Texte si besoin
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[de_fb_form form_id= »landingpage » submit_button_text= »ENVOYER » hide_until_loaded= »off » scrollto_form_after_submit= »off » success_message_type= »layout » success_layout= »4939″ failed_message= »Désolée, votre message n’a pas été envoyé. » use_custom_email= »off » custom_contact_email= »secretariat@agencecreanova.com » from_name= »custom » custom_from_name= »Landing page NRJ » from_email= »custom » custom_from_email= »secretariat@agencecreanova.com » email_title= »Landing Page NRJ » email_template_html= »on » send_copy_to_sender= »on » sender_email_field= »email » reply_from_name= »custom » reply_custom_from_name= »Landing page NRJ » reply_from_email= »custom » reply_custom_from_email= »secretariat@agencecreanova.com » reply_to_name= »Landing page NRJ » reply_to_email= »secretariat@agencecreanova.com » reply_email_title= »Nom OP » reply_email_template_html= »on » reply_email_template= »
» save_to_database= »on » select_arrow_color= »#666666″ radio_checkbox_checked_color= »#FF3366″ _builder_version= »4.21.0″ _module_preset= »default » _unique_id= »d9d1d05d-1c7f-4fc8-860f-a396aaf24cc3″ form_field_text_color= »#a8a8a8″ form_field_focus_text_color= »#000000″ label_text_font= »|||||||| » placeholder_text_font= »|||on||||| » success_notice_text_text_color= »#FF3366″ failed_notice_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ required_mark_text_text_color= »#81b21e » datepicker_time_text_color= »#FF3366″ content_text_font= »|||on||||| » custom_button= »on » hover_enabled= »0″ global_colors_info= »{} » title= »formulaire landing page » sticky_enabled= »0″][de_fb_form_field field_title= »Nom » admin_title= »nom » field_id= »nom » allowed_symbols= »letters » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Nom » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Prénom » admin_title= »Prenom » field_id= »prenom » allowed_symbols= »letters » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Prénom » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Téléphone » admin_title= »telephone » field_id= »telephone » allowed_symbols= »numbers » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Téléphone » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Email » admin_title= »email » field_id= »email » field_type= »email » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » use_icon= »on » font_icon= »||fa||900″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Date de naissance » admin_title= »Date de naissance » field_id= »Date_de_naissance » allowed_symbols= »numbers » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Date de naissance » use_icon= »on » font_icon= »||fa||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Adresse » admin_title= »adresse » field_id= »adresse » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Adresse » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Ville » admin_title= »ville » field_id= »ville » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Ville » use_icon= »on » font_icon= »||fa||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Disponibilités » admin_title= »Disponibilités » field_id= »disponibilites » field_type= »datetimepicker » radio_options= »%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ date_time_picker_lang= »fr » date_format= »dd/mm/yy » date_time_format= »HH:mm » field_grid_column= »et_pb_column_1_2″ field_placeholder= »Vos disponibilités pour être rappelé » date_font_icon= »||fa||900″ date_font_icon_color= »#a8a8a8″ enable_autocomplete= »off » _builder_version= »4.21.0″ _module_preset= »default » label_text_text_color= »#000000″ upload_preview_name_font= »|||on||||| » upload_preview_size_font= »|||on||||| » required_error_notice_text_color= »#FF3366″ content_text_text_color= »#000000″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »RDV » admin_title= »rdv » field_id= »rdv » field_type= »select » select_placeholder= »on » select_placeholder_text= »Date » select_options= »%91{%22value%22:%22Lundi 12 juin%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Mardi 13 juin%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Mercredi 14 juin – COMPLET%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » description_text= »on » description_text_text= »Je prends rendez-vous » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »heure » admin_title= »heure » field_id= »heure » field_type= »select » select_placeholder= »on » select_placeholder_text= »Heure » select_options= »%91{%22value%22:%229h%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%2210h%22,%22checked%22:0,%22dragID%22:0},{%22dragID%22:1,%22value%22:%2211h%22,%22checked%22:0},{%22dragID%22:2,%22value%22:%2212h%22,%22checked%22:0},{%22value%22:%2214h%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%2215h%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%2216h%22,%22checked%22:0,%22dragID%22:5},{%22dragID%22:6,%22value%22:%2217h%22,%22checked%22:0}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »35px|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Lieu » admin_title= »lieu » field_id= »lieu » field_type= »select » select_placeholder= »on » select_placeholder_text= »Choisir une option » select_options= »%91{%22value%22:%22Lieu 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Lieu 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Lieu 3%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Option » admin_title= »Option » field_id= »option » field_type= »radio » radio_options= »%91{%22value%22:%22Option 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Option 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Option 3%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Option 4%22,%22checked%22:0,%22dragID%22:2}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_3″ field_placeholder= »Choisir une option » description_text= »on » description_text_text= »Choisir une option * » _builder_version= »4.21.0″ _module_preset= »default » radio_active_text_font= »|||||||| » radio_active_text_text_color= »#FF3366″ upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_radio_checkbox_button= »on » radio_checkbox_button_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_bg_color= »#FF3366″ custom_padding= »||||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Option 2″ admin_title= »Option » field_id= »option_2_2″ field_type= »checkbox » checkbox_options= »%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22%22,%22checked%22:0,%22dragID%22:1}%93″ radio_options= »%91{%22value%22:%221%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%222%22,%22checked%22:0,%22dragID%22:0}%93″ radio_checkbox_image= »on » radio_checkbox_image_ids= »4975,4976,4977″ radio_show_for_image= »on » radio_image_label_position= »left » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_2_3″ checkbox_radio_inline= »on » checkbox_radio_grid_cols= »3″ enable_placeholder= »off » description_text= »on » description_text_text= »Choisir une ou plusieurs options * » _builder_version= »4.21.0″ _module_preset= »default » radio_active_text_font= »|||||||| » radio_active_text_text_color= »#FF3366″ upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_radio_checkbox_button= »on » radio_checkbox_button_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_bg_color= »#FF3366″ custom_padding= »||||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Message » admin_title= »Message » field_id= »message » field_type= »text » select_options= »%91{%22value%22:%22Lieu 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Lieu 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Lieu 3%22,%22checked%22:0,%22dragID%22:1}%93″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Message » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Télécharger un document » admin_title= »Document » field_id= »document » field_type= »file » hide_upload_image_preview= »on » hide_upload_prev_title= »on » accepted_file_types_file= »pdf,jpg » upload_description= »Joindre un fichier » edit_icon_remove= »||divi||400″ edit_icon_remove_color= »#CEAB5D » upload_icon_style= »custom_upload » icon_upload= »https://agence-de-com-angers.fr/wp-content/uploads/2023/05/icone-telechargement-01.png » upload_padding= »65px||30px||false|false » field_placeholder= »Joindre un fichier » _builder_version= »4.21.0″ _module_preset= »default » upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_margin= »||0px||false|false » custom_padding= »||0px||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »consentement » admin_title= »consentement » field_id= »consentement » field_type= »radio » radio_options= »%91{%22value%22:%22En soumettant ce formulaire, j’accepte que les informations saisies dans ce formulaire soient utilisées pour me recontacter.%22,%22checked%22:1,%22dragID%22:-1}%93″ radio_checkbox_max_width= »0px » select_arrow_color= »#FF3366″ required_mark= »on » required_message= »Ce champ est obligatoire. » radio_checkbox_checked_color= »#ff3366″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » _builder_version= »4.21.0″ _module_preset= »default » form_field_background_color= »#dddddd » form_field_text_color= »#666666″ form_field_focus_background_color= »#FF3366″ form_field_focus_text_color= »#FF3366″ placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » radio_active_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_border_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »relation commerciale » admin_title= »relation commerciale » field_id= »relation_commerciale » field_type= »radio » radio_options= »%91{%22value%22:%22En cochant cette case, j’accepte que mes données personnelles soient utilisées pour me recontacter dans le cadre de la relation commerciale.%22,%22checked%22:0,%22dragID%22:0}%93″ radio_checkbox_max_width= »0px » select_arrow_color= »#FF3366″ radio_checkbox_checked_color= »#ff3366″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » _builder_version= »4.21.0″ _module_preset= »default » form_field_background_color= »#dddddd » form_field_text_color= »#666666″ form_field_focus_background_color= »#FF3366″ form_field_focus_text_color= »#FF3366″ placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » radio_active_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_border_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][/de_fb_form]
