{"id":1053,"date":"2019-03-16T06:09:50","date_gmt":"2019-03-16T06:09:50","guid":{"rendered":"https:\/\/www.primefreight.com\/?page_id=1053"},"modified":"2020-12-07T16:47:46","modified_gmt":"2020-12-07T16:47:46","slug":"sinscrire-2","status":"publish","type":"page","link":"https:\/\/www.primefreight.com\/fr\/sinscrire-2\/","title":{"rendered":"S'inscrire"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row section vc_row-fluid vc_custom_1594753896241  grid_section mpc-row\" style=\" text-align:left;\"><div class=\"section_inner clearfix\"><div class=\"section_inner_margin clearfix\"><div class=\"wpb_column vc_column_container vc_col-sm-12 mpc-column\" data-column-id=\"mpc_column-3769e76dd209d49\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class=\"gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework gf_customfields_wrapper\" data-form-theme=\"legacy\" data-form-index=\"0\" id=\"gform_wrapper_5\" style=\"display:none\"><div id=\"gf_5\" class=\"gform_anchor\" tabindex=\"-1\"><\/div>\n                        <div class=\"gform_heading\">\n                            <h3 class=\"gform_title\">S'inscrire<\/h3>\n                            <p class=\"gform_description\"><\/p>\n                        <\/div><form method=\"post\" enctype=\"multipart\/form-data\" target=\"gform_ajax_frame_5\" id=\"gform_5\" class=\"gf_customfields\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/1053#gf_5\" data-formid=\"5\" novalidate data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/1053#gf_5\">\n        <div id=\"gf_progressbar_wrapper_5\" class=\"gf_progressbar_wrapper\" data-start-at-zero=\"\">\n        \t<h3 class=\"gf_progressbar_title\">\u00c9tape <span class=\"gf_step_current_page\">1<\/span> de <span class=\"gf_step_page_count\">3<\/span><span class=\"gf_step_page_name\"><\/span>\n        \t<\/h3>\n            <div class=\"gf_progressbar gf_progressbar_blue\" aria-hidden=\"true\">\n                <div class=\"gf_progressbar_percentage percentbar_blue percentbar_33\" style=\"width:33%;\"><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class=\"gform-body gform_body\"><div id=\"gform_page_5_1\" class=\"gform_page\" data-js=\"page-field-id-0\">\n\t\t\t\t\t<div class=\"gform_page_fields\"><ul id=\"gform_fields_5\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><li id=\"field_5_72\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_72\">URL<\/label><div class=\"ginput_container\"><input name=\"input_72\" id=\"input_5_72\" type=\"text\" value=\"\" autocomplete=\"new-password\"><\/div><div class=\"gfield_description\" id=\"gfield_description_5_72\">Ce champ n'est utilis\u00e9 qu'\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_5_69\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class=\"gfield_label gform-field-label\" for=\"input_5_69\">booking_id<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_69\" id=\"input_5_69\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_71\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class=\"gfield_label gform-field-label\" for=\"input_5_71\">v\u00e9rification de la r\u00e9servation<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_71\" id=\"input_5_71\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_42\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_42\">Nom de l'entreprise<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_42\" id=\"input_5_42\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_43\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_43\">D'o\u00f9 venez-vous ?<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_43\" id=\"input_5_43\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_44\" class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_44\">O\u00f9 exp\u00e9diez-vous vos produits ?<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_44\" id=\"input_5_44\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Quels modes de transport utilisez-vous ?<\/label><div class=\"ginput_container ginput_container_checkbox\"><ul class=\"gfield_checkbox\" id=\"input_5_6\"><li class=\"gchoice gchoice_5_6_1\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_6.1\" type=\"checkbox\" value=\"Ocean\" id=\"choice_5_6_1\">\n\t\t\t\t\t\t\t\t<label for=\"choice_5_6_1\" id=\"label_5_6_1\" class=\"gform-field-label gform-field-label--type-inline\">Oc\u00e9an<\/label>\n\t\t\t\t\t\t\t<\/li><li class=\"gchoice gchoice_5_6_2\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_6.2\" type=\"checkbox\" value=\"Air\" id=\"choice_5_6_2\">\n\t\t\t\t\t\t\t\t<label for=\"choice_5_6_2\" id=\"label_5_6_2\" class=\"gform-field-label gform-field-label--type-inline\">Air<\/label>\n\t\t\t\t\t\t\t<\/li><li class=\"gchoice gchoice_5_6_3\">\n\t\t\t\t\t\t\t\t<input class=\"gfield-choice-input\" name=\"input_6.3\" type=\"checkbox\" value=\"Truck\" id=\"choice_5_6_3\">\n\t\t\t\t\t\t\t\t<label for=\"choice_5_6_3\" id=\"label_5_6_3\" class=\"gform-field-label gform-field-label--type-inline\">Camion<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\">Statut juridique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_radio\"><ul class=\"gfield_radio\" id=\"input_5_7\">\n\t\t\t<li class=\"gchoice gchoice_5_7_0\">\n\t\t\t\t<input name=\"input_7\" type=\"radio\" value=\"Sole Proprietorship\" id=\"choice_5_7_0\">\n\t\t\t\t<label for=\"choice_5_7_0\" id=\"label_5_7_0\" class=\"gform-field-label gform-field-label--type-inline\">Entreprise individuelle<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_7_1\">\n\t\t\t\t<input name=\"input_7\" type=\"radio\" value=\"Incorporated\" id=\"choice_5_7_1\">\n\t\t\t\t<label for=\"choice_5_7_1\" id=\"label_5_7_1\" class=\"gform-field-label gform-field-label--type-inline\">Incorpor\u00e9<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_7_2\">\n\t\t\t\t<input name=\"input_7\" type=\"radio\" value=\"Partnership\" id=\"choice_5_7_2\">\n\t\t\t\t<label for=\"choice_5_7_2\" id=\"label_5_7_2\" class=\"gform-field-label gform-field-label--type-inline\">Partenariat<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_7_3\">\n\t\t\t\t<input name=\"input_7\" type=\"radio\" value=\"gf_other_choice\" id=\"choice_5_7_3\" onfocus=\"jQuery(this).next('input').focus();\">\n\t\t\t\t<input class=\"small\" id=\"input_5_7_other\" name=\"input_7_other\" type=\"text\" value=\"Autre\" aria-label=\"Autre\" onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Autre\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Autre\"); }'>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_51\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\">Type d'entreprise<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_radio\"><ul class=\"gfield_radio\" id=\"input_5_51\">\n\t\t\t<li class=\"gchoice gchoice_5_51_0\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"Manufacturer\" id=\"choice_5_51_0\">\n\t\t\t\t<label for=\"choice_5_51_0\" id=\"label_5_51_0\" class=\"gform-field-label gform-field-label--type-inline\">Fabricant<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_51_1\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"Wholesaler\" id=\"choice_5_51_1\">\n\t\t\t\t<label