www.lalegumerie-test.services-en-ligne.ca
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https://www.lalegumerie-test.services-en-ligne.ca/
Submission: On September 26 via automatic, source certstream-suspicious — Scanned from DE
Submission: On September 26 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMName: SampleForm — POST formmail.php
<form method="post" action="formmail.php" name="SampleForm">
<input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT,AUTH_TYPE,REMOTE_USER">
<!-- STEP 2: Put your email address in the 'recipients' value.
Note that you also have to allow this email address in the
$TARGET_EMAIL setting within formmail.php!
-->
<!--<input type="hidden" name="recipients" value="cath.dionne@hotmail.com" />-->
<!-- <input type="hidden" name="recipients" value="lalegumeriedionne@gmail.com" /> -->
<input type="hidden" name="recipients" value="benoit@taigaboutique.com">
<!-- STEP 3: Specify required fields in the 'required' value - or leave unchanged.
NOTE: DO NOT put your email address and name here.
"Your email address" and "Your name" are error messages for your users to see,
not placeholders for you to replace.
-->
<input type="hidden" name="required" value="">
<!-- STEP 4: Put your subject line in the 'subject' value. -->
<input type="hidden" name="subject" value="Commande par le formulaire en ligne">
<!-- <input type="hidden" name="good_url" value="merci.shtml" /> -->
<!-- ALL DONE! Visit our site for HOW TO guides and more complex features. -->
<!-- this derives (creates) "email" and "realname" special fields from the input fields -->
<input type="hidden" name="derive_fields" value="email=Courriel">
<!-- this excludes the "email" and "realname" special fields from the body of the email you receive -->
<input type="hidden" name="mail_options" value="Exclude=email;realname">
<input type="hidden" name="mail_options" value="CharSet=UTF-8,KeepLines,NoEmpty,Exclude=submit;">
<input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT,AUTH_TYPE,REMOTE_USER">
<input type="hidden" name="good_url" value="merci.php">
<input type="hidden" name="autorespond" value="HTMLTemplate=commande-confirmation.html,Subject=La Légumerie - Confirmation de votre commande,TemplateMissing=">
<input class="form-control display-none" type="number" name=":-------------------------------------" value=" ">
<!-- Tableaux container -->
<div class="table-responsive">
<!-- Tableau Pommes de terre -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed table-hover marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th colspan="2"><strong>POMMES DE TERRE</strong></th>
<th style="width:12%" class="aligne-centre">10 kg</th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:20%;">Frites</td>
<td>Régulières 7/16</td>
<td><input class="form-control" type="number" name="Frites_Reguliere_7/16_10kg"></td>
<td><input class="form-control" type="number" name="Frites_Reguliere_7/16_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Frites</span></td>
<td>3/8</td>
<td><input class="form-control" type="number" name="Frites_3/8_10kg"></td>
<td><input class="form-control" type="number" name="Frites_3/8_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Frites</span></td>
<td>Super</td>
<td><input class="form-control" type="number" name="Frites_Super_10kg"></td>
<td><input class="form-control" type="number" name="Frites_Super_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Frites</span></td>
<td>Rouges</td>
<td><input class="form-control" type="number" name="Frites_Rouges_10kg"></td>
<td><input class="form-control" type="number" name="Frites_Rouges_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Frites</span></td>
<td>Juliennes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Frites_Juliennes_5kg"></td>
<td><input class="form-control" type="number" name="Frites_Juliennes_2kg"></td>
</tr>
<tr>
<td>Déjeuners</td>
<td>Rondelles</td>
<td><input class="form-control" type="number" name="Dejeuner_Rondelles_10kg"></td>
<td><input class="form-control" type="number" name="Dejeuner_Rondelles_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Déjeuners</span></td>
<td>Morceaux</td>
<td><input class="form-control" type="number" name="Dejeuner_Morceaux_10kg"></td>
<td><input class="form-control" type="number" name="Dejeuner_Morceaux_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Déjeuners</span></td>
<td>Cubes</td>
<td><input class="form-control" type="number" name="Dejeuner_Cubes_10kg"></td>
<td><input class="form-control" type="number" name="Dejeuner_Cubes_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td colspan="2">Rondes pelées</td>
