<h2>{global:formtitle}</h2>
{error}
<!-- Do not remove this ID, it is used to identify the page so that the pagination script can work correctly -->
<div class="formContainer uk-form-stacked" id="rsform_{global:formid}_page_0">
	<div class="uk-grid">
		<div class="uk-width-1-2@m">
			<div class="uk-margin rsform-block rsform-block-categorie-entreprise rsform-type-selectlist{categorie_entreprise:errorClass}">
{if {categorie_entreprise:caption}}
				<label class="uk-form-label formControlLabel" for="categorie_entreprise"{if {categorie_entreprise:descriptionhtml}} uk-tooltip="title: {categorie_entreprise:descriptionhtml}; pos: top-left"{/if}>{categorie_entreprise:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{categorie_entreprise:body}
					<span class="formValidation">{categorie_entreprise:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-nom rsform-type-textbox{nom:errorClass}">
{if {nom:caption}}
				<label class="uk-form-label formControlLabel" for="nom"{if {nom:descriptionhtml}} uk-tooltip="title: {nom:descriptionhtml}; pos: top-left"{/if}>{nom:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{nom:body}
					<span class="formValidation">{nom:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-phone rsform-type-phonenumber{phone:errorClass}">
{if {phone:caption}}
				<label class="uk-form-label formControlLabel" for="phone"{if {phone:descriptionhtml}} uk-tooltip="title: {phone:descriptionhtml}; pos: top-left"{/if}>{phone:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{phone:body}
					<span class="formValidation">{phone:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-code-postal rsform-type-textbox{code_postal:errorClass}">
{if {code_postal:caption}}
				<label class="uk-form-label formControlLabel" for="code_postal"{if {code_postal:descriptionhtml}} uk-tooltip="title: {code_postal:descriptionhtml}; pos: top-left"{/if}>{code_postal:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{code_postal:body}
					<span class="formValidation">{code_postal:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-description rsform-type-textarea{description:errorClass}">
{if {description:caption}}
				<label class="uk-form-label formControlLabel" for="description"{if {description:descriptionhtml}} uk-tooltip="title: {description:descriptionhtml}; pos: top-left"{/if}>{description:caption}</label>
{/if}
				<div class="formControls uk-form-controls">
					{description:body}
					<span class="formValidation">{description:validation}</span>
				</div>
			</div>
		</div>
		<div class="uk-width-1-2@m">
			<div class="uk-margin rsform-block rsform-block-societe rsform-type-textbox{societe:errorClass}">
{if {societe:caption}}
				<label class="uk-form-label formControlLabel" for="societe"{if {societe:descriptionhtml}} uk-tooltip="title: {societe:descriptionhtml}; pos: top-left"{/if}>{societe:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{societe:body}
					<span class="formValidation">{societe:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-email rsform-type-textbox{email:errorClass}">
{if {email:caption}}
				<label class="uk-form-label formControlLabel" for="email"{if {email:descriptionhtml}} uk-tooltip="title: {email:descriptionhtml}; pos: top-left"{/if}>{email:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{email:body}
					<span class="formValidation">{email:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-rue rsform-type-textbox{rue:errorClass}">
{if {rue:caption}}
				<label class="uk-form-label formControlLabel" for="rue"{if {rue:descriptionhtml}} uk-tooltip="title: {rue:descriptionhtml}; pos: top-left"{/if}>{rue:caption}</label>
{/if}
				<div class="formControls uk-form-controls">
					{rue:body}
					<span class="formValidation">{rue:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-ville rsform-type-textbox{ville:errorClass}">
{if {ville:caption}}
				<label class="uk-form-label formControlLabel" for="ville"{if {ville:descriptionhtml}} uk-tooltip="title: {ville:descriptionhtml}; pos: top-left"{/if}>{ville:caption}</label>
{/if}
				<div class="formControls uk-form-controls">
					{ville:body}
					<span class="formValidation">{ville:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-offre-wifi rsform-type-selectlist{offre_wifi:errorClass}">
{if {offre_wifi:caption}}
				<label class="uk-form-label formControlLabel" for="offre_wifi"{if {offre_wifi:descriptionhtml}} uk-tooltip="title: {offre_wifi:descriptionhtml}; pos: top-left"{/if}>{offre_wifi:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls">
					{offre_wifi:body}
					<span class="formValidation">{offre_wifi:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-autorisation rsform-type-checkboxgroup{Autorisation:errorClass}">
{if {Autorisation:caption}}
				<label class="uk-form-label formControlLabel" id="Autorisation-grouplbl"{if {Autorisation:descriptionhtml}} uk-tooltip="title: {Autorisation:descriptionhtml}; pos: top-left"{/if}>{Autorisation:caption}<strong class="formRequired">*</strong></label>
{/if}
				<div class="formControls uk-form-controls" role="group" aria-labelledby="Autorisation-grouplbl">
					{Autorisation:body}
					<span class="formValidation">{Autorisation:validation}</span>
				</div>
			</div>
			<div class="uk-margin rsform-block rsform-block-envoyer rsform-type-submitbutton{Envoyer:errorClass}">
{if {Envoyer:caption}}
				<label class="uk-form-label formControlLabel"{if {Envoyer:descriptionhtml}} uk-tooltip="title: {Envoyer:descriptionhtml}; pos: top-left"{/if}>{Envoyer:caption}</label>
{/if}
				<div class="formControls uk-form-controls">
					{Envoyer:body}
					<span class="formValidation">{Envoyer:validation}</span>
				</div>
			</div>
		</div>
	</div>
</div>