<?php
use Twig\Environment;
use Twig\Error\LoaderError;
use Twig\Error\RuntimeError;
use Twig\Extension\CoreExtension;
use Twig\Extension\SandboxExtension;
use Twig\Markup;
use Twig\Sandbox\SecurityError;
use Twig\Sandbox\SecurityNotAllowedTagError;
use Twig\Sandbox\SecurityNotAllowedFilterError;
use Twig\Sandbox\SecurityNotAllowedFunctionError;
use Twig\Source;
use Twig\Template;
use Twig\TemplateWrapper;
/* contact/form.html.twig */
class __TwigTemplate_40899a75a0ad1c440edb7d269d1713bb extends Template
{
private Source $source;
/**
* @var array<string, Template>
*/
private array $macros = [];
public function __construct(Environment $env)
{
parent::__construct($env);
$this->source = $this->getSourceContext();
$this->blocks = [
'body' => [$this, 'block_body'],
];
}
protected function doGetParent(array $context): bool|string|Template|TemplateWrapper
{
// line 1
return "base.html.twig";
}
protected function doDisplay(array $context, array $blocks = []): iterable
{
$macros = $this->macros;
$__internal_5a27a8ba21ca79b61932376b2fa922d2 = $this->extensions["Symfony\\Bundle\\WebProfilerBundle\\Twig\\WebProfilerExtension"];
$__internal_5a27a8ba21ca79b61932376b2fa922d2->enter($__internal_5a27a8ba21ca79b61932376b2fa922d2_prof = new \Twig\Profiler\Profile($this->getTemplateName(), "template", "contact/form.html.twig"));
$__internal_6f47bbe9983af81f1e7450e9a3e3768f = $this->extensions["Symfony\\Bridge\\Twig\\Extension\\ProfilerExtension"];
$__internal_6f47bbe9983af81f1e7450e9a3e3768f->enter($__internal_6f47bbe9983af81f1e7450e9a3e3768f_prof = new \Twig\Profiler\Profile($this->getTemplateName(), "template", "contact/form.html.twig"));
$this->parent = $this->loadTemplate("base.html.twig", "contact/form.html.twig", 1);
yield from $this->parent->unwrap()->yield($context, array_merge($this->blocks, $blocks));
$__internal_5a27a8ba21ca79b61932376b2fa922d2->leave($__internal_5a27a8ba21ca79b61932376b2fa922d2_prof);
$__internal_6f47bbe9983af81f1e7450e9a3e3768f->leave($__internal_6f47bbe9983af81f1e7450e9a3e3768f_prof);
}
// line 3
/**
* @return iterable<null|scalar|\Stringable>
*/
public function block_body(array $context, array $blocks = []): iterable
{
$macros = $this->macros;
$__internal_5a27a8ba21ca79b61932376b2fa922d2 = $this->extensions["Symfony\\Bundle\\WebProfilerBundle\\Twig\\WebProfilerExtension"];
$__internal_5a27a8ba21ca79b61932376b2fa922d2->enter($__internal_5a27a8ba21ca79b61932376b2fa922d2_prof = new \Twig\Profiler\Profile($this->getTemplateName(), "block", "body"));
$__internal_6f47bbe9983af81f1e7450e9a3e3768f = $this->extensions["Symfony\\Bridge\\Twig\\Extension\\ProfilerExtension"];
$__internal_6f47bbe9983af81f1e7450e9a3e3768f->enter($__internal_6f47bbe9983af81f1e7450e9a3e3768f_prof = new \Twig\Profiler\Profile($this->getTemplateName(), "block", "body"));
// line 4
yield "
<div id=\"contact-form\" class=\"container large-tile\">
<h1>Nous contacter</h1>
";
// line 8
$context['_parent'] = $context;
$context['_seq'] = CoreExtension::ensureTraversable(CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 8, $this->source); })()), "flashes", [], "any", false, false, false, 8));
$context['_iterated'] = false;
foreach ($context['_seq'] as $context["label"] => $context["messages"]) {
// line 9
yield "
";
// line 10
$context['_parent'] = $context;
$context['_seq'] = CoreExtension::ensureTraversable($context["messages"]);
foreach ($context['_seq'] as $context["_key"] => $context["message"]) {
// line 11
yield " <p class=\"alert alert-";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape($context["label"], "html", null, true);
yield "\">
";
// line 12
yield Twig\Extension\CoreExtension::nl2br($this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape($context["message"], "html", null, true));
yield "
</p>
";
}
$_parent = $context['_parent'];
unset($context['_seq'], $context['_key'], $context['message'], $context['_parent']);
$context = array_intersect_key($context, $_parent) + $_parent;
