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Updated Contribuez ! (markdown) authored by Guillaume's avatar Guillaume
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# Proposer des améliorations
# Autres contributions
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# Autres contributions
<form action="http://guillaume-rouan.net/contact_bzh_fablab.php" method="post" style="background-color:#EAEAEA;border-radius:5px;padding:12px;">
<fieldset style="border:5px solid #333">
<legend style="font-weight:bold;color:#FFF;background-color:#333;padding:2px 10px;">QUI SUIS-JE</legend>
<label for="CONTACT-name">Nom / Prénom : </label> <input id="CONTACT-name" type="text" name="contact_nom" /><br />
<label for="CONTACT-mail">E-mail : </label> <input id="CONTACT-mail" type="text" name="contact_mail" /><br />
<label for="CONTACT-statut">Statut : </label> <input id="CONTACT-statut" type="text" name="contact_statut" /><br />
<label for="CONTACT-message">Message : </label><br />
<textarea id="ECONTACT-message" name="contact_message" row="3" cols=""></textarea>
</fieldset>
<fieldset style="border:5px solid #333;margin-top:20px;">
<legend style="font-weight:bold;color:#FFF;background-color:#333;padding:2px 10px;">CE QUE JE PROPOSE D'AJOUTER À LA CARTE</legend>
<fieldset style="border-color:#FFF;">
<legend style="font-weight:bold;color:#FFF;padding:2px 10px;">STRUCTURE / SERVICE / PROJET</legend>
<label for="ETB-name">Nom : </label> <input id="ETB-name" type="text" name="_nom" /><br />
<label for="ETB-orga">Organisme : </label> <input id="ETB-orga" type="text" name="_organisme" /><br />
<label for="ETB-type">Type : </label><br />
<input type="radio" name="_type" id="radio1" value="Cantine numérique" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_cantine.png" style="width:25px;height:25px;" /> <label for="radio1">Cantine numérique ou espace de coworking</label><br />
<input type="radio" name="_type" id="radio3" value="FabLab MIT" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_fablabMIT.png" style="width:25px;height:25px;" /> <label for="radio3">FabLab labellisé MIT</label><br />
<input type="radio" name="_type" id="radio4" value="FabLab" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_fablab.png" style="width:25px;height:25px;" /> <label for="radio4">Atelier de fabrication</label><br />
<input type="radio" name="_type" id="radio5" value="Formation / Recherche" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_formation.png" style="width:25px;height:25px;" /> <label for="radio5">Formation / Recherche</label><br />
<input type="radio" name="_type" id="radio6" value="FrenchTech" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_frenchtech.png" style="width:25px;height:25px;" /> <label for="radio6">FrenchTech</label><br />
<input type="radio" name="_type" id="radio7" value="Hackerspace" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_hakerspace.png" style="width:25px;height:25px;" /> <label for="radio7">Hackerspace</label><br />
<input type="radio" name="_type" id="radio8" value="Makerspace" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_makerspace.png" style="width:25px;height:25px;" /> <label for="radio8">Makerspace</label><br />
<input type="radio" name="_type" id="radio9" value="Tiers-Lieu" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_tierslieu.png" style="width:25px;height:25px;" /> <label for="radio9">Tiers-Lieu</label><br />
<input type="radio" name="_type" id="radio10" value="Espace / Organisation facilitant les usages numériques" /> <img src="https://raw.githubusercontent.com/grouan/bzh_fablab/master/img/osm_marker_usages.png" style="width:25px;height:25px;" /> <label for="radio10">Espace / Organisation facilitant les usages numériques</label><br />
</fieldset>
<fieldset style="border-color:#FFF;">
<legend style="font-weight:bold;color:#FFF;padding:2px 10px;">COORDONNÉES</legend>
<label for="ETB-adr">Adresse : </label> <input id="ETB-adr" type="text" name="_adresse" /><br />
<label for="ETB-cp">CP : </label> <input id="ETB-cp" type="text" name="_cp" size="6" />
<label for="ETB-ville">Ville : </label> <input id="ETB-ville" type="text" name="_ville" /><br />
<label for="ETB-web">Site web : </label> <input id="ETB-web" type="text" name="_web" /><br />
<label for="ETB-fb">Page Facebook : </label> <input id="ETB-fb" type="text" name="_facebook" /><br />
<label for="ETB-tw">Profil Twitter : </label> <input id="ETB-tw" type="text" name="_twitter" /><br />
<label for="ETB-mail">E-mail de contact : </label> <input id="ETB-mail" type="text" name="_mail" x-moz-errormessage="Merci d'indiquer une adresse mail valide :)" /><br />
</fieldset>
<fieldset style="border-color:#FFF;">
<legend style="font-weight:bold;color:#FFF;padding:2px 10px;">GÉOLOCALISATION GPS</legend>
<label for="ETB-GPSlat">Latitude : </label> <input id="ETB-GPSlat" type="text" name="_GPSlat" /><br />
<label for="ETB-GPSlon">Longitude : </label> <input id="ETB-GPSlon" type="text" name="_GPSlon" /><br />
</fieldset>
</fieldset>
<div style="text-align:right;font-size:0.7em;color:#FFF;">Les informations de la rubrique "Qui suis-je" mentionnées dans le présent formulaire servent uniquement à usage de communication. Elle ne seront pas stockées en base de données, ni cédées ou vendues à aucun tiers.</div>
<input type="submit" value="&rarr; JE CONTRIBUE" style="margin-top:20px;border:0px;font-weight:bold;color:#FFF;background-color:#333;padding:2px 10px;" />
</form>
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