{"id":7988,"date":"2020-04-04T13:20:16","date_gmt":"2020-04-04T13:20:16","guid":{"rendered":"https:\/\/boxexpert.de\/contactez\/anfrageformular-fuer-sondergehaeuse\/"},"modified":"2022-06-10T08:21:07","modified_gmt":"2022-06-10T08:21:07","slug":"formulaire-de-demande-pour-les-logements-speciaux","status":"publish","type":"page","link":"https:\/\/boxexpert.de\/fr\/contactez\/formulaire-de-demande-pour-les-logements-speciaux\/","title":{"rendered":"Formulaire de demande pour les logements sp\u00e9ciaux"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=\u00a0\u00bbstretch_row_content\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1586172168577{margin-top: -40px !important;margin-bottom: 6vh !important;}\u00a0\u00bb mobile_bg_img_hidden=\u00a0\u00bbno\u00a0\u00bb tablet_bg_img_hidden=\u00a0\u00bbno\u00a0\u00bb woodmart_parallax=\u00a0\u00bb0&Prime; woodmart_gradient_switch=\u00a0\u00bbno\u00a0\u00bb row_reverse_mobile=\u00a0\u00bb0&Prime; row_reverse_tablet=\u00a0\u00bb0&Prime; woodmart_disable_overflow=\u00a0\u00bb0&Prime;][vc_column mobile_bg_img_hidden=\u00a0\u00bbno\u00a0\u00bb tablet_bg_img_hidden=\u00a0\u00bbno\u00a0\u00bb woodmart_parallax=\u00a0\u00bb0&Prime; woodmart_sticky_column=\u00a0\u00bbfalse\u00a0\u00bb parallax_scroll=\u00a0\u00bbno\u00a0\u00bb mobile_reset_margin=\u00a0\u00bbno\u00a0\u00bb tablet_reset_margin=\u00a0\u00bbno\u00a0\u00bb]\n\t\t\t<!-- START Sonderanfrage REVOLUTION SLIDER 6.7.37 --><p class=\"rs-p-wp-fix\"><\/p>\n\t\t\t<rs-module-wrap id=\"rev_slider_35_1_wrapper\" data-source=\"gallery\" style=\"visibility:hidden;background:transparent;padding:0;margin:0px auto;margin-top:0;margin-bottom:0;\">\n\t\t\t\t<rs-module id=\"rev_slider_35_1\" style=\"\" data-version=\"6.7.37\">\n\t\t\t\t\t<rs-slides style=\"overflow: hidden; position: absolute;\">\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-81\" data-title=\"Slide\" data-anim=\"ms:1000;r:0;\" data-in=\"o:0;\" data-out=\"a:false;\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"\/\/boxexpert.de\/wp-content\/plugins\/revslider\/sr6\/assets\/assets\/dummy.png\" alt=\"\" title=\"perle abs detail3 (1)\" width=\"1600\" height=\"600\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/boxexpert.de\/wp-content\/uploads\/2020\/04\/perle-abs-detail3-1.jpg\" data-no-retina>\n<!--\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-35-slide-81-layer-3\" \n\t\t\t\t\t\t\t\tdata-type=\"shape\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"x:428px;y:340px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;\"\n\t\t\t\t\t\t\t\tdata-dim=\"w:538px;h:127px;\"\n\t\t\t\t\t\t\t\tdata-spike=\"r:top;\"\n\t\t\t\t\t\t\t\tdata-frame_0=\"x:left;\"\n\t\t\t\t\t\t\t\tdata-frame_1=\"st:400;sp:1000;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:5;background-color:rgba(54,132,187,0.95);\"\n\t\t\t\t\t\t\t> \n\t\t\t\t\t\t\t<\/rs-layer><!--\n\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-35-slide-81-layer-4\" \n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-color=\"#ffffff\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"x:454px;y:367px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;s:27;l:34;fw:600;\"\n\t\t\t\t\t\t\t\tdata-frame_0=\"x:left;\"\n\t\t\t\t\t\t\t\tdata-frame_1=\"st:400;sp:1000;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:6;font-family:'Poppins';\"\n\t\t\t\t\t\t\t>INDIVIDUEL ET PR\u00caT \u00c0 L'EMPLOI <br \/>\nSOLUTIONS DE L'EXPERT \n\t\t\t\t\t\t\t<\/rs-layer><!--\n-->\t\t\t\t\t<\/rs-slide>\n\t\t\t\t\t<\/rs-slides>\n\t\t\t\t<\/rs-module>\n\t\t\t\t<script>\n\t\t\t\t\tsetREVStartSize({c: 'rev_slider_35_1',rl:[1240,1024,778,480],el:[220],gw:[1240],gh:[220],type:'standard',justify:'',layout:'fullwidth',mh:\"0\"});if (window.RS_MODULES!==undefined && window.RS_MODULES.modules!==undefined && window.RS_MODULES.modules[\"revslider351\"]!==undefined) {window.RS_MODULES.modules[\"revslider351\"].once = false;window.revapi35 = undefined;if (window.RS_MODULES.checkMinimal!==undefined) window.RS_MODULES.checkMinimal()}\n\t\t\t\t<\/script>\n\t\t\t<\/rs-module-wrap>\n\t\t\t<!-- END REVOLUTION SLIDER -->\n[\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb1\/4&Prime;][vc_widget_sidebar sidebar_id=\u00a0\u00bbsidebar-547&Prime;][\/vc_column][vc_column width=\u00a0\u00bb3\/4&Prime;]\n\t\t<div id=\"wd-5ecfbaa5edff4\" class=\"title-wrapper wd-wpb wd-set-mb reset-last-child  wd-rs-5ecfbaa5edff4 wd-title-color-primary wd-title-style-underlined text-left vc_custom_1590672042489 wd-underline-colored\">\n\t\t\t\n\t\t\t<div class=\"liner-continer\">\n\t\t\t\t<h1 class=\"woodmart-title-container title  wd-font-weight- wd-fontsize-xxl\" ><strong>DEMANDE SP\u00c9CIALE DE LOGEMENT<\/strong><\/h1>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t<\/div>\n\t\t\n\t\t[vc_column_text text_larger=\u00a0\u00bbno\u00a0\u00bb css=\u00a0\u00bb.vc_custom_1590672048506{margin-top: -20px !important;}\u00a0\u00bb]Ici, vous pouvez faire une demande pour un logement sp\u00e9cial \u00e0 des fins particuli\u00e8res et avec des caract\u00e9ristiques individuelles. Il suffit d&rsquo;utiliser le formulaire de demande de renseignements ci-dessous. Si vous avez des questions, vous pouvez bien s\u00fbr aussi contacter nos employ\u00e9s via le chat en ligne, par t\u00e9l\u00e9phone ou par e-mail.<\/p>\n<p>Les champs marqu\u00e9s d&rsquo;un * sont obligatoires.