{"id":1903,"date":"2021-04-22T09:55:53","date_gmt":"2021-04-22T09:55:53","guid":{"rendered":"https:\/\/www.iglina.it\/form\/"},"modified":"2025-06-17T08:19:46","modified_gmt":"2025-06-17T08:19:46","slug":"demande-dassistance","status":"publish","type":"page","link":"https:\/\/www.iglina.it\/fr\/demande-dassistance\/","title":{"rendered":"Form"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-qb7dza-b0252ce323e97e41befe73fcfa36ea30\">\n.avia-section.av-qb7dza-b0252ce323e97e41befe73fcfa36ea30{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/www.iglina.it\/wp-content\/uploads\/2021\/04\/iglina-ascensori-1024x680.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-qb7dza-b0252ce323e97e41befe73fcfa36ea30 .av-section-color-overlay{\nopacity:0.6;\nbackground-color:#084a79;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-qb7dza-b0252ce323e97e41befe73fcfa36ea30 main_color 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itemprop=\"headline\"  >FORM ASSISTANCE<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='av_section_2'  class='avia-section av-knspobbr-42da2f69aff8ddfb13d00e70be06f813 main_color avia-section-default avia-no-border-styling  avia-builder-el-3  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1903'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mrw1za-00c4e727b394fe473dabf250a88e91ac\">\n.flex_column.av-mrw1za-00c4e727b394fe473dabf250a88e91ac{\nborder-radius:3px 3px 3px 3px;\npadding:40px 40px 40px 40px;\nbackground-color:#4d82cc;\n}\n<\/style>\n<div  class='flex_column av-mrw1za-00c4e727b394fe473dabf250a88e91ac av_one_full  avia-builder-el-4  avia-builder-el-no-sibling  first flex_column_div av-animated-generic bottom-to-top  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-l1s45i-bb9d7aedff695177bab560ee520ea22c\">\n#top .av-special-heading.av-l1s45i-bb9d7aedff695177bab560ee520ea22c{\npadding-bottom:10px;\ncolor:#ffffff;\nfont-size:50px;\n}\nbody .av-special-heading.av-l1s45i-bb9d7aedff695177bab560ee520ea22c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-l1s45i-bb9d7aedff695177bab560ee520ea22c .av-special-heading-tag{\nfont-size:50px;\n}\n.av-special-heading.av-l1s45i-bb9d7aedff695177bab560ee520ea22c .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-l1s45i-bb9d7aedff695177bab560ee520ea22c .av-subheading{\nfont-size:15px;\n}\n\n@media only screen and (min-width: 480px) and (max-width: 767px){ \n#top 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el_before_av_textblock   \" data-avia-form-id=\"1\" data-avia-redirect='' ><fieldset><p class='  first_form  form_element form_element_half' id='element_avia_1_1'><label for=\"avia_1_1\">Nom <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_1_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_1_1\" value=\"\"  placeholder='Nom*'\/><\/p><p class='  form_element form_element_half' id='element_avia_2_1'><label for=\"avia_2_1\">Pr\u00e9nom <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_2_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_1\" value=\"\"  placeholder='Pr\u00e9nom*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_3_1'><label for=\"avia_3_1\">E-Mail <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_3_1\" class=\"text_input is_email\" type=\"text\" id=\"avia_3_1\" value=\"\"  placeholder='E-Mail*'\/><\/p><p class='  form_element form_element_half' id='element_avia_4_1'><label for=\"avia_4_1\">T\u00e9l\u00e9phone <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_4_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_4_1\" value=\"\"  placeholder='T\u00e9l\u00e9phone*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_5_1'><label for=\"avia_5_1\">Adresse <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label> <input name=\"avia_5_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_5_1\" value=\"\"  placeholder='Adresse*'\/><\/p><p class='  first_form  form_element form_element_three_fourth' id='element_avia_6_1'><label for=\"avia_6_1\">Domaine <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_6_1\" class=\"select is_empty\" id=\"avia_6_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Domaine*<\/option><option   value='Gestion'>Gestion<\/option><option   value='Administratif'>Administratif<\/option><option   value='Technique'>Technique<\/option><option   value='Commercial'>Commercial<\/option><option   value='Services'>Services<\/option><option   value='Marine Service'>Marine Service<\/option><\/select><\/p><p class='  first_form  form_element form_element_three_fourth' id='element_avia_7_1'><label for=\"avia_7_1\">Priorit\u00e9 <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><select  name=\"avia_7_1\" class=\"select is_empty\" id=\"avia_7_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Priorit\u00e9*<\/option><option   value='Haute'>Haute<\/option><option   value='Moyenne'>Moyenne<\/option><option   value='Faible'>Faible<\/option><\/select><\/p><p class='  first_form  form_element form_element_three_fourth' id='element_avia_8_1'><label for=\"avia_8_1\" class=\"textare_label hidden textare_label_avia_8_1\">Message <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><textarea  placeholder='Message*' name=\"avia_8_1\" class=\"text_area is_empty\" cols=\"40\" rows=\"7\" id=\"avia_8_1\" ><\/textarea><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_9_1'><input  name=\"avia_9_1\" class=\"input_checkbox is_empty\" type=\"checkbox\" id=\"avia_9_1\" value=\"true\"\/><label class=\"input_checkbox_label\" for=\"avia_9_1\">Policy Privacy <abbr class=\"required\" title=\"requis(e)\">*<\/abbr><\/label><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_10_1\" class=\"hidden \" id=\"avia_10_1\" value=\"\" \/><\/p><div id='avia_11_1' class='av-recaptcha-area  first_form  form_element form_fullwidth '  data-container_class=\"\" data-custom_class=\"\" data-context=\"av_contact_form\" data-token_input=\"av_recaptcha_token\" data-version=\"avia_recaptcha_v2\" data-theme=\"light\" data-size=\"normal\" data-score=\"0.5\" data-text_to_preview=\"\" data-value=\"\"><div class=\"av-google-badge-message hidden\">Ce site est prot\u00e9g\u00e9 par reCAPTCHA et la <a href=\"https:\/\/policies.google.com\/privacy\">politique de confidentialit\u00e9<\/a> de Google et <a href=\"https:\/\/policies.google.com\/terms\">leur conditions d\u2019utilisation<\/a> s\u2019appliquent.<\/div><\/div><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"ENVOYER\" class=\"button\"  data-sending-label=\"Envoi\"\/><\/p><\/fieldset><div class=\"avia-disabled-form\">Ce formulaire est d\u00e9sactiv\u00e9 dans la mesure o\u00f9 vous refusez d\u2019accepter le service Google reCAPTCHA n\u00e9cessaire pour valider toute exp\u00e9dition de message depuis celui-ci.<\/div><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><br \/>\n<section  class='av_textblock_section av-2vyb1i-49da9c785199063bd27b5772e5645ac9 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div 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