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#layerslider_1{ margin-top: 380px!important; float: none !important; } /**** styles drapeaux ***/ .img-header-right { margin-top: 2px; margin-left: 30px; } .trp-ls-shortcode-current-language { padding: 0px !important; } .trp-language-switcher > div > a { display: inline-flex; } .trp-ls-shortcode-current-language { width: 45px !important; height: 20px; } .trp-language-switcher:focus .trp-ls-shortcode-language, .trp-language-switcher:hover .trp-ls-shortcode-language { padding: 0px; width: 45px !important; } /**** slider ***/ div#layerslider_2 { margin-top: -5px !important; } .wpbdp-field-display.wpbdp-field.wpbdp-field-value.field-display.field-value.wpbdp-field-_code_postale.wpbdp-field-meta.wpbdp-field-type-textfield.wpbdp-field-association-meta { display: none; } #wpbdp-search-page .wpbdp-field-site_web, #wpbdp-search-page .wpbdp-field-fax, #wpbdp-search-page .wpbdp-field-nom_du_responsable { display: none; } /***** style convertisseur de devises ****/ #custom_html-48 .panel-heading { display: none !important; } div#custom_html-48 .panel-body { padding: 15px; background-color: #e0e0e0; border-color: #e0e0e0; } div#custom_html-48 .panel-info { border-color: #e0e0e0; } div#custom_html-48 .input-group-addon:first-child { border-bottom-left-radius: 5px; border-top-left-radius: 5px; border-left: 5px; border: 0px; } div#custom_html-48 .input-group .form-control:not(:first-child):not(:last-child) { border-radius: 0; border: 0px; } div#custom_html-48 button#swap { background-color: #f28425; border-color: #f28425; border-bottom-right-radius: 5px; border-top-right-radius: 5px; border-right: 5px; border: 0px; height: 40px; } div#custom_html-48 select.input-sm { border-radius: 5px; border-color: #747474; height: 40px; } div#custom_html-48 .panel-footer { display: none; } div#custom_html-48 input#amount { height: 40px; } footer { z-index: 99; } </style> <style type="text/css" data-type="vc_custom-css">.bulletin{ text-align: center; font-size: 25px; text-transform: uppercase; 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#author_bio_wrap #register_css{display:none;} #author_bio_wrap #valider_css{width: 110px; margin-left: auto; margin-right: auto; margin-bottom: -30px; } #author_bio_wrap .valider_cssInput{ background: #0d9ee9; font-family: Myriad Pro; font-size: 18px; border-radius: 25px !important; margin-bottom: -100px; } /*#author_bio_wrap #profile_user_css, #author_bio_wrap1 #profile_user_css{display:none;}*/ #author_bio_wrap1 .valider_cssInput{ background: #f18c16; width: 110px; float: right; font-family: Myriad Pro; font-size: 18px; } #author_bio_wrap1 #register_css{ margin-top: 15px; width: 110px; float: left; margin-bottom: -40px } #author_bio_wrap1 #register_css a{ color: #fff; background: #b82051; font-family: Myriad Pro; /* font-size: 16px; */ height: 40px; padding-top: 25px; } #author_bio_wrap1 { position: absolute; background: rgba(255,255,255,0.7); top: 55px; right: 45px; width: 250px; } </style> <div class="left-side-reseau" id="myresau"> <div class="left-side-partage author_bio_toggle_wrapper"> <a href="#0" id="author_bio_wrap_toggle"> <img class="alignnone size-full wp-image-1100" src="/wp-content/uploads/2018/07/partage.png" alt="" width="42" height="49" /> </a> <div id="author_bio_wrap" style="display: none;"> <input style="background-image: url(http://ccic.clickerp.tn/wp-content/uploads/2019/04/whitecloseicon.png); background-color: #fff0; border-color: #fff0; background-size: contain; background-repeat: no-repeat; color: #fff0;" type='button' value='Close' onclick='return myFunction();' /> <center> <h5 style="margin-top: 15px;margin-bottom: -10px;color:#fff;font-family:Myriad Pro;font-weight:bold;font-size: 18px;"> ESPACE DE PARTAGE </h5> </center> <div class="um um-login um-3673"> <div class="um-form"> <form method="post" action="" autocomplete="off"> <div class="um-row _um_row_1 partage" style="padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px;"><div class="um-col-1"><div 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size="25" autocomplete="off" /> </p> <input type="hidden" name="redirect_to" id="redirect_to" value="/espace-de-partage/" /> <div class="um-col-alt">  <div id="valider_css"> <input type="submit" value="Connexion" class="um-button valider_cssInput" id="um-submit-btn" /> </div><br><br><br>  <p class="um-center">Pas encore inscrit ?