{"id":37417,"date":"2026-10-19T10:04:25","date_gmt":"2026-10-19T08:04:25","guid":{"rendered":"https:\/\/www.vagabond-atelier.com\/inscription-a-lordre-professionnel\/"},"modified":"2026-10-19T10:11:16","modified_gmt":"2026-10-19T08:11:16","slug":"inscription-a-lordre-professionnel","status":"publish","type":"page","link":"https:\/\/www.vagabond-atelier.com\/fr\/inscription-a-lordre-professionnel\/","title":{"rendered":"Inscription \u00e0 l&#8217;ordre professionnel"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"37417\" class=\"elementor elementor-37417 elementor-37407\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"wd-negative-gap elementor-element elementor-element-0559332 e-flex e-con-boxed e-con e-parent\" data-id=\"0559332\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e6b4110 elementor-widget elementor-widget-shortcode\" data-id=\"e6b4110\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"vgb-ra vgb-ra-registration\">\t<div class='user-registration ur-frontend-form  ur-frontend-form--flat ' id='user-registration-form-37116'>\n\t\t\t\t\t<span class=\"user-registration-registration-title\"> Demandez l&#039;acc\u00e8s \u00e0 l&#039;espace professionnels <\/span> <\/br><p class=\"user-registration-registration-description\"> Renseignez les informations de votre agence : nous examinons chaque demande \u00e0 la main et vous r\u00e9pondons sous quelques jours ouvr\u00e9s. <\/p>\t\t\t<form method='post' class='register' data-form-id=\"37116\"\n\t\t\t\tdata-enable-strength-password=\"1\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t data-captcha-enabled=\"\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_login\" class=\"ur-field-item field-user_login vgb-ra-ur-group--account\" data-ref-id=\"user_login\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_login_field\" data-priority=\"\" ><label for=\"user_login\" class=\"ur-label\">Nom d'utilisateur <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_login\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"user_login\" id=\"user_login\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Nom d&#039;utilisateur\" data-username-character=\"1\"\/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email vgb-ra-ur-group--account\" data-ref-id=\"user_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">E-mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text   input-email ur-frontend-field \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"E-mail\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"1\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_pass\" class=\"ur-field-item field-user_pass vgb-ra-ur-group--account\" data-ref-id=\"user_pass\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_pass_field\" data-priority=\"\"><label for=\"user_pass\" class=\"ur-label\">Mot de passe <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_pass\" type=\"password\" class=\"input-text  input-password ur-frontend-field \" name=\"user_pass\" id=\"user_pass\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Mot de passe\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_confirm_password\" class=\"ur-field-item field-user_confirm_password vgb-ra-ur-group--account\" data-ref-id=\"user_confirm_password\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required hide_show_password\" id=\"user_confirm_password_field\" data-priority=\"\"><label for=\"user_confirm_password\" class=\"ur-label\">Confirmer le mot de passe <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <span class=\"password-input-group input-form-field-icons\"><input data-rules=\"\" data-id=\"user_confirm_password\" type=\"password\" class=\"input-text  input-password ur-frontend-field \" name=\"user_confirm_password\" id=\"user_confirm_password\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Confirmer le mot de passe\" \/><\/span> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"2\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"first_name\" class=\"ur-field-item field-first_name vgb-ra-ur-group--account\" data-ref-id=\"first_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"first_name_field\" data-priority=\"\" ><label for=\"first_name\" class=\"ur-label\">Pr\u00e9nom<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"first_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"first_name\" id=\"first_name\" placeholder=\"\"  value=\"\" data-label=\"Pr\u00e9nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"last_name\" class=\"ur-field-item field-last_name vgb-ra-ur-group--account\" data-ref-id=\"last_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"last_name_field\" data-priority=\"\" ><label for=\"last_name\" class=\"ur-label\">Nom<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"last_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"last_name\" id=\"last_name\" placeholder=\"\"  value=\"\" data-label=\"Nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"3\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_company_name\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--company_name vgb-ra-ur-group--company\" data-ref-id=\"vgb_ra_company_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_company_name_field\" data-priority=\"\" ><label for=\"vgb_ra_company_name\" class=\"ur-label\">Raison sociale <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_company_name\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_company_name\" id=\"vgb_ra_company_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Raison sociale\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_profession\" class=\"ur-field-item field-select vgb-ra-ur-field vgb-ra-ur-field--profession vgb-ra-ur-group--company\" data-ref-id=\"vgb_ra_profession\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_profession_field\" data-priority=\"\" ><label