[\/vc_column_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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             <div class='gform-body gform_body'><div id='gform_fields_64' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_64_75\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_75'>Name<\/label><div class='ginput_container'><input name='input_75' id='input_64_75' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_64_75'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_64_28\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">IHRE DATEN<\/h3><\/div><fieldset id=\"field_64_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Anrede<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_64_39'>\n\t\t\t<div class='gchoice gchoice_64_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Herr'  id='choice_64_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_39_0' id='label_64_39_0' class='gform-field-label gform-field-label--type-inline'>Herr<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Frau'  id='choice_64_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_39_1' id='label_64_39_1' class='gform-field-label gform-field-label--type-inline'>Frau<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Divers'  id='choice_64_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_39_2' id='label_64_39_2' class='gform-field-label gform-field-label--type-inline'>Divers<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_64_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_7'>Entreprise<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_64_7' type='text' value='' class='large'    placeholder='Entreprise' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_40\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_40'>Vorname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_64_40' type='text' value='' class='large'    placeholder='Vorname' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_41'>Nachname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_64_41' type='text' value='' class='large'    placeholder='Nachname*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_11\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_11'>E-Mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_11' id='input_64_11' type='email' value='' class='large'   placeholder='Courriel*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_64_12\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_12'>Telefon<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_64_12' type='tel' value='' class='large'  placeholder='T\u00e9l\u00e9phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_64_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_hidden_label gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Anschrift<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_64_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_64_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_64_2_1' value=''   placeholder='Rue' aria-required='false'    \/>\n                                        <label for='input_64_2_1' id='input_64_2_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Adresse postale<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_64_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_64_2_3' value=''   placeholder='Ville' aria-required='false'    \/>\n                                    <label for='input_64_2_3' id='input_64_2_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ville<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_2.4' id='input_64_2_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_64_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_64_2_5' value=''   placeholder='Code postal' aria-required='false'    \/>\n                                    <label for='input_64_2_5' id='input_64_2_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Code postal<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_64_2_6_container' >\n                                        <select name='input_2.6' id='input_64_2_6'   aria-required='false'    ><option value='' selected='selected'>Pays<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_64_2_6' id='input_64_2_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_64_74\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_74' id='input_64_74' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/boxexpert.de\/fr\/wp-json\/wp\/v2\/pages\/7988\/' \/><\/div><\/div><div id=\"field_64_48\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><h3 class=\"gsection_title\">Abstandshalter<\/h3><\/div><div id=\"field_64_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">PROJEKT<\/h3><\/div><div id=\"field_64_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_43'>Projektname<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_64_43' type='text' value='' class='large'    placeholder='Projektname'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_46\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_46'>Geh\u00e4use Einsatzort<\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_64_46' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Geh\u00e4use Einsatzort<\/option><option value='Innenbereich' >Innenbereich<\/option><option value='Aussenbereich' >Aussenbereich<\/option><\/select><\/div><\/div><div id=\"field_64_44\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_44'>Gesamtmenge<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_64_44' type='text' value='' class='large'    placeholder='Gesamtmenge p.a.'