Formulaire d'Inscription Professionnels Alpine A110<\/title>\n <style>\n body {\n font-family: Arial, sans-serif;\n background-color: #f4f4f4;\n margin: 0;\n padding: 0;\n }\n\n .container {\n max-width: 800px;\n margin: 50px auto;\n padding: 20px;\n background-color: #fff;\n box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);\n border-radius: 8px;\n }\n\n #form-header-title h1 {\n text-align: center;\n color: #333;\n }\n\n #form-footer-mandatory {\n display: block;\n text-align: center;\n margin-bottom: 20px;\n color: #d9534f;\n }\n\n .inline-forms h3 {\n color: #5bc0de;\n margin-bottom: 10px;\n }\n\n label {\n display: block;\n margin-bottom: 5px;\n font-weight: bold;\n }\n\n input[type=\"text\"], input[type=\"date\"], input[type=\"email\"], input[type=\"file\"], input[type=\"button\"] {\n width: calc(100% - 22px);\n padding: 10px;\n margin-bottom: 15px;\n border: 1px solid #ccc;\n border-radius: 4px;\n }\n\n .inline div {\n width: calc(50% - 20px);\n float: left;\n margin-right: 20px;\n }\n\n .inline div:last-child {\n margin-right: 0;\n }\n\n .inline-near {\n margin-bottom: 15px;\n }\n\n .inline-near input {\n width: auto;\n }\n\n .inline-near label {\n display: inline;\n margin-left: 5px;\n }\n\n #second-driver {\n display: none;\n }\n\n .clearfix::after {\n content: \"\";\n clear: both;\n display: table;\n }\n\n button {\n display: block;\n width: 100%;\n padding: 10px;\n background-color: #5bc0de;\n color: white;\n border: none;\n border-radius: 4px;\n font-size: 16px;\n cursor: pointer;\n transition: background-color 0.3s;\n }\n\n button:hover {\n background-color: #31b0d5;\n }\n\n .message {\n text-align: center;\n font-size: 16px;\n margin-top: 20px;\n }\n\n .message.success {\n color: green;\n }\n\n .message.error {\n color: red;\n }\n\n .icon-check {\n font-size: 50px;\n color: green;\n text-align: center;\n margin-top: 20px;\n }\n\n .hidden {\n display: none;\n }\n <\/style>\n <script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\n <script>\n function displaySecondeDriver(event) {\n const secondDriverSection = document.getElementById('second-driver');\n if (event.target.checked) {\n secondDriverSection.style.display = 'block';\n } else {\n secondDriverSection.style.display = 'none';\n }\n }\n\n function formaterSIRET() {\n const siretInput = document.getElementById('societe_siret');\n siretInput.value = siretInput.value.replace(\/\\s+\/g, '').replace(\/(\\d{3})(?=\\d)\/g, '$1 ');\n }\n\n function verifierSIRET() {\n const siretInput = document.getElementById('societe_siret').value;\n const resultatSiret = document.getElementById('resultat_siret');\n if (siretInput.replace(\/\\s+\/g, '').length === 14) {\n resultatSiret.textContent = \"SIRET valide.\";\n resultatSiret.style.color = \"green\";\n } else {\n resultatSiret.textContent = \"SIRET invalide.\";\n resultatSiret.style.color = \"red\";\n }\n }\n\n function formaterCP(event) {\n event.target.value = event.target.value.replace(\/\\D\/g, '').substr(0, 5);\n }\n\n function formaterPhone(event) {\n event.target.value = event.target.value.replace(\/\\D\/g, '').substr(0, 14);\n }\n\n async function handleSubmit(event) {\n event.preventDefault();\n\n const form = event.target;\n const formData = new FormData(form);\n const recaptchaResponse = grecaptcha.getResponse();\n\n if (!recaptchaResponse) {\n showMessage('Veuillez v\u00e9rifier le reCAPTCHA.', 'error');\n return;\n }\n\n formData.append(\"g-recaptcha-response\", recaptchaResponse);\n\n try {\n const response = await fetch('http:\/\/localhost:3000\/professionnels', {\n method: 'POST',\n body: formData\n });\n\n if (!response.ok) {\n throw new Error('Erreur lors de l\\'enregistrement des