{"id":1956,"date":"2016-07-25T11:40:10","date_gmt":"2016-07-25T09:40:10","guid":{"rendered":"https:\/\/trivalis.fr\/?page_id=1956"},"modified":"2017-10-12T16:52:45","modified_gmt":"2017-10-12T14:52:45","slug":"visite-trivalandes","status":"publish","type":"page","link":"https:\/\/trivalis.fr\/visites\/visite-trivalandes\/","title":{"rendered":"Visite de Trivalandes"},"content":{"rendered":" <div id=\"form_id1227398862952\" class=\"wpdevelop\"><form  id=\"booking_form1\"   class=\"booking_form vertical\" method=\"post\" action=\"\"><div id=\"ajax_respond_insert1\" class=\"ajax_respond_insert\" style=\"display:none;\"><\/div><a name=\"bklnk1\"><\/a><div id=\"booking_form_div1\" class=\"booking_form_div\"><div class=\"payment-form\">\r\n<label>Type de groupe <em>*<\/em><\/label>\r\n<span class=\"wpdev-form-control-wrap type_groupe1\"><span id=\"type_groupe1\" class=\"wpdev-validates-as-required wpdev-radio\"><span class=\"wpdev-list-item\"><span class=\"wpdev-list-item-label\">\u00c9tablissement scolaire<\/span>&nbsp;<input  id=\"type_groupe1\" class=\"wpdev-validates-as-required wpdev-radio\" onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\"  type=\"radio\"  name=\"type_groupe1\"  value=\"1\" \/><\/span><span class=\"wpdev-list-item\"><span class=\"wpdev-list-item-label\">Centre de loisir<\/span>&nbsp;<input  id=\"type_groupe1\" class=\"wpdev-validates-as-required wpdev-radio\" onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\"  type=\"radio\"  name=\"type_groupe1\"  value=\"2\" \/><\/span><span class=\"wpdev-list-item\"><span class=\"wpdev-list-item-label\">Autres<\/span>&nbsp;<input  id=\"type_groupe1\" class=\"wpdev-validates-as-required wpdev-radio\" onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\"  type=\"radio\"  name=\"type_groupe1\"  value=\"3\" checked=\"checked\" \/><\/span><\/span><\/span><br\/>\r\n\r\n<div id=\"wrap_type_etab\" style=\"display:none\">\r\n  <label>Type d'\u00e9tablissement <em>*<\/em><\/label>\r\n  <span class=\"wpdev-form-control-wrap type_etablissement1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"type_etablissement1\" id=\"type_etablissement1\"><option value=\"1\" selected=\"selected\">\u00c9cole<\/option><option value=\"2\">Coll\u00e8ge<\/option><option value=\"3\">Lyc\u00e9e<\/option><option value=\"4\">MFR-CFA<\/option><option value=\"5\">\u00c9cole sup\u00e9rieure<\/option><option value=\"6\">Universit\u00e9<\/option><option value=\"7\">Autres (pr\u00e9cisez ci-dessous)<\/option><\/select><\/span><br\/>\r\n  <div id=\"wrap_precis_etab\" style=\"display:none\">\r\n    <label>Pr\u00e9cision type \u00e9tablissement <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap precision_type_etablissement1\"><input type=\"text\" name=\"precision_type_etablissement1\" value=\"\" id=\"precision_type_etablissement1\" size=\"40\" \/><\/span><br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_ecole\" >\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap niveau_classe_ecole1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"niveau_classe_ecole1[]\" id=\"niveau_classe_ecole1\" multiple=\"multiple\"><option value=\"1\" selected=\"selected\">CE2<\/option><option value=\"2\">CM1<\/option><option value=\"3\">CM2<\/option><option value=\"4\">CLIS<\/option><\/select><\/span>\r\n<p class=\"legende\">Maintenez la touche CTRL (ou Command sous Mac) pour choisir plusieurs classes<\/p>\r\n<br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_college\" style=\"display:none\">\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap niveau_classe_college1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"niveau_classe_college1[]\" id=\"niveau_classe_college1\" multiple=\"multiple\"><option value=\"1\" selected=\"selected\">6\u00e8me<\/option><option value=\"2\">5\u00e8me<\/option><option value=\"3\">4\u00e8me<\/option><option value=\"4\">3\u00e8me<\/option><\/select><\/span>\r\n<p class=\"legende\">Maintenez la touche CTRL (ou Command sous Mac) pour choisir plusieurs classes<\/p>\r\n<br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_lycee\" style=\"display:none\">\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap niveau_classe_lycee1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"niveau_classe_lycee1[]\" id=\"niveau_classe_lycee1\" multiple=\"multiple\"><option value=\"1\" selected=\"selected\">Seconde<\/option><option