{"title":"Presupuesto - Ballon","fulltext":"<div class=\"container-fluid\">\n<form id=\"FormDevis\" class=\"FormDevis\" action=\"\/es\/demande_devis\/ballon\" method=\"post\" >\n    <div class=\"row\">\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_societe\" class=\"required\">Sociedad(*)<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"text\" id=\"Devis_societe\" name=\"Devis[societe]\" required=\"required\" \/>\n        <\/div>\n\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_nom\">Nombre<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"text\" id=\"Devis_nom\" name=\"Devis[nom]\" \/>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_telephone\">Tel\u00e9fono<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"text\" id=\"Devis_telephone\" name=\"Devis[telephone]\" \/>\n        <\/div>\n\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_email\" class=\"required\">Correo electr\u00f3nico(*)<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"email\" id=\"Devis_email\" name=\"Devis[email]\" required=\"required\" \/>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_souhait\">Deseo respuesta<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"text\" id=\"Devis_souhait\" name=\"Devis[souhait]\" \/>\n        <\/div>\n\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_chantier\">Referencia a obra<\/label>\n        <\/div>\n        <div class=\"col-sm-4\">\n            <input type=\"text\" id=\"Devis_chantier\" name=\"Devis[chantier]\" \/>\n        <\/div>\n    <\/div>\n    <p class=\"text-right obligatoire\">* Campos obligatorios<\/p>\n    <hr \/>\n    <h2>Instalaci\u00f3n<\/h2>\n    <div class=\"row\">\n        <div class=\"col-sm-12\">\n            <input type=\"checkbox\" id=\"Devis_ecs\" name=\"Devis[ecs]\" value=\"1\" \/> <label for=\"Devis_ecs\">Agua Caliente Sanitaria (ECS)<\/label>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-12\">\n            <input type=\"checkbox\" id=\"Devis_ec\" name=\"Devis[ec]\" value=\"1\" \/> <label for=\"Devis_ec\">Agua de calefacci\u00f3n - circuito cerrado<\/label>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-6 check\">\n            <input type=\"checkbox\" id=\"Devis_eg\" name=\"Devis[eg]\" value=\"1\" \/> <label for=\"Devis_eg\">Agua helada \u2013 circuito cerrado<\/label>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_eg_pourcentage\">si agua &quot;glycol\u00e9e&quot;(%)<\/label>\n                <input type=\"text\" id=\"Devis_eg_pourcentage\" name=\"Devis[eg_pourcentage]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <input type=\"checkbox\" id=\"Devis_rev\" name=\"Devis[rev]\" value=\"1\" \/> <label for=\"Devis_rev\">Reversible (fr\u00edo y caliente)  \u2013 circuito cerrado<\/label>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_rev_pourcentage\">si agua &quot;glycol\u00e9e&quot;(%)<\/label>\n                <input type=\"text\" id=\"Devis_rev_pourcentage\" name=\"Devis[rev_pourcentage]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_volume\">Volumen (litros)<\/label>\n                <input type=\"text\" id=\"Devis_volume\" name=\"Devis[volume]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_t_max\">T\u00b0 max (\u00b0C)<\/label>\n                <input type=\"text\" id=\"Devis_t_max\" name=\"Devis[t_max]\" \/>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_p_max\">P max (bar)<\/label>\n                <input type=\"text\" id=\"Devis_p_max\" name=\"Devis[p_max]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_hauteur\">Local altura max (mm)<\/label>\n                <input type=\"text\" id=\"Devis_hauteur\" name=\"Devis[hauteur]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-3\">\n            <label> Chaqueta aislamiento <\/label>\n        <\/div>\n        <div class=\"col-sm-3\">\n            <input type=\"checkbox\" id=\"Devis_jaquette_inox\" name=\"Devis[jaquette_inox]\" value=\"1\" \/> <label