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jy95/site.html

Last active September 22, 2015 19:06
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Site
Raw
site.html
<div class="overlayWrap">
<div class="formBox opt_register">
<div style="margin:0px;padding:0px;" class="formHeader">
<h1 class="heading"><span>Enregistrement</span></h1>
<div onclick="popupClose();" class="close">close</div>
</div>
<form autocomplete="off" tabindex="0" action="AppServlet" method="post" name="newCustomerForm" id="formRegister">
<input type="hidden" name="m">
<div class="formMain">
<fieldset>
<legend><span class="legend">contact</span></legend>
<div class="fsContent">
<div class="formRow clearfix">
<div class="inputElement checkbox">
<div class="detail"></div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label for="inpLogin" class="label">Choisissez votre Nom d'utilisateur<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="" name="logonid" maxlength="60" id="inpLogin" class="textfield"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label for="inpRegisterEmail" class="label">Adresse e-mail<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="" name="emailaddress" id="inpRegisterEmail" class="textfield"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"></div>
<div class="detail">
<div class="control">
<div id="passwordCheck">Password Strength</div>
<div id="passwordStrength"></div>
</div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label for="inpPassNew" class="label">Choisissez votre mot de passe<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="password" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="" name="password" maxlength="20" id="inpPassNew" class="_pPassword textfield"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label for="inpPassRepeat" class="label">Confirmer votre mot de passe<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="password" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="" name="validate_password" maxlength="20" id="inpPassRepeat" class="textfield"></div>
</div>
</div>
</div>
<div id="passwordInfo">
<p>Conseils pour rendre votre mot de passe plus fiable</p>
<ul>
<li class="invalid" id="number">Ajoutez des numéros</li>
<li class="invalid" id="symbol">Ajoutez des symboles</li>
<li class="invalid" id="letter">Ajoutez des lettres</li>
<li class="invalid" id="length">Au moins 8 caractères</li>
</ul>
</div>
<!-- Start Telephone Prive -->
<div class="formRow clearfix">
<div class="inputElement dropdown">
<div class="caption"><label class="label" for="inpPhonePrefix">Tél.* (min. 1)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Téléphone privé:
</label>
</div>
<div class="detail">
<div class="control">
<select name="telephone_prive_countrycode" id="inpTelPrivePrefix" style="visibility: visible;">
<option value=""></option>
<option value="0">+ 0</option>
<option value="1">+ 1</option>
<option value="7">+ 7</option>
<option value="20">+ 20</option>
<option value="27">+ 27</option>
<option value="30">+ 30</option>
<option value="31">+ 31</option>
<option selected="selected" value="32">+ 32</option>
<option value="33">+ 33</option>
<option value="34">+ 34</option>
<option value="36">+ 36</option>
<option value="39">+ 39</option>
<option value="40">+ 40</option>
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<option value="880">+ 880</option>
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<option value="960">+ 960</option>
<option value="961">+ 961</option>
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<option value="996">+ 996</option>
<option value="998">+ 998</option>
<option value="6721">+ 6721</option>
</select>
</div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpPhone">telefoonnummer :
</label>
</div>
<div class="detail">
<div class="control">
<input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" name="telephone_prive" value="" id="inpTelPrive" size="25">
<div class="helpCallout">
<a href="#" class="show">help</a>
<div class="callout"></div>
</div>
</div>
</div>
</div>
<div style="display:none;" class="addRow"><a href="#">Ajoutez encore un numéro (max. 4)</a></div>
</div>
<!-- End Telephone Prive --><!-- Start GSM Prive -->
<div class="formRow clearfix">
<div class="inputElement dropdown">
