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This shows you the differences between two versions of the page.
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software:surgplan [2020/05/13 15:37] ahuaulme |
software:surgplan [2020/05/13 16:54] (current) ahuaulme |
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- | ====== SurgPlan access form ====== | + | ====== SurgePlan access form ====== |
<html> | <html> | ||
- | <form id="limesurvey" name="limesurvey" autocomplete="off" class="survey-form-container form" action="https://enquetes-partenaires.univ-rennes1.fr/index.php/884848" method="post"> | + | <form role="form" action="https://docs.google.com/forms/u/0/d/e/1FAIpQLSc5-88iY1qbpheC8bjswfNHO3B7IdH2ETU0df7G8wVrYlMGoQ/formResponse" target="_self" method="post"> |
<div class="form-group"> | <div class="form-group"> | ||
<label for="fname">First Name: <span class="text-danger">* </span></label> | <label for="fname">First Name: <span class="text-danger">* </span></label> | ||
- | <input type="text" class="form-control" name="884848X9169X113656" placeholder="Enter your first name here." required> | + | <input type="text" class="form-control" name="entry.1621723030" placeholder="Enter your first name here." required> |
</div> | </div> | ||
<br></br> | <br></br> | ||
<div class="form-group"> | <div class="form-group"> | ||
<label for="lname">Last Name: <span class="text-danger">* </span></label> | <label for="lname">Last Name: <span class="text-danger">* </span></label> | ||
- | <input type="text" class="form-control" name="884848X9169X113657" placeholder="Enter your last name here." required> | + | <input type="text" class="form-control" name="entry.569451349" placeholder="Enter your last name here." required> |
</div> | </div> | ||
<br></br> | <br></br> | ||
- | |||
<div class="form-group"> | <div class="form-group"> | ||
<label for="email">Email address: <span class="text-danger">* </span></label> | <label for="email">Email address: <span class="text-danger">* </span></label> | ||
- | <input type="email" class="form-control" name="884848X9169X113658" placeholder="Enter your email address." required> | + | <input type="email" class="form-control" name="entry.343075552" placeholder="Enter your email address." required> |
</div> | </div> | ||
<br></br> | <br></br> | ||
<div class="form-group"> | <div class="form-group"> | ||
<label for="institute">Institute/Organization: <span class="text-danger">* </span></label> | <label for="institute">Institute/Organization: <span class="text-danger">* </span></label> | ||
- | <input type="text" class="form-control" name="884848X9169X113659" placeholder="Institute / Organization name." required> | + | <input type="text" class="form-control" name="entry.81017266" placeholder="Institute / Organization name." required> |
</div> | </div> | ||
<br></br> | <br></br> | ||
Line 32: | Line 31: | ||
</div> | </div> | ||
<center> | <center> | ||
- | <input type="submit" value="Submit"> | + | <input type="submit" value="Submit"> |
- | <center> | + | </center> |
</form> | </form> | ||
</html> | </html> |