#CACHE{0*3600}

<!-- VALIDATE -->
<script type="text/javascript" src="squelettes/lib/jquery-validation-1.9.0/lib/jquery.metadata.js"></script>
<script type="text/javascript" src="squelettes/lib/jquery-validation-1.9.0/jquery.validate.min.js"></script>
<script type="text/javascript" src="squelettes/lib/jquery-validation-1.9.0/localization/messages_fr.js"></script>
<script type="text/javascript">
$.metadata.setType("attr", "validate");
$().ready(function() {
	// validate the comment form when it is submitted
	$("#formulaire").validate(
	  {
	    rules: {
			
			cab_spam: {
				required: true,
				equalTo: "#verifantispam"
			},
			cab_message: {
				required: true
				
			},
			cab_nom: {
				required: true
			},
			cab_prenom: {
				required: true
			},
			cab_email: {
				required: true,
				email: true
			},
			cab_tel: {
				required: true
			}

		},
		messages: {
			cab_spam: "Vous êtes sûr de votre réponse ?"
		}

	   }
	);
	
});
</script>

<!-- MAJ 2018 : Mise à jour des formulaire suite à la mise en place de la RGPD -->
<script type="text/javascript">
function testState(){
    if( $('input[name=consentement]').is(':checked') ){
        $('#submit').css("opacity","1");
        $('#submit').attr('disabled', false);
    } else {
        $('#submit').css("opacity","0.2");
        $('#submit').attr('disabled', true);
    }
}
</script>

<form class="formee" method="post" action="squelettes/traitement_formulaire.php" id="formulaire">

<fieldset> 
        <div class="grid-12-12">
                <label>Votre message<em class="formee-req">*</em></label>
               <textarea name="cab_message"></textarea>
        </div>
</fieldset>

<fieldset>
        <legend></legend>
        <div class="grid-6-12">
                <label>Nom <em class="formee-req">*</em></label>
               <input type="text"  name="cab_nom">
        </div>
        
        <div class="grid-6-12">
                <label>Prénom <em class="formee-req">*</em></label>
               <input type="text"  name="cab_prenom">
        </div>
        
        <div class="grid-6-12">
                <label>Email <em class="formee-req">*</em></label>
               <input type="text"  name="cab_email">
        </div>
        
        <div class="grid-6-12">
                <label>Téléphone <em class="formee-req">*</em></label>
               <input type="text"  name="cab_tel">
        </div>
        
        <div class="grid-12-12">
                <label>Adresse </label>
               <input type="text"  name="cab_adresse">
        </div>
        
       
        <div class="grid-4-12">
                <label>CP</label>
               <input type="text"  name="cab_cp">
        </div>
        
        <div class="grid-8-12">
                <label>Ville</label>
               <input type="text"  name="cab_ville">
        </div>

</fieldset>

<fieldset>        
         <div class="grid-12-12">
                <label></label>
                <ul class="formee-list">
                    <li><input type="checkbox"  name="cab_newsletter"> <label>Je souhaite m'abonner à la lettre "Question de confiance"</label></li>
                </ul>
        </div>
</fieldset>

<fieldset> 
        <div class="grid-12-12">
                <label>A propos de </label>
                <ul class="formee-list">
                    <li><input type="checkbox"  name="cab_propos_1" value="Etude patrimoniale : juridique, fiscal"> <label>Etude patrimoniale : juridique, fiscal</label></li>
                    <li><input type="checkbox"  name="cab_propos_2" value="Protection sociale"> <label>Protection sociale</label></li>
                    <li><input type="checkbox"  name="cab_propos_3" value="Placements financiers"> <label>Placements financiers</label></li>
                    <li><input type="checkbox"  name="cab_propos_4" value="Conseil et transaction d'entreprises"> <label>Conseil et transaction d'entreprises</label></li>
                    <li><input type="checkbox"  name="cab_propos_5" value="Immobilier"> <label>Immobilier</label></li>
                    <li><input type="checkbox"  name="cab_propos_6" value="Crédit"> <label>Crédit</label></li>
                    <li><input type="checkbox"  name="cab_propos_7" value="Autre"> <label>Autre</label></li>
                </ul>
        </div>
</fieldset>

<fieldset>
		<div class="grid-12-12">
			<label>Antispam : Merci de saisir la somme de 4 plus 4 <strong>(en lettre)</strong><em class="formee-req">*</em></label>
		</div>
 		<div class="grid-6-12">
               <input type="text" name="cab_spam">
               <input type="hidden" name="verifantispam" id="verifantispam" value="huit">
		</div>
</fieldset>

<fieldset>
         <div class="grid-12-12">
                <label>Consentement <em class="formee-req">*</em></label>
                <ul class="formee-list">
                    <li><input type="checkbox" name="consentement" onclick="testState();" /> J’accepte que ces informations soient enregistrées conformément à notre <a href="https://www.mvpatrimoine.fr/politique-de-confidentialite.html" title="Politique de confidentialité" class="spip_in">politique de confidentialité.</a></li>
                </ul>
        </div>
</fieldset>

<fieldset style="border: none;">

        <div class="grid-12-12">
               <input class="right" type="submit" title="send" name="submit" value="Envoyer votre demande" id="submit" style="opacity: 0.2" disabled/>
        </div>
</fieldset>
</form>