for=\"vgb_ra_profession\" class=\"ur-label\">Profession <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select data-rules=\"\" data-id=\"vgb_ra_profession\" name=\"vgb_ra_profession\" id=\"vgb_ra_profession\" class=\"select ur-frontend-field \" required=\"required\" data-label=\"Profession\" data-allow_clear=\"true\" data-placeholder=\"\" data-state-enabled=\"\">\n\t\t\t\t\t<option value=\"Architecte\" >Architecte<\/option><option value=\"Architecte d&#039;int\u00e9rieur\" >Architecte d&#039;int\u00e9rieur<\/option><option value=\"Ing\u00e9nieur\" >Ing\u00e9nieur<\/option><option value=\"G\u00e9om\u00e8tre\" >G\u00e9om\u00e8tre<\/option><option value=\"Agence de design\" >Agence de design<\/option><option value=\"Entreprise g\u00e9n\u00e9rale\" >Entreprise g\u00e9n\u00e9rale<\/option><option value=\"Revendeur \/ showroom\" >Revendeur \/ showroom<\/option><option value=\"Autre\" >Autre<\/option>\n\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"4\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_vat_number\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--vat_number vgb-ra-ur-group--company\" data-ref-id=\"vgb_ra_vat_number\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_vat_number_field\" data-priority=\"\" ><label for=\"vgb_ra_vat_number\" class=\"ur-label\">Num\u00e9ro de TVA <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_vat_number\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_vat_number\" id=\"vgb_ra_vat_number\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Num\u00e9ro de TVA\" \/> <\/span> <span class=\"description\">Indiquez le pr\u00e9fixe du pays si elle est \u00e9trang\u00e8re (ex. FR01234567890).<\/span><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_tax_code\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--tax_code vgb-ra-ur-group--company\" data-ref-id=\"vgb_ra_tax_code\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_tax_code_field\" data-priority=\"\" ><label for=\"vgb_ra_tax_code\" class=\"ur-label\">Num\u00e9ro SIRET<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_tax_code\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_tax_code\" id=\"vgb_ra_tax_code\" placeholder=\"\"  value=\"\" data-label=\"Num\u00e9ro SIRET\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"5\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_registry_body\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--registry_body vgb-ra-ur-group--registry\" data-ref-id=\"vgb_ra_registry_body\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_registry_body_field\" data-priority=\"\" ><label for=\"vgb_ra_registry_body\" class=\"ur-label\">Ordre professionnel<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_registry_body\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_registry_body\" id=\"vgb_ra_registry_body\" placeholder=\"\"  value=\"\" data-label=\"Ordre professionnel\" \/> <\/span> <span class=\"description\">Ex. Ordre des architectes.<\/span><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_registry_province\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--registry_province vgb-ra-ur-group--registry\" data-ref-id=\"vgb_ra_registry_province\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_registry_province_field\" data-priority=\"\" ><label for=\"vgb_ra_registry_province\" class=\"ur-label\">R\u00e9gion d'inscription<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_registry_province\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_registry_province\" id=\"vgb_ra_registry_province\" placeholder=\"\"  value=\"\" data-label=\"R\u00e9gion d&#039;inscription\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"6\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_registry_number\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--registry_number vgb-ra-ur-group--registry\" data-ref-id=\"vgb_ra_registry_number\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_registry_number_field\" data-priority=\"\" ><label for=\"vgb_ra_registry_number\" class=\"ur-label\">Num\u00e9ro d'inscription \u00e0 l'ordre<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_registry_number\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_registry_number\" id=\"vgb_ra_registry_number\" placeholder=\"\"  value=\"\" data-label=\"Num\u00e9ro d&#039;inscription \u00e0 l&#039;ordre\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_registry_year\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--registry_year vgb-ra-ur-group--registry\" data-ref-id=\"vgb_ra_registry_year\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_registry_year_field\" data-priority=\"\" ><label for=\"vgb_ra_registry_year\" class=\"ur-label\">Ann\u00e9e d'inscription<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_registry_year\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_registry_year\" id=\"vgb_ra_registry_year\" placeholder=\"\"  value=\"\" data-label=\"Ann\u00e9e d&#039;inscription\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"7\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_phone\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--phone vgb-ra-ur-group--contacts\" data-ref-id=\"vgb_ra_phone\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_phone_field\" data-priority=\"\" ><label for=\"vgb_ra_phone\" class=\"ur-label\">T\u00e9l\u00e9phone <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_phone\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_phone\" id=\"vgb_ra_phone\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"T\u00e9l\u00e9phone\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_pec\" class=\"ur-field-item field-email vgb-ra-ur-field vgb-ra-ur-field--pec