{"id":7988,"date":"2026-05-21T17:54:02","date_gmt":"2026-05-21T15:54:02","guid":{"rendered":"https:\/\/optimaspend.com\/ressources\/auto-evaluation-de-la-maturite-des-achats\/"},"modified":"2026-08-28T09:24:07","modified_gmt":"2026-08-28T07:24:07","slug":"auto-evaluation-de-la-maturite-des-achats","status":"publish","type":"page","link":"https:\/\/optimaspend.com\/fr\/ressources\/auto-evaluation-de-la-maturite-des-achats\/","title":{"rendered":"Auto-\u00e9valuation de la Maturit\u00e9 des Achats"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7988\" class=\"elementor elementor-7988 elementor-3114\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34dce e-flex e-con-boxed e-con e-parent\" data-id=\"6c34dce\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9292ebc e-con-full e-flex e-con e-child\" data-id=\"9292ebc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ea9d0c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"9ea9d0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">\u00c9valuation de la maturit\u00e9 des Achats d\u2019OPTIMA<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b244874 elementor-widget elementor-widget-text-editor\" data-id=\"b244874\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une auto-\u00e9valuation rapide destin\u00e9e aux dirigeants des achats pour identifier leurs prochaines priorit\u00e9s.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a1c231 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"6a1c231\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9valuez dans quelle mesure votre fonction achats cr\u00e9e de la valeur, ma\u00eetrise les risques, soutient les objectifs de durabilit\u00e9 et contribue \u00e0 la performance de l\u2019entreprise.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2f03d8f elementor-align-left elementor-widget elementor-widget-button\" data-id=\"2f03d8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#assesment\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" clip-rule=\"evenodd\" fill-rule=\"evenodd\" height=\"2in\" viewBox=\"0 0 2000 2000\" width=\"2in\"><g id=\"Layer_x0020_1\"><path d=\"m1324 1466 397-426h-1534c-53 0-53-80 0-80h1534l-397-426c-36-39 22-93 58-55l460 494c15 16 15 40-2 56l-458 492c-35 38-95-16-58-55z\"><\/path><\/g><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Commencez votre \u00e9valuation gratuite<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7bf49f9 e-con-full e-flex e-con e-child\" data-id=\"7bf49f9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1e5c8c5 elementor-widget elementor-widget-video\" data-id=\"1e5c8c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;mute&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;start&quot;:0}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"https:\/\/optimaspend.com\/videos\/assesment.mp4\" autoplay=\"\" loop=\"\" muted=\"muted\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3d30daa anchor-offset e-flex e-con-boxed e-con e-parent\" data-id=\"3d30daa\" 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-d1905d4 elementor-widget elementor-widget-menu-anchor\" data-id=\"d1905d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"assesment\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-707f525 e-flex e-con-boxed e-con e-parent\" data-id=\"707f525\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e262a4e elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"e262a4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cette auto-\u00e9valuation de 7 minutes aide les professionnels des achats \u00e0 mesurer la maturit\u00e9 de leur fonction \u00e0 travers quatre piliers cl\u00e9s : le mod\u00e8le op\u00e9rationnel cible (TOM \u2013 Target Operating Model), la cr\u00e9ation de valeur, le digital et la durabilit\u00e9. Elle fournit une vision imm\u00e9diate et structur\u00e9e de votre niveau de maturit\u00e9 et met en \u00e9vidence les leviers de transformation les plus susceptibles de g\u00e9n\u00e9rer un impact significatif. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bab03f elementor-widget elementor-widget-heading\" data-id=\"2bab03f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Comment utiliser cette \u00e9valuation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7224e6c elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"7224e6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Temps de r\u00e9alisation : 5 \u00e0 7 minutes<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Les r\u00e9ponses doivent refl\u00e9ter la r\u00e9alit\u00e9 actuelle, et non les ambitions futures<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Il n\u2019existe pas de \u00ab bonnes \u00bb r\u00e9ponses, uniquement des r\u00e9ponses utiles<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zM227.314 387.314l184-184c6.248-6.248 6.248-16.379 0-22.627l-22.627-22.627c-6.248-6.249-16.379-6.249-22.628 0L216 308.118l-70.059-70.059c-6.248-6.248-16.379-6.248-22.628 0l-22.627 22.627c-6.248 6.248-6.248 16.379 0 22.627l104 104c6.249 6.249 16.379 6.249 22.628.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">\u00c9valuez chaque affirmation sur une \u00e9chelle de 1 \u00e0 5 :<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9b74764 e-flex e-con-boxed e-con e-parent\" data-id=\"9b74764\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c1b5f00 eael-dt-th-align-center elementor-widget elementor-widget-eael-data-table\" data-id=\"c1b5f00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-data-table.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"eael-data-table-wrap\" data-table_id=\"c1b5f00\" id=\"eael-data-table-wrapper-c1b5f00\" data-custom_responsive=\"false\">\n\t\t\t<table class=\"tablesorter eael-data-table \" id=\"eael-data-table-c1b5f00\">\n\t\t\t    <thead>\n\t\t\t        <tr class=\"table-header\">\n\t\t\t\t\t\t\t\t\t            <th class=\"\" id=\"column1\" colspan=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"data-table-header-text\">Score<\/span><\/th>\n\t\t\t        \t\t\t\t            <th class=\"\" id=\"\" colspan=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"data-table-header-text\">Meaning<\/span><\/th>\n\t\t\t        \t\t\t\t        <\/tr>\n\t\t\t    <\/thead>\n\t\t\t  \t<tbody>\n\t\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t1 &#8211;\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tNon d\u00e9ploy\u00e9\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t2 &#8211;\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tEn \u00e9mergence\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t3 &#8211;\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tPartiellement \u00e9tabli\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t4 &#8211;\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tBien \u00e9tabli\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t5 &#8211;\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tPratique de r\u00e9f\u00e9rence\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t    <\/tbody>\n\t\t\t<\/table>\n\t\t<\/div>\n\t  \t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7153851 e-flex e-con-boxed e-con e-parent\" data-id=\"7153851\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-281c920 elementor-widget elementor-widget-heading\" data-id=\"281c920\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Merci de votre int\u00e9r\u00eat<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81b35fe elementor-widget elementor-widget-text-editor\" data-id=\"81b35fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nous vous remercions de votre confiance et nous r\u00e9jouissons de partager les r\u00e9sultats de votre \u00e9valuation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-87d711d e-flex e-con-boxed e-con e-parent\" data-id=\"87d711d\" 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-a182f23 elementor-widget elementor-widget-shortcode\" data-id=\"a182f23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\n\t\t\tif (window.qmn_quiz_data === undefined) {\n\t\t\t\twindow.qmn_quiz_data = new Object();\n\t\t\t}\n\t\t<\/script>\t\t\t<!-- \/\/ Render quiz container -->\n\t\t\t<div class=\"qsm-quiz-container qmn_quiz_container qsm-quiz-container-2 mlw_qmn_quiz qsm_auto_pagination_enabled quiz_theme_default qsm-new-renderer\" data-quiz-id=\"2\">\t\t\t<script type=\"text\/javascript\">if (typeof window.qmn_quiz_data === \"undefined\") { window.qmn_quiz_data = {}; }window.qmn_quiz_data[2] = {\"quiz_id\":\"2\",\"quiz_name\":\"OPTIMA\\u00b4s Procurement Maturity Assessment\",\"disable_answer\":0,\"ajax_show_correct\":0,\"progress_bar\":\"1\",\"contact_info_location\":\"1\",\"skip_validation_time_expire\":0,\"timer_limit\":0,\"timer_limit_val\":0,\"disable_scroll_next_previous_click\":\"1\",\"disable_scroll_on_result\":\"1\",\"disable_first_page\":\"0\",\"enable_result_after_timer_end\":0,\"enable_quick_result_mc\":0,\"end_quiz_if_wrong\":0,\"form_disable_autofill\":0,\"disable_mathjax\":0,\"enable_quick_correct_answer_info\":\"0\",\"not_allow_after_expired_time\":0,\"prevent_reload\":\"\",\"limit_email_based_submission\":0,\"total_user_tries\":0,\"randomness_order\":[],\"quick_result_correct_answer_text\":\"Correct ! 