// line 15
yield "
";
$context['_iterated'] = true;
}
// line 16
if (!$context['_iterated']) {
// line 17
yield "
<p>Vous pouvez nous envoyer un message à l'aide du formulaire ci-dessous.</p>
<p>Les informations marquées d'un astérisque (*) sont obligatoires.</p>
<form @submit=\"validate\" action=\"";
// line 21
yield $this->extensions['Symfony\Bridge\Twig\Extension\RoutingExtension']->getPath("contact-action");
yield "\" class=\"box\" method=\"post\"
enctype=\"multipart/form-data\">
<div class=\"row\">
<div class=\"col col-xl-6 col-lg-6 col-sm-12 col-12\">
<div class=\"form-group\">
<label for=\"name\" class=\"required\">Nom et prénom * : </label>
<input type=\"text\" id=\"name\" name=\"name\"
";
// line 29
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 29, $this->source); })()), "user", [], "any", false, false, false, 29)) {
// line 30
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "get", [], "method", false, true, false, 30), "getFullName", [], "any", true, true, false, 30)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 30, $this->source); })()), "get", [], "method", false, false, false, 30), "getFullName", [], "any", false, false, false, 30), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 32
yield " value=\"\"
";
}
// line 34
yield " required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"customer_email\" class=\"required\">Votre adresse e-mail * : </label>
<input type=\"email\" id=\"customer_email\" name=\"customer_email\"
";
// line 39
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 39, $this->source); })()), "user", [], "any", false, false, false, 39)) {
// line 40
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAccountInfo", [], "method", false, true, false, 40), "getEmail", [], "any", true, true, false, 40)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 40, $this->source); })()), "getAccountInfo", [], "method", false, false, false, 40), "getEmail", [], "any", false, false, false, 40), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 42
yield " value=\"\"
";
}
// line 44
yield " pattern=\"[a-z0-9._%+-]+@[a-z0-9.-]+\\.[a-z]{2,}\$\"
required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"phone\" class=\"required\">Téléphone * : </label>
<input type=\"tel\" id=\"phone\" name=\"phone\"
pattern=\"^((\\+\\d{1,3}(-| )?\\(?\\d\\)?(-| )?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-| )?(\\d{3,4})(-| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}\$\"
minlength=\"10\"
";
// line 52
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 52, $this->source); })()), "user", [], "any", false, false, false, 52)) {
// line 53
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAccountInfo", [], "method", false, true, false, 53), "getPhoneNumber", [], "any", true, true, false, 53)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 53, $this->source); })()), "getAccountInfo", [], "method", false, false, false, 53), "getPhoneNumber", [], "any", false, false, false, 53), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 55
yield " value=\"\"
";
}
// line 57
yield " required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"reference\">Référence client : </label>
<input type=\"text\" id=\"reference\" name=\"reference\"
";
// line 62
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 62, $this->source); })()), "user", [], "any", false, false, false, 62)) {
// line 63
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "get", [], "method", false, true, false, 63), "getCliReference", [], "any", true, true, false, 63)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 63, $this->source); })()), "get", [], "method", false, false, false, 63), "getCliReference", [], "any", false, false, false, 63), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 65
yield " value=\"\"
";
}
// line 67
yield " class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"address\" class=\"required\">Adresse complète * : </label>
