52 lines
1007 B
PHTML
52 lines
1007 B
PHTML
<div class="fieldgrp">
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<label>Pays</label>
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<div class="field">
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<select>
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<option>-</option>
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<?php foreach($this->countries as $code => $lib) {?>
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<option value="<?=$code?>"><?=$lib?></option>
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<?php }?>
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</select>
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</div>
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</div>
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<div class="fieldgrp">
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<label>Identifiant local</label>
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<div class="field">
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<input type="text"/> <select></select> <a href="#">[+]</a>
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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"/>
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<input type="text" name="adresse_btq" size="1"/>
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<input type="text" name="adresse_codvoie" size="4"/>
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<input type="text" name="adresse_libvoie" size="32"/>
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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"/>
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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"/>
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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"/>
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</div>
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</div>
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