<div class="caption"><label class="label" for="inpPhonePrefix">GSM privé :
</label>
</div>
<div class="detail">
<div class="control">
<select name="gsm_prive_countrycode" id="inpGsmPrivePrefix" style="visibility: visible;">
<option value=""></option>
<option value="0">+ 0</option>
<option value="1">+ 1</option>
<option value="7">+ 7</option>
<option value="20">+ 20</option>
<option value="27">+ 27</option>
<option value="30">+ 30</option>
<option value="31">+ 31</option>
<option selected="selected" value="32">+ 32</option>
<option value="33">+ 33</option>
<option value="34">+ 34</option>
<option value="36">+ 36</option>
<option value="39">+ 39</option>
<option value="40">+ 40</option>
<option value="41">+ 41</option>
<option value="43">+ 43</option>
<option value="44">+ 44</option>
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<option value="51">+ 51</option>
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<option value="53">+ 53</option>
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<option value="55">+ 55</option>
<option value="56">+ 56</option>
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<option value="90">+ 90</option>
<option value="91">+ 91</option>
<option value="92">+ 92</option>
<option value="93">+ 93</option>
<option value="94">+ 94</option>
<option value="95">+ 95</option>
<option value="98">+ 98</option>
<option value="212">+ 212</option>
<option value="213">+ 213</option>
<option value="216">+ 216</option>
<option value="218">+ 218</option>
<option value="220">+ 220</option>
<option value="221">+ 221</option>
<option value="222">+ 222</option>
<option value="223">+ 223</option>
<option value="224">+ 224</option>
<option value="225">+ 225</option>
<option value="226">+ 226</option>
<option value="227">+ 227</option>
<option value="228">+ 228</option>
<option value="229">+ 229</option>
<option value="230">+ 230</option>
<option value="231">+ 231</option>
<option value="232">+ 232</option>
<option value="233">+ 233</option>
<option value="234">+ 234</option>
<option value="235">+ 235</option>
<option value="236">+ 236</option>
<option value="237">+ 237</option>
<option value="238">+ 238</option>
<option value="239">+ 239</option>
<option value="240">+ 240</option>
<option value="241">+ 241</option>
<option value="242">+ 242</option>
<option value="243">+ 243</option>
<option value="244">+ 244</option>
<option value="245">+ 245</option>
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<option value="249">+ 249</option>
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<option value="251">+ 251</option>
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<option value="260">+ 260</option>
<option value="261">+ 261</option>
<option value="262">+ 262</option>
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<option value="269">+ 269</option>
<option value="290">+ 290</option>
<option value="291">+ 291</option>
<option value="297">+ 297</option>
<option value="298">+ 298</option>
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<option value="389">+ 389</option>
<option value="420">+ 420</option>
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<option value="670">+ 670</option>
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<option value="674">+ 674</option>
<option value="675">+ 675</option>
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<option value="684">+ 684</option>
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<option value="691">+ 691</option>
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<option value="852">+ 852</option>
<option value="853">+ 853</option>
<option value="855">+ 855</option>
<option value="856">+ 856</option>
<option value="880">+ 880</option>
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<option value="960">+ 960</option>
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<option value="962">+ 962</option>
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<option value="964">+ 964</option>
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<option value="966">+ 966</option>
<option value="967">+ 967</option>
<option value="968">+ 968</option>
<option value="970">+ 970</option>
<option value="971">+ 971</option>
<option value="972">+ 972</option>
<option value="973">+ 973</option>
<option value="974">+ 974</option>
