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Form analysis
1 forms found in the DOM

POST save_user.php

<form action="save_user.php" method="post" role="form" class="php-email-form">
  <div class="form-group">
    <input type="text" name="Nom" class="form-control" id="name" placeholder="Nom" required="">
  </div>
  <div class="form-group">
    <input type="text" name="Prenom" class="form-control" id="name" placeholder="Prenom" required="">
  </div>
  <div class="form-group">
    <input type="email" class="form-control" name="email" id="email" placeholder="Email" required="">
  </div>
  <div class="form-group">
    <input type="text" class="form-control" name="Adresse" id="email" placeholder="Adresse" required="">
  </div>
  <div class="form-group">
    <div class="input-group">
      <select class="custom-select" name="Pays" placeholder="Pays" style="width: 100%; height: 40px;">
        <option value="" disabled="" selected="">Sélectionnez un pays</option>
        <option value="Belgique">Belgique</option>
        <option value="France">France</option>
        <option value="Allemagne">Allemagne</option>
        <option value="Autriche">Autriche</option>
        <option value="Espagne">Espagne</option>
        <option value="Italie">Italie</option>
        <option value="Pays-Bas">Pays-Bas</option>
        <option value="Royaume-Uni">Royaume-Uni</option>
        <option value="Suède">Suède</option>
        <option value="Suisse">Suisse</option>
        <option value="Norvège">Norvège</option>
        <option value="Danemark">Danemark</option>
        <option value="Finlande">Finlande</option>
        <option value="Portugal">Portugal</option>
        <option value="Espagne">Espagne</option>
        <option value="Irlande">Irlande</option>
        <option value="Grèce">Grèce</option>
        <option value="Pologne">Pologne</option>
        <option value="République tchèque">République tchèque</option>
        <option value="Slovaquie">Slovaquie</option>
        <option value="Hongrie">Hongrie</option>
        <option value="Roumanie">Roumanie</option>
        <option value="Bulgarie">Bulgarie</option>
        <option value="Croatie">Croatie</option>
        <option value="Slovénie">Slovénie</option>
        <option value="Estonie">Estonie</option>
        <option value="Lettonie">Lettonie</option>
        <option value="Lituanie">Lituanie</option>
        <option value="Chypre">Chypre</option>
        <option value="Malte">Malte</option>
      </select>
    </div>
  </div>
  <div class="form-group">
    <input type="text" class="form-control" name="Ville" id="email" placeholder="Ville" required="">
  </div>
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          <!-- Add more country codes as needed -->
        </select>
      </div>
      <input type="tel" class="form-control" name="Numero" placeholder="Phone Number" required="" pattern="[0-9]*" maxlength="10">
    </div>
  </div>
  <div class="my-3">
    <div class="loading">Chargement</div>
    <div class="error-message"></div>
    <div class="sent-message">Veuillez patienter un moment!</div>
  </div>
  <div class="form-group text-center"> <!-- Ajoutez de l'espace vertical ici -->
    <button type="submit" class="btn btn-primary">Continuer</button>
  </div>
</form>

Text Content

Profile

>

Aide

>

VEUILLEZ RENSEIGNER VOS INFORMATIONS DE LIVRAISON.

Sélectionnez un pays Belgique France Allemagne Autriche Espagne Italie Pays-Bas
Royaume-Uni Suède Suisse Norvège Danemark Finlande Portugal Espagne Irlande
Grèce Pologne République tchèque Slovaquie Hongrie Roumanie Bulgarie Croatie
Slovénie Estonie Lettonie Lituanie Chypre Malte

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+688
Chargement

Veuillez patienter un moment!
Continuer

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