; padding:0;}
|
|
|
|
|
fieldset legend{ padding:0 0 0 10px;}
|
|
|
|
|
.fieldgrp{clear:both; width:100%; margin-bottom:.5em; overflow:hidden;}
|
|
|
|
|
.fieldgrp:after{content:"."; display:block; clear:both; visibility:hidden; line-height:0; height:0; }
|
|
|
|
|
.fieldgrp label{font-weight:bold; width:200px; clear:both; padding:0 10px 0 0;line-height:22px;_padding-top:3px; float:left; display:block; font-size:108%;}
|
|
|
|
|
.fieldgrp label span{font-weight:normal;}
|
|
|
|
|
.fieldgrp label abbr{color:#4B911C; font-size:120%; vertical-align:middle;}
|
|
|
|
|
.field {float:left; padding:0 10px 0 0;line-height:22px;_padding-top:3px;}
|
|
|
|
|
.field .longfield{width:215px;}
|
|
|
|
|
.field .longfield-select{width:220px;}
|
|
|
|
|
.field .smallfield{width:95px;}
|
|
|
|
|
.field .medfield{width:110px;}
|
|
|
|
|
.field input, .field select{ font-size:110%; margin:2px 0; }
|
|
|
|
|
.field input[type="radio"] { margin:0 5px 0 5px; }
|
|
|
|
|
div.submit{ margin-left:200px; padding-left:0px; margin-top:1em; }
|
|
|
|
|
div.submit p.submit-button{margin-top:0;}
|
|
|
|
|
div.submit p.details{font-size:85%;color:#666;margin:0;}
|
|
|
|
|
div.submit p.required-note{margin-top:1em;}
|
|
|
|
|
div.submit p.required-note span{color:#4B911C;_color:#666;font-size:170%;vertical-align:top;}
|
|
|
|
|
input.submit {border:none;}
|
|
|
|
|
</style>
|
2011-10-18 08:21:26 +00:00
|
|
|
|
|
|
|
|
<div id="survForm">
|
|
|
|
|
|
|
|
|
|
<form id="frmSurv" name="frmSurv" action="#" method="post">
|
|
|
|
|
|
|
|
|
|
<div class="fieldgrp">
|
|
|
|
|
<label class="StyleInfoLib">Votre référence</label>
|
|
|
|
|
<div class="field">
|
|
|
|
|
<input class="longfield" name="ref" type="text" value="" size="10"/></div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div class="fieldgrp">
|
|
|
|
|
<label class="StyleInfoLib">Votre encours (€)</label>
|
|
|
|
|
<div class="field">
|
|
|
|
|
<input class="longfield" name="encours" type="text" value="" size="10"/></div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
<div class="fieldgrp">
|
|
|
|
|
<label class="StyleInfoLib">Adresse email du destinataire</label>
|
|
|
|
|
<div class="field">
|
|
|
|
|
<input class="longfield" name="email" type="text" value="<?=$this->email?>" size="20"/>
|
|
|
|
|
</div>
|
|
|
|
|
</div>
|
|
|
|
|
|
|
|
|
|
</form>
|
|
|
|
|
|
|
|
|
|
</div>
|