donn\u00e9es');\n }\n\n showMessage('Nous avons bien re\u00e7u vos informations.', 'success');\n showSuccessIcon();\n form.reset();\n form.classList.add('hidden');\n } catch (error) {\n console.error(error);\n showMessage('Erreur lors de l\\'enregistrement des donn\u00e9es', 'error');\n }\n }\n\n function showMessage(message, type) {\n const messageDiv = document.getElementById('message');\n messageDiv.textContent = message;\n messageDiv.className = `message ${type}`;\n }\n\n function showSuccessIcon() {\n const successIcon = document.getElementById('successIcon');\n successIcon.classList.remove('hidden');\n }\n <\/script>\n<\/head>\n<body>\n <section id=\"formulaire\">\n <div class=\"container\">\n <form id=\"sb_form\" method=\"post\" enctype=\"multipart\/form-data\" onsubmit=\"handleSubmit(event)\">\n <div id=\"form-header-title\">\n <h1>Enregistrez-vous pour vibrer \u00e0 bord de l'Alpine A110.<\/h1>\n <span id=\"form-footer-mandatory\">* Champs obligatoires<\/span>\n <\/div>\n\n <div class=\"inline-forms\">\n <div>\n <h3>Entreprise :<\/h3>\n <input type=\"checkbox\" name=\"is_societe\" checked hidden>\n <label for=\"societe_siret\">SIRET<\/label>\n <div class=\"inline clearfix\">\n <input type=\"text\" name=\"siret\" id=\"societe_siret\" maxlength=\"14\" onkeyup=\"formaterSIRET()\" required>\n <input type=\"button\" name=\"siret_verify\" id=\"siret_verify\" onclick=\"verifierSIRET()\" value=\"VERIFIER\">\n <\/div>\n <span id=\"resultat_siret\"><\/span>\n <label for=\"societe_name\">Nom d'entreprise<\/label>\n <input type=\"text\" name=\"nomEntreprise\" id=\"societe_name\" maxlength=\"255\" required>\n <label for=\"societe_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"adressePostaleEntreprise\" id=\"societe_address\" maxlength=\"255\" required>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"societe_cp\">Code postal<\/label>\n <input type=\"text\" name=\"codePostalEntreprise\" id=\"societe_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\" required>\n <\/div>\n <div>\n <label for=\"societe_city\">Ville<\/label>\n <input type=\"text\" name=\"villeEntreprise\" id=\"societe_city\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <label for=\"societe_phone\">Mobile<\/label>\n <input type=\"text\" name=\"mobileEntreprise\" id=\"societe_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\" required>\n <label for=\"societe_kbis\">KBIS<\/label>\n <input type=\"file\" name=\"kbis\" id=\"societe_kbis\" required>\n <\/div>\n <div>\n <h3>Conducteur principal :<\/h3>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_name\">Nom<\/label>\n <input type=\"text\" name=\"nom\" id=\"driver_name\" maxlength=\"255\" required>\n <\/div>\n <div>\n <label for=\"driver_firstname\">Pr\u00e9nom<\/label>\n <input type=\"text\" name=\"prenom\" id=\"driver_firstname\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_birth\">Date de naissance<\/label>\n <input type=\"date\" name=\"dateNaissance\" id=\"driver_birth\" required>\n <\/div>\n <div>\n <label for=\"driver_birth_place\">Lieu de naissance<\/label>\n <input type=\"text\" name=\"lieuNaissance\" id=\"driver_birth_place\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <label for=\"driver_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"adressePostale\" id=\"driver_address\" maxlength=\"255\" required>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_cp\">Code postal<\/label>\n <input type=\"text\" name=\"codePostal\" id=\"driver_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\" required>\n <\/div>\n <div>\n <label for=\"driver_city\">Ville<\/label>\n <input type=\"text\" name=\"ville\" id=\"driver_city\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_phone\">Mobile<\/label>\n <input type=\"text\" name=\"mobile\" id=\"driver_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\" required>\n <\/div>\n <div>\n <label for=\"driver_mail\">Email<\/label>\n <input type=\"email\" name=\"email\" id=\"driver_mail\" required>\n <\/div>\n <\/div>\n <label for=\"driver_identite\">Copie carte identit\u00e9\/passeport valide<\/label>\n <input type=\"file\" name=\"carteIdentite\" id=\"driver_identite\" required>\n <label for=\"driver_permis\">Copie permis de conduire valide<\/label>\n <input type=\"file\" name=\"permisConduire\" id=\"driver_permis\" required>\n <label for=\"driver_justificatif_domicile\">Justificatif de domicile<\/label>\n <input type=\"file\" name=\"justificatifDomicile\" id=\"driver_justificatif_domicile\" required>\n <div class=\"inline-near clearfix\">\n <input type=\"checkbox\" name=\"has_second_driver\" id=\"has_second_driver\" onclick=\"displaySecondeDriver(event)\">\n <label for=\"has_second_driver\">Ajout d'un second conducteur<\/label>\n <\/div>\n <\/div>\n <div id=\"second-driver\">\n <h3>Conducteur secondaire :<\/h3>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_name\">Nom<\/label>\n <input type=\"text\" name=\"second_driver_name\" id=\"second_driver_name\" maxlength=\"255\">\n <\/div>\n <div>\n <label for=\"second_driver_firstname\">Pr\u00e9nom<\/label>\n <input type=\"text\" name=\"second_driver_firstname\" id=\"second_driver_firstname\" maxlength=\"255\">\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_birth\">Date de naissance<\/label>\n <input type=\"date\" name=\"second_driver_birth\" id=\"second_driver_birth\">\n <\/div>\n <div>\n <label for=\"second_driver_birth_place\">Lieu de naissance<\/label>\n <input type=\"text\" name=\"second_driver_birth_place\" id=\"second_driver_birth_place\" maxlength=\"255\">\n <\/div>\n <\/div>\n <label for=\"second_driver_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"second_driver_address\" id=\"second_driver_address\" maxlength=\"255\">\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_cp\">Code postal<\/label>\n <input type=\"text\" name=\"second_driver_cp\" id=\"second_driver_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\">\n <\/div>\n <div>\n <label for=\"second_driver_city\">Ville<\/label>\n <input type=\"text\" name=\"second_driver_city\" id=\"second_driver_city\" maxlength=\"255\">\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_phone\">Mobile<\/label>\n <input type=\"text\" name=\"second_driver_phone\" id=\"second_driver_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\">\n <\/div>\n <div>\n <label for=\"second_driver_mail\">Email<\/label>\n <input type=\"email\" name=\"second_driver_mail\" id=\"second_driver_mail\">\n <\/div>\n <\/div>\n <label for=\"second_driver_identite\">Copie carte identit\u00e9\/passeport valide<\/label>\n <input type=\"file\" name=\"second_driver_identite\" id=\"second_driver_identite\">\n <label for=\"second_driver_permis\">Copie permis de conduire valide<\/label>\n <input type=\"file\" name=\"second_driver_permis\" id=\"second_driver_permis\">\n <label for=\"second_driver_justificatif_domicile\">Justificatif de domicile<\/label>\n <input type=\"file\" name=\"second_driver_justificatif_domicile\" id=\"second_driver_justificatif_domicile\">\n <\/div>\n <\/div>\n <div class=\"g-recaptcha\" data-sitekey=\"6Lc74fYpAAAAAFtPYvCbwifsXPbKvgExwh-1rJrt\"><\/div>\n <button id=\"submitInput\" type=\"submit\" value=\"VALIDER\" class=\"mobile-FW\">\n <span style=\"margin:0px;\">VALIDER<\/span>\n <\/button>\n <\/form>\n <div id=\"successIcon\" class=\"icon-check hidden\">\u2714\ufe0f<\/div>\n <div id=\"message\" class=\"message hidden\"><\/div>\n <\/div>\n <\/section>\n<\/body>\n<\/html>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Formulaire d’Inscription Professionnels Alpine A110 Enregistrez-vous pour vibrer \u00e0 bord de l’Alpine A110. * Champs obligatoires Entreprise : SIRET Nom […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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\n\t\t\t\t\t\n\n\n \n \n Formulaire d'Inscription Professionnels Alpine A110<\/title>\n <style>\n body {\n font-family: Arial, sans-serif;\n background-color: #f4f4f4;\n margin: 0;\n padding: 0;\n }\n\n .container {\n max-width: 800px;\n margin: 50px auto;\n padding: 20px;\n background-color: #fff;\n box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);\n border-radius: 8px;\n }\n\n #form-header-title h1 {\n text-align: center;\n color: #333;\n }\n\n #form-footer-mandatory {\n display: block;\n text-align: center;\n margin-bottom: 20px;\n color: #d9534f;\n }\n\n .inline-forms h3 {\n color: #5bc0de;\n margin-bottom: 10px;\n }\n\n label {\n display: block;\n margin-bottom: 5px;\n font-weight: bold;\n }\n\n input[type=\"text\"], input[type=\"date\"], input[type=\"email\"], input[type=\"file\"], input[type=\"button\"] {\n width: calc(100% - 22px);\n padding: 10px;\n margin-bottom: 15px;\n border: 1px solid #ccc;\n border-radius: 4px;\n }\n\n .inline div {\n width: calc(50% - 20px);\n float: left;\n margin-right: 20px;\n }\n\n .inline div:last-child {\n margin-right: 0;\n }\n\n .inline-near {\n margin-bottom: 15px;\n }\n\n .inline-near input {\n width: auto;\n }\n\n .inline-near label {\n display: inline;\n margin-left: 5px;\n }\n\n #second-driver {\n display: none;\n }\n\n .clearfix::after {\n content: \"\";\n clear: both;\n display: table;\n }\n\n button {\n display: block;\n width: 100%;\n padding: 10px;\n background-color: #5bc0de;\n color: white;\n border: none;\n border-radius: 4px;\n font-size: 16px;\n cursor: pointer;\n transition: background-color 0.3s;\n }\n\n button:hover {\n background-color: #31b0d5;\n }\n\n .message {\n text-align: center;\n font-size: 16px;\n margin-top: 20px;\n }\n\n .message.success {\n color: green;\n }\n\n .message.error {\n color: red;\n }\n\n .icon-check {\n font-size: 50px;\n color: green;\n text-align: center;\n margin-top: 20px;\n }\n\n .hidden {\n display: none;\n }\n <\/style>\n <script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script>\n <script>\n function displaySecondeDriver(event) {\n const secondDriverSection = document.getElementById('second-driver');\n if (event.target.checked) {\n secondDriverSection.style.display = 'block';\n } else {\n secondDriverSection.style.display = 'none';\n }\n }\n\n function formaterSIRET() {\n const siretInput = document.getElementById('societe_siret');\n siretInput.value = siretInput.value.replace(\/\\s+\/g, '').replace(\/(\\d{3})(?=\\d)\/g, '$1 ');\n }\n\n function verifierSIRET() {\n const siretInput = document.getElementById('societe_siret').value;\n const resultatSiret = document.getElementById('resultat_siret');\n if (siretInput.replace(\/\\s+\/g, '').length === 14) {\n resultatSiret.textContent = \"SIRET valide.\";\n resultatSiret.style.color = \"green\";\n } else {\n resultatSiret.textContent = \"SIRET invalide.