{"id":348156,"date":"2022-07-22T17:41:32","date_gmt":"2022-07-23T00:41:32","guid":{"rendered":"https:\/\/www.santamonica.com\/?page_id=348156"},"modified":"2024-05-13T12:44:25","modified_gmt":"2024-05-13T19:44:25","slug":"formulaire-de-demande-de-photos-et-de-videos","status":"publish","type":"page","link":"https:\/\/www.santamonica.com\/fr\/media\/photo-video-request-form\/","title":{"rendered":"Formulaire de demande de photos pour les m\u00e9dias, d'images prot\u00e9g\u00e9es par des droits d'auteur et de rouleaux B"},"content":{"rendered":"<section class=\"simpleview-form-block sm-block\">\n        <h2 class=\"simpleview-form-block__heading\">\n            Formulaire de demande d'images et de vid\u00e9os        <\/h2>\n    <div class=\"simpleview-form-block__form sm-form\">\n        <form action=\"\" method=\"post\" name=\"frm_7\" class=\"simpleForm\" onsubmit=\"return svcrm.formBuilderScripts.validateForm(this);\" data-trp-original-action=\"\">\r\n\t\t\t\t<input id=\"formid\" name=\"formid\" type=\"hidden\" value=\"7\">\r\n\t\t\t\t<input id=\"groupid\" name=\"groupid\" type=\"hidden\" value=\"5\">\r\n\t\t\t\t<input id=\"isSubmitted\" name=\"isSubmitted\" value=\"1\" type=\"hidden\">\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t<h3>FORMULAIRE D'ACC\u00c8S \u00c0 LA PHOTOTH\u00c8QUE<\/h3>\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_fullname\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_fullname\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_fullname\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_fullname\" for=\"contact_fullname\" class=\"formreq\">Nom* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_fullname\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_fullname\" name=\"contact_fullname\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_title\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_title\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_title\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_title\" for=\"contact_title\" class=\"formreq\">Titre* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_title\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_title\" name=\"contact_title\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_company\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_company\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_company\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_company\" for=\"contact_company\" class=\"formreq\">Entreprise* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_company\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_company\" name=\"contact_company\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_email\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_email\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_email\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_email\" for=\"contact_email\" class=\"formreq\">Courriel* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_email\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_email\" name=\"contact_email\" type=\"text\" size=\"25\" value=\"\" onblur=\"svcrm.formBuilderScripts.checkEmail(this); \">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_addr1\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_addr1\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_addr1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_addr1\" for=\"contact_addr1\" class=\"formreq\">Adresse* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_addr1\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_addr1\" name=\"contact_addr1\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_city\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_city\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_city\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_city\" for=\"contact_city\" class=\"formreq\">Ville* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_city\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_city\" name=\"contact_city\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_state\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_state\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_state\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_state\" for=\"contact_state\" class=\"formtext\">\u00c9tat :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_state\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<select class=\"\" id=\"contact_state\" name=\"contact_state\">\r\n\t\t\t\t\t<option value=\"\">-None-<\/option> \r\n\t\t\t\t\t<option value=\"**\">** - **<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AB\">AB - Alberta<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AK\">AK - Alaska<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AL\">AL - Alabama<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AR\">AR - Arkansas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AZ\">AZ - Arizona<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BC\">BC - Colombie-Britannique<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CA\">CA - Californie<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CO\">CO - Colorado<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CT\">CT - Connecticut<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DC\">DC - District de Columbia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DE\">DE - Delaware<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FL\">FL - Floride<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GA\">GA - G\u00e9orgie<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HI\">HI - Hawa\u00ef<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IA\">IA - Iowa<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ID\">ID - Idaho<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IL\">IL - Illinois<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IN\">IN - Indiana<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KS\">KS - Kansas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KY\">KY - Kentucky<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LA\">LA - Louisiane<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MA\">MA - Massachusetts<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MB\">MB - Manitoba<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MD\">MD - Maryland<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ME\">ME - Maine<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MH\">MH - \u00celes Marshall<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MI\">MI - Michigan<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MN\">MN - Minnesota<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MO\">MO - Missouri<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MS\">MS - Mississippi<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MT\">MT - Montana<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NB\">NB - Nouveau-Brunswick<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NC\">NC - Caroline du Nord<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ND\">ND - Dakota du Nord<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NE\">NE - Nebraska<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NH\">NH - New Hampshire<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NJ\">NJ - New Jersey<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NL\">NL - Terre-Neuve et Labrador<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NM\">NM - Nouveau Mexique<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NS\">NS - Nouvelle-\u00c9cosse<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NSW\">NSW - Nouvelle-Galles du Sud<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NT\">NT - Territoire du Nord-Ouest<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NU\">NU - Nunavut<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NV\">NV - Nevada<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NY\">NY - New York<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OH\">OH - Ohio<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OK\">OK - Oklahoma<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ON\">ON - Ontario<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OR\">OR - Oregon<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PA\">PA - Pennsylvanie<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PE\">PE - \u00cele-du-Prince-\u00c9douard<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"QC\">QC - Qu\u00e9bec<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"Qld\">Qld - Queensland<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"RI\">RI - Rhode Island<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SA\">SA - Australie du Sud<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SC\">SC - Caroline du Sud<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SD\">SD - Dakota du Sud<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SK\">SK - Saskatchewan<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"Tas\">Tas - Tasmanie<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TN\">TN - Tennessee<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TX\">TX - Texas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UT\">UT - Utah<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VA\">VA - Virginie<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"Vic\">Vic - Victoria<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VT\">VT - Vermont<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WA\">WA - Washington<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WA\">WA - Australie occidentale<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WI\">WI - Wisconsin<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WV\">WV - Virginie occidentale<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WY\">WY - Wyoming<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YT\">YT - Yukon<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/select>\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_zip\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_zip\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_zip\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_zip\" for=\"contact_zip\" class=\"formtext\">Code postal :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_zip\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_zip\" name=\"contact_zip\" type=\"text\" size=\"20\" value=\"\" onblur=\"svcrm.formBuilderScripts.zipLookup('\/', this.value, document.frm_7.contact_city, document.frm_7.contact_state, true); \">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_country\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_country\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_country\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_country\" for=\"contact_country\" class=\"formreq\">Pays* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_country\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<select class=\"\" id=\"contact_country\" name=\"contact_country\" onchange=\"svcrm.formBuilderScripts.updReq();svcrm.formBuilderScripts.countryChanged(this);\">\r\n\t\t\t\t\t<option value=\"\">-None-<\/option> \r\n\t\t\t\t\t<option value=\"UNITED STATES\">\u00c9TATS-UNIS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CANADA\">CANADA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MEXICO\">MEXIQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AFGHANISTAN\">AFGHANISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"\u00c3\u0085LAND ISLANDS\">\u00c3 \u00ceLES TERRESTRES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ALBANIA\">ALBANIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ALGERIA\">ALGERIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AMERICAN SAMOA\">SAMOA AM\u00c9RICAIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANDORRA\">ANDORRA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANGOLA\">ANGOLA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANGUILLA\">ANGUILLA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANTARCTICA\">ANTARCTICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANTIGUA AND BARBUDA\">ANTIGUA ET BARBUDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARGENTINA\">ARGENTINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARMENIA\">ARM\u00c9NIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARUBA\">ARUBA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AUSTRALIA\">AUSTRALIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AUSTRIA\">AUTRICHE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AZERBAIJAN\">AZERBAIJAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BAHAMAS\">BAHAMAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BAHRAIN\">BAHRAIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BANGLADESH\">BANGLADESH<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BARBADOS\">BARBADOS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELARUS\">BELARUS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELGIUM\">BELGIQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELIZE\">BELIZE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BENIN\">BENIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BERMUDA\">BERMUDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BHUTAN\">BHUTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOLIVIA\">BOLIVIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOSNIA AND HERZEGOVINA\">BOSNIE ET HERZEGOVINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOTSWANA\">BOTSWANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOUVET ISLAND\">\u00ceLE BOUVET<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRAZIL\">BR\u00c9SIL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRITISH INDIAN OCEAN TERRITORY\">TERRITOIRE BRITANNIQUE DE L'OC\u00c9AN INDIEN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRUNEI DARUSSALAM\">BRUNEI DARUSSALAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BULGARIA\">BULGARIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BURKINA FASO\">BURKINA FASO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BURUNDI\">BURUNDI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAMBODIA\">CAMBODGE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAMEROON\">CAMEROUN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CANARY ISLANDS\">\u00ceLES CANARIES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAPE VERDE\">CAP VERT<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAYMAN ISLANDS\">\u00ceLES CAYMAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CENTRAL AFRICAN REPUBLIC\">R\u00c9PUBLIQUE CENTRAFRICAINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHAD\">TCHAD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHILE\">CHILI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHINA\">CHINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHRISTMAS ISLAND\">\u00ceLE DE NO\u00cbL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COCOS (KEELING) ISLANDS\">\u00ceLES COCOS (KEELING)<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COLOMBIA\">COLOMBIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COMOROS\">COMOROS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CONGO\">CONGO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CONGO - DEM REPUBLIC OF\">CONGO - R\u00c9PUBLIQUE D\u00c9MOCRATIQUE DU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COOK ISLANDS\">\u00ceLES COOK<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COSTA RICA\">COSTA RICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"C\u00c3\u0094TE D'IVOIRE\">C\u00c3TE D'IVOIRE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CROATIA\">CROATIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CUBA\">CUBA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CURACAO\">CURACAO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CYPRUS\">CHYPRE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CZECH REPUBLIC\">R\u00c9PUBLIQUE TCH\u00c8QUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DENMARK\">DANEMARK<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DJIBOUTI\">DJIBOUTI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DOMINICA\">DOMINIQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DOMINICAN REPUBLIC\">R\u00c9PUBLIQUE DOMINICAINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ECUADOR\">ECUADOR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EGYPT\">EGYPTE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EL SALVADOR\">EL SALVADOR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EQUATORIAL GUINEA\">GUIN\u00c9E \u00c9QUATORIALE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ERITREA\">ERITREA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ESTONIA\">ESTONIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ETHIOPIA\">ETHIOPIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FALKLAND ISLANDS (MALVINAS)\">\u00ceLES FALKLAND (MALVINAS)<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FAROE ISLANDS\">\u00ceLES FAROE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FIJI\">FIJI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FINLAND\">FINLANDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRANCE\">FRANCE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH GUIANA\">GUIANA FRAN\u00c7AISE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH POLYNESIA\">POLYN\u00c9SIE FRAN\u00c7AISE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH SOUTHERN TERRITORIES\">TERRITOIRES FRAN\u00c7AIS DU SUD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GABON\">GABON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GAMBIA\">GAMBIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GEORGIA\">GEORGIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GERMANY\">ALLEMAGNE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GHANA\">GHANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GIBRALTAR\">GIBRALTAR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GREECE\">GRECE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GREENLAND\">TERRE VERTE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GRENADA\">GRENADA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUADELOUPE\">GUADELOUPE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUAM\">GUAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUATEMALA\">GUATEMALA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUERNSEY\">GUERNSEY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUINEA\">GUINEE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUINEA-BISSAU\">GUINEE-BISSAU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUYANA\">GUYANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HAITI\">HA\u00cfTI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HEARD ISLAND AND MCDONALD ISLANDS\">\u00ceLE HEAR ET \u00ceLES MCDONALD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HOLY SEE (VATICAN CITY STATE)\">SAINT-SI\u00c8GE (VILLE-\u00c9TAT DU VATICAN)<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HONDURAS\">HONDURAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HONG KONG\">HONG KONG<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HUNGARY\">HONGRIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ICELAND\">ISLANDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"INDIA\">INDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"INDONESIA\">INDONESIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRAN, ISLAMIC REPUBLIC OF\">IRAN, R\u00c9PUBLIQUE ISLAMIQUE D<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRAQ\">IRAQ<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRELAND\">IRLANDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ISLE OF MAN\">\u00ceLE DE MAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ISRAEL\">ISRA\u00cbL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ITALY\">ITALIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JAMAICA\">JAMA\u00cfQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JAPAN\">JAPON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JERSEY\">JERSEY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JORDAN\">JORDAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KAZAKHSTAN\">KAZAKHSTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KENYA\">KENYA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KIRIBATI\">KIRIBATI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KOREA, REPUBLIC OF\">COR\u00c9E, R\u00c9PUBLIQUE DE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KOSRAE\">KOSRAE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KUWAIT\">KUWAIT<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KYRGYZSTAN\">KYRGYZSTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LAO PEOPLE'S DEMOCRATIC REPUBLIC\">R\u00c9PUBLIQUE D\u00c9MOCRATIQUE POPULAIRE LAO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LATVIA\">LETTONIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LEBANON\">LIBAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LESOTHO\">LESOTHO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIBERIA\">LIBERIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIBYAN ARAB JAMAHIRIYA\">JAMAHIRIYA ARABE LIBYENNE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIECHTENSTEIN\">LIECHTENSTEIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LITHUANIA\">LITUANIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LUXEMBOURG\">LUXEMBOURG<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MACAO\">MACAO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MACEDONIA\">MACEDONIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MADAGASCAR\">MADAGASCAR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MALAWI\">MALAWI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MALAYSIA\">MALAISIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MALDIVES\">MALDIVES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MALI\">MALI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MALTA\">MALTE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MARSHALL ISLANDS\">\u00ceLES MARSHALL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MARTINIQUE\">MARTINIQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MAURITANIA\">MAURITANIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MAURITIUS\">MAURICE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MAYOTTE\">MAYOTTE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MICRONESIA, FEDERATED STATES OF\">MICRON\u00c9SIE, \u00c9TATS F\u00c9D\u00c9R\u00c9S DE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MOLDOVA, REPUBLIC OF\">MOLDAVIE, R\u00c9PUBLIQUE DE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MONACO\">MONACO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MONGOLIA\">MONGOLIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MONTENEGRO\">MONTENEGRO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MONTSERRAT\">MONTSERRAT<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MOROCCO\">MAROC<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MOZAMBIQUE\">MOZAMBIQUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MYANMAR\">MYANMAR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NAMIBIA\">NAMIBIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NAURU\">NAURU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NEPAL\">NEPAL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NETHERLANDS\">PAYS-BAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NETHERLANDS ANTILLES\">ANTILLES N\u00c9ERLANDAISES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NEW CALEDONIA\">NOUVELLE-CAL\u00c9DONIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NEW ZEALAND\">NOUVELLE Z\u00c9LANDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NICARAGUA\">NICARAGUA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NIGER\">NIGER<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NIGERIA\">NIGERIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NIUE\">NIUE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NORFOLK ISLAND\">\u00ceLE NORFOLK<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NORTH KOREA\">COR\u00c9E DU NORD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NORTHERN MARIANA ISLANDS\">\u00ceLES MARIANNES DU NORD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NORWAY\">NORV\u00c8GE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OMAN\">OMAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PAKISTAN\">PAKISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PALAU\">PALAU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PALESTINIAN TERRITORY, OCCUPIED\">TERRITOIRE PALESTINIEN OCCUP\u00c9<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PANAMA\">PANAMA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PAPUA NEW GUINEA\">PAPOUASIE-NOUVELLE-GUIN\u00c9E<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PARAGUAY\">PARAGUAY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PERU\">P\u00c9ROU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PHILIPPINES\">PHILIPPINES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PITCAIRN\">PITCAIRN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"POLAND\">POLOGNE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PONAPE\">PONAPE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PORTUGAL\">PORTUGAL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PUERTO RICO\">PUERTO RICO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"QATAR\">QATAR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"R\u00c3\u0089UNION\">R\u00c3UNION<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ROMANIA\">ROUMANIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"RUSSIAN FEDERATION\">F\u00c9D\u00c9RATION DE RUSSIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"RWANDA\">RWANDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"S. GEORGIA AND S. SANDWICH ISLES\">S. GEORGIA AND S. SANDWICH ISLES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SABA\">SABA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT BARTH\u00c3\u0089LEMY\">SAINT BARTH\u00c3LEMY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT HELENA\">SAINT HELENA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT KITTS AND NEVIS\">SAINT-KITTS-ET-NEVIS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT LUCIA\">SAINT LUCIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT MARTIN\">SAINT MARTIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT PIERRE AND MIQUELON\">SAINT PIERRE ET MIQUELON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAINT VINCENT AND THE GRENADINES\">SAINT VINCENT ET LES