vgb-ra-ur-group--contacts\" data-ref-id=\"vgb_ra_pec\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_pec_field\" data-priority=\"\" ><label for=\"vgb_ra_pec\" class=\"ur-label\">E-mail certifi\u00e9e<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_pec\" type=\"email\" class=\"input-text   input-email ur-frontend-field \" name=\"vgb_ra_pec\" id=\"vgb_ra_pec\" placeholder=\"\"  value=\"\" data-label=\"E-mail certifi\u00e9e\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"8\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_sdi\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--sdi vgb-ra-ur-group--contacts\" data-ref-id=\"vgb_ra_sdi\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_sdi_field\" data-priority=\"\" ><label for=\"vgb_ra_sdi\" class=\"ur-label\">Code de facturation \u00e9lectronique<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_sdi\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_sdi\" id=\"vgb_ra_sdi\" placeholder=\"\"  value=\"\" data-label=\"Code de facturation \u00e9lectronique\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_website\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--website vgb-ra-ur-group--contacts\" data-ref-id=\"vgb_ra_website\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_website_field\" data-priority=\"\" ><label for=\"vgb_ra_website\" class=\"ur-label\">Site web<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_website\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_website\" id=\"vgb_ra_website\" placeholder=\"\"  value=\"\" data-label=\"Site web\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"9\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_address\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--address vgb-ra-ur-group--address\" data-ref-id=\"vgb_ra_address\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_address_field\" data-priority=\"\" ><label for=\"vgb_ra_address\" class=\"ur-label\">Adresse <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_address\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_address\" id=\"vgb_ra_address\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Adresse\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_postcode\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--postcode vgb-ra-ur-group--address\" data-ref-id=\"vgb_ra_postcode\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_postcode_field\" data-priority=\"\" ><label for=\"vgb_ra_postcode\" class=\"ur-label\">Code postal <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_postcode\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_postcode\" id=\"vgb_ra_postcode\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Code postal\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"10\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_city\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--city vgb-ra-ur-group--address\" data-ref-id=\"vgb_ra_city\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_city_field\" data-priority=\"\" ><label for=\"vgb_ra_city\" class=\"ur-label\">Ville <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_city\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_city\" id=\"vgb_ra_city\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Ville\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_province\" class=\"ur-field-item field-text vgb-ra-ur-field vgb-ra-ur-field--province vgb-ra-ur-group--address\" data-ref-id=\"vgb_ra_province\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_province_field\" data-priority=\"\" ><label for=\"vgb_ra_province\" class=\"ur-label\">R\u00e9gion<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"vgb_ra_province\" type=\"text\" class=\"input-text   input-text ur-frontend-field \" name=\"vgb_ra_province\" id=\"vgb_ra_province\" placeholder=\"\"  value=\"\" data-label=\"R\u00e9gion\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"11\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_country\" class=\"ur-field-item field-country vgb-ra-ur-field vgb-ra-ur-field--country vgb-ra-ur-group--address\" data-ref-id=\"vgb_ra_country\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_country_field\" data-priority=\"\" ><label for=\"vgb_ra_country\" class=\"ur-label\">Pays <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select data-rules=\"\" data-id=\"vgb_ra_country\" name=\"vgb_ra_country\" id=\"vgb_ra_country\" class=\"ur-field-address-country select ur-frontend-field \" required=\"required\" data-label=\"Pays\" data-allow_clear=\"true\" data-placeholder=\"\" data-state-enabled=\"\">\n\t\t\t\t\t<option value=\"\" selected >Select a country<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AX\" >&#197;land Islands<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"PW\" >Belau<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"VG\" >British Virgin Islands<\/option><option value=\"BN\" >Brunei<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"CV\" >Cape Verde<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo (Brazzaville)<\/option><option value=\"CD\" >Congo (Kinshasa)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura&ccedil;ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"CI\" >Ivory Coast<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Laos<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao S.A.R., China<\/option><option value=\"MK\" >Macedonia<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia<\/option><option value=\"MD\" >Moldova<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"KP\" >North Korea<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PS\" >Palestinian Territory<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RE\" >Reunion<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russia<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"BL\" >Saint