CINXE.COM
Soutenez Terre de Liens
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if(typeof $.cookie == 'undefined' || !$.cookie('DntManager')){ console.log = function(){}; } if(typeof(String.prototype.replaceAll) == 'undefined') String.prototype.replaceAll = String.prototype.replace; var ira_form_version = 'b'; Common.price_pattern = "1,22 \u20ac" Common.price_default_currency = "EUR" Common.price_campaign_currency = "EUR" Common.price_currencies = {"EUR":"\u20ac","USD":"$","AED":"DH","AFN":"AFN","ALL":"Lek","AMD":"AMD","ANG":"ANG","AOA":"Kz","ARS":"$","AUD":"$","AWG":"AWG","AZN":"AZN","BAM":"KM","BBD":"BBD","BDT":"\u09f3","BGN":"\u043b\u0432","BHD":".\u062f.\u0628 ","BIF":"BIF","BMD":"BMD","BND":"B$","BOB":"BOB","BRL":"R$","BSD":"BSD","BTC":"BTC","BTN":"BTN","BWP":"BWP","BYN":"BYN","BYR":"p.","BZD":"BZD","CAD":"$","CDF":"CDF","CHF":"CHF","CLF":"CLF","CLP":"$","CNY":"CN\u00a5","COP":"$","CRC":"CRC","CUC":"CUC","CUP":"CUP","CVE":"CVE","CYP":"\u00a3","CZK":"K\u010d","DJF":"DJF","DKK":"DKK","DOP":"DOP","DZD":"D.A.","EGP":"E\u00a3","ERN":"ERN","ETB":"ETB","FJD":"FJD","FKP":"FKP","GBP":"\u00a3","GEL":"GEL","GGP":"GGP","GHS":"GH\u20b5","GIP":"GIP","GMD":"GMD","GNF":"GNF","GTQ":"Q","GYD":"GYD","HKD":"$","HNL":"HNL","HRK":"kn","HTG":"HTG","HUF":"Ft","IDR":"Rp","ILS":"\u20aa","IMP":"IMP","INR":"\u20b9","IQD":"\u062f.\u0639","IRR":"IRR","ISK":"kr","JEP":"JEP","JMD":"JMD","JOD":"\u062f.\u0623","JPY":"\u00a5","KES":"KES","KGS":"KGS","KHR":"KHR","KMF":"KMF","KPW":"KPW","KRW":"\u20a9","KWD":"\u062f.\u0643 ","KYD":"KYD","KZT":"KZT","LAK":"LAK","LBP":"\u0644.\u0644.","LKR":"LKR","LRD":"LRD","LSL":"LSL","LTL":"LTL","LVL":"LVL","LYD":"LYD","MAD":"\u062f.\u0645","MDL":"MDL","MGA":"MGA","MKD":"\u0434\u0435\u043d","MMK":"MMK","MNT":"MNT","MOP":"MOP","MRO":"MRO","MUR":"MUR","MVR":"MVR","MWK":"MWK","MXN":"MX$","MYR":"RM","MZN":"MZN","NAD":"NAD","NGN":"\u20a6","NIO":"NIO","NOK":"kr","NPR":"NPR","NZD":"$","OMR":"\u0631.\u0639.","PAB":"PAB","PEN":"S\/.","PGK":"PGK","PHP":"\u20b1","PKR":"\u20a8","PLN":"z\u0142","PYG":"Gs","QAR":"QR","RON":"RON","RSD":"RSD","RUB":"\u0440\u0443\u0431","RWF":"RF","SAR":"SR","SBD":"SBD","SCR":"SCR","SDG":"SDG","SEK":"kr","SGD":"$","SHP":"SHP","SLL":"SLL","SOS":"SOS","SRD":"SRD","STD":"STD","SVC":"SVC","SYP":"SYP","SZL":"SZL","THB":"\u0e3f","TJS":"TJS","TMT":"TMT","TND":"DT","TOP":"TOP","TRY":"\u20ba","TTD":"TTD","TWD":"TWD","TZS":"TZS","UAH":"\u20b4","UGX":"UGX","UYU":"$U","UZS":"UZS","VEF":"VEF","VES":"Bs. 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Step1.tax_reduction_ceils = {"ir":[],"isf":[66666.67],"corp":[],"custom1":[],"custom2":[]}; Step1.tax_reduction_notices = {"ir":"dans la limite de 20% du revenu imposable","isf":"sur votre IFI, dans la limite de 50 000\u20ac","corp":"sur votre IS, dans la limite de 0,5% de votre chiffre d'affaires annuel","custom1":"","custom2":""}; Step1.tax_reduction_triggers = {"ir":"0","isf":"0","corp":"0","custom1":"0","custom2":"0"}; Step1.active_tax_reduction = 1; Step1.adapt_tax_bloc = false; Step1.tax_info = "Votre don ne vous co\u00fbte r\u00e9ellement que <strong><span class='price'><data class='price_amount'>%s<\/data> <data class='price_currency'>\u20ac<\/data><\/span><\/strong> apr\u00e8s r\u00e9duction fiscale (r\u00e9duction de <span class='price'><data class='price_amount'>%d<\/data> <data class='price_currency'>\u20ac<\/data><\/span>[notice])"; Step1.is_french_isf = 0; Step1.is_tipping_campaign = 0; Step1.amount_equivalences = {"once":[],"regular":[]} Step1.decimal_sep = ","; Step1.min_once_amount = 0; Step1.max_once_amount = 10000000; Step1.min_regular_amount = 0; Step1.max_regular_amount = 10000000; DntErrors.errorMsg.errors = "%s erreurs ont \u00e9t\u00e9 trouv\u00e9es dans le formulaire"; DntErrors.errorMsg.error = "1 erreur a \u00e9t\u00e9 trouv\u00e9e dans le formulaire"; DntErrors.errorMsg.choose_amount = "Vous devez choisir un montant pour votre don"; DntErrors.errorMsg.min_once_amount = "En raison de frais de traitement, le montant minimum accept\u00e9 pour un don est de {min_amount_with_currency} "; DntErrors.errorMsg.max_once_amount = "Votre don ne peut pas \u00eatre sup\u00e9rieur \u00e0 {max_amount_with_currency} "; DntErrors.errorMsg.min_regular_amount = "En raison de frais de traitement, le montant minimum accept\u00e9 pour un don est de {min_amount_with_currency} "; DntErrors.errorMsg.max_regular_amount = "Votre don ne peut pas \u00eatre sup\u00e9rieur \u00e0 {max_amount_with_currency} "; DntErrors.errorMsg.errors = "%s erreurs ont \u00e9t\u00e9 trouv\u00e9es dans le formulaire"; DntErrors.errorMsg.error = "1 erreur a \u00e9t\u00e9 trouv\u00e9e dans le formulaire"; DntErrors.errorMsg.qualification = "Le champ \u00ab %s \u00bb est obligatoire"; DntErrors.errorMsg.firstname = "Vous devez saisir votre pr\u00e9nom"; DntErrors.errorMsg.lastname = "Vous devez saisir votre nom"; DntErrors.errorMsg.email = "Vous devez saisir une adresse email valide"; DntErrors.errorMsg.company = "La raison sociale ne doit pas d\u00e9passer 70 caract\u00e8res"; DntErrors.errorMsg.company_siren = "Le SIREN est vide ou invalide"; DntErrors.errorMsg.company_status = "La forme juridique est vide ou inconnue"; DntErrors.errorMsg.address1 = "Vous devez saisir votre adresse (38 caract\u00e8res maximum)"; DntErrors.errorMsg.address2 = "Le compl\u00e9ment d'adresse ne doit pas exc\u00e9der 38 caract\u00e8res"; DntErrors.errorMsg.postcode = "Vous devez saisir votre code postal (10 caract\u00e8res