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id=\"mlw_error_message\" class=\"qsm-error-message qmn_error_message_section\"><\/div><span id=\"mlw_top_of_quiz\"><\/span>\n<section class=\"qsm-page \" >\n\t<div class=\"quiz_section quiz_begin\">\n\t\t\t\t\t\t\t<div class='mlw_qmn_message_before'>\n\t\t\t\t<h4><span style=\"color: #0c675f\"><strong>Bienvenue dans l\u2019\u00e9valuation de maturit\u00e9 des Achats d\u2019OPTIMA<\/strong><\/span><\/h4>\n<p> \u00c9valuez dans quelle mesure la fonction Achats cr\u00e9e de la valeur, g\u00e8re les risques, fait progresser la durabilit\u00e9 et contribue \u00e0 la performance de l\u2019entreprise. <strong>18 questions | 5\u20137 minutes | diagnostic ex\u00e9cutif<\/strong><\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n<\/section>\n\n\t\t\t<section class=\"qsm-page qsm-question-page qsm-loaded-page qsm-page-1 \" \n\t\t\tdata-apid=\"1\"\t\t\tdata-qpid=\"1\" \n\t\t\tdata-page=\"1\" \n\t\t\tdata-lazy-load=\"0\"\n\t\t\tdata-question-ids=\"28\"\n\t\t\tdata-question-start-number=\"1\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper qsm-question-wrapper-28 question-section-id-28 question-type-6\" data-qid=\"28\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>TARGET OPERATING MODEL (TOM) <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><p>Dans quelle mesure la fonction achats est-elle structur\u00e9e, gouvern\u00e9e et positionn\u00e9e pour soutenir les priorit\u00e9s de l\u2019entreprise ?<\/p><\/p>\n\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-loaded-page qsm-page-2 \" \n\t\t\tdata-apid=\"2\"\t\t\tdata-qpid=\"2\" \n\t\t\tdata-page=\"2\" \n\t\t\tdata-lazy-load=\"0\"\n\t\t\tdata-question-ids=\"24\"\n\t\t\tdata-question-start-number=\"2\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper qsm-question-wrapper-24 question-section-id-24 question-type-0\" data-qid=\"24\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Le mod\u00e8le op\u00e9rationnel des achats est clairement align\u00e9 sur les priorit\u00e9s strat\u00e9giques et les besoins de l\u2019organisation. <\/div>\n\t\t\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t\t\t<p><\/p>\n\t\t<\/div>\n\t\t<fieldset>\n\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question24-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question24\" id=\"question24_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question24_1\">\n\t\t\t\t\tNon d\u00e9ploy\u00e9\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question24-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question24\" id=\"question24_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question24_2\">\n\t\t\t\t\tEn \u00e9mergence\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question24-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question24\" id=\"question24_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question24_3\">\n\t\t\t\t\tPartiellement \u00e9tabli\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question24-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question24\" id=\"question24_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question24_4\">\n\t\t\t\t\tBien \u00e9tabli\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question24-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question24\" id=\"question24_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question24_5\">\n\t\t\t\t\tPratique de r\u00e9f\u00e9rence\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question24_none\">Aucun<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question24\" id=\"question24_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n<\/fieldset>\n<input type=\"hidden\" name=\"answer_limit_keys_24\" value=\"\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-loaded-page qsm-page-3 \" \n\t\t\tdata-apid=\"3\"\t\t\tdata-qpid=\"3\" \n\t\t\tdata-page=\"3\" \n\t\t\tdata-lazy-load=\"0\"\n\t\t\tdata-question-ids=\"34\"\n\t\t\tdata-question-start-number=\"3\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper qsm-question-wrapper-34 question-section-id-34 question-type-0\" data-qid=\"34\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Les r\u00f4les, responsabilit\u00e9s, droits de d\u00e9cision et m\u00e9canismes de gouvernance entre les achats, la finance, les op\u00e9rations et les fonctions m\u00e9tier sont clairement d\u00e9finis et appliqu\u00e9s de mani\u00e8re coh\u00e9rente. <\/div>\n\t\t\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t\t\t<p><\/p>\n\t\t<\/div>\n\t\t<fieldset>\n\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question34-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question34\" id=\"question34_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question34_1\">\n\t\t\t\t\tNon d\u00e9ploy\u00e9\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question34-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question34\" id=\"question34_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question34_2\">\n\t\t\t\t\tEn \u00e9mergence\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question34-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question34\" id=\"question34_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question34_3\">\n\t\t\t\t\tPartiellement \u00e9tabli\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question34-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question34\" id=\"question34_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question34_4\">\n\t\t\t\t\tBien \u00e9tabli\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question34-5 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question34\" id=\"question34_5\" value=\"4\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question34_5\">\n\t\t\t\t\tPratique de r\u00e9f\u00e9rence\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question34_none\">Aucun<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question34\" id=\"question34_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n<\/fieldset>\n<input type=\"hidden\" name=\"answer_limit_keys_34\" value=\"\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-4 \" \n\t\t\tdata-apid=\"4\"\t\t\tdata-qpid=\"4\" \n\t\t\tdata-page=\"4\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"35\"\n\t\t\tdata-question-start-number=\"4\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-5 \" \n\t\t\tdata-apid=\"5\"\t\t\tdata-qpid=\"5\" \n\t\t\tdata-page=\"5\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"36\"\n\t\t\tdata-question-start-number=\"5\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-6 \" \n\t\t\tdata-apid=\"6\"\t\t\tdata-qpid=\"6\" \n\t\t\tdata-page=\"6\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"37\"\n\t\t\tdata-question-start-number=\"6\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-7 \" \n\t\t\tdata-apid=\"7\"\t\t\tdata-qpid=\"7\" \n\t\t\tdata-page=\"7\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"38\"\n\t\t\tdata-question-start-number=\"7\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-8 \" \n\t\t\tdata-apid=\"8\"\t\t\tdata-qpid=\"8\" \n\t\t\tdata-page=\"8\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"39\"\n\t\t\tdata-question-start-number=\"8\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-9 \" \n\t\t\tdata-apid=\"9\"\t\t\tdata-qpid=\"9\" \n\t\t\tdata-page=\"9\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"40\"\n\t\t\tdata-question-start-number=\"9\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-10 \" \n\t\t\tdata-apid=\"10\"\t\t\tdata-qpid=\"10\" \n\t\t\tdata-page=\"10\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"41\"\n\t\t\tdata-question-start-number=\"10\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-11 \" \n\t\t\tdata-apid=\"11\"\t\t\tdata-qpid=\"11\" \n\t\t\tdata-page=\"11\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"42\"\n\t\t\tdata-question-start-number=\"11\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-12 \" \n\t\t\tdata-apid=\"12\"\t\t\tdata-qpid=\"12\" \n\t\t\tdata-page=\"12\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"43\"\n\t\t\tdata-question-start-number=\"12\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-13 \" \n\t\t\tdata-apid=\"13\"\t\t\tdata-qpid=\"13\" \n\t\t\tdata-page=\"13\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"44\"\n\t\t\tdata-question-start-number=\"13\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-14 \" \n\t\t\tdata-apid=\"14\"\t\t\tdata-qpid=\"14\" \n\t\t\tdata-page=\"14\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"45\"\n\t\t\tdata-question-start-number=\"14\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-15 \" \n\t\t\tdata-apid=\"15\"\t\t\tdata-qpid=\"15\" \n\t\t\tdata-page=\"15\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"46\"\n\t\t\tdata-question-start-number=\"15\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-16 \" \n\t\t\tdata-apid=\"16\"\t\t\tdata-qpid=\"16\" \n\t\t\tdata-page=\"16\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"47\"\n\t\t\tdata-question-start-number=\"16\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-17 \" \n\t\t\tdata-apid=\"17\"\t\t\tdata-qpid=\"17\" \n\t\t\tdata-page=\"17\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"48\"\n\t\t\tdata-question-start-number=\"17\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-18 \" \n\t\t\tdata-apid=\"18\"\t\t\tdata-qpid=\"18\" \n\t\t\tdata-page=\"18\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"49\"\n\t\t\tdata-question-start-number=\"18\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-19 \" \n\t\t\tdata-apid=\"19\"\t\t\tdata-qpid=\"19\" \n\t\t\tdata-page=\"19\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"50\"\n\t\t\tdata-question-start-number=\"19\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-20 \" \n\t\t\tdata-apid=\"20\"\t\t\tdata-qpid=\"20\" \n\t\t\tdata-page=\"20\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"51\"\n\t\t\tdata-question-start-number=\"20\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-21 \" \n\t\t\tdata-apid=\"21\"\t\t\tdata-qpid=\"21\" \n\t\t\tdata-page=\"21\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"52\"\n\t\t\tdata-question-start-number=\"21\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-22 \" \n\t\t\tdata-apid=\"22\"\t\t\tdata-qpid=\"22\" \n\t\t\tdata-page=\"22\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"53\"\n\t\t\tdata-question-start-number=\"22\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t\t<section class=\"qsm-page qsm-question-page qsm-lazy-load-page qsm-page-23 \" \n\t\t\tdata-apid=\"23\"\t\t\tdata-qpid=\"23\" \n\t\t\tdata-page=\"23\" \n\t\t\tdata-lazy-load=\"1\"\n\t\t\tdata-question-ids=\"54\"\n\t\t\tdata-question-start-number=\"23\"\n\t\t\tstyle=\"display: none;\">\n\t\t\t\t\t\t\t<div class=\"qsm-lazy-load-placeholder\" style=\"text-align: center; padding: 20px;\">\n\t\t\t\t\t<div class=\"qsm-lazy-load-spinner\" style=\"display: none;\">\n\t\t\t\t\t\t<span class=\"qsm-spinner\"><\/span>\n\t\t\t\t\t\t<p>Charement des questions\u2026<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/section>\n\t\t\t\n<section \n\tclass=\"qsm-page\" \n\tdata-page=\"24\" \n\tdata-page-type=\"last\" \n\tstyle=\"display: none;\"\n>\n\t<div class=\"quiz_section quiz_end empty_quiz_end\">\n\t\t\n\t\t\t\t<div class=\"qsm-contact-form-wrapper\">\n\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_0\">Pr\u00e9nom<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class='mlwRequiredText qsm_required_text '  name='contact_field_0' id='contact_field_0'  value=''  placeholder='Pr\u00e9nom'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_1\">Nom<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class='mlwRequiredText qsm_required_text '  name='contact_field_1' id='contact_field_1'  value=''  placeholder='Nom'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-email\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_2\">Adresse e-mail<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='email' class='mlwEmail mlwRequiredText qsm_required_text '  name='contact_field_2' id='contact_field_2'  value=''  placeholder='Adresse e-mail'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_3\">Indicatif t\u00e9l\u00e9phonique<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_3' id='contact_field_3'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='Switzerland +41'>\n\t\t\t\t\t\t\tSwitzerland +41\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Afghanistan +93'>\n\t\t\t\t\t\t\tAfghanistan +93\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c5land Islands +358'>\n\t\t\t\t\t\t\t\u00c5land Islands +358\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Albania +355'>\n\t\t\t\t\t\t\tAlbania +355\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Algeria +213'>\n\t\t\t\t\t\t\tAlgeria +213\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='American Samoa +1684'>\n\t\t\t\t\t\t\tAmerican Samoa +1684\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Andorra +376'>\n\t\t\t\t\t\t\tAndorra +376\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Angola +244'>\n\t\t\t\t\t\t\tAngola +244\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Anguilla +1264'>\n\t\t\t\t\t\t\tAnguilla +1264\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Antarctica +672'>\n\t\t\t\t\t\t\tAntarctica +672\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Antigua and Barbuda +1268'>\n\t\t\t\t\t\t\tAntigua and Barbuda +1268\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Argentina +54'>\n\t\t\t\t\t\t\tArgentina +54\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Armenia +374'>\n\t\t\t\t\t\t\tArmenia +374\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Aruba +297'>\n\t\t\t\t\t\t\tAruba +297\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Australia +61'>\n\t\t\t\t\t\t\tAustralia +61\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Austria +43'>\n\t\t\t\t\t\t\tAustria +43\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Azerbaijan +994'>\n\t\t\t\t\t\t\tAzerbaijan +994\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bahamas +1242'>\n\t\t\t\t\t\t\tBahamas +1242\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bahrain +973'>\n\t\t\t\t\t\t\tBahrain +973\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bangladesh +880'>\n\t\t\t\t\t\t\tBangladesh +880\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Barbados +1246'>\n\t\t\t\t\t\t\tBarbados +1246\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belarus +375'>\n\t\t\t\t\t\t\tBelarus +375\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belgium +32'>\n\t\t\t\t\t\t\tBelgium +32\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belize +501'>\n\t\t\t\t\t\t\tBelize +501\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Benin +229'>\n\t\t\t\t\t\t\tBenin +229\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bermuda +1441'>\n\t\t\t\t\t\t\tBermuda +1441\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bhutan +975'>\n\t\t\t\t\t\t\tBhutan +975\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bolivia +591'>\n\t\t\t\t\t\t\tBolivia +591\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bonaire Sint Eustatius and Saba +599'>\n\t\t\t\t\t\t\tBonaire Sint Eustatius and Saba +599\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bosnia and Herzegovina +387'>\n\t\t\t\t\t\t\tBosnia and Herzegovina +387\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Botswana +267'>\n\t\t\t\t\t\t\tBotswana +267\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bouvet Island +47'>\n\t\t\t\t\t\t\tBouvet Island +47\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Brazil +55'>\n\t\t\t\t\t\t\tBrazil +55\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='British Indian Ocean Territory +246'>\n\t\t\t\t\t\t\tBritish Indian Ocean Territory +246\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='British Virgin Islands +1284'>\n\t\t\t\t\t\t\tBritish Virgin Islands +1284\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Brunei +673'>\n\t\t\t\t\t\t\tBrunei +673\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bulgaria +359'>\n\t\t\t\t\t\t\tBulgaria +359\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Burkina Faso +226'>\n\t\t\t\t\t\t\tBurkina Faso +226\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Burundi +257'>\n\t\t\t\t\t\t\tBurundi +257\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cabo Verde +238'>\n\t\t\t\t\t\t\tCabo Verde +238\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cambodia +855'>\n\t\t\t\t\t\t\tCambodia +855\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cameroon +237'>\n\t\t\t\t\t\t\tCameroon +237\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Canada +1'>\n\t\t\t\t\t\t\tCanada +1\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cayman Islands +1345'>\n\t\t\t\t\t\t\tCayman Islands +1345\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Central African Republic +236'>\n\t\t\t\t\t\t\tCentral African Republic +236\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Chad +235'>\n\t\t\t\t\t\t\tChad +235\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Chile +56'>\n\t\t\t\t\t\t\tChile +56\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='China +86'>\n\t\t\t\t\t\t\tChina +86\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Christmas Island +61'>\n\t\t\t\t\t\t\tChristmas Island +61\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cocos (Keeling) Islands +61'>\n\t\t\t\t\t\t\tCocos (Keeling) Islands +61\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Colombia +57'>\n\t\t\t\t\t\t\tColombia +57\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Comoros +269'>\n\t\t\t\t\t\t\tComoros +269\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cook Islands +682'>\n\t\t\t\t\t\t\tCook Islands +682\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Costa Rica +506'>\n\t\t\t\t\t\t\tCosta Rica +506\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='C\u00f4te d&#039;Ivoire +225'>\n\t\t\t\t\t\t\tC\u00f4te d&#039;Ivoire +225\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Croatia +385'>\n\t\t\t\t\t\t\tCroatia +385\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cuba +53'>\n\t\t\t\t\t\t\tCuba +53\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cura\u00e7ao +599'>\n\t\t\t\t\t\t\tCura\u00e7ao +599\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cyprus +357'>\n\t\t\t\t\t\t\tCyprus +357\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Czechia +420'>\n\t\t\t\t\t\t\tCzechia +420\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Democratic Republic of the Congo +243'>\n\t\t\t\t\t\t\tDemocratic Republic of the Congo +243\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Denmark +45'>\n\t\t\t\t\t\t\tDenmark +45\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Djibouti +253'>\n\t\t\t\t\t\t\tDjibouti +253\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Dominica +1767'>\n\t\t\t\t\t\t\tDominica +1767\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Dominican Republic +1809'>\n\t\t\t\t\t\t\tDominican Republic +1809\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ecuador +593'>\n\t\t\t\t\t\t\tEcuador +593\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Egypt +20'>\n\t\t\t\t\t\t\tEgypt +20\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='El Salvador +503'>\n\t\t\t\t\t\t\tEl Salvador +503\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Equatorial Guinea +240'>\n\t\t\t\t\t\t\tEquatorial Guinea +240\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Eritrea +291'>\n\t\t\t\t\t\t\tEritrea +291\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Estonia +372'>\n\t\t\t\t\t\t\tEstonia +372\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Eswatini +268'>\n\t\t\t\t\t\t\tEswatini +268\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ethiopia +251'>\n\t\t\t\t\t\t\tEthiopia +251\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Falkland Islands (Malvinas) +500'>\n\t\t\t\t\t\t\tFalkland Islands (Malvinas) +500\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Faroe Islands +298'>\n\t\t\t\t\t\t\tFaroe Islands +298\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Fiji +679'>\n\t\t\t\t\t\t\tFiji +679\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Finland +358'>\n\t\t\t\t\t\t\tFinland +358\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='France +33'>\n\t\t\t\t\t\t\tFrance +33\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Guiana +594'>\n\t\t\t\t\t\t\tFrench Guiana +594\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Polynesia +689'>\n\t\t\t\t\t\t\tFrench Polynesia +689\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Southern Territories +262'>\n\t\t\t\t\t\t\tFrench Southern Territories +262\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Gabon +241'>\n\t\t\t\t\t\t\tGabon +241\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='The Gambia +220'>\n\t\t\t\t\t\t\tThe Gambia +220\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Georgia +995'>\n\t\t\t\t\t\t\tGeorgia +995\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Germany +49'>\n\t\t\t\t\t\t\tGermany +49\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ghana +233'>\n\t\t\t\t\t\t\tGhana +233\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Gibraltar +350'>\n\t\t\t\t\t\t\tGibraltar +350\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Greece +30'>\n\t\t\t\t\t\t\tGreece +30\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Greenland +299'>\n\t\t\t\t\t\t\tGreenland +299\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Grenada +1473'>\n\t\t\t\t\t\t\tGrenada +1473\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guadeloupe +590'>\n\t\t\t\t\t\t\tGuadeloupe +590\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guam +1671'>\n\t\t\t\t\t\t\tGuam +1671\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guatemala +502'>\n\t\t\t\t\t\t\tGuatemala +502\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guernsey +44'>\n\t\t\t\t\t\t\tGuernsey +44\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guinea +224'>\n\t\t\t\t\t\t\tGuinea +224\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guinea-Bissau +245'>\n\t\t\t\t\t\t\tGuinea-Bissau +245\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guyana +592'>\n\t\t\t\t\t\t\tGuyana +592\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Haiti +509'>\n\t\t\t\t\t\t\tHaiti +509\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Heard Island and McDonald Islands +672'>\n\t\t\t\t\t\t\tHeard Island and McDonald Islands +672\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Honduras +504'>\n\t\t\t\t\t\t\tHonduras +504\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Hong Kong +852'>\n\t\t\t\t\t\t\tHong Kong +852\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Hungary +36'>\n\t\t\t\t\t\t\tHungary +36\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iceland +354'>\n\t\t\t\t\t\t\tIceland +354\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='India +91'>\n\t\t\t\t\t\t\tIndia +91\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Indonesia +62'>\n\t\t\t\t\t\t\tIndonesia +62\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iran +98'>\n\t\t\t\t\t\t\tIran +98\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iraq +964'>\n\t\t\t\t\t\t\tIraq +964\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ireland +353'>\n\t\t\t\t\t\t\tIreland +353\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Isle of Man +44'>\n\t\t\t\t\t\t\tIsle of Man +44\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Israel +972'>\n\t\t\t\t\t\t\tIsrael +972\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Italy +39'>\n\t\t\t\t\t\t\tItaly +39\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jamaica +1876'>\n\t\t\t\t\t\t\tJamaica +1876\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Japan +81'>\n\t\t\t\t\t\t\tJapan +81\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jersey +44'>\n\t\t\t\t\t\t\tJersey +44\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jordan +962'>\n\t\t\t\t\t\t\tJordan +962\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kazakhstan +7'>\n\t\t\t\t\t\t\tKazakhstan +7\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kenya +254'>\n\t\t\t\t\t\t\tKenya +254\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kiribati +686'>\n\t\t\t\t\t\t\tKiribati +686\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kuwait +965'>\n\t\t\t\t\t\t\tKuwait +965\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kyrgyzstan +996'>\n\t\t\t\t\t\t\tKyrgyzstan +996\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Laos +856'>\n\t\t\t\t\t\t\tLaos +856\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Latvia +371'>\n\t\t\t\t\t\t\tLatvia +371\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lebanon +961'>\n\t\t\t\t\t\t\tLebanon +961\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lesotho +266'>\n\t\t\t\t\t\t\tLesotho +266\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Liberia +231'>\n\t\t\t\t\t\t\tLiberia +231\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Libya +218'>\n\t\t\t\t\t\t\tLibya +218\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Liechtenstein +423'>\n\t\t\t\t\t\t\tLiechtenstein +423\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lithuania +370'>\n\t\t\t\t\t\t\tLithuania +370\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Luxembourg +352'>\n\t\t\t\t\t\t\tLuxembourg +352\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Macau +853'>\n\t\t\t\t\t\t\tMacau +853\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Madagascar +261'>\n\t\t\t\t\t\t\tMadagascar +261\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malawi +265'>\n\t\t\t\t\t\t\tMalawi +265\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malaysia +60'>\n\t\t\t\t\t\t\tMalaysia +60\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Maldives +960'>\n\t\t\t\t\t\t\tMaldives +960\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mali +223'>\n\t\t\t\t\t\t\tMali +223\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malta +356'>\n\t\t\t\t\t\t\tMalta +356\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Marshall Islands +692'>\n\t\t\t\t\t\t\tMarshall Islands +692\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Martinique +596'>\n\t\t\t\t\t\t\tMartinique +596\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mauritania +222'>\n\t\t\t\t\t\t\tMauritania +222\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mauritius +230'>\n\t\t\t\t\t\t\tMauritius +230\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mayotte +262'>\n\t\t\t\t\t\t\tMayotte +262\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mexico +52'>\n\t\t\t\t\t\t\tMexico +52\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Micronesia +691'>\n\t\t\t\t\t\t\tMicronesia +691\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Moldova +373'>\n\t\t\t\t\t\t\tMoldova +373\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Monaco +377'>\n\t\t\t\t\t\t\tMonaco +377\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mongolia +976'>\n\t\t\t\t\t\t\tMongolia +976\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Montenegro +382'>\n\t\t\t\t\t\t\tMontenegro +382\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Montserrat +1664'>\n\t\t\t\t\t\t\tMontserrat +1664\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Morocco +212'>\n\t\t\t\t\t\t\tMorocco +212\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mozambique +258'>\n\t\t\t\t\t\t\tMozambique +258\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Myanmar +95'>\n\t\t\t\t\t\t\tMyanmar +95\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Namibia +264'>\n\t\t\t\t\t\t\tNamibia +264\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nauru +674'>\n\t\t\t\t\t\t\tNauru +674\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nepal +977'>\n\t\t\t\t\t\t\tNepal +977\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Netherlands +31'>\n\t\t\t\t\t\t\tNetherlands +31\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='New Caledonia +687'>\n\t\t\t\t\t\t\tNew Caledonia +687\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='New Zealand +64'>\n\t\t\t\t\t\t\tNew Zealand +64\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nicaragua +505'>\n\t\t\t\t\t\t\tNicaragua +505\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Niger +227'>\n\t\t\t\t\t\t\tNiger +227\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nigeria +234'>\n\t\t\t\t\t\t\tNigeria +234\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Niue +683'>\n\t\t\t\t\t\t\tNiue +683\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Norfolk Island +672'>\n\t\t\t\t\t\t\tNorfolk Island +672\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='North Korea +850'>\n\t\t\t\t\t\t\tNorth Korea +850\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='North Macedonia +389'>\n\t\t\t\t\t\t\tNorth Macedonia +389\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Northern Mariana Islands +1670'>\n\t\t\t\t\t\t\tNorthern Mariana Islands +1670\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Norway +47'>\n\t\t\t\t\t\t\tNorway +47\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Oman +968'>\n\t\t\t\t\t\t\tOman +968\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Pakistan +92'>\n\t\t\t\t\t\t\tPakistan +92\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Palau +680'>\n\t\t\t\t\t\t\tPalau +680\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Palestine +970'>\n\t\t\t\t\t\t\tPalestine +970\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Panama +507'>\n\t\t\t\t\t\t\tPanama +507\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Papua New Guinea +675'>\n\t\t\t\t\t\t\tPapua New Guinea +675\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Paraguay +595'>\n\t\t\t\t\t\t\tParaguay +595\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Peru +51'>\n\t\t\t\t\t\t\tPeru +51\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Philippines +63'>\n\t\t\t\t\t\t\tPhilippines +63\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Pitcairn Islands +64'>\n\t\t\t\t\t\t\tPitcairn Islands +64\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Poland +48'>\n\t\t\t\t\t\t\tPoland +48\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Portugal +351'>\n\t\t\t\t\t\t\tPortugal +351\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Puerto Rico +1787'>\n\t\t\t\t\t\t\tPuerto Rico +1787\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Qatar +974'>\n\t\t\t\t\t\t\tQatar +974\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Republic of the Congo +242'>\n\t\t\t\t\t\t\tRepublic of the Congo +242\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='R\u00e9union +262'>\n\t\t\t\t\t\t\tR\u00e9union +262\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Romania +40'>\n\t\t\t\t\t\t\tRomania +40\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Russia +7'>\n\t\t\t\t\t\t\tRussia +7\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Rwanda +250'>\n\t\t\t\t\t\t\tRwanda +250\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Barth\u00e9lemy +590'>\n\t\t\t\t\t\t\tSaint Barth\u00e9lemy +590\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Helena Ascension and Tristan da Cunha +290'>\n\t\t\t\t\t\t\tSaint Helena Ascension and Tristan da Cunha +290\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Kitts and Nevis +1869'>\n\t\t\t\t\t\t\tSaint Kitts and Nevis +1869\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Lucia +1758'>\n\t\t\t\t\t\t\tSaint Lucia +1758\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Martin (French part) +590'>\n\t\t\t\t\t\t\tSaint Martin (French part) +590\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Pierre and Miquelon +508'>\n\t\t\t\t\t\t\tSaint Pierre and Miquelon +508\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Vincent and the Grenadines +1784'>\n\t\t\t\t\t\t\tSaint Vincent and the Grenadines +1784\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Samoa +685'>\n\t\t\t\t\t\t\tSamoa +685\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='San Marino +378'>\n\t\t\t\t\t\t\tSan Marino +378\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sao Tome and Principe +239'>\n\t\t\t\t\t\t\tSao Tome and Principe +239\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saudi Arabia +966'>\n\t\t\t\t\t\t\tSaudi Arabia +966\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Senegal +221'>\n\t\t\t\t\t\t\tSenegal +221\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Serbia +381'>\n\t\t\t\t\t\t\tSerbia +381\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Seychelles +248'>\n\t\t\t\t\t\t\tSeychelles +248\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sierra Leone +232'>\n\t\t\t\t\t\t\tSierra Leone +232\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Singapore +65'>\n\t\t\t\t\t\t\tSingapore +65\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sint Maarten (Dutch part) +1721'>\n\t\t\t\t\t\t\tSint Maarten (Dutch part) +1721\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Slovakia +421'>\n\t\t\t\t\t\t\tSlovakia +421\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Slovenia +386'>\n\t\t\t\t\t\t\tSlovenia +386\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Solomon Islands +677'>\n\t\t\t\t\t\t\tSolomon Islands +677\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Somalia +252'>\n\t\t\t\t\t\t\tSomalia +252\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Africa +27'>\n\t\t\t\t\t\t\tSouth Africa +27\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Georgia and the South Sandwich Islands +500'>\n\t\t\t\t\t\t\tSouth Georgia and the South Sandwich Islands +500\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Soudan du Sud +211'>\n\t\t\t\t\t\t\tSoudan du Sud +211\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Espagne +34'>\n\t\t\t\t\t\t\tEspagne +34\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sri Lanka +94'>\n\t\t\t\t\t\t\tSri Lanka +94\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Soudan +249'>\n\t\t\t\t\t\t\tSoudan +249\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Suriname +597'>\n\t\t\t\t\t\t\tSuriname +597\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Svalbard et Jan Mayen +47'>\n\t\t\t\t\t\t\tSvalbard et Jan Mayen +47\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Eswatini +268'>\n\t\t\t\t\t\t\tEswatini +268\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sweden +46'>\n\t\t\t\t\t\t\tSweden +46\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Syrie +963'>\n\t\t\t\t\t\t\tSyrie +963\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ta\u00efwan +886'>\n\t\t\t\t\t\t\tTa\u00efwan +886\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tajikistan +992'>\n\t\t\t\t\t\t\tTajikistan +992\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tanzanie +255'>\n\t\t\t\t\t\t\tTanzanie +255\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Thailand +66'>\n\t\t\t\t\t\t\tThailand +66\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Timor-Leste +670'>\n\t\t\t\t\t\t\tTimor-Leste +670\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Togo +228'>\n\t\t\t\t\t\t\tTogo +228\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tokelau +690'>\n\t\t\t\t\t\t\tTokelau +690\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tonga +676'>\n\t\t\t\t\t\t\tTonga +676\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Trinidad and Tobago +1868'>\n\t\t\t\t\t\t\tTrinidad and Tobago +1868\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tunisia +216'>\n\t\t\t\t\t\t\tTunisia +216\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turkey +90'>\n\t\t\t\t\t\t\tTurkey +90\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turkmenistan +993'>\n\t\t\t\t\t\t\tTurkmenistan +993\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turks and Caicos Islands +1649'>\n\t\t\t\t\t\t\tTurks and Caicos Islands +1649\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tuvalu +688'>\n\t\t\t\t\t\t\tTuvalu +688\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ouganda +256'>\n\t\t\t\t\t\t\tOuganda +256\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ukraine +380'>\n\t\t\t\t\t\t\tUkraine +380\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c9mirats arabes unis +971'>\n\t\t\t\t\t\t\t\u00c9mirats arabes unis +971\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c9tats-Unis +1'>\n\t\t\t\t\t\t\t\u00c9tats-Unis +1\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Royaume-Uni +44'>\n\t\t\t\t\t\t\tRoyaume-Uni +44\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis +1'>\n\t\t\t\t\t\t\t\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis +1\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Uruguay +598'>\n\t\t\t\t\t\t\tUruguay +598\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Uruguay +598'>\n\t\t\t\t\t\t\tUruguay +598\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ouzb\u00e9kistan +998'>\n\t\t\t\t\t\t\tOuzb\u00e9kistan +998\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vanuatu +678'>\n\t\t\t\t\t\t\tVanuatu +678\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vatican City +379'>\n\t\t\t\t\t\t\tVatican City +379\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Venezuela +58'>\n\t\t\t\t\t\t\tVenezuela +58\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vietnam +84'>\n\t\t\t\t\t\t\tVietnam +84\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Wallis and Futuna +681'>\n\t\t\t\t\t\t\tWallis and Futuna +681\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Western Sahara +212'>\n\t\t\t\t\t\t\tWestern Sahara +212\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Yemen +967'>\n\t\t\t\t\t\t\tYemen +967\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Zambia +260'>\n\t\t\t\t\t\t\tZambia +260\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Zimbabwe +263'>\n\t\t\t\t\t\t\tZimbabwe +263\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_4\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class='mlwRequiredText qsm_required_text '  name='contact_field_4' id='contact_field_4'  value=''  placeholder='Num\u00e9ro de t\u00e9l\u00e9phone'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_5\">Pays<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_5' id='contact_field_5'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='Switzerland'>\n\t\t\t\t\t\t\tSwitzerland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Afghanistan'>\n\t\t\t\t\t\t\tAfghanistan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c5land Islands'>\n\t\t\t\t\t\t\t\u00c5land Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Albania'>\n\t\t\t\t\t\t\tAlbania\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Algeria'>\n\t\t\t\t\t\t\tAlgeria\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='American Samoa'>\n\t\t\t\t\t\t\tAmerican Samoa\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Andorra'>\n\t\t\t\t\t\t\tAndorra\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Angola'>\n\t\t\t\t\t\t\tAngola\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Anguilla'>\n\t\t\t\t\t\t\tAnguilla\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Antarctica'>\n\t\t\t\t\t\t\tAntarctica\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Antigua and Barbuda'>\n\t\t\t\t\t\t\tAntigua and Barbuda\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Argentina'>\n\t\t\t\t\t\t\tArgentina\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Armenia'>\n\t\t\t\t\t\t\tArmenia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Aruba'>\n\t\t\t\t\t\t\tAruba\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Australia'>\n\t\t\t\t\t\t\tAustralia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Austria'>\n\t\t\t\t\t\t\tAustria\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Azerbaijan'>\n\t\t\t\t\t\t\tAzerbaijan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bahamas'>\n\t\t\t\t\t\t\tBahamas\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bahrain'>\n\t\t\t\t\t\t\tBahrain\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bangladesh'>\n\t\t\t\t\t\t\tBangladesh\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Barbados'>\n\t\t\t\t\t\t\tBarbados\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belarus'>\n\t\t\t\t\t\t\tBelarus\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belgium'>\n\t\t\t\t\t\t\tBelgium\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Belize'>\n\t\t\t\t\t\t\tBelize\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Benin'>\n\t\t\t\t\t\t\tBenin\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bermuda'>\n\t\t\t\t\t\t\tBermuda\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bhutan'>\n\t\t\t\t\t\t\tBhutan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bolivia'>\n\t\t\t\t\t\t\tBolivia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bonaire