Sinon voilà le code du générateur en ligne, si tu peux regarder si c'est ok, enfin si c'est pas
<script src="http://french.jotform.com/min/g=jotform&3.1.1" type="text/javascript"></script>
<script type="text/javascript">
JotForm.init(function(){
$('input_4').hint('ex: myname@example.com');
JotForm.initCaptcha('input_7');
$('input_7').hint('Tapez le texte ci-dessus');
JotForm.totalCounter({"input_10_1008": {"price": "15"}, "input_10_1009": {"price": "20"}});
});
</script>
<link type="text/css" rel="stylesheet" href="http://french.jotform.com/css/styles/form.css?v3"/>
<link type="text/css" rel="stylesheet" href="http://french.jotform.com/css/styles/solid.css" />
<link href="http://french.jotform.com/css/calendarview.css" rel="stylesheet" type="text/css" />
<style type="text/css">
.form-label{
width:150px !important;
}
.form-label-left{
width:150px !important;
}
.form-line{
padding:10px;
}
.form-label-right{
width:150px !important;
}
.form-all{
width:650px;
background:#EE9900;
color:#A52A2A !important;
font-family:Verdana;
font-size:12px;
}
</style>
<form class="jotform-form" action="http://french.jotform.com/submit.php" method="post" enctype="multipart/form-data" name="form_2540259831" id="2540259831" accept-charset="utf-8">
<input type="hidden" name="formID" value="2540259831" />
<div class="form-all">
<ul class="form-section">
<li id="id_3" class="form-input-wide">
<div class="form-header-group">
<h2 id="header_3" class="form-header">
Merci de remplir ce formulaire, posez votre question, je vous reponds au plus vite des reception de votre paiement
</h2>
</div>
</li>
<li class="form-line" id="id_9">
<label class="form-label-left" id="label_9" for="input_9">
Votre Prenom :<span class="form-required">*</span>
</label>
<div id="id_9" class="form-input">
<input type="text" class="form-textbox validate[required]" id="input_9" name="q9_votrePrenom" size="20" />
</div>
</li>
<li class="form-line" id="id_4">
<label class="form-label-left" id="label_4" for="input_4">
Votre adresse e-mail<span class="form-required">*</span>
</label>
<div id="id_4" class="form-input">
<input type="text" class="form-textbox validate[required, Email]" id="input_4" name="q4_votreAdresse" size="30" />
</div>
</li>
<li class="form-line" id="id_5">
<label class="form-label-left" id="label_5" for="input_5">
Votre question :<span class="form-required">*</span>
</label>
<div id="id_5" class="form-input">
<textarea id="input_5" class="form-textarea validate[required]" name="q5_votreQuestion5" cols="40" rows="6"></textarea>
</div>
</li>
<li class="form-line" id="id_6">
<label class="form-label-left" id="label_6" for="input_6"> Votre photo : </label>
<div id="id_6" class="form-input">
<input class="form-upload" type="file" name="q6_votrePhoto" id="input_6" accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" maxsize="500" />
</div>
</li>
<li class="form-line" id="id_7">
<label class="form-label-left" id="label_7" for="input_7"> Retapez ce que vous lisez : </label>
<div id="id_7" class="form-input">
<div class="form-captcha">
<label for="input_7"> <img alt="Captcha - Reload if it's not displayed" id="input_7_captcha" class="form-captcha-image" style="background:url(http://french.jotform.com/images/loader-big.gif) no-repeat center;" src="http://french.jotform.com/images/blank.gif" width="150" height="41" /> </label>
<div style="white-space:nowrap;">
<input type="text" id="input_7" name="captcha" style="width:130px;" />
<img src="http://french.jotform.com/images/reload.png" alt="Reload" align="absmiddle" style="cursor:pointer" onclick="JotForm.reloadCaptcha('input_7');" />
<input type="hidden" name="captcha_id" id="input_7_captcha_id" value="0">
</div>
</div>
</div>
</li>
<li class="form-line" id="id_10">
<label class="form-label-left" id="label_10" for="input_10">
Votre choix :<span class="form-required">*</span>
</label>
<div id="id_10" class="form-input"><span class="form-product-item"><input class="form-checkbox validate[required]" type="checkbox" id="input_10_1008" name="q10_votreChoix[][id]" value="1008" />
<label for="input_10_1008">
Votre question ou probleme sans photo :<span class="form-product-details"><b>
€<span id="">15.00</span>
EUR
</b></span>
</label></span>
<br /><span class="form-product-item"><input class="form-checkbox validate[required]" type="checkbox" id="input_10_1009" name="q10_votreChoix[][id]" value="1009" />
<label for="input_10_1009">
Votre question precise et votre photo :<span class="form-product-details"><b>
€<span id="">20.00</span>
EUR
</b></span>
</label>
<img src="http://www.biolifestyle.org/it/mkportal/modules/gallery/album/a_83.jpg" class="form-product-image" height="50" width="50" align="absmiddle" /></span>
<br />
</div>
</li>
<li class="form-line" id="id_2">
<div id="id_2" class="form-input-wide">
<div style="margin-left:170px" class="form-buttons-wrapper">
<button id="input_2" type="submit" class="form-submit-button">
Soumettre le formulaire
</button>
</div>
</div>
</li>
<li style="display:none">
Should be Empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<input type="hidden" id="simple_spc" name="simple_spc" value="2540259831" />
<script type="text/javascript">
document.getElementById("si" + "mple" + "_spc").value = "2540259831-2540259831";
</script>
</form>
PHP Astux
