[(#SET{liste_pays,#ARRAY{}})]
<BOUCLE_p(PAYS){par nom}>
  [(#SET{liste_pays, #GET{liste_pays}|array_merge{#ARRAY{#CODE, #NOM}}})]
</BOUCLE_p>

<div class="formulaire_spip formulaire_#FORM formulaire_#FORM-#ENV{id_souscription,nouveau}[ formulaire_souscription_(#ENV{type_souscription})][ formulaire_souscription_(#ENV{id_souscription_campagne})]">
  [<p class="reponse_formulaire reponse_formulaire_ok">(#ENV**{message_ok})</p>]
  [<p class="reponse_formulaire reponse_formulaire_erreur">(#ENV*{message_erreur})</p>]

  [(#ENV{editable})
  <form method="post" action="#ENV{action}"><div>

      #ACTION_FORMULAIRE{#ENV{action}}

      <div class="editer-groupe">
	      [(#ENV{_montant_type}|sinon{none}|=={none}|non)
	      #SET{name,montant}#SET{obli,'obligatoire'}#SET{defaut,''}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
        <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">
          <label for="#GET{name}">#ENV{_montant_label}</label>[
          <span class='erreur_message'>(#GET{erreurs})</span>
          ][<span class="input">(#INCLURE{fond=formulaires/inc-souscription-#ENV{_montant_type},name=#GET{name},valeur=#ENV*{#GET{name},#GET{defaut}},obli=#GET{obli},montants=#ENV{_montant_datas},montant_libre})</span>]
	        [(#ENV{_abo_montant_type}|=={none}|ou{#ENV{_montant_explication}|=={#ENV{_abo_montant_explication}}|non})
	        [<p class="explication">(#ENV{_montant_explication})</p>]
	        ]
        </div>
	      ]
	      [(#ENV{_abo_montant_type}|sinon{none}|=={none}|non)
	      #SET{name,abo_montant}#SET{obli,'obligatoire'}#SET{defaut,''}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
	      #SET{abo,''}
        <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">
          <label for="#GET{name}">#ENV{_abo_montant_label}</label>[
          <span class='erreur_message'>(#GET{erreurs})</span>
          ][(#ENV{_montant_type}|in_array{#LISTE{radio,radioinput}}|et{#ENV{_abo_montant_type}|in_array{#LISTE{radio,radioinput}}}|oui)#SET{name,montant}#SET{abo,'abo_'}
	        ][<span class="input">(#INCLURE{fond=formulaires/inc-souscription-#ENV{_abo_montant_type},name=#GET{name},abo=#GET{abo},valeur=#ENV*{#GET{name},#GET{defaut}},obli=#GET{obli},montants=#ENV{_abo_montant_datas},abo_montant_libre})</span>]
	        [<p class="explication">(#ENV{_abo_montant_explication})</p>]
        </div>
	      ]
	      #SET{name,courriel}#SET{obli,'obligatoire'}#SET{defaut,''}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
        <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">
          <label for="#GET{name}"><:souscription:label_courriel:></label>[
          <span class='erreur_message'>(#GET{erreurs})</span>
          ]<input type="email" name="#GET{name}" class="text email" value="#ENV*{#GET{name},#GET{defaut}}" id="#GET{name}" [(#HTML5|et{#GET{obli}})required='required']/>
        </div>
	      #SET{name,recu_fiscal}#SET{obli,''}#SET{defaut,'non'}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
        <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">[
          <span class='erreur_message'>(#GET{erreurs})</span>
          ]
          #SET{val,off}
          <input type="hidden" name="#GET{name}" value="#GET{val}" />
          #SET{val,on}
          <div class="choix">
            <input type="checkbox" name="#GET{name}" class="checkbox" id="#GET{name}_#GET{val}" value="#GET{val}"[(#ENV{#GET{name},#GET{defaut}}|=={#GET{val}}|oui)checked="checked"] />
            <label for="#GET{name}_#GET{val}"><:souscription:label_recu_fiscal:></label>
          </div>
	        [<p class="explication dispositions_fiscales small">
	    		   (#CONFIG{souscription/dispositions_fiscales_explications}|nl2br)
	    		  </p>]
        </div>
	      <div class="fieldset saisie_suite souscription_bloc_fiscal[(#ENV{#GET{name},#GET{defaut}}|=={#GET{val}}|non)none]">
		      <fieldset>
			      <legend><:souscription:label_legende_bloc_fiscal:></legend>
			      [(#INCLURE{fond=inclure/souscription/bloc_fiscal_intro,type_souscription=#ENV{type_souscription}})]
			      <div class="editer-groupe">