for=\"choice_5_51_1\" id=\"label_5_51_1\" class=\"gform-field-label gform-field-label--type-inline\">Grossiste<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_51_2\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"Trading House\" id=\"choice_5_51_2\">\n\t\t\t\t<label for=\"choice_5_51_2\" id=\"label_5_51_2\" class=\"gform-field-label gform-field-label--type-inline\">Maison de commerce<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_51_3\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"Contractor\" id=\"choice_5_51_3\">\n\t\t\t\t<label for=\"choice_5_51_3\" id=\"label_5_51_3\" class=\"gform-field-label gform-field-label--type-inline\">Entrepreneur<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_51_4\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"Services\" id=\"choice_5_51_4\">\n\t\t\t\t<label for=\"choice_5_51_4\" id=\"label_5_51_4\" class=\"gform-field-label gform-field-label--type-inline\">Services<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_51_5\">\n\t\t\t\t<input name=\"input_51\" type=\"radio\" value=\"gf_other_choice\" id=\"choice_5_51_5\" onfocus=\"jQuery(this).next('input').focus();\">\n\t\t\t\t<input class=\"small\" id=\"input_5_51_other\" name=\"input_51_other\" type=\"text\" value=\"Autre\" aria-label=\"Autre\" onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Autre\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Autre\"); }'>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_48\" class=\"gfield gfield--type-text gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_48\">Lieu de constitution \/ d'enregistrement<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_48\" id=\"input_5_48\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_52\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_52\">Ann\u00e9e de cr\u00e9ation<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_52\" id=\"input_5_52\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_53\" class=\"gfield gfield--type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_53\">Nombre d'employ\u00e9s<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_53\" id=\"input_5_53\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_50\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_50\">Nature de l'activit\u00e9<\/label><div class=\"ginput_container ginput_container_textarea\"><textarea name=\"input_50\" id=\"input_5_50\" class=\"textarea medium\" aria-invalid=\"false\" rows=\"10\" cols=\"50\"><\/textarea><\/div><\/li><li id=\"field_5_49\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_49\">Propri\u00e9t\u00e9 \/ Soci\u00e9t\u00e9 m\u00e8re<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_49\" id=\"input_5_49\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_39\" class=\"gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_39\">T\u00e9l\u00e9phone de l'entreprise<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_phone\"><input name=\"input_39\" id=\"input_5_39\" type=\"tel\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_45\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Quelle est l'adresse de votre entreprise ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class=\"ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row\" id=\"input_5_45\">\n                         <span class=\"ginput_full address_line_1 ginput_address_line_1 gform-grid-col\" id=\"input_5_45_1_container\">\n                                        <input type=\"text\" name=\"input_45.1\" id=\"input_5_45_1\" value=\"\" placeholder=\"Adresse (rue)\" aria-required=\"true\">\n                                        <label for=\"input_5_45_1\" id=\"input_5_45_1_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Adresse postale<\/label>\n                                    <\/span><span class=\"ginput_full address_line_2 ginput_address_line_2 gform-grid-col\" id=\"input_5_45_2_container\">\n                                        <input type=\"text\" name=\"input_45.2\" id=\"input_5_45_2\" value=\"\" placeholder=\"Ligne d&#039;adresse 2\" aria-required=\"false\">\n                                        <label for=\"input_5_45_2\" id=\"input_5_45_2_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Adresse ligne 2<\/label>\n                                    <\/span><span class=\"ginput_left address_city ginput_address_city gform-grid-col\" id=\"input_5_45_3_container\">\n                                    <input type=\"text\" name=\"input_45.3\" id=\"input_5_45_3\" value=\"\" placeholder=\"Ville\" aria-required=\"true\">\n                                    <label for=\"input_5_45_3\" id=\"input_5_45_3_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Ville<\/label>\n                                 <\/span><span class=\"ginput_right address_state ginput_address_state gform-grid-col\" id=\"input_5_45_4_container\">\n                                        <input type=\"text\" name=\"input_45.4\" id=\"input_5_45_4\" value=\"\" placeholder=\"Etat \/ Province\" aria-required=\"true\">\n                                        <label for=\"input_5_45_4\" id=\"input_5_45_4_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class=\"ginput_left address_zip ginput_address_zip gform-grid-col\" id=\"input_5_45_5_container\">\n                                    <input type=\"text\" name=\"input_45.5\" id=\"input_5_45_5\" value=\"\" placeholder=\"Code postal\" aria-required=\"true\">\n                                    <label for=\"input_5_45_5\" id=\"input_5_45_5_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">ZIP \/ Code postal<\/label>\n                                <\/span><span class=\"ginput_right address_country ginput_address_country gform-grid-col\" id=\"input_5_45_6_container\">\n                                        <select name=\"input_45.6\" id=\"input_5_45_6\" aria-required=\"true\"><option value=\"\">Pays<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Afrique du Sud\">Afrique du Sud<\/option><option value=\"Albanie\">Albanie<\/option><option value=\"Alg&eacute;rie\">Alg\u00e9rie<\/option><option value=\"Allemagne\">Allemagne<\/option><option value=\"Andorre\">Andorre<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctique\">Antarctique<\/option><option value=\"Antigua-et-Barbuda\">Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\">Arabie Saoudite<\/option><option value=\"Argentine\">Argentine<\/option><option value=\"Arm&eacute;nie\">Arm\u00e9nie<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australie\">Australie<\/option><option value=\"Autriche\">Autriche<\/option><option value=\"Azerba&iuml;djan\">Azerba\u00efdjan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahre&iuml;n\">Bahre\u00efn<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Belarus\">B\u00e9larus<\/option><option value=\"Belgique\">Belgique<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermudes\">Bermudes<\/option><option value=\"Bhoutan\">Bhoutan<\/option><option value=\"Bolivie\">Bolivie<\/option><option value=\"Bonaire, Saint-Eustache et Saba\">Bonaire, Saint-Eustache