{"id":1683,"date":"2015-01-23T10:33:34","date_gmt":"2015-01-23T09:33:34","guid":{"rendered":"http:\/\/www.capenergie.fr\/catalogue\/?page_id=1683"},"modified":"2015-01-27T15:36:46","modified_gmt":"2015-01-27T14:36:46","slug":"fiche-de-renseignement-site-isole","status":"publish","type":"page","link":"http:\/\/dev.capenergie.fr\/catalogue\/fiche-de-renseignement-site-isole.html","title":{"rendered":"Fiche de renseignement \u00ab\u00a0Site Isol\u00e9\u00a0\u00bb"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1684-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"1684\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/catalogue\/wp-json\/wp\/v2\/pages\/1683#wpcf7-f1684-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1684\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1684-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div style=\"width:100%; border:1px; border-color:#CCC; border-style:dotted; padding:8px\">\n\t<h2>INFORMATIONS GENERALES\n\t<\/h2>\n\t<p>Date (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-622\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-622\" \/><\/span>\n\t<\/p>\n\t<p>Date pr\u00e9visionnelle de r\u00e9alisation (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-623\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-623\" \/><\/span>\n\t<\/p>\n\t<p>Votre nom (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t<\/p>\n\t<p>Votre Pr\u00e9nom (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Prenom\" \/><\/span>\n\t<\/p>\n\t<p>Soci\u00e9t\u00e9\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"societe\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"societe\" \/><\/span>\n\t<\/p>\n\t<p>Votre email (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t<\/p>\n\t<p>Votre num\u00e9ro de t\u00e9l\u00e9phone (obligatoire)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-phone\" \/><\/span>\n\t<\/p>\n\t<h2>SITE ISOL\u00c9\n\t<\/h2>\n\t<p><strong>France<\/strong> :\n\t<\/p>\n\t<p>Commune\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"commune\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"commune\" \/><\/span>\n\t<\/p>\n\t<p>Code postal\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cpostal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cpostal\" \/><\/span>\n\t<\/p>\n\t<p><strong>Etranger<\/strong> :\n\t<\/p>\n\t<p>Situation\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"situation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"situation\" \/><\/span>\n\t<\/p>\n\t<p>&nbsp;\n\t<\/p>\n\t<div style=\"margin-bottom:15px; margin-top:15px\" class=\"separator-orange\">\n\t<\/div>\n\t<h3><strong>P\u00e9riode d'occupation du site<\/strong>\n\t<\/h3>\n\t<p><strong>Continue<\/strong> : <span class=\"wpcf7-form-control-wrap\" data-name=\"continue\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"continue\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"continue\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p><strong>Mensuelle<\/strong> : <span class=\"wpcf7-form-control-wrap\" data-name=\"occup-mensuelle\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Janv\" \/><span class=\"wpcf7-list-item-label\">Janv<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"fev\" \/><span class=\"wpcf7-list-item-label\">fev<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Mars\" \/><span class=\"wpcf7-list-item-label\">Mars<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Avr\" \/><span class=\"wpcf7-list-item-label\">Avr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Mai\" \/><span class=\"wpcf7-list-item-label\">Mai<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Juin\" \/><span class=\"wpcf7-list-item-label\">Juin<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Juil\" \/><span class=\"wpcf7-list-item-label\">Juil<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Aout\" \/><span class=\"wpcf7-list-item-label\">Aout<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Sept\" \/><span class=\"wpcf7-list-item-label\">Sept<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Oct\" \/><span class=\"wpcf7-list-item-label\">Oct<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Nov\" \/><span class=\"wpcf7-list-item-label\">Nov<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"occup-mensuelle[]\" value=\"Dec\" \/><span class=\"wpcf7-list-item-label\">Dec<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p><strong>P\u00e9riodique<\/strong>\n\t<\/p>\n\t<table id=\"form-cap1\" width=\"100%%\" border=\"0\">\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Janvier :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-janv-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-janv-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-janv-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-janv-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>F\u00e9vrier :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-fev-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-fev-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-fev-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-fev-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Mars :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-mar-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-mar-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-mar-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-mar-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Avril :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-avr-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-avr-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-avr-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-avr-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Mai :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-mai-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-mai-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-mai-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-mai-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Juin :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>&nbsp;nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-jun-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-jun-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>&nbsp;nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-jun-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-jun-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Juillet :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-jul-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-jul-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-jul-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-jul-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Aout :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-aou-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-aou-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-aou-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-aou-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Septembre :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-sep-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-sep-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-sep-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-sep-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Octobre :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-oct-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-oct-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-oct-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-oct-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>Novembre :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-nov-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-nov-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-nov-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-nov-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td>\n\t\t\t\t<p>D\u00e9cembre :\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de Week-end <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-dec-we\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-dec-we\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p>nombre de semaines : <span class=\"wpcf7-form-control-wrap\" data-name=\"occupation-periodique-dec-sem\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"occupation-periodique-dec-sem\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<p>&nbsp;\n\t<\/p>\n\t<div style=\"margin-bottom:15px; margin-top:15px\" class=\"separator-orange\">\n\t<\/div>\n\t<h3><strong>Consommation<\/strong>\n\t<\/h3>\n\t<h4>Gros \u00e9lectrom\u00e9nager et assimil\u00e9s\n\t<\/h4>\n\t<p>R\u00e9frig\u00e9rateur \/ Classe : <span class=\"wpcf7-form-control-wrap\" data-name=\"type-class-frigo\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"A+++\" \/><span class=\"wpcf7-list-item-label\">A+++<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"A++\" \/><span class=\"wpcf7-list-item-label\">A++<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"A+\" \/><span class=\"wpcf7-list-item-label\">A+<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"A\" \/><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"B\" \/><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"C\" \/><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"D\" \/><span class=\"wpcf7-list-item-label\">D<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"E\" \/><span class=\"wpcf7-list-item-label\">E<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"type-class-frigo\" value=\"G\" \/><span class=\"wpcf7-list-item-label\">G<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>R\u00e9frig\u00e9rateur am\u00e9ricain : <span class=\"wpcf7-form-control-wrap\" data-name=\"type-class-frigo-americain\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"A+++\" \/><span class=\"wpcf7-list-item-label\">A+++<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"A++\" \/><span class=\"wpcf7-list-item-label\">A++<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"A+\" \/><span class=\"wpcf7-list-item-label\">A+<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"A\" \/><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"B\" \/><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"C\" \/><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"D\" \/><span class=\"wpcf7-list-item-label\">D<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"E\" \/><span class=\"wpcf7-list-item-label\">E<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"type-class-frigo-americain\" value=\"G\" \/><span class=\"wpcf7-list-item-label\">G<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Lave Linge : <span class=\"wpcf7-form-control-wrap\" data-name=\"lave-linge-conso\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"lave-linge-conso\" value=\"1 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">1 fois\/semaine<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"lave-linge-conso\" value=\"2 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">2 fois\/semaine<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"lave-linge-conso\" value=\"3 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">3 fois\/semaine<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Lave vaiselle : <span class=\"wpcf7-form-control-wrap\" data-name=\"lave-vaiselle-conso\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"lave-vaiselle-conso\" value=\"1 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">1 fois\/semaine<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"lave-vaiselle-conso\" value=\"2 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">2 fois\/semaine<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"lave-vaiselle-conso\" value=\"3 fois\/semaine\" \/><span class=\"wpcf7-list-item-label\">3 fois\/semaine<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<table id=\"form-cap1\" width=\"100%%\" border=\"0\">\n\t\t<tr>\n\t\t\t<td width=\"20%\">\n\t\t\t\t<p><strong>El\u00e9ments<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>Puissance en watt<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>utilisation journali\u00e8re en minute<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Micro-ondes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-micro\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-micro\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-micro\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-micro\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Aspirateur\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-aspi\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-aspi\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-aspi\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-aspi\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Cafeti\u00e8re\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-cafe\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-cafe\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-cafe\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-cafe\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Bouilloire\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-bouil\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-bouil\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-bouil\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-bouil\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Forage\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-forage\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-forage\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-forage\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-forage\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Surpresseur\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-surpress\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-surpress\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-surpress\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-surpress\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<h4>Multim\u00e9dia\n\t<\/h4>\n\t<table id=\"form-cap1\" width=\"100%%\" border=\"0\">\n\t\t<tr>\n\t\t\t<td width=\"20%\">\n\t\t\t\t<p><strong>El\u00e9ments<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>Puissance en watt<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>utilisation journali\u00e8re en minute<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Ordinateur\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-pc\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-pc\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-pc\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-pc\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>T\u00e9l\u00e9vision\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-tv\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-tv\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-tv\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-tv\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Chaine hifi\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-hifi\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-hifi\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-hifi\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-hifi\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<h4>Eclairage\n\t<\/h4>\n\t<table