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 adh\u00e9sion ne vous co\u00fbte r\u00e9ellement que <span class='price'>%s \u20ac<\/span> apr\u00e8s r\u00e9duction fiscale (r\u00e9duction de <span class='price'>%d \u20ac<\/span> dans la limite de 20% du revenu imposable)"; 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"; 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// message d'erreur pour les montants DntErrors.errorMsg.min_adhesion_pp = "L'adhésion pour l'année civile en cours est de minimum 10 €"; DntErrors.errorMsg.min_adhesion_pm = "L'adhésion personne morale pour l'année civile en cours est de minimum 50€"; // alignement boutons radio "Région" //$('p[name="reserved_dedie_region"]').style.flex-wrap ="wrap"; // modification de la grille d'adhésion selon PP ou PM $(document).ready(function() { // 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" // modifie le texte "au nom du société" $('#iscompany').parents('label').contents().last().replaceWith(" J'adhère au nom d'une organisation ou société"); // affichage liste en colonne //$('p[name="reserved_region"]').style.textAlign = "center"; // permet de modifier la grille de dons selon PP ou PM $('#amount-once-1000').parents('li').show(); 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<div id="form-info" class="line"> <p style="text-align: center;"><strong><span style="font-size:16px;">ADHÉRER C'EST PLUS QUE SOUTENIR, C'EST AGIR PRÈS DE CHEZ SOI !</span></strong><br /> <span style="font-size:11px;"><em>NB : l'adhésion est valable sur une année calendaire, du 1er janvier au 31 décembre de l'année en cours.</em></span><br /> <span style="font-size:16px;"><strong>- Adhésion année 2024 -</strong></span></p> </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="18" /> <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 Adhésion</h2> </div> <div class="step-content"> <div> </div> <div id="once" class="bloc"> <div class="bloc-content"> <h3>J'adhère à Terre de Liens</h3> <div id="bloc-amount-once"> <fieldset class="amount"> <p class="thumbs"><img src="/cdn.iraiser.eu/ZBIAyvln3GWAdIzyE6sJ8g==/default/pricelist_mode/20200930-ReportageDerriereleJardin-038-TDL-SandrineMulas-TerredeLiensSandrineMulas-min.jpg" width="256" height="192" alt="Photo" /></p> <ul class="radio-desc line" id="amount-list-once"> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="1000" id="amount-once-1000" /> <span id="value_of_amount-once-1000"><data class='price_amount'>10</data> <data class='price_currency'>€</data></span></label> <p>"Adhésion de solidarité", uniquement pour les petits budgets</p> </li> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="3000" id="amount-once-3000" /> <span id="value_of_amount-once-3000"><data class='price_amount'>30</data> <data class='price_currency'>€</data></span></label> <p>Montant minimal de l'adhésion</p> </li> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="5000" id="amount-once-5000" /> <span id="value_of_amount-once-5000"><data class='price_amount'>50</data> <data class='price_currency'>€</data></span></label> <p></p> </li> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="10000" id="amount-once-10000" /> <span id="value_of_amount-once-10000"><data class='price_amount'>100</data> <data class='price_currency'>€</data></span></label> <p></p> </li> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="20000" id="amount-once-20000" /> <span id="value_of_amount-once-20000"><data class='price_amount'>200</data> <data class='price_currency'>€</data></span></label> <p></p> </li> <li> <label><input autocomplete="false" name="amount-once" type="radio" value="50000" id="amount-once-50000" /> <span id="value_of_amount-once-50000"><data class='price_amount'>500</data> <data class='price_currency'>€</data></span></label> <p></p> </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" 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_dedie_region" id="reserved_dedie_region_id_6746a7d03adf2" data-type="radio" > <label for="reserved_dedie_region"> <span class="reserved_title">Je choisis mon association territoriale</span> <span class="required">*</span> <span id="nameHelp_reserved_dedie_region" class="help"><br>Choisissez le territoire auquel vous souhaitez adhérer</span> </label> <label for="reserved_dedie_region_ALS" class="table"> <input id="reserved_dedie_region_ALS" type="radio" name="reserved_dedie_region" value="ALS" class="column" data-scope="step1" data-required="1" /> <span class="column">Alsace</span> </label> <label for="reserved_dedie_region_AQU" class="table"> <input id="reserved_dedie_region_AQU" type="radio" name="reserved_dedie_region" value="AQU" class="column" data-scope="step1" data-required="1" /> <span class="column">Aquitaine</span> </label> <label for="reserved_dedie_region_AUV" class="table"> <input id="reserved_dedie_region_AUV" type="radio" name="reserved_dedie_region" value="AUV" class="column" data-scope="step1" data-required="1" /> <span class="column">Auvergne</span> </label> <label for="reserved_dedie_region_BFC" class="table"> <input