{"form":"<form action=\"https:\/\/www.andelim.com\/ajax\/callback\" method=\"post\" class=\"form form-ajax\">\n    <div class=\"title-page\">\n        <div class=\"first-row\">\u00catre rappel\u00e9(e)<\/div>\n    <\/div>\n\n        <input type=\"hidden\" name=\"productableId\" value=\"1978\">\n    <input type=\"hidden\" name=\"productableType\" value=\"App\\Property\">\n    \n\n    <!-- nom -->\n    <div class=\"row\">\n        <label class=\"label -required\">Nom<\/label>\n        <input type=\"text\" name=\"lastName\" class=\"inputtext\">\n        <div class=\"feedback\"><\/div>\n    <\/div>\n\n\n    <!-- pr\u00e9nom -->\n    <div class=\"row\">\n        <label class=\"label -required\">Pr\u00e9nom<\/label>\n        <input type=\"text\" name=\"firstName\" class=\"inputtext\">\n        <div class=\"feedback\"><\/div>\n    <\/div>\n\n\n    <!-- telephone -->\n    <div class=\"row\">\n        <label class=\"label -required\">T\u00e9l\u00e9phone<\/label>\n        <input type=\"text\" name=\"phone\" class=\"inputtext\">\n        <div class=\"feedback\"><\/div>\n    <\/div>\n\n\n    <!-- Horaires -->\n    <div class=\"row\">\n        <label class=\"label\">Horaires<\/label>\n        <input type=\"text\" name=\"horaires\" class=\"inputtext\">\n        <div class=\"feedback\"><\/div>\n    <\/div>\n\n\n    <div class=\"row\">\n        <div class=\"info\">\n\t\t\t\tLes champs suivis d'une ast\u00e9risque (*) sont obligatoires.\n        <\/div>\n    <\/div>\n\n\n    <!-- envoyer -->\n    <div class=\"row container-submit\">\n        <button type=\"submit\" class=\"submit\">Envoyer<\/button>\n    <\/div>\n<\/form>\n"}