97 lines
3.2 KiB
PHTML
97 lines
3.2 KiB
PHTML
<form name="kbis" method="post" action="./?page=pieces&siret=<?=$siret?>">
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<input type="hidden" name="action" value="kbis"/>
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<div class="fieldgrp">
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<div class="field">
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<?php
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$disable = '';
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if(!$disponible){ $disable = 'disabled'; }
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?>
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<input class="noborder" type="radio" name="method" value="./?page=kbis&siret=<?=$siret?>" <?=$_REQUEST['method']=='T' ? 'checked' : ''?> <?=$disable?>/>
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Visualiser/Télécharger le kbis
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<?php if(!$disponible){ ?>
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(Il n'est pas possible de télécharger les kbis dans ce département)
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<?php }?><br/>
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<input class="noborder" type="radio" name="method" value="M" <?=$_REQUEST['method']=='M' ? 'checked' : ''?>/>Recevoir le kbis par email<br/>
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<input class="noborder" type="radio" name="method" value="C" <?=$_REQUEST['method']=='C' ? 'checked' : ''?>/>Recevoir le kbis original par courrier<br/>
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<?php
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if(!$disponible)
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{
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?>
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<p><i>Les pièces demandées seront commandées par courrier auprès du greffe. Prévoir un délai de 2 à 3 semaines.</i></p>
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<?php
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}
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?>
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</div>
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</div>
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<div id="kbisM">
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<div class="fieldgrp">
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<label>E-mail</label>
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<div class="field">
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<input type="text" class="longfield" name="emailKbisM" value="<?php
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if ($_SESSION['tabInfo']['login']<>'testreunica' &&
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$_SESSION['tabInfo']['login']<>'reunicacsf')
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echo $_SESSION['tabInfo']['email'];
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?>">
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<span>Précisez votre e-mail pour recevoir le kbis.</span>
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</div>
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</div>
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<div class="fieldgrp">
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<label>Référence</label>
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<div class="field">
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<input type="text" class="longfield" name="ref" value="<?=$_REQUEST['ref']?>">
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<span>Votre référence.</span>
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</div>
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</div>
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<div class="fieldgrp">
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<label> </label>
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<div class="field"><input type="submit" class="button" name="kbis" value="Valider"></div>
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</div>
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</div>
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<div id="kbisC">
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<div class="fieldgrp">
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<label>Votre E-mail</label>
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<div class="field"><input class="longfield" type="text" name="emailKbisC" value="<?php
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if(isset($_REQUEST['emailKbisC']) && !empty($_REQUEST['emailKbisC']) ){
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echo $_REQUEST['emailKbisC'];
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}elseif ($_SESSION['tabInfo']['login']<>'testreunica' &&
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$_SESSION['tabInfo']['login']<>'reunicacsf'){
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echo $_SESSION['tabInfo']['email']; }
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?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Societe</label>
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<div class="field"><input class="longfield" type="text" name="societe" value="<?=$_REQUEST['societe']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Nom</label>
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<div class="field"><input class="longfield" type="text" name="nom" value="<?=$_REQUEST['nom']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Prenom</label>
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<div class="field"><input class="longfield" type="text" name="prenom" value="<?=$_REQUEST['prenom']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Adresse</label>
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<div class="field"><input class="longfield" type="text" name="adresse" value="<?=$_REQUEST['adresse']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Code Postal</label>
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<div class="field"><input class="longfield" type="text" name="cp" value="<?=$_REQUEST['cp']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label>Votre Ville</label>
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<div class="field"><input class="longfield" type="text" name="ville" value="<?=$_REQUEST['ville']?>"/></div>
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</div>
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<div class="fieldgrp">
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<label> </label>
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<div class="field"><input type="submit" class="button" name="kbis" value="Valider"></div>
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</div>
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</div>
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</form>
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