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id="main-content"></a> <h1 class="page-header">Inscription utilisateur</h1> <div class="region region-content"> <section id="block-system-main" class="block block-system clearfix"> <div class="block-content"> </div> </section> <section id="block-martin-media-user-connect-block-form-inscription" class="block block-martin-media-user-connect clearfix"> <div class="block-content"> <div class="row"> <div class="col-xs-12 col-md-8 col-md-offset-2 col-lg-6 col-lg-offset-3"> <p>Inscrivez-vous sur le site La Revue fran莽aise de G茅n茅alogie pour b茅n茅ficier d'avantages et d'acc猫s priv茅s li茅s 脿 votre compte ou votre abonnement 脿 la revue.</p> <p><small>* Champs obligatoires</small></p> <form id="compte-inscription" class="martinmedia-form" action="/inscription" name="" method="POST"> <h2>Identifiant & Mot de passe</h2> <div class="form-group row"> <label for="lastname" class="col-sm-3 control-label hidden-xs">Nom<span class="form-required" title="Ce champ est requis.">*</span></label> <div class="col-xs-12 col-sm-9"> <input class="form-control" id="lastname" placeholder="Nom" value="" name="lastname"> </div> </div> <div class="form-group row"> <label for="firstname" class="col-sm-3 control-label hidden-xs">Pr茅nom<span class="form-required" title="Ce champ est requis.">*</span></label> <div class="col-xs-12 col-sm-9"> <input class="form-control" id="firstname" placeholder="Pr茅nom" value="" name="firstname"> </div> </div> <div class="form-group row"> <label for="email" class="col-sm-3 control-label hidden-xs">Email<span class="form-required" title="Ce champ est requis.">*</span></label> <div class="col-xs-12 col-sm-9"> <input type="email" class="form-control" id="email" placeholder="Email" value="" name="email"> </div> </div> <div class="form-group row"> <label for="pass1" class="col-sm-3 control-label hidden-xs">Mot de passe<span class="form-required" title="Ce champ est requis.">*</span></label> <div class="col-xs-12 col-sm-9"> <input type="password" class="form-control" id="pass1" placeholder="Mot de passe" value="" name="pass1"> </div> </div> <div class="form-group row"> <label for="pass2" class="col-sm-3 control-label hidden-xs">Confirmation<span class="form-required" title="Ce champ est requis.">*</span></label> <div class="col-xs-12 col-sm-9"> <input type="password" class="form-control" id="pass2" placeholder="Confirmation du mot de passe" value="" name="pass2"> </div> </div> <h2>Avez vous un num茅ro client ou abonn茅 ?</h2> <div class="form-group row"> <label for="number" class="col-sm-3 control-label hidden-xs"> Num茅ro </label> <div class="col-xs-12 col-sm-9"> <input id="number" class="form-control" type="text" maxlength="14" size="30" value="" name="number" pattern="[0-9]{2,12}" placeholder="Num茅ro client ou d'abonn茅"> </div> </div> <div class="fieldHidden mask form-group row"> <label for="country" class="col-sm-3 control-label hidden-xs"> Pays </label> <div class="col-xs-12 col-sm-9"> <select id="country" name="country" class="form-control"> <option value="AD" >ANDORRE</option><option value="AE" >EMIRATS ARABES UNIS</option><option value="AF" >AFGHANISTAN</option><option value="AG" >ANTIGUA ET BARBUDA</option><option value="AI" >ANGUILLA</option><option value="AL" >ALBANIE</option><option value="AM" >ARMENIE</option><option value="AN" >ANTILLES NEERLANDAIS</option><option value="AO" >ANGOLA</option><option value="AQ" >ANTARCTIQUE</option><option value="AR" >ARGENTINE</option><option value="AS" >SAMOA AMERICAINES</option><option value="AT" >AUTRICHE</option><option value="AU" >AUSTRALIE</option><option value="AW" >ARUBA</option><option value="AX" >ILES ALAND</option><option value="AZ" >AZERBAIDJAN</option><option value="BA" >BOSNIE HERZEGOVINE</option><option value="BB" >BARBADE</option><option value="BD" >BANGLADESH</option><option value="BE" >BELGIQUE</option><option value="BF" >BURKINA FASO</option><option value="BG" >BULGARIE</option><option value="BH" >BAHREIN</option><option value="BI" >BURUNDI</option><option value="BJ" >BENIN</option><option value="BL" >SAINT BARTHELEMY</option><option value="BM" >BERMUDES</option><option value="BN" >BRUNEI DARUSSALAM</option><option value="BO" >BOLIVIE</option><option value="BR" >BRESIL</option><option value="BS" >BAHAMAS</option><option value="BT" >BHOUTAN</option><option