				      #SET{name0,civilite}#SET{obli1,''}#SET{defaut0,''}#SET{erreurs0,#ENV**{erreurs}|table_valeur{#GET{name0}}}
				      #SET{name1,prenom}#SET{obli1,'obligatoire'}#SET{defaut1,''}#SET{erreurs1,#ENV**{erreurs}|table_valeur{#GET{name1}}}
				      #SET{name2,nom}#SET{obli2,'obligatoire'}#SET{defaut2,''}#SET{erreurs2,#ENV**{erreurs}|table_valeur{#GET{name2}}}
		          <div class="editer [ (#GET{obli1})][ (#GET{erreurs1}|oui)erreur][ (#GET{erreurs2}|oui)erreur]">
			          <div class="demi left editer_[(#GET{name0})]">
				          <label for="#GET{name0}"><:souscription:label_civilite:></label>[
			            <span class='erreur_message'>(#GET{erreurs0})</span>
			            ]<select name="#GET{name0}" class="select" id="#GET{name0}">
							      <option value=""></option>
							      <option value="monsieur"[ (#ENV*{#GET{name0},#GET{defaut0}}|=={monsieur}|oui)selected="selected"]><:souscription:label_monsieur:></option>
							      <option value="madame"[ (#ENV*{#GET{name0},#GET{defaut0}}|=={madame}|oui)selected="selected"]><:souscription:label_madame:></option>
							    </select>
			          </div>
			          <div class="demi left editer_[(#GET{name1})]">
				          <label for="#GET{name1}"><:souscription:label_prenom:></label>[
			            <span class='erreur_message'>(#GET{erreurs1})</span>
			            ]<input type="text" name="#GET{name1}" class="text" value="#ENV*{#GET{name1},#GET{defaut1}}" id="#GET{name1}"/>
			          </div>
			          <div class="demi right editer_[(#GET{name2})]">
				          <label for="#GET{name2}"><:souscription:label_nom:></label>[
			            <span class='erreur_message'>(#GET{erreurs2})</span>
			            ]<input type="text" name="#GET{name2}" class="text" value="#ENV*{#GET{name2},#GET{defaut2}}" id="#GET{name2}"/>
			          </div>
		          </div>
				      #SET{name,adresse}#SET{obli,'obligatoire'}#SET{defaut,''}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
		          <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">
		            <label for="#GET{name}"><:souscription:label_adresse:></label>[
		            <span class='erreur_message'>(#GET{erreurs})</span>
		            ]<textarea name="#GET{name}" class="textarea" rows="3">
#ENV*{#GET{name},#GET{defaut}}</textarea>
		          </div>
				      #SET{name1,code_postal}#SET{obli1,'obligatoire'}#SET{defaut1,''}#SET{erreurs1,#ENV**{erreurs}|table_valeur{#GET{name1}}}
				      #SET{name2,ville}#SET{obli2,'obligatoire'}#SET{defaut2,''}#SET{erreurs2,#ENV**{erreurs}|table_valeur{#GET{name2}}}
		          <div class="editer [ (#GET{obli1})][ (#GET{erreurs1}|oui)erreur][ (#GET{erreurs2}|oui)erreur]">
			          <div class="demi left editer_[(#GET{name1})]">
				          <label for="#GET{name1}"><:souscription:label_code_postal:></label>[
			            <span class='erreur_message'>(#GET{erreurs1})</span>
			            ]<input type="text" name="#GET{name1}" class="text" value="#ENV*{#GET{name1},#GET{defaut1}}" id="#GET{name1}"/>
			          </div>
			          <div class="demi right editer_[(#GET{name2})]">
				          <label for="#GET{name2}"><:souscription:label_ville:></label>[
			            <span class='erreur_message'>(#GET{erreurs2})</span>
			            ]<input type="text" name="#GET{name2}" class="text" value="#ENV*{#GET{name2},#GET{defaut2}}" id="#GET{name2}"/>
			          </div>
		          </div>
				      [(#SAISIE{selection, pays, label=<:souscription:label_pays:>, datas=#GET{liste_pays}})]
				      #SET{name,telephone}#SET{obli,''}#SET{defaut,''}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
		          <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">
		            <label for="#GET{name}"><:souscription:label_telephone:></label>[
		            <span class='erreur_message'>(#GET{erreurs})</span>
		            ]<input type="text" name="#GET{name}" class="text" value="#ENV*{#GET{name},#GET{defaut}}" id="#GET{name}"/>
		          </div>
			      </div>
			      [<p class="explication donnees_personnelles small">
			     	 (#CONFIG{souscription/donnees_personnelles_explications}|nl2br)
			     	</p>]
		      </fieldset>
	      </div>