</p> <div class="um-center um-half" id=""> <a href="https://www.ccicentre.org.tn/devenir-membre-adherent/" class="um-alt" style="color:#222222; font-size:16px"> Inscription </a> </div> <div class="um-center" ><a href="#" id="author_bio_wrap_toggle3" onclick="return myFunction();">Fermer la fen锚tre</a></div> <div class="um-clear"></div> </div> </form> </div> </div><style type="text/css"> </style> </div> <script type="text/javascript"> jQuery(document).ready(function($) { $("#author_bio_wrap_toggle").click(function() { $("#author_bio_wrap").slideToggle( "slow"); $("#author_bio_wrap1,#author_bio_wrap").find('input[type=text]').attr('value',''); $("#author_bio_wrap1").hide(); }); }); </script> </div> <div class="left-side-adheron author_bio_toggle_wrapper"> <a href="#1" id="_author_bio_wrap_toggle1"> <img class="" src="https://www.ccicentre.org.tn/wp-content/uploads/2018/07/img_espace.png" alt="" width="42" height="195"/> </a> <div id="author_bio_wrap1" style="display: none;"> <input style="background-image: url(http://ccic.clickerp.tn/wp-content/uploads/2019/04/close_grey.png); background-color: #fff0; border-color: #fff0; background-size: contain; background-repeat: no-repeat; color: #fff0;" type='button' value='Close' onclick='return myFunction();' />  <div class="um um-login um-3901"> <div class="um-form"> <form method="post" action="" autocomplete="off"> <div class="um-row _um_row_1 " style="margin: 0 0 30px 0;"><div class="um-col-1"><div class="um-field um-field-username um-field-text um-field-type_text" data-key="username"><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="username-3901" id="username-3901" value="" placeholder="Email" data-validate="unique_username_or_email" data-key="username" /> </div></div><div class="um-field um-field-user_password um-field-password um-field-type_password" data-key="user_password"><div class="um-field-area"><input class="um-form-field valid " type="password" name="user_password-3901" id="user_password-3901" value="" placeholder="Mot de passe" data-validate="" data-key="user_password" /> </div></div></div></div> <input type="hidden" name="form_id" id="form_id_3901" value="3901" /> <input type="hidden" name="timestamp" class="um_timestamp" value="1732988455" /> <p class="request_name"> <label for="request_3901">Only fill in if you are not human</label> <input type="text" name="request" id="request_3901" class="input" value="" size="25" autocomplete="off" /> </p> <input type="hidden" name="redirect_to" id="redirect_to" value="/adherent/" /> <div class="um-col-alt">  <div id="valider_css"> <input type="submit" value="Connexion" class="um-button valider_cssInput" id="um-submit-btn" /> </div><br><br><br>  <p class="um-center">Pas encore inscrit ?</p> <div class="um-center um-half" id=""> <a href="https://www.ccicentre.org.tn/devenir-membre-adherent/" class="um-alt" style="color:#222222; font-size:16px"> Inscription </a> </div> <div class="um-center" ><a href="#" id="author_bio_wrap_toggle3" onclick="return myFunction();">Fermer la fen锚tre</a></div> <div class="um-clear"></div> </div> </form> </div> </div> </div> <script type="text/javascript"> jQuery(document).ready(function($) { $("#author_bio_wrap_toggle1").click(function() { $("#author_bio_wrap1").slideToggle( "slow"); $("#author_bio_wrap1,#author_bio_wrap").find('input[type=text]').attr('value',''); $("#author_bio_wrap").hide(); }); }); function myFunction(){ $("#author_bio_wrap1").slideToggle( "slow"); $("#author_bio_wrap").hide(); } </script> </div> <div class="left-side-twit"> <a target="_blanc" href="https://www.youtube.com/channel/UCM2B3DrAWJX5MPLvmD0B2VQ"> <img class="alignnone size-full wp-image-1101" src="/wp-content/uploads/2019/01/yp.png" alt="" width="42" height="48" style="height: 50px;" /> </a> </div> <div class="left-side-fb"> <a target="_blanc" href="https://www.facebook.com/cciducentre"> <img class="alignnone size-full wp-image-1099" src="/wp-content/uploads/2018/07/facebook.png" alt="" width="42" height="50" /> </a> </div> <div class="left-side-link"> <a target="_blanc" href="https://www.linkedin.com/company/ccicentre"> <img class="alignnone size-full wp-image-1100" src="/wp-content/uploads/2018/07/linkdin.png" alt="" width="42" height="49" /> </a> </div> <div class="left-side-link"> <a target="_blanc" href="https://twitter.com/ChambreCentre"> <img class="alignnone size-full wp-image-1100" src="/wp-content/uploads/2018/07/tweeter.png" alt="" width="42" height="49" /> </a> </div> </div>  <div class="title_outer title_without_animation" data-height="302"> <div class="title title_size_medium position_left "> <div class="image not_responsive"></div> <div class="title_holder" style="padding-top:202px;height:100px;"> <div class="container"> <div class="container_inner clearfix"> <div class="title_subtitle_holder" > <h1 ><span>Devenir membre adh茅rent</span></h1> </div> </div> </div> </div> </div> </div> <div class=""> <div class="container_inner default_template_holder clearfix page_container_inner" > <div class="vc_row wpb_row section vc_row-fluid " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner "><div