<input type=\"text\" id=\"address\" name=\"address\" required
";
// line 72
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 72, $this->source); })()), "user", [], "any", false, false, false, 72)) {
// line 73
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAddress", [], "method", false, true, false, 73), "getAdrNumero", [], "method", true, true, false, 73)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 73, $this->source); })()), "getAddress", [], "method", false, false, false, 73), "getAdrNumero", [], "method", false, false, false, 73), "")) : ("")), "html", null, true);
yield " ";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAddress", [], "method", false, true, false, 73), "getRueNom", [], "method", true, true, false, 73)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 73, $this->source); })()), "getAddress", [], "method", false, false, false, 73), "getRueNom", [], "method", false, false, false, 73), "")) : ("")), "html", null, true);
yield " ";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAddress", [], "method", false, true, false, 73), "getAdrComplementrue", [], "method", true, true, false, 73)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 73, $this->source); })()), "getAddress", [], "method", false, false, false, 73), "getAdrComplementrue", [], "method", false, false, false, 73), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 75
yield " value=\"\"
";
}
// line 77
yield " class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"commune\" class=\"required\">Commune * : </label>
<input type=\"text\" id=\"commune\" name=\"commune\" required
";
// line 82
if (CoreExtension::getAttribute($this->env, $this->source, (isset($context["app"]) || array_key_exists("app", $context) ? $context["app"] : (function () { throw new RuntimeError('Variable "app" does not exist.', 82, $this->source); })()), "user", [], "any", false, false, false, 82)) {
// line 83
yield " value=\"";
yield $this->env->getRuntime('Twig\Runtime\EscaperRuntime')->escape(((CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, ($context["connectedCustomer"] ?? null), "getAddress", [], "method", false, true, false, 83), "getVilNom", [], "method", true, true, false, 83)) ? (Twig\Extension\CoreExtension::default(CoreExtension::getAttribute($this->env, $this->source, CoreExtension::getAttribute($this->env, $this->source, (isset($context["connectedCustomer"]) || array_key_exists("connectedCustomer", $context) ? $context["connectedCustomer"] : (function () { throw new RuntimeError('Variable "connectedCustomer" does not exist.', 83, $this->source); })()), "getAddress", [], "method", false, false, false, 83), "getVilNom", [], "method", false, false, false, 83), "")) : ("")), "html", null, true);
yield "\"
";
} else {
// line 85
yield " value=\"\"
";
}
// line 87
yield " class=\"form-control\">
</div>
</div>
<div class=\"col col-xl-6 col-lg-6 col-sm-12 col-12\">
<div class=\"form-group\">
<label for=\"subject\" class=\"required\">Objet de votre message * : </label>
<input type=\"text\" id=\"subject\" name=\"subject\" value=\"\" required class=\"form-control\"/>
</div>
<div class=\"form-group\">
<label for=\"message\" class=\"required\">Votre message * : </label>
<textarea id=\"message\" name=\"message\" rows=\"10\" cols=\"30\" required
class=\"form-control\"></textarea>
</div>
<div class=\"form-group documents\">
<label for=\"attachment\">Joindre des documents :</label>
<input type=\"hidden\" name=\"MAX_FILE_SIZE\" value=\"2000000\">
<p>
<label for=\"document1\">Document 1 : </label>
<input type=\"file\" id=\"document1\" name=\"document1\" value=\"\"/>
</p>
<p>
<label for=\"document2\">Document 2 : </label>
<input type=\"file\" id=\"document2\" name=\"document2\" value=\"\"/>
</p>
<p>
<small>
Attention, chaque fichier joint ne doit pas excéder un poids de 2 Mo.
<br/>
Seuls les fichiers PDF, DOC, DOCX, XLS, XLSX, JPG, PNG, ODT et ODS sont autorisés.
