/*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 i1872819162 = new FrameBuilder("1872819162", 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.setCalendar(\"64\");\n JotForm.description('input_64', 'Utilisez l\\'ic\u00f4ne calendrier pour choisir votre date');\n JotForm.description('input_16', 'Chaque formule est expliqu\u00e9e en d\u00e9tail sur le site');\n JotForm.description('input_61', 'Au dela des 19 commmunes de Bxl ou de 15 km de Woluwe, il y a un suppl\u00e9ment de 30 euros avec une distance max de 30 km de Bxl');\n JotForm.description('input_59', 'Le prix de la location sera major\u00e9 des options choisies');\n JotForm.description('input_67', 'si \u00e0 domicile, juste indiquer : Domicile');\n JotForm.description('input_57', 'A titre indicatif, d\u00e9pendra du planing de livraison. Ceci vous sera confirm\u00e9 48h avant.');\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_18', 'Votre adresse personnelle ou de votre soci\u00e9t\u00e9');\n JotForm.description('input_60', 'Attention aucun branchement USB n\\'est possible, pour des raison de s\u00e9curit\u00e9 et fiabilit\u00e9. Ne pr\u00e9voyez donc pas de clef usb.<br \/>Par contre, vous pouvez brancher PC, iPod ou tout autre appareil muni d\\'une sortie casque. Le c\u00e2ble est fourni.');\n JotForm.description('input_42', 'Vos remarques et commentaires');\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_1872819162\" id=\"1872819162\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1872819162\" \/>\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 d'un Pack service ProDj.be\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=\"color: #99ccff; font-size: small;\">Ce formulaire vous permet de passer votre commande pour un service Party Pack.<span style=\"color: #ff0000;\"><br \/><span style=\"color: #ffff00;\">Attention, une fois envoyée, votre commande sera officiele et ne pourra plus être annulée.<\/span><\/span><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_64\">\n <label class=\"form-label-top\" id=\"label_64\" for=\"input_64\">\n Date de votre \u00e9v\u00e9nement (cliquez sur la petite ic\u00f4ne calendrier pour choisir la date)<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_64\" class=\"form-input-wide\"><span class=\"form-sub-label-container\"><input class=\"noDefault form-textbox validate[required]\" id=\"day_64\" name=\"q64_dateDe[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"day_64\" id=\"sublabel_day\"> Day <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"month_64\" name=\"q64_dateDe[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"month_64\" id=\"sublabel_month\"> Month <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"year_64\" name=\"q64_dateDe[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"\" \/>\n <label class=\"form-sub-label\" for=\"year_64\" id=\"sublabel_year\"> Year <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_64_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n <label class=\"form-sub-label\" for=\"input_64_pick\"> <\/label><\/span>\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 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_formuleChoisie\">\n <option> <\/option>\n <option value=\"Party Pack Standard livr\u00e9 et install\u00e9 - 120 euros\"> Party Pack Standard livr\u00e9 et install\u00e9 - 120 euros <\/option>\n <option value=\"Party Power Pack livr\u00e9 et install\u00e9 - 150 euros\"> Party Power Pack livr\u00e9 et install\u00e9 - 150 euros <\/option>\n <option value=\"Live Pack livr\u00e9 et install\u00e9 - 150 euros\"> Live Pack livr\u00e9 et install\u00e9 - 150 euros <\/option>\n <option value=\"Basic Pack \u00e0 elever - 85 euros\"> Basic Pack \u00e0 elever - 85 euros <\/option>\n <option value=\"Party Pack \u00e0 enlever - 120 euros\"> Party Pack \u00e0 enlever - 120 euros <\/option>\n <option value=\"Kit projection multimedia livr\u00e9 install\u00e9 - 150 euros\"> Kit projection multimedia livr\u00e9 install\u00e9 - 150 euros <\/option>\n <option value=\"Video Projecteur + Ecran livr\u00e9 install\u00e9 - 100 euros\"> Video Projecteur + Ecran livr\u00e9 install\u00e9 - 100 euros <\/option>\n <option value=\"Video Projecteur livr\u00e9 install\u00e9 - 85 euros\"> Video Projecteur livr\u00e9 install\u00e9 - 85 euros <\/option>\n <option value=\"Live Box \u00e0 enlever - 50 euros\"> Live Box \u00e0 enlever - 50 euros <\/option>\n <option value=\"Autre\"> Autre <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_66\">\n <div id=\"cid_66\" class=\"form-input-wide\">\n <div id=\"text_66\" class=\"form-html\">\n <p><span style=\"color: #99ccff;\">Rem : A la livraison, une caution de 100 à 150 euros, suivant la formule, sera à remettre en même temps que le paiement du service. Cette caution vous sera rendue lors de la récupération du matériel<\/span>\n <\/p>\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 Transport<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_61\" 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_61_0\" name=\"q61_transport[]\" value=\"Enl\u00e8vement par mes soins (pour les packs \u00e0 enlever)\" \/>\n <label for=\"input_61_0\"> Enl\u00e8vement par mes soins (pour les packs \u00e0 enlever) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_61_1\" name=\"q61_transport[]\" value=\"Gratuit dans les 19 communes de Bxl\" \/>\n <label for=\"input_61_1\"> Gratuit dans les 19 communes de Bxl <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_61_2\" name=\"q61_transport[]\" value=\"Gratuit dans rayon de 15 km autour de Woluwe\" \/>\n <label for=\"input_61_2\"> Gratuit dans rayon de 15 km autour de Woluwe <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_61_3\" name=\"q61_transport[]\" value=\"Suppl\u00e9ment de 30 euros au dela de 15km ( avec max 30 km de Woluwe)\" \/>\n <label for=\"input_61_3\"> Suppl\u00e9ment de 30 euros au dela de 15km ( avec max 30 km de Woluwe) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_61_4\" name=\"q61_transport[]\" value=\"Autre forfait convenu\" \/>\n <label for=\"input_61_4\"> Autre forfait convenu <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_59\">\n <label class=\"form-label-left\" id=\"label_59\" for=\"input_59\"> Options <\/label>\n <div id=\"cid_59\" 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_59_0\" name=\"q59_options59[]\" value=\"Machine \u00e0 fum\u00e9e parfum\u00e9e et neon blacklight (+25 euros)\" \/>\n <label for=\"input_59_0\"> Machine \u00e0 fum\u00e9e parfum\u00e9e et neon blacklight (+25 euros) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_59_1\" name=\"q59_options59[]\" value=\"Double projecteur d'ambiance led (+25 euros)\" \/>\n <label for=\"input_59_1\"> Double projecteur d'ambiance led (+25 euros) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_59_2\" name=\"q59_options59[]\" value=\"Caisson Bass 300 Watts:double la puissance (+30 euros) rem: pour Power Pack et Live pack uniquement\" \/>\n <label for=\"input_59_2\"> Caisson Bass 300 Watts:double la puissance (+30 euros) rem: pour Power Pack et Live pack uniquement <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_73\">\n <div id=\"cid_73\" class=\"form-input-wide\">\n <div id=\"text_73\" class=\"form-html\">\n <p><span style=\"color: #ffff00;\">Pour le détail des options, vous trouverez toutes les infos cliquez ici<\/span>\n :\n <strong><span style=\"color: #00ffff;\"><strong>\n <a title=\"option\" href=\"http:\/\/www.prodj.be\/option\" target=\"_blank\"><span style=\"color: #00ffff;\">www.prodj.be\/option<\/span><\/a>\n <\/strong><\/span>\n <br \/>\n <\/strong><span style=\"font-size: x-small;\">(s'ouvre dans une nouvelle page)<\/span>\n <strong>\n <\/strong>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_72\">\n <label class=\"form-label-left\" id=\"label_72\" for=\"input_72\"> Option Micro <\/label>\n <div id=\"cid_72\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:250px\" id=\"input_72\" name=\"q72_optionMicro72\">\n <option> <\/option>\n <option value=\"Micro par d\u00e9faut (compris)\"> Micro par d\u00e9faut (compris) <\/option>\n <option value=\"Second Micro (+10 euros)\"> Second Micro (+10 euros) <\/option>\n <option value=\"Micro sans Fil (+30 euros)\"> Micro sans Fil (+30 euros) <\/option>\n <\/select>\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_levenementSe[]\" 