Soucis d'envoi avec le module "contact"

Nicky21 Membre non connecté

Booster Fuzil

Le 23/11/2012 à 09h02

#119600

Bonjour,
j'ai du nouveau.
j'ai repris les lignes de code et modifié quelque erreurs.

Le formulaire s'envoie bel et bien, par contre tous les champs ajoutés ne figurent pas sur mon mail. je n'ai en effet que les champs d'origine: objet, contenu et un autre champ (cabinet pour mon champ) qui se retranscrivent dans mon mail.... le champ email (obligatoire pour avoir une réponse) par contre n'est pas non plus pris en compte....

ou ai-je fait une erreur pour que mes autres champs ne soient pas vérifiés et envoyés? sachant que lors de l'envoi par le site, il me dit que le mail à bien été envoyé et ce sans erreurs... j'ai vérifié mon contact.tpl et mon contact.php mais suis dans l'impasse. en attendant une réponse je vais continuer à essayer de trouver...

edit: je vois que dans le formulaire on fait appel a: io/mail ... l'erreur doit se trouver sur ce fichier mail.php...
quelle partie dois je modifier pour que mes champs soient pris en compte?

Voila un moment que je tourne en rond sur cette "erreur" et il serait vraiment sympa de me donner des pistes ou vérifier.

Voici une partie du code (contact.php):

Code PHP :

<?php
###########################Envoi##############################
if (!empty($mail_valid))
{
    //Code de vérification si activé
    if (!$CONFIG_CONTACT['contact_verifcode'] || $captcha->is_valid()) //Code de vérification si activé
    {
        import('io/mail');
        $mail = new Mail();
 
        if ($mail->send_from_properties($CONFIG['mail'], $mail_object, $mail_contents, $mail_from, $mail_cabinet, $mail_docteur, $mail_hpres1, $mail_hpres2, $mail_hpres3, $mail_date_1, $mail_date_2, $mail_raison, $mail_tel_sal, $mail_ville_sal, $mail_cp_sal, $mail_adress_sal1, $mail_adress_sal2, $mail_ss1, $mail_ss2, $mail_ss3, $mail_ss4, $mail_ss5, $mail_ss6, $mail_ss7, $mail_pren_sal, $mail_nom_sal, $mail_fonct, $mail_resp, $mail_statut, $mail_siret, $mail_tva, $mail_fax, $mail_tel_ent, $mail_ville_ent, $mail_cp_ent,$mail_adress_ent1, $mail_adress_ent2, $mail_activite, $mail_societe, '', 'user')) //Succès mail
        {
            $get_error = 'success';
        }
        else //Erreur mail
        {
            $get_error = 'error';
        }
    }
    else //Champs incomplet!
    {
        $get_error = 'verif';
    }
}
elseif (!empty($_POST['mail_valid']) && ( empty($mail_email) || empty($mail_contents) || empty($mail_from) || empty($mail_raison) || empty($mail_ville_sal) || empty($mail_cp_sal) || empty($mail_adress_sal1)|| empty($mail_pren_sal) || empty($mail_nom_sal) || empty($mail_fonct) || empty($mail_resp) || empty($mail_siret) || empty($mail_tva) || empty($mail_tel_ent) || empty($mail_ville_ent) || empty($mail_cp_ent) || empty($mail_adress_ent1) || empty($mail_activite) || empty($mail_societe) )) //Champs incomplet!
{
    $get_error = 'incomplete';
}
 
###########################Affichage##############################
?>

Édité par Nicky21 Le 23/11/2012 à 09h43

Nicky21 Membre non connecté

Booster Fuzil

Le 12/12/2012 à 09h00

#120337

Pas de soucis :

Code PHP :

<?php
/*##################################################
 *                               contact.php
 *                            -------------------
 *   begin                : July 29, 2005
 *   copyright            : (C) 2005 Viarre Régis
 *   email                : crowkait@phpboost.com
 *
 *
 ###################################################
 *
 *   This program is free software; you can redistribute it and/or modify
 *   it under the terms of the GNU General Public License as published by
 *   the Free Software Foundation; either version 2 of the License, or
 *   (at your option) any later version.
 *
 *  This program is distributed in the hope that it will be useful,
 *  but WITHOUT ANY WARRANTY; without even the implied warranty of
 *  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
 *  GNU General Public License for more details.
 *
 *  You should have received a copy of the GNU General Public License
 *  along with this program; if not, write to the Free Software
 *  Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA  02110-1301, USA.
 *
 ###################################################*/
 
require_once('../kernel/begin.php');
require_once('../contact/contact_begin.php');
require_once('../kernel/header.php');
 