» save_to_database= »on » select_arrow_color= »#666666″ radio_checkbox_checked_color= »#FF3366″ _builder_version= »4.21.0″ _module_preset= »default » _unique_id= »d9d1d05d-1c7f-4fc8-860f-a396aaf24cc3″ form_field_text_color= »#a8a8a8″ form_field_focus_text_color= »#000000″ label_text_font= »|||||||| » placeholder_text_font= »|||on||||| » success_notice_text_text_color= »#FF3366″ failed_notice_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ required_mark_text_text_color= »#81b21e » datepicker_time_text_color= »#FF3366″ content_text_font= »|||on||||| » custom_button= »on » hover_enabled= »0″ global_colors_info= »{} » title= »formulaire landing page » sticky_enabled= »0″][de_fb_form_field field_title= »Nom » admin_title= »nom » field_id= »nom » allowed_symbols= »letters » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Nom » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Prénom » admin_title= »Prenom » field_id= »prenom » allowed_symbols= »letters » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Prénom » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Téléphone » admin_title= »telephone » field_id= »telephone » allowed_symbols= »numbers » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Téléphone » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Email » admin_title= »email » field_id= »email » field_type= »email » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » use_icon= »on » font_icon= »||fa||900″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Date de naissance » admin_title= »Date de naissance » field_id= »Date_de_naissance » allowed_symbols= »numbers » pattern_message= »Champ invalide. » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Date de naissance » use_icon= »on » font_icon= »||fa||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Adresse » admin_title= »adresse » field_id= »adresse » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Adresse » use_icon= »on » font_icon= »||divi||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Ville » admin_title= »ville » field_id= »ville » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Ville » use_icon= »on » font_icon= »||fa||400″ icon_color= »#a8a8a8″ _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Disponibilités » admin_title= »Disponibilités » field_id= »disponibilites » field_type= »datetimepicker » radio_options= »%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ date_time_picker_lang= »fr » date_format= »dd/mm/yy » date_time_format= »HH:mm » field_grid_column= »et_pb_column_1_2″ field_placeholder= »Vos disponibilités pour être rappelé » date_font_icon= »||fa||900″ date_font_icon_color= »#a8a8a8″ enable_autocomplete= »off » _builder_version= »4.21.0″ _module_preset= »default » label_text_text_color= »#000000″ upload_preview_name_font= »|||on||||| » upload_preview_size_font= »|||on||||| » required_error_notice_text_color= »#FF3366″ content_text_text_color= »#000000″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »RDV » admin_title= »rdv » field_id= »rdv » field_type= »select » select_placeholder= »on » select_placeholder_text= »Date » select_options= »%91{%22value%22:%22Lundi 12 juin%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Mardi 13 juin%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Mercredi 14 juin – COMPLET%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » description_text= »on » description_text_text= »Je prends rendez-vous » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »heure » admin_title= »heure » field_id= »heure » field_type= »select » select_placeholder= »on » select_placeholder_text= »Heure » select_options= »%91{%22value%22:%229h%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%2210h%22,%22checked%22:0,%22dragID%22:0},{%22dragID%22:1,%22value%22:%2211h%22,%22checked%22:0},{%22dragID%22:2,%22value%22:%2212h%22,%22checked%22:0},{%22value%22:%2214h%22,%22checked%22:0,%22dragID%22:3},{%22value%22:%2215h%22,%22checked%22:0,%22dragID%22:4},{%22value%22:%2216h%22,%22checked%22:0,%22dragID%22:5},{%22dragID%22:6,%22value%22:%2217h%22,%22checked%22:0}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_2″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »35px|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Lieu » admin_title= »lieu » field_id= »lieu » field_type= »select » select_placeholder= »on » select_placeholder_text= »Choisir une option » select_options= »%91{%22value%22:%22Lieu 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Lieu 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Lieu 3%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Choisir une option » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Option » admin_title= »Option » field_id= »option » field_type= »radio » radio_options= »%91{%22value%22:%22Option 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Option 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Option 3%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Option 4%22,%22checked%22:0,%22dragID%22:2}%93″ required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_1_3″ field_placeholder= »Choisir une option » description_text= »on » description_text_text= »Choisir une option * » _builder_version= »4.21.0″ _module_preset= »default » radio_active_text_font= »|||||||| » radio_active_text_text_color= »#FF3366″ upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_radio_checkbox_button= »on » radio_checkbox_button_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_bg_color= »#FF3366″ custom_padding= »||||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Option 2″ admin_title= »Option » field_id= »option_2_2″ field_type= »checkbox » checkbox_options= »%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22%22,%22checked%22:0,%22dragID%22:1}%93″ radio_options= »%91{%22value%22:%221%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%222%22,%22checked%22:0,%22dragID%22:0}%93″ radio_checkbox_image= »on » radio_checkbox_image_ids= »4975,4976,4977″ radio_show_for_image= »on » radio_image_label_position= »left » required_mark= »on » required_message= »Ce champ est obligatoire. » field_grid_column= »et_pb_column_2_3″ checkbox_radio_inline= »on » checkbox_radio_grid_cols= »3″ enable_placeholder= »off » description_text= »on » description_text_text= »Choisir une ou plusieurs options * » _builder_version= »4.21.0″ _module_preset= »default » radio_active_text_font= »|||||||| » radio_active_text_text_color= »#FF3366″ upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_radio_checkbox_button= »on » radio_checkbox_button_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_bg_color= »#FF3366″ custom_padding= »||||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Message » admin_title= »Message » field_id= »message » field_type= »text » select_options= »%91{%22value%22:%22Lieu 1%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Lieu 2%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Lieu 3%22,%22checked%22:0,%22dragID%22:1}%93″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Message » _builder_version= »4.21.0″ _module_preset= »default » placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » required_error_notice_text_color= »#FF3366″ content_text_font= »|||||||| » custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »Télécharger un document » admin_title= »Document » field_id= »document » field_type= »file » hide_upload_image_preview= »on » hide_upload_prev_title= »on » accepted_file_types_file= »pdf,jpg » upload_description= »Joindre un fichier » edit_icon_remove= »||divi||400″ edit_icon_remove_color= »#CEAB5D » upload_icon_style= »custom_upload » icon_upload= »https://agence-de-com-angers.fr/wp-content/uploads/2023/05/icone-telechargement-01.png » upload_padding= »65px||30px||false|false » field_placeholder= »Joindre un fichier » _builder_version= »4.21.0″ _module_preset= »default » upload_description_font= »|||on||||| » upload_description_text_color= »#FF3366″ custom_margin= »||0px||false|false » custom_padding= »||0px||false|false » border_color_all= »#FF3366″ global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »consentement » admin_title= »consentement » field_id= »consentement » field_type= »radio » radio_options= »%91{%22value%22:%22En soumettant ce formulaire, j’accepte que les informations saisies dans ce formulaire soient utilisées pour me recontacter.%22,%22checked%22:1,%22dragID%22:-1}%93″ radio_checkbox_max_width= »0px » select_arrow_color= »#FF3366″ required_mark= »on » required_message= »Ce champ est obligatoire. » radio_checkbox_checked_color= »#ff3366″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » _builder_version= »4.21.0″ _module_preset= »default » form_field_background_color= »#dddddd » form_field_text_color= »#666666″ form_field_focus_background_color= »#FF3366″ form_field_focus_text_color= »#FF3366″ placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » radio_active_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_border_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][de_fb_form_field field_title= »relation commerciale » admin_title= »relation commerciale » field_id= »relation_commerciale » field_type= »radio » radio_options= »%91{%22value%22:%22En cochant cette case, j’accepte que mes données personnelles soient utilisées pour me recontacter dans le cadre de la relation commerciale.%22,%22checked%22:0,%22dragID%22:0}%93″ radio_checkbox_max_width= »0px » select_arrow_color= »#FF3366″ radio_checkbox_checked_color= »#ff3366″ radio_checkbox_padding= »|10px|||false|false » field_placeholder= »Email » _builder_version= »4.21.0″ _module_preset= »default » form_field_background_color= »#dddddd » form_field_text_color= »#666666″ form_field_focus_background_color= »#FF3366″ form_field_focus_text_color= »#FF3366″ placeholder_text_font= »|||on||||| » placeholder_text_text_align= »left » radio_active_text_text_color= »#FF3366″ required_error_notice_text_color= »#FF3366″ custom_radio_checkbox_button_active= »on » radio_checkbox_button_active_text_color= »#FF3366″ radio_checkbox_button_active_border_color= »#FF3366″ custom_margin= »2%|2%|||false|false » border_radii= »on|5px|5px|5px|5px » global_colors_info= »{} » form_step= »0″ current_step= »0″][/de_fb_form_field][/de_fb_form]
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Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.
TITRE
Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.
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TITRE
Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.