	      [(#CONFIG{souscription/proposer_infolettre,off}|=={on}|oui)
	      #SET{name,envoyer_info}#SET{obli,''}#SET{defaut,'off'}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
	      <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">[
					<span class='erreur_message'>(#GET{erreurs})</span>
					]
					#SET{val,off}
					<input type="hidden" name="#GET{name}" value="#GET{val}" />
					#SET{val,on}
					<div class="choix">
						<input type="checkbox" name="#GET{name}" class="checkbox" id="#GET{name}_#GET{val}" value="#GET{val}"[(#ENV{#GET{name},#GET{defaut}}|=={#GET{val}}|oui)checked="checked"] />
						<label for="#GET{name}_#GET{val}"><:souscription:label_envoyer_info:></label>
					</div>
				</div>
				]

	      [(#ENV{type_souscription}|=={adhesion}|et{#CONFIG{souscription/proposer_informer_comite_local,off}|=={on}}|oui)
	      #SET{name,informer_comite_local}#SET{obli,''}#SET{defaut,'non'}#SET{erreurs,#ENV**{erreurs}|table_valeur{#GET{name}}}
	      <div class="editer editer_[(#GET{name})][ (#GET{obli})][ (#GET{erreurs}|oui)erreur]">[
					<span class='erreur_message'>(#GET{erreurs})</span>
					]
					#SET{val,off}
					<input type="hidden" name="#GET{name}" value="#GET{val}" />
					#SET{val,on}
					<div class="choix">
						<input type="checkbox" name="#GET{name}" class="checkbox" id="#GET{name}_#GET{val}" value="#GET{val}"[(#ENV{#GET{name},#GET{defaut}}|=={#GET{val}}|oui)checked="checked"] />
						<label for="#GET{name}_#GET{val}"><:souscription:label_informer_comite_local:></label>
					</div>
				</div>
				]
      </div>

      <p class="boutons"><input type="submit" class="submit" value="<:souscription:confirmer:>" /></p>
    </div>

  </form>
  ]
	[(#ENV**{_souscription_paiement})]
</div>

<script type="text/javascript">
	jQuery(function(){
		jQuery(".formulaire_souscription_don .saisie_suite.fieldset").each(function(){
			var me=this;
			jQuery(me).prev(".editer").find("input.checkbox").click(function(){
				if (jQuery(this).prop("checked"))
					jQuery(me).show('fast');
				else
					jQuery(me).hide('fast');
			})
		})
/*[(#ENV{_montant_type}|sinon{none}|=={none}|non)
		[(#ENV{_montant_type}|sinon{none}|=={none}|non)*/
		jQuery(".editer_abo_montant").find("input[name=abo_montant],select[name=abo_montant]").change(function(){
			jQuery(".editer_montant").find("input.text,select").val('');
			jQuery(".editer_montant").find("input.radio").prop("checked",false);
		});
		jQuery(".editer_montant").find("input[name=montant],select[name=montant]").change(function(){
			jQuery(".editer_abo_montant").find("input[name=abo_montant].text,select[name=abo_montant]").val('');
			jQuery(".editer_abo_montant").find("input[name=abo_montant].radio").prop("checked",false);
		});
/*]
]*/
	})
</script>
<style>
input.checkbox:checked+label {font-weight: bold;}
.saisie_suite {margin-left: 40px;}
.saisie_suite.none {display: none;}
</style>