maximum)"; DntErrors.errorMsg.city = "Vous devez saisir votre ville (38 caract\u00e8res maximum)"; DntErrors.errorMsg.civility = "Vous devez s\u00e9lectionner votre civilit\u00e9"; DntErrors.errorMsg.errors = "%s erreurs ont \u00e9t\u00e9 trouv\u00e9es dans le formulaire"; DntErrors.errorMsg.error = "1 erreur a \u00e9t\u00e9 trouv\u00e9e dans le formulaire"; DntErrors.errorMsg.cardtype = "S\u00e9lectionnez votre type de carte bancaire"; DntErrors.errorMsg.cardnumber = "Saisissez correctement les chiffres de votre carte bancaire"; DntErrors.errorMsg.cardscode = DntErrors.errorMsg.scode = "Saisissez correctement les chiffres du code de s\u00e9curit\u00e9 situ\u00e9s au dos de votre carte bancaire"; DntErrors.errorMsg.cardmonth = "S\u00e9lectionnez le mois d'expiration de votre carte bancaire"; DntErrors.errorMsg.cardyear = "S\u00e9lectionnez l'ann\u00e9e d'expiration de votre carte bancaire"; DntErrors.errorMsg.gocardless = "Ce mode de paiement implique un montant inf\u00e9rieur \u00e0 5000\u20ac. 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Nous vous invitons dans ce cas à accepter les cookies, afin que nous puissions collecter des informations statistiques et marketing importantes pour nous.\u00a0<br \/>\r\nMerci pour votre engagement !<\/p>\r\n","widgets_cookies_banner_button":"Acc\u00e9der \u00e0 vos pr\u00e9f\u00e9rences cookies","widgets_cookies_banner_button_fr_FR":"Acc\u00e9der \u00e0 vos pr\u00e9f\u00e9rences cookies","widgets_most_popular_once":"false","widgets_most_popular_once_amount":"","widgets_most_popular_once_title":"","widgets_most_popular_once_title_fr_FR":"","widgets_most_popular_once_text":"","widgets_most_popular_once_text_fr_FR":"","widgets_most_popular_regular":"false","widgets_most_popular_regular_amount":"","widgets_most_popular_regular_title":"","widgets_most_popular_regular_title_fr_FR":"","widgets_most_popular_regular_text":"","widgets_most_popular_regular_text_fr_FR":"","--main-action-color":"#B27A13","--main-action-color-lighter":"#d59836","--description-color":"#B27A13E3","--information-color":"#B27A13","--column-background-color":"#FFFFFFED","--banner-color":"#B27A13","--banner-color-darker":"#683b00"}; 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campaign_currency = "EUR"; iraiser_counter = ''; client_livecounter = "tdliens"; bymonth = 'par mois'; i18n = []; checkoutPage = ''; </script> <script id="javascript_arya" type="text/javascript" src="https://soutenir.terredeliens.org/themes/default/arya/dist/v3.8/arya.js?v=24070" ></script> <link type="text/css" href="https://soutenir.terredeliens.org/themes/default/arya/dist/v3.8/arya.css?v=24070" rel="stylesheet" /> <style> /*fix select2 width*/ .select2-container .select2-selection--single .select2-selection__rendered { white-space:normal; } </style> <script src="//code.jquery.com/ui/1.11.4/jquery-ui.js"></script> <!--<link rel="stylesheet" href="//code.jquery.com/ui/1.11.4/themes/smoothness/jquery-ui.css">--> <script> $(document).ready(function() { // remplace IBAN/BIC par Prélevement automatique //$('input[name="payment_mode-iban"]').val('Prélèvement').val()) $('p[name="reserved_signelec"]').hide(); // masque les champs passé en URL $('p[name="reserved_source"]').hide(); $('p[name="reserved_page_prec"]').hide(); $("p[name='reserved_consentement']").hide(); // masque le champ "j'accepte les communications" $("p[name='reserved_Affectation']").hide(); // permet de gérer l'affectation du don $('p[name="reserved_dedie_region"] select').change(function(){ var selectedregions = $('p[name="reserved_dedie_region"] select option:selected').val(); $('p[name="reserved_dedie_region"] select option').attr('disabled', false); }); // Affectation $('input[name="reserved_Affectation"]').click(function(){ var radioValue = $('input[name="reserved_Affectation"]:checked').val(); }); $('input[name="reserved_Affectation"]').change(function(){ var radioValue = $('input[name="reserved_Affectation"]:checked').val(); //Cas : toutes les actions Fondation if(radioValue == 'ALL'){ $('p[name="reserved_dedie_region"] select option').prop('disabled', false); //$('p[name="reserved_dedie_region"] select option').prop('disabled', false); } //Cas : une région if(radioValue == 'DEDIEEREGION'){ $('p[name="reserved_dedie_region"]').show(); } }); }); </script> </head><body id="type-b" > <!-- Google Tag Manager --> <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-PTZHWZ9');</script> <!-- End Google Tag Manager --> <div id="container"> <div id="header" class="line"> <div class="container" id="header_wrapinner"> <div id="logo" class="unit size3of4"> <h1><a href="https://terredeliens.org" title="Terre de Liens"><img src="/cdn.iraiser.eu/ZBIAyvln3GWAdIzyE6sJ8g==/default/origin/01-LOGO-TDLROUGE150.png" alt="Terre de Liens"/></a></h1> </div> <!-- End Logo --> </div> </div> <!-- End Header --> <div id="_wait"> <div id="floatingCirclesG"> <div class="f_circleG" id="frotateG_01"></div> <div class="f_circleG" id="frotateG_02"></div> <div class="f_circleG" id="frotateG_03"></div> <div class="f_circleG" id="frotateG_04"></div> <div class="f_circleG" id="frotateG_05"></div> <div class="f_circleG" id="frotateG_06"></div> <div class="f_circleG" id="frotateG_07"></div> <div class="f_circleG" id="frotateG_08"></div> </div> </div> <div id="main" class="line"> <div class="container" id="main_wrapinner"> <div id="form-info" class="line"> <div style="text-align: center;"><strong>Le Centre de Ressources est une plateforme créée par Terre de Liens afin de mettre à disposition et de partager<br /> des connaissances utiles au déverrouillage des problématiques foncières</strong>.