Sint Eustatius and Saba'>\n\t\t\t\t\t\t\tBonaire Sint Eustatius and Saba\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bosnia and Herzegovina'>\n\t\t\t\t\t\t\tBosnia and Herzegovina\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Botswana'>\n\t\t\t\t\t\t\tBotswana\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bouvet Island'>\n\t\t\t\t\t\t\tBouvet Island\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Brazil'>\n\t\t\t\t\t\t\tBrazil\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='British Indian Ocean Territory'>\n\t\t\t\t\t\t\tBritish Indian Ocean Territory\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='British Virgin Islands'>\n\t\t\t\t\t\t\tBritish Virgin Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Brunei'>\n\t\t\t\t\t\t\tBrunei\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Bulgaria'>\n\t\t\t\t\t\t\tBulgaria\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Burkina Faso'>\n\t\t\t\t\t\t\tBurkina Faso\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Burundi'>\n\t\t\t\t\t\t\tBurundi\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cabo Verde'>\n\t\t\t\t\t\t\tCabo Verde\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cambodia'>\n\t\t\t\t\t\t\tCambodia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cameroon'>\n\t\t\t\t\t\t\tCameroon\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Canada'>\n\t\t\t\t\t\t\tCanada\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cayman Islands'>\n\t\t\t\t\t\t\tCayman Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Central African Republic'>\n\t\t\t\t\t\t\tCentral African Republic\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Chad'>\n\t\t\t\t\t\t\tChad\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Chile'>\n\t\t\t\t\t\t\tChile\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='China'>\n\t\t\t\t\t\t\tChina\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Christmas Island'>\n\t\t\t\t\t\t\tChristmas Island\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cocos (Keeling) Islands'>\n\t\t\t\t\t\t\tCocos (Keeling) Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Colombia'>\n\t\t\t\t\t\t\tColombia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Comoros'>\n\t\t\t\t\t\t\tComoros\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cook Islands'>\n\t\t\t\t\t\t\tCook Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Costa Rica'>\n\t\t\t\t\t\t\tCosta Rica\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='C\u00f4te d&#039;Ivoire'>\n\t\t\t\t\t\t\tC\u00f4te d&#039;Ivoire\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Croatia'>\n\t\t\t\t\t\t\tCroatia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cuba'>\n\t\t\t\t\t\t\tCuba\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cura\u00e7ao'>\n\t\t\t\t\t\t\tCura\u00e7ao\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Cyprus'>\n\t\t\t\t\t\t\tCyprus\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Czechia'>\n\t\t\t\t\t\t\tCzechia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Democratic Republic of the Congo'>\n\t\t\t\t\t\t\tDemocratic Republic of the Congo\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Denmark'>\n\t\t\t\t\t\t\tDenmark\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Djibouti'>\n\t\t\t\t\t\t\tDjibouti\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Dominica'>\n\t\t\t\t\t\t\tDominica\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Dominican Republic'>\n\t\t\t\t\t\t\tDominican Republic\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ecuador'>\n\t\t\t\t\t\t\tEcuador\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Egypt'>\n\t\t\t\t\t\t\tEgypt\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='El Salvador'>\n\t\t\t\t\t\t\tEl Salvador\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Equatorial Guinea'>\n\t\t\t\t\t\t\tEquatorial Guinea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Eritrea'>\n\t\t\t\t\t\t\tEritrea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Estonia'>\n\t\t\t\t\t\t\tEstonia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Eswatini'>\n\t\t\t\t\t\t\tEswatini\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ethiopia'>\n\t\t\t\t\t\t\tEthiopia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Falkland Islands (Malvinas)'>\n\t\t\t\t\t\t\tFalkland Islands (Malvinas)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Faroe Islands'>\n\t\t\t\t\t\t\tFaroe Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Fiji'>\n\t\t\t\t\t\t\tFiji\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Finland'>\n\t\t\t\t\t\t\tFinland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='France'>\n\t\t\t\t\t\t\tFrance\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Guiana'>\n\t\t\t\t\t\t\tFrench Guiana\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Polynesia'>\n\t\t\t\t\t\t\tFrench Polynesia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='French Southern Territories'>\n\t\t\t\t\t\t\tFrench Southern Territories\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Gabon'>\n\t\t\t\t\t\t\tGabon\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='The Gambia'>\n\t\t\t\t\t\t\tThe Gambia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Georgia'>\n\t\t\t\t\t\t\tGeorgia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Germany'>\n\t\t\t\t\t\t\tGermany\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ghana'>\n\t\t\t\t\t\t\tGhana\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Gibraltar'>\n\t\t\t\t\t\t\tGibraltar\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Greece'>\n\t\t\t\t\t\t\tGreece\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Greenland'>\n\t\t\t\t\t\t\tGreenland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Grenada'>\n\t\t\t\t\t\t\tGrenada\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guadeloupe'>\n\t\t\t\t\t\t\tGuadeloupe\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guam'>\n\t\t\t\t\t\t\tGuam\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guatemala'>\n\t\t\t\t\t\t\tGuatemala\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guernsey'>\n\t\t\t\t\t\t\tGuernsey\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guinea'>\n\t\t\t\t\t\t\tGuinea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guinea-Bissau'>\n\t\t\t\t\t\t\tGuinea-Bissau\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Guyana'>\n\t\t\t\t\t\t\tGuyana\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Haiti'>\n\t\t\t\t\t\t\tHaiti\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Heard Island and McDonald Islands'>\n\t\t\t\t\t\t\tHeard Island and McDonald Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Honduras'>\n\t\t\t\t\t\t\tHonduras\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Hong Kong'>\n\t\t\t\t\t\t\tHong Kong\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Hungary'>\n\t\t\t\t\t\t\tHungary\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iceland'>\n\t\t\t\t\t\t\tIceland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='India'>\n\t\t\t\t\t\t\tIndia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Indonesia'>\n\t\t\t\t\t\t\tIndonesia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iran'>\n\t\t\t\t\t\t\tIran\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Iraq'>\n\t\t\t\t\t\t\tIraq\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ireland'>\n\t\t\t\t\t\t\tIreland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Isle of Man'>\n\t\t\t\t\t\t\tIsle of Man\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Israel'>\n\t\t\t\t\t\t\tIsrael\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Italy'>\n\t\t\t\t\t\t\tItaly\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jamaica'>\n\t\t\t\t\t\t\tJamaica\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Japan'>\n\t\t\t\t\t\t\tJapan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jersey'>\n\t\t\t\t\t\t\tJersey\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Jordan'>\n\t\t\t\t\t\t\tJordan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kazakhstan'>\n\t\t\t\t\t\t\tKazakhstan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kenya'>\n\t\t\t\t\t\t\tKenya\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kiribati'>\n\t\t\t\t\t\t\tKiribati\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kuwait'>\n\t\t\t\t\t\t\tKuwait\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Kyrgyzstan'>\n\t\t\t\t\t\t\tKyrgyzstan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Laos'>\n\t\t\t\t\t\t\tLaos\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Latvia'>\n\t\t\t\t\t\t\tLatvia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lebanon'>\n\t\t\t\t\t\t\tLebanon\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lesotho'>\n\t\t\t\t\t\t\tLesotho\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Liberia'>\n\t\t\t\t\t\t\tLiberia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Libya'>\n\t\t\t\t\t\t\tLibya\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Liechtenstein'>\n\t\t\t\t\t\t\tLiechtenstein\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Lithuania'>\n\t\t\t\t\t\t\tLithuania\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Luxembourg'>\n\t\t\t\t\t\t\tLuxembourg\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Macau'>\n\t\t\t\t\t\t\tMacau\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Madagascar'>\n\t\t\t\t\t\t\tMadagascar\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malawi'>\n\t\t\t\t\t\t\tMalawi\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malaysia'>\n\t\t\t\t\t\t\tMalaysia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Maldives'>\n\t\t\t\t\t\t\tMaldives\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mali'>\n\t\t\t\t\t\t\tMali\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Malta'>\n\t\t\t\t\t\t\tMalta\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Marshall