<div class="modal-wrapper">
<div class="error_container" style="display: none">
<ul></ul>
</div>
<form action="/" method="post" id="cf_form" style="display: block;">
<div id="cf-1">
<div class="cf-header" style="display: block;">
<div class="row" style="display: block;">
<h4>Fill out the email contact</h4>
</div>
<div id="cf_errors" class="error alert fields alert-danger" style="display:none;text-align: left;">
Error. Please review the fields. You have to fill all of them.
</div>
<div id="cf_success" class="success alert alert-success" style="display:none;">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
<div class="cf-body" style="display: block;">
<div class="row" style="display: block;">
<div class="form-group col-xs-12 col-md-12">
<input type="email" name="email" id="cf_email" placeholder="EMail"/>
</div>
<div class="form-group col-xs-12 col-md-12">
<textarea class="form-comtrol" id="cf_message" placeholder="Message"></textarea>
</div>
</div>
<div class="form-group">
<input type="checkbox" class="form-control" name="terms" id="cf_terms" value="1"/>
<label class="checkbox-label" for="privacy_policy">To respond to your requests, we need to store and process the information provided, including personal data. Please check the box to give your consent. CELO uses the information you have sent us to contact you and offer you the best experience through content, product information and services. You can unsubscribe from these communications at any time. For more information, please check our <a href='https://www.celofasteners.com/en/content/156-privacy-celo' target='_blank'></a></label>
</div>
</div>
<div class="cf-footer" style="display: block;">
<div class="row">
<div class="col-xs-12 form-submit-btn-wrapper" style="text-align: center">
<span class="btn btn-primary form-submit-btn" onclick="ajax_contact_form_validation_step1();">Ok</span>
</div>
</div>
</div>
</div>
<div id="cf-2" style="display:none">
<div class="cf-header" style="display: block;">
<div class="row" style="display: block;">
<h4>We need a few extra information to attend you properly ...</h4>
</div>
<div id="cf2_errors" class="error alert fields alert-danger" style="display:none;text-align: left;">
Error. Please review the fields. You have to fill all of them.
</div>
<div id="cf2_success" class="success alert alert-success" style="display:none;">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
<div class="cf-body" style="display: block;">
<div class="row">
<div class="form-group col-xs-12 col-md-6">
<input type="text" readonly="readonly" disabled name="cf_email_2" id="cf_email_2" value=""/>
</div>
<div class="form-group col-xs-12 col-md-6">
<input required type="text" name="cf_company" id="cf_company" placeholder="Company"/>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-6">
<input type="text" name="cf_first_name" id="cf_first_name" placeholder="First Name"/>
</div>
<div class="form-group col-xs-12 col-md-6">
<input type="text" name="cf_last_name" id="cf_last_name" placeholder="Last Name"/>
</div>
</div>
<div class="row">
<div class="form-group phone-form-group col-xs-12 col-md-6">
<input required type="text" name="cf_phone" id="cf_phone"/>
<span id="valid-msg" class="phone-msg phone-validation hide">✓ Valid</span>
<span id="error-msg" class="phone-msg phone-validation hide"></span>
</div>
<div class="form-group col-xs-12 col-sm-6">
<select id="cf_country" name="" required="required">
<option disabled="disabled" selected="selected" value="0">Country</option>
<option value="231">Afghanistan</option>
<option value="30">Afrique du Sud</option>
<option value="244">Åland, Îles</option>
<option value="230">Albanie</option>
<option value="38">Algérie</option>
<option value="1">Allemagne</option>
<option value="40">Andorre</option>
<option value="41">Angola</option>
<option value="42">Anguilla</option>
<option value="232">Antarctique</option>
<option value="43">Antigua et Barbuda</option>
<option value="157">Antilles Néerlandaises</option>
<option value="188">Arabie Saoudite</option>
<option value="44">Argentine</option>
<option value="45">Arménie</option>
<option value="46">Aruba</option>
<option value="24">Australie</option>
<option value="2">Autriche</option>
<option value="47">Azerbaïdjan</option>
<option value="48">Bahamas</option>
<option value="49">Bahreïn</option>
<option value="50">Bangladesh</option>
<option value="51">Barbade</option>
<option value="52">Bélarus</option>
<option value="3">Belgique</option>
<option value="53">Belize</option>
<option value="54">Bénin</option>
<option value="55">Bermudes</option>
<option value="56">Bhoutan</option>
<option value="34">Bolivie</option>
<option value="233">Bosnie-Herzégovine</option>
<option value="57">Botswana</option>
<option value="234">Bouvet, Île</option>