<option value="975">+ 975</option>
<option value="977">+ 977</option>
<option value="992">+ 992</option>
<option value="993">+ 993</option>
<option value="994">+ 994</option>
<option value="995">+ 995</option>
<option value="996">+ 996</option>
<option value="998">+ 998</option>
<option value="6721">+ 6721</option>
</select>
</div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpPhone">telefoonnummer :
</label>
</div>
<div class="detail">
<div class="control">
<input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" name="gsm_prive" value="" id="inpGsmPrive" size="25">
<div class="helpCallout">
<a href="#" class="show">help</a>
<div class="callout"></div>
</div>
</div>
</div>
</div>
<div style="display:none;" class="addRow"><a href="#">Ajoutez encore un numéro (max. 4)</a></div>
</div>
<!-- End GSM Prive -->
<div style="display:none" id="hiddenPhoneNums">
<div class="formRow clearfix">
<!-- Start Telephone Work -->
<div class="inputElement dropdown">
<div class="caption"><label class="label" for="inpPhonePrefix">Téléphone travail :
</label>
</div>
<div class="detail">
<div class="control">
<select name="telephone_work_countrycode" id="inpTelWorkPrefix" style="visibility: visible;">
<option value=""></option>
<option value="0">+ 0</option>
<option value="1">+ 1</option>
<option value="7">+ 7</option>
<option value="20">+ 20</option>
<option value="27">+ 27</option>
<option value="30">+ 30</option>
<option value="31">+ 31</option>
<option selected="selected" value="32">+ 32</option>
<option value="33">+ 33</option>
<option value="34">+ 34</option>
<option value="36">+ 36</option>
<option value="39">+ 39</option>
<option value="40">+ 40</option>
<option value="41">+ 41</option>
<option value="43">+ 43</option>
<option value="44">+ 44</option>
<option value="45">+ 45</option>
<option value="46">+ 46</option>
<option value="47">+ 47</option>
<option value="48">+ 48</option>
<option value="49">+ 49</option>
<option value="51">+ 51</option>
<option value="52">+ 52</option>
<option value="53">+ 53</option>
<option value="54">+ 54</option>
<option value="55">+ 55</option>
<option value="56">+ 56</option>
<option value="57">+ 57</option>
<option value="58">+ 58</option>
<option value="60">+ 60</option>
<option value="61">+ 61</option>
<option value="62">+ 62</option>
<option value="63">+ 63</option>
<option value="64">+ 64</option>
<option value="65">+ 65</option>
<option value="66">+ 66</option>
<option value="81">+ 81</option>
<option value="82">+ 82</option>
<option value="84">+ 84</option>
<option value="86">+ 86</option>
<option value="90">+ 90</option>
<option value="91">+ 91</option>
<option value="92">+ 92</option>
<option value="93">+ 93</option>
<option value="94">+ 94</option>
<option value="95">+ 95</option>
<option value="98">+ 98</option>
<option value="212">+ 212</option>
<option value="213">+ 213</option>
<option value="216">+ 216</option>
<option value="218">+ 218</option>
<option value="220">+ 220</option>
<option value="221">+ 221</option>
<option value="222">+ 222</option>
<option value="223">+ 223</option>
<option value="224">+ 224</option>
<option value="225">+ 225</option>
<option value="226">+ 226</option>
<option value="227">+ 227</option>
<option value="228">+ 228</option>
<option value="229">+ 229</option>
<option value="230">+ 230</option>
<option value="231">+ 231</option>
<option value="232">+ 232</option>
<option value="233">+ 233</option>
<option value="234">+ 234</option>
<option value="235">+ 235</option>
<option value="236">+ 236</option>
<option value="237">+ 237</option>
<option value="238">+ 238</option>
<option value="239">+ 239</option>
<option value="240">+ 240</option>
<option value="241">+ 241</option>
<option value="242">+ 242</option>
<option value="243">+ 243</option>
<option value="244">+ 244</option>
<option value="245">+ 245</option>
<option value="248">+ 248</option>
<option value="249">+ 249</option>
<option value="250">+ 250</option>
<option value="251">+ 251</option>
<option value="252">+ 252</option>
<option value="253">+ 253</option>
<option value="254">+ 254</option>
<option value="255">+ 255</option>
<option value="256">+ 256</option>
<option value="257">+ 257</option>
<option value="258">+ 258</option>
<option value="260">+ 260</option>
<option value="261">+ 261</option>