Islands'>\n\t\t\t\t\t\t\tMarshall Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Martinique'>\n\t\t\t\t\t\t\tMartinique\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mauritania'>\n\t\t\t\t\t\t\tMauritania\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mauritius'>\n\t\t\t\t\t\t\tMauritius\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mayotte'>\n\t\t\t\t\t\t\tMayotte\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mexico'>\n\t\t\t\t\t\t\tMexico\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Micronesia'>\n\t\t\t\t\t\t\tMicronesia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Moldova'>\n\t\t\t\t\t\t\tMoldova\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Monaco'>\n\t\t\t\t\t\t\tMonaco\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mongolia'>\n\t\t\t\t\t\t\tMongolia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Montenegro'>\n\t\t\t\t\t\t\tMontenegro\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Montserrat'>\n\t\t\t\t\t\t\tMontserrat\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Morocco'>\n\t\t\t\t\t\t\tMorocco\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Mozambique'>\n\t\t\t\t\t\t\tMozambique\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Myanmar'>\n\t\t\t\t\t\t\tMyanmar\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Namibia'>\n\t\t\t\t\t\t\tNamibia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nauru'>\n\t\t\t\t\t\t\tNauru\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nepal'>\n\t\t\t\t\t\t\tNepal\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Netherlands'>\n\t\t\t\t\t\t\tNetherlands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='New Caledonia'>\n\t\t\t\t\t\t\tNew Caledonia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='New Zealand'>\n\t\t\t\t\t\t\tNew Zealand\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nicaragua'>\n\t\t\t\t\t\t\tNicaragua\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Niger'>\n\t\t\t\t\t\t\tNiger\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Nigeria'>\n\t\t\t\t\t\t\tNigeria\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Niue'>\n\t\t\t\t\t\t\tNiue\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Norfolk Island'>\n\t\t\t\t\t\t\tNorfolk Island\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='North Korea'>\n\t\t\t\t\t\t\tNorth Korea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='North Macedonia'>\n\t\t\t\t\t\t\tNorth Macedonia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Northern Mariana Islands'>\n\t\t\t\t\t\t\tNorthern Mariana Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Norway'>\n\t\t\t\t\t\t\tNorway\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Oman'>\n\t\t\t\t\t\t\tOman\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Pakistan'>\n\t\t\t\t\t\t\tPakistan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Palau'>\n\t\t\t\t\t\t\tPalau\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Palestine'>\n\t\t\t\t\t\t\tPalestine\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Panama'>\n\t\t\t\t\t\t\tPanama\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Papua New Guinea'>\n\t\t\t\t\t\t\tPapua New Guinea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Paraguay'>\n\t\t\t\t\t\t\tParaguay\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Peru'>\n\t\t\t\t\t\t\tPeru\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Philippines'>\n\t\t\t\t\t\t\tPhilippines\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Pitcairn Islands'>\n\t\t\t\t\t\t\tPitcairn Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Poland'>\n\t\t\t\t\t\t\tPoland\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Portugal'>\n\t\t\t\t\t\t\tPortugal\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Puerto Rico'>\n\t\t\t\t\t\t\tPuerto Rico\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Qatar'>\n\t\t\t\t\t\t\tQatar\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Republic of the Congo'>\n\t\t\t\t\t\t\tRepublic of the Congo\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='R\u00e9union'>\n\t\t\t\t\t\t\tR\u00e9union\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Romania'>\n\t\t\t\t\t\t\tRomania\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Russia'>\n\t\t\t\t\t\t\tRussia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Rwanda'>\n\t\t\t\t\t\t\tRwanda\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Barth\u00e9lemy'>\n\t\t\t\t\t\t\tSaint Barth\u00e9lemy\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Helena Ascension and Tristan da Cunha'>\n\t\t\t\t\t\t\tSaint Helena Ascension and Tristan da Cunha\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Kitts and Nevis'>\n\t\t\t\t\t\t\tSaint Kitts and Nevis\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Lucia'>\n\t\t\t\t\t\t\tSaint Lucia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Martin (French part)'>\n\t\t\t\t\t\t\tSaint Martin (French part)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Pierre and Miquelon'>\n\t\t\t\t\t\t\tSaint Pierre and Miquelon\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saint Vincent and the Grenadines'>\n\t\t\t\t\t\t\tSaint Vincent and the Grenadines\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Samoa'>\n\t\t\t\t\t\t\tSamoa\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='San Marino'>\n\t\t\t\t\t\t\tSan Marino\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sao Tome and Principe'>\n\t\t\t\t\t\t\tSao Tome and Principe\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Saudi Arabia'>\n\t\t\t\t\t\t\tSaudi Arabia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Senegal'>\n\t\t\t\t\t\t\tSenegal\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Serbia'>\n\t\t\t\t\t\t\tSerbia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Seychelles'>\n\t\t\t\t\t\t\tSeychelles\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sierra Leone'>\n\t\t\t\t\t\t\tSierra Leone\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Singapore'>\n\t\t\t\t\t\t\tSingapore\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sint Maarten (Dutch part)'>\n\t\t\t\t\t\t\tSint Maarten (Dutch part)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Slovakia'>\n\t\t\t\t\t\t\tSlovakia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Slovenia'>\n\t\t\t\t\t\t\tSlovenia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Solomon Islands'>\n\t\t\t\t\t\t\tSolomon Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Somalia'>\n\t\t\t\t\t\t\tSomalia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Africa'>\n\t\t\t\t\t\t\tSouth Africa\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Georgia and the South Sandwich Islands'>\n\t\t\t\t\t\t\tSouth Georgia and the South Sandwich Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Korea'>\n\t\t\t\t\t\t\tSouth Korea\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='South Sudan'>\n\t\t\t\t\t\t\tSouth Sudan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Spain'>\n\t\t\t\t\t\t\tSpain\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sri Lanka'>\n\t\t\t\t\t\t\tSri Lanka\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sudan'>\n\t\t\t\t\t\t\tSudan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Suriname'>\n\t\t\t\t\t\t\tSuriname\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Svalbard and Jan Mayen'>\n\t\t\t\t\t\t\tSvalbard and Jan Mayen\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sweden'>\n\t\t\t\t\t\t\tSweden\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Syria'>\n\t\t\t\t\t\t\tSyria\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Taiwan'>\n\t\t\t\t\t\t\tTaiwan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tajikistan'>\n\t\t\t\t\t\t\tTajikistan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tanzania'>\n\t\t\t\t\t\t\tTanzania\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Thailand'>\n\t\t\t\t\t\t\tThailand\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Timor-Leste'>\n\t\t\t\t\t\t\tTimor-Leste\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Togo'>\n\t\t\t\t\t\t\tTogo\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tokelau'>\n\t\t\t\t\t\t\tTokelau\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tonga'>\n\t\t\t\t\t\t\tTonga\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Trinidad and Tobago'>\n\t\t\t\t\t\t\tTrinidad and Tobago\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tunisia'>\n\t\t\t\t\t\t\tTunisia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turkey'>\n\t\t\t\t\t\t\tTurkey\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turkmenistan'>\n\t\t\t\t\t\t\tTurkmenistan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Turks and Caicos Islands'>\n\t\t\t\t\t\t\tTurks and Caicos Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Tuvalu'>\n\t\t\t\t\t\t\tTuvalu\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='U.S. Minor Outlying Islands'>\n\t\t\t\t\t\t\tU.S. Minor Outlying Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='U.S. Virgin Islands'>\n\t\t\t\t\t\t\tU.S. Virgin Islands\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Uganda'>\n\t\t\t\t\t\t\tUganda\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Ukraine'>\n\t\t\t\t\t\t\tUkraine\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='United Arab Emirates'>\n\t\t\t\t\t\t\tUnited Arab Emirates\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='United Kingdom'>\n\t\t\t\t\t\t\tUnited