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_levenementSe[]\" 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_levenementSe[]\" 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_levenementSe[]\" 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_levenementSe[]\" 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_67\">\n <label class=\"form-label-left\" id=\"label_67\" for=\"input_67\">\n Nom de l'\u00e9tablissement et nom de la salle<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_67\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_67\" name=\"q67_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 l'\u00e9venement \/ \u00e9tablissement<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=\"3\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_57\">\n <label class=\"form-label-left\" id=\"label_57\" for=\"input_57\">\n Heure de livraison souhait\u00e9e (ou enl\u00e8vement)<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_57\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_57\" name=\"q57_heureDe57\">\n <option> <\/option>\n <option value=\"09:00\"> 09:00 <\/option>\n <option value=\"10:00\"> 10:00 <\/option>\n <option value=\"11:00\"> 11:00 <\/option>\n <option value=\"12:00\"> 12:00 <\/option>\n <option value=\"13:00\"> 13:00 <\/option>\n <option value=\"14:00\"> 14:00 <\/option>\n <option value=\"15:00\"> 15:00 <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_58\">\n <div id=\"cid_58\" class=\"form-input-wide\">\n <div id=\"text_58\" class=\"form-html\">\n <p><span style=\"color: #99ccff; font-size: small;\">La livraison s'effectue entre 09:00 et 15:00 et comprend le montage et les explications du fonctionnement<\/span>\n <\/p>\n <\/div>\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 de soir\u00e9e<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_typeDe\">\n <option> <\/option>\n <option value=\"Party\"> Party <\/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=\"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_nombreDe21\" size=\"20\" \/>\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_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_71\">\n <div id=\"cid_71\" class=\"form-input-wide\">\n <div id=\"text_71\" class=\"form-html\">\n <p>\n Données de facturation éventuelles\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_69\">\n <label class=\"form-label-left\" id=\"label_69\" for=\"input_69\"> Soci\u00e9t\u00e9 <\/label>\n <div id=\"cid_69\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_69\" name=\"q69_societe\" size=\"80\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_68\">\n <label class=\"form-label-left\" id=\"label_68\" for=\"input_68\"> Numero de TVA <\/label>\n <div id=\"cid_68\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_68\" name=\"q68_numeroDe\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_70\">\n <label class=\"form-label-left\" id=\"label_70\" for=\"input_70\"> Vos ref \/ note <\/label>\n <div id=\"cid_70\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_70\" name=\"q70_vosRef\" size=\"80\" \/>\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_26\">\n <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\">\n Parking pour d\u00e9chargement (PP \u00e0 livrer)<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_26\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:300px\" id=\"input_26\" name=\"q26_parkingPour\">\n <option> <\/option>\n <option value=\"Parking disponible \u00e0 c\u00f4t\u00e9\"> Parking disponible \u00e0 c\u00f4t\u00e9 <\/option>\n <option value=\"il faut d\u00e9charger dans la rue (aide requise, merci)\"> il faut d\u00e9charger dans la rue (aide requise, merci) <\/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_65\">\n <div id=\"cid_65\" class=\"form-input-wide\">\n <div id=\"text_65\" class=\"form-html\">\n <p><span style=\"color: #ffff00; font-size: small;\">Attention, il est très important que nous puissions nous garer sans difficulté à proximité de la salle afin de décharger le matériel. Merci de nous réserver une place et d'éventuellement prévoir quelqu'un pour nous aider si le parking\/l'accès est difficile.