<br /> <br /> Par votre don vous contribuez directement à financer la production des contenus et à l'animation de la plateforme,<br /> pour outiller toutes les personnes qui voudraient agir. Merci de soutenir cette initiative !</div> </div> <noscript> </noscript> <form action="/b/steps/save" method="post" id="form-steps" autocomplete="off"> <input type="hidden" name="context_form" value="" /> <input type="hidden" name="context_form_id" value="" /> <input type="hidden" name="cid" value="57" /> <input type="hidden" name="lang" value="fr_FR" /> <input type="hidden" name="scope" value="" id="scope"/> <input id="useragent_input_0" type="hidden" name="private_user_agent_cli" value=""/> <script type="text/javascript"> document.getElementById("useragent_input_0").value = navigator.userAgent; </script> <input id="referer_input_0" type="hidden" name="private_referer" value=""/> <script type="text/javascript"> document.getElementById("referer_input_0").value = document.referrer; </script> <input id="random_input_0" type="hidden" name="private_random" value=""/> <script type="text/javascript"> document.getElementById("random_input_0").value = Math.random(); setTimeout(function(){ document.getElementById("random_input_0").value = Math.random(); }, 3000); </script> <div id="step-1" class="unit size1of3"> <div class="step-container"> <div class="step-title"> <h2>Mon don au centre de ressources</h2> </div> <div class="step-content"> <div> <p name="reserved_page_prec" id="reserved_page_prec_id_6741aed6cf87b" data-type="short" > <label for="reserved_page_prec"> <span class="reserved_title">Page N-1 d'accès du form</span> <span id="nameHelp_reserved_page_prec" class="help"></span> </label> <input id="reserved_page_prec" type="text" aria-describedby="nameHelp_reserved_page_prec" name="reserved_page_prec" data-scope="step1" data-required="" value=""/> </p> </div> <div id="once" class="bloc"> <div class="bloc-content"> <h3>Je donne une fois</h3> <div id="bloc-amount-once"> <fieldset class="amount"> <p class="thumbs"><img src="/cdn.iraiser.eu/ZBIAyvln3GWAdIzyE6sJ8g==/default/pricelist_mode/BREZOUARD-6773.jpg" width="256" height="192" alt="Photo" /></p> <ul class="radio-inline line" id="amount-list-once"> <li><label><span id="value_of_amount-once-5000"><data class='price_amount'>50</data> <data class='price_currency'>€</data></span> <input autocomplete="false" name="amount-once" type="radio" value="5000" id="amount-once-5000" /></label></li> <li><label><span id="value_of_amount-once-10000"><data class='price_amount'>100</data> <data class='price_currency'>€</data></span> <input autocomplete="false" name="amount-once" type="radio" value="10000" id="amount-once-10000" /></label></li> <li><label><span id="value_of_amount-once-20000"><data class='price_amount'>200</data> <data class='price_currency'>€</data></span> <input autocomplete="false" name="amount-once" type="radio" value="20000" id="amount-once-20000" /></label></li> <li><label><span id="value_of_amount-once-50000"><data class='price_amount'>500</data> <data class='price_currency'>€</data></span> <input autocomplete="false" name="amount-once" type="radio" value="50000" id="amount-once-50000" /></label></li> </ul> </fieldset> <div class="amount-equivalences"> <p class="amount-equivalences-img"></p> <p class="amount-equivalences-description"></p> </div> <fieldset class="free-amount"> <p><label>Montant libre <input autocomplete="section-famount" name="famount-once" type="text" size="6" id="famount-once" /> <span class="price_currency">€</span> </label></p> </fieldset> <p class="tax-info"></p> <!--<input type="hidden" value="" name="iraiser_analytics_session_id" id="iraiser_analytics_session_id"/>--> <input type="hidden" name="referrer" /> <script type="text/javascript"> try{ $("input[name=referrer]").val(document.referrer); if(document.location.search.indexOf('_cv')>1) { $('input[name=referrer]').after($('<input type="hidden" name="query_string" />').val(document.location.search.substring(1))); } }catch(e){} </script> </div> </div> </div> <div> </div> <div> <p name="reserved_Affectation" id="reserved_Affectation_id_6741aed6d3657" data-type="radio" > <label for="reserved_Affectation"> <span class="reserved_title"> Je choisis de dédier mon don :</span> <span class="required">*</span> <span id="nameHelp_reserved_Affectation" class="help"><br>Les dons dédiés à un territoire ne sont pas éligibles à la réduction fiscale IFI (Impôt sur la Fortune Immobilière)</span> </label> <label for="reserved_Affectation_ALL" class="table"> <input id="reserved_Affectation_ALL" type="radio" name="reserved_Affectation" value="ALL" class="column" data-scope="step1" data-required="1" checked /> <span class="column">aux missions globales de Terre de Liens</span> </label> </p> <p name="reserved_source" id="reserved_source_id_6741aed6d36bd" data-type="short" > <label for="reserved_source"> <span class="reserved_title">Source de l'accès au formulaire</span> <span id="nameHelp_reserved_source" class="help"></span> </label> <input id="reserved_source" type="text" aria-describedby="nameHelp_reserved_source" name="reserved_source" data-scope="step1" data-required="" value=""/> </p> </div> </div> <!