/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
* Includes a Form with javascript
* @param {Object} formId
* @param {Object} initialHeight
* @param {Object} iframeCode
*/
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
this.formId = formId;
this.initialHeight = initialHeight;
this.iframeCode = iframeCode;
this.frame = null;
this.timeInterval= 200;
this.appendTo = appendTo || false;
// initialize function for object
this.init = function(){
this.createFrame();
this.addFrameContent(this.iframeCode);
};
// Create the frame
this.createFrame = function(){
var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\">";
if(this.appendTo === false){
document.write(htmlCode);
}else{
var tmp = document.createElement('div');
tmp.innerHTML = htmlCode;
var a = this.appendTo;
document.getElementById(a).appendChild(tmp.firstChild);
}
// also get the frame for future use.
this.frame = document.getElementById(this.formId);
// set the time on the on load event of the frame
this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
};
// add event function for different browsers
this.addEvent = function( obj, type, fn ) {
if ( obj.attachEvent ) {
obj["e"+type+fn] = fn;
obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
obj.attachEvent( "on"+type, obj[type+fn] );
}
else{
obj.addEventListener( type, fn, false );
}
};
this.addFrameContent = function (string){
string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"><'+'div id="recaptcha_div"><'+'/div>'+
'<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
'<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
' }<'+'/script>');
string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
frameDocument.document.open();
frameDocument.document.write(string);
setTimeout( function(){
frameDocument.document.close();
try{
if('JotFormFrameLoaded' in window){
JotFormFrameLoaded();
}
}catch(e){}
},200);
};
this.setTimer = function(){
var self = this;
this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
};
this.changeHeight = function (){
var actualHeight = this.getBodyHeight();
var currentHeight = this.getViewPortHeight();
if(actualHeight === undefined){
this.frame.style.height = "100%";
if(!this.frame.style.minHeight){
this.frame.style.minHeight = "300px";
}
}else if (Math.abs(actualHeight - currentHeight) > 18){
this.frame.style.height = (actualHeight)+"px";
}
this.setTimer();
};
this.bindMethod = function(method, scope) {
return function() {
method.apply(scope,arguments);
};
};
this.getBodyHeight = function (){
var height;
var scrollHeight;
var offsetHeight;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.document.height){
height = this.frame.contentWindow.document.height;
//Emre: to prevent "iframe height" problem (61059)
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
} else if (this.frame.contentWindow.document.body){
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
if (scrollHeight && offsetHeight){
height = Math.max(scrollHeight, offsetHeight);
}
}
}catch(e){ }
return height;
};
this.getViewPortHeight = function(){
var height = 0;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.window.innerHeight)
{
height = this.frame.contentWindow.window.innerHeight - 18;
}
else if ((this.frame.contentWindow.document.documentElement) &&
(this.frame.contentWindow.document.documentElement.clientHeight))
{
height = this.frame.contentWindow.document.documentElement.clientHeight;
}
else if ((this.frame.contentWindow.document.body) &&
(this.frame.contentWindow.document.body.clientHeight))
{
height = this.frame.contentWindow.document.body.clientHeight;
}
}catch(e){ }
return height;
};
this.init();
}
FrameBuilder.get = [];