Kingdom\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='United States'>\n\t\t\t\t\t\t\tUnited States\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Uruguay'>\n\t\t\t\t\t\t\tUruguay\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Uzbekistan'>\n\t\t\t\t\t\t\tUzbekistan\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vanuatu'>\n\t\t\t\t\t\t\tVanuatu\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vatican City'>\n\t\t\t\t\t\t\tVatican City\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Venezuela'>\n\t\t\t\t\t\t\tVenezuela\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Vietnam'>\n\t\t\t\t\t\t\tVietnam\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Wallis and Futuna'>\n\t\t\t\t\t\t\tWallis and Futuna\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Western Sahara'>\n\t\t\t\t\t\t\tWestern Sahara\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Yemen'>\n\t\t\t\t\t\t\tYemen\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Zambia'>\n\t\t\t\t\t\t\tZambia\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Zimbabwe'>\n\t\t\t\t\t\t\tZimbabwe\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_6\">Entreprise<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class='mlwRequiredText qsm_required_text '  name='contact_field_6' id='contact_field_6'  value=''  placeholder='Entreprise'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-text\">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_7\">Fonction<\/label><\/span>\n\t\t\t\t\t\t\t\t<input type='text' class='mlwRequiredText qsm_required_text '  name='contact_field_7' id='contact_field_7'  value=''  placeholder='Fonction'  \/>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_10\">Secteur d\u2019activit\u00e9<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_10' id='contact_field_10'>\n\t\t\t\t\t\t\t\t\t\t\t<option value=''>\n\t\t\t\t\t\t\tChoose Secteur d\u2019activit\u00e9\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='Agriculture, sylviculture et p\u00eache'>\n\t\t\t\t\t\t\tAgriculture, sylviculture et p\u00eache\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Services collectifs, sociaux et personnels'>\n\t\t\t\t\t\t\tServices collectifs, sociaux et personnels\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Finance'>\n\t\t\t\t\t\t\tFinance\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Informatique et activit\u00e9s connexes'>\n\t\t\t\t\t\t\tInformatique et activit\u00e9s connexes\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Construction'>\n\t\t\t\t\t\t\tConstruction\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c9ducation'>\n\t\t\t\t\t\t\t\u00c9ducation\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='\u00c9lectricit\u00e9, gaz et eau'>\n\t\t\t\t\t\t\t\u00c9lectricit\u00e9, gaz et eau\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Finance et assurance'>\n\t\t\t\t\t\t\tFinance et assurance\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Sant\u00e9 et action sociale'>\n\t\t\t\t\t\t\tSant\u00e9 et action sociale\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='H\u00f4tellerie et restauration'>\n\t\t\t\t\t\t\tH\u00f4tellerie et restauration\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Industrie manufacturi\u00e8re'>\n\t\t\t\t\t\t\tIndustrie manufacturi\u00e8re\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Industries extractives'>\n\t\t\t\t\t\t\tIndustries extractives\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Administrations nationales et locales (y compris la d\u00e9fense)'>\n\t\t\t\t\t\t\tAdministrations nationales et locales (y compris la d\u00e9fense)\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Autres activit\u00e9s de services aux entreprises'>\n\t\t\t\t\t\t\tAutres activit\u00e9s de services aux entreprises\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Poste et t\u00e9l\u00e9communications'>\n\t\t\t\t\t\t\tPoste et t\u00e9l\u00e9communications\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Immobilier et location d\u2019\u00e9quipements'>\n\t\t\t\t\t\t\tImmobilier et location d\u2019\u00e9quipements\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Recyclage'>\n\t\t\t\t\t\t\tRecyclage\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Recherche et d\u00e9veloppement'>\n\t\t\t\t\t\t\tRecherche et d\u00e9veloppement\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Transport et entreposage'>\n\t\t\t\t\t\t\tTransport et entreposage\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Commerce de gros et de d\u00e9tail'>\n\t\t\t\t\t\t\tCommerce de gros et de d\u00e9tail\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_11\">Chiffre d\u2019affaires annuel<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_11' id='contact_field_11'>\n\t\t\t\t\t\t\t\t\t\t\t<option value=''>\n\t\t\t\t\t\t\tChoose Chiffre d\u2019affaires annuel\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 M \u00e0 50 M'>\n\t\t\t\t\t\t\t1 M \u00e0 50 M\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='51 M \u00e0 500 M'>\n\t\t\t\t\t\t\t51 M \u00e0 500 M\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='501 M \u00e0 1 Md'>\n\t\t\t\t\t\t\t501 M \u00e0 1 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 Md \u00e0 2 Md'>\n\t\t\t\t\t\t\t1 Md \u00e0 2 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='2 Md \u00e0 5 Md'>\n\t\t\t\t\t\t\t2 Md \u00e0 5 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='5 Md \u00e0 10 Md'>\n\t\t\t\t\t\t\t5 Md \u00e0 10 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Plus de 10 Md'>\n\t\t\t\t\t\t\tPlus de 10 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_12\">Nombre de collaborateurs<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_12' id='contact_field_12'>\n\t\t\t\t\t\t\t\t\t\t\t<option value=''>\n\t\t\t\t\t\t\tChoose Nombre de collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 \u00e0 250 collaborateurs'>\n\t\t\t\t\t\t\t1 \u00e0 250 collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='251 \u00e0 1 000 collaborateurs'>\n\t\t\t\t\t\t\t251 \u00e0 1 000 collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 001 \u00e0 5 000 collaborateurs'>\n\t\t\t\t\t\t\t1 001 \u00e0 5 000 collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='5 001 \u00e0 10 000 collaborateurs'>\n\t\t\t\t\t\t\t5 001 \u00e0 10 000 collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Plus de 10 000 collaborateurs'>\n\t\t\t\t\t\t\tPlus de 10 000 collaborateurs\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_13\">D\u00e9penses achats annuelles<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_13' id='contact_field_13'>\n\t\t\t\t\t\t\t\t\t\t\t<option value=''>\n\t\t\t\t\t\t\tChoose D\u00e9penses achats annuelles\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 M \u00e0 25 M'>\n\t\t\t\t\t\t\t1 M \u00e0 25 M\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='26 M \u00e0 250 M'>\n\t\t\t\t\t\t\t26 M \u00e0 250 M\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='251 M \u00e0 500 M'>\n\t\t\t\t\t\t\t251 M \u00e0 500 M\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='501 M \u00e0 1 Md'>\n\t\t\t\t\t\t\t501 M \u00e0 1 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='1 Md \u00e0 2,5 Md'>\n\t\t\t\t\t\t\t1 Md \u00e0 2,5 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='2,5 Md \u00e0 5 Md'>\n\t\t\t\t\t\t\t2,5 Md \u00e0 5 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Plus de 5 Md'>\n\t\t\t\t\t\t\tPlus de 5 Md\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-select\">\n\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question qsm_question'><label for=\"contact_field_14\">Effectif achats<\/label><\/span>\n\t\t\t\t<select class='qsmRequiredSelect' name='contact_field_14' id='contact_field_14'>\n\t\t\t\t\t\t\t\t\t\t\t<option value=''>\n\t\t\t\t\t\t\tChoose Effectif achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value='0 \u00e0 10 collaborateurs achats'>\n\t\t\t\t\t\t\t0 \u00e0 10 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='11 \u00e0 50 collaborateurs achats'>\n\t\t\t\t\t\t\t11 \u00e0 50 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='51 \u00e0 100 collaborateurs achats'>\n\t\t\t\t\t\t\t51 \u00e0 100 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='101 \u00e0 250 collaborateurs achats'>\n\t\t\t\t\t\t\t101 \u00e0 250 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='251 \u00e0 500 collaborateurs achats'>\n\t\t\t\t\t\t\t251 \u00e0 500 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t<option value='Plus de 500 collaborateurs achats'>\n\t\t\t\t\t\t\tPlus de 500 collaborateurs achats\t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"qsm_contact_div qsm-contact-type-checkbox\">\n\t\t\t\t\t\t\t\t\t<input type='checkbox' class='mlwRequiredText qsm_required_text  mlwRequiredAccept'  name='contact_field_15' id='contact_field_15'  value='checked' \/>\n\t\t\t\t<label class='mlw_qmn_question qsm_question' for='contact_field_15'>Je confirme avoir lu et compris la D\u00e9claration de Confidentialit\u00e9<\/label>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t<\/div>\n\t\t<\/section>\n\n<div id=\"mlw_error_message_bottom\" class=\"qsm-error-message qmn_error_message_section\"><\/div><input type=\"hidden\" name=\"qsm_hidden_questions\" id=\"qsm_hidden_questions\" value=\"\"><input type=\"hidden\" name=\"qmn_question_list\" value=\"28Q24Q34Q35Q36Q37Q38Q39Q40Q41Q42Q43Q44Q45Q46Q47Q48Q49Q50Q51Q52Q53Q54\" \/><input type=\"hidden\" name=\"qsm_nonce\" id=\"qsm_nonce_2\" value=\"176d91f212\"><input type=\"hidden\" name=\"qsm_unique_key\" id=\"qsm_unique_key_2\" value=\"6aa5416278d59\"><input type=\"hidden\" class=\"qmn_quiz_id\" name=\"qmn_quiz_id\" id=\"qmn_quiz_id\" value=\"2\" \/><input type=\"hidden\" name=\"complete_quiz\" value=\"confirmation\" \/><input type=\"hidden\" name=\"qmn_all_questions_count\" 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