{"id":21259,"date":"2024-05-28T13:15:29","date_gmt":"2024-05-28T13:15:29","guid":{"rendered":"https:\/\/www.vanbreak.com\/check-out-form\/"},"modified":"2024-05-28T13:15:30","modified_gmt":"2024-05-28T13:15:30","slug":"check-out-form","status":"publish","type":"page","link":"https:\/\/www.vanbreak.com\/en\/check-out-form\/","title":{"rendered":"Check-out form"},"content":{"rendered":"<p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f21252-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"21252\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/21259#wpcf7-f21252-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"21252\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f21252-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:21252,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-camper&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Camper&quot;}]},{&quot;then_field&quot;:&quot;group-fourgon&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Converted Van&quot;}]},{&quot;then_field&quot;:&quot;group-campingcar&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Motorhome&quot;}]},{&quot;then_field&quot;:&quot;group-ocean&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Camper&quot;}]},{&quot;then_field&quot;:&quot;group-campeo&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Converted Van&quot;}]},{&quot;then_field&quot;:&quot;group-deterioration&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;deteriorer&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Yes&quot;}]},{&quot;then_field&quot;:&quot;group-campeo&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;categorie&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Motorhome&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>First and last name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom_nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom_nom\" \/><\/span>\n<\/p>\n<p>Registration number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"immatriculation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"immatriculation\" \/><\/span>\n<\/p>\n<p>---\n<\/p>\n<p>Vehicle type<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"categorie\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"categorie\"><option value=\"Select\">Select<\/option><option value=\"Camper\">Camper<\/option><option value=\"Converted Van\">Converted Van<\/option><option value=\"Motorhome\">Motorhome<\/option><\/select><\/span>\n<\/p>\n<div data-id=\"group-camper\" data-orig_data_id=\"group-camper\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>Camper Model<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"modele_camper\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"modele_camper\"><option value=\"VW California OCEAN\">VW California OCEAN<\/option><option value=\"Renault Handroad\">Renault Handroad<\/option><option value=\"VW California BEACH\">VW California BEACH<\/option><option value=\"Mercedes Marco Polo\">Mercedes Marco Polo<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"group-fourgon\" data-orig_data_id=\"group-fourgon\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>Van Model<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"modele_fourgon\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"modele_fourgon\"><option value=\"Van CAMPEO\">Van CAMPEO<\/option><option value=\"Burstner B66\">Burstner B66<\/option><option value=\"Van SUNLIGHT\">Van SUNLIGHT<\/option><option value=\"VW Grand California\">VW Grand California<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"group-campingcar\" data-orig_data_id=\"group-campingcar\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>Motorhome Model<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"modele_cc\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"modele_cc\"><option value=\"Benimar\">Benimar<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<p>---\n<\/p>\n<div data-id=\"group-ocean\" data-orig_data_id=\"group-ocean\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>CAMPER CHECKLIST\n\t<\/p>\n\t<p>Gas bottle replaced?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gaz\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gaz\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gaz\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Sink working properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"evier\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"evier\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"evier\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Shower working properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"douche\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"douche\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"douche\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Roof opening and closing properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"toit\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"toit\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"toit\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Awning opening and closing properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"store\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"store\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Diesel tank refilled?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"essence\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"essence\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"essence\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Fresh water tank filled?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eauxpropres\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eauxpropres\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eauxpropres\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Waste water tank emptied?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eauxusees\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eauxusees\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eauxusees\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Bed sheets removed and placed in the trunk?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"draps\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"draps\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"draps\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Dishes cleaned and put away? Cleaning completed? Rubbish emptied?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menage\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"menage\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"menage\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"group-campeo\" data-orig_data_id=\"group-campeo\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>VAN \/ MOTORHOME CHECKLIST\n\t<\/p>\n\t<p>Sink working properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"evier\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"evier\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"evier\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Shower working properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"douche\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"douche\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"douche\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Toilet emptied and cleaned?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"wc\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"wc\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"wc\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Gas bottle replaced?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"gaz\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gaz\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gaz\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Awning working properly?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"store\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"store\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Diesel tank refilled?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"essence\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"essence\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"essence\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Fresh water tank filled?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eauxpropres\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eauxpropres\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eauxpropres\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Waste water tank emptied?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"eauxusees\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"eauxusees\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"eauxusees\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Dishes cleaned and put away? Cleaning completed? Rubbish emptied?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"draps\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"draps\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"draps\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n\t<p>Dishes \/ cleaning \/ rubbish<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menage\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"menage\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"menage\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<p>---\n<\/p>\n<p>DAMAGE\n<\/p>\n<p>Has the vehicle suffered any damage?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"deteriorer\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"deteriorer\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"deteriorer\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><\/span><\/span>\n<\/p>\n<div data-id=\"group-deterioration\" data-orig_data_id=\"group-deterioration\"  class=\"\" data-class=\"wpcf7cf_group\">\n\t<p>Details<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"commentaires\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"commentaires\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<p>---\n<\/p>\n<p>Any useful comments to help prepare for the next renter? Did you replace the gas bottle? Are any utensils missing? Have you broken or lost any equipment, etc.?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"feedback\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"feedback\"><\/textarea><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accept\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"accept\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I confirm that the information provided is accurate and truthful<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-21259","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/pages\/21259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/comments?post=21259"}],"version-history":[{"count":0,"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/pages\/21259\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vanbreak.com\/en\/wp-json\/wp\/v2\/media?parent=21259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}