_pdf.php 3.1 KB

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  1. <?php $adhesions = sfConfig::get('app_solviolette_adhesion') ?>
  2. <?php $situations = sfConfig::get('app_solviolette_situation') ?>
  3. <table cellpadding="1" cellspacing="3" border="0" width="100%">
  4. <tr>
  5. <td width="60%" align="left" valign="middle"><img src="/images/sol_violette.jpg" border="0" height="184" width="205" align="top" /></td>
  6. <td width="40%" align="left" valign="bottom">
  7. <div><img src="/images/sep.gif" border="0" height="70" width="10"/></div>
  8. <div><p><b>Projet Sol-Violette</b><br/>45 rue de chaussas<br/>31200 TOULOUSE</p></div>
  9. </td>
  10. </tr>
  11. </table>
  12. <div style="text-align:center">
  13. <h1>Demande de carte sol</h1>
  14. </div>
  15. <table cellpadding="1" cellspacing="3" border="0" width="100%">
  16. <tr>
  17. <td width="30%"></td>
  18. <td></td>
  19. </tr>
  20. <tr>
  21. <td width="30%">Prénom :</td>
  22. <?php printf('<td>%s</td>',$datas['first_name']) ?>
  23. </tr>
  24. <tr>
  25. <td width="30%">Nom :</td>
  26. <?php printf('<td>%s</td>',$datas['last_name']) ?>
  27. </tr>
  28. <tr>
  29. <td width="30%">Email :</td>
  30. <?php printf('<td>%s</td>',$datas['user_email']) ?>
  31. </tr>
  32. <tr>
  33. <td width="30%">Téléphone :</td>
  34. <?php printf('<td>%s</td>',$datas['user_phone']) ?>
  35. </tr>
  36. <tr>
  37. <td width="30%">Fax :</td>
  38. <?php printf('<td>%s</td>',$datas['user_fax']) ?>
  39. </tr>
  40. <tr>
  41. <td width="30%">Date de naissance :</td>
  42. <?php printf('<td>%s</td>',date('d/m/Y',strtotime($datas['user_birthday']))) ?>
  43. </tr>
  44. <tr>
  45. <td width="30%">Situation :</td>
  46. <?php printf('<td>%s</td>',$situations[$datas['user_situation']]) ?>
  47. </tr>
  48. <tr>
  49. <td width="30%">Adresse :</td>
  50. <?php printf('<td>%s<br/>%s</td>',$datas['user_address1'],$datas['user_address2']) ?>
  51. </tr>
  52. <tr>
  53. <td width="30%">Code postal :</td>
  54. <?php printf('<td>%s</td>',$datas['user_zip']) ?>
  55. </tr>
  56. <tr>
  57. <td width="30%">Ville :</td>
  58. <?php printf('<td>%s</td>',$datas['user_city']) ?>
  59. </tr>
  60. <tr>
  61. <td width="30%">Identifiant :</td>
  62. <?php printf('<td>%s</td>',$datas['user_login']) ?>
  63. </tr>
  64. <tr>
  65. <td width="30%">Nom du parrain :</td>
  66. <?php printf('<td>%s</td>',$datas['parrain_name']) ?>
  67. </tr>
  68. <tr>
  69. <td width="30%">Numéro de carte :</td>
  70. <?php printf('<td>%s</td>',$datas['card_number_sol']) ?>
  71. </tr>
  72. <tr>
  73. <td width="30%">Type :</td>
  74. <?php printf('<td>%s</td>',$adhesions[$datas['user_adhesion']]) ?>
  75. </tr>
  76. </table>
  77. <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>
  78. <div><img src="/images/sep.gif" border="0" height="20" width="10"/></div>
  79. <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>
  80. <div><img src="/images/sep.gif" border="0" height="20" width="10"/></div>
  81. <table>
  82. <tr>
  83. <td width="70%" align="right">Signature :</td>
  84. <td width="30%">&nbsp;</td>
  85. </tr>
  86. </table>