et Saba<\/option><option value=\"Bosnie-Herz&eacute;govine\">Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Br&eacute;sil\">Br\u00e9sil<\/option><option value=\"Bulgarie\">Bulgarie<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"B&eacute;nin\">B\u00e9nin<\/option><option value=\"Cambodge\">Cambodge<\/option><option value=\"Cameroun\">Cameroun<\/option><option value=\"Canada\" selected>Canada<\/option><option value=\"Cap-Vert\">Cap-Vert<\/option><option value=\"Chili\">Chili<\/option><option value=\"Chine\">Chine<\/option><option value=\"Chypre\">Chypre<\/option><option value=\"Colombie\">Colombie<\/option><option value=\"Comores\">Comores<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croatie\">Croatie<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cura&ccedil;ao\">Cura\u00e7ao<\/option><option value=\"Czechia\">Tch\u00e9coslovaquie<\/option><option value=\"C&ocirc;te d&rsquo;Ivoire\">C\u00f4te d'Ivoire<\/option><option value=\"Danemark\">Danemark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominique\">Dominique<\/option><option value=\"Espagne\">Espagne<\/option><option value=\"Estonie\">Estonie<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Fidji\">Fidji<\/option><option value=\"Finlande\">Finlande<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambie\">Gambie<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Grenade\">Grenade<\/option><option value=\"Groenland\">Groenland<\/option><option value=\"Gr&egrave;ce\">Gr\u00e8ce<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guernesey\">Guernesey<\/option><option value=\"Guin&eacute;e\">Guin\u00e9e<\/option><option value=\"Guin&eacute;e Fran&ccedil;aise\">Guin\u00e9e Fran\u00e7aise<\/option><option value=\"Guin&eacute;e &eacute;quatoriale\">Guin\u00e9e \u00e9quatoriale<\/option><option value=\"Guin&eacute;e-Bissau\">Guin\u00e9e-Bissau<\/option><option value=\"Guyane\">Guyane<\/option><option value=\"G&eacute;orgie\">G\u00e9orgie<\/option><option value=\"Ha&iuml;ti\">Ha\u00efti<\/option><option value=\"Heard Island and McDonald Islands\">\u00cele Heard et \u00eeles McDonald<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hongrie\">Hongrie<\/option><option value=\"Iles Aland\">Iles Aland<\/option><option value=\"Inde\">Inde<\/option><option value=\"Indon&eacute;sie\">Indon\u00e9sie<\/option><option value=\"Irak\">Irak<\/option><option value=\"Iran\">L'Iran<\/option><option value=\"Irlande\">Irlande<\/option><option value=\"Islande\">Islande<\/option><option value=\"Isra&euml;l\">Isra\u00ebl<\/option><option value=\"Italie\">Italie<\/option><option value=\"Jama&iuml;que\">Jama\u00efque<\/option><option value=\"Japon\">Japon<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordanie\">Jordanie<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kirghizistan\">Kirghizistan<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\">Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value=\"Korea, Republic of\">Cor\u00e9e, R\u00e9publique de<\/option><option value=\"Kowe&iuml;t\">Kowe\u00eft<\/option><option value=\"La Barbade\">La Barbade<\/option><option value=\"La R&eacute;union\">La R\u00e9union<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lettonie\">Lettonie<\/option><option value=\"Liban\">Liban<\/option><option value=\"Liberia\">Lib\u00e9ria<\/option><option value=\"Libye\">Libye<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lituanie\">Lituanie<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macao\">Macao<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malaisie\">Malaisie<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malte\">Malte<\/option><option value=\"Maroc\">Maroc<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritanie\">Mauritanie<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexique\">Mexique<\/option><option value=\"Micron&eacute;sie\">Micron\u00e9sie<\/option><option value=\"Moldavie\">Moldavie<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolie\">Mongolie<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Mont&eacute;n&eacute;gro\">Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibie\">Namibie<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nig&eacute;ria\">Nig\u00e9ria<\/option><option value=\"Niue\">Niue<\/option><option value=\"North Macedonia\">Mac\u00e9doine du Nord<\/option><option value=\"Norv&egrave;ge\">Norv\u00e8ge<\/option><option value=\"Nouvelle Cal&eacute;donie\">Nouvelle Cal\u00e9donie<\/option><option value=\"Nouvelle-Z&eacute;lande\">Nouvelle-Z\u00e9lande<\/option><option value=\"N&eacute;pal\">N\u00e9pal<\/option><option value=\"Oman\">Oman<\/option><option value=\"Ouganda\">Ouganda<\/option><option value=\"Ouzb&eacute;kistan\">Ouzb\u00e9kistan<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papouasie-Nouvelle-Guin&eacute;e\">Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Pays-Bas\">Pays-Bas<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Pologne\">Pologne<\/option><option value=\"Polyn&eacute;sie fran&ccedil;aise\">Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"Porto Rico\">Porto Rico<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"P&eacute;rou\">P\u00e9rou<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Roumanie\">Roumanie<\/option><option value=\"Royaume-Uni\">Royaume-Uni<\/option><option value=\"Russian Federation\">F\u00e9d\u00e9ration de Russie<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"R&eacute;publique Dominicaine\">R\u00e9publique Dominicaine<\/option><option value=\"R&eacute;publique centrafricaine\">R\u00e9publique centrafricaine<\/option><option value=\"R&eacute;publique d&eacute;mocratique du Congo\">R\u00e9publique d\u00e9mocratique du Congo<\/option><option value=\"R&eacute;publique d&eacute;mocratique populaire Lao\">R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value=\"Sahara occidental\">Sahara occidental<\/option><option value=\"Saint Barth&eacute;lemy\">Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\">Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value=\"Saint Martin\">Saint Martin<\/option><option value=\"Saint-Christophe-et-Nevis\">Saint-Christophe-et-Nevis<\/option><option value=\"Saint-Marin\">Saint-Marin<\/option><option value=\"Saint-Martin\">Saint-Martin<\/option><option value=\"Saint-Pierre-et-Miquelon\">Saint-Pierre-et-Miquelon<\/option><option value=\"Saint-Si&egrave;ge\">Saint-Si\u00e8ge<\/option><option value=\"Saint-Vincent-et-les Grenadines\">Saint-Vincent-et-les Grenadines<\/option><option value=\"Sainte-Lucie\">Sainte-Lucie<\/option><option value=\"Salvador\">Salvador<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Samoa am&eacute;ricaines\">Samoa am\u00e9ricaines<\/option><option value=\"Sao Tom&eacute; et Principe\">Sao Tom\u00e9 et Principe<\/option><option value=\"Serbie\">Serbie<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapour\">Singapour<\/option><option value=\"Slovaquie\">Slovaquie<\/option><option value=\"Slov&eacute;nie\">Slov\u00e9nie<\/option><option value=\"Somalie\">Somalie<\/option><option value=\"Soudan\">Soudan<\/option><option