</small>
</p>
</div>
</div>
</div>
<div v-if=\"errors.length\" class=\"alert alert-danger\">
<p><strong>Certaines informations obligatoires sont manquantes : </strong></p>
<p v-for=\"error in errors\">\${ error }</p>
</div>
<div class=\"widget widget-checkbox mandatory alert alert-info\">
<p>
Conformément à la loi « Informatique et Libertés » modifiée, vous bénéficiez d’un droit d’accès, de rectification, d’effacement ou de limitation du traitement. Vous pouvez également pour des motifs légitimes, vous opposer au traitement de vos données.<br>
Pour exercer vos droits, vous pouvez contacter le Service Clients de la Direction de l’Eau et de l’Assainissement via votre compte sur le site internet de l’eau <a href=\"https://ec-eau.grandreims.fr\" target=\"_blank\" rel=\"noopener\">https://ec-eau.grandreims.fr</a> ou par courrier postal au Grand Reims Service Clients Eau - CS 80036 - 51722 REIMS CEDEX.<br>
Vous avez également la possibilité de contacter notre délégué à la protection des données, pour toute information concernant vos données personnelles : <a href=\"mailto:dpo@grandreims.fr\" title=\"dpo@grandreims.fr\">dpo@grandreims.fr</a> ou d’introduire une réclamation auprès de la CNIL (<a href=\"https://www.cnil.fr\" title=\"www.cnil.fr\" target=\"_blank\" rel=\"noopener\">www.cnil.fr</a>).
</p>
<span>
<input type=\"checkbox\" name=\"rgpd\" id=\"opt_rgpd\" class=\"checkbox\" value=\"oui\" required=\"\">
<label id=\"rgpd\" for=\"opt_rgpd\">j’ai bien pris connaissance et j’accepte les conditions *</label>
</span>
</div>
<p class=\"d-flex flex-row align-items-center justify-content-between\">
<span class=\"alert alert-warning\">Vérifiez bien l'exactitude des informations fournies avant de valider ce formulaire.</span>
<input type=\"submit\" name=\"valider\" value=\"envoyer mon message\" class=\"button btn-primary\">
</p>
</form>
";
}
$_parent = $context['_parent'];
unset($context['_seq'], $context['label'], $context['messages'], $context['_parent'], $context['_iterated']);
$context = array_intersect_key($context, $_parent) + $_parent;
// line 147
yield "
<p>Vous pouvez également nous contacter ou nous rencontrer à l'adresse :</p>
<div class=\"box\">
<address>
Hôtel de la Communauté
<br>
<a href=\"http://carto.ville-reims.fr/?/fr/_/lien/1/x/723687.04/y/174170.95/zoom/448.855/point/17124581643271500491/orthophoto/100\"
class=\"map\"
onclick=\"window.open(this.href,'', 'location=no,menubar=no,toolbar=no,width=800,height=600,resizable=yes');return false;\">
3, Rue Eugène Desteuque
</a>
<br>CS 80036
<br>51722 REIMS Cedex
<br>Du lundi au vendredi de 08h30 à 12h00 et de 13h30 à 17h00
</address>
</div>
</div>
";
$__internal_6f47bbe9983af81f1e7450e9a3e3768f->leave($__internal_6f47bbe9983af81f1e7450e9a3e3768f_prof);
$__internal_5a27a8ba21ca79b61932376b2fa922d2->leave($__internal_5a27a8ba21ca79b61932376b2fa922d2_prof);
yield from [];
}
/**
* @codeCoverageIgnore
*/
public function getTemplateName(): string
{
return "contact/form.html.twig";
}
/**
* @codeCoverageIgnore
*/
public function isTraitable(): bool
{
return false;
}
/**
* @codeCoverageIgnore
*/
public function getDebugInfo(): array
{
return array ( 311 => 147, 246 => 87, 242 => 85, 236 => 83, 234 => 82, 227 => 77, 223 => 75, 213 => 73, 211 => 72, 204 => 67, 200 => 65, 194 => 63, 192 => 62, 185 => 57, 181 => 55, 175 => 53, 173 => 52, 163 => 44, 159 => 42, 153 => 40, 151 => 39, 144 => 34, 140 => 32, 134 => 30, 132 => 29, 121 => 21, 115 => 17, 113 => 16, 108 => 15, 99 => 12, 94 => 11, 90 => 10, 87 => 9, 82 => 8, 76 => 4, 63 => 3, 40 => 1,);
}
public function getSourceContext(): Source
{
return new Source("{% extends 'base.html.twig' %}
{% block body %}
<div id=\"contact-form\" class=\"container large-tile\">