value="BV" >BOUVET, 脦LE</option><option value="BW" >BOTSWANA</option><option value="BY" >BIELORUSSIE</option><option value="BZ" >BELIZE</option><option value="CA" >CANADA</option><option value="CC" >ILES COCOS (KEELING)</option><option value="CD" >REP DEMOCRATIQ CONGO</option><option value="CF" >REP CENTRAFRICAINE</option><option value="CG" >REP POPULAIRE CONGO</option><option value="CH" >SUISSE</option><option value="CI" >COTE D IVOIRE</option><option value="CK" >ILES COOK</option><option value="CL" >CHILI</option><option value="CM" >CAMEROUN</option><option value="CN" >CHINE</option><option value="CO" >COLOMBIE</option><option value="CR" >COSTA RICA</option><option value="CU" >CUBA</option><option value="CV" >CAP VERT</option><option value="CX" >ILE CHRISTMAS</option><option value="CY" >CHYPRE</option><option value="CZ" >REPUBLIQUE TCHEQUE</option><option value="DE" >ALLEMAGNE</option><option value="DJ" >DJIBOUTI</option><option value="DK" >DANEMARK</option><option value="DM" >DOMINIQUE</option><option value="DO" >REPUBLIQ DOMINICAINE</option><option value="DZ" >ALGERIE</option><option value="EC" >EQUATEUR</option><option value="EE" >ESTONIE</option><option value="EG" >EGYPTE</option><option value="EH" >SAHARA OCCIDENTAL</option><option value="ER" >ERYTHREE</option><option value="ES" >ESPAGNE</option><option value="ET" >ETHIOPIE</option><option value="FI" >FINLANDE</option><option value="FJ" >ILES FIDJI</option><option value="FK" >ILES FALKLAND</option><option value="FM" >ETATS FED MICRONESIE</option><option value="FO" >ILES FEROE</option><option value="FR" selected=selected>FRANCE METROPOLE</option><option value="GA" >GABON</option><option value="GB" >ROYAUME UNI</option><option value="GD" >GRENADE</option><option value="GE" >GEORGIE</option><option value="GF" >GUYANE FRANCAISE</option><option value="GG" >GUERNESEY</option><option value="GH" >GHANA</option><option value="GI" >GIBRALTAR</option><option value="GL" >GROENLAND</option><option value="GM" >GAMBIE</option><option value="GN" >GUINEE</option><option value="GP" >GUADELOUPE</option><option value="GQ" >GUINEE EQUATORIALE</option><option value="GR" >GRECE</option><option value="GS" >GEORGIE DU SUD</option><option value="GT" >GUATEMALA</option><option value="GU" >GUAM</option><option value="GW" >GUINEE BISSAU</option><option value="GY" >GUYANA</option><option value="HK" >HONG KONG</option><option value="HM" >ILES HEARD</option><option value="HN" >HONDURAS</option><option value="HR" >CROATIE</option><option value="HT" >HAITI</option><option value="HU" >HONGRIE</option><option value="ID" >INDONESIE</option><option value="IE" >IRLANDE</option><option value="IL" >ISRAEL</option><option value="IM" >ILE DE MAN</option><option value="IN" >INDE</option><option value="IO" >TER BRIT L OCEAN IND</option><option value="IQ" >IRAK</option><option value="IR" >IRAN</option><option value="IS" >ISLANDE</option><option value="IT" >ITALIE</option><option value="JE" >JERSEY</option><option value="JM" >JAMAIQUE</option><option value="JO" >JORDANIE</option><option value="JP" >JAPON</option><option value="KE" >KENYA</option><option value="KG" >KIRGHIZISTAN</option><option value="KH" >CAMBODGE</option><option value="KI" >KIRIBATI</option><option value="KM" >COMORES</option><option value="KN" >SAINT KITTS ET NEVIS</option><option value="KP" >COREE DU NORD</option><option value="KR" >COREE DU SUD</option><option value="KW" >KOWEIT</option><option value="KY" >ILES CAIMANES</option><option value="KZ" >KAZAKHSTAN</option><option value="LA" >LAOS</option><option value="LB" >LIBAN</option><option value="LC" >SAINTE LUCIE</option><option value="LI" >LIECHTENSTEIN</option><option value="LK" >SRI LANKA</option><option value="LR" >LIBERIA</option><option value="LS" >LESOTHO</option><option value="LT" >LITUANIE</option><option value="LU" >LUXEMBOURG</option><option value="LV" >LETTONIE</option><option value="LY" >LIBYE</option><option value="MA" >MAROC</option><option value="MC" >MONACO</option><option value="MD" >MOLDAVIE</option><option value="ME" >MONTENEGRO</option><option value="MF" >SAINT MARTIN</option><option value="MG" >MADAGASCAR</option><option value="MH" >ILES MARSHALL</option><option value="MK" >MACEDOINE</option><option value="ML" >MALI</option><option value="MM" >MYANMAR</option><option