<div aria-hidden='true' class='modal fade' id='contactModal' role='dialog' tabindex='-1'>

  <div class='modal-dialog'>

    <div class='modal-content'>

      <div class='modal-header'>

        <button aria-hidden='true' class='close' data-dismiss='modal' type='button'>×</button>

        <h4 class='modal-title'>Demande de rappel dans les 24H</h4>

      </div>

      <div class='modal-body'>

        <form role='form'>

          <div class='form-group'>

            <div class='row'>

              <div class='col-md-6'>

                <label class='control-label'>Nom et prénom</label>

                <input class='form-control' placeholder='Votre nom' type='text' id="nom_rappel" />

              </div>

              <div class='col-md-6'>

                <label class='control-label'>Votre téléphone</label>

                <input class='form-control' placeholder='Votre Téléphone' type='text'id="tel_rappel" />

              </div>
							  <div class='col-md-6'>

                <label class='control-label'>Votre code postal</label>

                <input class='form-control' placeholder='Votre code postal' type='text'id="cp_rappel" />

              </div>

            </div>

		  <div class="row">

					<div class="col-md-12">

						<p id="ReponseFormulaire_rappel"></p>

					</div>

				</div>

          </div>

          

        </form>

      </div>

      <div class='modal-footer'>

        <button class='btn btn-default' data-dismiss='modal' type='button'>Annuler</button>

        <button class='btn btn-primary' type='button' id="submit_rappel">Me rappeler</button>

      </div>

    </div>

  </div>

</div>

<!-- Barre sociale HEADER 1 -->

<nav class="navbar navbar-inverse bg_rose" role="navigation" id="barre_sociale">

	<div class="container">

		<div class="navbar-header police1 hidden-xs"><strong>Ménage et repassage à domicile</strong> avec 50% de réduction fiscale</div>

		<!-- Collect the nav links, forms, and other content for toggling -->

		<div class="navbar-collapse text-center">

			<ul class="nav navbar-nav navbar-right barre_sociale">

				<li><a href="#" class="fa fa-twitter hidden"></a> </li>

				<li><a href="#" class="fa fa-facebook hidden"></a> </li>

				<li><a href="#" class="fa fa-google-plus hidden"></a> </li>

			</ul>

		</div>

	</div>

</nav>