-- End Step-content --> <div class="step-info"> <h4>Pourquoi faire un don pour le Centre de Ressources Terre de Liens ? </h4> <div class="step-info-body"> <div style="text-align: center;"> <p style="text-align: left;">L’intention du Centre de ressources est de centraliser et de diffuser des ressources qui, d’une part, explicitent les ressorts et les problématiques liés aux usages et modes de propriété des terres et du bâti agricoles et, d’autre part, qui documentent les pratiques foncières innovantes, citoyennes, publiques et paysannes qui tentent d’y répondre. Disponibles gratuitement, tant en visualisation qu’en téléchargement, les ressources produites et mises à disposition sont considérées comme un commun géré collectivement.<br /> <br /> Par votre don,vous contribuez directement àsoutenir cette initiative, merci !<br /> <br /> <strong>Votre don vous permet également de bénéficier d’une réduction fiscale :</strong></p> <img alt="" src="https://cdn.iraiser.eu/ZBIAyvln3GWAdIzyE6sJ8g==/default/origin/36-66.png" style="width: 265px; height: 222px;" /></div> <ul> <li><strong><u>Pour les particuliers</u></strong> : 66% de votre don est déductible de vos impôts sur le revenu (dans la limite de 20% de vos revenus nets imposables)</li> <li><strong><u>Pour les entreprises</u></strong> : votre don vous ouvre droit à une réduction d’impôt sur l’IS égale à 60 % du montant du don, dans la limite de 5 pour mille du chiffre d’affaires annuel hors taxe.</li> <li><em>Nota bene : les dons dédiés au Centre de Ressources ne sont pas éligibles à l'IFI.</em></li> </ul> </div> </div> <!-- End Step-info --> </div> <!-- End Step-container --> </div> <!-- End Step-1 --> <div id="step-2" class="unit size1of3"> <div class="step-container"> <div class="step-title"> <h2>Mes coordonnées</h2> </div> <div class="step-content"> <fieldset id="fieldset-step2"> <p id="c-email"> <label for="email">Email <span class="required">*</span> <span class="help">Votre adresse email nous sert à vous identifier ! Merci d'utiliser une adresse différente pour chaque personne apportant sa contribution</span></label> <input type="text" name="email" id="email" /> </p> <p name="reserved_consentement" id="reserved_consentement_id_6741aed6d9305" data-type="checkbox" > <label for="reserved_consentement"> <input type="hidden" name="reserved_consentement" value="0" /> <input id="reserved_consentement" type="checkbox" aria-describedby="nameHelp_reserved_consentement" name="reserved_consentement" data-scope="step2" data-required="" value="1" checked /> <span class="reserved_title">J'accepte les communications de Terre de Liens</span> <span id="nameHelp_reserved_consentement" class="help"></span> </label> </p> <fieldset id="fielset-name"> <p id="c-isc"> <label><input type="checkbox" value="OK" name="iscompany" id="iscompany" /> Je fais un don au nom d'une organisation ou société</label> </p> <p id="c-isc-inf" class="company-infos hidden"> <label for="company">Raison sociale <span class="required">*</span> <span class="help">ex. Dupond SARL</span> </label> <input type="text" name="company" id="company" class="required_for_company" /> </p> <p id="c-isc-inf-siren" class="company-infos hidden"> <label for="company_siren">SIREN <span class="required">*</span> <span class="help">539250571</span> </label> <input type="text" name="company_siren" id="company_siren" class="required_for_company" /> </p> <p id="c-isc-inf-status" class="company-infos hidden"> <label for="company_status">Forme juridique <span class="required">*</span> </label> <select name="company_status" id="company_status" class="required_for_company"> <option value="">Forme juridique</option> <option value="71" > Administration de l'état </option> <option value="92" > Association loi 1901 ou assimilé </option> <option value="28" > Assujetti unique à la TVA </option> <option value="29" > Autre groupement de droit privé non doté de la personnalité morale </option> <option value="99" > Autre personne morale de droit privé </option> <option value="69" > Autre personne morale de droit privé inscrite au registre du commerce et des sociétés </option> <option value="74" > Autre personne morale de droit public administratif </option> <option value="61" > Caisse d'épargne et de prévoyance </option> <option value="72" > Collectivité territoriale </option> <option value="83" > Comité d'entreprise </option> <option value="10" > Entrepreneur individuel </option> <option value="73" > Etablissement public administratif </option> <option value="41" > Etablissement public ou régie à caractère industriel ou commercial </option> <option value="24" > Fiducie </option> <option value="93" > Fondation </option> <option value="62" > Groupement d'intérêt économique </option> <option value="21" > Indivision </option> <option value="00" > Organisme de placement collectif en valeurs mobilières sans personnalité morale </option> <option value="85" > Organisme de retraite à adhésion non obligatoire </option> <option value="81" > Organisme gérant un régime de protection sociale à adhésion obligatoire </option> <option value="82" > Organisme mutualiste </option> <option value="84" > Organisme professionnel </option> <option value="27" > Paroisse hors zone concordataire </option> <option value="31" > Personne morale de droit étranger, immatriculée au RCS (registre du commerce et des sociétés) </option> <option value="32" > Personne morale de droit étranger, non immatriculée au RCS </option> <option value="55" > Société anonyme à conseil d'administration </option> <option value="56" > Société anonyme à directoire </option> <option value="65" > Société civile </option> <option value="63" > Société coopérative agricole </option> <option value="51" > Société coopérative commerciale particulière </option> <option value="22" > Société créée de fait </option> <option value="64" > Société d'assurance mutuelle </option> <option value="53" > Société en commandite </option> <option value="52" > Société en nom collectif </option> <option value="23" > Société en participation </option> <option value="58" > Société européenne </option> <option value="57" > Société par actions simplifiée </option> <option value="54" > Société à responsabilité limitée (SARL) </option> <option value="91" > Syndicat de propriétaires </option> </select> </p> <p id="c-civ"> <label for="civility">Civilité <span class="required">*</span></label> <select name="civility" id="civility"> <option value=""></option> <option value="1">M</option> <option value="2">Mme</option> </select> </p> <p id="c-fname"> <label for="firstname">Prénom <span class="required">*</span> <span class="help">ex. Jean</span></label> <input type="text" name="firstname" id="firstname" /> </p> <p id="c-lname"> <label for="lastname">Nom <span class="required">*</span> <span class="help">ex. Dupont</span></label> <input type="text" name="lastname" id="lastname" /> </p> </fieldset> <fieldset id="fielset-address"> <p id="c-addr1"> <label for="address1">Adresse <span class="required">*</span> <span class="help">ex. 15, Av de la République</span></label> <input type="text" name="address1" id="address1" /> </p> <p id="c-addr2"> <label for="address2">Complément adresse <span class="help">ex. Bat 1</span></label> <input type="text" name="address2" id="address2" /> </p> <div class="line"> <p id="c-pcode" class="unit size1of2"> <label for="postcode">Code postal <span class="required">*</span><span class="help">ex. 75008</span></label> <input type="text" name="postcode" id="postcode" /> </p> <p id="c-city" class="unit size2of2 lastUnit"> <label for="city">Ville <span class="required">*</span> <span class="help">ex. Paris</span></label> <input type="text" name="city" id="city" /> </p> </div> <p id="c-country"> <label for="country">Pays <span class="required">*</span> <span class="help">ex. France</span></label> <select name="country" id="country"> <option value="DE">ALLEMAGNE</option> <option value="BE">BELGIQUE</option> <option value="US">ÉTATS-UNIS</option> <option value="FR" selected="selected">FRANCE</option> <option value="LU">LUXEMBOURG</option> <option value="">----------------------------------</option> <option value="AF">AFGHANISTAN</option> <option value="ZA">AFRIQUE DU SUD</option> <option value="AX">ÅLAND, ÎLES</option> <option value="AL">ALBANIE</option> <option value="DZ">ALGÉRIE</option> <option value="DE">ALLEMAGNE</option> <option value="AD">ANDORRE</option> <option value="AO">ANGOLA</option> <option value="AI">ANGUILLA</option> <option value="AQ">ANTARCTIQUE</option> <option value="AG">ANTIGUA-ET-BARBUDA</option> <option value="AN">ANTILLES NÉERLANDAISES</option> <option value="SA">ARABIE SAOUDITE</option> <option value="AR">ARGENTINE</option> <option value="AM">ARMÉNIE</option> <option value="AW">ARUBA</option> <option value="AU">AUSTRALIE</option> <option value="AT">AUTRICHE</option> <option value="AZ">AZERBAÏDJAN</option> <option value="BS">BAHAMAS</option> <option value="BH">BAHREÏN</option> <option value="BD">BANGLADESH</option> <option value="BB">BARBADE</option> <option value="BY">BÉLARUS</option> <option value="BE">BELGIQUE</option> <option value="BZ">BELIZE</option> <option value="BJ">BÉNIN</option> <option value="BM">BERMUDES</option> <option value="BT">BHOUTAN</option> <option value="BO">BOLIVIE, l'ÉTAT PLURINATIONAL DE</option> <option value="BA">BOSNIE-HERZÉGOVINE</option> <option value="BW">BOTSWANA</option> <option value="BV">BOUVET, ÎLE</option> <option value="BR">BRÉSIL</option> <option value="BN">BRUNÉI DARUSSALAM</option> <option value="BG">BULGARIE</option> <option value="BF">BURKINA FASO</option> <option value="BI">BURUNDI</option> <option value="KY">CAÏMANES, ÎLES</option> <option value="KH">CAMBODGE</option> <option value="CM">CAMEROUN</option> <option value="CA">CANADA</option> <option value="CV">CAP-VERT</option> <option value="CF">CENTRAFRICAINE, RÉPUBLIQUE</option> <option value="CL">CHILI</option> <option value="CN">CHINE</option> <option value="CX">CHRISTMAS, ÎLE</option> <option value="CY">CHYPRE</option> <option value="CC">COCOS (KEELING), ÎLES</option> <option value="CO">COLOMBIE</option> <option value="KM">COMORES</option> <option value="CG">CONGO</option> <option value="CD">CONGO, LA RÉPUBLIQUE DÉMOCRATIQUE DU</option> <option value="CK">COOK, ÎLES</option> <option value="KR">CORÉE, RÉPUBLIQUE DE</option> <option value="KP">CORÉE, RÉPUBLIQUE POPULAIRE DÉMOCRATIQUE DE</option> <option value="CR">COSTA RICA</option> <option value="CI">CÔTE D'IVOIRE</option> <option value="HR">CROATIE</option> <option value="CU">CUBA</option> <option value="DK">DANEMARK</option> <option value="DJ">DJIBOUTI</option> <option value="DO">DOMINICAINE, RÉPUBLIQUE</option> <option value="DM">DOMINIQUE</option> <option value="EG">ÉGYPTE</option> <option value="SV">EL SALVADOR</option> <option value="AE">ÉMIRATS ARABES UNIS</option> <option value="EC">ÉQUATEUR</option> <option value="ER">ÉRYTHRÉE</option> <option value="ES">ESPAGNE</option> <option