<td><input class="form-control" type="number" name="Rondes_pelees_10kg"></td>
<td><input class="form-control" type="number" name="Rondes_pelees_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td colspan="2">Grosses rondes à couper</td>
<td><input class="form-control" type="number" name="Grosses_rondes_a_couper_10kg"></td>
<td><input class="form-control" type="number" name="Grosses_rondes_a_couper_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td colspan="2">Au four</td>
<td><input class="form-control" type="number" name="Au_four_10kg"></td>
<td><input class="form-control" type="number" name="Au_four_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td colspan="2">Au four enveloppées</td>
<td><input class="form-control" type="number" name="Au_four_enveloppees_10kg"></td>
<td><input class="form-control" type="number" name="Au_four_enveloppees_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td colspan="2">Parisiennes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Parisiennes_5kg"></td>
<td><input class="form-control" type="number" name="Parisiennes_2kg"></td>
</tr>
<tr>
<td colspan="2">Berlingots</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Berlingots_5kg"></td>
<td><input class="form-control" type="number" name="Berlingots_2kg"></td>
</tr>
<tr>
<td colspan="2">Quartiers</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Quartiers_5kg"></td>
<td><input class="form-control" type="number" name="Quartiers_2kg"></td>
</tr>
<tr>
<td colspan="2">Chips</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Chips_5kg"></td>
<td><input class="form-control" type="number" name="Chips_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Chou -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>CHOU</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Émincé</td>
<td><input class="form-control" type="number" name="Chou_Emince_5kg" id="Chou_Emince_5kg"></td>
<td><input class="form-control" type="number" name="Chou_Emince_2kg" id="Chou_Emince_2kg"></td>
</tr>
<tr>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Chou_Cubes_3/4_5kg" id="Chou_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Chou_Cubes_3/4_2kg" id="Chou_Cubes_3/4_2kg"></td>
</tr>
<tr>
<td>Chou-carottes</td>
<td><input class="form-control" type="number" name="Chou_carottes_5kg" id="Chou_carottes_5kg"></td>
<td><input class="form-control" type="number" name="Chou_carottes_2kg" id="Chou_carottes_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Oignons -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th colspan="2" style="width:76%;"><strong>OIGNONS</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:20%;">Blancs</td>
<td>Entiers</td>
<td><input class="form-control" type="number" name="Oignons_Entiers_5kg" id="Oignons_Entiers_5kg"></td>
<td>--</td>
</tr>
<tr>
<td><span class="show-on-confirmation">Blancs</span></td>
<td>Rondelles 1/4</td>
<td><input class="form-control" type="number" name="Oignons_Rondelles_1/4_5kg" id="Oignons_Rondelles_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Oignons_Rondelles_1/4_2kg" id="Oignons_Rondelles_1/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Blancs</span></td>
<td>Rondelles 1/8</td>
<td><input class="form-control" type="number" name="Oignons_Rondelles_1/8_5kg" id="Oignons_Rondelles_1/8_5kg"></td>
<td><input class="form-control" type="number" name="Oignons_Rondelles_1/8_2kg" id="Oignons_Rondelles_1/8_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Blancs</span></td>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Oignons_Cubes_3/4_5kg" id="Oignons_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Oignons_Cubes_3/4_2kg" id="Oignons_Cubes_3/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Blancs</span></td>
<td>Cubes 3/8</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Oignons_Cubes_3/8_2kg" id="Oignons_Cubes_3/8_2kg"></td>
</tr>
<tr>
<td>Rouges</td>
<td>Entiers</td>
<td><input class="form-control" type="number" name="Oignons_Rouge_Entiers_5kg" id="Oignons_Rouge_Entiers_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Rouges</span></td>
<td>Rondelles 1/4</td>
<td><input class="form-control" type="number" name="Oignons_Rouge_Rondelles_1/4_5kg" id="Oignons_Rouge_Rondelles_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Oignons_Rouge_Rondelles_1/4_2kg" id="Oignons_Rouge_Rondelles_1/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Rouges</span></td>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Oignons_Rouge_Cubes_3/4_5kg" id="Oignons_Rouge_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Oignons_Rouge_Cubes_3/4_2kg" id="Oignons_Rouge_Cubes_3/4_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Carottes -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>CAROTTES</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Râpées</td>