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_45'>Losgr\u00f6\u00dfen<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_64_45' type='text' value='' class='large'    placeholder='Losgr\u00f6\u00dfen'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_64_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">DIMENSIONS EXT\u00c9RIEURES DU BO\u00ceTIER<\/h3><\/div><fieldset id=\"field_64_23\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gf_list_3col field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dimensions du bo\u00eetier (mm)<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">L\u00e4nge (mm)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Breite (mm)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">H\u00f6he (mm)<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_23_cell1 gform-grid-col' data-label='L\u00e4nge (mm)'><input aria-invalid='false'   aria-label='L\u00e4nge (mm), Ligne 1' data-aria-label-template='L\u00e4nge (mm), Ligne {0}' type='text' name='input_23[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_23_cell2 gform-grid-col' data-label='Breite (mm)'><input aria-invalid='false'   aria-label='Breite (mm), Ligne 1' data-aria-label-template='Breite (mm), Ligne {0}' type='text' name='input_23[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_23_cell3 gform-grid-col' data-label='H\u00f6he (mm)'><input aria-invalid='false'   aria-label='H\u00f6he (mm), Ligne 1' data-aria-label-template='H\u00f6he (mm), Ligne {0}' type='text' name='input_23[]' value=''   \/><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_64_15\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_15'>Toleranz L\u00e4nge<\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_64_15' type='number' step='any'   value='' class='large'    placeholder='Dimension de la tol\u00e9rance en mm Longueur'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_64_16\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_16'>Toleranz Breite<\/label><div class='ginput_container ginput_container_number'><input name='input_16' id='input_64_16' type='number' step='any'   value='' class='large'    placeholder='Dimension de la tol\u00e9rance en mm Largeur'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_64_14\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_14'>Toleranz H\u00f6he<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_64_14' type='number' step='any'   value='' class='large'    placeholder='Dimension de la tol\u00e9rance en mm Hauteur'  aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_64_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Geh\u00e4usematerial<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_64_52'>\n\t\t\t<div class='gchoice gchoice_64_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Metall'  id='choice_64_52_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_64_52\"   \/>\n\t\t\t\t\t<label for='choice_64_52_0' id='label_64_52_0' class='gform-field-label gform-field-label--type-inline'>Metall<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Kunststoff'  id='choice_64_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_52_1' id='label_64_52_1' class='gform-field-label gform-field-label--type-inline'>Kunststoff<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_52_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Sonstiges Material'  id='choice_64_52_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_52_2' id='label_64_52_2' class='gform-field-label gform-field-label--type-inline'>Sonstiges Material<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_64_52'>Veuillez s\u00e9lectionner le mat\u00e9riau pour voir les options suppl\u00e9mentaires<\/div><\/fieldset><fieldset id=\"field_64_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Geh\u00e4usematerial Metall<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_64_49'>\n\t\t\t<div class='gchoice gchoice_64_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Stahlblech'  id='choice_64_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_49_0' id='label_64_49_0' class='gform-field-label gform-field-label--type-inline'>Stahlblech<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Edelstahl'  id='choice_64_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_49_1' id='label_64_49_1' class='gform-field-label gform-field-label--type-inline'>Edelstahl<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Aluminium'  id='choice_64_49_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_49_2' id='label_64_49_2' class='gform-field-label gform-field-label--type-inline'>Aluminium<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_64_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mat\u00e9riau du bo\u00eetier<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_64_22'>\n\t\t\t<div class='gchoice gchoice_64_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='PC Polycarbonat'  id='choice_64_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_22_0' id='label_64_22_0' class='gform-field-label gform-field-label--type-inline'>PC Polycarbonat<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='GFK Polyester'  id='choice_64_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_22_1' id='label_64_22_1' class='gform-field-label gform-field-label--type-inline'>GFK Polyester<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='ABS'  id='choice_64_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_22_2' id='label_64_22_2' class='gform-field-label gform-field-label--type-inline'>ABS<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_64_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_50'>Sonstiges