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							<option value="grave">Strong : the application or one of its main features doesn't work anymore</option>
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							<option value="grave">Strong : the application or one of its main features doesn't work anymore</option>
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						</select>
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						</select>
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					</div>
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					</div>
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				</div>
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				</div>
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				<input name="action" value="envoyer" type="hidden"/>
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				<input name="action" value="envoyer" type="hidden"/>
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				<input name="jeton" value="<?=$jeton?>" type="hidden"/>
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				<button type="submit" class="btn btn-success valider">Send your remark</button>
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				<button type="submit" class="btn btn-success valider">Send your remark</button>
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			</form>
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			</form>
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			<?php endif; ?>
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			<?php endif; ?>