<td><input class="form-control" type="number" name="Carottes_Rapees_5kg" id="Carottes_Rapees_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Rapees_2kg" id="Carottes_Rapees_2kg"></td>
</tr>
<tr>
<td>Rondelles 1/4</td>
<td><input class="form-control" type="number" name="Carottes_Rondelles_1/4_5kg" id="Carottes_Rondelles_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Rondelles_1/4_2kg" id="Carottes_Rondelles_1/4_2kg"></td>
</tr>
<tr>
<td>Rondelles ondulées 1/4</td>
<td><input class="form-control" type="number" name="Carottes_Ondulees_1/4_5kg" id="Carottes_Ondulees_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Ondulees_1/4_2kg" id="Carottes_Ondulees_1/4_2kg"></td>
</tr>
<tr>
<td>Crudités</td>
<td><input class="form-control" type="number" name="Carottes_Crudites_5kg" id="Carottes_Crudites_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Crudites_2kg" id="Carottes_Crudites_2kg"></td>
</tr>
<tr>
<td>Bâtonnets</td>
<td><input class="form-control" type="number" name="Carottes_Batonnets_5kg" id="Carottes_Batonnets_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Batonnets_2kg" id="Carottes_Batonnets_2kg"></td>
</tr>
<tr>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Carottes_Cubes_3/4_5kg" id="Carottes_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Cubes_3/4_2kg" id="Carottes_Cubes_3/4_2kg"></td>
</tr>
<tr>
<td>Cubes 3/8</td>
<td><input class="form-control" type="number" name="Carottes_Cubes_3/8_5kg" id="Carottes_Cubes_3/8_5kg"></td>
<td><input class="form-control" type="number" name="Carottes_Cubes_3/8_2kg" id="Carottes_Cubes_3/8_2kg"></td>
</tr>
<tr>
<td>Juliennes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Carottes_Juliennes_2kg" id="Carottes_Juliennes_2kg"></td>
</tr>
<tr>
<td>Entières</td>
<td><input class="form-control" type="number" name="Carottes_Entieres_5kg" id="Carottes_Entieres_5kg"></td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
</tr>
</tbody>
</table>
<!-- Tableau Patates douces -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>PATATES DOUCES</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Bâtonnets 3/8</td>
<td><input class="form-control" type="number" name="Patates_Douces_Batonnets_3/8_5kg"></td>
<td><input class="form-control" type="number" name="Patates_Douces_Batonnets_3/8_2kg"></td>
</tr>
<tr>
<td>Rondes pelées</td>
<td><input class="form-control" type="number" name="Patates_Douces_Rondes_pelees_5kg"></td>
<td><input class="form-control" type="number" name="Patates_Douces_Rondes_pelees_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Navet -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>NAVET</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Bâtonnets</td>
<td><input class="form-control" type="number" name="Navet_Batonnets_5kg"></td>
<td><input class="form-control" type="number" name="Navet_Batonnets_2kg"></td>
</tr>
<tr>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Navet_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Navet_Cubes_3/4_2kg"></td>
</tr>
<tr>
<td>Cubes 3/8</td>
<td><input class="form-control" type="number" name="Navet_Cubes_3/8_5kg"></td>
<td><input class="form-control" type="number" name="Navet_Cubes_3/8_2kg"></td>
</tr>
<tr>
<td>Juliennes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Navet_Juliennes_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Céléri -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>CÉLÉRI</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Cubes 3/8</td>
<td><input class="form-control" type="number" name="Celeri_Cubes_3/8_5kg"></td>
<td><input class="form-control" type="number" name="Celeri_Cubes_3/8_2kg"></td>
</tr>
<tr>
<td>Tranches 1/4</td>
<td><input class="form-control" type="number" name="Celeri_Tranches_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Celeri_Tranches_1/4_2kg"></td>
</tr>
<tr>
<td>Crudités</td>
<td><input class="form-control" type="number" name="Celeri_Crudites_5kg"></td>
<td><input class="form-control" type="number" name="Celeri_Crudites_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Brocoli -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>BROCOLI</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Fleurettes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Brocoli_Fleurettes_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Chou-Fleur -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>CHOU-FLEUR</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Fleurettes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Chou-Fleur_Fleurettes_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Courgettes -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>COURGETTES</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Rondelles 1/4</td>