var i1853837176 = new FrameBuilder("1853837176", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"http:\/\/www.jotform.com\/css\/styles\/industrial_dark.css\" \/>\n<style type=\"text\/css\">\n .form-label{\n width:150px !important;\n }\n .form-label-left{\n width:150px !important;\n }\n .form-line{\n padding:10px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background:rgb(54, 53, 53) url(..\/..\/images\/styles\/style4_2_bg.gif) repeat-x scroll center top;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:20px;\n width:690px;\n background:rgb(54, 53, 53) url(..\/..\/images\/styles\/style4_2_bg.gif) repeat-x scroll center top;\n color:white !important;\n font-family:\"Trebuchet MS\";\n font-size:12px;\n }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.init(function(){\n JotForm.description('input_16', 'Chaque formule est expliqu\u00e9e en d\u00e9tail sur le site, www.prodj.be\/tarifs.<br \/>Les formules diff\u00e8rent en terme de mat\u00e9riel, horraire et distance. Veuillez bien v\u00e9rifier ces informations ');\n JotForm.setCalendar(\"61\");\n $('input_19').hint('ex: monnom@example.com');\n JotForm.description('input_19', 'Faites attention \u00e0 ne pas faire de faute de frappe');\n $('input_20').hint('Votre num\u00e9ro sans ponctuation, ex : 0478284064');\n JotForm.description('input_20', 'Votre num\u00e9ro sans ponctuation, ex : 0478284064');\n JotForm.description('input_54', 'Nom de votre soci\u00e9t\u00e9 et infos facturation');\n JotForm.description('input_47', 'La live box vous permet de diffuser de la musique pendant la journ\u00e9e, elle vous est fournie avec des cd\u2019s de musique d\u2019ambiance ainsi qu\u2019un micro vous permettant d\u2019amplifier des discours.Elle \u00eatre enlev\u00e9e quelques jours avant votre \u00e9v\u00e9nement, \u00e0 Woluwe');\n JotForm.description('input_41', 'Si rien n\\'est pr\u00e9vu comme repas, nous nous absenterons 30 min. Merci de pr\u00e9voir des boissons.');\n $('input_37').hint('chronologiquement depuis l\\'arriv\u00e9e de vos invit\u00e9s');\n JotForm.description('input_37', 'Les diff\u00e9rentes \u00e9tapes de votre soir\u00e9e : arriv\u00e9es de vos invit\u00e9s, ap\u00e9ro, repas...<br \/>Expliquez. Pr\u00e9cisez aussi s\\'il y a des animations pr\u00e9vues par vos proches et des discours');\n JotForm.description('input_42', 'Veuillez inidiquer ici toute remarque ou info n\u00e9cessaire');\n });\n\n clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" name=\"form_1853837176\" id=\"1853837176\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1853837176\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li class=\"form-line\" id=\"id_3\">\n <div id=\"cid_3\" class=\"form-input-wide\">\n <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/www.prodj.be\/start\/bv000009.jpg\" height=\"75\" width=\"75\" \/>\n <\/div>\n <\/li>\n <li id=\"cid_1\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_1\" class=\"form-header\">\n Bon de commande de prestations DJ\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_8\">\n <div id=\"cid_8\" class=\"form-input-wide\">\n <div id=\"text_8\" class=\"form-html\">\n <p><span style=\"font-size: small;\"><span style=\"color: #99ccff;\">Ce formulaire vous permet de passer votre commande de prestations DJ et fera également office de CONTRAT.\n <br \/><\/span><span style=\"color: #99ccff;\"><span style=\"color: #ff0000;\">Votre commande sera traitée et une fois confirmée par email, ne pourra plus être annulée.<\/span><\/span><span style=\"color: #99ccff;\"><br \/><\/span><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_16\">\n <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\">\n Formule DJ choisie<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_16\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:300px\" id=\"input_16\" name=\"q16_formuleDj16\">\n <option> <\/option>\n <option value=\"Formule Basique \u00e0 299 euros\"> Formule Basique \u00e0 299 euros <\/option>\n <option value=\"Formule Avantage \u00e0 399 euros\"> Formule Avantage \u00e0 399 euros <\/option>\n <option value=\"Formule Premium \u00e0 499 euros\"> Formule Premium \u00e0 499 euros <\/option>\n <option value=\"Prestation DJ (sans mat\u00e9riel) pr\u00e9ciser ce qui est convenu dans les notes\"> Prestation DJ (sans mat\u00e9riel) pr\u00e9ciser ce qui est convenu dans les notes <\/option>\n <option value=\"Autre formule convenue (\u00e0 pr\u00e9ciser ds les notes)\"> Autre formule convenue (\u00e0 pr\u00e9ciser ds les notes) <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_63\">\n <label class=\"form-label-left\" id=\"label_63\" for=\"input_63\"> Options <\/label>\n <div id=\"cid_63\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_63_0\" name=\"q63_options63[]\" value=\"Video projecteur