class="wpb_wrapper"> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> <p> </p> <p class="bulletin" style="text-align: center;">Bulletin d鈥檃dh茅sion</p> <p class="bulletin1" style="text-align: center;">Veuillez remplir la fiche</p> <p> </p> <p class="bulletin2" style="text-align: center;">Si vous ne souhaitez pas remplir le bulletin en ligne, vous pouvez imprimer le聽聽<span style="color: #3366ff;"><strong><a style="color: #3366ff;" href="http://www.ccicentre.org.tn/pdf/Bulletin1.pdf">bulletin en format PDF</a></strong></span></p> </div> </div> </div></div></div></div></div><div class="vc_row wpb_row section vc_row-fluid " style=' text-align:left;'><div class=" full_section_inner clearfix"><div class="wpb_column vc_column_container vc_col-sm-12"><div class="vc_column-inner "><div class="wpb_wrapper"> <div class="um um-register um-3902" style="opacity: 1;"> <div class="um-form"> <form method="post" action="" name="member"> <div class="um-row _um_row_1 " style="margin: 0 0 30px 0;"><div class="um-col-1"> <div class="um-field um-field-um_block_3902_51 um-field-block um-field-type_block" > <div class="um-field-block"><h3>Information sur l'entreprise</h3></div> </div></div></div><div class="um-row _um_row_2 " style="margin: 0 0 30px 0;"><div class="um-col-121"> <div class="um-field um-field-raison um-field-text um-field-type_text" ><div class="um-field-label"> <label for="raison-3902">D茅nomination Raison Sociale:<span style="color:red; font-size:20px">*</span> </label><div class="um-clear"> </div></div><div class="um-field-area"><input class="" type="text" name="raison-3902" id="raison-3902" value="" placeholder="" required> </div></div></div><div class="um-col-122"><div class="um-field um-field-responsable um-field-text um-field-type_text" > <div class="um-field-label"><label for="responsable-3902">G茅rant/PDG/Responsable<span style="color:red; font-size:20px">*</span></label><div class="um-clear"> </div></div><div class="um-field-area"> <input autocomplete="off" class="um-form-field" type="text" name="responsable-3902" id="responsable-3902" value="" placeholder="" required> </div></div></div><div class="um-clear"></div><div class="um-col-121"><div class="um-field um-field-forme-jurid_17 um-field-checkbox um-field-type_checkbox" data-key="forme-jurid_17"><div class="um-field-label"><label for="forme-jurid_17-3902">Forme juridique<span style="color:red; font-size:20px">*</span></label><div class="um-clear"></div></div><div class="um-field-area"><label class="um-field-checkbox um-field-half um-field-radio-state-disabled"><input type="checkbox" name="forme-jurid_17[]" value="Personne morale"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Personne morale</span></label><label class="um-field-checkbox um-field-half right um-field-radio-state-disabled"><input type="checkbox" name="forme-jurid_17[]" value="Sa"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Sa</span></label><div class="um-clear"></div><div class="um-clear"></div></div></div><div class="um-field um-field-forme-jurid um-field-checkbox um-field-type_checkbox" ><div class="um-field-area"><label class="um-field-checkbox um-field-half "><input type="checkbox" name="forme-jurid[]" value="Personne Physique"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Personne Physique</span></label><div class="um-clear"></div></div></div><div class="um-field um-field-autre_juridique um-field-text um-field-type_text" ><div class="um-field-label"><label for="autre_juridique-3902">Autre</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="autre_juridique-3902" id="autre_juridique-3902" value="" placeholder="" > </div></div> <div class="um-field um-field-pays1 um-field-select um-field-type_select"><div class="um-field-label"><label for="pays1-3902">Pays<span style="color:red; font-size:20px">*</span></label> <div class="um-clear"></div></div><div class="um-field-area um-field-area-has-icon "> <select data-default="Tunisia" name="pays1" id="pays1" data-validate="" class="um-form-field valid um-s1 select2-hidden-accessible" style="width: 100%; display: block;" data-placeholder="Tunisia" tabindex="-1" aria-hidden="true"> <option value=""></option><option value="Tunisia" selected="">Tunisie</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albanie</option><option value="Algeria">Alg茅rie</option><option value="Andorra">Andorre</option><option value="Angola">Angola</option><option value="Antigua and Barbuda">Antigua-et-Barbuda</option><option value="Argentina">Argentine</option><option value="Armenia">Arm茅nie</option><option value="Australia">Australie</option><option value="Austria">Autriche</option><option value="Azerbaijan">Azerba茂djan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahre茂n</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbade</option><option value="Belarus">B茅larus</option><option