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- <?php $adhesions = sfConfig::get('app_solviolette_adhesion') ?>
- <?php $situations = sfConfig::get('app_solviolette_situation') ?>
- <table cellpadding="1" cellspacing="3" border="0" width="100%">
- <tr>
- <td width="60%" align="left" valign="middle"><img src="/images/sol_violette.jpg" border="0" height="184" width="205" align="top" /></td>
- <td width="40%" align="left" valign="bottom">
- <div><img src="/images/sep.gif" border="0" height="70" width="10"/></div>
- <div><p><b>Projet Sol-Violette</b><br/>45 rue de chaussas<br/>31200 TOULOUSE</p></div>
- </td>
- </tr>
- </table>
- <div style="text-align:center">
- <h1>Demande de carte sol</h1>
- </div>
- <table cellpadding="1" cellspacing="3" border="0" width="100%">
- <tr>
- <td width="30%"></td>
- <td></td>
- </tr>
- <tr>
- <td width="30%">Prénom :</td>
- <?php printf('<td>%s</td>',$datas['first_name']) ?>
- </tr>
- <tr>
- <td width="30%">Nom :</td>
- <?php printf('<td>%s</td>',$datas['last_name']) ?>
- </tr>
- <tr>
- <td width="30%">Email :</td>
- <?php printf('<td>%s</td>',$datas['user_email']) ?>
- </tr>
- <tr>
- <td width="30%">Téléphone :</td>
- <?php printf('<td>%s</td>',$datas['user_phone']) ?>
- </tr>
- <tr>
- <td width="30%">Fax :</td>
- <?php printf('<td>%s</td>',$datas['user_fax']) ?>
- </tr>
- <tr>
- <td width="30%">Date de naissance :</td>
- <?php printf('<td>%s</td>',date('d/m/Y',strtotime($datas['user_birthday']))) ?>
- </tr>
- <tr>
- <td width="30%">Situation :</td>
- <?php printf('<td>%s</td>',$situations[$datas['user_situation']]) ?>
- </tr>
- <tr>
- <td width="30%">Adresse :</td>
- <?php printf('<td>%s<br/>%s</td>',$datas['user_address1'],$datas['user_address2']) ?>
- </tr>
- <tr>
- <td width="30%">Code postal :</td>
- <?php printf('<td>%s</td>',$datas['user_zip']) ?>
- </tr>
- <tr>
- <td width="30%">Ville :</td>
- <?php printf('<td>%s</td>',$datas['user_city']) ?>
- </tr>
- <tr>
- <td width="30%">Identifiant :</td>
- <?php printf('<td>%s</td>',$datas['user_login']) ?>
- </tr>
- <tr>
- <td width="30%">Nom du parrain :</td>
- <?php printf('<td>%s</td>',$datas['parrain_name']) ?>
- </tr>
- <tr>
- <td width="30%">Numéro de carte :</td>
- <?php printf('<td>%s</td>',$datas['card_number_sol']) ?>
- </tr>
- <tr>
- <td width="30%">Type :</td>
- <?php printf('<td>%s</td>',$adhesions[$datas['user_adhesion']]) ?>
- </tr>
- </table>
- <p><span style="font-weight: bold;font-size: x-large;">Oui</span>, je souhaite recevoir ma carte SOL personnelle ainsi que mon code PIN.<br/>J'ai bien noté qu'elle est entièrement gratuite et n'entraîne aucune contrepartie de ma part.</p>
- <div><img src="/images/sep.gif" border="0" height="20" width="10"/></div>
- <p style="font-size: x-small;">Conformément à la loi Informatique et Libertés, vous disposez d'un droit d'accès et de rectification quant aux données vous concernant, que vous pouvez exercer librement auprès de SOL: info@sol-reseau.org.</p>
- <div><img src="/images/sep.gif" border="0" height="20" width="10"/></div>
- <table>
- <tr>
- <td width="70%" align="right">Signature :</td>
- <td width="30%"> </td>
- </tr>
- </table>
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