<\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\">\n Acc\u00e8s \u00e0 la salle (pp \u00e0 livrer) cochez tout ce qui s'applique<span class=\"form-required\">*<\/span>\n <\/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 validate[required]\" 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 validate[required]\" 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 validate[required]\" 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 validate[required]\" 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 validate[required]\" 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_33\">\n <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\">\n Veuillez confirmer les disponibilit\u00e9s suivantes<span class=\"form-required\">*<\/span>\n <\/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 validate[required]\" id=\"input_33_0\" name=\"q33_veuillezConfirmer33[]\" value=\"Table rectangulaire de min 1m20 pour la sono\" \/>\n <label for=\"input_33_0\"> Table rectangulaire 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 validate[required]\" id=\"input_33_1\" name=\"q33_veuillezConfirmer33[]\" value=\"Arriv\u00e9e \u00e9lectricit\u00e9 \u00e0 proximit\u00e9 de la sono\" \/>\n <label for=\"input_33_1\"> Arriv\u00e9e \u00e9lectricit\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_60\">\n <label class=\"form-label-left\" id=\"label_60\" for=\"input_60\"> Apportez vous de la musique en plus <\/label>\n <div id=\"cid_60\" 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_60_0\" name=\"q60_apportezVous60[]\" value=\"Non j'utiliserai uniquement la musique fournie avec le Party Pack.\" \/>\n <label for=\"input_60_0\"> Non j'utiliserai uniquement la musique fournie avec le Party Pack. <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_1\" name=\"q60_apportezVous60[]\" value=\"Oui sur CD audio que je passerai \u00e0 l'aide du lecteur fourni\" \/>\n <label for=\"input_60_1\"> Oui sur CD audio que je passerai \u00e0 l'aide du lecteur fourni <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_60_2\" name=\"q60_apportezVous60[]\" value=\"Oui sur Ipod, PC ou lecteur MP3 que je brancherai via la prise casque (c\u00e2ble fourni)\" \/>\n <label for=\"input_60_2\"> Oui sur Ipod, PC ou lecteur MP3 que je brancherai via la prise casque (c\u00e2ble fourni) <\/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_apportezVous60[]\" value=\"Oui je graverai un CD MP3 avec ma s\u00e9lection \u00e0 int\u00e9ger dans le syst\u00e8me.\" \/>\n <label for=\"input_60_3\"> Oui je graverai un CD MP3 avec ma s\u00e9lection \u00e0 int\u00e9ger dans le syst\u00e8me. <\/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_63\">\n <label class=\"form-label-left\" id=\"label_63\" for=\"input_63\">\n Comment avez vous pris connaissance de nos services<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_63\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:300px\" id=\"input_63\" name=\"q63_clickTo63\">\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=\"font-size: xx-small;\"><span style=\"color: #99ccff;\"><span style=\"font-size: small;\">Après avoir cliqué sur le bouton de validation vous recevrez directement un email de confirmation,\n <br \/><\/span><\/span><span style=\"color: #99ccff;\"><span style=\"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><\/span><\/span>\n <\/p>\n <p style=\"text-align: center;\"><span style=\"color: #99ccff; font-size: xx-small;\"><span style=\"font-size: small;\">En cas de problème d'envoi, vous pouvez également imprimer et faxer ce formulaire au 070\/422150<\/span><\/span>\n <\/p>\n <p><span style=\"color: #99ccff; font-size: xx-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 class=\"form-line\" id=\"id_9\">\n <label class=\"form-label-left\" id=\"label_9\" for=\"input_9\"> - <\/label>\n <div id=\"cid_9\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_9\" name=\"q9_9\" size=\"0\" \/>\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=\"1872819162\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1872819162-1872819162\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");