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<!DOCTYPE html>
<html lang="fr">
<head>
<title>TP PHP</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
</head>
<body>
<div class="container">
<ul class="nav nav-tabs">
<li><a href="index.html">Index</a></li>
<li class="dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown">Bibliothèque</a>
<ul class="dropdown-menu">
<li class="dropdown"><a href="#">user</a></li>
<li class="dropdown"><a href="http://localhost:8081/TP_MJC/bibliothequeadmin.html#">admin</a></li>
</ul>
</li>
<li><a href="intermittent.html">Intermittent</a></li>
<li><a href="mjc.html">MJC</a></li>
</ul>
<h3 class="text-primary">Utilitaire pour calculer le prix de votre cotisation et pour l'enregistrement de vos informations</h3>
<hr />
<form method="POST" action="php/CalculerAdhesion.php">
<div class="row">
<div class="form-group col-xs-12 col-sm-6">
<label for="text">Login :</label>
<input type="text" class="form-control" name="unLogin" placeholder="Entrer votre login" required>
</div>
<div class="form-group col-xs-12 col-sm-6">
<label for="text">Password :</label>
<input type="password" class="form-control" name="unPassword" placeholder="Entrer votre password" required>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-sm-6">
<label for="text">Nom :</label>
<input type="text" class="form-control" name="unNom" placeholder="Entrer votre nom" required>
</div>
<div class="form-group col-xs-12 col-sm-6">
<label for="text">Prénom :</label>
<input type="text" class="form-control" name="unPrenom" placeholder="Entrer votre prénom" required>
</div>
</div>
<div class="row">
<div class="form-group col-sm-6">
<label for="Domicile">Domicile :</label>
<select class="form-control" name="Domi">
<option value="1" >Enycan</option>
<option value="0" >Mufflin</option>
<option value="0" >Autres</option>
</select>
</div>
<div class="form-group col-xs-12 col-sm-6">
<label for="Annee">Date de naissance :</label>
<input type="date" class="form-control" name="ANais" required>
</div>
<div class="form-group col-md-12">
<label class="checkbox-inline"><input type="checkbox" name="Scol" value="ON">Scolarisé.e à Enycan</label>
</div>
</div>
<hr />
<div class="row">
<div class="col-md-6">
<button type="submit" class="btn center-block">Inscription</button>
</div>
<div class="col-md-6">
<button type="reset" class="btn center-block">Rétablir</button>
</div>
</div>
</form>
</div>
</body>
</html>