\";\n resultatSiret.style.color = \"red\";\n }\n }\n\n function formaterCP(event) {\n event.target.value = event.target.value.replace(\/\\D\/g, '').substr(0, 5);\n }\n\n function formaterPhone(event) {\n event.target.value = event.target.value.replace(\/\\D\/g, '').substr(0, 14);\n }\n\n async function handleSubmit(event) {\n event.preventDefault();\n\n const form = event.target;\n const formData = new FormData(form);\n const recaptchaResponse = grecaptcha.getResponse();\n\n if (!recaptchaResponse) {\n showMessage('Veuillez v\u00e9rifier le reCAPTCHA.', 'error');\n return;\n }\n\n formData.append(\"g-recaptcha-response\", recaptchaResponse);\n\n try {\n const response = await fetch('http:\/\/localhost:3000\/professionnels', {\n method: 'POST',\n body: formData\n });\n\n if (!response.ok) {\n throw new Error('Erreur lors de l\\'enregistrement des donn\u00e9es');\n }\n\n showMessage('Nous avons bien re\u00e7u vos informations.', 'success');\n showSuccessIcon();\n form.reset();\n form.classList.add('hidden');\n } catch (error) {\n console.error(error);\n showMessage('Erreur lors de l\\'enregistrement des donn\u00e9es', 'error');\n }\n }\n\n function showMessage(message, type) {\n const messageDiv = document.getElementById('message');\n messageDiv.textContent = message;\n messageDiv.className = `message ${type}`;\n }\n\n function showSuccessIcon() {\n const successIcon = document.getElementById('successIcon');\n successIcon.classList.remove('hidden');\n }\n <\/script>\n<\/head>\n<body>\n <section id=\"formulaire\">\n <div class=\"container\">\n <form id=\"sb_form\" method=\"post\" enctype=\"multipart\/form-data\" onsubmit=\"handleSubmit(event)\">\n <div id=\"form-header-title\">\n <h1>Enregistrez-vous pour vibrer \u00e0 bord de l'Alpine A110.<\/h1>\n <span id=\"form-footer-mandatory\">* Champs obligatoires<\/span>\n <\/div>\n\n <div class=\"inline-forms\">\n <div>\n <h3>Entreprise :<\/h3>\n <input type=\"checkbox\" name=\"is_societe\" checked hidden>\n <label for=\"societe_siret\">SIRET<\/label>\n <div class=\"inline clearfix\">\n <input type=\"text\" name=\"siret\" id=\"societe_siret\" maxlength=\"14\" onkeyup=\"formaterSIRET()\" required>\n <input type=\"button\" name=\"siret_verify\" id=\"siret_verify\" onclick=\"verifierSIRET()\" value=\"VERIFIER\">\n <\/div>\n <span id=\"resultat_siret\"><\/span>\n <label for=\"societe_name\">Nom d'entreprise<\/label>\n <input type=\"text\" name=\"nomEntreprise\" id=\"societe_name\" maxlength=\"255\" required>\n <label for=\"societe_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"adressePostaleEntreprise\" id=\"societe_address\" maxlength=\"255\" required>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"societe_cp\">Code postal<\/label>\n <input type=\"text\" name=\"codePostalEntreprise\" id=\"societe_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\" required>\n <\/div>\n <div>\n <label for=\"societe_city\">Ville<\/label>\n <input type=\"text\" name=\"villeEntreprise\" id=\"societe_city\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <label for=\"societe_phone\">Mobile<\/label>\n <input type=\"text\" name=\"mobileEntreprise\" id=\"societe_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\" required>\n <label for=\"societe_kbis\">KBIS<\/label>\n <input type=\"file\" name=\"kbis\" id=\"societe_kbis\" required>\n <\/div>\n <div>\n <h3>Conducteur principal :<\/h3>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_name\">Nom<\/label>\n <input type=\"text\" name=\"nom\" id=\"driver_name\" maxlength=\"255\" required>\n <\/div>\n <div>\n <label for=\"driver_firstname\">Pr\u00e9nom<\/label>\n <input type=\"text\" name=\"prenom\" id=\"driver_firstname\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_birth\">Date de naissance<\/label>\n <input type=\"date\" name=\"dateNaissance\" id=\"driver_birth\" required>\n <\/div>\n <div>\n <label for=\"driver_birth_place\">Lieu de naissance<\/label>\n <input type=\"text\" name=\"lieuNaissance\" id=\"driver_birth_place\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <label for=\"driver_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"adressePostale\" id=\"driver_address\" maxlength=\"255\" required>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_cp\">Code