value=\"Soudan du Sud\">Soudan du Sud<\/option><option value=\"South Georgia and the South Sandwich Islands\">G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Suisse\">Suisse<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Su&egrave;de\">Su\u00e8de<\/option><option value=\"Svalbard and Jan Mayen\">Svalbard et Jan Mayen<\/option><option value=\"Syria Arab Republic\">R\u00e9publique arabe syrienne<\/option><option value=\"S&eacute;n&eacute;gal\">S\u00e9n\u00e9gal<\/option><option value=\"Tadjikistan\">Tadjikistan<\/option><option value=\"Tanzania, the United Republic of\">Tanzanie, R\u00e9publique unie de<\/option><option value=\"Ta&iuml;wan\">Ta\u00efwan<\/option><option value=\"Tchad\">Tchad<\/option><option value=\"Terres australes Fran&ccedil;aises\">Terres australes Fran\u00e7aises<\/option><option value=\"Territoire britannique de l'oc&eacute;an Indien\">Territoire britannique de l'oc\u00e9an Indien<\/option><option value=\"Tha&iuml;lande\">Tha\u00eflande<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinit&eacute; et Tobago\">Trinit\u00e9 et Tobago<\/option><option value=\"Tunisie\">Tunisie<\/option><option value=\"Turkm&eacute;nistan\">Turkm\u00e9nistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"T&uuml;rkiye\">T\u00fcrkiye<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Wallis et Futuna\">Wallis et Futuna<\/option><option value=\"Y&eacute;men\">Y\u00e9men<\/option><option value=\"Zambie\">Zambie<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"&Eacute;gypte\">\u00c9gypte<\/option><option value=\"&Eacute;mirats arabes unis\">\u00c9mirats arabes unis<\/option><option value=\"&Eacute;quateur\">\u00c9quateur<\/option><option value=\"&Eacute;rythr&eacute;e\">\u00c9rythr\u00e9e<\/option><option value=\"&Eacute;tat palestinien\">\u00c9tat palestinien<\/option><option value=\"&Eacute;tats-Unis\">\u00c9tats-Unis<\/option><option value=\"&Eacute;thiopie\">\u00c9thiopie<\/option><option value=\"&Icirc;le Bouvet\">\u00cele Bouvet<\/option><option value=\"&Icirc;le Maurice\">\u00cele Maurice<\/option><option value=\"&Icirc;le de Man\">\u00cele de Man<\/option><option value=\"&Icirc;le de Norfolk\">\u00cele de Norfolk<\/option><option value=\"&Icirc;le de No&euml;l\">\u00cele de No\u00ebl<\/option><option value=\"&Icirc;les Cayman\">\u00celes Cayman<\/option><option value=\"&Icirc;les Cocos\">\u00celes Cocos<\/option><option value=\"&Icirc;les Cook\">\u00celes Cook<\/option><option value=\"&Icirc;les Falkland\">\u00celes Falkland<\/option><option value=\"&Icirc;les F&eacute;ro&eacute;\">\u00celes F\u00e9ro\u00e9<\/option><option value=\"&Icirc;les Mariannes du Nord\">\u00celes Mariannes du Nord<\/option><option value=\"&Icirc;les Marshall\">\u00celes Marshall<\/option><option value=\"&Icirc;les Salomon\">\u00celes Salomon<\/option><option value=\"&Icirc;les Turques-et-Ca&iuml;ques\">\u00celes Turques-et-Ca\u00efques<\/option><option value=\"&Icirc;les Vierges am&eacute;ricaines\">\u00celes Vierges am\u00e9ricaines<\/option><option value=\"&Icirc;les Vierges britanniques\">\u00celes Vierges britanniques<\/option><option value=\"&Icirc;les mineures &eacute;loign&eacute;es des &Eacute;tats-Unis\">\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for=\"input_5_45_6\" id=\"input_5_45_6_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Paye<\/label>\n                                    <\/span>\n                    <div class=\"gf_clear gf_clear_complex\"><\/div>\n                <\/div><\/li><li id=\"field_5_38\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_38\">Combien d'envois votre entreprise traite-t-elle par an ?<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_38\" id=\"input_5_38\" type=\"text\" value=\"\" class=\"large\" aria-invalid=\"false\"><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                         <input type=\"button\" id=\"gform_next_button_5_16\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continuer\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_5_2\" class=\"gform_page btn-continue\" data-js=\"page-field-id-16\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <ul id=\"gform_fields_5_2\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><li id=\"field_5_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Financement du commerce<\/h2><\/li><li id=\"field_5_56\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_56\">Montant du cr\u00e9dit demand\u00e9<\/label><div class=\"ginput_container ginput_container_number\"><input name=\"input_56\" id=\"input_5_56\" type=\"number\" step=\"any\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\">Est-ce que vous ou l'un de vos affili\u00e9s avez d\u00e9j\u00e0 b\u00e9n\u00e9fici\u00e9 d'un cr\u00e9dit aupr\u00e8s de nous ou achet\u00e9 chez nous ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_radio\"><ul class=\"gfield_radio\" id=\"input_5_57\">\n\t\t\t<li class=\"gchoice gchoice_5_57_0\">\n\t\t\t\t<input name=\"input_57\" type=\"radio\" value=\"Yes\" id=\"choice_5_57_0\">\n\t\t\t\t<label for=\"choice_5_57_0\" id=\"label_5_57_0\" class=\"gform-field-label gform-field-label--type-inline\">Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class=\"gchoice gchoice_5_57_1\">\n\t\t\t\t<input name=\"input_57\" type=\"radio\" value=\"No\" id=\"choice_5_57_1\">\n\t\t\t\t<label for=\"choice_5_57_1\" id=\"label_5_57_1\" class=\"gform-field-label gform-field-label--type-inline\">Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_58\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_58\">Si oui, sous quel nom ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_58\" id=\"input_5_58\" type=\"text\" value=\"\" class=\"medium\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_59\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Nom et titre des personnes autoris\u00e9es \u00e0 agir en votre nom :<\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class=\"ginput_container ginput_container_list ginput_list\"><table class=\"gfield_list gfield_list_container\"><colgroup><col id=\"gfield_list_59_col_1\" class=\"gfield_list_col_odd\"><col id=\"gfield_list_59_col_2\" class=\"gfield_list_col_even\"><col id=\"gfield_list_59_col_3\" class=\"gfield_list_col_odd\"><\/colgroup><thead><tr><th scope=\"col\">Nom<\/th><th scope=\"col\">Titre<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class=\"gfield_list_row_odd gfield_list_group\"><td class=\"gfield_list_cell gfield_list_59_cell1\" data-label=\"Name\"><input aria-invalid=\"false\" aria-label=\"Nom, rang\u00e9e 1\" data-aria-label-template=\"Name, Row {0}\" type=\"text\" name=\"input_59[]\" value=\"\"><\/td><td class=\"gfield_list_cell gfield_list_59_cell2\" data-label=\"Title\"><input aria-invalid=\"false\" aria-label=\"Titre, rang\u00e9e 1\" data-aria-label-template=\"Title, Row {0}\" type=\"text\" name=\"input_59[]\" value=\"\"><\/td><td class=\"gfield_list_icons\">   <a href=\"javascript:void(0);\" class=\"add_list_item\" aria-label=\"Ajouter une autre ligne\" onclick=\"gformAddListItem(this, 4)\" onkeypress=\"gformAddListItem(this, 4)\"><img