<option value="262">+ 262</option>
<option value="263">+ 263</option>
<option value="264">+ 264</option>
<option value="265">+ 265</option>
<option value="266">+ 266</option>
<option value="267">+ 267</option>
<option value="268">+ 268</option>
<option value="269">+ 269</option>
<option value="290">+ 290</option>
<option value="291">+ 291</option>
<option value="297">+ 297</option>
<option value="298">+ 298</option>
<option value="299">+ 299</option>
<option value="350">+ 350</option>
<option value="351">+ 351</option>
<option value="352">+ 352</option>
<option value="353">+ 353</option>
<option value="354">+ 354</option>
<option value="355">+ 355</option>
<option value="356">+ 356</option>
<option value="357">+ 357</option>
<option value="358">+ 358</option>
<option value="359">+ 359</option>
<option value="370">+ 370</option>
<option value="371">+ 371</option>
<option value="372">+ 372</option>
<option value="373">+ 373</option>
<option value="374">+ 374</option>
<option value="375">+ 375</option>
<option value="376">+ 376</option>
<option value="377">+ 377</option>
<option value="378">+ 378</option>
<option value="380">+ 380</option>
<option value="381">+ 381</option>
<option value="382">+ 382</option>
<option value="385">+ 385</option>
<option value="386">+ 386</option>
<option value="387">+ 387</option>
<option value="389">+ 389</option>
<option value="420">+ 420</option>
<option value="421">+ 421</option>
<option value="423">+ 423</option>
<option value="500">+ 500</option>
<option value="501">+ 501</option>
<option value="502">+ 502</option>
<option value="503">+ 503</option>
<option value="504">+ 504</option>
<option value="505">+ 505</option>
<option value="506">+ 506</option>
<option value="507">+ 507</option>
<option value="508">+ 508</option>
<option value="509">+ 509</option>
<option value="590">+ 590</option>
<option value="591">+ 591</option>
<option value="592">+ 592</option>
<option value="593">+ 593</option>
<option value="595">+ 595</option>
<option value="596">+ 596</option>
<option value="597">+ 597</option>
<option value="598">+ 598</option>
<option value="599">+ 599</option>
<option value="670">+ 670</option>
<option value="672">+ 672</option>
<option value="673">+ 673</option>
<option value="674">+ 674</option>
<option value="675">+ 675</option>
<option value="676">+ 676</option>
<option value="677">+ 677</option>
<option value="678">+ 678</option>
<option value="679">+ 679</option>
<option value="680">+ 680</option>
<option value="681">+ 681</option>
<option value="682">+ 682</option>
<option value="683">+ 683</option>
<option value="684">+ 684</option>
<option value="685">+ 685</option>
<option value="686">+ 686</option>
<option value="687">+ 687</option>
<option value="688">+ 688</option>
<option value="689">+ 689</option>
<option value="691">+ 691</option>
<option value="692">+ 692</option>
<option value="850">+ 850</option>
<option value="852">+ 852</option>
<option value="853">+ 853</option>
<option value="855">+ 855</option>
<option value="856">+ 856</option>
<option value="880">+ 880</option>
<option value="886">+ 886</option>
<option value="960">+ 960</option>
<option value="961">+ 961</option>
<option value="962">+ 962</option>
<option value="963">+ 963</option>
<option value="964">+ 964</option>
<option value="965">+ 965</option>
<option value="966">+ 966</option>
<option value="967">+ 967</option>
<option value="968">+ 968</option>
<option value="970">+ 970</option>
<option value="971">+ 971</option>
<option value="972">+ 972</option>
<option value="973">+ 973</option>
<option value="974">+ 974</option>
<option value="975">+ 975</option>
<option value="977">+ 977</option>
<option value="992">+ 992</option>
<option value="993">+ 993</option>
<option value="994">+ 994</option>
<option value="995">+ 995</option>
<option value="996">+ 996</option>
<option value="998">+ 998</option>
<option value="6721">+ 6721</option>
</select>
</div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpPhone">telefoonnummer :
</label>
</div>
<div class="detail">
<div class="control">
<input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" name="telephone_work" value="" id="inpTelWork" size="25">
<div class="helpCallout">
<a title="href=&quot;#&quot;" class="show">help</a>
<div class="callout"></div>
</div>
