Html form

<form method="post" action="/ai/create/2" id="newad_preview" class="mbl" name="formular" enctype="multipart/form-data">
  OB   <input name="category" value="34" type="hidden">
  <section class="box-grey-dark">
    <h2 class="title toggleElement" data-element="properties" data-toggleclass="active"><i class="icon-menu-right mts"></i>Vérifiez <span class="small-hidden tiny-hidden">le contenu de</span> votre annonce</h2>
    <section class="properties hidden">
      <div class="line">
        <h2 class="clearfix">
          <Span class="property">Catégorie</span>
          <span class="value">Prestations de services</span>
        </h2>
      </div>
      <div class="line">
        <h2 class="clearfix">
          <span class="property">Type d'annonce</span>
          <span class="value">Offre</span>
        </h2>
      </div>
      <div class="line">
        <h2 class="clearfix">
          <span class="property">
            Titre de l'annonce
          </span>
          <span class="value">Ddqsdqsds</span>
        </h2>
      </div>
      <div class="line">
        <h2 class="clearfix">
          <span class="property">
            Texte de l'annonce
          </span>
          <span class="value">dqsdqsfqdqs<br>
        gsdgsd<br>
        sdg<br>
        sdgsddgsdgqsqsd<br>
        gdqsgqsdg</span>
        </h2>
            </div>
            <div class="line">
              <h2 class="clearfix">
                <span class="property">Code postal - Ville</span>
                <span class="value">75008 - Paris</span>
              </h2>
              <input name="city" value="Paris" type="hidden">
            </div>
            <div class="line">
              <h2 class="clearfix">
                <span class="property">Raison sociale</span>
                <span class="value">Nobo</span>
              </h2>
            </div>
            <div class="line">
              <h2 class="clearfix">
                <span class="property">Siren</span>
                <span class="value">820890739</span>
              </h2>
            </div>
            <div class="line">
              <h2 class="clearfix">
                <span class="property">Email</span>
                <span class="value">
                  infos@nobo.life
                  (je refuse tout démarchage commercial)
                    </span>
              </h2>
            </div>
            <div class="line">
              <h2 class="clearfix">
                <span class="property">Téléphone</span>
                <span class="value">
                  0608932224
                  (je refuse tout démarchage commercial)
                </span>
              </h2>
            </div>
    </section>
  </section>
  <section class="box-grey-dark priceUpdater">
    <h2 class="title icon"><i class="icon-star icon-title-feature"></i>Vendez plus vite <span class="small-hidden tiny-hidden">en multipliant par 3 vos contacts </span>!</h2>
    <article class="container">
      <div id="serviceList" class="line big bordered toDisable">
        <div class="grid-4-1">
          <div class="checkboxWithRadio">
        <label class="checkbox disabler" data-do="serviceHoliday">
          <input id="periodic_bump" type="checkbox">
          <span class="orange">
        Remonter mon annonce en tête de liste et multiplier mes contacts
          </span>
          <a href="javascript:;" class="medium-hidden large-hidden" onclick="window.open('//www.leboncoin.fr/popup_sub_toplist.htm','Toplist','scrollbars=yes,width=480,height=590');"><i class="icon-ask smallmarginleft"></i></a>
        </label>
        <p class="mts mbs">Repositionnez automatiquement votre annonce en première page des listes de résultats.</p>
        <div class="serviceOption">
          <div class="visible" id="daily_bump30">
        <label class="label radio">
          <input name="cmds[periodic_bump]" value="daily30" data-nbads="1" data-pricewithtax="7026" data-amountcredit="0" type="radio">
          <span class="optradiotxt">Chaque jour</span> pendant <span class="optradiotxt">30 jours</span>
          <span class="item_price">58,55&nbsp;€&nbsp;HT soit 70,26&nbsp;€&nbsp;TTC</span>
        </label>
          </div>
          <div class="visible" id="daily_bump">
        <label class="label radio">
          <input name="cmds[periodic_bump]" value="daily" data-nbads="1" data-pricewithtax="2208" data-amountcredit="0" type="radio">