et Ecran: 80 euros\" \/>\n <label for=\"input_63_0\"> Video projecteur et Ecran: 80 euros <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_43\">\n <div id=\"cid_43\" class=\"form-input-wide\">\n <div id=\"text_43\" class=\"form-html\">\n <p><span style=\"color: #99ccff; font-size: small;\">Arrivée des dj's pour le montage à partir de 18:00 (fomule avantage). Il faut 30 minutes pour le montage de la partie audio. L'ensemble de la sono est monté en 1h. Si vous avez besoin de musique d'ambiance et amplification micro pendant la journée, la Live Box est à votre disposition (voir plus bas). Veuillez nous contacter pour toute autre demande.<\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_45\">\n <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\">\n Veuillez confirmer :<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_45\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_45_0\" name=\"q45_veuillezConfirmer[]\" value=\"J'ai bien pris connaissance du contenu de la formule choisie, en terme de mat\u00e9riel, horraire et distance comprise.\" \/>\n <label for=\"input_45_0\"> J'ai bien pris connaissance du contenu de la formule choisie, en terme de mat\u00e9riel, horraire et distance comprise. <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_45_1\" name=\"q45_veuillezConfirmer[]\" value=\"Le paiement se fera en esp\u00e8ce le jour des prestations.\" \/>\n <label for=\"input_45_1\"> Le paiement se fera en esp\u00e8ce le jour des prestations. <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_45_2\" name=\"q45_veuillezConfirmer[]\" value=\"Les heures suppl\u00e9mentaires entam\u00e9es qui d\u00e9passent le forfait sont compt\u00e9es \u00e0 50 euros l'unit\u00e9.\" \/>\n <label for=\"input_45_2\"> Les heures suppl\u00e9mentaires entam\u00e9es qui d\u00e9passent le forfait sont compt\u00e9es \u00e0 50 euros l'unit\u00e9. <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_61\">\n <label class=\"form-label-left\" id=\"label_61\" for=\"input_61\">\n Date de votre \u00e9venement<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_61\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"noDefault form-textbox validate[required]\" id=\"day_61\" name=\"q61_dateDe[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"day_61\" id=\"sublabel_day\"> Day <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"month_61\" name=\"q61_dateDe[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"month_61\" id=\"sublabel_month\"> Month <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"year_61\" name=\"q61_dateDe[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"\" \/>\n <label class=\"form-sub-label\" for=\"year_61\" id=\"sublabel_year\"> Year <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_61_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n <label class=\"form-sub-label\" for=\"input_61_pick\"> <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_12\">\n <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\">\n Type<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_12\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:300px\" id=\"input_12\" name=\"q12_type\">\n <option> <\/option>\n <option value=\"Mariage\"> Mariage <\/option>\n <option value=\"Anniversaire\"> Anniversaire <\/option>\n <option value=\"Soci\u00e9t\u00e9\"> Soci\u00e9t\u00e9 <\/option>\n <option value=\"Boum\"> Boum <\/option>\n <option value=\"Autre (\u00e0 pr\u00e9ciser dans les remarques)\"> Autre (\u00e0 pr\u00e9ciser dans les remarques) <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_21\">\n <label class=\"form-label-left\" id=\"label_21\" for=\"input_21\">\n Nombre de personnes<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_21\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_21\" name=\"q21_nombreDe\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_56\">\n <label class=\"form-label-left\" id=\"label_56\" for=\"input_56\">\n L'\u00e9venement se passe<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_56\" class=\"form-input\">\n <div class=\"form-multiple-column\"><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_56_0\" name=\"q56_laSoiree[]\" value=\"En \u00e9tablissement\" \/>\n <label