Scribd
Upload
10 views2 pages

Reservatio Correction

Uploaded by

rahma el abed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
10 views2 pages

Reservatio Correction

Uploaded by

rahma el abed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

18/11/2024

<!DOCTYPE HTML>

<html>

<head>
<title>Formulaire de Réservation</title>
<meta charset="UTF-8">
<link rel="stylesheet" type="text/css" href="style1.css">
<script src="controle1.js"></script>

</head>
<body>
<h2>Formulaire de Réservation </h2>
<form method="POST" onsubmit="return verif1()" action="reservation.php">
<fieldset>
<legend>données personnelles</legend>
<table>
<tr>
<td><label>CIN client:*</label> </td>
<td> <input id="cin" maxlength="8" type "text"></td>
</tr>
<tr>
<td> <label>Nom et prénom:*</label> </td>
<td><input id="np" placeholder="saisir votre nom et prénom"></td>
</tr>
<tr>
<td> <label>Genre:</label> </td>
<td> <input id="h" name="r" type="radio" value="homme"><label>homme</
label>
<input id="f" name="r" type="radio" value="femme"><label>femme</label></td>
</tr>
<tr>
<td><label>Mail:*</label> </td>
<td><input id="mail" name="mail" type="email" placeholder="foulen@
serveur" ></td>
</tr>
<tr>
<td> <label>téléphone:</label> </td>
<td><input id="tel" name="tel" type="tel" placeholder="99999999"></td>
</tr>
</table>

</fieldset>
<br>
<fieldset>

<legend>livraison :</legend>
<table>
<tr>
<td><label>Destination:*</label></td>

<td><select id="dest" name="" size="1">


<optgroup label="Omra" >
<option value="omra1">omra1</option>

1
18/11/2024
<option value="omra2">omra2</option> </optgroup>
<optgroup label="Istanbul">
<option value="istanbul1">istanbul1</option>
<option value="istanbul2">istanbul2</option> </optgroup>
</select></td>

</tr>
<tr>
<td> <label>Date de départ :*</label></td>
<td><input id="dat1" name="dat1" type="date"></td>

</tr>
<tr>
<td> <label>Date d'arrivée' :*</label></td>
<td><input id="dat2" name="dat2" type="date"></td>

</tr>

</table>
<hr>
<details>
<summary>Important </summary>
<p>vérifier la validité de votre passeport</p>

</details>

<hr>
<br>
<input id="b1" name="b1" type="submit" value="Envoyer">
<input id="b2" name="b2" type="reset" value="Annuler">

</fieldset>
<br>

</form>
<img id="imgform"src="mekka2.jpg" alt="rest">
</body>

</html>

You might also like