value="Belgium">Belgique</option><option value="Belize">Belize</option><option value="Benin">B茅nin</option><option value="Bhutan">Bhoutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnie Herz茅govine</option><option value="Botswana">Botswana</option><option value="Brazil">Br茅sil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgarie</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Advertisement">Advertisement</option><option value="Cabo Verde">Cabo Verde</option><option value="Cambodia">Cambodge</option><option value="Cameroon">Cameroun</option><option value="Canada">Canada</option><option value="Central African Republic">R茅publique centrafricaine</option><option value="Chad">Tchad</option><option value="Chile">Chili</option><option value="China">Chine</option><option value="Colombia">Colombie</option><option value="Comoros">Comores</option><option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option><option value="Congo, Republic of the">Congo, Republic of the</option><option value="Costa Rica">Costa Rica</option><option value="C么te d鈥橧voire">C么te d鈥橧voire</option><option value="Croatia">Croatie</option><option value="Cuba">Cuba</option><option value="Cyprus">Chypre</option><option value="Czech Republic">R茅publique Tch猫que</option><option value="Denmark">Danemark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominique</option><option value="Dominican Republic">R茅publique Dominicaine</option><option value="Advertisement">Advertisement</option><option value="East Timor">East Timor</option><option value="Ecuador">脡quateur</option><option value="Egypt">脡gypte</option><option value="El Salvador">Salvador</option><option value="Equatorial Guinea">Guin茅e 脡quatoriale</option><option value="Eritrea">脡rythr茅e</option><option value="Estonia">Estonie</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">脡thiopie</option><option value="Fiji">Fidji</option><option value="Finland">Finlande</option><option value="France">France</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">G茅orgie</option><option value="Germany">Allemagne</option><option value="Ghana">Ghana</option><option value="Greece">Gr猫ce</option><option value="Grenada">Grenade</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guin茅e</option><option value="Guinea-Bissau">Guin茅e-Bissau</option><option value="Guyana">Guyane</option><option value="Haiti">Ha茂ti</option><option value="Honduras">Honduras</option><option value="Hungary">Hongrie</option><option value="Iceland">Islande</option><option value="India">Inde</option><option value="Indonesia">Indon茅sie</option><option value="Iran">Iran</option><option value="Iraq">Irak</option><option value="Ireland">Irlande</option><option value="Italy">Italie</option><option value="Jamaica">Jama茂que</option><option value="Japan">Japon</option><option value="Jordan">Jordanie</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, North">Korea, North</option><option value="Korea, South">Korea, South</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kowe茂t</option><option value="Kyrgyzstan">Kirghizistan</option><option value="Laos">Laos</option><option value="Latvia">Lettonie</option><option value="Lebanon">Liban</option><option value="Lesotho">Lesotho</option><option value="Liberia">Lib茅ria</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lituanie</option><option value="Luxembourg">Luxembourg</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaisie</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malte</option><option value="Marshall Islands">Iles Marshall</option><option value="Mauritania">Mauritanie</option><option value="Mauritius">脦le Maurice</option><option value="Mexico">Mexique</option><option value="Micronesia, Federated States of">Micron茅sie</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolie</option><option value="Montenegro">Montenegro</option><option value="Morocco">Maroc</option><option value="Mozambique">Mozambique</option><option value="Myanmar (Burma)">Myanmar (Burma)</option><option value="Namibia">Namibie</option><option value="Nauru">Nauru</option><option value="Nepal">N茅pal</option><option value="Netherlands">Pays-Bas</option><option value="New Zealand">Nouvelle-Z茅lande</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="North Macedonia">North Macedonia</option><option value="Norway">Norv猫ge</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palaos</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papouasie Nouvelle Guin茅e</option><option value="Paraguay">Paraguay</option><option value="Peru">P茅rou</option><option value="Philippines">Philippines</option><option value="Poland">Pologne</option><option value="Portugal">Portugal</option><option value="Qatar">Qatar</option><option