S'inscrire dans la base de données des fournisseurs de l'ETNIC

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itemtype="https://schema.org/ListItem" class=""> <a itemscope itemtype="https://schema.org/Thing" itemprop="item" itemid="/" href="/" target="" title="ETNIC"> <span itemprop="name">ETNIC</span> </a> <meta itemprop="position" content="1" /> </li> <li itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem" class=""> <a itemscope itemtype="https://schema.org/Thing" itemprop="item" itemid="/fournir-un-service-a-letnic/devenir-fournisseur-de-letnic/" href="/fournir-un-service-a-letnic/devenir-fournisseur-de-letnic/" target="" title="Fournir un service à l'ETNIC"> <span itemprop="name">Fournir un service à l'ETNIC</span> </a> <meta itemprop="position" content="2" /> </li> <li itemprop="itemListElement" itemscope itemtype="https://schema.org/ListItem" class="active"> <span class="crumb" itemprop="name">S'inscrire dans la base de données des fournisseurs</span> <meta itemprop="position" content="3" /> </li> </ul> </div> <h1>S'inscrire dans la base de données des fournisseurs</h1> </div> </div> </div> </div> <div class="container-custom container-dark"> <div id="c942" class="frame 0 frame-default frame-type-list frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="container"><div class="row"><div class="col-12"><div class="form-container form-identifier-labasededonneesdesfournisseursdelETNIC-288"><form autocomplete="on" enctype="multipart/form-data" method="post" class="col-md-8" id="labasededonneesdesfournisseursdelETNIC-288" action="/fournir-un-service-a-letnic/sinscrire-dans-la-base-de-donnees-des-fournisseurs-de-letnic/?tx_etnicforma11yk_etnicforma11yregistrationproviders%5Bcontroller%5D=Form&cHash=8bda7f579ff11c9666100baee77eb342"><div><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__referrer][@extension]" value="EtnicFormA11yK" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__referrer][@controller]" value="Form" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__referrer][@action]" value="registrationDbProviders" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__referrer][arguments]" value="YTowOnt9d72ecd94941b2217a83503bea626cf3efff63a83" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__referrer][@request]" value="{"@extension":"EtnicFormA11yK","@controller":"Form","@action":"registrationDbProviders"}3dafd1ee71881d4f644ec0755279d90b833208ac" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[__trustedProperties]" value="{"society-288":1,"street-number-288":1,"cp-288":1,"city-288":1,"website-288":1,"fullname-288":1,"phone-288":1,"email-288":1,"furniture-IT-288":1,"benefit-288":1,"general-services-288":1,"furniture-288":1,"others-288":1,"specify-others-288":1,"file-288":{"name":1,"type":1,"tmp_name":1,"error":1,"size":1},"button-contact-submit-n288":1}0f1d2909b9da13cb85ccf72d73db2e6fc235f46b" /></div><div class="form-group"><label id="labasededonneesdesfournisseursdelETNIC-288-text-1-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-1"> Societe <span class="required">*</span></label><div class="input"><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-1-label" autocomplete="organization" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-1" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[society-288]" value="" required="required" /></div><label id="societe-error" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-1"> Le nom de la societe est requise. </label></div><fieldset id="labasededonneesdesfournisseursdelETNIC-288-fieldset-1" class="form-group"><legend>Adresse</legend><div class="form-group"><div class="input"><label id="labasededonneesdesfournisseursdelETNIC-288-text-2-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-2" > Rue, numéro <span class="required">*</span></label><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-2-label" autocomplete="street-address" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-2" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[street-number-288]" value="" required="required" /><label id="street-number-error-288" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-2"> La rue et le numéro sont requis. </label></div></div><div class="form-group"><div class="input"><label id="labasededonneesdesfournisseursdelETNIC-288-text-3-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-3"> CP <span class="required">*</span></label><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-3-label" autocomplete="postal-code" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-3" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[cp-288]" value="" required="required" /><label id="cp-error-288" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-3"> Le code postal est requis. </label></div></div><div class="form-group"><div class="input"><label id="labasededonneesdesfournisseursdelETNIC-288-text-5-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-5"> Ville <span class="required">*</span></label><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-5-label" autocomplete="address-level2" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-5" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[city-288]" value="" required="required" /><label id="city-error-288" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-5"> Le nom de la ville est requis. </label></div></div><div class="form-group"><div class="input"><label class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-4"> Site web </label><input class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-4" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[website-288]" value="" /></div></div></fieldset><fieldset