forms.marketing.vgrf.fr Open in urlscan Pro
217.74.111.254  Public Scan

Submitted URL: http://sms.link/VGRF/1q3zcp
Effective URL: https://forms.marketing.vgrf.fr/5e2aff89b85b5317165fc621/VHy5_fDNR6-gulVzEOz0CA/ZWXkgdDCQs2fIv-BLqyYsA/form.html
Submission: On November 20 via manual from FI — Scanned from FI

Form analysis 1 forms found in the DOM

POST

<form id="sb_form" onsubmit="process(); return false;" method="post">
  <table class="t" width="100%" cellpadding="0" cellspacing="0">
    <tbody>
      <tr>
        <td id="innerForm" width="100%">
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Civilité</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span>
                          <div style="width: 100%; display: flex; flex-direction: row;flex-wrap: wrap; padding-top: 5px;">
                            <div style="margin-bottom: 13px; display: flex; flex-direction: row;">
                              <label class="control control--radio">
                                <input type="radio" value="Madame" name="CIVILITY_ID" optionid="undefined" required="true" mandatory="true">
                                <div class="control__indicator" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;"></div>
                              </label>
                              <label style="padding-top: 7px;margin-right: 10px;color:#393939;
                    font-family: Arial, Verdana, sans-serif;font-size:12px;">Madame </label>
                            </div>
                            <div style="margin-bottom: 13px; display: flex; flex-direction: row;">
                              <label class="control control--radio">
                                <input type="radio" value="Monsieur" name="CIVILITY_ID" optionid="undefined" required="true" mandatory="true">
                                <div class="control__indicator" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;"></div>
                              </label>
                              <label style="padding-top: 7px;margin-right: 10px;color:#393939;
                    font-family: Arial, Verdana, sans-serif;font-size:12px;">Monsieur </label>
                            </div>
                          </div>
                        </td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Prénom</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input type="text" name="FIRSTNAME_ID" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Nom</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input type="text" name="LASTNAME_ID" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Email</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input type="email" name="email" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">N° de mobile</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input pattern="[+]?[\d\s.\-\(\)]{10,}" type="tel" name="phone" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Marque et modèles souhaités</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input type="text" name="Mod%C3%A8les" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Je choisis ma concession</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><label class="select-arrow">
                            <select style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      width:100%;
      color: #848484;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      margin-top: 5px;
      margin-bottom: 10px;
      padding-left: 10px" name="Concession" required="true" mandatory="true">
                              <option></option>
                              <option value="Laxou">Laxou</option>
                              <option value="Tomblaine">Tomblaine</option>
                              <option value="Metz">Metz</option>
                              <option value="Sarreguemines">Sarreguemines</option>
                              <option value="St Avold">St Avold</option>
                              <option value="Thionville">Thionville</option>
                            </select>
                          </label></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; line-height: 26px; mso-line-height-rule: exactly;">Date de rendez-vous souhaitée</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><label class="select-arrow">
                            <select style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      width:100%;
      color: #848484;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      margin-top: 5px;
      margin-bottom: 10px;
      padding-left: 10px" name="Date%20rdv" required="true" mandatory="true">
                              <option></option>
                              <option value="Jeudi 21 novembre">Jeudi 21 novembre</option>
                              <option value="Vendredi 22 novembre">Vendredi 22 novembre</option>
                              <option value="Samedi 23 novembre">Samedi 23 novembre</option>
                            </select>
                          </label></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Heure de rendez-vous souhaité<br></span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span>
                          <div class="date" style="text-align: start;" name="Date%20rdv" format="HH:mm"> <input min="0" max="23" type="number" name="hour" placeholder="HH" size="2" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;padding-left: 5px;
      box-sizing: border-box;
      min-width: 50px;
      text-align: center;" required="true" mandatory="true"> : <input min="0" max="59" type="number" name="minute" placeholder="mm" size="2" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;padding-left: 5px;
      box-sizing: border-box;
      min-width: 50px;
      text-align: center;" required="true" mandatory="true"></div>
                        </td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0">
            <tbody>
              <tr>
                <td>
                  <table class="t" width="100%" cellpadding="0" cellspacing="0">
                    <tbody>
                      <tr>
                        <td style="padding-top: 10px; padding-bottom: 10px;"><span style="display: flex;flex-direction: row;">
                            <div>
                              <p style="color: #393939;
        font-size: 17px;
        font-family: 'Arial';
        font-style: inherit;
        font-weight: inherit;line-height: 26px;text-align: left;
        margin: 0;mso-line-height-rule: exactly;"><span style="font-size: 14px; font-family: Arial, Verdana, sans-serif; line-height: 26px; mso-line-height-rule: exactly;">Dites nous tout sur votre projet !</span></p>
                            </div>
                            <div style="font-size: 13px;margin-left: 5px;font-family:Arial, Verdana, sans-serif;
          color:#393939;">*</div>
                          </span><input type="text" name="Commentaires" placeholder="" style="
        border: 1px solid #e6e4e4;
        background-color: #f1f1f1;height: 35px;
      margin: 5px 0 10px 0;
      font-size: 0.9em;
      padding-left: 5px;
      border-radius: 0px;
      -webkit-border-radius: 0px;
      -moz-border-radius: 0px;
      -webkit-box-sizing: border-box;
      box-sizing: border-box;
      text-indent: 5px;width: 100%;" required="true" mandatory="true"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
          <table class="t" width="100%" cellpadding="0" cellspacing="0" style="margin-top:7px">
            <tbody>
              <tr>
                <td align="left">
                  <div id="div-submitInput" style="display:flex; flex-direction:row;justify-content:flex-start">
                    <button id="submitInput" type="submit" value="VALIDER" class="mobile-FW"
                      style="border-style:solid;text-align:center;color:#ffffff;border-color:#ffffff;border-width:1px;border-radius:5px;text-decoration:none;display:block;font-family:'Arial';font-style:inherit;font-weight:inherit;font-size:15px;background-color:#c11d56;cursor:pointer;"><span
                        style="display:block;padding:10px 25px;"><span style="margin:0px;">VALIDER</span>
                      </span></button>
                    <div class="loader" style="display:none"></div>
                  </div>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

 



Civilité

*

Madame

Monsieur

Prénom

*

Nom

*

Email

*

N° de mobile

*

Marque et modèles souhaités

*

Je choisis ma concession

*
Laxou Tomblaine Metz Sarreguemines St Avold Thionville

Date de rendez-vous souhaitée

*
Jeudi 21 novembre Vendredi 22 novembre Samedi 23 novembre

Heure de rendez-vous souhaité


*
:

Dites nous tout sur votre projet !

*

VALIDER


* Champs obligatoires