document.write("<div id=FORMULAIRE_PROPULSITE><form target='IframeRepPropulsite_589460db39f8cb' enctype='multipart/form-data' method='post' action='https://propulsite.com/formulaires/frametraiteform_6122-589460db39f8cb.html' name='Formulaire_Gratuit_PropulSite_589460db39f8cb'> <table style='text-align: left; width: 700px;' border='0' cellpadding='2' cellspacing='2'> <tbody> <tr id='Mail_Info_589460db39f8cb'> <th>* Votre e-mail :</th> <td> <input name='Mail_589460db39f8cb' id='Mail_589460db39f8cb'> </td> </tr> <tr id='PropulSite_589460db39f8cb_1_Info'> <th>* Nom :</th> <td><input name='PropulSite_589460db39f8cb_1' id='PropulSite_589460db39f8cb_1' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_2_Info'> <th>* Prénom :</th> <td><input name='PropulSite_589460db39f8cb_2' id='PropulSite_589460db39f8cb_2' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_3_Info'> <th>Adresse :</th> <td><input name='PropulSite_589460db39f8cb_3' id='PropulSite_589460db39f8cb_3' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_4_Info'> <th>Code - postal :</th> <td><input name='PropulSite_589460db39f8cb_4' id='PropulSite_589460db39f8cb_4' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_5_Info'> <th>Ville :</th> <td><input name='PropulSite_589460db39f8cb_5' id='PropulSite_589460db39f8cb_5' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_6_Info'> <th>Pays :</th> <td><input name='PropulSite_589460db39f8cb_6' id='PropulSite_589460db39f8cb_6' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_7_Info'> <th>Email :</th> <td><input name='PropulSite_589460db39f8cb_7' id='PropulSite_589460db39f8cb_7' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_8_Info'> <th>Téléphone fixe :</th> <td><input name='PropulSite_589460db39f8cb_8' id='PropulSite_589460db39f8cb_8' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_9_Info'> <th>Téléphone port :</th> <td><input name='PropulSite_589460db39f8cb_9' id='PropulSite_589460db39f8cb_9' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_10_Info'> <th>Date . début . séjour :</th> <td><input name='PropulSite_589460db39f8cb_10' id='PropulSite_589460db39f8cb_10' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_11_Info'> <th>Date . fin . de . séjour :</th> <td><input name='PropulSite_589460db39f8cb_11' id='PropulSite_589460db39f8cb_11' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_12_Info'> <th>Nbre de semaine :</th> <td><input name='PropulSite_589460db39f8cb_12' id='PropulSite_589460db39f8cb_12' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_13_Info'> <th>Nombre .de. personnes :</th> <td><input name='PropulSite_589460db39f8cb_13' id='PropulSite_589460db39f8cb_13' type='text' size='30'></td> </tr> <tr id='PropulSite_589460db39f8cb_14_Info'> <th>Message :</th> <td><textarea name='PropulSite_589460db39f8cb_14' id='PropulSite_589460db39f8cb_14' cols='50' rows='10'></textarea></td> </tr> <tr id='Genered_Info_589460db39f8cb'> <th>* Recopiez ce code :</th> <td> <div id='DivContImgAndGenered_589460db39f8cb'> <img id='FormPropulSite_img_589460db39f8cb' alt='Recopiez ce code' title='Recopiez ce code' src='https://propulsite.com/images/imagecreat-FormPropulSite589460db39f8cb-1715792632.png' ><input name='Genered_589460db39f8cb' id='Genered_589460db39f8cb' maxlength='5' size='5'></div> </td> </tr> <tr> <th>Options d'envoi :</th> <td> <div id=IdOptionSend> <small><a href='javascript:afficheoptions();'>Afficher les options d'envoi.</a></small></td> </div> </tr> </tbody> </table> <input name='hid_589460db39f8cb' id='hid_589460db39f8cb' value='hid_589460db39f8cb' type='hidden'> <br> <input name='Envoyer_589460db39f8cb' id='Envoyer_589460db39f8cb' value='Envoyer' type='submit' OnClick='Loadtoform();SubmitFormPropulSite589460db39f8cb(); return false;'> <span id=LoadModule></span> </form><br><br> <i><small>Les champs marqués d'un '*' sont obligatoires</small></i></div>");
		
		function SubmitFormPropulSite589460db39f8cb()
		{
			var erreur = '';
			var nberreur = 0;
			
			if(document.getElementById('Mail_589460db39f8cb').value == '')
			{
				erreur = erreur+'Adresse mail >> Vide.\n';
				nberreur++;
			}
			
					if(document.getElementById('PropulSite_589460db39f8cb_1').value == '' & 1 == 1)
					{
						erreur = erreur+'Nom >> Vide.\n';
						nberreur++;
					}
					
					if(document.getElementById('PropulSite_589460db39f8cb_2').value == '' & 1 == 1)
					{
						erreur = erreur+'Prénom >> Vide.\n';
						nberreur++;
					}
					
			
			
			
			if(document.getElementById('Genered_589460db39f8cb').value == '')
			{
				erreur = erreur+'Code anti-robot >> Vide.\n';
				nberreur++;
			}
			
			if(nberreur == 0)
			{
				document.Formulaire_Gratuit_PropulSite_589460db39f8cb.submit();
				ReloadImg_589460db39f8cb();
			}
			else
			{
				if(nberreur == 1)
				{
					alert('Une erreur à été trouvée :\n\n'+erreur+' ');
				}
				else
				{
					alert(nberreur+' erreurs ont été trouvées :\n\n'+erreur+' ');
				}
			}
			
			
			return false;
		}
		
		function ReloadImg_589460db39f8cb()
		{
			var nbtp = Math.floor(Math.random() * 1715792632)+0;
			document.getElementById('DivContImgAndGenered_589460db39f8cb').innerHTML = '<img id="FormPropulSite_img_589460db39f8cb" alt="Recopiez ce code" title="Recopiez ce code" src="https://propulsite.com/images/imagecreat-FormPropulSite589460db39f8cb-'+nbtp+'.png"><input name="Genered_589460db39f8cb" id="Genered_589460db39f8cb">';
		}
		
		function Loadtoform()
		{
			document.getElementById('LoadModule').innerHTML = '<img alt="Envoi en cours..." title="Envoi en cours..." src="https://propulsite.com/images/attend.gif">';
		}
		
		function afficheoptions()
		{
			document.getElementById('IdOptionSend').innerHTML = '<input name="copie" value="1" type="checkbox"> Recevoir une copie de ce message.<br><input name="confirm" value="1" type="checkbox"> Recevoir une confirmation de lecture.<br><input name="newsletter" value="1" type="checkbox"> Recevoir la newsletter de PropulSite.com (1 à 2/an)';
		}