<h1>Nous contacter</h1>
{% for label, messages in app.flashes %}
{% for message in messages %}
<p class=\"alert alert-{{ label }}\">
{{ message | nl2br }}
</p>
{% endfor %}
{% else %}
<p>Vous pouvez nous envoyer un message à l'aide du formulaire ci-dessous.</p>
<p>Les informations marquées d'un astérisque (*) sont obligatoires.</p>
<form @submit=\"validate\" action=\"{{ path('contact-action') }}\" class=\"box\" method=\"post\"
enctype=\"multipart/form-data\">
<div class=\"row\">
<div class=\"col col-xl-6 col-lg-6 col-sm-12 col-12\">
<div class=\"form-group\">
<label for=\"name\" class=\"required\">Nom et prénom * : </label>
<input type=\"text\" id=\"name\" name=\"name\"
{% if app.user %}
value=\"{{ connectedCustomer.get().getFullName | default('') }}\"
{% else %}
value=\"\"
{% endif %}
required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"customer_email\" class=\"required\">Votre adresse e-mail * : </label>
<input type=\"email\" id=\"customer_email\" name=\"customer_email\"
{% if app.user %}
value=\"{{ connectedCustomer.getAccountInfo().getEmail | default('') }}\"
{% else %}
value=\"\"
{% endif %}
pattern=\"[a-z0-9._%+-]+@[a-z0-9.-]+\\.[a-z]{2,}\$\"
required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"phone\" class=\"required\">Téléphone * : </label>
<input type=\"tel\" id=\"phone\" name=\"phone\"
pattern=\"^((\\+\\d{1,3}(-| )?\\(?\\d\\)?(-| )?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-| )?(\\d{3,4})(-| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}\$\"
minlength=\"10\"
{% if app.user %}
value=\"{{ connectedCustomer.getAccountInfo().getPhoneNumber | default('') }}\"
{% else %}
value=\"\"
{% endif %}
required class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"reference\">Référence client : </label>
<input type=\"text\" id=\"reference\" name=\"reference\"
{% if app.user %}
value=\"{{ connectedCustomer.get().getCliReference | default('') }}\"
{% else %}
value=\"\"
{% endif %}
class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"address\" class=\"required\">Adresse complète * : </label>
<input type=\"text\" id=\"address\" name=\"address\" required
{% if app.user %}
value=\"{{ connectedCustomer.getAddress().getAdrNumero() | default('') }} {{ connectedCustomer.getAddress().getRueNom() | default('') }} {{ connectedCustomer.getAddress().getAdrComplementrue() | default('') }}\"
{% else %}
value=\"\"
{% endif %}
class=\"form-control\">
</div>
<div class=\"form-group\">
<label for=\"commune\" class=\"required\">Commune * : </label>
<input type=\"text\" id=\"commune\" name=\"commune\" required
{% if app.user %}
value=\"{{ connectedCustomer.getAddress().getVilNom() | default('') }}\"
{% else %}
value=\"\"
{% endif %}
class=\"form-control\">
</div>
</div>
<div class=\"col col-xl-6 col-lg-6 col-sm-12 col-12\">
<div class=\"form-group\">
<label for=\"subject\" class=\"required\">Objet de votre message * : </label>
<input type=\"text\" id=\"subject\" name=\"subject\" value=\"\" required class=\"form-control\"/>
</div>
<div class=\"form-group\">
<label for=\"message\" class=\"required\">Votre message * : </label>
<textarea id=\"message\" name=\"message\" rows=\"10\" cols=\"30\" required
class=\"form-control\"></textarea>
</div>
<div class=\"form-group documents\">
<label for=\"attachment\">Joindre des documents :</label>
<input type=\"hidden\" name=\"MAX_FILE_SIZE\" value=\"2000000\">
<p>
<label for=\"document1\">Document 1 : </label>
<input type=\"file\" id=\"document1\" name=\"document1\" value=\"\"/>
</p>
<p>
<label for=\"document2\">Document 2 : </label>
<input type=\"file\" id=\"document2\" name=\"document2\" value=\"\"/>
</p>
<p>
<small>
Attention, chaque fichier joint ne doit pas excéder un poids de 2 Mo.
