39 lines
1.1 KiB
PHTML
39 lines
1.1 KiB
PHTML
<div class="fieldgrp">
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<label>Raison sociale</label>
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<div class="field">
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<input type="text" name="nom" value="<?=$this->nom?>"/>
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</div>
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</div>
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<div class="fieldgrp">
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<label>Adresse</label>
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<div class="field">
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<input type="text" name="adresse_num" size="4" value="<?=$this->adresse_num?>"/>
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<input type="text" name="adresse_btq" size="1" value="<?=$this->adresse_btq?>"/>
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<input type="text" name="adresse_codvoie" size="4" value="<?=$this->adresse_codvoie?>"/>
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<input type="text" name="adresse_libvoie" size="32" value="<?=$this->adresse_libvoie?>"/>
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</div>
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</div>
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<div class="fieldgrp">
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<label>Adresse complément</label>
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<div class="field">
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<input type="text" name="adresse_comp" size="40" value="<?=$this->adresse_comp?>"/>
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</div>
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</div>
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<div class="fieldgrp">
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<label>CP</label>
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<div class="field">
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<input type="text" name="adresse_cp" value="<?=$this->adresse_cp?>"/>
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</div>
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</div>
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<div class="fieldgrp">
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<label>Ville</label>
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<div class="field">
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<input type="text" name="adresse_ville" value="<?=$this->adresse_ville?>"/>
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</div>
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</div>
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<input type="hidden" name="adresse_pays" value="FRA" />
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