value=\"2\">Premi\u00e8re<\/option><option value=\"3\">Terminale<\/option><option value=\"4\">Bac Professionnel<\/option><\/select><\/span>\r\n<p class=\"legende\">Maintenez la touche CTRL (ou Command sous Mac) pour choisir plusieurs classes<\/p>\r\n<br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_mfr\" style=\"display:none\">\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap niveau_classe_mfr1\"><input type=\"text\" name=\"niveau_classe_mfr1\" value=\"\" id=\"niveau_classe_mfr1\" size=\"40\" \/><\/span>\r\n<br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_sup\" style=\"display:none\">\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n    <span class=\"wpdev-form-control-wrap niveau_classe_sup1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"niveau_classe_sup1\" id=\"niveau_classe_sup1\"><option value=\"1\" selected=\"selected\">Formation sup\u00e9rieure<\/option><option value=\"2\">Autre, pr\u00e9cisez ci-dessous<\/option><\/select><\/span>\r\n    <div id=\"wrap_precis_class_sup\" style=\"display:none\">\r\n      <label>Pr\u00e9cision classe <em>*<\/em><\/label>\r\n      <span class=\"wpdev-form-control-wrap precision_niveau_sup1\"><input type=\"text\" name=\"precision_niveau_sup1\" value=\"\" id=\"precision_niveau_sup1\" size=\"40\" \/><\/span>\r\n    <\/div>\r\n<br\/>\r\n  <\/div>\r\n\r\n  <div id=\"niv_classe_univ\" style=\"display:none\">\r\n    <label>Niveau de la classe <em>*<\/em><\/label>\r\n  <span class=\"wpdev-form-control-wrap niveau_classe_univ1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"niveau_classe_univ1\" id=\"niveau_classe_univ1\"><option value=\"1\" selected=\"selected\">Formation sup\u00e9rieure<\/option><option value=\"2\">Autre, pr\u00e9cisez ci-dessous<\/option><\/select><\/span>\r\n    <div id=\"wrap_precis_class_univ\" style=\"display:none\">\r\n      <label>Pr\u00e9cision classe <em>*<\/em><\/label>\r\n      <span class=\"wpdev-form-control-wrap precision_niveau_univ1\"><input type=\"text\" name=\"precision_niveau_univ1\" value=\"\" id=\"precision_niveau_univ1\" size=\"40\" \/><\/span>\r\n    <\/div>\r\n  <\/div>\r\n<br\/>\r\n<\/div>\r\n\r\n<label>Nom de l'\u00e9cole, de l'association ou du groupe <em>*<\/em><\/label>\r\n<span class=\"wpdev-form-control-wrap nom_groupe1\"><input type=\"text\" name=\"nom_groupe1\" value=\"\" id=\"nom_groupe1\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n\r\n<label>Adresse <em>*<\/em><\/label>  <span class=\"wpdev-form-control-wrap address1\"><input type=\"text\" name=\"address1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n<label>Code postal <em>*<\/em><\/label>  <span class=\"wpdev-form-control-wrap postcode1\"><input type=\"text\" name=\"postcode1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n<label>Ville <em>*<\/em><\/label>  <span class=\"wpdev-form-control-wrap city1\"><input type=\"text\" name=\"city1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n\r\n<h3>Contact<\/h3>\r\n <label>Pr\u00e9nom <em>*<\/em><\/label><span class=\"wpdev-form-control-wrap name1\"><input type=\"text\" name=\"name1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n <label>Nom <em>*<\/em><\/label><span class=\"wpdev-form-control-wrap secondname1\"><input type=\"text\" name=\"secondname1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n <label>Email <em>*<\/em><\/label><span class=\"wpdev-form-control-wrap email1\"><input type=\"text\" name=\"email1\" value=\"\" class=\"wpdev-validates-as-email wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n<label>T\u00e9l\u00e9phone<em>*<\/em><\/label><span class=\"wpdev-form-control-wrap phone1\"><input type=\"text\" name=\"phone1\" value=\"\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n\r\n<label>Nombre de personne<\/label>\r\n<p>Groupe minimum de 12 personnes, maximum de 47 personnes (accompagnateurs compris).