$mail_from = retrieve(POST, 'mail_email', '', TSTRING_UNCHANGE);
$mail_object = retrieve(POST, 'mail_object', '', TSTRING_UNCHANGE);
$mail_societe = retrieve(POST, 'mail_societe', '', TSTRING_UNCHANGE);
$mail_activite = retrieve(POST, 'mail_activite', '', TSTRING_UNCHANGE);
$mail_adress_ent1 = retrieve(POST, 'mail_adress_ent1', '', TSTRING_UNCHANGE);
$mail_adress_ent2 = retrieve(POST, 'mail_adress_ent2', '', TSTRING_UNCHANGE);
$mail_cp_ent = retrieve(POST, 'mail_cp_ent', '', TSTRING_UNCHANGE);
$mail_ville_ent = retrieve(POST, 'mail_ville_ent', '', TSTRING_UNCHANGE);
$mail_tel_ent = retrieve(POST, 'mail_tel_ent', '', TSTRING_UNCHANGE);
$mail_fax = retrieve(POST, 'mail_fax', '', TSTRING_UNCHANGE);
$mail_tva = retrieve(POST, 'mail_tva', '', TSTRING_UNCHANGE);
$mail_siret = retrieve(POST, 'mail_siret', '', TSTRING_UNCHANGE);
$mail_statut = retrieve(POST, 'mail_statut', '', TSTRING_UNCHANGE);
$mail_resp = retrieve(POST, 'mail_resp', '', TSTRING_UNCHANGE);
$mail_fonct = retrieve(POST, 'mail_fonct', '', TSTRING_UNCHANGE);
$mail_nom_sal = retrieve(POST, 'mail_nom_sal', '', TSTRING_UNCHANGE);
$mail_pren_sal = retrieve(POST, 'mail_pren_sal', '', TSTRING_UNCHANGE);
$mail_ss1 = retrieve(POST, 'mail_ss1', '', TSTRING_UNCHANGE);
$mail_ss2 = retrieve(POST, 'mail_ss2', '', TSTRING_UNCHANGE);
$mail_ss3 = retrieve(POST, 'mail_ss3', '', TSTRING_UNCHANGE);
$mail_ss4 = retrieve(POST, 'mail_ss4', '', TSTRING_UNCHANGE);
$mail_ss5 = retrieve(POST, 'mail_ss5', '', TSTRING_UNCHANGE);
$mail_ss6 = retrieve(POST, 'mail_ss6', '', TSTRING_UNCHANGE);
$mail_ss7 = retrieve(POST, 'mail_ss7', '', TSTRING_UNCHANGE);
$mail_adress_sal1 = retrieve(POST, 'mail_adress_sal', '', TSTRING_UNCHANGE);
$mail_adress_sal2 = retrieve(POST, 'mail_adress_sal', '', TSTRING_UNCHANGE);
$mail_cp_sal = retrieve(POST, 'mail_cp_sal', '', TSTRING_UNCHANGE);
$mail_ville_sal = retrieve(POST, 'mail_ville_sal', '', TSTRING_UNCHANGE);
$mail_tel_sal = retrieve(POST, 'mail_tel_sal', '', TSTRING_UNCHANGE);
$mail_raison = retrieve(POST, 'mail_raison', '', TSTRING_UNCHANGE);
$mail_date_1 = retrieve(POST, 'mail_date_1', '', TSTRING_UNCHANGE);
$mail_date_2 = retrieve(POST, 'mail_date_2', '', TSTRING_UNCHANGE);
$mail_hpres1 = retrieve(POST, 'mail_hpres1', '', TSTRING_UNCHANGE);
$mail_hpres2 = retrieve(POST, 'mail_hpres2', '', TSTRING_UNCHANGE);
$mail_hpres3 = retrieve(POST, 'mail_hpres3', '', TSTRING_UNCHANGE);
$mail_docteur = retrieve(POST, 'mail_docteur', '', TSTRING_UNCHANGE);
$mail_cabinet = retrieve(POST, 'mail_cabinet', '', TSTRING_UNCHANGE);
$mail_contents = retrieve(POST, 'mail_contents', '', TSTRING_UNCHANGE);
$mail_valid = retrieve(POST, 'mail_valid', '');
$get_error = '';
 
import('util/captcha');
$captcha = new Captcha();
$captcha->set_difficulty($CONFIG_CONTACT['contact_difficulty_verifcode']);
 