value="EE">ESTONIE</option> <option value="US">ÉTATS-UNIS</option> <option value="ET">ÉTHIOPIE</option> <option value="FK">FALKLAND, ÎLES (MALVINAS)</option> <option value="FO">FÉROÉ, ÎLES</option> <option value="FJ">FIDJI</option> <option value="FI">FINLANDE</option> <option value="FR">FRANCE</option> <option value="GA">GABON</option> <option value="GM">GAMBIE</option> <option value="GE">GÉORGIE</option> <option value="GS">GÉORGIE DU SUD ET LES ÎLES SANDWICH DU SUD</option> <option value="GH">GHANA</option> <option value="GI">GIBRALTAR</option> <option value="GR">GRÈCE</option> <option value="GD">GRENADE</option> <option value="GL">GROENLAND</option> <option value="GP">GUADELOUPE</option> <option value="GU">GUAM</option> <option value="GT">GUATEMALA</option> <option value="GG">GUERNESEY</option> <option value="GN">GUINÉE</option> <option value="GQ">GUINÉE ÉQUATORIALE</option> <option value="GW">GUINÉE-BISSAU</option> <option value="GY">GUYANA</option> <option value="GF">GUYANE FRANÇAISE</option> <option value="HT">HAÏTI</option> <option value="HM">HEARD, ÎLE ET MCDONALD, ÎLES</option> <option value="HN">HONDURAS</option> <option value="HK">HONG-KONG</option> <option value="HU">HONGRIE</option> <option value="IM">ÎLE DE MAN</option> <option value="UM">ÎLES MINEURES ÉLOIGNÉES DES ÉTATS-UNIS</option> <option value="VG">ÎLES VIERGES BRITANNIQUES</option> <option value="VI">ÎLES VIERGES DES ÉTATS-UNIS</option> <option value="IN">INDE</option> <option value="ID">INDONÉSIE</option> <option value="IR">IRAN, RÉPUBLIQUE ISLAMIQUE D'</option> <option value="IQ">IRAQ</option> <option value="IE">IRLANDE</option> <option value="IS">ISLANDE</option> <option value="IL">ISRAËL</option> <option value="IT">ITALIE</option> <option value="JM">JAMAÏQUE</option> <option value="JP">JAPON</option> <option value="JE">JERSEY</option> <option value="JO">JORDANIE</option> <option value="KZ">KAZAKHSTAN</option> <option value="KE">KENYA</option> <option value="KG">KIRGHIZISTAN</option> <option value="KI">KIRIBATI</option> <option value="KW">KOWEÏT</option> <option value="LA">LAO, RÉPUBLIQUE DÉMOCRATIQUE POPULAIRE</option> <option value="LS">LESOTHO</option> <option value="LV">LETTONIE</option> <option value="LB">LIBAN</option> <option value="LR">LIBÉRIA</option> <option value="LY">LIBYENNE, JAMAHIRIYA ARABE</option> <option value="LI">LIECHTENSTEIN</option> <option value="LT">LITUANIE</option> <option value="LU">LUXEMBOURG</option> <option value="MO">MACAO</option> <option value="MK">MACÉDOINE, L'EX-RÉPUBLIQUE YOUGOSLAVE DE</option> <option value="MG">MADAGASCAR</option> <option value="MY">MALAISIE</option> <option value="MW">MALAWI</option> <option value="MV">MALDIVES</option> <option value="ML">MALI</option> <option value="MT">MALTE</option> <option value="MP">MARIANNES DU NORD, ÎLES</option> <option value="MA">MAROC</option> <option value="MH">MARSHALL, ÎLES</option> <option value="MQ">MARTINIQUE</option> <option value="MU">MAURICE</option> <option value="MR">MAURITANIE</option> <option value="YT">MAYOTTE</option> <option value="MX">MEXIQUE</option> <option value="FM">MICRONÉSIE, ÉTATS FÉDÉRÉS DE</option> <option value="MD">MOLDOVA, RÉPUBLIQUE DE</option> <option value="MC">MONACO</option> <option value="MN">MONGOLIE</option> <option value="ME">MONTÉNÉGRO</option> <option value="MS">MONTSERRAT</option> <option value="MZ">MOZAMBIQUE</option> <option value="MM">MYANMAR</option> <option value="NA">NAMIBIE</option> <option value="NR">NAURU</option> <option value="NP">NÉPAL</option> <option value="NI">NICARAGUA</option> <option value="NE">NIGER</option> <option value="NG">NIGÉRIA</option> <option value="NU">NIUÉ</option> <option value="NF">NORFOLK, ÎLE</option> <option value="NO">NORVÈGE</option> <option value="NC">NOUVELLE-CALÉDONIE</option> <option value="NZ">NOUVELLE-ZÉLANDE</option> <option value="IO">OCÉAN INDIEN, TERRITOIRE BRITANNIQUE DE L'</option> <option value="OM">OMAN</option> <option value="UG">OUGANDA</option> <option value="UZ">OUZBÉKISTAN</option> <option value="PK">PAKISTAN</option> <option value="PW">PALAOS</option> <option value="PS">PALESTINIEN OCCUPÉ, TERRITOIRE</option> <option value="PA">PANAMA</option> <option value="PG">PAPOUASIE-NOUVELLE-GUINÉE</option> <option value="PY">PARAGUAY</option> <option value="NL">PAYS-BAS</option> <option value="PE">PÉROU</option> <option value="PH">PHILIPPINES</option> <option value="PN">PITCAIRN</option> <option value="PL">POLOGNE</option> <option value="PF">POLYNÉSIE FRANÇAISE</option> <option value="PR">PORTO RICO</option> <option value="PT">PORTUGAL</option> <option value="QA">QATAR</option> <option value="RE">RÉUNION</option> <option value="RO">ROUMANIE</option> <option value="GB">ROYAUME-UNI</option> <option value="RU">RUSSIE, FÉDÉRATION DE</option> <option value="RW">RWANDA</option> <option value="EH">SAHARA OCCIDENTAL</option> <option value="BL">SAINT-BARTHÉLEMY</option> <option value="KN">SAINT-KITTS-ET-NEVIS</option> <option value="SM">SAINT-MARIN</option> <option value="MF">SAINT-MARTIN</option> <option value="PM">SAINT-PIERRE-ET-MIQUELON</option> <option value="VA">SAINT-SIÈGE (ÉTAT DE LA CITÉ DU VATICAN)</option> <option value="VC">SAINT-VINCENT-ET-LES GRENADINES</option> <option value="SH">SAINTE-HÉLÈNE, ASCENSION ET TRISTAN DA CUNHA</option> <option value="LC">SAINTE-LUCIE</option> <option value="SB">SALOMON, ÎLES</option> <option value="WS">SAMOA</option> <option value="AS">SAMOA AMÉRICAINES</option> <option