{"succes":true,"htmlcontent":"<div class=\"overlay\" id=\"overlay\" style=\"display:none\">\r\n    <div class=\"modal\" id=\"modalForm\">\r\n\r\n\r\n        <div class=\"modal__header\">\r\n            <h4>Prendre rendez-vous<\/h4>   <a href=\"#\" class=\"--btn js_close_modal\">\u00d7<\/a>\r\n\r\n        <\/div>\r\n        <div class=\"modal__body\">\r\n\r\n\r\n            <div class=\"modal__intro\">\r\n                <img src=\"\/assets\/default\/img\/logo_inverted.png\" width=\"100\" alt=\"Maisons de l'avenir\"\r\n                     style=\"display: block;margin:0rem 2rem 2rem 0;\">\r\n            <\/div>\r\n\r\n            <form method=\"post\" enctype=\"multipart\/form-data\" style=\"padding:0;margin:0\"\r\n                  action=\"\/api\/customform_submission\/submitRendezvous\" class=\"js-custom-ajax-form\"\r\n                  data-gtm-track=\"1\"\r\n                  data-form-template=\"rendez-vous\"\r\n                  data-form-name=\"demande_rendez-vous\"\r\n                  data-form-destination-id=\"demande_rendez-vous\"\r\n            >\r\n                <input type=\"hidden\" id=\"recaptchaResponse\" name=\"recaptcharesponse\">\r\n                <input type=\"hidden\" name=\"nom\" value=\"demande de rendez-vous\">\r\n\r\n\r\n                <div class=\"rendered-form rendered-form--column\">\r\n\r\n                    <div class=\"form-group\">\r\n                        <label>Votre agence<\/label>\r\n                        <select name=\"agence\" class=\"form-control\" required>\r\n                                                            <option value=\"1572\">Saint-Brieuc Constructeur de maisons \u00e0 Saint Brieuc<\/option>\r\n                                                            <option value=\"1573\">Saint-Carn\u00e9 Constructeur de maisons \u00e0 Saint-Carn\u00e9<\/option>\r\n                                                            <option value=\"1\">Guipavas Constructeur de maisons \u00e0 Brest Guipavas<\/option>\r\n                                                            <option value=\"1577\">Pont-l&#039;Abb\u00e9 Constructeur de maisons \u00e0 Pont-l&#039;Abb\u00e9<\/option>\r\n                                                            <option value=\"1570\">Quimper Constructeur de maisons \u00e0 Quimper-Sud<\/option>\r\n                                                            <option value=\"1582\">Quimper Constructeur de maisons \u00e0 Quimper-Nord<\/option>\r\n                                                            <option value=\"1585\">Cesson-S\u00e9vign\u00e9 Constructeur de maisons \u00e0 Cesson-S\u00e9vign\u00e9<\/option>\r\n                                                            <option value=\"1578\">Pac\u00e9 Constructeur de maisons \u00e0 Pac\u00e9<\/option>\r\n                                                            <option value=\"1581\">Orvault Constructeur de maisons \u00e0 Orvault<\/option>\r\n                                                            <option value=\"1574\">Rez\u00e9 Constructeur de maisons \u00e0 Rez\u00e9<\/option>\r\n                                                            <option value=\"1580\">Lorient Constructeur de maisons \u00e0 Lorient<\/option>\r\n                                                            <option value=\"1571\">Vannes Constructeur de maisons \u00e0 Vannes<\/option>\r\n                                                    <\/select>\r\n                    <\/div>\r\n<!--\r\n                    <div class=\"form-group\">\r\n                        <label>Date<\/label>\r\n                        <input type=\"date\" class=\"form-control\" name=\"date\">\r\n                    <\/div>-->\r\n                    <div class=\"flex flex-wrap gap-2\">\r\n                    <div class=\"form-group\">\r\n                        <label>Votre nom<\/label>\r\n                        <input class=\"form-control\" type=\"text\" name=\"nom\" required>\r\n                    <\/div>\r\n                    <div class=\"form-group\">\r\n                        <label>Votre pr\u00e9nom<\/label>\r\n                        <input class=\"form-control\" type=\"text\" name=\"prenom\" required>\r\n                    <\/div>\r\n                    <\/div>\r\n\r\n                    <div class=\"flex flex-wrap gap-2\">\r\n                        <div class=\"form-group\">\r\n                            <label>Votre email<\/label>\r\n                            <input class=\"form-control\" type=\"email\" name=\"email\" required>\r\n                        <\/div>\r\n\r\n                        <div class=\"form-group\">\r\n                            <label>Votre t\u00e9l\u00e9phone<\/label>\r\n                            <input class=\"form-control\" type=\"text\" name=\"telephone\" required>\r\n                        <\/div>\r\n                    <\/div>\r\n\r\n                    <div class=\"formbuilder-textarea form-group field-message\">\r\n\r\n                        <label for=\"message\">Votre attente en quelques mots<\/label>\r\n                        <textarea required type=\"textarea\"\r\n                                  placeholder=\"...\"\r\n                                  class=\"form-control\" name=\"message\" access=\"false\"\r\n                                  id=\"message\"><\/textarea>\r\n                    <\/div>\r\n\r\n                    <input type=\"hidden\" id=\"recaptchaResponse\" name=\"recaptcharesponse\">\r\n\r\n                    <button class=\"btn btn--small\" type=\"submit\" id=\"btn_form_submit_overlay\">Envoyer<\/button>\r\n                <\/div>\r\n            <\/form>\r\n        <\/div>\r\n        <div class=\"modal__footer\">\r\n\r\n        <\/div>\r\n\r\n    <\/div>\r\n<\/div>\r\n\r\n"}