<option value="58">Brésil</option>
<option value="59">Brunéi Darussalam</option>
<option value="236">Bulgarie</option>
<option value="60">Burkina Faso</option>
<option value="61">Burma (Myanmar)</option>
<option value="62">Burundi</option>
<option value="237">Caïmans, Îles</option>
<option value="63">Cambodge</option>
<option value="64">Cameroun</option>
<option value="4">Canada</option>
<option value="65">Cap-Vert</option>
<option value="66">Centrafricaine, République</option>
<option value="68">Chili</option>
<option value="5">Chine</option>
<option value="238">Christmas, Île</option>
<option value="76">Chypre</option>
<option value="239">Cocos (Keeling), Îles</option>
<option value="69">Colombie</option>
<option value="70">Comores</option>
<option value="72">Congo, Rép.</option>
<option value="71">Congo, Rép. Dém.</option>
<option value="240">Cook, Îles</option>
<option value="28">Corée du Sud</option>
<option value="121">Corée, Rép. Populaire Dém. de</option>
<option value="73">Costa Rica</option>
<option value="32">Côte d'Ivoire</option>
<option value="74">Croatie</option>
<option value="75">Cuba</option>
<option value="20">Danemark</option>
<option value="77">Djibouti</option>
<option value="78">Dominica</option>
<option value="82">Égypte</option>
<option value="83">El Salvador</option>
<option value="217">Émirats Arabes Unis</option>
<option value="81">Équateur</option>
<option value="85">Érythrée</option>
<option selected="selected" value="6">Espagne</option>
<option value="86">Estonie</option>
<option value="21">États-Unis</option>
<option value="87">Éthiopie</option>
<option value="88">Falkland, Îles</option>
<option value="89">Féroé, Îles</option>
<option value="90">Fidji</option>
<option value="7">Finlande</option>
<option value="8">France</option>
<option value="91">Gabon</option>
<option value="92">Gambie</option>
<option value="93">Géorgie</option>
<option value="196">Géorgie du Sud et les Îles Sandwich du Sud</option>
<option value="94">Ghana</option>
<option value="97">Gibraltar</option>
<option value="9">Grèce</option>
<option value="95">Grenade</option>
<option value="96">Groenland</option>
<option value="98">Guadeloupe</option>
<option value="99">Guam</option>
<option value="100">Guatemala</option>
<option value="101">Guernesey</option>
<option value="102">Guinée</option>
<option value="84">Guinée Équatoriale</option>
<option value="103">Guinée-Bissau</option>
<option value="104">Guyana</option>
<option value="241">Guyane Française</option>
<option value="105">Haîti</option>
<option value="106">Heard, Île et Mcdonald, Îles</option>
<option value="108">Honduras</option>
<option value="22">Hong Kong</option>
<option value="143">Hongrie</option>
<option value="35">Ile Maurice</option>
<option value="223">Îles Vierges Britanniques</option>
<option value="224">Îles Vierges des États-Unis</option>
<option value="110">Inde</option>
<option value="111">Indonésie</option>
<option value="112">Iran</option>
<option value="113">Iraq</option>
<option value="26">Irlande</option>
<option value="109">Islande</option>
<option value="29">Israël</option>
<option value="10">Italie</option>
<option value="115">Jamaique</option>
<option value="11">Japon</option>
<option value="116">Jersey</option>
<option value="117">Jordanie</option>
<option value="118">Kazakhstan</option>
<option value="119">Kenya</option>
<option value="123">Kirghizistan</option>
<option value="120">Kiribati</option>
<option value="122">Koweït</option>
<option value="124">Laos</option>
<option value="127">Lesotho</option>
<option value="125">Lettonie</option>
<option value="126">Liban</option>
<option value="128">Libéria</option>
<option value="129">Libyenne, Jamahiriya Arabe</option>
<option value="130">Liechtenstein</option>
<option value="131">Lituanie</option>
<option value="12">Luxembourg</option>
<option value="132">Macao</option>
<option value="133">Macédoine</option>
<option value="134">Madagascar</option>
<option value="136">Malaisie</option>
<option value="135">Malawi</option>
<option value="137">Maldives</option>
<option value="138">Mali</option>
<option value="139">Malte</option>
<option value="114">Man, Île de</option>
<option value="163">Mariannes du Nord, Îles</option>
<option value="152">Maroc</option>
<option value="140">Marshall, Îles</option>
<option value="141">Martinique</option>
<option value="142">Mauritanie</option>
<option value="144">Mayotte</option>
<option value="145">Mexique</option>
<option value="146">Micronésie</option>
<option value="147">Moldova</option>
<option value="148">Monaco</option>
<option value="149">Mongolie</option>
<option value="150">Monténégro</option>
<option value="151">Montserrat</option>
<option value="153">Mozambique</option>
<option value="154">Namibie</option>