value="Romania">Roumanie</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Kitts and Nevis">Saint-Christophe-et-Ni茅v猫s</option><option value="Saint Lucia">Sainte Lucie</option><option value="Saint Vincent and the Grenadines">Saint-Vincent-et-les-Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">Saint Marin</option><option value="Sao Tome and Principe">S茫o Tom茅-et-Principe</option><option value="Saudi Arabia">Arabie Saoudite</option><option value="Senegal">S茅n茅gal</option><option value="Serbia">Serbie</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapour</option><option value="Slovakia">Slovaquie</option><option value="Slovenia">Slov茅nie</option><option value="Solomon Islands">脦les Salomon</option><option value="Somalia">Somalie</option><option value="South Africa">Afrique du Sud</option><option value="Spain">Espagne</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Soudan</option><option value="Sudan, South">Sudan, South</option><option value="Suriname">Suriname</option><option value="Sweden">Su猫de</option><option value="Switzerland">Suisse</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tadjikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Tha茂lande</option><option value="Togo">Togo</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad et Tobago</option><option value="Turkey">Turquie</option><option value="Turkmenistan">Turkm茅nistan</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Ouganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">Emirats Arabes Unis</option><option value="United Kingdom">Royaume-Uni</option><option value="United States">脡tats-Unis d鈥橝m茅rique</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Ouzb茅kistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="Yemen">Yemen</option><option value="Zambia">Zambie</option><option value="Zimbabwe">Zimbabwe</option></select> <span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100%;"> <span class="dropdown-wrapper" aria-hidden="true"></span></span></div></div></div><div class="um-col-122"><div class="um-field um-field-forme-jurid_17_57 um-field-checkbox um-field-type_checkbox" data-key="forme-jurid_17_57"><div class="um-field-label"><label for="forme-jurid_17_57-3902">Forme juridique<span style="color:red; font-size:20px">*</span></label><div class="um-clear"></div></div><div class="um-field-area"><label class="um-field-checkbox um-field-half "><input type="checkbox" name="forme-jurid_17_57[]" value="Sarl"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Sarl</span></label><label class="um-field-checkbox um-field-half right"><input type="checkbox" name="forme-jurid_17_57[]" value="Suarl"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Suarl</span></label><div class="um-clear"></div><div class="um-clear"></div></div></div></div><div class="um-clear"></div><div class="um-col-121"><div class="um-field um-field-adress um-field-text um-field-type_text" ><div class="um-field-label"><label for="adress-3902">Adresse<span style="color:red; font-size:20px">*</span> </label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="adress-3902" id="adress-3902" value="" placeholder="" > </div></div><div class="um-field um-field-ville um-field-text um-field-type_text" ><div class="um-field-label"><label for="ville-3902">Ville<span style="color:red; font-size:20px">*</span></label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="ville-3902" id="ville-3902" value="" placeholder="" > </div></div><div class="um-field um-field-gsm um-field-text um-field-type_text" ><div class="um-field-label"><label for="gsm-3902">GSM<span style="color:red; font-size:20px">*</span></label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="gsm-3902" id="gsm-3902" value="" placeholder="" > </div></div><div class="um-field um-field-email1 um-field-text um-field-type_text" ><div class="um-field-label"><label for="email1-3902">E-mail<span style="color:red; font-size:20px">*</span></label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="email1-3902" id="email1-3902" value="" placeholder="" > </div></div></div><div class="um-col-122"><div class="um-field um-field-zip1 um-field-text um-field-type_text" ><div class="um-field-label"><label for="zip1-3902">Code Postal</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="zip1-3902" id="zip1-3902" value="" placeholder="" > </div></div><div class="um-field um-field-fax um-field-text um-field-type_text" ><div class="um-field-label"><label for="fax-3902">Fax</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="fax-3902" id="fax-3902" value="" placeholder="" > </div></div><div class="um-field um-field-web_site um-field-text um-field-type_text" ><div class="um-field-label"><label for="web_site-3902">Site web</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="web_site-3902" id="web_site-3902" value="" placeholder="" > </div></div><div