<style type="text/css">
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<script type="text/javascript">
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<div class="float-left wrapper-form-inxmail">
	<form action="" role="form" method="post" class="form-inxmail">
		<input type="hidden" name="INXMAIL_SUBSCRIPTION" value="SOLMACHINE" />
		<input type="hidden" name="INXMAIL_HTTP_REDIRECT" value="http://www.solutionsmachinesoutils.com/it/wp-json/wp/v2/pages/20694merci/" />
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				<div class="row">
					<div class="lastname-field col-6">
				
								<div class="form-group">
														<!--<label>Cognome *</label>-->
										
										
					<input type="text" id="lastname" name="SOLMACH_NOM" required value="" placeholder="Cognome *" class="form-control" />
					
									
								</div>
							</div>
			
					<div class="firstname-field col-6">
				
								<div class="form-group">
														<!--<label>Nome *</label>-->
										
										
					<input type="text" id="firstname" name="SOLMACH_PRENOM" required value="" placeholder="Nome *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="company-field col-6">
				
								<div class="form-group">
														<!--<label>Azienda *</label>-->
										
										
					<input type="text" id="company" name="SOLMACH_SOCIETE" required value="" placeholder="Azienda *" class="form-control" />
					
									
								</div>
							</div>
			
					<div class="phone-field col-6">
				
								<div class="form-group">
														<!--<label>Numero di telefono *</label>-->
										
										
					<input type="text" id="phone" name="SOLMACH_TELEPHONE" required value="" placeholder="Numero di telefono *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="adress-field col-6">
				
								<div class="form-group">
														<!--<label>Indirizzo </label>-->
										
										
					<input type="text" id="adress" name="SOLMACH_ADRESSE"  value="" placeholder="Indirizzo " class="form-control" />
					
									
								</div>
							</div>
			
					<div class="cp-field col-6">
				
								<div class="form-group">
														<!--<label>Codice postale *</label>-->
										
										
					<input type="text" id="cp" name="SOLMACH_CP" required value="" placeholder="Codice postale *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="ville-field col-6">
				
								<div class="form-group">
														<!--<label>Città *</label>-->
										
										
					<input type="text" id="ville" name="SOLMACH_VILLE" required value="" placeholder="Città *" class="form-control" />
					
									
								</div>
							</div>
			
					<div class="pays-field col-6">
				
								<div class="form-group">
														<!--<label>Country *</label>-->
										
										
					<input type="text" id="pays" name="SOLMACH_PAYS" required value="Italie" placeholder="Country *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="email-field col-12">
				
								<div class="form-group">
														<!--<label>Email *</label>-->
										
										
					<input type="text" id="email" name="email" required value="" placeholder="Email *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="subject-field col-12">
				
								<div class="form-group">
														<!--<label> Soggetto *</label>-->
										
										
					<input type="text" id="subject" name="SOLMACH_DEMANDE" required value="Contattateci!" placeholder=" Soggetto *" class="form-control" />
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="message-field col-12">
				
								<div class="form-group">
														<!--<label>Messaggio *</label>-->
										
										
					<textarea id="message" name="SOLMACH_COMMENT" required class="form-control" placeholder="Messaggio *"></textarea>
					
									
								</div>
							</div>
			
				</div>
				<div class="row">
					<div class="langue-field col-12">
				
														
										
					<input type="hidden" id="langue" name="SOLMACH_LANGUE"  value="IT" placeholder="" />
					
									
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				<div class="row">
					<div class="fichier-field col-12">
				
														
										
					<input type="hidden" id="fichier" name="SOLMACH_FICHIER"  value="SMO" placeholder="" />
					
									
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				<div class="row">
					<div class="interet-field col-12">
				
								<div class="form-group">
														<!--<label>Specificare il proprio interesse : *</label>-->
										
										<label>Specificare il proprio interesse : *</label>
					<ul>
												<li>
							<input type="checkbox" id="interet1" name="SOLMACH_INTERET[]" value="Meccanica"  /> <label for="interet1">Meccanica</label>
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												<li>
							<input type="checkbox" id="interet2" name="SOLMACH_INTERET[]" value="
Lamiera"  /> <label for="interet2">
Lamiera</label>
						</li>
												<li>
							<input type="checkbox" id="interet3" name="SOLMACH_INTERET[]" value="
Altro"  /> <label for="interet3">
Altro</label>
						</li>
											</ul>
									
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		<input type="text" name="kc_honeypot" value="" />
	</div></div>			<!--<div class="g-recaptcha" data-sitekey="6LcYZZkUAAAAAH6M51JTaylgLNHHLbWr8xg3zYLO"></div>!-->
		</div>
		
		<div class="note">
			<span class="required">*</span>Champs requis		</div>
		
		<div class="text-center">
			<button id="submitBtn" type="submit" class="btn btn-default mt-3">Envoyer</button>
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