value="ST">SAO TOMÉ-ET-PRINCIPE</option> <option value="SN">SÉNÉGAL</option> <option value="RS">SERBIE</option> <option value="SC">SEYCHELLES</option> <option value="SL">SIERRA LEONE</option> <option value="SG">SINGAPOUR</option> <option value="SK">SLOVAQUIE</option> <option value="SI">SLOVÉNIE</option> <option value="SO">SOMALIE</option> <option value="SD">SOUDAN</option> <option value="LK">SRI LANKA</option> <option value="SE">SUÈDE</option> <option value="CH">SUISSE</option> <option value="SR">SURINAME</option> <option value="SJ">SVALBARD ET ÎLE JAN MAYEN</option> <option value="SZ">SWAZILAND</option> <option value="SY">SYRIENNE, RÉPUBLIQUE ARABE</option> <option value="TJ">TADJIKISTAN</option> <option value="TW">TAÏWAN, PROVINCE DE CHINE</option> <option value="TZ">TANZANIE, RÉPUBLIQUE-UNIE DE</option> <option value="TD">TCHAD</option> <option value="CZ">TCHÈQUE, RÉPUBLIQUE</option> <option value="TF">TERRES AUSTRALES FRANÇAISES</option> <option value="TH">THAÏLANDE</option> <option value="TL">TIMOR-LESTE</option> <option value="TG">TOGO</option> <option value="TK">TOKELAU</option> <option value="TO">TONGA</option> <option value="TT">TRINITÉ-ET-TOBAGO</option> <option value="TN">TUNISIE</option> <option value="TM">TURKMÉNISTAN</option> <option value="TC">TURKS ET CAÏQUES, ÎLES</option> 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</script> <p id="required-info"><span class="required">*</span> <span class="help">Champs obligatoires (ces informations sont indispensables pour bénéficier de votre réduction fiscale)</span></p> </fieldset> </div> <!-- End Bloc --> <div class="step-info"> <h4>Protection de vos données personnelles</h4> <div class="step-info-body"> <p>Vos coordonnées nous sont indispensables pour vous envoyer le reçu fiscal, elles seront conservées dans un délai raisonnable.<br /> <br /> Les informations personnelles recueillies sur ce formulaire vont faire l’objet d’un traitement informatique destiné à vous tenir informé.e des actions de Terre de Liens et de faire appel à votre générosité. Terre de liens ne vend, ni ne loue, ni n'échange ces données avec aucune autre organisation. Seules les structures du mouvement Terre de Liens pourront être destinataires de ces données.<br /> <br /> Vous pouvez vous opposer à ce traitement en vous adressant à l'adresse ci-dessous. Vous disposez d'un droit d'accès, de modification, de rectification et de suppression des données vous concernant.</p> <h3>Pour nous contacter</h3> <strong>Terre de Liens</strong><br /> 25 Quai André Reynier<br /> 26400 CREST - FRANCE<br /> Téléphone : +33 9 70 20 31 00<br /> Email : <a href="mailto:relation-membre@terredeliens.org">relation-membre@terredeliens.org</a> </div> </div> <!-- End Step-info --> </div> <!-- End Step-container --> </div> <!-- End Step-2 --> <div id="step-3" class="unit size1of3 lastUnit"> <div class="step-container"> <div class="step-title"> <h2>Mon règlement</h2> </div> <div class="step-content"> <div id="security-info"> <p><img src="/medias/app/plateforme-securisee.png" alt="Paiements hautement sécurisés grâce à la méthode de cryptage SSL 256 bits, la norme de sécurité la plus élevée." /></p> </div> <div class="payment"> <div id="payment_modes_once"> <fieldset id="payment_mode-card-ingenico" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">Carte bancaire</span> </h4> <div class="payment_body" id="creditcard-list"> <ul id="card-type"> <li data-value="mastercard"><label><input name="cardtype_ingenico" type="radio" value="mastercard" /> Mastercard</label></li> <li data-value="visa"><label><input name="cardtype_ingenico" type="radio" value="visa" /> Visa</label></li> </ul> <p id="card_ingenico-submit" class="payment-submit"> <input name="card_ingenico_submit" type="submit" id="card_ingenico_submit" class="button" data-scope='card_ingenico' value="Valider"/> </p> </div> </fieldset> <fieldset id="payment_mode-iban" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">IBAN/BIC</span> </h4> <div class="payment_body" id="iban"> <p name="reserved_signelec" id="reserved_signelec_id_6741aed6e9a8c" data-type="radio" > <label for="reserved_signelec"> <span class="reserved_title">Désormais, je signe mon mandat SEPA par</span> <span class="required">*</span> <span id="nameHelp_reserved_signelec" class="help"></span> </label> <label for="reserved_signelec_ELEC" class="table"> <input id="reserved_signelec_ELEC" type="radio" name="reserved_signelec" value="ELEC" class="column" data-scope="iban" data-required="1" checked /> <span class="column">signature électronique</span> </label> </p> <p name="reserved_info" id="reserved_info_id_6741aed6e9af2" data-type="radio" > <label for="reserved_info"> <span class="reserved_title">Désormais, la signature de votre mandat se fait électroniquement.</span> <span id="nameHelp_reserved_info" class="help"></span> </label> </p> <p id="iban-input"> <label for="iban-number">Votre numéro IBAN</label> <input type="text" name="iban-number" id="iban-number" maxlength="34" autocomplete="off" /> </p> <p id="bic-input"> <label for="bic-number">Votre code BIC</label> <input type="text" name="bic-number" id="bic-number" maxlength="11" autocomplete="off" /> </p> <p id="iban-submit" class="payment-submit"> <input name="iban_submit" type="submit" value="Valider" id="iban_submit" class="button" data-scope='iban'/> </p> </div> </fieldset> <!