</div>
</div>
</div>
<div style="display:none;" class="addRow"><a href="#">Ajoutez encore un numéro (max. 4)</a></div>
</div>
<!-- End Telephone Work --><!-- Start GSM Work -->
<div class="formRow clearfix">
<div class="inputElement dropdown">
<div class="caption"><label class="label" for="inpPhonePrefix">GSM travail :
</label>
</div>
<div class="detail">
<div class="control">
<select name="gsm_work_countrycode" id="inpGsmWorkPrefix" style="visibility: visible;">
<option value=""></option>
<option value="0">+ 0</option>
<option value="1">+ 1</option>
<option value="7">+ 7</option>
<option value="20">+ 20</option>
<option value="27">+ 27</option>
<option value="30">+ 30</option>
<option value="31">+ 31</option>
<option selected="selected" value="32">+ 32</option>
<option value="33">+ 33</option>
<option value="34">+ 34</option>
<option value="36">+ 36</option>
<option value="39">+ 39</option>
<option value="40">+ 40</option>
<option value="41">+ 41</option>
<option value="43">+ 43</option>
<option value="44">+ 44</option>
<option value="45">+ 45</option>
<option value="46">+ 46</option>
<option value="47">+ 47</option>
<option value="48">+ 48</option>
<option value="49">+ 49</option>
<option value="51">+ 51</option>
<option value="52">+ 52</option>
<option value="53">+ 53</option>
<option value="54">+ 54</option>
<option value="55">+ 55</option>
<option value="56">+ 56</option>
<option value="57">+ 57</option>
<option value="58">+ 58</option>
<option value="60">+ 60</option>
<option value="61">+ 61</option>
<option value="62">+ 62</option>
<option value="63">+ 63</option>
<option value="64">+ 64</option>
<option value="65">+ 65</option>
<option value="66">+ 66</option>
<option value="81">+ 81</option>
<option value="82">+ 82</option>
<option value="84">+ 84</option>
<option value="86">+ 86</option>
<option value="90">+ 90</option>
<option value="91">+ 91</option>
<option value="92">+ 92</option>
<option value="93">+ 93</option>
<option value="94">+ 94</option>
<option value="95">+ 95</option>
<option value="98">+ 98</option>
<option value="212">+ 212</option>
<option value="213">+ 213</option>
<option value="216">+ 216</option>
<option value="218">+ 218</option>
<option value="220">+ 220</option>
<option value="221">+ 221</option>
<option value="222">+ 222</option>
<option value="223">+ 223</option>
<option value="224">+ 224</option>
<option value="225">+ 225</option>
<option value="226">+ 226</option>
<option value="227">+ 227</option>
<option value="228">+ 228</option>
<option value="229">+ 229</option>
<option value="230">+ 230</option>
<option value="231">+ 231</option>
<option value="232">+ 232</option>
<option value="233">+ 233</option>
<option value="234">+ 234</option>
<option value="235">+ 235</option>
<option value="236">+ 236</option>
<option value="237">+ 237</option>
<option value="238">+ 238</option>
<option value="239">+ 239</option>
<option value="240">+ 240</option>
<option value="241">+ 241</option>
<option value="242">+ 242</option>
<option value="243">+ 243</option>
<option value="244">+ 244</option>
<option value="245">+ 245</option>
<option value="248">+ 248</option>
<option value="249">+ 249</option>
<option value="250">+ 250</option>
<option value="251">+ 251</option>
<option value="252">+ 252</option>
<option value="253">+ 253</option>
<option value="254">+ 254</option>
<option value="255">+ 255</option>
<option value="256">+ 256</option>
<option value="257">+ 257</option>
<option value="258">+ 258</option>
<option value="260">+ 260</option>
<option value="261">+ 261</option>
<option value="262">+ 262</option>
<option value="263">+ 263</option>
<option value="264">+ 264</option>
<option value="265">+ 265</option>
<option value="266">+ 266</option>
<option value="267">+ 267</option>
<option value="268">+ 268</option>
<option value="269">+ 269</option>
<option value="290">+ 290</option>
<option value="291">+ 291</option>
<option value="297">+ 297</option>
<option value="298">+ 298</option>
<option value="299">+ 299</option>
<option value="350">+ 350</option>
<option value="351">+ 351</option>
<option value="352">+ 352</option>
<option value="353">+ 353</option>
<option value="354">+ 354</option>
<option value="355">+ 355</option>
<option value="356">+ 356</option>
<option value="357">+ 357</option>
