<%@ LANGUAGE = JScript CODEPAGE = 1252 %> <% Session.LCID = 1036; Response.Expires = -1; Response.CacheControl = "Private"; var pageCoding = "ISO-8859-1"; %><% function _ga(name, value) {} var rootPath = "./"; var globalRootPath = "./"; var lang = "fr"; var itlVersion = "1.7.3.0"; var thisFromGlobalRoot = "./contact-cession-pharmacie.asp"; var hasDocType = false; var pageElementType = "smf:mailForm"; var isDiffusion = true; %> <% var dynlibModelUpdaterURL = "./dynlibModelUpdater0001002a.html"; %> <% var rpcServerMode = false; %> <% /********* current page *********/ var homeURL = "./index.html"; var loginURL = ""; var currentPageCategories = new Array(); %> <% var linkableClassMap = {}; %> <% var imageProviderUrl = "./imageProvider.asp"; %><% var albumDialogUrl = "./albumDialog.html"; %><% var albumPrivateDialogUrl = "./albumPrivateDialog.asp"; %> <% var cmd = itl.getParameterValue("string", "cmd"); %> Faites-vous rappeler

CONTACT/Faites-vous rappeler

<% var cC0017a87e = odfControlFactory.create("text", "C0017a87e", "Nom", null); cC0017a87e.setProperty("label", "Nom"); cC0017a87e.setProperty("width", "400"); cC0017a87e.setProperty("missingreason", "Le champ est obligatoire."); cC0017a87e.setProperty("kind", "required"); cC0017a87e.setProperty("value", null); cC0017a87e.setProperty("readonly", false); var cC0017a87c = odfControlFactory.create("text", "C0017a87c", "Prenom", null); cC0017a87c.setProperty("label", "Prénom"); cC0017a87c.setProperty("width", "400"); cC0017a87c.setProperty("missingreason", "Le champ est obligatoire."); cC0017a87c.setProperty("kind", "required"); cC0017a87c.setProperty("value", null); cC0017a87c.setProperty("readonly", false); var cC0017a88c = odfControlFactory.create("text", "C0017a88c", "Pharmacie", null); cC0017a88c.setProperty("label", "Pharmacie"); cC0017a88c.setProperty("width", "400"); cC0017a88c.setProperty("missingreason", "Le champ est obligatoire."); cC0017a88c.setProperty("kind", "optional"); cC0017a88c.setProperty("value", null); cC0017a88c.setProperty("readonly", false); var cC0017a880 = odfControlFactory.create("text", "C0017a880", "Pays", null); cC0017a880.setProperty("label", "Pays"); cC0017a880.setProperty("width", "400"); cC0017a880.setProperty("missingreason", "Le champ est obligatoire."); cC0017a880.setProperty("kind", "required"); cC0017a880.setProperty("value", null); cC0017a880.setProperty("readonly", false); var cC0017a884 = odfControlFactory.create("text", "C0017a884", "Region", null); cC0017a884.setProperty("label", "Région"); cC0017a884.setProperty("width", "400"); cC0017a884.setProperty("missingreason", "Le champ est obligatoire."); cC0017a884.setProperty("kind", "required"); cC0017a884.setProperty("value", null); cC0017a884.setProperty("readonly", false); var cC0017a882 = odfControlFactory.create("text", "C0017a882", "Telephone", null); cC0017a882.setProperty("label", "Téléphone"); cC0017a882.setProperty("width", "400"); cC0017a882.setProperty("missingreason", "Le champ est obligatoire."); cC0017a882.setProperty("kind", "optional"); cC0017a882.setProperty("value", null); cC0017a882.setProperty("readonly", false); var cC0017a886 = odfControlFactory.create("text", "C0017a886", "Telecopie", null); cC0017a886.setProperty("label", "Télécopie"); cC0017a886.setProperty("width", "400"); cC0017a886.setProperty("missingreason", "Le champ est obligatoire."); cC0017a886.setProperty("kind", "optional"); cC0017a886.setProperty("value", null); cC0017a886.setProperty("readonly", false); var cC0017a888 = odfControlFactory.create("text", "C0017a888", "E-mail", null); cC0017a888.setProperty("label", "E-mail"); cC0017a888.setProperty("width", "400"); cC0017a888.setProperty("missingreason", "Le champ est obligatoire."); cC0017a888.setProperty("kind", "required"); cC0017a888.setProperty("readonly", false); var cC0017a89d = odfControlFactory.create("select", "C0017a89d", "Entite", null); cC0017a89d.setProperty("label", "Entité"); cC0017a89d.setProperty("width", "100"); cC0017a89d.setProperty("missingreason", "Le champ est obligatoire."); cC0017a89d.setProperty("kind", "optional"); cC0017a89d.setProperty("value", "Pharmacie"); cC0017a89d.setProperty("readonly", false); cC0017a89d.addOptions([{"value":"","text":"Non spécifié","properties":{}},{"value":"Pharmacie","text":"Pharmacie","properties":{}},{"value":"Grossiste","text":"Grossiste","properties":{}},{"value":"Groupement","text":"Groupement","properties":{}},{"value":"Autre","text":"Autre","properties":{}}]); var cC0017a8a7 = odfControlFactory.create("select", "C0017a8a7", "effectif", null); cC0017a8a7.setProperty("label", "Effectifs"); cC0017a8a7.setProperty("width", "100"); cC0017a8a7.setProperty("missingreason", "Le champ est obligatoire."); cC0017a8a7.setProperty("kind", "optional"); cC0017a8a7.setProperty("value", "1 à 5"); cC0017a8a7.setProperty("readonly", false); cC0017a8a7.addOptions([{"value":"","text":"Non spécifié","properties":{}},{"value":"1 à 5","text":"1 à 5","properties":{}},{"value":"10 à 20","text":"10 à 20","properties":{}},{"value":"20 et plus","text":"20 et plus","properties":{}}]); var cC0017a8af = odfControlFactory.create("text", "C0017a8af", "Chiffre-affaire", null); cC0017a8af.setProperty("label", "Chiffre d\'affaires"); cC0017a8af.setProperty("width", "400"); cC0017a8af.setProperty("missingreason", "Le champ est obligatoire."); cC0017a8af.setProperty("kind", "required"); cC0017a8af.setProperty("readonly", false); var cC0017a894 = odfControlFactory.create("textArea", "C0017a894", "Commentaires", null); cC0017a894.setProperty("label", "Commentaires"); cC0017a894.setProperty("width", "400"); cC0017a894.setProperty("height", "80"); cC0017a894.setProperty("missingreason", "Le champ est obligatoire."); cC0017a894.setProperty("kind", "optional"); cC0017a894.setProperty("value", null); cC0017a894.setProperty("readonly", false); var debug = false; var action = "sendMail"; %>
<% var form0 = new ItlForm("form0", itl.getId(), "./contact-cession-pharmacie.asp", "G00010e34_1"); form0.setProperty("name", "form"); form0.setProperty("method", "post"); form0.setProperty("enctype", "multipart/form-data"); form0.setProperty("hasProcessing", true); if(form0.isFirstPost()) { if(form0.isValid()) { try { var mail3 = new ItlMail(); mail3.setProperty("to", "pascal.castro@actoria.eu"); mail3.setProperty("from", itl.getRequestVar("E-mail")); mail3.setProperty("subject", "Le formulaire faites vous rappeler a été saisi sur le site Actopharma."); mail3.setProperty("cc", ""); mail3.addToBody(( "" + "\n" + "\n" + " \n" + " \n" + "\n" + "\n" + "