Material<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_64_50' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_64_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Deckel<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_64_57'>\n\t\t\t<div class='gchoice gchoice_64_57_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Blickdicht'  id='choice_64_57_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_57_0' id='label_64_57_0' class='gform-field-label gform-field-label--type-inline'>Blickdicht<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_64_57_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_57' type='radio' value='Transparent\/ Sichtfenster'  id='choice_64_57_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_64_57_1' id='label_64_57_1' class='gform-field-label gform-field-label--type-inline'>Transparent\/ Sichtfenster<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_64_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">SCHUTZARTEN &amp; ZERTIFIZIERUNG<\/h3><\/div><div id=\"field_64_53\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_53'>Schutzart IP<\/label><div class='ginput_container ginput_container_select'><select name='input_53' id='input_64_53' class='large gfield_select'     aria-invalid=\"false\" ><option value='Bitte ausw\u00e4hlen' selected='selected'>Bitte ausw\u00e4hlen<\/option><option value='IP 20' >IP 20<\/option><option value='IP 30' >IP 30<\/option><option value='IP 40' >IP 40<\/option><option value='IP 54' >IP 54<\/option><option value='IP 65' >IP 65<\/option><option value='IP 66' >IP 66<\/option><option value='IP 67' >IP 67<\/option><option value='IP 68' >IP 68<\/option><option value='IP 69' >IP 69<\/option><\/select><\/div><\/div><div id=\"field_64_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_30'>R\u00e9sistance \u00e0 l&#039;impact IK<\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_64_30' class='large gfield_select'     aria-invalid=\"false\" ><option value='Veuillez s\u00e9lectionner' selected='selected'>Veuillez s\u00e9lectionner<\/option><option value='IK06 Gesch\u00fctzt bis zu einer Schlagenergie von 1,0 Joule' >IK06 Gesch\u00fctzt bis zu einer Schlagenergie von 1,0 Joule<\/option><option value='IK07 Gesch\u00fctzt bis zu einer Schlagenergie von 2,0 Joule' >IK07 Gesch\u00fctzt bis zu einer Schlagenergie von 2,0 Joule<\/option><option value='IK08 Gesch\u00fctzt bis zu einer Schlagenergie von 5,0 Joule' >IK08 Gesch\u00fctzt bis zu einer Schlagenergie von 5,0 Joule<\/option><option value='IK09 Gesch\u00fctzt bis zu einer Schlagenergie von 10 Joule' >IK09 Gesch\u00fctzt bis zu einer Schlagenergie von 10 Joule<\/option><option value='IK10 Gesch\u00fctzt bis zu einer Schlagenergie von 20 Joule' >IK10 Gesch\u00fctzt bis zu einer Schlagenergie von 20 Joule<\/option><\/select><\/div><\/div><fieldset id=\"field_64_73\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Zertifizierung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_64_73'><div class='gchoice gchoice_64_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='ATEX'  id='choice_64_73_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_73_1' id='label_64_73_1' class='gform-field-label gform-field-label--type-inline'>ATEX<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_73_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.2' type='checkbox'  value='IECEX'  id='choice_64_73_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_73_2' id='label_64_73_2' class='gform-field-label gform-field-label--type-inline'>IECEX<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_73_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.3' type='checkbox'  value='UL Brandschutz'  id='choice_64_73_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_73_3' id='label_64_73_3' class='gform-field-label gform-field-label--type-inline'>UL Brandschutz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_73_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.4' type='checkbox'  value='UL US CA'  id='choice_64_73_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_73_4' id='label_64_73_4' class='gform-field-label gform-field-label--type-inline'>UL US CA<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_73_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.5' type='checkbox'  value='NEMA'  id='choice_64_73_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_73_5' id='label_64_73_5' class='gform-field-label gform-field-label--type-inline'>NEMA<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_64_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">INDIVIDUALISIERUNG<\/h3><\/div><fieldset id=\"field_64_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col field_sublabel_below gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Individualisierung<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_64_69'><div class='gchoice gchoice_64_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Mechanische Bearbeitung'  id='choice_64_69_1'   aria-describedby=\"gfield_description_64_69\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_64_69_1' id='label_64_69_1' class='gform-field-label gform-field-label--type-inline'>Mechanische Bearbeitung*<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='Montageservice'  id='choice_64_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_69_2' id='label_64_69_2' class='gform-field-label gform-field-label--type-inline'>Montageservice*<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='Bedruckung'  id='choice_64_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_69_3' id='label_64_69_3' class='gform-field-label