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150 lines
9.2 KiB
150 lines
9.2 KiB
<div class="container">
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<div class="payment">
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<div class="mc-block-title w-100">
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Veuillez renseigner les informations du beneficiaire
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</div>
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<form id="beneficiaryForm" class="payment-section">
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<div class="first-section-form">
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<div class="form-row ">
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<div class="form-group col-12">
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<div class="form-label-group">
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<select class="form-control" name="civility" id="civilite" required>
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<option value="" disabled selected>Veuillez sélectionner</option>
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<option value="Madame" <?php $civility === "Madame" ? "selected": ""?>>Madame</option>
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<?php $civility = $subscriber_data->civility ?? ''; ?>
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<option value="Mademoiselle" <?php $civility === "Mademoiselle" ? "selected": ""?>>Mademoiselle</option>
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<option value="Monsieur" <?php $civility === "Monsieur" ? "selected": ""?>>Monsieur</option>
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</select>
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</div>
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<span class="error" id="error_civil_status"></span>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group">
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<input type="textbox" id="name" name="name" class="form-control textboxes" placeholder="Nom" required value="<?php echo $subscriber_data->last_name ?? ''; ?>">
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<label for="name" class="">Nom <span class="font-required">*</span></label>
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<span class="error" id="error_lname"></span>
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</div>
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</div>
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</div> <!-- Correction ici -->
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group">
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<input type="textbox" id="fname" name="fname" class="form-control textboxes" placeholder="Prenom" value="<?php echo $subscriber_data->first_name ?? ''; ?>">
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<label for="fname" class="fname">Prénom <span class="font-required">*</span></label>
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<span class="error" id="error_fname"></span>
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</div>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group">
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<?php $email = $subscriber_data->email_address ?? ''; ?>
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<input type="textbox" id="email" name="email" class="form-control textboxes" placeholder="Email" value="<?php echo $email; ?>">
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<label for="email" class="email">Email <span class="font-required">*</span></label>
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</div>
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</div>
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<span class="error" id="error_email"></span>
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</div>
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</div>
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<div class="second-section-form">
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<div class="form-row ">
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<div class="form-group col-12">
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<div class="form-label-group">
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<input type="textbox" id="address" name="address" class="form-control textboxes" placeholder="Adresse" value="<?php echo $subscriber_data->address ?? ''; ?>">
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<label for="address" class="address">Adresse <span class="font-required">*</span> </label>
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<span class="error" id="error_address"></span>
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</div>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group">
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<input type="number" id="postal" name="postal" class="form-control textboxes" placeholder="Postal Code" value="<?php echo $subscriber_data->postal_code ?? ''; ?>">
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<label for="postal" class="">Postal Code <span class="font-required">*</span></label>
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<span class="error" id="error_postal"></span>
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</div>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group">
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<input type="textbox" id="ville" name="ville" class="form-control textboxes" placeholder="Ville" value="<?php echo $subscriber_data->city ?? ''; ?>">
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<label for="ville" class="ville">Ville</label>
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<span class="error" id="error_city"></span>
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</div>
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-12">
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<div class="form-label-group has-feedback">
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<input type="textbox" id="telephone" name="telephone" class="form-control textboxes" placeholder="Téléphone" value="<?php echo $subscriber_data->phone_number ?? ''; ?>">
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<label for="telephone" class="telephone">Téléphone</label>
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<span class="with-telephone-error" id="error_phone"></span>
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</div> <!-- Ajout de la fermeture manquante -->
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<div class="help-block with-errors"></div>
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</div>
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</div>
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</div>
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</form>
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<div class="form-row pl-4">
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<div class="form-check mb-4 col-12">
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<input class="form-check-input" type="checkbox" value="" id="checkCondition">
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<div class="ml-3">
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<label class="form-check-label" for="checkCondition">
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Je reconnais avoir pris connaissance et accepter sans réserve les conditions générales de vente du Company For Madagascar et sa politique de confidentialité. Je suis informé que, s’agissant d’une activité de loisir proposée à une date déterminée, je ne bénéficie pas de la faculté de me rétracter.<br><br>
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<?php if($event_details['workshop_session'] === 'PRESENTIEL') { ?>
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<div class="font-weight-bold">
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La présentation d'un pass vaccinal valide vous sera demandée pour accéder aux locaux.
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<br><br>
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En cas de mesures sanitaires restrictives empêchant la tenue des ateliers en présentiel, leur déroulement aura lieu en distanciel.
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</div>
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<?php } ?>
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</label>
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</div>
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</div>
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</div>
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<div class="stripeDetails cpay-section">
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<div class="stripeBtn"><button type="submit" id="payButton" class="btn btn-block btn-primary "> Payer</button></div>
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<div class="col-sm-12 col-md-4 col-lg-4 orderDetails">
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<div class="s_order">VOTRE COMMANDE</div>
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<div class="s_date">
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<?php
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setLocale(LC_TIME, 'fr_FR');
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echo strftime('%a, %e %B, %H h %M', strtotime($event_details['start_date_time']));
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?>
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</div>
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<div class="s_order_list d-flex justify-content-between">
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<div><span class="num_item"><?php echo $event_details['seats_reserved']; ?></span> x <span class="item">Ticket</span> </div>
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<div class="price">
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MGA<?php echo $event_details['event_rate']; ?>
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<?php if (isset($event_details['discount_percent']) && $event_details['discount_percent']>0): ?>
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<span class="discount">- <?php echo $event_details['discount_percent']; ?>% (Escompté)</span>
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<?php elseif (isset($event_details['discount'])):?>
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<span class="discount">- <?php echo $event_details['discount']; ?> (Escompté)</span>
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<?php endif; ?>
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</div>
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</div>
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<div class="s_order_fees">
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<div class="d-flex justify-content-between mb-1">
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<div>Sous-total</div>
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<div> MGA<?php echo $event_details['subtotal_amount']; ?> </div>
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</div>
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<div class="d-flex justify-content-between">
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<div>Frais de service</div>
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<div> MGA<?php echo $event_details['service_charge']; ?> </div>
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</div>
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</div>
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<div class="s_total">
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<div class="d-flex justify-content-between mb-1">
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<div>Total</div>
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<div class="total_price"> MGA<?php echo $event_details['total_amount']; ?> </div>
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</div>
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</div>
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</div>
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</div>
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</div>
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