_@ifEqual($__googlemapCONTACT,"NULL")@_
<div class="col-xs-12 col-sm-12 col-md-12" style="padding:0px;">
<iframe class="googleMap" src="_@SYS("__googlemapCONTACT","lien googlemap","Copier le lien qui est dans la version iframe dans src et pas les liens proposés en direct")@_"></iframe>
</div>
_@endif($__googlemapCONTACT)@_

<div class="col-xs-12 col-sm-12 col-md-12" style="padding:0px;">
<script type="text/javascript">
    //<!--
	function assistverifMail(email) {
		var verif     = /^[a-zA-Z0-9_.-]+@[a-zA-Z0-9-.]{2,}[.][a-zA-Z]{2,}$/
		if (verif.exec(email) == null)
		{
			return false;
		}
		else
		{
			return true;
		}    
	}
	//-->
</script>

<form enctype="multipart/form-data" method="post" action="/.framework/mailer.php" onsubmit="if(this._nom.value=='' || this._tel.value=='' || this._email.value=='') { alert('_@translate("Merci de saisir tous les champs obligatoires marqués avec une *.")@_'); return false; }; if(!assistverifMail(this._email.value)) { alert('Format mail incorrect');return false; }; this.from.value=this._email.value;" >
	<input type="hidden" name="merci" value="_$PHP_SELF$_?trans=1" />
	<script type="text/javascript">
		//<!--
		_@scriptmail($mailcontact)@_
		document.write('<input name="dest" type="hidden" value="' + ben + '@' + eniris + '">');
		//-->
	</script>
	<input type="hidden" name="subject" value="FORMULAIRE DE CONTACT" />
	_@ifempty($trans)@_
	<div class="col-xs-12 col-sm-12 col-md-12 offsetCENTRE">
		<p class="message">_@translate("Votre message a bien été transmis ! Merci.")@_</p>
	</div>
	_@endif($trans)@_
	<fieldset class="col-xs-12 col-sm-12 col-md-12 fieldset-contact" style="padding:0px;">
		<div class="col-xs-12 col-sm-6 col-md-6 offsetGAUCHE">
			<label for="_nom">
			_@translate("Nom")@_ * 
			</label>
			<input name="_nom" type="text" id="_nom" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_prenom">
			_@translate("Prénom")@_ 
			</label>
			<input type="text" name="_prenom" id="_prenom" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_adresse">
			_@translate("Adresse")@_ 
			</label>
			<textarea cols="35" rows="4" name="_adresse" id="_adresse" class="input-contact"></textarea>
			<div class="wash-contact"></div>
			<label for="_cdpostal">
			_@translate("Code Postal")@_ 
			</label>
			<input type="text" name="_cdpostal" id="_cdpostal" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_ville">
			_@translate("Ville")@_ 
			</label>
			<input type="text" name="_ville" id="_ville" class="input-contact"/>
		</div>
		<div class="col-xs-12 col-sm-6 col-md-6 offsetDROITE">
			<label for="_pays">
			_@translate("Pays")@_ 
			</label>
			<input type="text" name="_pays" id="_pays" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_tel">
			_@translate("Téléphone")@_ * 
			</label>
			<input type="text" name="_tel" id="_tel" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_fax">
			_@translate("Fax")@_ 
			</label>
			<input type="text" name="_fax" id="_fax" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_email">
			_@translate("Email")@_ * 
			</label>
			<input type="text" name="_email" id="_email" class="input-contact"/>
			<div class="wash-contact"></div>
			<label for="_message" id="msg">
			_@translate("Votre message")@_ 
			</label>
			<input type="hidden" name="_ref" id="_ref" value="_$comment$_"/>
			<textarea cols="35" rows="4" name="_message" id="_message" class="input-contact">_$comment$_</textarea>
			<div class="wash-contact"></div>
			
		</div>
		<div class="col-xs-12 col-sm-12 col-md-12">
        	<p class="obligatoire">* _@translate("Champs obligatoires")@_</p>
		</div>
        <div class="col-xs-12 col-sm-12 col-md-12 offsetCENTRE">
        	<div class="envoyer-contact">
				<input class="bouton" type="submit" value="_@translate("Envoyer")@_"/>
			</div>
		</div>
	</fieldset>
</form>
</div>