Une personne vient de remplir le formulaire.

\n" + " \n" + " \n" + " \n" + " \n" + " \n" + " \n")); parity = (_gv["parity"] = true); var parameterName = "Nom"; var value = itl.getRequestVar("Nom"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Prenom"; var value = itl.getRequestVar("Prenom"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Pharmacie"; var value = itl.getRequestVar("Pharmacie"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Pays"; var value = itl.getRequestVar("Pays"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Region"; var value = itl.getRequestVar("Region"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Telephone"; var value = itl.getRequestVar("Telephone"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Telecopie"; var value = itl.getRequestVar("Telecopie"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "E-mail"; var value = itl.getRequestVar("E-mail"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Entite"; var value = itl.getRequestVar("Entite"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "effectif"; var value = itl.getRequestVar("effectif"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Chiffre-affaire"; var value = itl.getRequestVar("Chiffre-affaire"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = false); mail3.addToBody(( "" + " \n" + " \n" + " \n" + " \n")); var parameterName = "Commentaires"; var value = itl.getRequestVar("Commentaires"); var type = "string"; mail3.addToBody(( "" + " \n" + " \n")); parity = (_gv["parity"] = true); mail3.addToBody(( "" + " \n" + " \n" + " \n" + "
PropriétéValeur
\n" + " Nom\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Prénom\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Pharmacie\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Pays\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Région\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Téléphone\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Télécopie\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " E-mail\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Entité\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Effectifs\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Chiffre d'affaires\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "html", "string"); } mail3.addToBody(( "" + "
\n" + " Commentaires\n" + " \n" + " \n")); if(isNull(value) || value == "") { mail3.addToBody(" "); } else { _show(value, "string", "memo", "string"); } mail3.addToBody(( "" + "
\n" + "\n" + "\n" + "\n")); if(!mail3.exec()) { throw newItlError(mail3.getDiagnostics()); } var link = ""; %>

Votre formulaire a bien été traité. Merci.

<% form0.hideContent(); } catch(e2) { if(e2.isItlError) { var diag = e2.getDiagnostics(); %>

Impossible de sauvegarder vos données.
<% _show(diag, "string", "html", "string"); %>

<% form0.fails(); } else { throw e2; } } } } if(form0.canShow()) { form0.show(); %>

Vous souhaitez céder votre pharmacie ou recherchez un partenaire ?

<% cC0017a87e.setForm(form0); cC0017a87e.show(); %>
<% cC0017a87c.setForm(form0); cC0017a87c.show(); %>
<% cC0017a88c.setForm(form0); cC0017a88c.show(); %>
<% cC0017a880.setForm(form0); cC0017a880.show(); %>
<% cC0017a884.setForm(form0); cC0017a884.show(); %>
<% cC0017a882.setForm(form0); cC0017a882.show(); %>
<% cC0017a886.setForm(form0); cC0017a886.show(); %>
<% cC0017a888.setForm(form0); cC0017a888.show(); %>
<% cC0017a89d.setForm(form0); cC0017a89d.show(); %>
<% cC0017a8a7.setForm(form0); cC0017a8a7.show(); %>
<% cC0017a8af.setForm(form0); cC0017a8af.show(); %>
<% cC0017a894.setForm(form0); cC0017a894.show(); %>

A réception de ces informations, un associé du cabinet prendra contact avec vous en toute confidentialité. 

TOUTES LES INFORMATIONS FOURNIES SONT STRICTEMENT CONFIDENTIELLES

<% form0.close();} %>
<% sqlEngine.terminate(); %><% framework.terminate() ; %><% objResponse.terminate("HTML") ; %>