for=\"Devis_jaquette_inox\">Chapa acero inoxidable M0<\/label>\n        <\/div>\n        <div class=\"col-sm-3\">\n            <input type=\"checkbox\" id=\"Devis_jaquette_souple_m0\" name=\"Devis[jaquette_souple_m0]\" value=\"1\" \/> <label for=\"Devis_jaquette_souple_m0\">Chaqueta flexible M0<\/label>\n        <\/div>\n        <div class=\"col-sm-3\">\n            <input type=\"checkbox\" id=\"Devis_jaquette_souple_m1\" name=\"Devis[jaquette_souple_m1]\" value=\"1\" \/> <label for=\"Devis_jaquette_souple_m1\">Chaqueta flexible M1<\/label>\n        <\/div>\n    <\/div>\n\n    <hr \/>\n    <h2>Opciones<\/h2>\n    <div class=\"row\">\n        <div class=\"col-sm-4\">\n            <div class=\"form-group check\">\n                <label for=\"Devis_trou_homme\">Alcantarilla<\/label> <input type=\"checkbox\" id=\"Devis_trou_homme\" name=\"Devis[trou_homme]\" value=\"1\" \/> S\u00ed\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"row\">\n        <div class=\"col-sm-4\">\n            <div class=\"form-group check\">\n            <label for=\"Devis_rechauffeur_tubulaire\">Recalentador tubular<\/label> <input type=\"checkbox\" id=\"Devis_rechauffeur_tubulaire\" name=\"Devis[rechauffeur_tubulaire]\" value=\"1\" \/> S\u00ed\n            <\/div>\n        <\/div>\n\n        <div class=\"col-sm-4\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_rechauffeur_puissance\">Potencia (W)<\/label>\n                <input type=\"text\" id=\"Devis_rechauffeur_puissance\" name=\"Devis[rechauffeur_puissance]\" \/>\n            <\/div>\n        <\/div>\n\n        <div class=\"col-sm-4\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_rechauffeur_primaire\">T\u00b0 Primario (\u00b0C)<\/label>\n                <input type=\"text\" id=\"Devis_rechauffeur_primaire\" name=\"Devis[rechauffeur_primaire]\" \/>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-4\">\n            <div class=\"form-group check\">\n                <label for=\"Devis_resistance_electrique\">Resistencia el\u00e9ctrica<\/label>\n                <input type=\"checkbox\" id=\"Devis_resistance_electrique\" name=\"Devis[resistance_electrique]\" value=\"1\" \/> S\u00ed\n            <\/div>\n        <\/div>\n\n        <div class=\"col-sm-4\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_resistance_puissance\">Potencia (W)<\/label>\n                <input type=\"text\" id=\"Devis_resistance_puissance\" name=\"Devis[resistance_puissance]\" \/>\n            <\/div>\n        <\/div>\n\n    <\/div>\n\n    <div class=\"row\">\n        <div class=\"col-sm-4\">\n            <div class=\"form-group check\">\n                <label for=\"Devis_kit\">Kit de protecci\u00f3n dep\u00f3sito<\/label>\n                <input type=\"checkbox\" id=\"Devis_kit\" name=\"Devis[kit]\" value=\"1\" \/> S\u00ed\n            <\/div>\n        <\/div>\n    <\/div>\n    <hr \/>\n    <div class=\"row\">\n        <div class=\"col-sm-3\">\n            <div class=\"titre\">\n                <label for=\"Devis_message\">Comentarios<\/label>\n            <\/div>\n        <\/div>\n        <div class=\"col-sm-9\">\n            <textarea id=\"Devis_message\" name=\"Devis[message]\"><\/textarea>\n        <\/div>\n    <\/div>\n\n\n    <div class=\"row\">\n        <div class=\"col-sm-6\">\n            <div class=\"message\"><span  style=\"display:none;\" class=\"loading\">Transmisi\u00f3n de la demanda de presupuesto... <i class=\"fa fa-spin fa-spinner\"><\/i><\/span><p><\/p><\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <button type=\"submit\" > Enviar mi demanda de presupuesto<\/button>\n            <input type=\"hidden\" id=\"Devis__token\" name=\"Devis[_token]\" value=\"skxs1MxOulzSBXPa-3ajgs9WcTepmh--QiIAzJJg-7k\" \/>\n        <\/div>\n    <\/div>\n<\/form>\n<\/div>\n<script>\n    $(\".FormDevis\").submit(function () {\n        return(formSubmit(this));\n    })\n<\/script>\n","class":"jaune","model":"","image":""}