<td><input class="form-control" type="number" name="Courgette_Rondelles_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Courgette_Rondelles_1/4_2kg"></td>
</tr>
<tr>
<td>Juliennes</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Courgette_Juliennes_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Piment -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande formulaire-commande">
<tbody>
<tr class="title">
<th colspan="2" style="width:76%;"><strong>PIMENTS</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:20%;">Verts</td>
<td>Lanières 1/4</td>
<td><input class="form-control" type="number" name="Piment_Vert_Lanieres_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Vert_Lanieres_1/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Verts</span></td>
<td>Lanières 1/8</td>
<td><input class="form-control" type="number" name="Piment_Vert_Lanieres_1/8_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Vert_Lanieres_1/8_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Verts</span></td>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Piment_Vert_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Vert_Cubes_3/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Verts</span></td>
<td>Cubes 3/8</td>
<td><input class="form-control" type="number" name="Piment_Vert_Cubes_3/8_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Vert_Cubes_3/8_2kg"></td>
</tr>
<tr>
<td>Rouges</td>
<td>Lanières 1/4</td>
<td><input class="form-control" type="number" name="Piment_Rouge_Lanieres_1/4_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Rouge_Lanieres_1/4_2kg"></td>
</tr>
<tr>
<td><span class="show-on-confirmation">Rouges</span></td>
<td>Cubes 3/4</td>
<td><input class="form-control" type="number" name="Piment_Rouge_Cubes_3/4_5kg"></td>
<td><input class="form-control" type="number" name="Piment_Rouge_Cubes_3/4_2kg"></td>
</tr>
</tbody>
</table>
<!-- Tableau Mélanges -->
<table width="100%" border="0" cellpadding="0" class="table table-bordered table-condensed marge-bas-moyen formulaire-commande">
<tbody>
<tr class="title">
<th style="width:76%;"><strong>MÉLANGES</strong></th>
<th style="width:12%" class="aligne-centre">5 kg</th>
<th style="width:12%" class="aligne-centre">2 kg</th>
</tr>
<tr>
<td style="width:30%;">Macédoine</td>
<td><input class="form-control" type="number" name="Melanges_Macedoine_5kg"></td>
<td><input class="form-control" type="number" name="Melanges_Macedoine_2kg"></td>
</tr>
<tr>
<td>Légumes du jour</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Legumes_du_jour_2kg"></td>
</tr>
<tr>
<td>Légumes à soupe</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Soupe_2kg"></td>
</tr>
<tr>
<td>Légumes sauce à spaghetti</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Spaghetti_2kg"></td>
</tr>
<tr>
<td>Légumes Deluxe</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Deluxe_2kg"></td>
</tr>
<tr>
<td>Légumes Campagnard</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Campagnard_2kg"></td>
</tr>
<tr>
<td>Légumes Express</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Express_2kg"></td>
</tr>
<tr>
<td>Duo brocoli/chou-fleur</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Brocoli_Chou-Fleur_2kg"></td>
</tr>
<tr>
<td>Duo carottes/céleri crudités</td>
<td class="aligne-centre"><span class="noproduct">--</span></td>
<td><input class="form-control" type="number" name="Melanges_Carottes_Celeri_Crudites_2kg"></td>
</tr>
</tbody>
</table>
</div>
<!-- //Tableaux container -->
<input class="form-control display-none" type="number" name=":-----------------------------------" value=" ">
<p> </p>
<div class="form-group">
<label for="Nom"><strong>Nom du client</strong></label>
<input class="form-control" type="text" name="Nom" id="Nom" style="max-width: 350px;" required="">
</div>
<div class="form-group">
<label for="Telephone"><strong>Téléphone</strong></label>
<input class="form-control" type="tel" name="Telephone" id="Telephone" style="max-width: 350px;" required="">
</div>
<div class="form-group">
<label for="Courriel"><strong>Courriel</strong></label>
<input type="email" class="form-control" name="Courriel" id="Courriel" style="max-width: 350px;" required="">
</div>
<div class="form-group">
<label for="Date_de_reception"><strong>Date de réception de la commande</strong></label>
<div class="marge-bas-tres-petit">
<small><em>Vous devez commander <strong>avant 9h00</strong> la veille de la réception de la commande.</em></small>