postal<\/label>\n <input type=\"text\" name=\"codePostal\" id=\"driver_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\" required>\n <\/div>\n <div>\n <label for=\"driver_city\">Ville<\/label>\n <input type=\"text\" name=\"ville\" id=\"driver_city\" maxlength=\"255\" required>\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"driver_phone\">Mobile<\/label>\n <input type=\"text\" name=\"mobile\" id=\"driver_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\" required>\n <\/div>\n <div>\n <label for=\"driver_mail\">Email<\/label>\n <input type=\"email\" name=\"email\" id=\"driver_mail\" required>\n <\/div>\n <\/div>\n <label for=\"driver_identite\">Copie carte identit\u00e9\/passeport valide<\/label>\n <input type=\"file\" name=\"carteIdentite\" id=\"driver_identite\" required>\n <label for=\"driver_permis\">Copie permis de conduire valide<\/label>\n <input type=\"file\" name=\"permisConduire\" id=\"driver_permis\" required>\n <label for=\"driver_justificatif_domicile\">Justificatif de domicile<\/label>\n <input type=\"file\" name=\"justificatifDomicile\" id=\"driver_justificatif_domicile\" required>\n <div class=\"inline-near clearfix\">\n <input type=\"checkbox\" name=\"has_second_driver\" id=\"has_second_driver\" onclick=\"displaySecondeDriver(event)\">\n <label for=\"has_second_driver\">Ajout d'un second conducteur<\/label>\n <\/div>\n <\/div>\n <div id=\"second-driver\">\n <h3>Conducteur secondaire :<\/h3>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_name\">Nom<\/label>\n <input type=\"text\" name=\"second_driver_name\" id=\"second_driver_name\" maxlength=\"255\">\n <\/div>\n <div>\n <label for=\"second_driver_firstname\">Pr\u00e9nom<\/label>\n <input type=\"text\" name=\"second_driver_firstname\" id=\"second_driver_firstname\" maxlength=\"255\">\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_birth\">Date de naissance<\/label>\n <input type=\"date\" name=\"second_driver_birth\" id=\"second_driver_birth\">\n <\/div>\n <div>\n <label for=\"second_driver_birth_place\">Lieu de naissance<\/label>\n <input type=\"text\" name=\"second_driver_birth_place\" id=\"second_driver_birth_place\" maxlength=\"255\">\n <\/div>\n <\/div>\n <label for=\"second_driver_address\">Adresse postale<\/label>\n <input type=\"text\" name=\"second_driver_address\" id=\"second_driver_address\" maxlength=\"255\">\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_cp\">Code postal<\/label>\n <input type=\"text\" name=\"second_driver_cp\" id=\"second_driver_cp\" maxlength=\"5\" onkeyup=\"formaterCP(event)\">\n <\/div>\n <div>\n <label for=\"second_driver_city\">Ville<\/label>\n <input type=\"text\" name=\"second_driver_city\" id=\"second_driver_city\" maxlength=\"255\">\n <\/div>\n <\/div>\n <div class=\"inline clearfix\">\n <div>\n <label for=\"second_driver_phone\">Mobile<\/label>\n <input type=\"text\" name=\"second_driver_phone\" id=\"second_driver_phone\" maxlength=\"14\" onkeyup=\"formaterPhone(event)\">\n <\/div>\n <div>\n <label for=\"second_driver_mail\">Email<\/label>\n <input type=\"email\" name=\"second_driver_mail\" id=\"second_driver_mail\">\n <\/div>\n <\/div>\n <label for=\"second_driver_identite\">Copie carte identit\u00e9\/passeport valide<\/label>\n <input type=\"file\" name=\"second_driver_identite\" id=\"second_driver_identite\">\n <label for=\"second_driver_permis\">Copie permis de conduire valide<\/label>\n <input type=\"file\" name=\"second_driver_permis\" id=\"second_driver_permis\">\n <label for=\"second_driver_justificatif_domicile\">Justificatif de domicile<\/label>\n <input type=\"file\" 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