###########################Envoi##############################
if (!empty($mail_valid))
{
    //Code de vérification si activé
    if (!$CONFIG_CONTACT['contact_verifcode'] || $captcha->is_valid()) //Code de vérification si activé
    {
        import('io/mail');
        $mail = new Mail();
 
        if ($mail->send_from_properties($CONFIG['mail'], $mail_object, $mail_contents, $mail_from, $mail_cabinet, $mail_docteur, $mail_hpres1, $mail_hpres2, $mail_hpres3, $mail_date_1, $mail_date_2, $mail_raison, $mail_tel_sal, $mail_ville_sal, $mail_cp_sal, $mail_adress_sal1, $mail_adress_sal2, $mail_ss1, $mail_ss2, $mail_ss3, $mail_ss4, $mail_ss5, $mail_ss6, $mail_ss7, $mail_pren_sal, $mail_nom_sal, $mail_fonct, $mail_resp, $mail_statut, $mail_siret, $mail_tva, $mail_fax, $mail_tel_ent, $mail_ville_ent, $mail_cp_ent,$mail_adress_ent1, $mail_adress_ent2, $mail_activite, $mail_societe, '', 'user')) //Succès mail
        {
            $get_error = 'success';
        }
        else //Erreur mail
        {
            $get_error = 'error';
        }
    }
    else //Champs incomplet!
    {
        $get_error = 'verif';
    }
}
elseif (!empty($_POST['mail_valid']) && ( empty($mail_email) || empty($mail_contents) || empty($mail_from) || empty($mail_raison) || empty($mail_ville_sal) || empty($mail_cp_sal) || empty($mail_adress_sal1)|| empty($mail_pren_sal) || empty($mail_nom_sal) || empty($mail_fonct) || empty($mail_resp) || empty($mail_siret) || empty($mail_tva) || empty($mail_tel_ent) || empty($mail_ville_ent) || empty($mail_cp_ent) || empty($mail_adress_ent1) || empty($mail_activite) || empty($mail_societe) )) //Champs incomplet!
{
    $get_error = 'incomplete';
}
 
###########################Affichage##############################
$Template->set_filenames(array(
'contact'=> 'contact/contact.tpl'
));
 
//Gestion erreur.
if ($get_error == 'incomplete')
{
    $Errorh->handler($LANG['e_incomplete'], E_USER_NOTICE);
}
elseif ($get_error == 'verif')
{
    $Errorh->handler($LANG['e_incorrect_verif_code'], E_USER_WARNING);
}
elseif ($get_error == 'success')//Message de succés.
{
    $Errorh->handler($LANG['success_mail'], E_USER_SUCCESS);
}
elseif ($get_error == 'error')//Message de succés.
{
    $Errorh->handler($LANG['error_mail'], E_USER_WARNING);
}
 
//Code de vérification, anti-bots.
if ($captcha->is_available() && $CONFIG_CONTACT['contact_verifcode'])
{
    $Template->assign_vars(array(
'C_VERIF_CODE' => true,
'VERIF_CODE' => $captcha->display_form(),
'L_REQUIRE_VERIF_CODE' => $captcha->js_require()
    ));
}
 
$Template->assign_vars(array(
'MAIL' => $User->get_attribute('user_mail'),
'CONTACT_OBJECT' => stripslashes(retrieve(POST, 'mail_object', '')),
'CONTACT_CONTENTS' => $mail_contents,
'CONTACT_DOCTEUR' => $mail_docteur,
'CONTACT_HEUR_PRES_OUI' => $mail_hpres1,
'CONTACT_HEUR_PRES_NON' => $mail_hpres2,
'CONTACT_HEUR_PRES_LIB' => $mail_hpres3,
 