<br/>
Seuls les fichiers PDF, DOC, DOCX, XLS, XLSX, JPG, PNG, ODT et ODS sont autorisés.
</small>
</p>
</div>
</div>
</div>
<div v-if=\"errors.length\" class=\"alert alert-danger\">
<p><strong>Certaines informations obligatoires sont manquantes : </strong></p>
<p v-for=\"error in errors\">\${ error }</p>
</div>
<div class=\"widget widget-checkbox mandatory alert alert-info\">
<p>
Conformément à la loi « Informatique et Libertés » modifiée, vous bénéficiez d’un droit d’accès, de rectification, d’effacement ou de limitation du traitement. Vous pouvez également pour des motifs légitimes, vous opposer au traitement de vos données.<br>
Pour exercer vos droits, vous pouvez contacter le Service Clients de la Direction de l’Eau et de l’Assainissement via votre compte sur le site internet de l’eau <a href=\"https://ec-eau.grandreims.fr\" target=\"_blank\" rel=\"noopener\">https://ec-eau.grandreims.fr</a> ou par courrier postal au Grand Reims Service Clients Eau - CS 80036 - 51722 REIMS CEDEX.<br>
Vous avez également la possibilité de contacter notre délégué à la protection des données, pour toute information concernant vos données personnelles : <a href=\"mailto:dpo@grandreims.fr\" title=\"dpo@grandreims.fr\">dpo@grandreims.fr</a> ou d’introduire une réclamation auprès de la CNIL (<a href=\"https://www.cnil.fr\" title=\"www.cnil.fr\" target=\"_blank\" rel=\"noopener\">www.cnil.fr</a>).
</p>
<span>
<input type=\"checkbox\" name=\"rgpd\" id=\"opt_rgpd\" class=\"checkbox\" value=\"oui\" required=\"\">
<label id=\"rgpd\" for=\"opt_rgpd\">j’ai bien pris connaissance et j’accepte les conditions *</label>
</span>
</div>
<p class=\"d-flex flex-row align-items-center justify-content-between\">
<span class=\"alert alert-warning\">Vérifiez bien l'exactitude des informations fournies avant de valider ce formulaire.</span>
<input type=\"submit\" name=\"valider\" value=\"envoyer mon message\" class=\"button btn-primary\">
</p>
</form>
{% endfor %}
<p>Vous pouvez également nous contacter ou nous rencontrer à l'adresse :</p>
<div class=\"box\">
<address>
Hôtel de la Communauté
<br>
<a href=\"http://carto.ville-reims.fr/?/fr/_/lien/1/x/723687.04/y/174170.95/zoom/448.855/point/17124581643271500491/orthophoto/100\"
class=\"map\"
onclick=\"window.open(this.href,'', 'location=no,menubar=no,toolbar=no,width=800,height=600,resizable=yes');return false;\">
3, Rue Eugène Desteuque
</a>
<br>CS 80036
<br>51722 REIMS Cedex
<br>Du lundi au vendredi de 08h30 à 12h00 et de 13h30 à 17h00
</address>
</div>
</div>
{% endblock %}", "contact/form.html.twig", "/var/www/reims.fr/extranet/current/templates/contact/form.html.twig");
}
}