id=\"form-cap1\" width=\"100%%\" border=\"0\">\n\t\t<tr>\n\t\t\t<td width=\"20%\">\n\t\t\t\t<p><strong>El\u00e9ments<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>Puissance en watt<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>utilisation journali\u00e8re en minute<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 1\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p1\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p1\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p1\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p1\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 2\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p2\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p2\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 3\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p3\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p3\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 4\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p4\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p4\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p4\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p4\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 5\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p5\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p5\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p5\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p5\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Pi\u00e8ce 6\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-p6\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-p6\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-p6\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-p6\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<h4>Autre consommation\n\t<\/h4>\n\t<table id=\"form-cap1\" width=\"100%%\" border=\"0\">\n\t\t<tr>\n\t\t\t<td width=\"20%\">\n\t\t\t\t<p><strong>El\u00e9ments<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>Puissance en watt<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td>\n\t\t\t\t<p><strong>utilisation journali\u00e8re en minute<\/strong>\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Autre n\u00b01\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-autr1\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-autr1\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-autr1\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-autr1\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Autre n\u00b02\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-autr2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-autr2\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-autr2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-autr2\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<tr>\n\t\t\t<td  style=\"vertical-align:middle;\">\n\t\t\t\t<p>Autre n\u00b03\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"puiss-autr3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"puiss-autr3\" \/><\/span> Watt\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t\t<td style=\"vertical-align:middle;\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"temps-autr3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"temps-autr3\" \/><\/span> minutes\n\t\t\t\t<\/p>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t<\/table>\n\t<h4>Eau chaude\n\t<\/h4>\n\t<p>Quel syst\u00e8me avez-vous envisag\u00e9 ?\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"eau-chaude\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"eau-chaude\" \/><\/span>\n\t<\/p>\n\t<h4>Chauffage\n\t<\/h4>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"chauffage\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"chauffage\" value=\"Insert\" \/><span class=\"wpcf7-list-item-label\">Insert<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"chauffage\" value=\"Chaudi\u00e8re granule\" \/><span class=\"wpcf7-list-item-label\">Chaudi\u00e8re granule<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"chauffage\" value=\"Grammer Solar\" \/><span class=\"wpcf7-list-item-label\">Grammer Solar<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"chauffage\" value=\"Chaudi\u00e8re Fuel\" \/><span class=\"wpcf7-list-item-label\">Chaudi\u00e8re Fuel<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"chauffage\" value=\"Chaudi\u00e8re Gaz\" \/><span class=\"wpcf7-list-item-label\">Chaudi\u00e8re Gaz<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Autre syst\u00e8me de chauffage, pr\u00e9cisez :\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"chauffage-precision\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"chauffage-precision\" \/><\/span>\n\t<\/p>\n\t<div style=\"margin-bottom:15px; margin-top:15px\" class=\"separator-orange\">\n\t<\/div>\n\t<p>Autres pr\u00e9cisions\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t<\/p>\n\t<p><strong> Le traitement de la requ\u00eate peut prendre quelques jours en raisons d'un nombre de demande important<\/strong>\n\t<\/p>\n\t<p>(Maximum 7 jours)\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"155\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>&nbsp;<\/p>\n<p>\n  <em><strong>Vous rencontrez des difficult\u00e9s pour remplir le formulaire web &quot;projet site isol\u00e9&quot;, t\u00e9l\u00e9charger le fichier pdf ci-dessous !<\/strong><\/p>\n<p>  Fichier de renseignements pdf \u00e0 remplir sur ordinateur et \u00e0 renvoyer par E-mail ou \u00e0 imprimer et \u00e0 renvoyer par courrier postal.<\/em>\n<\/p>\n<table>\n<tr id=\"rang-prod\">\n<td colspan=\"2\">\n   \t\t  <a href=\"http:\/\/pdf.capenergie.fr\/doc-site-isole\/formulaire_projet_site_isole.pdf\" title=\"projet site isol\u00e9\" target=\"_blank\"><\/p>\n<div id=\"doc-pdf\"><\/div>\n<p>   \t\t  Renseignents sur un projet site isol\u00e9<\/a>\n       <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Vous rencontrez des difficult\u00e9s pour remplir le formulaire web &quot;projet site isol\u00e9&quot;, t\u00e9l\u00e9charger le fichier pdf ci-dessous ! Fichier de renseignements pdf \u00e0 remplir sur ordinateur et \u00e0 renvoyer par E-mail ou \u00e0 imprimer et \u00e0 renvoyer par courrier postal. Renseignents sur un projet site isol\u00e9<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1683","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire site Isol\u00e9<\/title>\n<meta name=\"description\" content=\"Fiche de renseignement pour projet &quot;Site Isol\u00e9&quot; \u00e0 remplir en ligne ou via un fichier pdf \u00e0 compl\u00e9ter et \u00e0 renvoyer par e-mail, ou \u00e0 imprimer et renvoyer par la poste.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire site Isol\u00e9\" \/>\n<meta property=\"og:description\" content=\"Fiche de renseignement pour projet &quot;Site Isol\u00e9&quot; \u00e0 remplir en ligne ou via un fichier pdf \u00e0 compl\u00e9ter et \u00e0 renvoyer par e-mail, ou \u00e0 imprimer et renvoyer par la poste.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/dev.capenergie.fr\/catalogue\/fiche-de-renseignement-site-isole.html\" \/>\n<meta property=\"article:modified_time\" content=\"2015-01-27T14:36:46+00:00\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/dev.capenergie.fr\/catalogue\/fiche-de-renseignement-site-isole.html\",\"url\":\"http:\/\/dev.capenergie.fr\/catalogue\/fiche-de-renseignement-site-isole.html\",\"name\":\"Formulaire site 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