Current File : /home/karenpetzb/application/modules/default/views/scripts/produits/ajaxdownloaddocument.phtml

<?php header('Content-Type: text/html; charset=ISO-8859-15'); ?>
 
<?php if (!$this->isSuccess) { ?>

<?php
	$product = $this->detailProduct;
    if (isset($product) && !empty($product)) { 
?>	

    <form id="dialog-form-doc" enctype="multipart/form-data"  class="white-popup-block mfp-hide form-horizontal" action="<?php echo $this->baseUrl.'/produits/ajaxdownloaddocument'; ?>" method="post">
	    <script type="text/javascript">
            $(function() {
                initDetailProductDialogSendDoc();
            });
        </script>
        <span class="indexBox4_title2">Fiche technique � t�l�charger</span>
	    <fieldset style="border:0;">
		    <p>Pour recevoir par mail notre fiche technique, veuillez renseigner le formulaire ci-dessous.</p>
		     
			    <div class="form-group">
				    <label for="civility_doc" class="col-sm-2 control-label">Civilit�</label>
                    <div class="col-sm-10">
                        <label class="radio-inline">
                          <input type="radio" name="civility_doc" value="M." checked="checked"> M.
                        </label>
                        <label class="radio-inline">
                          <input type="radio" name="civility_doc" value="Mme"> Mme
                        </label>
                        <label class="radio-inline">
                          <input type="radio" name="civility_doc" value="Mlle"> Mlle
                        </label>
			        </div>
			    </div>
			     <div class="form-group">
				    <label for="name_doc" class="col-sm-2 control-label">Nom</label>
                     <div class="col-sm-10">
				        <input id="name_doc" name="name_doc" type="text" placeholder="Nom" class="form-control" required="">
			        </div>
			    </div>
			     <div class="form-group">
				    <label for="firstname_doc" class="col-sm-2 control-label">Pr�nom</label>
                     <div class="col-sm-10">
				        <input id="firstname_doc" name="firstname_doc" type="text" placeholder="Pr�nom" class="form-control" required="">
			        </div>
			    </div>
			     <div class="form-group">
				    <label for="email_doc" class="col-sm-2 control-label">Email</label>
                     <div class="col-sm-10">
				        <input id="email_doc" name="email_doc" type="email" placeholder="exemple@domaine.com" class="form-control" required="">
			        </div>
			    </div>
			    <div class="form-group">
                    <div class="col-sm-12 text-center">
                        <input type="submit" class="btn btn-default" value="Recevoir par mail" /> 
                        <input type="hidden" name="product_id_doc" value="<?php echo $product['ID']; ?>" /> 
                     </div> 
			    </div> 
	    </fieldset>
    </form>
<?php } else { ?>
<div class="white-popup-block-medium">
    <div class="text-center">
        <input type="button" class="btn btn-danger" value="Fermer" onclick="$.magnificPopup.close();" /> 
    </div> 
</div> 
<?php } 
} else { ?>
<div class="white-popup-block-medium">
    <div class="text-center">
        <?php echo $this->message ;?><br /><br />
    </div> 
    <div class="text-center">
        <input type="button" class="btn btn-danger" value="Fermer" onclick="$.magnificPopup.close();" /> 
    </div> 
</div> 
<?php }  ?>