for=\"input_56_0\"> En \u00e9tablissement <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_56_1\" name=\"q56_laSoiree[]\" value=\"En salle\" \/>\n <label for=\"input_56_1\"> En salle <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_56_2\" name=\"q56_laSoiree[]\" value=\"A domicile\" \/>\n <label for=\"input_56_2\"> A domicile <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_56_3\" name=\"q56_laSoiree[]\" value=\"A l'ext\u00e9rieur\" \/>\n <label for=\"input_56_3\"> A l'ext\u00e9rieur <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_56_4\" name=\"q56_laSoiree[]\" value=\"Autre\" \/>\n <label for=\"input_56_4\"> Autre <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_62\">\n <label class=\"form-label-left\" id=\"label_62\" for=\"input_62\">\n Nom de l'\u00e9tablissement et nom de la salle<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_62\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_62\" name=\"q62_nomDe\" size=\"80\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_6\">\n <label class=\"form-label-left\" id=\"label_6\" for=\"input_6\">\n Adresse de la soir\u00e9e<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_6\" class=\"form-input\">\n <textarea id=\"input_6\" class=\"form-textarea validate[required]\" name=\"q6_adresseDe\" cols=\"80\" rows=\"4\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_51\">\n <label class=\"form-label-left\" id=\"label_51\" for=\"input_51\"> Personne de contact <\/label>\n <div id=\"cid_51\" class=\"form-input\">\n <textarea id=\"input_51\" class=\"form-textarea\" name=\"q51_personneDe\" cols=\"80\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> Distance de Bruxelles en Km <\/label>\n <div id=\"cid_46\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_46\" name=\"q46_distanceDe\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_17\">\n <div id=\"cid_17\" class=\"form-input-wide\">\n <div id=\"text_17\" class=\"form-html\">\n <p><span style=\"font-size: large;\"><strong><span style=\"text-decoration: underline;\">Vos coordonnées<\/span>\n <\/strong><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_19\">\n <label class=\"form-label-left\" id=\"label_19\" for=\"input_19\">\n E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_19\" class=\"form-input\">\n <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_19\" name=\"q19_email\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_52\">\n <label class=\"form-label-left\" id=\"label_52\" for=\"input_52\"> Vous \u00eates <\/label>\n <div id=\"cid_52\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_52\" name=\"q52_vousEtes\">\n <option> <\/option>\n <option value=\"Priv\u00e9\"> Priv\u00e9 <\/option>\n <option value=\"Professionnel\"> Professionnel <\/option>\n <option value=\"Etablissement\"> Etablissement <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_20\">\n <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\">\n T\u00e9l\u00e9phone Portable<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_20\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required, Numeric]\" id=\"input_20\" name=\"q20_telephonePortable\" size=\"50\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_4\">\n <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\">\n Pr\u00e9nom - Nom<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_4\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"10\" name=\"q4_prenom4[first]\" id=\"first_4\" \/>\n <label class=\"form-sub-label\" for=\"first_4\"> <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"15\" name=\"q4_prenom4[last]\" id=\"last_4\" \/>\n <label class=\"form-sub-label\" for=\"last_4\"> <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_18\">\n <label class=\"form-label-left\" id=\"label_18\" for=\"input_18\">\n Adresse compl\u00e8te<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_18\" class=\"form-input\">\n <textarea id=\"input_18\" class=\"form-textarea validate[required]\" name=\"q18_adresseComplete\" cols=\"80\" rows=\"3\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_54\">\n <label class=\"form-label-left\" id=\"label_54\" for=\"input_54\"> Informations professionnelles <\/label>\n <div id=\"cid_54\" class=\"form-input\">\n <textarea id=\"input_54\" class=\"form-textarea\" name=\"q54_informationsProfessionnelles\" cols=\"80\" rows=\"3\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_23\">\n <div id=\"cid_23\" class=\"form-input-wide\">\n <div id=\"text_23\" class=\"form-html\">\n <p><span style=\"text-decoration: underline;\"><span style=\"font-size: large;\"><strong>\n Informations pratiques\n <\/strong><\/span><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_24\">\n <label class=\"form-label-left\" id=\"label_24\" for=\"input_24\"> Taille de la salle <\/label>\n <div id=\"cid_24\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_24\" name=\"q24_tailleDe\">\n <option> <\/option>\n <option value=\"Petite\"> Petite <\/option>\n <option value=\"Moyenne\"> Moyenne <\/option>\n <option value=\"Grande\"> Grande <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\"> Puissance souhait\u00e9e <\/label>\n <div id=\"cid_32\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_32\" name=\"q32_puissanceSouhaitee\">\n <option> <\/option>\n <option value=\"Limit\u00e9e\"> Limit\u00e9e <\/option>\n <option value=\"Moyenne\"> Moyenne <\/option>\n <option value=\"Forte\"> Forte <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_47\">\n <label class=\"form-label-left\" id=\"label_47\" for=\"input_47\"> Option Live Box \u00e0 venir enlever \u00e0 Woluwe <\/label>\n <div id=\"cid_47\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_47_0\" name=\"q47_optionLive[]\" value=\"Je souhaite utiliser la live box (compris dans le forfait Avantage)\" \/>\n <label for=\"input_47_0\"> Je souhaite utiliser la live box (compris dans le forfait Avantage) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_47_1\" name=\"q47_optionLive[]\" value=\"Je souhaite louer la live box au prix de 50 euros\" \/>\n <label for=\"input_47_1\"> Je souhaite louer la live box au prix de 50 euros <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_26\">\n <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\"> Parking pour d\u00e9chargement <\/label>\n <div id=\"cid_26\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:300px\" id=\"input_26\" name=\"q26_parkingPour26\">\n <option> <\/option>\n <option value=\"Parking juste \u00e0 c\u00f4t\u00e9 de la salle\"> Parking juste \u00e0 c\u00f4t\u00e9 de la salle <\/option>\n <option value=\"Il faut se garer dans la rue\"> Il faut se garer dans la rue <\/option>\n <option value=\"Autre (expliquer dans les notes)\"> Autre (expliquer dans les notes) <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> Acc\u00e8s \u00e0 la salle <\/label>\n <div id=\"cid_29\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_0\" name=\"q29_accesA[]\" value=\"La salle est juste \u00e0 c\u00f4t\u00e9 du parking\" \/>\n <label for=\"input_29_0\"> La salle est juste \u00e0 c\u00f4t\u00e9 du parking <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_1\" name=\"q29_accesA[]\" value=\"Il y a une certaine distance (pr\u00e9cisez dans les remarques)\" \/>\n <label for=\"input_29_1\"> Il y a une certaine distance (pr\u00e9cisez dans les remarques) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_2\" name=\"q29_accesA[]\" value=\"A l'\u00e9tage via ascenseur\" \/>\n <label for=\"input_29_2\"> A l'\u00e9tage via ascenseur <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_3\" name=\"q29_accesA[]\" value=\"A l'\u00e9tage via escaliers\" \/>\n <label for=\"input_29_3\"> A l'\u00e9tage via escaliers <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_4\" name=\"q29_accesA[]\" value=\"Via entr\u00e9e \u00e0 une autre adresse (pr\u00e9cisez dans les remarques)\" \/>\n <label for=\"input_29_4\"> Via entr\u00e9e \u00e0 une autre adresse (pr\u00e9cisez dans les remarques) <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_27\">\n <label class=\"form-label-left\" id=\"label_27\" for=\"input_27\"> Parking pendant la soir\u00e9e <\/label>\n <div id=\"cid_27\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:300px\" id=\"input_27\" name=\"q27_parkingPendant\">\n <option> <\/option>\n <option value=\"2 places de parking sont pr\u00e9vues\"> 2 places de parking sont pr\u00e9vues <\/option>\n <option value=\"Pas de possibilit\u00e9 de