decoding=\"async\" src=\"https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Ajouter une nouvelle ligne\"><\/a>   <a href=\"javascript:void(0);\" class=\"delete_list_item\" aria-label=\"Supprimer cette ligne\" onclick=\"gformDeleteListItem(this, 4)\" onkeypress=\"gformDeleteListItem(this, 4)\" style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Supprimer cette ligne\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_5_60\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">Informations bancaires<\/h2><\/li><li id=\"field_5_61\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_61\">Nom de votre banque<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_61\" id=\"input_5_61\" type=\"text\" value=\"\" class=\"medium\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_62\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_62\">Nom du contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_62\" id=\"input_5_62\" type=\"text\" value=\"\" class=\"medium\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_63\" class=\"gfield gfield--type-address field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Adresse<\/label>    \n                    <div class=\"ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row\" id=\"input_5_63\">\n                         <span class=\"ginput_full address_line_1 ginput_address_line_1 gform-grid-col\" id=\"input_5_63_1_container\">\n                                        <input type=\"text\" name=\"input_63.1\" id=\"input_5_63_1\" value=\"\" placeholder=\"Adresse (rue)\" aria-required=\"false\">\n                                        <label for=\"input_5_63_1\" id=\"input_5_63_1_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Adresse postale<\/label>\n                                    <\/span><span class=\"ginput_full address_line_2 ginput_address_line_2 gform-grid-col\" id=\"input_5_63_2_container\">\n                                        <input type=\"text\" name=\"input_63.2\" id=\"input_5_63_2\" value=\"\" placeholder=\"Ligne d&#039;adresse 2\" aria-required=\"false\">\n                                        <label for=\"input_5_63_2\" id=\"input_5_63_2_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Adresse ligne 2<\/label>\n                                    <\/span><span class=\"ginput_left address_city ginput_address_city gform-grid-col\" id=\"input_5_63_3_container\">\n                                    <input type=\"text\" name=\"input_63.3\" id=\"input_5_63_3\" value=\"\" placeholder=\"Ville\" aria-required=\"false\">\n                                    <label for=\"input_5_63_3\" id=\"input_5_63_3_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Ville<\/label>\n                                 <\/span><span class=\"ginput_right address_state ginput_address_state gform-grid-col\" id=\"input_5_63_4_container\">\n                                        <input type=\"text\" name=\"input_63.4\" id=\"input_5_63_4\" value=\"\" placeholder=\"Etat \/ Province\" aria-required=\"false\">\n                                        <label for=\"input_5_63_4\" id=\"input_5_63_4_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class=\"ginput_left address_zip ginput_address_zip gform-grid-col\" id=\"input_5_63_5_container\">\n                                    <input type=\"text\" name=\"input_63.5\" id=\"input_5_63_5\" value=\"\" placeholder=\"Code postal\" aria-required=\"false\">\n                                    <label for=\"input_5_63_5\" id=\"input_5_63_5_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">ZIP \/ Code postal<\/label>\n                                <\/span><span class=\"ginput_right address_country ginput_address_country gform-grid-col\" id=\"input_5_63_6_container\">\n                                        <select name=\"input_63.6\" id=\"input_5_63_6\" aria-required=\"false\"><option value=\"\" selected>Pays<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Afrique du Sud\">Afrique du Sud<\/option><option value=\"Albanie\">Albanie<\/option><option value=\"Alg&eacute;rie\">Alg\u00e9rie<\/option><option value=\"Allemagne\">Allemagne<\/option><option value=\"Andorre\">Andorre<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctique\">Antarctique<\/option><option value=\"Antigua-et-Barbuda\">Antigua-et-Barbuda<\/option><option value=\"Arabie Saoudite\">Arabie Saoudite<\/option><option value=\"Argentine\">Argentine<\/option><option value=\"Arm&eacute;nie\">Arm\u00e9nie<\/option><option value=\"Aruba\">Aruba<\/option><option value=\"Australie\">Australie<\/option><option value=\"Autriche\">Autriche<\/option><option value=\"Azerba&iuml;djan\">Azerba\u00efdjan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahre&iuml;n\">Bahre\u00efn<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Belarus\">B\u00e9larus<\/option><option value=\"Belgique\">Belgique<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bermudes\">Bermudes<\/option><option value=\"Bhoutan\">Bhoutan<\/option><option value=\"Bolivie\">Bolivie<\/option><option value=\"Bonaire, Saint-Eustache et Saba\">Bonaire, Saint-Eustache et Saba<\/option><option value=\"Bosnie-Herz&eacute;govine\">Bosnie-Herz\u00e9govine<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Br&eacute;sil\">Br\u00e9sil<\/option><option value=\"Bulgarie\">Bulgarie<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"B&eacute;nin\">B\u00e9nin<\/option><option value=\"Cambodge\">Cambodge<\/option><option value=\"Cameroun\">Cameroun<\/option><option value=\"Canada\">Canada<\/option><option value=\"Cap-Vert\">Cap-Vert<\/option><option value=\"Chili\">Chili<\/option><option value=\"Chine\">Chine<\/option><option value=\"Chypre\">Chypre<\/option><option value=\"Colombie\">Colombie<\/option><option value=\"Comores\">Comores<\/option><option value=\"Congo\">Congo<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Croatie\">Croatie<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cura&ccedil;ao\">Cura\u00e7ao<\/option><option value=\"Czechia\">Tch\u00e9coslovaquie<\/option><option value=\"C&ocirc;te d&rsquo;Ivoire\">C\u00f4te d'Ivoire<\/option><option value=\"Danemark\">Danemark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominique\">Dominique<\/option><option value=\"Espagne\">Espagne<\/option><option value=\"Estonie\">Estonie<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Fidji\">Fidji<\/option><option value=\"Finlande\">Finlande<\/option><option value=\"France\">France<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambie\">Gambie<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Grenade\">Grenade<\/option><option value=\"Groenland\">Groenland<\/option><option value=\"Gr&egrave;ce\">Gr\u00e8ce<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guernesey\">Guernesey<\/option><option value=\"Guin&eacute;e\">Guin\u00e9e<\/option><option value=\"Guin&eacute;e Fran&ccedil;aise\">Guin\u00e9e Fran\u00e7aise<\/option><option value=\"Guin&eacute;e &eacute;quatoriale\">Guin\u00e9e \u00e9quatoriale<\/option><option value=\"Guin&eacute;e-Bissau\">Guin\u00e9e-Bissau<\/option><option value=\"Guyane\">Guyane<\/option><option