<\/p>\r\n<span class=\"wpdev-form-control-wrap nb_personne1\"><input type=\"text\" name=\"nb_personne1\" value=\"12\" id=\"nb_personne1\" class=\"wpdev-validates-as-required\" size=\"40\" \/><\/span><br\/>\r\n\r\n<div id=\"wrap_anim\" style=\"display:none\">\r\n  <h3>Animation sur la biodiversit\u00e9 <em>*<\/em><\/h3>\r\n  <span class=\"wpdev-form-control-wrap animation1\"><span class=\"wpdev-radio\"><span class=\"wpdev-list-item\"><input  class=\"wpdev-radio\" onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\"  type=\"radio\"  name=\"animation1\"  value=\"1\" \/>&nbsp;<span class=\"wpdev-list-item-label\">Oui<\/span><\/span><span class=\"wpdev-list-item\"><input  class=\"wpdev-radio\" onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\"  type=\"radio\"  name=\"animation1\"  value=\"2\" \/>&nbsp;<span class=\"wpdev-list-item-label\">Non<\/span><\/span><\/span><\/span><br\/>\r\n<\/div>\r\n\r\n<h3>Choix de la date<\/h3>\r\n<style type=\"text\/css\" rel=\"stylesheet\" >.hasDatepick .datepick-inline .datepick-title-row th,.hasDatepick .datepick-inline .datepick-days-cell{ height: 40px !important; }<\/style><div class=\"bk_calendar_frame months_num_in_row_3 cal_month_num_3\" style=\"width:100%;\"><div id=\"calendar_booking1\">Chargement du calendrier...<\/div><\/div><textarea id=\"date_booking1\" name=\"date_booking1\" autocomplete=\"off\" style=\"display:none;\"><\/textarea><div class=\"block_hints datepick\"><div class=\"wpdev_hint_with_text\"><div class=\"block_free datepick-days-cell\"><a>27<\/a><\/div><div class=\"block_text\">- Libre<\/div><\/div><div class=\"wpdev_hint_with_text\"><div class=\"block_booked date_approved\">27<\/div><div class=\"block_text\">- Complet<\/div><\/div><div class=\"wpdev_hint_with_text\"><div class=\"block_pending date2approve\">27<\/div><div class=\"block_text\">- R\u00e9servation en attente<\/div><\/div><div class=\"wpdev_hint_with_text\"><div class=\"block_time timespartly\">27<\/div><div class=\"block_text\">- Matin ou apr\u00e8s-midi de libre<\/div><\/div><\/div><div class=\"wpdev_clear_hint\"><\/div>\r\n\r\n<label>Horaires<\/label>\r\n<span class=\"wpdev-form-control-wrap rangetime1\"><select onchange=\"javascript:if(typeof( showCostHintInsideBkForm ) == 'function') {  showCostHintInsideBkForm(1);}\" name=\"rangetime1\"><option value=\"09:00 - 12:00\">09:00 - 12:00<\/option><option value=\"14:00 - 17:00\">14:00 - 17:00<\/option><\/select><\/span>\r\n\r\n <label>Commentaire<\/label>\r\n<span class=\"wpdev-form-control-wrap details1\"><textarea name=\"details1\" cols=\"40\" rows=\"10\"><\/textarea><\/span>\r\n\r\n<div id=\"wrap_transport\" style=\"display:none\">\r\n  <h3>Transport<\/h3>\r\n  <p>Trivalis prend en charge le transport pour les \u00e9coles primaires, les coll\u00e8ges, les MFR et les centres de loisirs.<\/p>\r\n<label>Heure d\u00e9part possible <em>* (format: 08:00)<\/em><\/label>\r\n  <span class=\"wpdev-form-control-wrap heuredepart1\"><input type=\"text\" name=\"heuredepart1\" value=\"08:00\" class=\"wpdev-validates-as-time\" size=\"40\" \/><\/span>\r\n  <label>Heure retour obligatoire <em>* (format: 18:00)<\/em><\/label>\r\n  <span class=\"wpdev-form-control-wrap heureretour1\"><input type=\"text\" name=\"heureretour1\" value=\"18:00\" class=\"wpdev-validates-as-time\" size=\"40\" \/><\/span>\r\n<\/div>\r\n<div>\r\nEn validant ce formulaire, vous acceptez <a target=\"_blank\" href=\"http:\/\/trivalis.fr\/cookies-donnees-collectees\/\">l'utilisation de vos donn\u00e9es personnelles<\/a> afin de traiter votre demande.\r\n<\/div>\r\n\r\n <p><input type=\"button\" value=\"Envoyer\" class=\"btn\" onclick=\"mybooking_submit(this.form,1, 'fr_FR' );\" \/><img decoding=\"async\" class=\"ajax-loader\"  style=\"vertical-align:middle;box-shadow:none;width:14px;visibility: hidden;\" alt=\"ajax loader\" src=\"https:\/\/trivalis.fr\/wp-content\/plugins\/booking.bm.8.0\/assets\/img\/ajax-loader.gif\" \/><\/p>\r\n<\/div> <!-- fin div payment-form -->\r\n\r\n\r\n<script type=\"text\/javascript\">\r\n\/* force l'heure pour \u00e9viter erreur insert DB (dusplicate) *\/\r\njQuery('#wrap_transport .starttime1 input.wpdev-validates-as-time').val('08:00');\r\njQuery('#wrap_transport .endtime1 input.wpdev-validates-as-time').val('18:00');\r\n\/* ecoute la valeur du type de groupe *\/\r\njQuery('input#type_groupe1').click(function() {\r\n  if(jQuery(this).val() == \"1\"){\r\n    \/* etablissement scolaire *\/\r\n    jQuery('#wrap_type_etab').show();\r\njQuery('#wrap_transport').show();\r\n    \/* ajoute required *\/\r\n    jQuery('#type_etablissement1').prop('required',true);\r\n    \/* affiche l'animation biodiversite *\/\r\n    jQuery('#wrap_anim').show();\r\n    \/* ecoute le type d'\u00e9tablissement *\/\r\n    jQuery('#type_etablissement1').change(function(){\r\n      var etab = jQuery('#type_etablissement1').val();\r\n      switch (etab){\r\n        case '1':\r\n          jQuery('#niv_classe_ecole').show();\r\n          \/* ajoute required *\/\r\n          jQuery('#niveau_classe_ecole1').prop('required',true);\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').show();\r\n          jQuery('#wrap_transport').show();\r\n          break;\r\n        case '2':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').show();\r\n          \/* ajoute required *\/\r\n          jQuery('#niveau_classe_college1').prop('required',true);\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').show();\r\n          break;\r\n        case '3':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').show();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          \/* ajoute required *\/\r\n          jQuery('#niveau_classe_lycee1').prop('required',true);\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').hide();\r\n          break;\r\n        case '4':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').show();\r\n          \/* ajoute required *\/\r\n          jQuery('#niveau_classe_mfr1').prop('required',true);\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').show();\r\n          break;\r\n        case '5':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').show();\r\n          \/* ajoute required *\/\r\n          jQuery('#niveau_classe_sup').prop('required',true);\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').hide();\r\n          \/* ecoute la classe *\/\r\n          jQuery('#niveau_classe_sup1').change(function(){\r\n            if(jQuery(this).val() == '2'){\r\n              jQuery('#wrap_precis_class_sup').show();\r\n              \/* ajoute required *\/\r\n              jQuery('#precision_niveau_sup1').prop('required',true);\r\n            }else{\r\n              jQuery('#wrap_precis_class_sup').hide();\r\n              \/* supprime required *\/\r\n              jQuery('#precision_niveau_sup1').prop('required',false);\r\n            }\r\n          });\r\n          \r\n          break;\r\n        case '6':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').show();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').hide();\r\n          \/* ecoute la classe *\/\r\n          jQuery('#niveau_classe_univ1').change(function(){\r\n            if(jQuery(this).val() == '2'){\r\n              jQuery('#wrap_precis_class_univ').show();\r\n              \/* ajoute required *\/\r\n              jQuery('#precision_niveau_univ1').prop('required',true);\r\n            }else{\r\n              jQuery('#wrap_precis_class_univ').hide();\r\n              \/* ajoute required *\/\r\n              jQuery('#precision_niveau_univ1').prop('required',false);\r\n            }\r\n          });\r\n          break;\r\n        case '7':\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').show();\r\n          \/* ajoute required *\/\r\n          jQuery('#precision_type_etablissement1').prop('required',true);\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').hide();\r\n\r\n          break;\r\n        default:\r\n          jQuery('#niv_classe_ecole').hide();\r\n          jQuery('#niv_classe_college').hide();\r\n          jQuery('#niv_classe_lycee').hide();\r\n          jQuery('#niv_classe_mfr').hide();\r\n          jQuery('#niv_classe_sup').hide();\r\n          jQuery('#niv_classe_univ').hide();\r\n          jQuery('#wrap_precis_etab').hide();\r\n          jQuery('#wrap_anim').hide();\r\n          jQuery('#wrap_transport').hide();\r\n      }\r\n    });\r\n}else if(jQuery(this).val() == \"2\"){\r\n    jQuery('#wrap_transport').show();\r\n  }else{\r\n    jQuery('#wrap_type_etab').hide();\r\n    jQuery('#wrap_transport').hide();\r\n    \/* supprime required *\/\r\n    jQuery('#type_etablissement1').prop('required',false);\r\n  }\r\n});\r\n\/* min max pour le groupe *\/\r\njQuery('#nb_personne').prop({'min':10,'max':48});\r\n\/* max pour tel *\/\r\njQuery('.phone1 input').prop({'maxlength':10});\r\n<\/script><script type='text\/javascript'>jQuery(document).ready( function(){    moveOptionalElementsToGarbage( 1 ); });<\/script><input name=\"booking_form_type1\"  id=\"booking_form_type1\" type=\"hidden\" value=\"trivalandes\"><input id=\"bk_type1\" name=\"bk_type1\" class=\"\" type=\"hidden\" value=\"1\" \/><\/div><div id=\"submiting1\"><\/div><div class=\"form_bk_messages\" id=\"form_bk_messages1\" ><\/div><input type=\"hidden\" id=\"wpbc_nonce1\" name=\"wpbc_nonce1\" 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