 
'L_REQUIRE_MAIL' => $LANG['require_mail'],
'L_REQUIRE_TEXT' => $LANG['require_text'] ,
'L_CONTACT_MAIL' => $LANG['contact_mail'],
'L_MAIL' => $LANG['mail'],
'L_VERIF_CODE' => $LANG['verif_code'],
'L_REQUIRE' => $LANG['require'],
'L_VALID_MAIL' => $LANG['valid_mail'],
'L_OBJET' => $LANG['objet'],
'L_CONTENTS' => $LANG['content'],
'L_VOSINFOS_ENT' => $LANG['vos_info_ent'],
'L_VOSINFOS_SAL' => $LANG['vos_info_sal'],
'L_SOCIETE' => $LANG['societe'],
'L_ACTIVITE' => $LANG['activite'],
'L_PASSWORD' => $LANG['password'],
'L_ADRESSE_ENT' => $LANG['adress_ent'],
'L_ADRESSE_ENT1' => $LANG['adress_ent1'],
'L_ADRESSE_ENT2' => $LANG['adress_ent2'],
'L_CODEPOSTAL_ENT' => $LANG['cp_ent'],
'L_VILLE_ENT' => $LANG['ville_ent'],
'L_TVA' => $LANG['tva'],
'L_TELEPHONE_ENT' => $LANG['tel_ent'],
'L_FAX' => $LANG['fax'],
'L_SIRET' => $LANG['siret'],
'L_STATUT' => $LANG['statut'],
'L_RESP' => $LANG['resp'],
'L_FONCT' => $LANG['fonction'],
'L_NOM_SAL' => $LANG['nom_sal'],
'L_PRENOM_SAL' => $LANG['pren_sal'],
'L_SECU' => $LANG['secu'],
'L_ADRESSE_SAL' => $LANG['adress_sal'],
'L_ADRESSE_SAL1' => $LANG['adress_sal1'],
'L_ADRESSE_SAL2' => $LANG['adress_sal2'],
'L_CODEPOSTAL_SAL' => $LANG['cp_sal'],
'L_VILLE_SAL' => $LANG['ville_sal'],
'L_TELEPHONE_SAL' => $LANG['tel_sal'],
'L_RAISON' => $LANG['raison'],
'L_DEPUISLE' => $LANG['depuisle'],
'L_JUSQUAU' => $LANG['jusquau'],
'L_HEUR_PRES' => $LANG['h_pres'],
'L_DOCTEUR' => $LANG['docteur'],
'L_CABINET' => $LANG['cabinet'],
'L_SUBMIT' => $LANG['submit'],
'L_RESET' => $LANG['reset'],
'U_ACTION_CONTACT' => url('contact.php?token=' . $Session->get_token())
));
 
 
$Template->pparse('contact');
 
require_once('../kernel/footer.php');
 
?>

Nicky21 Membre non connecté

Booster Fuzil

Le 12/12/2012 à 10h05

#120346

Je viens de faire la modification, et j'aimerais que dans l'email soient notifiés tous les champs renseignées.
Au dessus les champs de l'entreprise, et en dessous les champs du salarié.je te met le contact.tpl pour que tu voies l'ordre des champs.

entreprise XXX
adresse XXXX
etc...

Salarié:

Nom XXX
Prénom XXX
Adresse XXXX
etc...

contact.tpl :

Code PHP :

<script type="text/javascript">
<!--
function check_form_mail(){
if(document.getElementById('mail_email').value == "") {
alert("{L_REQUIRE_MAIL}");
return false;
    }
if(document.getElementById('mail_contents').value == "") {
alert("{L_REQUIRE_TEXT}");
return false;
    }
{L_REQUIRE_VERIF_CODE}
return true;
}
-->
</script>
 
# IF C_ERROR_HANDLER #
<span id="errorh"></span>
<div class="{ERRORH_CLASS}" style="width:500px;margin:auto;padding:15px;">
<img src="../templates/{THEME}/images/{ERRORH_IMG}.png" alt="" style="float:left;padding-right:6px;" /> {L_ERRORH}
<br />
</div>
# ENDIF #
 