value=\"G&eacute;orgie\">G\u00e9orgie<\/option><option value=\"Ha&iuml;ti\">Ha\u00efti<\/option><option value=\"Heard Island and McDonald Islands\">\u00cele Heard et \u00eeles McDonald<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hongrie\">Hongrie<\/option><option value=\"Iles Aland\">Iles Aland<\/option><option value=\"Inde\">Inde<\/option><option value=\"Indon&eacute;sie\">Indon\u00e9sie<\/option><option value=\"Irak\">Irak<\/option><option value=\"Iran\">L'Iran<\/option><option value=\"Irlande\">Irlande<\/option><option value=\"Islande\">Islande<\/option><option value=\"Isra&euml;l\">Isra\u00ebl<\/option><option value=\"Italie\">Italie<\/option><option value=\"Jama&iuml;que\">Jama\u00efque<\/option><option value=\"Japon\">Japon<\/option><option value=\"Jersey\">Jersey<\/option><option value=\"Jordanie\">Jordanie<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kirghizistan\">Kirghizistan<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\">Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value=\"Korea, Republic of\">Cor\u00e9e, R\u00e9publique de<\/option><option value=\"Kowe&iuml;t\">Kowe\u00eft<\/option><option value=\"La Barbade\">La Barbade<\/option><option value=\"La R&eacute;union\">La R\u00e9union<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Lettonie\">Lettonie<\/option><option value=\"Liban\">Liban<\/option><option value=\"Liberia\">Lib\u00e9ria<\/option><option value=\"Libye\">Libye<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lituanie\">Lituanie<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macao\">Macao<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malaisie\">Malaisie<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malte\">Malte<\/option><option value=\"Maroc\">Maroc<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritanie\">Mauritanie<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexique\">Mexique<\/option><option value=\"Micron&eacute;sie\">Micron\u00e9sie<\/option><option value=\"Moldavie\">Moldavie<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolie\">Mongolie<\/option><option value=\"Montserrat\">Montserrat<\/option><option value=\"Mont&eacute;n&eacute;gro\">Mont\u00e9n\u00e9gro<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibie\">Namibie<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nig&eacute;ria\">Nig\u00e9ria<\/option><option value=\"Niue\">Niue<\/option><option value=\"North Macedonia\">Mac\u00e9doine du Nord<\/option><option value=\"Norv&egrave;ge\">Norv\u00e8ge<\/option><option value=\"Nouvelle Cal&eacute;donie\">Nouvelle Cal\u00e9donie<\/option><option value=\"Nouvelle-Z&eacute;lande\">Nouvelle-Z\u00e9lande<\/option><option value=\"N&eacute;pal\">N\u00e9pal<\/option><option value=\"Oman\">Oman<\/option><option value=\"Ouganda\">Ouganda<\/option><option value=\"Ouzb&eacute;kistan\">Ouzb\u00e9kistan<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papouasie-Nouvelle-Guin&eacute;e\">Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Pays-Bas\">Pays-Bas<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Pologne\">Pologne<\/option><option value=\"Polyn&eacute;sie fran&ccedil;aise\">Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"Porto Rico\">Porto Rico<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"P&eacute;rou\">P\u00e9rou<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Roumanie\">Roumanie<\/option><option value=\"Royaume-Uni\">Royaume-Uni<\/option><option value=\"Russian Federation\">F\u00e9d\u00e9ration de Russie<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"R&eacute;publique Dominicaine\">R\u00e9publique Dominicaine<\/option><option value=\"R&eacute;publique centrafricaine\">R\u00e9publique centrafricaine<\/option><option value=\"R&eacute;publique d&eacute;mocratique du Congo\">R\u00e9publique d\u00e9mocratique du Congo<\/option><option value=\"R&eacute;publique d&eacute;mocratique populaire Lao\">R\u00e9publique d\u00e9mocratique populaire Lao<\/option><option value=\"Sahara occidental\">Sahara occidental<\/option><option value=\"Saint Barth&eacute;lemy\">Saint Barth\u00e9lemy<\/option><option value=\"Saint Helena, Ascension and Tristan da Cunha\">Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value=\"Saint Martin\">Saint Martin<\/option><option value=\"Saint-Christophe-et-Nevis\">Saint-Christophe-et-Nevis<\/option><option value=\"Saint-Marin\">Saint-Marin<\/option><option value=\"Saint-Martin\">Saint-Martin<\/option><option value=\"Saint-Pierre-et-Miquelon\">Saint-Pierre-et-Miquelon<\/option><option value=\"Saint-Si&egrave;ge\">Saint-Si\u00e8ge<\/option><option value=\"Saint-Vincent-et-les Grenadines\">Saint-Vincent-et-les Grenadines<\/option><option value=\"Sainte-Lucie\">Sainte-Lucie<\/option><option value=\"Salvador\">Salvador<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Samoa am&eacute;ricaines\">Samoa am\u00e9ricaines<\/option><option value=\"Sao Tom&eacute; et Principe\">Sao Tom\u00e9 et Principe<\/option><option value=\"Serbie\">Serbie<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapour\">Singapour<\/option><option value=\"Slovaquie\">Slovaquie<\/option><option value=\"Slov&eacute;nie\">Slov\u00e9nie<\/option><option value=\"Somalie\">Somalie<\/option><option value=\"Soudan\">Soudan<\/option><option value=\"Soudan du Sud\">Soudan du Sud<\/option><option value=\"South Georgia and the South Sandwich Islands\">G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Suisse\">Suisse<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Su&egrave;de\">Su\u00e8de<\/option><option value=\"Svalbard and Jan Mayen\">Svalbard et Jan Mayen<\/option><option value=\"Syria Arab Republic\">R\u00e9publique arabe syrienne<\/option><option value=\"S&eacute;n&eacute;gal\">S\u00e9n\u00e9gal<\/option><option value=\"Tadjikistan\">Tadjikistan<\/option><option value=\"Tanzania, the United Republic of\">Tanzanie, R\u00e9publique unie de<\/option><option value=\"Ta&iuml;wan\">Ta\u00efwan<\/option><option value=\"Tchad\">Tchad<\/option><option value=\"Terres australes Fran&ccedil;aises\">Terres australes Fran\u00e7aises<\/option><option value=\"Territoire britannique de l'oc&eacute;an Indien\">Territoire britannique de l'oc\u00e9an Indien<\/option><option value=\"Tha&iuml;lande\">Tha\u00eflande<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinit&eacute; et Tobago\">Trinit\u00e9 et Tobago<\/option><option value=\"Tunisie\">Tunisie<\/option><option value=\"Turkm&eacute;nistan\">Turkm\u00e9nistan<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"T&uuml;rkiye\">T\u00fcrkiye<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Viet Nam\">Viet Nam<\/option><option value=\"Wallis et Futuna\">Wallis et Futuna<\/option><option value=\"Y&eacute;men\">Y\u00e9men<\/option><option value=\"Zambie\">Zambie<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"&Eacute;gypte\">\u00c9gypte<\/option><option value=\"&Eacute;mirats arabes unis\">\u00c9mirats arabes unis<\/option><option value=\"&Eacute;quateur\">\u00c9quateur<\/option><option value=\"&Eacute;rythr&eacute;e\">\u00c9rythr\u00e9e<\/option><option value=\"&Eacute;tat