GRENADINES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAIPAN\">SAIPAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAMOA\">SAMOA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAN MARINO\">SAN MARINO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAO TOME AND PRINCIPE\">SAO TOME ET PRINCIPE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SAUDI ARABIA\">ARABIE SAOUDITE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SCOTLAND\">\u00c9COSSE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SENEGAL\">SENEGAL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SERBIA\">SERBIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SEYCHELLES\">SEYCHELLES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SIERRA LEONE\">SIERRA LEONE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SINGAPORE\">SINGAPOUR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SLOVAKIA\">SLOVAQUIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SLOVENIA\">SLOV\u00c9NIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SOLOMON ISLANDS\">\u00ceLES SALOMON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SOMALIA\">SOMALIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SOUTH AFRICA\">AFRIQUE DU SUD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SPAIN\">ESPAGNE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SRI LANKA\">SRI LANKA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. BARTHELEMY\">ST. BARTHELEMY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. CHRISTOPHER\">ST. CHRISTOPHER<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. CROIX\">ST. CROIX<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. EUSTATIUS\">ST. EUSTATIUS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. JOHN\">ST. JOHN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. MAARTEN\">ST. MAARTEN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. MARTIN\">ST. MARTIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ST. THOMAS\">ST. THOMAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SUDAN\">SOUDAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SURINAME\">SURINAME<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SVALBARD AND JAN MAYEN\">SVALBARD ET JAN MAYEN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SWAZILAND\">SWAZILAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SWEDEN\">SU\u00c8DE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SWITZERLAND\">SUISSE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SYRIAN ARAB REPUBLIC\">R\u00c9PUBLIQUE ARABE SYRIENNE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TAIWAN, PROVINCE OF CHINA\">TAIWAN, PROVINCE DE CHINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TAJIKISTAN\">TAJIKISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TANZANIA, UNITED REPUBLIC OF\">TANZANIE, R\u00c9PUBLIQUE UNIE DE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"THAILAND\">THAILANDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TIMOR-LESTE\">TIMOR-LESTE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TINIAN\">TINIAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TOGO\">TOGO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TOKELAU\">TOKELAU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TONGA\">TONGA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TORTOLA\">TORTOLA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TRINIDAD AND TOBAGO\">TRINIT\u00c9 ET TOBAGO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TRUK\">TRUK<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TUNISIA\">TUNISIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TURKEY\">TURQUIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TURKMENISTAN\">TURKMENISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TURKS AND CAICOS ISLANDS\">\u00ceLES TURKS ET CAICOS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TUVALU\">TUVALU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UGANDA\">OUGANDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UKRAINE\">UKRAINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNION ISLAND\">\u00ceLE DE L'UNION<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNITED ARAB EMIRATES\">\u00c9MIRATS ARABES UNIS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNITED KINGDOM\">ROYAUME-UNI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"URUGUAY\">URUGUAY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"US MINOR OUTLYING ISLANDS\">\u00ceLES MINEURES P\u00c9RIPH\u00c9RIQUES DES \u00c9TATS-UNIS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UZBEKISTAN\">UZBEKISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VANUATU\">VANUATU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VENEZUELA, BOLIVARIAN REPUBLIC OF\">VENEZUELA, R\u00c9PUBLIQUE BOLIVARIENNE DU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIET NAM\">VIET NAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIRGIN ISLANDS, BRITISH\">\u00ceLES VIERGES, BRITANNIQUES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIRGIN ISLANDS, U.S.\">\u00ceLES VIERGES, \u00c9TATS-UNIS.<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WALES\">PAYS DE GALLES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WALLIS AND FUTUNA\">WALLIS ET FUTUNA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WESTERN SAHARA\">SAHARA OCCIDENTALE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YAP\">YAP<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YEMEN\">YEMEN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZAIRE\">ZAIRE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZAMBIA\">ZAMBIE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZIMBABWE\">ZIMBABWE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/select>\r\n\t\t\t\t\r\n\t\t\t\t\t<input id=\"statectry\" name=\"statectry\" type=\"hidden\" value=\"CANADA,UNITED STATES\">\r\n\t\t\t\t\t\r\n\t\t\t\t\t<input id=\"zipctry\" name=\"zipctry\" type=\"hidden\" value=\"CANADA,MEXICO,UNITED STATES\">\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_phone\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_phone\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_phone\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_phone\" for=\"contact_phone\" class=\"formreq\">T\u00e9l\u00e9phone* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_phone\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_phone\" name=\"contact_phone\" type=\"text\" size=\"25\" value=\"\" onblur=\"svcrm.formBuilderScripts.checkPhone(this); svcrm.formBuilderScripts.fmtPhone(this,'xxx-xxx-xxxx'); \">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_contact_fax\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_contact_fax\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_contact_fax\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_contact_fax\" for=\"contact_fax\" class=\"formtext\">Fax :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_contact_fax\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"contact_fax\" name=\"contact_fax\" type=\"text\" size=\"25\" value=\"\" onblur=\"svcrm.formBuilderScripts.checkPhone(this); svcrm.formBuilderScripts.fmtPhone(this,'xxx-xxx-xxxx'); \">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t<h3>MEDIA<\/h3>\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_38\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_udf_38\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_udf_38\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_udf_38\" for=\"udf_38\" class=\"formreq\">Publication* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_38\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"udf_38\" name=\"udf_38\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_39\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_udf_39\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_udf_39\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_udf_39\" for=\"udf_39\" class=\"formreq\">Tirage de la publication* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_39\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"udf_39\" name=\"udf_39\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_40\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_udf_40\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_udf_40\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_udf_40\" for=\"udf_40\" class=\"formreq\">Date de parution de la photo dans la publication* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_40\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"\" id=\"udf_40\" name=\"udf_40\" type=\"text\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_714\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_udf_714\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_udf_714\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_udf_714\" for=\"udf_714\" class=\"formtext\">Quel type d'images de destination recherchez-vous ?<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_714\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t<textarea class=\"\" id=\"udf_714\" name=\"udf_714\" cols=\"40\" rows=\"6\"><\/textarea>\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t<h3>DEMANDES D'IMAGES : LIRE D'ABORD AVANT DE CONTINUER<\/h3>\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t<p class=\"text-center\"><\/p><p>L'utilisation des images de la phototh\u00e8que de Santa Monica Travel &amp; Tourism est strictement limit\u00e9e \u00e0 un usage NON COMMERCIAL par les m\u00e9dias touristiques, y compris les agences de voyage.<\/p>\r\n<p>Sur la base de restrictions strictes en mati\u00e8re de droits d'auteur avec les photographes de l'organisation, les images sont disponibles UNIQUEMENT pour les objectifs \u00e9ditoriaux ou publicitaires mentionn\u00e9s ci-dessus ; elles NE PEUVENT PAS \u00eatre utilis\u00e9es \u00e0 des fins commerciales ou individuelles. Les photographes doivent \u00eatre mentionn\u00e9s. Des restrictions suppl\u00e9mentaires peuvent s'appliquer.<\/p>\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_41\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"medium-3 columns\"><\/div>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_41\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<input class=\"\" id=\"udf_41\" name=\"udf_41\" type=\"checkbox\" value=\"1\"><label class=\"formreq\" for=\"udf_41\"> J'ai lu et compris les restrictions ci-dessus <\/label>\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<div id=\"rowcontainer_udf_42\" class=\"row\">\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t<div id=\"labelcontainer_udf_42\" class=\"medium-3 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div id=\"td_udf_42\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<label id=\"label_udf_42\" for=\"udf_42\" class=\"formreq\">Comment ces images seront-elles utilis\u00e9es* :<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<\/div>\t\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<div id=\"fieldcontainer_udf_42\" class=\"medium-9 columns\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t<textarea class=\"\" id=\"udf_42\" name=\"udf_42\" cols=\"40\" rows=\"6\"><\/textarea>\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\r\n\r\n\t\t\t\t<p class=\"hint formreq text-center\">* Indique un champ obligatoire.<\/p>\r\n\t\t\t\t<hr size=\"1\" color=\"cccccc\" width=\"100%\">\r\n\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t<div class=\"medium-6 small-centered captcha columns\">\r\n\t\t\t\t\t\t\r\n                    <div id=\"g-recaptcha\" class=\"g-recaptcha\"><\/div>\r\n                \r\n            <input type=\"hidden\" name=\"code\" id=\"code\" value=\"1234\">\r\n            <input type=\"hidden\" name=\"code_key\" id=\"code_key\" value=\"rO0ABXQABDEyMzQ=\">\r\n            \r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<hr size=\"1\" color=\"cccccc\" width=\"100%\">\r\n\t\t\t\t<div class=\"row\">\r\n\t\t\t\t\t<div class=\"medium-6 small-centered columns formCntrls\">\r\n\t\t\t\t\t\t<label for=\"savefrm_button\" style=\"display:none;\">Soumettre<\/label>\r\n\t\t\t\t\t\t<input class=\"button\" id=\"savefrm_button\" name=\"savefrm\" type=\"Submit\" value=\"Submit\">\r\n\t\t\t\t\t\t<label for=\"resetfrm_button\" style=\"display:none;\">Remise \u00e0 z\u00e9ro<\/label>\r\n\t\t\t\t\t\t<input class=\"button\" id=\"resetfrm_button\" type=\"Reset\" value=\"Reset\">\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>    <\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1431,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-editorial.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"silos":[3891],"class_list":["post-348156","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/pages\/348156","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/users\/1431"}],"replies":[{"embeddable":true,"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/comments?post=348156"}],"version-history":[{"count":13,"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/pages\/348156\/revisions"}],"predecessor-version":[{"id":414567,"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/pages\/348156\/revisions\/414567"}],"wp:attachment":[{"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/media?parent=348156"}],"wp:term":[{"taxonomy":"silos","embeddable":true,"href":"https:\/\/www.santamonica.com\/fr\/wp-json\/wp\/v2\/silos?post=348156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}