class="um-field um-field-tel um-field-text um-field-type_text" ><div class="um-field-label"><label for="tel-3902">T茅l茅phone</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="tel-3902" id="tel-3902" value="" placeholder="" > </div></div></div><div class="um-clear"></div><div class="um-col-1"><div class="um-field um-field-um_block_3902_58 um-field-block um-field-type_block" > <div class="um-field-block"><h3><span style="color: #0077b5;">Principaux Contacts</span></h3></div> </div></div></div><div class="um-row _um_row_3 " style="margin: 0 0 30px 0;"><div class="um-col-1"><div class="um-field um-field-directeur_generale um-field-text um-field-type_text" ><div class="um-field-label"><label for="directeur_generale-3902">Directeur g茅n茅rale</label><div class="um-clear"></div></div><div class="um-field-area"><input class="um-form-field valid not-required " type="text" name="directeur_generale-3902" id="directeur_generale-3902" value="" placeholder="Nom & Pr茅nom" > </div></div><div class="um-field um-field-dir_export um-field-text um-field-type_text" ><div class="um-field-label"><label for="dir_export-3902">Dir export</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="dir_export-3902" id="dir_export-3902" value="" placeholder="Nom & Pr茅nom" > </div></div><div class="um-field um-field-Dir_commercial um-field-text um-field-type_text" ><div class="um-field-label"><label for="Dir_commercial-3902">Directeur Commercial</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="Dir_commercial-3902" id="Dir_commercial-3902" value="" placeholder="Nom & Pr茅nom" > </div></div><div class="um-field um-field-Dir_Formation um-field-text um-field-type_text" ><div class="um-field-label"><label for="Dir_Formation-3902">Dir Formation/R.H</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="Dir_Formation-3902" id="Dir_Formation-3902" value="" placeholder="Nom & Pr茅nom" > </div></div><div class="um-field um-field-tel_dirgen um-field-text um-field-type_text" ><div class="um-field-label"><label for="tel_dirgen-3902">GSM Dir G茅n茅rale</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="tel_dirgen-3902" id="tel_dirgen-3902" value="" placeholder="" > </div></div><div class="um-field um-field-tel_export um-field-text um-field-type_text" ><div class="um-field-label"><label for="tel_export-3902">GSM Dir Export</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="tel_export-3902" id="tel_export-3902" value="" placeholder="" > </div></div><div class="um-field um-field-tel_comm um-field-text um-field-type_text" ><div class="um-field-label"><label for="tel_comm-3902">GSM Dir Comm</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="tel_comm-3902" id="tel_comm-3902" value="" placeholder="" > </div></div><div class="um-field um-field-tel_rh um-field-text um-field-type_text" ><div class="um-field-label"><label for="tel_rh-3902">GSM RH</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="tel_rh-3902" id="tel_rh-3902" value="" placeholder="" > </div></div><div class="um-field um-field-email um-field-text um-field-type_text" ><div class="um-field-label"><label for="email-3902">E-mail Dir G茅n</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="email-3902" id="email-3902" value="" placeholder="" > </div></div><div class="um-field um-field-email_export um-field-text um-field-type_text" ><div class="um-field-label"><label for="email_export-3902">E-mail Dir Export</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="email_export-3902" id="email_export-3902" value="" placeholder="" > </div></div><div class="um-field um-field-email_comm um-field-text um-field-type_text" ><div class="um-field-label"><label for="email_comm-3902">E-mail Dir Comm</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="email_comm-3902" id="email_comm-3902" value="" placeholder="" > </div></div><div class="um-field um-field-email_rh um-field-text um-field-type_text" ><div class="um-field-label"><label for="email_rh-3902">E-mail Dir Formation</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="email_rh-3902" id="email_rh-3902" value="" placeholder="" > </div></div></div><div class="um-col-121"><div class="um-field um-field-um_block_3902_54 um-field-block um-field-type_block" "> <div class="um-field-block"><h3>Activit茅 de l'entreprise</h3></div> </div><div class="um-field um-field-indus um-field-checkbox um-field-type_checkbox" ><div class="um-field-area"><label class="um-field-checkbox um-field-half um-field-radio-state-disabled"><input type="checkbox" name="indus[]" value="Industrie"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Industrie</span></label><label class="um-field-checkbox um-field-half right um-field-radio-state-disabled"><input