palestinien\">\u00c9tat palestinien<\/option><option value=\"&Eacute;tats-Unis\">\u00c9tats-Unis<\/option><option value=\"&Eacute;thiopie\">\u00c9thiopie<\/option><option value=\"&Icirc;le Bouvet\">\u00cele Bouvet<\/option><option value=\"&Icirc;le Maurice\">\u00cele Maurice<\/option><option value=\"&Icirc;le de Man\">\u00cele de Man<\/option><option value=\"&Icirc;le de Norfolk\">\u00cele de Norfolk<\/option><option value=\"&Icirc;le de No&euml;l\">\u00cele de No\u00ebl<\/option><option value=\"&Icirc;les Cayman\">\u00celes Cayman<\/option><option value=\"&Icirc;les Cocos\">\u00celes Cocos<\/option><option value=\"&Icirc;les Cook\">\u00celes Cook<\/option><option value=\"&Icirc;les Falkland\">\u00celes Falkland<\/option><option value=\"&Icirc;les F&eacute;ro&eacute;\">\u00celes F\u00e9ro\u00e9<\/option><option value=\"&Icirc;les Mariannes du Nord\">\u00celes Mariannes du Nord<\/option><option value=\"&Icirc;les Marshall\">\u00celes Marshall<\/option><option value=\"&Icirc;les Salomon\">\u00celes Salomon<\/option><option value=\"&Icirc;les Turques-et-Ca&iuml;ques\">\u00celes Turques-et-Ca\u00efques<\/option><option value=\"&Icirc;les Vierges am&eacute;ricaines\">\u00celes Vierges am\u00e9ricaines<\/option><option value=\"&Icirc;les Vierges britanniques\">\u00celes Vierges britanniques<\/option><option value=\"&Icirc;les mineures &eacute;loign&eacute;es des &Eacute;tats-Unis\">\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><\/select>\n                                        <label for=\"input_5_63_6\" id=\"input_5_63_6_label\" class=\"gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text\">Paye<\/label>\n                                    <\/span>\n                    <div class=\"gf_clear gf_clear_complex\"><\/div>\n                <\/div><\/li><li id=\"field_5_64\" class=\"gfield gfield--type-phone gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_64\">T\u00e9l\u00e9phone<\/label><div class=\"ginput_container ginput_container_phone\"><input name=\"input_64\" id=\"input_5_64\" type=\"tel\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_65\" class=\"gfield gfield--type-email gf_right_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_65\">Courriel<\/label><div class=\"ginput_container ginput_container_email\">\n                            <input name=\"input_65\" id=\"input_5_65\" type=\"email\" value=\"\" class=\"medium\" aria-invalid=\"false\">\n                        <\/div><\/li><li id=\"field_5_66\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><h2 class=\"gsection_title\">R\u00e9f\u00e9rences commerciales<\/h2><\/li><li id=\"field_5_67\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Veuillez indiquer les entreprises que Prime Freight peut contacter \u00e0 des fins de r\u00e9f\u00e9rence.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_list ginput_list\"><table class=\"gfield_list gfield_list_container\"><colgroup><col id=\"gfield_list_67_col_1\" class=\"gfield_list_col_odd\"><col id=\"gfield_list_67_col_2\" class=\"gfield_list_col_even\"><col id=\"gfield_list_67_col_3\" class=\"gfield_list_col_odd\"><col id=\"gfield_list_67_col_4\" class=\"gfield_list_col_even\"><col id=\"gfield_list_67_col_5\" class=\"gfield_list_col_odd\"><col id=\"gfield_list_67_col_6\" class=\"gfield_list_col_even\"><\/colgroup><thead><tr><th scope=\"col\">Nom de l'entreprise<\/th><th scope=\"col\">Nom du contact<\/th><th scope=\"col\">Adresse<\/th><th scope=\"col\">T\u00e9l\u00e9phone<\/th><th scope=\"col\">Adresse \u00e9lectronique<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class=\"gfield_list_row_odd gfield_list_group\"><td class=\"gfield_list_cell gfield_list_67_cell1\" data-label=\"Company Name\"><input aria-invalid=\"false\" aria-required=\"true\" aria-label=\"Nom de l&#039;entreprise, ligne 1\" data-aria-label-template=\"Company Name, Row {0}\" type=\"text\" name=\"input_67[]\" value=\"\"><\/td><td class=\"gfield_list_cell gfield_list_67_cell2\" data-label=\"Contact Name\"><input aria-invalid=\"false\" aria-required=\"true\" aria-label=\"Nom du contact, ligne 1\" data-aria-label-template=\"Contact Name, Row {0}\" type=\"text\" name=\"input_67[]\" value=\"\"><\/td><td class=\"gfield_list_cell gfield_list_67_cell3\" data-label=\"Address\"><input aria-invalid=\"false\" aria-required=\"true\" aria-label=\"Adresse, rang\u00e9e 1\" data-aria-label-template=\"Address, Row {0}\" type=\"text\" name=\"input_67[]\" value=\"\"><\/td><td class=\"gfield_list_cell gfield_list_67_cell4\" data-label=\"Telephone\"><input aria-invalid=\"false\" aria-required=\"true\" aria-label=\"T\u00e9l\u00e9phone, rang\u00e9e 1\" data-aria-label-template=\"Telephone, Row {0}\" type=\"text\" name=\"input_67[]\" value=\"\"><\/td><td class=\"gfield_list_cell gfield_list_67_cell5\" data-label=\"E-mail Address\"><input aria-invalid=\"false\" aria-required=\"true\" aria-label=\"Adresse \u00e9lectronique, rang\u00e9e 1\" data-aria-label-template=\"E-mail Address, Row {0}\" type=\"text\" name=\"input_67[]\" value=\"\"><\/td><td class=\"gfield_list_icons\">   <a href=\"javascript:void(0);\" class=\"add_list_item\" aria-label=\"Ajouter une autre ligne\" onclick=\"gformAddListItem(this, 5)\" onkeypress=\"gformAddListItem(this, 5)\"><img decoding=\"async\" src=\"https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Ajouter une nouvelle ligne\"><\/a>   <a href=\"javascript:void(0);\" class=\"delete_list_item\" aria-label=\"Supprimer cette ligne\" onclick=\"gformDeleteListItem(this, 5)\" onkeypress=\"gformDeleteListItem(this, 5)\" style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Supprimer cette ligne\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class=\"gform-page-footer gform_page_footer top_label\">\n                        <input type=\"button\" id=\"gform_previous_button_5_55\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"> <input type=\"button\" id=\"gform_next_button_5_55\" class=\"gform_next_button gform-theme-button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"next\" value=\"Continuer\"> \n                    <\/div>\n                <\/div>\n                <div id=\"gform_page_5_3\" class=\"gform_page btn-continue\" data-js=\"page-field-id-55\" style=\"display:none;\">\n                    <div class=\"gform_page_fields\">\n                        <ul id=\"gform_fields_5_3\" class=\"gform_fields top_label form_sublabel_below description_below validation_below\"><li id=\"field_5_24\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_24\">Pr\u00e9nom :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_24\" id=\"input_5_24\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_25\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_25\">Nom de famille :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_25\" id=\"input_5_25\" type=\"text\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\"><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_10\">Adresse \u00e9lectronique :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_email\">\n                            <input