CROISIÈRES SEAFARI

Demande de Devis

<section class="contact-us pb-5"> <div class="container"> <div class="row align-items-center justify-content-center"> <div class="col-md-10"> <div class="contactus-title d-flex flex-column align-items-center justify-content-center" data-aos="zoom-in"> <h4>Demande de devis</h4> </div> <div class="contact-form"> <form action="https://seafari-diving.com/formulaires/quotation/send" method="post" id="form-contact"> <div class="form-inner"> <div class="form-group d-flex"> <div class="first-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-user fa-lg"></i></span> <label>Prénom</label> <input type="text" placeholder="Prénom" name="firstname" class="form-control" required> </div> </div> <div class="last-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-user fa-lg"></i></span> <label>Nom</label> <input type="text" placeholder="Nom" name="lastname" required> </div> </div> </div> <div class="form-group d-flex"> <div class="first-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-phone fa-flip-horizontal fa-lg"></i></span> <label>Téléphone</label> <input type="tel" placeholder="Téléphone" name="phone" required> </div> </div> <div class="last-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-envelope-open fa-lg"></i></span> <label>Email</label> <input type="email" placeholder="Email" name="email" required> </div> </div> </div> <div class="form-group"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-globe-americas fa-lg"></i></span> <label>Destination</label> <select name="destination" required> <option value="Bahamas">Bahamas</option> <option value="Égypte">Égypte</option> <option value="Maldives">Maldives</option> </select> </div> </div> <div class="form-group d-flex"> <div class="first-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-calendar-alt fa-lg"></i></span> <label>Date début</label> <input type="date" placeholder="Date début" name="date_start" required> </div> </div> <div class="last-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-calendar-alt fa-lg"></i></span> <label>Date fin</label> <input type="date" placeholder="Date fin" name="date_end" required> </div> </div> </div> <div class="form-group"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-store fa-lg"></i></span> <label>Agence de voyage habituelle</label> <input type="text" placeholder="Agence de voyage habituelle" name="agency"> </div> </div> <div class="form-group d-flex"> <div class="first-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-user-friends fa-lg"></i></span> <label>Nombre de participants</label> <input type="number" placeholder="Nombre de participants" name="participants" required> </div> </div> <div class="last-box"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-fish fa-lg"></i></span> <label>Niveau de plongée</label> <select name="level" required> <option value="Débutant">Débutant</option> <option value="Intermédiaire">Intermédiaire</option> <option value="Confirmé">Confirmé</option> </select> </div> </div> </div> <div class="form-group"> <div class="form-box position-relative d-flex flex-column"> <span class="form-icon"><i class="fas fa-paper-plane fa-lg"></i></span> <label>Demande particulière</label> <textarea rows="6" cols="100" placeholder="Demande particulière" name="request"></textarea> </div> </div> <input type="hidden" name="response-captcha" id="recaptcha"> <div class="form-btn"> <button type="submit" class="btn-35">Envoyer</button> </div> </div> </form> </div> </div> </div> </div> </section> <script type="text/javascript"> var RECAPTCHA_SITE_KEY_V3 = '6LevG2sqAAAAADK8XF_cPSVGn5r-kudZfdyND6ME'; /*function getRecaptcha() { console.log('Call getRecaptcha()'); grecaptcha.ready(function() { console.log('Reload Captcha'); grecaptcha.execute('6LevG2sqAAAAADK8XF_cPSVGn5r-kudZfdyND6ME', { action: 'register' }).then(function (token) { $('#recaptcha').val(token); }); }); }*/ </script>