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="/cytofast-elite/" /><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>

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Remplissez le formulaire pour demander un devis

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