-- STANDARD BUTTONS --> <fieldset id="payment_mode-gw_paypal_paypal" class="payment_mode " > <h4 class="payment_head"> <span class="payment_mode_title">Paypal</span> </h4> <div class="payment_body" id="gw_paypal_paypal"> <!-- GOCARDLESS BACS SPECIFIC TEXT & CHECKBOX (must be checked to submit payment) --> <!-- LEGAL UK REQUIREMENTS FOR BANK MANDATES --> <input name="type" type="hidden" value="" data-scope="gw_paypal_paypal"/> <input name="mode" type="hidden" value="gw_paypal_paypal" data-scope="gw_paypal_paypal"/> <p id="gw_paypal_paypal-submit" class="payment-submit gateway"> <input name="gw_paypal_paypal_submit" type="submit" value="Valider" id="gw_paypal_paypal_submit" class="button gateway" data-scope="gw_paypal_paypal"/> </p> </div> </fieldset> <fieldset id="payment_mode-check" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">Chèque ou virement</span> </h4> <div class="payment_body" id="check"> <p id="check-submit" class="payment-submit"> <input name="check_submit" type="submit" value="Valider" id="check_submit" class="button" data-scope='check' /> </p> </div> </fieldset> </div> <div id="payment_modes_regular" style="display:none"> <fieldset id="payment_mode-card-ingenico" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">Carte bancaire</span> </h4> <div class="payment_body" id="creditcard-list"> <ul id="card-type"> <li data-value="mastercard"><label><input name="cardtype_ingenico" type="radio" value="mastercard" /> Mastercard</label></li> <li data-value="visa"><label><input name="cardtype_ingenico" type="radio" value="visa" /> Visa</label></li> </ul> <p id="card_ingenico-submit" class="payment-submit"> <input name="card_ingenico_submit" type="submit" id="card_ingenico_submit" class="button" data-scope='card_ingenico' value="Valider"/> </p> </div> </fieldset> <fieldset id="payment_mode-ddebit" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">Prélèvement automatique</span> </h4> <div class="payment_body" id="ddebit"> <p id="ddebit-submit" class="payment-submit"> <input name="pa_submit" type="submit" value="Valider" id="pa_submit" class="button" data-scope="pa"/> </p> </div> </fieldset> <fieldset id="payment_mode-iban" class="payment_mode"> <h4 class="payment_head"> <span class="payment_mode_title">IBAN/BIC</span> </h4> <div class="payment_body" id="iban"> <p name="reserved_signelec" id="reserved_signelec_id_6741aed703ab0" data-type="radio" > <label for="reserved_signelec"> <span class="reserved_title">Désormais, je signe mon mandat SEPA par</span> <span class="required">*</span> <span id="nameHelp_reserved_signelec" class="help"></span> </label> <label for="reserved_signelec_ELEC" class="table"> <input id="reserved_signelec_ELEC" type="radio" name="reserved_signelec" value="ELEC" class="column" data-scope="iban" data-required="1" checked /> <span class="column">signature électronique</span> </label> </p> <p name="reserved_info" id="reserved_info_id_6741aed703b12" data-type="radio" > <label for="reserved_info"> <span class="reserved_title">Désormais, la signature de votre mandat se fait électroniquement.</span> <span id="nameHelp_reserved_info" class="help"></span> </label> </p> <p id="iban-input"> <label for="iban-number">Votre numéro IBAN</label> <input type="text" name="iban-number" id="iban-number" maxlength="34" autocomplete="off" /> </p> <p id="bic-input"> <label for="bic-number">Votre code BIC</label> <input type="text" name="bic-number" id="bic-number" maxlength="11" autocomplete="off" /> </p> <p id="iban-submit" class="payment-submit"> <input name="iban_submit" type="submit" value="Valider" id="iban_submit" class="button" data-scope='iban'/> </p> </div> </fieldset> </div> </div> <!-- End Payment --> </div> <!-- End Bloc --> <div class="step-info"> <h4>Nous soutenir en toute confiance </h4> <div class="step-info-body"> Reconnue d’utilité publique, Terre de Liens s’engage à la plus grande rigueur et la plus grande transparence dans l'utilisation de vos dons.<br /> <br /> <b>Ce site internet est 100% sécurisé.</b><br /> Toutes les informations bancaires pour traiter le paiement sont cryptées grâce au protocole SSL. Elles ne sont en aucun cas conservées sur nos systèmes informatiques.<br /> <br /> <b>Notre service relation membre est à votre disposition pour répondre à toutes vos questions.</b><br /> N'hésitez pas à nous contacter par e-mail : <a href="mailto:relation-membre@terredeliens.org">relation-membre@terredeliens.org</a> </div> </div> <!-- End Step-info --> </div> <!-- End Step-container --> </div> <!-- End Step 3 --> </form> </div> </div> <!-- End Main --> <div id="footer" class="line"> <div class="container" id="footer_wrapinner"> <div id="powered" class="unit size1of3" style="display:block !important;"> <p style="display:block !important;"><a style="display:block !important;" href="https://www.iraiser.eu" title="Powered by iRaiser"><img style="display:block !important; min-width: 100px!important;min-height: 15px!important;" src="/libs.iraiser.eu/design/powered-by/v1/powered-by-iraiser.png" alt="Powered by iRaiser" width="120" height="18"/></a></p> </div> <div id="copyright" class="unit size2of3 lastUnit"> <p> <a href="https://soutenir.terredeliens.org/nos-credits" title="Crédits">Crédits</a> <span>|</span> <a href="https://soutenir.terredeliens.org/mentions-legales" title="Mentions légales">Mentions légales</a> <span>|</span> <a href="https://soutenir.terredeliens.org/contactez-nous" title="Contact">Contact</a> </p> </div> </div> </div> <!-- End Footer --> </div> <!-- End Container --> </body></html>