test-form

by toubia95

HTML

<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css">

<!DOCTYPE html>
<html lang="fr" class="h-100">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
        <title>Générateur d'URL</title>
    <meta name="csrf-param" content="_csrf">

<body class="d-flex flex-column h-100">

<main role="main" class="flex-shrink-0">
    <div class="container">
        <div class="row">
            <div class="col-lg-12">
                                                <div class="site-index">

    <div class="body-content">

        <div class="col-lg-12">
            <div class="row">
                <h1>GÉNÉRATEUR D'URL FRANTEXT / FRANTEXT URL GENERATOR</h1>
            </div>

            <form id="institutionnel-form" action="/institutionnels" method="post" data-pjax>
<input type="hidden" name="_csrf" value="0jbqoIg-6fnQIyFhr2xjfb_vWMCQnkfPPvtWiD-mBgy_BtvV21eEoJtEFFb6AhEZ3aVp89enFvoKjDPpWdJXTg==">            

            <div class="panel panel-default">
                <div class="panel-heading">
                    <div class="d-flex flex-row">
                        <div class="pl-2 flex-fill">
                            <h2>Informations sur l'organisme d'abonnement</h2>
                        </div>
                    </div>
                </div>
                <div class="panel-body">
                    <div class="row">
                        <div class="col-lg-12">
                            <div class="form-group field-correspondanttechnique-mail required">
<label class="control-label" for="correspondanttechnique-mail">E-mail *</label>
<input type="text" id="correspondanttechnique-mail" class="form-control" name="CorrespondantTechnique[mail]" title="E-mail du correspondant technique ou de l&#039;organisme d&#039;abonnement" placeholder="Adresse qui recevra les mails de confirmation automatiques pour les organismes d&#039;abonnement"...