</div>
<input class="form-control" type="date" name="Date_de_reception_de_la_commande" id="Date_de_reception_de_la_commande" min="2021-09-27" style="max-width: 350px;" required="">
<div id="date_reception_error" class="display-none marge-haut-tres-petit" style="color:red;">Il est maintenant trop tard pour demander une livraison pour demain. <br>La commande doit être placée avant 9h le matin. Veuillez nous contacter.</div>
</div>
<div class="form-group form-inline marge-bas-moyen">
<div class="marge-bas-tres-petit"><strong>Livraison</strong></div>
<label><input type="radio" value="Oui" name="Livraison" id="Avec_Livraison" class="radio-left" required=""> Avec livraison (à l’adresse inscrite à votre dossier)</label>
<label><input type="radio" value="Non" name="Livraison" id="Sans_Livraison" class="radio-left" required=""> Sans livraison (vous devez venir chercher la commande à la date indiquée)</label>
</div>
<div class="form-group">
<label for="Commentaires"><strong>Autres commentaires</strong></label>
<textarea class="form-control" rows="8" name="Commentaires" id="Commentaires"></textarea>
</div>
<!-- $ATTACK_DETECTION_REVERSE_CAPTCHA -->
<div class="hidden">
<input class="form-control" type="text" name="cfld1" id="cfld1" value="h7ga33ffr">
<input class="form-control" type="text" name="cfld2" id="cfld2" value="">
</div>
<div class="form-group">
<label for="Commentaires"><strong>Code de sécurité</strong></label><br>
<img src="verifyimg.php" alt="Image verification" name="vimg" id="vimg"> <a href="javascript:" onclick="NewVerifyImage(); return false;">Cliquez ici</a> pour demander une autre image<br><br>
<input type="text" name="arverify" class="form-control" style="max-width: 350px;">
</div>
<p style="text-align: center;"><button type="button" class="btn btn-primary" id="confirmation-btn" data-toggle="modal" data-target="#confirmation">Confirmez ma commande</button></p>
<!-- Étape de confirmation -->
<div class="modal fade bs-example-modal-lg" id="confirmation" tabindex="-1" role="dialog" aria-labelledby="confirmation">
<div class="modal-dialog modal-lg" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
<h4 class="modal-title" id="myModalLabel">Confirmation de votre commande</h4>
</div>
<div class="modal-body" id="confirmation-body">
</div>
<div class="modal-footer">
<button type="button" class="btn btn-default" id="confirmation-modal-fermer-btn" data-dismiss="modal">Revoir ma commande</button>
<button type="submit" class="btn btn-primary">Envoyer ma commande</button> <img src="images/preloader.gif" class="contact-preloader" width="32" height="32" style="display: none;">
</div>
</div>
</div>
</div>
</form>
Text Content
BORDEREAU DE COMMANDES POMMES DE TERRE 10 kg 5 kg 2 kg Frites Régulières 7/16 -- Frites 3/8 -- Frites Super -- Frites Rouges -- Frites Juliennes -- Déjeuners Rondelles -- Déjeuners Morceaux -- Déjeuners Cubes -- Rondes pelées -- Grosses rondes à couper -- Au four -- Au four enveloppées -- Parisiennes -- Berlingots -- Quartiers -- Chips -- CHOU 5 kg 2 kg Émincé Cubes 3/4 Chou-carottes OIGNONS 5 kg 2 kg Blancs Entiers -- Blancs Rondelles 1/4 Blancs Rondelles 1/8 Blancs Cubes 3/4 Blancs Cubes 3/8 -- Rouges Entiers -- Rouges Rondelles 1/4 Rouges Cubes 3/4 CAROTTES 5 kg 2 kg Râpées Rondelles 1/4 Rondelles ondulées 1/4 Crudités Bâtonnets Cubes 3/4 Cubes 3/8 Juliennes -- Entières -- PATATES DOUCES 5 kg 2 kg Bâtonnets 3/8 Rondes pelées NAVET 5 kg 2 kg Bâtonnets Cubes 3/4 Cubes 3/8 Juliennes -- CÉLÉRI 5 kg 2 kg Cubes 3/8 Tranches 1/4 Crudités BROCOLI 5 kg 2 kg Fleurettes -- CHOU-FLEUR 5 kg 2 kg Fleurettes -- COURGETTES 5 kg 2 kg Rondelles 1/4 Juliennes -- PIMENTS 5 kg 2 kg Verts Lanières 1/4 Verts Lanières 1/8 Verts Cubes 3/4 Verts Cubes 3/8 Rouges Lanières 1/4 Rouges Cubes 3/4 MÉLANGES 5 kg 2 kg Macédoine Légumes du jour -- Légumes à soupe -- Légumes sauce à spaghetti -- Légumes Deluxe -- Légumes Campagnard -- Légumes Express -- Duo brocoli/chou-fleur -- Duo carottes/céleri crudités -- Nom du client Téléphone Courriel Date de réception de la commande Vous devez commander avant 9h00 la veille de la réception de la commande. Il est maintenant trop tard pour demander une livraison pour demain. La commande doit être placée avant 9h le matin. Veuillez nous contacter. Livraison Avec livraison (à l’adresse inscrite à votre dossier) Sans livraison (vous devez venir chercher la commande à la date indiquée) Autres commentaires Code de sécurité Cliquez ici pour demander une autre image Confirmez ma commande × CONFIRMATION DE VOTRE COMMANDE Revoir ma commande Envoyer ma commande Pour toutes questions: 819 875-5477 | 1 800 616-5477 | info@lalegumerie.com 08:53 2021-09-26