value="MN" >MONGOLIE</option><option value="MO" >MACAO</option><option value="MP" >ILES MARIANNES NORD</option><option value="MQ" >MARTINIQUE</option><option value="MR" >MAURITANIE</option><option value="MS" >MONTSERRAT</option><option value="MT" >MALTE</option><option value="MU" >MAURICE</option><option value="MV" >MALDIVES</option><option value="MW" >MALAWI</option><option value="MX" >MEXIQUE</option><option value="MY" >MALAISIE</option><option value="MZ" >MOZAMBIQUE</option><option value="NA" >NAMIBIE</option><option value="NC" >NOUVELLE CALEDONIE</option><option value="NE" >NIGER</option><option value="NF" >NORFOLK, 脦LE</option><option value="NG" >NIGERIA</option><option value="NI" >NICARAGUA</option><option value="NL" >PAYS BAS</option><option value="NO" >NORVEGE</option><option value="NP" >NEPAL</option><option value="NR" >NAURU</option><option value="NU" >NIUE</option><option value="NZ" >NOUVELLE ZELANDE</option><option value="OM" >OMAN</option><option value="PA" >PANAMA</option><option value="PE" >PEROU</option><option value="PF" >POLYNESIE FRANCAISE</option><option value="PG" >PAPOUASIE NVELLE GUI</option><option value="PH" >PHILIPPINES</option><option value="PK" >PAKISTAN</option><option value="PL" >POLOGNE</option><option value="PM" >ST PIERRE ET MIQUELO</option><option value="PN" >ILE PITCAIRN</option><option value="PR" >PORTO RICO</option><option value="PS" >TERRITOIRE PALESTI</option><option value="PT" >PORTUGAL</option><option value="PW" >ILES PALAOS</option><option value="PY" >PARAGUAY</option><option value="QA" >QATAR</option><option value="RE" >REUNION</option><option value="RO" >ROUMANIE</option><option value="RS" >SERBIE</option><option value="RU" >RUSSIE</option><option value="RW" >RWANDA</option><option value="SA" >ARABIE SAOUDITE</option><option value="SB" >ILES SALOMON</option><option value="SC" >SEYCHELLES</option><option value="SD" >SOUDAN</option><option value="SE" >SUEDE</option><option value="SG" >SINGAPOUR</option><option value="SH" >SAINTE HELENE</option><option value="SI" >SLOVENIE</option><option value="SJ" >SVALBARD ILE JAN MAY</option><option value="SK" >SLOVAQUIE</option><option value="SL" >SIERRA LEONE</option><option value="SM" >SAINT MARIN</option><option value="SN" >SENEGAL</option><option value="SO" >SOMALIE</option><option value="SR" >SURINAME</option><option value="ST" >SAO TOME ET PRINCIPE</option><option value="SV" >EL SALVADOR</option><option value="SY" >SYRIE</option><option value="SZ" >SWAZILAND</option><option value="TC" >ILES TURKS ET CAIQUE</option><option value="TD" >TCHAD</option><option value="TF" >TERRES AUSTR FRANCAI</option><option value="TG" >TOGO</option><option value="TH" >THAILANDE</option><option value="TJ" >TADJIKISTAN</option><option value="TK" >TOKELAU</option><option value="TL" >TIMOR LESTE</option><option value="TM" >TURKMENISTAN</option><option value="TN" >TUNISIE</option><option value="TO" >TONGA</option><option value="TR" >TURQUIE</option><option value="TT" >TRINITE ET TOBAGO</option><option value="TV" >TUVALU</option><option value="TW" >TAIWAN</option><option value="TZ" >TANZANIE</option><option value="UA" >UKRAINE</option><option value="UG" >OUGANDA</option><option value="UM" >ILES MINEURES ELOIGN</option><option value="US" >ETATS UNIS</option><option value="UY" >URUGUAY</option><option value="UZ" >OUZBEKISTAN</option><option value="VA" >VATICAN</option><option value="VC" >SAINT VINCENT</option><option value="VE" >VENEZUELA</option><option value="VG" >ILES VIERGES BRITANN</option><option value="VI" >ILES VIERGES ETATS U</option><option value="VN" >VIETNAM</option><option value="VU" >VANUATU</option><option value="WF" >WALLIS ET FUTUNA</option><option value="WS" >SAMOA</option><option value="YE" >YEMEN</option><option value="YT" >MAYOTTE</option><option value="ZA" >AFRIQUE DU SUD</option><option value="ZM" >ZAMBIE</option><option value="ZW" >ZIMBABWE</option> </select> </div> </div> <div class="fieldHidden mask form-group row"> <label for="postalCode" class="col-sm-3 control-label hidden-xs"> Code postal </label> <div class="col-xs-12 col-sm-9"> <input id="postalCode" class="form-control" type="text" maxlength="6" size="6" value="" name="postalCode" placeholder="Code postal"> </div> </div> <h2>Inscription aux newsletters</h2> <div 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