id="reserved_dedie_region_BFC" type="radio" name="reserved_dedie_region" value="BFC" class="column" data-scope="step1" data-required="1" /> <span class="column">Bourgogne Franche-Comté</span> </label> <label for="reserved_dedie_region_BZH" class="table"> <input id="reserved_dedie_region_BZH" type="radio" name="reserved_dedie_region" value="BZH" class="column" data-scope="step1" data-required="1" /> <span class="column">Bretagne</span> </label> <label for="reserved_dedie_region_CDV" class="table"> <input id="reserved_dedie_region_CDV" type="radio" name="reserved_dedie_region" value="CDV" class="column" data-scope="step1" data-required="1" /> <span class="column">Centre</span> </label> <label for="reserved_dedie_region_CA" class="table"> <input id="reserved_dedie_region_CA" type="radio" name="reserved_dedie_region" value="CA" class="column" data-scope="step1" data-required="1" /> <span class="column">Champagne-Ardenne</span> </label> <label for="reserved_dedie_region_COR" class="table"> <input id="reserved_dedie_region_COR" type="radio" name="reserved_dedie_region" value="COR" class="column" data-scope="step1" data-required="1" /> <span class="column">Corsica</span> </label> <label for="reserved_dedie_region_HDF" class="table"> <input id="reserved_dedie_region_HDF" type="radio" name="reserved_dedie_region" value="HDF" class="column" data-scope="step1" data-required="1" /> <span class="column">Hauts-de-France</span> </label> <label for="reserved_dedie_region_IDF" class="table"> <input id="reserved_dedie_region_IDF" type="radio" name="reserved_dedie_region" value="IDF" class="column" data-scope="step1" data-required="1" /> <span class="column">Ile de France</span> </label> <label for="reserved_dedie_region_LR" class="table"> <input id="reserved_dedie_region_LR" type="radio" name="reserved_dedie_region" value="LR" class="column" data-scope="step1" data-required="1" /> <span class="column">Languedoc Roussillon</span> </label> <label for="reserved_dedie_region_LIM" class="table"> <input id="reserved_dedie_region_LIM" type="radio" name="reserved_dedie_region" value="LIM" class="column" data-scope="step1" data-required="1" /> <span class="column">Limousin</span> </label> <label for="reserved_dedie_region_LOR" class="table"> <input id="reserved_dedie_region_LOR" type="radio" name="reserved_dedie_region" value="LOR" class="column" data-scope="step1" data-required="1" /> <span class="column">Lorraine</span> </label> <label for="reserved_dedie_region_MIPY" class="table"> <input id="reserved_dedie_region_MIPY" type="radio" name="reserved_dedie_region" value="MIPY" class="column" data-scope="step1" data-required="1" /> <span class="column">Midi-Pyrénées</span> </label> <label for="reserved_dedie_region_NOR" class="table"> <input id="reserved_dedie_region_NOR" type="radio" name="reserved_dedie_region" value="NOR" class="column" data-scope="step1" data-required="1" /> <span class="column">Normandie</span> </label> <label for="reserved_dedie_region_PACA" class="table"> <input id="reserved_dedie_region_PACA" type="radio" name="reserved_dedie_region" value="PACA" class="column" data-scope="step1" data-required="1" /> <span class="column">Provence Alpes Côte d'Azur</span> </label> <label for="reserved_dedie_region_PC" class="table"> <input id="reserved_dedie_region_PC" type="radio" name="reserved_dedie_region" value="PC" class="column" data-scope="step1" data-required="1" /> <span class="column">Poitou-Charentes</span> </label> <label for="reserved_dedie_region_PDL" class="table"> <input id="reserved_dedie_region_PDL" type="radio" name="reserved_dedie_region" value="PDL" class="column" data-scope="step1" data-required="1" /> <span class="column">Pays de la Loire</span> </label> <label for="reserved_dedie_region_RA" class="table"> <input id="reserved_dedie_region_RA" type="radio" name="reserved_dedie_region" value="RA" class="column" data-scope="step1" data-required="1" /> <span class="column">Rhône-Alpes</span> </label> </p> <p name="reserved_source" id="reserved_source_id_6746a7d03aeb2" data-type="short" > <label for="reserved_source"> <span class="reserved_title">Source du clic pour accéder 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> <p name="reserved_page_prec" id="reserved_page_prec_id_6746a7d03af16" 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>  <div class="step-info"> <h4>Pourquoi adhérer à Terre de Liens ? </h4> <div class="step-info-body"> Terre de Liens agit pour préserver les terres agricoles, faciliter l'accès des paysans à la terre et développer une agriculture biologique et paysanne, partout en France.<br /> <br /> Votre adhésion est un acte citoyen et militant pour faire de la terre agricole “un bien commun”.