Barth&eacute;lemy<\/option><option value=\"SH\" >Saint Helena<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"SX\" >Saint Martin (Dutch part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia\/Sandwich Islands<\/option><option value=\"KR\" >South Korea<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syria<\/option><option value=\"TW\" >Taiwan<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TR\" >Turkey<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom (UK)<\/option><option value=\"US\" >United States (US)<\/option><option value=\"UM\" >United States (US) Minor Outlying Islands<\/option><option value=\"VI\" >United States (US) Virgin Islands<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican<\/option><option value=\"VE\" >Venezuela<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"WS\" >Samoa<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option>\n\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"12\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_activity_areas\" class=\"ur-field-item field-checkbox vgb-ra-ur-field vgb-ra-ur-field--activity_areas vgb-ra-ur-group--activity\" data-ref-id=\"vgb_ra_activity_areas\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"vgb_ra_activity_areas_field\" data-priority=\"\" ><label class=\"ur-label\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\">Domaines d'activit\u00e9 <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><ul ><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"R\u00e9sidentiel\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_R\u00e9sidentiel\" value=\"R\u00e9sidentiel\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_R\u00e9sidentiel\">R\u00e9sidentiel<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"H\u00f4tellerie\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_H\u00f4tellerie\" value=\"H\u00f4tellerie\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_H\u00f4tellerie\">H\u00f4tellerie<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Commerce\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Commerce\" value=\"Commerce\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Commerce\">Commerce<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Bureaux et espaces de travail\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Bureaux et espaces de travail\" value=\"Bureaux et espaces de travail\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Bureaux et espaces de travail\">Bureaux et espaces de travail<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Espaces publics et culturels\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Espaces publics et culturels\" value=\"Espaces publics et culturels\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Espaces publics et culturels\">Espaces publics et culturels<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Restauration et r\u00e9habilitation\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Restauration et r\u00e9habilitation\" value=\"Restauration et r\u00e9habilitation\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Restauration et r\u00e9habilitation\">Restauration et r\u00e9habilitation<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Nautisme\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Nautisme\" value=\"Nautisme\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Nautisme\">Nautisme<\/label> <\/li><li class=\"ur-checkbox-list\"><input data-rules=\"\" data-id=\"vgb_ra_activity_areas[]\" required=\"required\" data-label=\"Domaines d&#039;activit\u00e9\" data-value=\"Sc\u00e9nographie et agencement\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"vgb_ra_activity_areas[]\" id=\"vgb_ra_activity_areas_Sc\u00e9nographie et agencement\" value=\"Sc\u00e9nographie et agencement\" \/><label class=\"ur-checkbox-label\" for=\"vgb_ra_activity_areas_Sc\u00e9nographie et agencement\">Sc\u00e9nographie et agencement<\/label> <\/li><\/ul><span class=\"description\">S\u00e9lectionnez tous les domaines dans lesquels vous travaillez.<\/span><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"13\">\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"vgb_ra_portfolio\" class=\"ur-field-item field-textarea vgb-ra-ur-field vgb-ra-ur-field--portfolio vgb-ra-ur-group--activity\" data-ref-id=\"vgb_ra_portfolio\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"vgb_ra_portfolio_field\" data-priority=\"\" ><label for=\"vgb_ra_portfolio\" class=\"ur-label\">Pr\u00e9sentation de votre agence<\/label><textarea style=\"margin-bottom:0px;\" data-rules=\"\" data-id=\"vgb_ra_portfolio\" name=\"vgb_ra_portfolio\" class=\"input-text ur-frontend-field \" id=\"vgb_ra_portfolio\" placeholder=\"\"  rows=\"2\" cols=\"5\"data-label=\"Pr\u00e9sentation de votre agence\"><\/textarea><div style=\"text-align: right; font-size:14px; color:#737373; margin-top:0px;\"> <div class=\"ur-input-count\" data-count-type=\"characters\" style=\"display: inline-block; margin-right: 1px;\">0<\/div>&nbsp;<div style=\"display: inline-block;\"> characters<\/div><\/div><span class=\"description\">Deux lignes sur les projets dont vous vous occupez : elles nous aident \u00e0 \u00e9valuer votre demande.<\/span><\/div>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button submit\"  conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tEnvoyer la demande\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"fr\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"37116\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"\"\/>\n\t\t\t\t\n\t\t\t<\/form>\n\t\t\t\n\t\t<div style=\"clear:both\"><\/div>\n\t<\/div>\n\n<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-37417","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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