type="checkbox" name="indus[]" value="Commerce"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Commerce</span></label><div class="um-clear"></div><label class="um-field-checkbox um-field-half um-field-radio-state-disabled"><input type="checkbox" name="indus[]" value="Services"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Services</span></label><label class="um-field-checkbox um-field-half right um-field-radio-state-disabled"><input type="checkbox" name="indus[]" value="Petit m茅tier"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Petit m茅tier</span></label><div class="um-clear"></div><label class="um-field-checkbox um-field-half um-field-radio-state-disabled"><input type="checkbox" name="indus[]" value="Artisanat"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Artisanat</span></label><div class="um-clear"></div></div></div></div><div class="um-col-122"><div class="um-field um-field-detaille_actitvite um-field-text um-field-type_text" ><div class="um-field-label"><label for="detaille_actitvite-3902">D茅taillez vos principales activit茅s</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid " type="text" name="detaille_actitvite-3902" id="detaille_actitvite-3902" value="" placeholder="" > </div></div><div class="um-field um-field-produit_services um-field-text um-field-type_text" ><div class="um-field-label"><label for="produit_services-3902">脡num茅rez vos principaux produits/services</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="produit_services-3902" id="produit_services-3902" value="" placeholder="" data-validate="" data-key="produit_services"> </div></div><div class="um-field um-field-marques um-field-text um-field-type_text" ><div class="um-field-label"><label for="marques-3902">脡num茅rez vos marques fabriqu茅es</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="marques-3902" id="marques-3902" value="" placeholder="" > </div></div></div><div class="um-clear"></div></div><div class="um-row _um_row_4 " style="margin: 0 0 30px 0;"><div class="um-col-121"><div class="um-field um-field-regime_export um-field-radio um-field-type_radio" ><div class="um-field-label"><label for="regime_export-3902">R茅gime d'exportation</label><div class="um-clear"></div></div><div class="um-field-area"><label class="um-field-radio um-field-half um-field-radio-state-disabled"><input type="radio" name="regime_export[]" value="TE"><span class="um-field-radio-state"><i class="um-icon-android-radio-button-off"></i></span><span class="um-field-radio-option">TE</span></label><label class="um-field-radio um-field-half right um-field-radio-state-disabled"><input type="radio" name="regime_export[]" value="NTE"><span class="um-field-radio-state"><i class="um-icon-android-radio-button-off"></i></span><span class="um-field-radio-option">NTE</span></label><div class="um-clear"></div><div class="um-clear"></div></div></div><div class="um-field um-field-entreprise_certifier um-field-radio um-field-type_radio" ><div class="um-field-label"><label for="entreprise_certifier-3902">Votre entreprise est-elle certifi茅e</label><div class="um-clear"></div></div><div class="um-field-area"><label class="um-field-radio um-field-half um-field-radio-state-disabled"><input type="radio" name="entreprise_certifier[]" value="Oui"><span class="um-field-radio-state"><i class="um-icon-android-radio-button-off"></i></span><span class="um-field-radio-option">Oui</span></label><label class="um-field-radio um-field-half right um-field-radio-state-disabled"><input type="radio" name="entreprise_certifier[]" value="Non"><span class="um-field-radio-state"><i class="um-icon-android-radio-button-off"></i></span><span class="um-field-radio-option">Non</span></label><div class="um-clear"></div><div class="um-clear"></div></div></div><div class="um-field um-field-registre_commerce um-field-text um-field-type_text" ><div class="um-field-label"><label for="registre_commerce-3902">Registre de commerce N掳</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="registre_commerce-3902" id="registre_commerce-3902" value="" placeholder="" > </div></div></div><div class="um-col-122"><div class="um-field um-field-marche_export um-field-text um-field-type_text" ><div class="um-field-label"><label for="marche_export-3902">March茅 a l'export</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="marche_export-3902" id="marche_export-3902" value="" placeholder="" > </div></div><div class="um-field um-field-type_certification um-field-text um-field-type_text" ><div class="um-field-label"><label for="type_certification-3902">Type de certification</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="type_certification-3902" id="type_certification-3902" value="" placeholder="" > </div></div><div class="um-field um-field-matricule_fiscale um-field-text um-field-type_text" ><div