gform-field-label--type-inline'>Bedruckung*<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_69_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='Sonderfarbe'  id='choice_64_69_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_69_4' id='label_64_69_4' class='gform-field-label gform-field-label--type-inline'>Sonderfarbe<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_69_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.5' type='checkbox'  value='EMV Schutz'  id='choice_64_69_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_69_5' id='label_64_69_5' class='gform-field-label gform-field-label--type-inline'>EMV Schutz<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_64_69'>*Veuillez joindre les documents pertinents (dessin technique, liste des pi\u00e8ces, sch\u00e9ma de c\u00e2blage, donn\u00e9es d'impression).<\/div><\/fieldset><div id=\"field_64_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Zubeh\u00f6r<\/h3><\/div><fieldset id=\"field_64_71\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_4col field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Zubeh\u00f6r<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_64_71'><div class='gchoice gchoice_64_71_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.1' type='checkbox'  value='Montageschiene'  id='choice_64_71_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_1' id='label_64_71_1' class='gform-field-label gform-field-label--type-inline'>Montageschiene<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.2' type='checkbox'  value='Montageplatte Stahlblech'  id='choice_64_71_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_2' id='label_64_71_2' class='gform-field-label gform-field-label--type-inline'>Montageplatte Stahlblech<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.3' type='checkbox'  value='Wandhalterung'  id='choice_64_71_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_3' id='label_64_71_3' class='gform-field-label gform-field-label--type-inline'>Wandhalterung<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.4' type='checkbox'  value='Mastbefestigung'  id='choice_64_71_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_4' id='label_64_71_4' class='gform-field-label gform-field-label--type-inline'>Mastbefestigung<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.5' type='checkbox'  value='Sicherheitsschloss'  id='choice_64_71_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_5' id='label_64_71_5' class='gform-field-label gform-field-label--type-inline'>Sicherheitsschloss<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.6' type='checkbox'  value='Au\u00dfenscharniere'  id='choice_64_71_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_6' id='label_64_71_6' class='gform-field-label gform-field-label--type-inline'>Au\u00dfenscharniere<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.7' type='checkbox'  value='Modulrahmen'  id='choice_64_71_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_7' id='label_64_71_7' class='gform-field-label gform-field-label--type-inline'>Modulrahmen<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.8' type='checkbox'  value='T\u00fcrarretierung'  id='choice_64_71_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_8' id='label_64_71_8' class='gform-field-label gform-field-label--type-inline'>T\u00fcrarretierung<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.9' type='checkbox'  value='Innent\u00fcr'  id='choice_64_71_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_9' id='label_64_71_9' class='gform-field-label gform-field-label--type-inline'>Innent\u00fcr<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.11' type='checkbox'  value='Dach'  id='choice_64_71_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_11' id='label_64_71_11' class='gform-field-label gform-field-label--type-inline'>Dach<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.12' type='checkbox'  value='Sockel'  id='choice_64_71_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_12' id='label_64_71_12' class='gform-field-label gform-field-label--type-inline'>Sockel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.13' type='checkbox'  value='Druckausgleichselement'  id='choice_64_71_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_13' id='label_64_71_13' class='gform-field-label gform-field-label--type-inline'>Druckausgleichselement<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_64_71_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_71.14' type='checkbox'  value='Kabelverschraubung'  id='choice_64_71_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_64_71_14' id='label_64_71_14' class='gform-field-label gform-field-label--type-inline'>Kabelverschraubung<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_64_33\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_64_25\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_64_25'>Exigences particuli\u00e8res<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_25' id='input_64_25' class='textarea large'    placeholder='Veuillez nous faire part de vos exigences particuli\u00e8res et du traitement souhait\u00e9.'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_64_26\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_64_26'>T\u00e9l\u00e9chargement de fichiers<\/label><div class='gfield_description' id='gfield_description_64_26'>Envoyez-nous vos fichiers<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_64_26' 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