<option value="358">+ 358</option>
<option value="359">+ 359</option>
<option value="370">+ 370</option>
<option value="371">+ 371</option>
<option value="372">+ 372</option>
<option value="373">+ 373</option>
<option value="374">+ 374</option>
<option value="375">+ 375</option>
<option value="376">+ 376</option>
<option value="377">+ 377</option>
<option value="378">+ 378</option>
<option value="380">+ 380</option>
<option value="381">+ 381</option>
<option value="382">+ 382</option>
<option value="385">+ 385</option>
<option value="386">+ 386</option>
<option value="387">+ 387</option>
<option value="389">+ 389</option>
<option value="420">+ 420</option>
<option value="421">+ 421</option>
<option value="423">+ 423</option>
<option value="500">+ 500</option>
<option value="501">+ 501</option>
<option value="502">+ 502</option>
<option value="503">+ 503</option>
<option value="504">+ 504</option>
<option value="505">+ 505</option>
<option value="506">+ 506</option>
<option value="507">+ 507</option>
<option value="508">+ 508</option>
<option value="509">+ 509</option>
<option value="590">+ 590</option>
<option value="591">+ 591</option>
<option value="592">+ 592</option>
<option value="593">+ 593</option>
<option value="595">+ 595</option>
<option value="596">+ 596</option>
<option value="597">+ 597</option>
<option value="598">+ 598</option>
<option value="599">+ 599</option>
<option value="670">+ 670</option>
<option value="672">+ 672</option>
<option value="673">+ 673</option>
<option value="674">+ 674</option>
<option value="675">+ 675</option>
<option value="676">+ 676</option>
<option value="677">+ 677</option>
<option value="678">+ 678</option>
<option value="679">+ 679</option>
<option value="680">+ 680</option>
<option value="681">+ 681</option>
<option value="682">+ 682</option>
<option value="683">+ 683</option>
<option value="684">+ 684</option>
<option value="685">+ 685</option>
<option value="686">+ 686</option>
<option value="687">+ 687</option>
<option value="688">+ 688</option>
<option value="689">+ 689</option>
<option value="691">+ 691</option>
<option value="692">+ 692</option>
<option value="850">+ 850</option>
<option value="852">+ 852</option>
<option value="853">+ 853</option>
<option value="855">+ 855</option>
<option value="856">+ 856</option>
<option value="880">+ 880</option>
<option value="886">+ 886</option>
<option value="960">+ 960</option>
<option value="961">+ 961</option>
<option value="962">+ 962</option>
<option value="963">+ 963</option>
<option value="964">+ 964</option>
<option value="965">+ 965</option>
<option value="966">+ 966</option>
<option value="967">+ 967</option>
<option value="968">+ 968</option>
<option value="970">+ 970</option>
<option value="971">+ 971</option>
<option value="972">+ 972</option>
<option value="973">+ 973</option>
<option value="974">+ 974</option>
<option value="975">+ 975</option>
<option value="977">+ 977</option>
<option value="992">+ 992</option>
<option value="993">+ 993</option>
<option value="994">+ 994</option>
<option value="995">+ 995</option>
<option value="996">+ 996</option>
<option value="998">+ 998</option>
<option value="6721">+ 6721</option>
</select>
</div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpPhone">telefoonnummer :
</label>
</div>
<div class="detail">
<div class="control">
<input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" name="gsm_work" value="" id="inpGsmWork" size="25">
<div class="helpCallout">
<a href="#" class="show">help</a>
<div class="callout"></div>
</div>
</div>
</div>
</div>
<div style="display:none;" class="addRow"><a href="#">Ajoutez encore un numéro (max. 4)</a></div>
</div>
<!-- End GSM Work -->
</div>
<div class="formRow clearfix">
<div style="display:block;" id="moreTelephonesLink" class="addRow"><a onclick="(function(){document.getElementById('hiddenPhoneNums').style.display='block';document.getElementById('moreTelephonesLink').style.display='none';})();" href="#">Ajoutez encore un numéro (max. 4)</a></div>
</div>
<div class="formRow clearFix csopErrorClass"></div>
</div>
</fieldset>
<fieldset>
<legend><span class="legend">personal</span></legend>
<div class="fsContent">
<div class="formRow name clearfix">
<div class="inputElement dropdown">