name=\"input_10\" id=\"input_5_10\" type=\"email\" value=\"\" class=\"large\" aria-required=\"true\" aria-invalid=\"false\">\n                        <\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label gfield_label_before_complex\">Politique de confidentialit\u00e9 :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_container_consent\"><input name=\"input_12.1\" id=\"input_5_12_1\" type=\"checkbox\" value=\"1\" aria-required=\"true\" aria-invalid=\"false\"> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for=\"input_5_12_1\">J'accepte <a href=\"https:\/\/www.primefreight.com\/fr\/conditions-generales\/\" style=\"text-decoration:underline;\" target=\"_blank\">Conditions g\u00e9n\u00e9rales d'utilisation<\/a> et <a href=\"https:\/\/www.primefreight.com\/fr\/politique-de-confidentialite\/\" style=\"text-decoration:underline;\" target=\"_blank\">Politique de confidentialit\u00e9<\/a><\/label><input type=\"hidden\" name=\"input_12.2\" value='I Agree to &lt;a href=\"https:\/\/www.primefreight.com\/terms-and-conditions\/\" style=\"text-decoration:underline;\" target=\"_blank\" &gt;Terms and Conditions&lt;\/a&gt; and &lt;a href=\"https:\/\/www.primefreight.com\/privacy-policy\/\" style=\"text-decoration:underline;\" target=\"_blank\" &gt;Privacy Policy&lt;\/a&gt;' class=\"gform_hidden\"><input type=\"hidden\" name=\"input_12.3\" value=\"1\" class=\"gform_hidden\"><\/div><\/li><li id=\"field_5_46\" class=\"gfield gfield--type-signature field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_46\">Signature<\/label><input type=\"hidden\" value=\"\" name=\"input_46\" id=\"input_5_46_signature_filename\"><div class=\"gfield_signature_ui_container gform-theme__no-reset--children\"><div id=\"input_5_46_Container\" class=\"gfield_signature_container ginput_container\" style=\"height:180px; width:300px; \"><canvas id=\"input_5_46\" width=\"300\" height=\"180\" style=\"border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\"><\/canvas><\/div><div id=\"input_5_46_toolbar\" style=\"margin:5px 0;position:relative;height:20px;width:300px;max-width:100%;\"><img decoding=\"async\" id=\"input_5_46_resetbutton\" src=\"data:image\/png;base64,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\" style=\"cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent\" alt=\"Clear Signature\"><\/div><input type=\"hidden\" id=\"input_5_46_data\" name=\"input_5_46_data\" value=\"\"><\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"><label class=\"gfield_label gform-field-label\" for=\"input_5_15\">CAPTCHA<\/label><div id=\"input_5_15\" class=\"ginput_container ginput_recaptcha\" data-sitekey=\"6LdyFZUUAAAAAN1i_Nt8R0AhVyfr40xYguhJw3W5\" data-theme=\"light\" data-tabindex=\"0\" data-badge=\"\"><\/div><\/li><li id=\"field_5_70\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class=\"gfield_label gform-field-label\" for=\"input_5_70\">v\u00e9rification de la r\u00e9servation<\/label><div class=\"ginput_container ginput_container_text\"><input name=\"input_70\" id=\"input_5_70\" type=\"text\" value=\"\" class=\"medium\" aria-invalid=\"false\"><\/div><\/li><\/ul><\/div>\n        <div class=\"gform-page-footer gform_page_footer top_label\"><input type=\"submit\" id=\"gform_previous_button_5\" class=\"gform_previous_button gform-theme-button gform-theme-button--secondary button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"previous\" value=\"Pr\u00e9c\u00e9dent\"> <input type=\"submit\" id=\"gform_submit_button_5\" class=\"gform_button button\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\" value=\"Soumettre\"> <input type=\"hidden\" name=\"gform_ajax\" value=\"form_id=5&amp;title=1&amp;description=1&amp;tabindex=0&amp;theme=legacy&amp;styles=[]&amp;hash=7059df16d5a708075256e4317aa27b74\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_submission_method\" data-js=\"gform_submission_method_5\" value=\"iframe\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_theme\" data-js=\"gform_theme_5\" id=\"gform_theme_5\" value=\"legacy\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_style_settings\" data-js=\"gform_style_settings_5\" id=\"gform_style_settings_5\" value=\"[]\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"is_submit_5\" value=\"1\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_submit\" value=\"5\">\n            \n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_currency\" data-currency=\"USD\" value=\"Q1Pp2NRXs2kbv2nY0VisNp14vCb7Y8H5brMfbS\/QfnxY6tnlUobZdTVsytEnzRspd77mPkej4\/n0zyghsejHuaBFk3yXPu\/hH5PzdjOjbJaTi14=\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"gform_unique_id\" value=\"\">\n            <input type=\"hidden\" class=\"gform_hidden\" name=\"state_5\" value=\"WyJ7XCIxMi4xXCI6XCJhZTYyMGFkOTI1ZDk4Y2RlOTE3NzIzMjg1YmM1MTA5NlwiLFwiMTIuMlwiOlwiNTMzMWFlNzJjZGM0ZTYyZTJjMTY4MTFmMDQxNjI0ZjhcIixcIjEyLjNcIjpcImFlNjIwYWQ5MjVkOThjZGU5MTc3MjMyODViYzUxMDk2XCJ9IiwiNmE2NTYwMjMwODZkNmNmY2RkNjc2M2ZhM2NkZTY0ZTkiXQ==\">\n            <input type=\"hidden\" autocomplete=\"off\" class=\"gform_hidden\" name=\"gform_target_page_number_5\" id=\"gform_target_page_number_5\" value=\"2\">\n            <input type=\"hidden\" autocomplete=\"off\" class=\"gform_hidden\" name=\"gform_source_page_number_5\" id=\"gform_source_page_number_5\" value=\"1\">\n            <input type=\"hidden\" name=\"gform_field_values\" value=\"\">\n            \n        <\/div>\n             <\/div><\/div>\n                        <input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n                        <\/div>\n\t\t                <iframe style=\"display:none;width:0px;height:0px;\" src=\"about:blank\" name=\"gform_ajax_frame_5\" id=\"gform_ajax_frame_5\" title=\"Cette iframe contient la logique n\u00e9cessaire pour manipuler Gravity Forms avec AJAX\"><\/iframe>\n\t\t                <script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_5').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/www.primefreight.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_5').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n<\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Sign Up &Eacute;tape 1 de 3 33% InstagramCe champ n&rsquo;est utilis&eacute; qu&rsquo;&agrave; des fins de validation et devrait rester inchang&eacute;.This field is hidden when viewing the formbooking_idThis field is hidden when viewing the formbooking_verificationCompany Name*Where do you ship from ?Where do you ship to ?What","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tpl-signup.php","meta":{"content-type":"","_mbp_gutenberg_autopost":false,"footnotes":""},"class_list":["post-1053","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/pages\/1053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/comments?post=1053"}],"version-history":[{"count":19,"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/pages\/1053\/revisions"}],"predecessor-version":[{"id":2640,"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/pages\/1053\/revisions\/2640"}],"wp:attachment":[{"href":"https:\/\/www.primefreight.com\/fr\/wp-json\/wp\/v2\/media?parent=1053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}