<br /> Elle est valable sur une année calendaire, du 1er janvier au 31 décembre de l'année en cours. <p><strong>Votre adhésion vous permet de bénéficier d’une déduction fiscale :</strong></p> <p style="text-align: center;"><strong><img alt="" src="https://cdn.iraiser.eu/ZBIAyvln3GWAdIzyE6sJ8g==/default/origin/CopiedeFBimage2.png" style="width: 265px; height: 222px;" /></strong></p> <ul> <li><u>Pour les particuliers</u>: 66% de votre adhésion est déductible de vos impôts sur le revenu (dans la limite de 20% de vos revenus nets imposables)</li> <li><u>Pour les entreprises</u>: votre adhésion vous ouvre droit à une réduction d’impôt sur l’IS égale à 60 % du montant de l'adhésion, dans la limite de 5 pour mille du chiffre d’affaires annuel hors taxe.</li> </ul> </div> </div>  </div>  </div>  <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_6746a7d03e876" 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"></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" autocomplete="given-name" /> </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" autocomplete="family-name" /> </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"></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"></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">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" selected="selected">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> <option value="TR">TURQUIE</option> <option value="TV">TUVALU</option> <option value="UA">UKRAINE</option> <option value="UY">URUGUAY</option> <option value="VU">VANUATU</option> <option value="VE">VENEZUELA, RÉPUBLIQUE BOLIVARIENNE DU</option> <option value="VN">VIET NAM</option> <option value="WF">WALLIS ET FUTUNA</option> <option value="YE">YÉMEN</option> <option value="ZM">ZAMBIE</option> <option value="ZW">ZIMBABWE</option> </select> </p>  <script> var $findMyAddressOptions = $findMyAddressOptions || {}; $findMyAddressOptions.hiddenFields = $findMyAddressOptions.hiddenFields || false; $findMyAddressOptions.api = 'addok'; $('head').append('<link rel="stylesheet" type="text/css" href="/libs.iraiser.eu/libs/payment-find-my-address/production/v2/payment-find-my-address.min.css" />'); </script> <script src="/libs.iraiser.eu/libs/payment-find-my-address/production/v2/payment-find-my-address.min.js"></script> </fieldset> <p name="reserved_telephone" id="reserved_telephone_id_6746a7d0410f8" data-type="phone" > <label for="reserved_telephone"> <span class="reserved_title">numéro de téléphone</span> <span id="nameHelp_reserved_telephone" class="help"></span> </label> <input id="reserved_telephone" type="tel" aria-describedby="nameHelp_reserved_telephone" name="reserved_telephone" data-scope="step2" data-required="" value=""/> </p> <script type="text/javascript"> load_phone_input_reserved_telephone_id_6746a7d0410f8 = function(){ var reserved_phone_input_reserved_telephone_id_6746a7d0410f8 = $("#reserved_telephone_id_6746a7d0410f8 input[name=reserved_telephone]"); var iti_reserved_telephone_id_6746a7d0410f8 = window.intlTelInput(document.querySelector("#reserved_telephone_id_6746a7d0410f8 input[name=reserved_telephone]"),{ initialCountry: "auto", autoPlaceholder: "polite", preferredCountries: ['fr', 'gb', 'be', 'nl', 'de'], utilsScript: "/libs.iraiser.eu/libs/intl-tel-input-15.0.1/build/js/utils.js" }); $("form:has(#reserved_telephone_id_6746a7d0410f8)").submit(function() { const reserved_phone_input_reserved_telephone_id_6746a7d0410f8_tmp = reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val(); reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val(iti_reserved_telephone_id_6746a7d0410f8.getNumber()); if(reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val() == ''){ reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val(reserved_phone_input_reserved_telephone_id_6746a7d0410f8_tmp); } }); try { if (reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val() == '') iti_reserved_telephone_id_6746a7d0410f8.setCountry('sg'); }catch(e){} $( document ).ready(function(){ $('select[name=country],input[name=country]').change(function(){ try { if(reserved_phone_input_reserved_telephone_id_6746a7d0410f8.val() == '') iti_reserved_telephone_id_6746a7d0410f8.setCountry($(this).val().toLowerCase()); }catch(e){} }); }); } $( document ).ready(function(){ if(typeof window.intlTelInput == "undefined"){ $('head').append('<link rel="stylesheet" type="text/css" href="/libs.iraiser.eu/libs/intl-tel-input-15.0.1/build/css/intlTelInput.min.css" />'); $.getScript('/libs.iraiser.eu/libs/intl-tel-input-15.0.1/build/js/intlTelInput.min.js',load_phone_input_reserved_telephone_id_6746a7d0410f8); }else{ load_phone_input_reserved_telephone_id_6746a7d0410f8(); } }); </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>  <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. Pour en savoir plus, cliquez ici(lien vers les mentions légales du site)</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>  </div>  </div>  <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-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"> </div> </div>  </div>  <div class="step-info"> <h4>Nous soutenir en toute confiance </h4> <div class="step-info-body"> <br /> Vos adhésions permettent de faire fonctionner les associations territoriales Terre de Liens. Elles informent et rassemblent les citoyen·nes autour des enjeux fonciers et agricoles. 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