{"title":"Devis - Ballon","fulltext":"<div class=\"container-fluid\">\n<form id=\"FormDevis\" class=\"FormDevis\" action=\"\/fr\/demande_devis\/ballon\" method=\"post\" >\n    <div class=\"row\">\n        <div class=\"col-sm-2\">\n            <label for=\"Devis_societe\" class=\"required\">Soci\u00e9t\u00e9(*)<\/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\">Nom<\/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\">T\u00e9l\u00e9phone<\/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\">Adresse mail(*)<\/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\">Souhait r\u00e9ponse<\/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\">R\u00e9f\u00e9rence chantier<\/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\">* Champs obligatoires<\/p>\n    <hr \/>\n    <h2>Installation<\/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\">Eau Chaude Sanitaire (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\">Eau de chauffage - circuit ferm\u00e9<\/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\">Eau glac\u00e9e \u2013 circuit ferm\u00e9<\/label>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_eg_pourcentage\">si eau glycol\u00e9e(%)<\/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\">R\u00e9versible (chaud et froid)  \u2013 circuit ferm\u00e9<\/label>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_rev_pourcentage\">si eau glycol\u00e9e(%)<\/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\">Volume (litres)<\/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 hauteur 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> Jaquette Isolation <\/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\">T\u00f4le inox 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\">Jaquette souple 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\">Jaquette souple M1<\/label>\n        <\/div>\n    <\/div>\n\n    <hr \/>\n    <h2>Options<\/h2>\n    <div class=\"row\">\n        <div class=\"col-sm-4\">\n            <div class=\"form-group check\">\n                <label for=\"Devis_trou_homme\">Trou d&#039;homme<\/label> <input type=\"checkbox\" id=\"Devis_trou_homme\" name=\"Devis[trou_homme]\" value=\"1\" \/> Oui\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\">R\u00e9chauffeur tubulaire<\/label> <input type=\"checkbox\" id=\"Devis_rechauffeur_tubulaire\" name=\"Devis[rechauffeur_tubulaire]\" value=\"1\" \/> Oui\n            <\/div>\n        <\/div>\n\n        <div class=\"col-sm-4\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_rechauffeur_puissance\">Puissance (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 Primaire (\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\">R\u00e9sistance \u00e9lectrique<\/label>\n                <input type=\"checkbox\" id=\"Devis_resistance_electrique\" name=\"Devis[resistance_electrique]\" value=\"1\" \/> Oui\n            <\/div>\n        <\/div>\n\n        <div class=\"col-sm-4\">\n            <div class=\"form-group input\">\n                <label for=\"Devis_resistance_puissance\">Puissance (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 protection ballon<\/label>\n                <input type=\"checkbox\" id=\"Devis_kit\" name=\"Devis[kit]\" value=\"1\" \/> Oui\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\">Commentaires<\/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\">Transmission de la demande de devis... <i class=\"fa fa-spin fa-spinner\"><\/i><\/span><p><\/p><\/div>\n        <\/div>\n        <div class=\"col-sm-6\">\n            <button type=\"submit\" > Envoyer ma demande de devis<\/button>\n            <input type=\"hidden\" id=\"Devis__token\" name=\"Devis[_token]\" value=\"n9KQDQXA4g2rX49I-LezSt_K0Fl8ljqxHX3qxaXapFY\" \/>\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":""}