parking\"> Pas de possibilit\u00e9 de parking <\/option>\n <option value=\"Autre (expliquez dans les remarques)\"> Autre (expliquez dans les remarques) <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_28\">\n <label class=\"form-label-left\" id=\"label_28\" for=\"input_28\"> Remarques sur l'acc\u00e8s\/parking <\/label>\n <div id=\"cid_28\" class=\"form-input\">\n <textarea id=\"input_28\" class=\"form-textarea\" name=\"q28_remarquesSur28\" cols=\"80\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_36\">\n <label class=\"form-label-left\" id=\"label_36\" for=\"input_36\"> Heure d'arriv\u00e9e de vos invit\u00e9s <\/label>\n <div id=\"cid_36\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_36\" name=\"q36_heureDarrivee\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_33\">\n <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\"> Veuillez confirmer les disponibilit\u00e9s suivantes <\/label>\n <div id=\"cid_33\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_33_0\" name=\"q33_veuillezConfirmer33[]\" value=\"2 tables rectangulaires de min 1m20 pour la sono\" \/>\n <label for=\"input_33_0\"> 2 tables rectangulaires de min 1m20 pour la sono <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_33_1\" name=\"q33_veuillezConfirmer33[]\" value=\"Arriv\u00e9e d'\u00e9lecticit\u00e9 \u00e0 proximit\u00e9 de la sono\" \/>\n <label for=\"input_33_1\"> Arriv\u00e9e d'\u00e9lecticit\u00e9 \u00e0 proximit\u00e9 de la sono <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_39\">\n <label class=\"form-label-left\" id=\"label_39\" for=\"input_39\"> Repas <\/label>\n <div id=\"cid_39\" class=\"form-input\">\n <div class=\"form-multiple-column\"><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_0\" name=\"q39_repas[]\" value=\"Buffet\" \/>\n <label for=\"input_39_0\"> Buffet <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_39_1\" name=\"q39_repas[]\" value=\"Plats servis \u00e0 table\" \/>\n <label for=\"input_39_1\"> Plats servis \u00e0 table <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_40\">\n <label class=\"form-label-left\" id=\"label_40\" for=\"input_40\"> Heure de d\u00e9but du repas <\/label>\n <div id=\"cid_40\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_40\" name=\"q40_heureDe\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_41\">\n <label class=\"form-label-left\" id=\"label_41\" for=\"input_41\"> Pr\u00e9cisez ce qui est pr\u00e9vu pour les DJ's <\/label>\n <div id=\"cid_41\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_41_0\" name=\"q41_precisezCe[]\" value=\"Repas\" \/>\n <label for=\"input_41_0\"> Repas <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_41_1\" name=\"q41_precisezCe[]\" value=\"Boissons\" \/>\n <label for=\"input_41_1\"> Boissons <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_37\">\n <label class=\"form-label-left\" id=\"label_37\" for=\"input_37\"> D\u00e9roulement de la soir\u00e9e <\/label>\n <div id=\"cid_37\" class=\"form-input\">\n <textarea id=\"input_37\" class=\"form-textarea\" name=\"q37_deroulementDe\" cols=\"80\" rows=\"4\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_38\">\n <label class=\"form-label-left\" id=\"label_38\" for=\"input_38\"> Souhaitez vous des animations ? <\/label>\n <div id=\"cid_38\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_0\" name=\"q38_souhaitezVous38[]\" value=\"Quiz\" \/>\n <label for=\"input_38_0\"> Quiz <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_1\" name=\"q38_souhaitezVous38[]\" value=\"Jeux (veuillez pr\u00e9ciser ce que vous d\u00e9sirez dans le d\u00e9roulement de la soir\u00e9e ci dessus)\" \/>\n <label for=\"input_38_1\"> Jeux (veuillez pr\u00e9ciser ce que vous d\u00e9sirez dans le d\u00e9roulement de la soir\u00e9e ci dessus) <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_60\">\n <label class=\"form-label-left\" id=\"label_60\" for=\"input_60\"> Vos souhaits musicaux <\/label>\n <div id=\"cid_60\" class=\"form-input\">\n <div class=\"form-multiple-column\"><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_0\" name=\"q60_vosSouhaits[]\" value=\"60ies\" \/>\n <label for=\"input_60_0\"> 60ies <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_1\" name=\"q60_vosSouhaits[]\" value=\"70ies\" \/>\n <label for=\"input_60_1\"> 70ies <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_2\" name=\"q60_vosSouhaits[]\" value=\"80ies\" \/>\n <label for=\"input_60_2\"> 80ies <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_3\" name=\"q60_vosSouhaits[]\" value=\"90ies\" \/>\n <label for=\"input_60_3\"> 90ies <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_4\" name=\"q60_vosSouhaits[]\" value=\"Disco\" \/>\n <label for=\"input_60_4\"> Disco <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_5\" name=\"q60_vosSouhaits[]\" value=\"Rock classics\" \/>\n <label for=\"input_60_5\"> Rock classics <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_6\" name=\"q60_vosSouhaits[]\" value=\"Tubes actuels\" \/>\n <label for=\"input_60_6\"> Tubes actuels <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_7\" name=\"q60_vosSouhaits[]\" value=\"RnB\" \/>\n <label for=\"input_60_7\"> RnB <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_8\" name=\"q60_vosSouhaits[]\" value=\"House\" \/>\n <label for=\"input_60_8\"> House <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_9\" name=\"q60_vosSouhaits[]\" value=\"Exotic\/Salsa\" \/>\n <label for=\"input_60_9\"> Exotic\/Salsa <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_10\" name=\"q60_vosSouhaits[]\" value=\"Oriental\" \/>\n <label for=\"input_60_10\"> Oriental <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_42\">\n <label class=\"form-label-left\" id=\"label_42\" for=\"input_42\"> Vos remarques\/notes <\/label>\n <div id=\"cid_42\" class=\"form-input\">\n <textarea id=\"input_42\" class=\"form-textarea\" name=\"q42_vosRemarquesnotes\" cols=\"80\" rows=\"5\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_58\">\n <label class=\"form-label-left\" id=\"label_58\" for=\"input_58\"> Comment avez vous pris connaissance de nos services <\/label>\n <div id=\"cid_58\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:300px\" id=\"input_58\" name=\"q58_clickTo58\">\n <option> <\/option>\n <option value=\"Par une connaissance\"> Par une connaissance <\/option>\n <option value=\"Par une soir\u00e9e\"> Par une soir\u00e9e <\/option>\n <option value=\"Par internet via petite annonce\"> Par internet via petite annonce <\/option>\n <option value=\"Par internet via le site ProDj.be\"> Par internet via le site ProDj.be <\/option>\n <option value=\"Par Mailing\/email\"> Par Mailing\/email <\/option>\n <option value=\"Par Facebook\"> Par Facebook <\/option>\n <option value=\"Par pub sur voiture\"> Par pub sur voiture <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_15\">\n <div id=\"cid_15\" class=\"form-input-wide\">\n <div id=\"text_15\" class=\"form-html\">\n <p style=\"text-align: center;\"><span style=\"color: #99ccff; font-size: small;\">Après avoir cliqué sur le bouton de validation vous recevrez directement un email de confirmation,\n <br \/><\/span><span style=\"color: #99ccff; font-size: small;\">et par après un email de validation officiel de votre commande.\n <br \/><span style=\"color: #ff0000;\">Veuillez vérifier aussi votre courrier indésirable.<\/span><\/span>\n <\/p>\n <p style=\"text-align: center;\"><span style=\"color: #99ccff; font-size: small;\">En cas de problème d'envoi, vous pouvez également imprimer et faxer ce formulaire au 070\/422150<\/span>\n <\/p>\n <p><span style=\"color: #99ccff; font-size: small;\"><br \/><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_13\">\n <div id=\"cid_13\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_13\" type=\"submit\" class=\"form-submit-button\">\n Valider ma commande\n <\/button>\n \n <button id=\"input_print_13\" style=\"margin-left:25px;\" class=\"form-submit-print\" type=\"button\">\n <img src=\"http:\/\/www.jotform.com\/images\/printer.png\" align=\"absmiddle\" \/>\n Print Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li style=\"display:none\">\n Should be Empty:\n <input type=\"text\" name=\"website\" value=\"\" \/>\n <\/li>\n <\/ul>\n <\/div>\n <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"1853837176\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1853837176-1853837176\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");