<form action="{U_ACTION_CONTACT}" method="post" onsubmit="return check_form_mail();" class="fieldset_mini">
<fieldset>
<legend>{L_CONTACT_MAIL}</legend>
<p>{L_REQUIRE}</p>
                <dl>
<dt><label for="mail_email">* {L_MAIL}</label><br /><span>{L_VALID_MAIL}</span></dt>
<dd><label><input type="text" size="30" maxlength="50" id="mail_email" name="mail_email" value="{MAIL}" class="text" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_objet">* {L_OBJET}</label></dt>
<dd><label><input type="text" size="30" name="mail_object" id="mail_object" class="text" value="{CONTACT_OBJECT}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_societe">* {L_SOCIETE}</label></dt>
<dd><label><input type="text" size="30" name="mail_societe" id="mail_societe" class="text" value="{CONTACT_SOCIETE}" /></label></dd>
</dl>
               <dl>
                <dt><label for="mail_activite">* {L_ACTIVITE}</label></dt>
<dd><label><input type="text" size="30" name="mail_activite" id="mail_activite" class="text" value="{CONTACT_ACTIVITE}" /></label></dd>
</dl>
                 <dl>
                <dt><label for="mail_adress_ent">* {L_ADRESSE_ENT}</label></dt>
<dd><label><input type="text" size="30" name="mail_adress_ent1" id="mail_adress_ent1" class="text" value="{CONTACT_ADRESSE_ENT1}" /></label></dd><dd><label><input type="text" size="30" name="mail_adress_ent2" id="mail_adress_ent2" class="text" value="{CONTACT_ADRESSE_ENT2}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_cp_ent">* {L_CODEPOSTAL_ENT}</label></dt>
<dd><label><input type="text" size="30" name="mail_cp_ent" id="mail_cp_ent" class="text" value="{CONTACT_CODEPOSTAL_ENT}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_ville_ent">* {L_VILLE_ENT}</label></dt>
<dd><label><input type="text" size="30" name="mail_ville_ent" id="mail_ville_ent" class="text" value="{CONTACT_VILLE_ENT}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_tel_ent">* {L_TELEPHONE_ENT}</label></dt>
<dd><label><input type="text" size="30" name="mail_tel_ent" id="mail_tel_ent" class="text" value="{CONTACT_TELEPHONE_ENT}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_fax">{L_FAX}</label></dt>
<dd><label><input type="text" size="30" name="mail_fax" id="mail_fax" class="text" value="{CONTACT_FAX}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_tva">* {L_TVA}</label></dt>
<dd><label><input type="text" size="30" name="mail_tva" id="mail_tva" class="text" value="{CONTACT_TVA}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_siret">* {L_SIRET}</label></dt>
<dd><label><input type="text" size="30" name="mail_siret" id="mail_siret" class="text" value="{CONTACT_SIRET}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_statut">* {L_STATUT}</label></dt>
<dd><label><input type="text" size="30" name="mail_statut" id="mail_statut" class="text" value="{CONTACT_STATUT}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_resp">* {L_RESP}</label></dt>
<dd><label><input type="text" size="30" name="mail_resp" id="mail_resp" class="text" value="{CONTACT_RESP}" /></label></dd>
</dl> 
                <dl>
             <dt><label for="mail_fonct">* {L_FONCT}</label></dt>
<dd><label><input type="text" size="30" name="mail_fonct" id="mail_fonct" class="text" value="{CONTACT_FONCTION}" /></label></dd>
</dl> 
                </fieldset>
 
