{"modal":"<div id=\"modal\">\n  <form action=\"http:\/\/www.villaelisa.fr\/form\/rappel-send\" class=\"content formAjax\">\n    <div class=\"close\"><\/div>\n\n        <div class=\"title-important -s -dark\">Demande de rappel<\/div>\n    \n                <div class=\"row\">\n        <label class=\"label -required\">Nom, pr&eacute;nom<\/label>\n\n                <input type=\"text\" name=\"title\" class=\"form-field inputtext\">\n        \n        <div class=\"callback\"><\/div>\n      <\/div>\n                      <div class=\"row\">\n        <label class=\"label\">Adresse email<\/label>\n\n                <input type=\"text\" name=\"email\" class=\"form-field inputtext\">\n        \n        <div class=\"callback\"><\/div>\n      <\/div>\n                      <div class=\"row\">\n        <label class=\"label -required\">Num&eacute;ro de t&eacute;l&eacute;phone<\/label>\n\n                <input type=\"text\" name=\"phone\" class=\"form-field inputtext\">\n        \n        <div class=\"callback\"><\/div>\n      <\/div>\n                      <div class=\"row\">\n        <label class=\"label -required\">Disponibilit&eacute;s<\/label>\n\n                <input type=\"text\" name=\"horaires\" class=\"form-field inputtext\">\n        \n        <div class=\"callback\"><\/div>\n      <\/div>\n                      <input type=\"hidden\" name=\"id_clothes\" value=\"148\">\n          \n    <div class=\"container-btn\">\n      <button type=\"submit\" class=\"btn -submit\">Envoyer<\/button>\n    <\/div>\n\n    <div class=\"p -xs -dark\">Les champs suivis d&#39;une ast&eacute;risque (*) sont obligatoires.<\/div>\n  <\/form>\n<\/div>\n"}