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Formulaire de contact | Interreg France-Suisse
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aria-controls="HeaderSearchBlock" aria-expanded="false" title="Rechercher"><span>Rechercher</span></button> <div id="HeaderSearchBlock" class="SearchBlock" role="dialog" aria-labelledby="search-dialog-title" aria-hidden="true"> <div class="container"> <button type="button" class="btn--close SearchBlock__close" aria-label="Fermer">Fermer</button> <div class="SearchBlock__inner"> <h2 id="search-dialog-title" class="sr-only">Rechercher</h2> <form class="adimeo-search-search-form" data-drupal-selector="adimeo-search-search-form" action="/formulaire-de-contact" method="post" id="adimeo-search-search-form" accept-charset="UTF-8"> <div class="js-form-item form-item form-type-textfield js-form-type-textfield form-item-search js-form-item-search"> <label for="edit-search" class="js-form-required form-required">Recherche</label> <input placeholder="Entrez une nouvelle recherche…" class="btn--square btn--input-search form-text required" data-drupal-selector="edit-search" type="text" id="edit-search" name="search" value="" maxlength="128" required="required" aria-required="true" /> </div> <input autocomplete="off" data-drupal-selector="form-ux7azak1md6br6jboummgx5vrgwehjdxp8vnvejxlb0" type="hidden" name="form_build_id" value="form-ux7azAk1mD6BR6JboUmMGx5VrgwEHjDXp8VnVejXlB0" /> <input data-drupal-selector="edit-adimeo-search-search-form" type="hidden" name="form_id" value="adimeo_search_search_form" /> <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--3"><input class="btn btn--square btn--submit-search button js-form-submit form-submit" data-drupal-selector="edit-submit" type="submit" id="edit-submit--2" name="op" value="Rechercher" /> </div> </form> <p class="suggestions">Vous cherchez peut-être :</p> <ul class="suggestions__list"> <li><a href="/recherche?keyword=DOMO" title="Search for DOMO" aria-label="Search for DOMO" class="btn btn--tertiary btn--icon--left">DOMO</a></li> <li><a href="/recherche?keyword=kit%20de%20communication" title="Search for kit de communication" aria-label="Search for kit de communication" class="btn btn--tertiary btn--icon--left">kit de communication</a></li> <li><a href="/recherche?keyword=logos" title="Search for logos" aria-label="Search for logos" class="btn btn--tertiary btn--icon--left">logos</a></li> <li><a href="/recherche?keyword=comit%C3%A9%20de%20suivi" title="Search for comité de suivi" aria-label="Search for comité de suivi" class="btn btn--tertiary btn--icon--left">comité de suivi</a></li> </ul> </div> </div> </div> </div> </div> </div> </div> </div> </div> </header> <main id="MainWrapper"> <div class="region--messages"> <div data-drupal-messages-fallback class="hidden"></div> </div> <div class="region--content"> <div id="block-bfceurope-contenudelapageprincipale"> <article class="bkg--fund--default Node NodeContact"> <div class="contentHeader contentHeader__noCover"> <div class="container"> <div id="Breadcrumb" class="breadcrumb"> <nav role="navigation" aria-label="Vous êtes ici :"> <ol> <li> <a href="/">Accueil</a> </li> <li aria-current="page"> <span class="Breadcrumb-current">Formulaire de contact</span> </li> </ol> </nav> </div> <div class="Node__header"> <div class="Node__header__content"> <h1>Formulaire de contact</h1> </div> </div> </div> </div> <div class="Node__paragraphs"> <div class="container"> <section class="Paragraph ParagraphForm"> <div> <form class="webform-submission-form webform-submission-add-form webform-submission-formulaire-de-contact-form webform-submission-formulaire-de-contact-add-form webform-submission-formulaire-de-contact-paragraph-524-form webform-submission-formulaire-de-contact-paragraph-524-add-form js-webform-details-toggle webform-details-toggle antibot" data-drupal-selector="webform-submission-formulaire-de-contact-paragraph-524-add-form" data-action="/formulaire-de-contact" action="/antibot" method="post" id="webform-submission-formulaire-de-contact-paragraph-524-add-form" accept-charset="UTF-8"> <noscript> <div class="antibot-no-js antibot-message antibot-message-warning">You must have JavaScript enabled to use this form.</div> </noscript> <div class="js-form-item form-item form-type-textfield js-form-type-textfield form-item-nom js-form-item-nom"> <label for="edit-nom" class="js-form-required form-required">Votre nom</label> <input data-webform-required-error="Renseigner le champ "Votre nom"" data-drupal-selector="edit-nom" type="text" id="edit-nom" name="nom" value="" maxlength="255" placeholder="Renseignez votre nom" class="form-text required" required="required" aria-required="true" /> </div> <div class="js-form-item form-item form-type-textfield js-form-type-textfield form-item-prenom js-form-item-prenom"> <label for="edit-prenom" class="js-form-required form-required">Votre Prénom</label> <input data-webform-required-error="Renseigner le champ "Votre prénom"" data-drupal-selector="edit-prenom" type="text" id="edit-prenom" name="prenom" value="" maxlength="255" placeholder="Renseignez votre prénom" class="form-text required" required="required" aria-required="true" /> </div> <div class="js-form-item form-item form-type-textfield js-form-type-textfield form-item-votre-structure js-form-item-votre-structure"> <label for="edit-votre-structure">Votre structure</label> <input data-drupal-selector="edit-votre-structure" type="text" id="edit-votre-structure" name="votre_structure" value="" maxlength="255" placeholder="Renseignez