<option value="155">Nauru</option>
<option value="156">Népal</option>
<option value="159">Nicaragua</option>
<option value="160">Niger</option>
<option value="31">Nigeria</option>
<option value="161">Niué</option>
<option value="162">Norfolk, Île</option>
<option value="23">Norvège</option>
<option value="158">Nouvelle-Calédonie</option>
<option value="27">Nouvelle-Zélande</option>
<option value="235">Océan Indien, Territoire Britannique de L'</option>
<option value="164">Oman</option>
<option value="215">Ouganda</option>
<option value="219">Ouzbékistan</option>
<option value="165">Pakistan</option>
<option value="166">Palaos</option>
<option value="167">Palestinien Occupé, Territoire</option>
<option value="168">Panama</option>
<option value="169">Papouasie-Nouvelle-Guinée</option>
<option value="170">Paraguay</option>
<option value="13">Pays-bas</option>
<option value="171">Pérou</option>
<option value="172">Philippines</option>
<option value="173">Pitcairn</option>
<option value="14">Pologne</option>
<option value="242">Polynésie Française</option>
<option value="174">Porto Rico</option>
<option value="15">Portugal</option>
<option value="175">Qatar</option>
<option value="79">République Dominicaine</option>
<option value="16">République Tchèque</option>
<option value="176">Réunion, Île de la</option>
<option value="36">Roumanie</option>
<option value="17">Royaume-Uni</option>
<option value="177">Russie, Fédération de</option>
<option value="178">Rwanda</option>
<option value="226">Sahara Occidental</option>
<option value="179">Saint-Barthélemy</option>
<option value="180">Saint-Kitts-et-Nevis</option>
<option value="186">Saint-Marin</option>
<option value="182">Saint-Martin</option>
<option value="183">Saint-Pierre-et-Miquelon</option>
<option value="107">Saint-Siege (État de la Cité du Vatican)</option>
<option value="184">Saint-Vincent-et-Les Grenadines</option>
<option value="181">Sainte-Lucie</option>
<option value="194">Salomon, Îles</option>
<option value="185">Samoa</option>
<option value="39">Samoa Américaines</option>
<option value="187">Sao Tomé-et-Principe</option>
<option value="189">Sénégal</option>
<option value="190">Serbie</option>
<option value="191">Seychelles</option>
<option value="192">Sierra Leone</option>
<option value="25">Singapour</option>
<option value="37">Slovaquie</option>
<option value="193">Slovénie</option>
<option value="195">Somalie</option>
<option value="198">Soudan</option>
<option value="197">Sri Lanka</option>
<option value="18">Suède</option>
<option value="19">Suisse</option>
<option value="199">Suriname</option>
<option value="200">Svalbard et Île Jan Mayen</option>
<option value="201">Swaziland</option>
<option value="202">Syrienne</option>
<option value="204">Tadjikistan</option>
<option value="203">Taïwan</option>
<option value="205">Tanzanie</option>
<option value="67">Tchad</option>
<option value="243">Terres Australes Françaises</option>
<option value="206">Thaïlande</option>
<option value="80">Timor oriental</option>
<option value="33">Togo</option>
<option value="207">Tokelau</option>
<option value="208">Tonga</option>
<option value="209">Trinité-et-Tobago</option>
<option value="210">Tunisie</option>
<option value="212">Turkménistan</option>
<option value="213">Turks et Caiques, Îles</option>
<option value="211">Turquie</option>
<option value="214">Tuvalu</option>
<option value="216">Ukraine</option>
<option value="218">Uruguay</option>
<option value="220">Vanuatu</option>
<option value="221">Venezuela</option>
<option value="222">Vietnam</option>
<option value="225">Wallis et Futuna</option>
<option value="227">Yémen</option>
<option value="228">Zambie</option>
<option value="229">Zimbabwe</option>
<option value="99999">Other country</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-xs-12 col-md-12">
<textarea disabled class="form-comtrol" id="cf_message_2" placeholder="Message"></textarea>
</div>
</div>
</div>
<div class="cf-footer" style="display: block;">
<div class="row">
<div class="col-xs-12 form-submit-btn-wrapper" style="text-align: center">
<span class="btn btn-primary form-submit-btn" onclick="ajax_contact_form_validation_step2();">Submit</span>
</div>
</div>
</div>
</div>
<div id="cf-3" style="display:none">
<div class="cf-header" style="display: block;">
<div id="cf3_success" class="success alert alert-success" style="">
Thank you very much. Your request has been sent successfully. Our team will contact you as soon as possible.
</div>
</div>
</div>
</form>
</div>
<script>
var frontcontroller_url = 'https://preprod.celofasteners.com/fr/assemblage-des-drivers-led-dans-les-luminaires';
var cf_contact_form_title = '$Contact Form';
var cf_quotation_form_title = '$Quotation request';
</script>
fr