id="labasededonneesdesfournisseursdelETNIC-288-fieldset-2" class="form-group"><legend>Personne de contact</legend><div class="form-group"><div class="input"><label id="labasededonneesdesfournisseursdelETNIC-288-text-6-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-6" > Nom et prénom <span class="required">*</span></label><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-6-label" autocomplete="name" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-6" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[fullname-288]" value="" required="required" /><label id="firstname-lastname-error-288-text-6" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-6"> Le nom et prénom sont requis </label></div></div><div class="form-group"><label class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-7">Téléphone</label><div class="input"><input autocomplete="tel" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-7" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[phone-288]" value="" /></div></div><div class="form-group"><div class="input"><label id="labasededonneesdesfournisseursdelETNIC-288-text-8-label" class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-8">Email <span class="required">*</span></label><input aria-labelledby="labasededonneesdesfournisseursdelETNIC-288-text-8-label" autocomplete="email" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-8" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[email-288]" value="" required="required" /><label id="email-error-288-text-8" class="no-error-4" for="labasededonneesdesfournisseursdelETNIC-288-text-8"> L'email est requis </label></div></div></fieldset><fieldset id="labasededonneesdesfournisseursdelETNIC-288-fieldset-3" class="form-group"><legend>Domaine(s) d'activité *</legend><div class="form-group"><div class="input checkbox"><div class="form-check"><label class="add-on form-check-label" for="labasededonneesdesfournisseursdelETNIC-288-checkbox-1"><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-IT-288]" value="" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-IT-288]" value="" /><input class="add-on" id="labasededonneesdesfournisseursdelETNIC-288-checkbox-1" type="checkbox" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-IT-288]" value="1" /><span>Equipements informatiques (bureautique, réseau, téléphonie, licences, consommables, …)</span></label></div></div></div><div class="form-group"><div class="input checkbox"><div class="form-check"><label class="add-on form-check-label" for="labasededonneesdesfournisseursdelETNIC-288-checkbox-2"><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[benefit-288]" value="" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[benefit-288]" value="" /><input class="add-on" id="labasededonneesdesfournisseursdelETNIC-288-checkbox-2" type="checkbox" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[benefit-288]" value="1" /><span>Prestations informatiques (développement, consultance, formation, …)</span></label></div></div></div><div class="form-group"><div class="input checkbox"><div class="form-check"><label class="add-on form-check-label" for="labasededonneesdesfournisseursdelETNIC-288-checkbox-3"><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[general-services-288]" value="" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[general-services-288]" value="" /><input class="add-on" id="labasededonneesdesfournisseursdelETNIC-288-checkbox-3" type="checkbox" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[general-services-288]" value="1" /><span>Services généraux et logistique (assurance, nettoyage, comptabilité, RH, juridique, …)</span></label></div></div></div><div class="form-group"><div class="input checkbox"><div class="form-check"><label class="add-on form-check-label" for="labasededonneesdesfournisseursdelETNIC-288-checkbox-4"><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-288]" value="" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-288]" value="" /><input class="add-on" id="labasededonneesdesfournisseursdelETNIC-288-checkbox-4" type="checkbox" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[furniture-288]" value="1" /><span> Fournitures générales (mobilier, papier, …)</span></label></div></div></div><div class="form-group"><div class="input checkbox"><div class="form-check"><label class="add-on form-check-label" for="labasededonneesdesfournisseursdelETNIC-288-checkbox-5"><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[others-288]" value="" /><input type="hidden" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[others-288]" value="" /><input class="add-on" id="labasededonneesdesfournisseursdelETNIC-288-checkbox-5" type="checkbox" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[others-288]" value="1" /><span>Autre</span></label></div></div></div><div class="form-group"><label class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-text-9"> Si autre, veuillez spécifier </label><div class="input"><input autocomplete="on" placeholder="Veuillez spécifier" class="form-control" id="labasededonneesdesfournisseursdelETNIC-288-text-9" type="text" name="tx_etnicforma11yk_etnicforma11yregistrationproviders[specify-others-288]" value="" /></div></div></fieldset><div class="form-group"><label class="control-label" for="labasededonneesdesfournisseursdelETNIC-288-fileupload-1"> Vous souhaitez joindre un fichier à votre dossier ? </label><div class="input"><input accept="application/msword,application/vnd.openxmlformats-officedocument.wordprocessingml.document,application/pdf,application/vnd.oasis.opendocument.text" id="labasededonneesdesfournisseursdelETNIC-288-fileupload-1" type="file" 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