class="um-field-label"><label for="matricule_fiscale-3902">Matricule fiscale</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="matricule_fiscale-3902" id="matricule_fiscale-3902" value="" placeholder="" > </div></div></div><div class="um-clear"></div></div><div class="um-row _um_row_5 " style="margin: 0 0 30px 0;"><div class="um-col-131"><div class="um-field um-field-capital_Social um-field-text um-field-type_text" ><div class="um-field-label"><label for="capital_Social-3902">Capital Social</label><div class="um-clear"></div></div><div class="um-field-area"><input class="um-form-field valid not-required " type="text" name="capital_Social-3902" id="capital_Social-3902" value="" placeholder="" > </div></div><div class="um-field um-field-nombre_salaries um-field-text um-field-type_text" ><div class="um-field-label"><label for="nombre_salaries-3902">Nombre de salari茅s</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="nombre_salaries-3902" id="nombre_salaries-3902" value="" placeholder=""> </div></div></div><div class="um-col-132"><div class="um-field um-field-tunisien um-field-text um-field-type_text" ><div class="um-field-label"><label for="tunisien-3902">Tunisien %</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="tunisien-3902" id="tunisien-3902" value="" placeholder="" > </div></div><div class="um-field um-field-nombre_cadre um-field-text um-field-type_text" ><div class="um-field-label"><label for="nombre_cadre-3902">Nombre de cadres</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="nombre_cadre-3902" id="nombre_cadre-3902" value="" placeholder="" > </div></div></div><div class="um-col-133"><div class="um-field um-field-etranger um-field-text um-field-type_text" ><div class="um-field-label"><label for="etranger-3902">Etranger %</label><div class="um-clear"></div></div><div class="um-field-area"><input autocomplete="off" class="um-form-field valid not-required " type="text" name="etranger-3902" id="etranger-3902" value="" placeholder="" > </div></div></div><div class="um-clear"></div></div><div class="um-row _um_row_6 " style="margin: 0 0 30px 0;"><div class="um-col-1"><div class="um-field um-field-um_block_3902_55 um-field-block um-field-type_block"> <div class="um-field-block"><h3>Type d'inscription</h3></div> </div><div class="um-field um-field-type_inscription um-field-checkbox um-field-type_checkbox" ><div class="um-field-area"><label class="um-field-checkbox um-field-half "><input type="checkbox" name="type_inscription[]" value="Adh茅rent"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Adh茅rent</span></label><label class="um-field-checkbox um-field-half right"><input type="checkbox" name="type_inscription[]" value="Abonn茅 package privil猫ge"><span class="um-field-checkbox-state"><i class="um-icon-android-checkbox-outline-blank"></i></span><span class="um-field-checkbox-option">Abonn茅 package privil猫ge</span></label><div class="um-clear"></div><div class="um-clear"></div></div></div></div></div><div class="um-row _um_row_7 " style="margin: 0 0 30px 0;"><div class="um-col-1"><div class="um-field um-field-um_block_3902_49 um-field-block um-field-type_block" > <div class="um-field-block"><h3>Inscription 脿 l'espace adh茅rent</h3></div> </div></div></div><div class="um-row _um_row_8 " style="margin: 0 0 30px 0;"><div class="um-col-1"> <div class="um-field um-field-user_email um-field-text um-field-type_text" > <div class="um-field-label"><label for="user_email-3902">Adresse e-mail</label> <div class="um-clear"></div></div><div class="um-field-area"> <input class="um-form-field valid " type="text" name="user_email" value="" placeholder="" data-validate="unique_email" required> </div></div><div class="um-field um-field-user_password um-field-password um-field-type_password" > <div class="um-field-label"><label for="user_password">Mot de passe</label> <div class="um-clear"></div></div><div class="um-field-area"> <input class="um-form-field valid " type="password" name="user_password" value="" placeholder="" required> </div></div><div class="um-field um-field-user_password um-field-password um-field-type_password" > <div class="um-field-label"><label for="confirm_user_password">Confirmer le Mot de passe</label> <div class="um-clear"></div></div><div class="um-field-area"><input class="um-form-field valid " required type="password" name="confirm_user_password" id="confirm_user_password-3902" value="" placeholder="" data-validate="" > </div></div></div></div> <div class="um-col-alt"> <div class="um-center" id="inscriUser">  <input type="submit" value="Envoyer" class="" name="submit"> </div> <div class="um-clear"></div> </div> </form> </div> </div> <div class="wpb_text_column wpb_content_element "> <div class="wpb_wrapper"> </div> 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