<fieldset>
<legend>{L_VOSINFOS_SAL}</legend>
 
              <dl>
                <dt><label for="mail_nom_sal">* {L_NOM_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_nom_sal" id="mail_nom_sal" class="text" value="{CONTACT_NOM_SAL}" /></label></dd>
</dl>
               <dl>
                <dt><label for="mail_pren_sal">* {L_PRENOM_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_pren_sal" id="mail_pren_sal" class="text" value="{CONTACT_PRENOM_SAL}" /></label></dd>
</dl>
               <dl>
                <dt><label for="mail_secu">* {L_SECU}</label></dt>
<dd><label><input type="text" size="1" name="mail_ss1" id="mail_ss1" class="text" value="{CONTACT_SS1}" /></label>
<label><input type="text" size="2" name="mail_ss2" id="mail_ss2" class="text" value="{CONTACT_SS2}" /></label>
<label><input type="text" size="2" name="mail_ss3" id="mail_ss3" class="text" value="{CONTACT_SS3}" /></label>
<label><input type="text" size="2" name="mail_ss4" id="mail_ss4" class="text" value="{CONTACT_SS4}" /></label>
<label><input type="text" size="3" name="mail_ss5" id="mail_ss5" class="text" value="{CONTACT_SS5}" /></label>
<label><input type="text" size="3" name="mail_ss6" id="mail_ss6" class="text" value="{CONTACT_SS6}" /></label>
                    <label><input type="text" size="2" name="mail_ss7" id="mail_ss7" class="text" value="{CONTACT_SS7}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_adress_sal">* {L_ADRESSE_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_adress_sal1" id="mail_adress_sal1" class="text" value="{CONTACT_ADRESSE_SAL1}" /></label></dd>
                    <dd><label><input type="text" size="30" name="mail_adress_sal2" id="mail_adress_sal2" class="text" value="{CONTACT_ADRESSE_SAL2}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_cp_sal">* {L_CODEPOSTAL_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_cp_sal" id="mail_cp_sal" class="text" value="{CONTACT_CODEPOSTAL_SAL}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_ville_sal">* {L_VILLE_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_ville_sal" id="mail_ville_sal" class="text" value="{CONTACT_VILLE_SAL}" /></label></dd>
</dl>
                 <dl>
                <dt><label for="mail_tel_sal">* {L_TELEPHONE_SAL}</label></dt>
<dd><label><input type="text" size="30" name="mail_tel_sal" id="mail_tel_sal" class="text" value="{CONTACT_TELEPHONE_SAL}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_raison">{L_RAISON}</label></dt>
<dd><label><input type="text" size="30" name="mail_raison" id="mail_raison" class="text" value="{CONTACT_RAISON}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_date_1">{L_DEPUISLE}</label></dt>
<dd><label><input type="text" size="30" name="mail_date_1" id="mail_date_1" class="text" value="{CONTACT_DEPUISLE}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_date2">{L_JUSQUAU}</label></dt>
<dd><label><input type="text" size="30" name="mail_date2" id="mail_date2" class="text" value="{CONTACT_JUSQUAU}" /></label></dd>
</dl>
                <dl>
                <dt><label for="mail_hpres1">* {L_HEUR_PRES}</label></dt>
<dd><label>
                    <input type="RADIO"  name="mail_hpres1" id="mail_hpres1" class="text" value="{CONTACT_HEUR_PRES_OUI}"/>OUI
                    <input type="RADIO"  name="mail_hpres2" id="mail_hpres2" class="text" value="{CONTACT_HEUR_PRES_NON}"/>NON
                    <input type="RADIO"  name="mail_hpres3" id="mail_hpres3" class="text" value="{CONTACT_HEUR_PRES_LIB}"/>SORTIES LIBRES </label></dd>
</dl>
                <dl>
                <dt><label for="mail_docteur">{L_DOCTEUR}</label></dt>
<dd><label><input type="text" size="30" name="mail_docteur" id="mail_docteur" class="text" value="{CONTACT_DOCTEUR}" /></label></dd>
</dl>
                <dl>
               <dt><label for="mail_cabinet">{L_CABINET}</label></dt>
<dd><label><input type="text" size="30" name="mail_cabinet" id="mail_cabinet" class="text" value="{CONTACT_CABINET}" /></label></dd>
</dl>
                # IF C_VERIF_CODE #
<dl>
<dt><label for="verif_code">* {L_VERIF_CODE}</label></dt>
<dd>
<label>
{VERIF_CODE}
</label>
</dd>
</dl>
# ENDIF #
<label for="mail_contents">* {L_CONTENTS}</label>
<label><textarea rows="10" cols="47" id="mail_contents" name="mail_contents">{CONTACT_CONTENTS}</textarea></label>
</fieldset>
 
<fieldset class="fieldset_submit">
<legend>{L_SUBMIT}</legend>
<input type="submit" name="mail_valid" value="{L_SUBMIT}" class="submit" />
&nbsp;
<input type="reset" value="{L_RESET}" class="reset" />
<input type="hidden" name="token" value="{TOKEN}" />
</fieldset>
</form>