          <span class="optradiotxt">Chaque jour</span> pendant <span class="optradiotxt">7 jours</span>
          <span class="item_price">18,40&nbsp;€&nbsp;HT soit 22,08&nbsp;€&nbsp;TTC</span>
        </label>
          </div>
          <div class="visible" id="weekly_bump">
        <label class="label radio">
          <input name="cmds[periodic_bump]" value="weekly" data-nbads="1" data-pricewithtax="2004" data-amountcredit="0" type="radio">
          Chaque semaine pendant 60 jours
          <span class="item_price">16,70&nbsp;€&nbsp;HT soit 20,04&nbsp;€&nbsp;TTC</span>
        </label>
          </div>
        </div>
      </div>
      <div class="txtright small-hidden tiny-hidden">
        <a href="javascript:;" class="semibold block mbs small-hidden tiny-hidden" onclick="window.open('//www.leboncoin.fr/popup_sub_toplist.htm','Toplist','scrollbars=yes,width=480,height=590');">En savoir plus<i class="icon-ask smallmarginleft"></i></a>
        <img src="/img/beta_adaction_remontee.png" alt="Remonter mon annonce en tête de liste">
      </div>
    </div>
      </div>
      <div id="serviceEmergency" class="line big toDisable ">
    <div class="grid-4-1">
      <div>
        <div class="serviceOption mtn">
          <label class="checkbox" id="urgent">
        <input name="cmds[urgent]" id="cmd_urgent" data-nbads="1" plop="" data-pricewithtax="402" data-amountcredit="0" type="checkbox">
        <span class="orange">
          Ajouter un logo Urgent et vendre plus vite
        </span>
        <a href="javascript:;" class="medium-hidden large-hidden" onclick="window.open('//www.leboncoin.fr/popup_urgent.htm','Urgent','scrollbars=yes,width=560,height=600');"><i class="icon-ask smallmarginleft"></i></a>
        <span class="item_price">(3,35&nbsp;€&nbsp;HT soit 4,02&nbsp;€&nbsp;TTC)</span>
          </label>
          <p class="mts">Rajoutez un logo <span class="semibold orange"><i class="icon-star smallmargin"></i>Urgent</span> à votre annonce pour la distinguer des autres biens dans les listes de résultats.</p>
        </div>
      </div>
      <div class="txtright small-hidden tiny-hidden">
        <a href="javascript:;" class="semibold block mbs small-hidden tiny-hidden" onclick="window.open('//www.leboncoin.fr/popup_urgent.htm','Urgent','scrollbars=yes,width=560,height=600');">En savoir plus <i class="icon-ask smallmarginleft"></i></a>
        <img src="/img/beta_adaction_urgent.png" alt="Rajouter un logo urgent">
      </div>
    </div>
      </div>
    </article>
  </section>
  <div>
    <div class="box-grey-dark hidden" id="previewCheckout" data-connected="2" data-adprice="0" data-amountcredit="0">
      <p class="title">Montant à payer</p>
      <article class="container">
        <p>Montant : <strong><span id="amount">0,00</span>&nbsp;€&nbsp;HT</strong>
          soit <strong><span id="amountWithTax">0,00</span>&nbsp;€&nbsp;TTC</strong></p>
        <ol class="list-puce">
          <li>Prix de votre annonce : 0,00&nbsp;€&nbsp;HT</li>
          <li>Prix de vos options : <span id="amountOptions">0,00</span>&nbsp;€&nbsp;HT</li>
        </ol>
        <p id="stillGotCredits" class="mts hidden">Après cette commande le solde de vos crédits sera de <strong><span id="creditsLeft">0,00</span>&nbsp;€&nbsp;TTC</strong>
        </p>
        <p id="noMoreCredits" class="mts hidden">Le solde de vos crédits est insuffisant, il vous reste <strong><span id="stillToPay"></span>&nbsp;€&nbsp;TTC</strong> à payer.
        </p>
      </article>
    </div>
  </div>
  <div>
    <p class="mbm"><strong>En validant la diffusion de mon annonce, j'accepte les Règles de diffusion et d'utilisation du site Leboncoin.fr et j'autorise Leboncoin.fr à diffuser mon annonce.</strong></p>
  </div>
  <label class="checkbox">
    <input name="accept_rule" id="accept_rule" value="1" type="checkbox">
    <strong>Je reconnais avoir lu et accepté <a href="javascript:;" onclick="window.open('http://www.leboncoin.fr/cgvpro_popup.htm?ca=12_s', 'CGV', 'scrollbars=yes,width=900, height=650');">les Conditions Générales de Vente</a>.
    </strong>
    <span class="label-error" data-for="accept_rule"></span>
  </label>
  <div class="confirm">
    <a href="http://www.leboncoin.fr/ai/form/2" class="button-blue button-secondary mrm">Modifier mon annonce</a>
    <input class="button-blue" value="Valider mon annonce" name="create" id="lbc_submit" type="submit">
    <input id="submitName" value="" name="create2" type="hidden">
  </div>
</form>