Remplissez le formulaire pour demander un devis

Question

Accepted Answer

<p><div class="frm_forms  with_frm_style frm_style_estilo-de-formidable" id="frm_form_6_container" data-token="810b6d5ee9e8e8e5d7bcc5097eeff585">
<form enctype="multipart/form-data" method="post" class="frm-show-form " id="form_demande-un-devis" data-token="810b6d5ee9e8e8e5d7bcc5097eeff585">
<div class="frm_form_fields ">
<fieldset>
<legend class="frm_screen_reader">demande un devis</legend>

<div class="frm_fields_container">
<input type="hidden" name="frm_action" value="create" />
<input type="hidden" name="form_id" value="6" />
<input type="hidden" name="frm_hide_fields_6" id="frm_hide_fields_6" value="" />
<input type="hidden" name="form_key" value="demande-un-devis" />
<input type="hidden" name="item_meta[0]" value="" />
<input type="hidden" id="frm_submit_entry_6" name="frm_submit_entry_6" value="c0289a97dd" /><input type="hidden" name="_wp_http_referer" value="/thermostat-haute-temperature-ht200s/" /><div id="frm_field_11_container" class="frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first">
	<label for="field_k896q" id="field_k896q_label" class="frm_primary_label">Nom
		<span class="frm_required" aria-hidden="true">*</span>
	</label>
	<input type="text" id="field_k896q" name="item_meta[11]" value=""  data-reqmsg="Nom no puede estar en blanco." aria-required="true" data-invmsg="Nom no es válido" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_12_container" class="frm_form_field form-field  frm_required_field frm_top_container frm6">
	<label for="field_ayoxo" id="field_ayoxo_label" class="frm_primary_label">Prénom
		<span class="frm_required" aria-hidden="true">*</span>
	</label>
	<input type="text" id="field_ayoxo" name="item_meta[12]" value=""  data-reqmsg="Prénom no puede estar en blanco." aria-required="true" data-invmsg="Prénom no es válido" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_15_container" class="frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first">
	<label for="field_qbk5d" id="field_qbk5d_label" class="frm_primary_label">Entreprise/Organisation
		<span class="frm_required" aria-hidden="true">*</span>
	</label>
	<input type="text" id="field_qbk5d" name="item_meta[15]" value=""  data-reqmsg="Entreprise/Organisation no puede estar en blanco." aria-required="true" data-invmsg="Entreprise/Organisation no es válido" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_16_container" class="frm_form_field form-field  frm_required_field frm_top_container frm6">
	<label for="field_jocep" id="field_jocep_label" class="frm_primary_label">La fonction
		<span class="frm_required" aria-hidden="true">*</span>
	</label>
	<input type="text" id="field_jocep" name="item_meta[16]" value=""  data-reqmsg="La fonction no puede estar en blanco." aria-required="true" data-invmsg="La fonction no es válido" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_21_container" class="frm_form_field form-field  frm_top_container frm12 frm_first">
	<label for="field_rtb5d" id="field_rtb5d_label" class="frm_primary_label">Nom de produit
		<span class="frm_required" aria-hidden="true"></span>
	</label>
	<input type="text" id="field_rtb5d" name="item_meta[21]" value=""  data-invmsg="Nom de produit no es válido" class="nmpro" style="color: black;" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_22_container" class="frm_form_field form-field  frm_top_container">
	<label for="field_wzqh1" id="field_wzqh1_label" class="frm_primary_label">Téléphone
		<span class="frm_required" aria-hidden="true"></span>
	</label>
	<input type="tel" id="field_wzqh1" name="item_meta[22]" value=""  data-invmsg="Téléphone no es válido" aria-invalid="false" pattern="((\+\d{1,3}(-|.| )?$?\d$?(-| |.)?\d{1,5})|($?\d{2,6}$?))(-|.| )?(\d{3,4})(-|.| )?(\d{4})(( x| ext)\d{1,5}){0,1}$"  />
	
	
</div>
<div id="frm_field_23_container" class="frm_form_field form-field  frm_required_field frm_top_container">
	<label for="field_zt1mz" id="field_zt1mz_label" class="frm_primary_label">Email
		<span class="frm_required" aria-hidden="true">*</span>
	</label>
	<input type="email" id="field_zt1mz" name="item_meta[23]" value=""  data-reqmsg="Email no puede estar en blanco." aria-required="true" data-invmsg="Email no es válido" aria-invalid="false"  />
	
	
</div>
<div id="frm_field_24_container" class="frm_form_field form-field  frm_top_container">
	<label for="field_86ro" id="field_86ro_label" class="frm_primary_label">Message
		<span class="frm_required" aria-hidden="true"></span>
	</label>
	<textarea name="item_meta[24]" id="field_86ro" rows="5"  data-invmsg="Message est non valide" aria-invalid="false"  ></textarea>
	
	
</div>
<div id="frm_field_25_container" class="frm_form_field form-field  frm_none_container">
	<label for="g-recaptcha-response" id="field_t6uqy_label" class="frm_primary_label">Captcha
		<span class="frm_required" aria-hidden="true"></span>
	</label>
	<div  id="field_t6uqy" class="frm-g-recaptcha" data-sitekey="6LfYzDEqAAAAANEMvVgYrDM2_HBxouQGeDMeLMsY" data-size="normal" data-theme="light"></div>
	
	
</div>
<div id="frm_field_10_container" class="frm_form_field form-field  frm12 frm_first">
	<div class="frm_submit frm_flex">
<button class="frm_button_submit" type="submit"  >Envoyer</button>



</div>
</div>
	<input type="hidden" name="item_key" value="" />
				<div class="frm__66cc8104d59ab">
				<label for="frm_email_6" >
					Si vous êtes un humain, ne remplissez pas ce champ.				</label>
				<input  id="frm_email_6" type="text" class="frm_verify" name="frm__66cc8104d59ab" value="" autocomplete="off"  />
			</div>
		</div>
</fieldset>
</div>
</form>
</div>
</p>

Thermostat haute température HT200S

Remplissez le formulaire pour demander un devis

Produits similaires

Spectrophotomètre de paillasse DR3900 pour l’analyse de l’eau

Analyseur colorimétrique de chlore Cl17sc Ultra Low Range

Analyseur de COT Hach BioTector B7000i

Ultraturb Seawater sc, capteur de turbidité, câble de 5 m