votre structure professionnelle" class="form-text" /> </div> <fieldset id="edit-email" class="webform-email-confirm--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-email-confirm webform-type-webform-email-confirm js-form-item form-item js-form-wrapper form-wrapper"> <legend> <span class="visually-hidden fieldset-legend">Votre adresse email</span> </legend> <div class="fieldset-wrapper"> <div class="js-form-item form-item form-type-email js-form-type-email form-item-email-mail-1 js-form-item-email-mail-1"> <label for="edit-email-mail-1" class="js-form-required form-required">Votre adresse email</label> <input data-webform-required-error="Renseigner le champ "Votre adresse mail"" data-drupal-selector="edit-email-mail-1" class="webform-email form-email required" type="email" id="edit-email-mail-1" name="email[mail_1]" value="" maxlength="254" placeholder="Renseignez votre email" required="required" aria-required="true" /> </div> <div class="js-form-item form-item form-type-email js-form-type-email form-item-email-mail-2 js-form-item-email-mail-2"> <label for="edit-email-mail-2" class="js-form-required form-required">Confirmez votre adresse email</label> <input data-webform-required-error="Renseigner le champ "Votre adresse mail"" data-drupal-selector="edit-email-mail-2" class="webform-email-confirm form-email required" type="email" id="edit-email-mail-2" name="email[mail_2]" value="" maxlength="254" placeholder="Confirmez votre adresse email" required="required" aria-required="true" /> </div> </div> </fieldset> <div class="js-form-item form-item form-type-select js-form-type-select form-item-selectionnez-la-thematique-de-votre-projet js-form-item-selectionnez-la-thematique-de-votre-projet"> <label for="edit-selectionnez-la-thematique-de-votre-projet">Sélectionnez la thématique de votre projet</label> <select data-drupal-selector="edit-selectionnez-la-thematique-de-votre-projet" class="webform-entity-select form-select" id="edit-selectionnez-la-thematique-de-votre-projet" name="selectionnez_la_thematique_de_votre_projet"><option value="" selected="selected">- Aucun(e) -</option><option value="69">Mobilités durables et multimodalités</option><option value="72">Neutralité carbone et transition écologique</option><option value="105">Plans territoriaux intégrés de coopération</option><option value="71">Recherche et innovation, numérique</option><option value="98">Réduction des obstacles à la frontière franco-suisse</option><option value="97">Tourisme durable et culture</option></select> </div> <div class="js-form-item form-item form-type-textarea js-form-type-textarea form-item-votre-message js-form-item-votre-message"> <label for="edit-votre-message">Votre demande</label> <div> <textarea data-drupal-selector="edit-votre-message" id="edit-votre-message" name="votre_message" rows="5" cols="60" placeholder="Saisissez votre demande" class="form-textarea"></textarea> </div> </div> <div class="js-form-item form-item form-type-checkbox js-form-type-checkbox form-item-consentement js-form-item-consentement"> <input data-webform-required-error="Votre consentement est obligatoire" data-drupal-selector="edit-consentement" aria-describedby="edit-consentement--description" type="checkbox" id="edit-consentement" name="consentement" value="1" class="form-checkbox required" required="required" aria-required="true" /> <label for="edit-consentement" class="option js-form-required form-required">Consentement</label> <div class="description"> <div id="edit-consentement--description" class="webform-element-description">J'ai lu et j'accepte les conditions d'utilisation de mes données (voir ci-dessous).</div> </div> </div> <div id="edit-markup" class="js-form-item form-item form-type-webform-markup js-form-type-webform-markup form-item-markup js-form-item-markup form-no-label"> <p><strong>PROTECTION DES DONNÉES ET RGPD</strong></p><p>Pour le bon traitement de votre demande, vous acceptez que les données personnelles saisies soient traitées par la Région Bourgogne-Franche-Comté, autorité de gestion des fonds européens. <br>Vos données sont automatiquement effacées après un maximum de 3 ans sans reconnexion de votre part. <br>Conformément à la loi « informatique et libertés » n°78-17 du 6 janvier 1978 et au règlement (UE) 2016/679 du Parlement européen et du Conseil du 27 avril 2016 (Règlement Général sur la protection des Données) vous pouvez accéder aux données vous concernant ou demander leur effacement. Vous disposez également d'un droit d’opposition, d’un droit de rectification et d’un droit à la limitation du traitement de vos données. <br>Pour exercer ces droits, vous pouvez contacter le Délégué à la Protection des Données en lui écrivant par voie postale : <em>4 square Castan - CS 51857 25031 Besançon Cedex </em>ou par voie électronique : <a href="mailto:interreg@bourgognefranchecomte.fr">interreg@bourgognefranchecomte.fr</a></p><p> </p> </div> <div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions"><input class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-actions-submit" type="submit" id="edit-actions-submit" name="op" value="Envoyer ma demande" /> </div> <input autocomplete="off" data-drupal-selector="form-nwbvnmboyvs2lpgzb9r7rvvxv-vkmkql4p4x8ojl1hg" type="hidden" name="form_build_id" value="form-NWBvnMbOyvs2LpGzb9R7rvVXV_VKmKQL4p4x8oJl1hg" /> <input 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