<div class="caption"><label class="label" for="inpTitle">Nom<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control">
<select class="norm10" size="1" name="title" id="inpTitle" style="visibility: visible;">
<option value="">- Faites votre choix -</option>
<option value="0">Madame</option>
<option value="1">Monsieur</option>
</select>
</div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpFirstName">Prénom<span class="required">*</span></label></div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" value="Prénom" name="firstname" id="inpFirstName" onfocus="removePreFilledText('Prénom', this)" onblur="populatePreFilledText('Prénom', this)" class="textfield" style="width:145px;"></div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpSecondName">Nom<span class="required">*</span></label></div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="Nom" name="lastname" onfocus="removePreFilledText('Nom', this)" onblur="populatePreFilledText('Nom', this)" id="inpSecondName" class="textfield" style="width:110px;"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement dropdown">
<div class="caption"><label for="inpLang" class="label">Langue<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control">
<select class="norm10" size="1" name="language" id="inpLang" style="visibility: visible;">
<option value="">- Faites votre choix -</option>
<option value="NL">Néerlandais</option>
<option selected="selected" value="FR">Français</option>
</select>
</div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset>
<legend><span class="legend">address</span></legend>
<div class="fsContent">
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label class="label" for="inpStreet">Adresse<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" style="width:150px;" required="true" name="street" onfocus="removePreFilledText('Rue', this)" onblur="populatePreFilledText('Rue', this)" value="Rue" id="inpStreet" class="textfield"></div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpHouseNumber">N°<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" style="width:78px;" required="true" value="N°" onfocus="removePreFilledText('N°', this)" onblur="populatePreFilledText('N°', this)" name="housenumber" id="inpHouseNumber" class="textfield"></div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpBusNumber">Boîte<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" style="width:68px;" value="Boîte" onfocus="removePreFilledText('Boîte', this)" onblur="populatePreFilledText('Boîte', this)" name="postboxno" id="inpBusNumber" class="textfield"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement text">
<div class="caption"><label class="label" for="inpPoco">Code postal<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="Code postal" onfocus="removePreFilledText('Code postal', this)" onblur="populatePreFilledText('Code postal', this)" name="postcode" id="inpPoco" class="textfield" style="width:65px;"></div>
</div>
</div>
<div class="inputElement text">
<div class="caption"><label class="label" for="inpCity">Commune<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control"><input type="text" onkeypress=" return triggerSubmit(event, 'submitRegister');" required="true" value="Commune" onfocus="removePreFilledText('Commune', this)" onblur="populatePreFilledText('Commune', this)" name="city" id="inpCity" class="textfield" style="width:180px;"></div>
</div>
</div>
</div>
<div class="formRow clearfix">
<div class="inputElement dropdown">
<div class="caption"><label for="inpCountry" class="label">Pays<span class="required">*</span>:
</label>
</div>
<div class="detail">
<div class="control">
<select onchange="return searchCountryCodes('http://webshop.dreamland.be/ecom');" class="norm10" name="country" id="inpCountry" style="visibility: visible;">
<option value="">- Faites votre choix -</option>
<option value="AF">Afghanistan</option>
<option value="ZA">Afrique du Sud</option>
<option value="AL">Albanie</option>
<option value="DZ">Algérie</option>
<option value="DE">Allemagne</option>
<option value="AD">Andorre</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctique</option>
<option value="AG">Antigua-et-Barbuda</option>
<option value="AN">Antilles Néerlandaises</option>
<option value="SA">Arabie Saoudite</option>
<option value="AR">Argentine</option>
<option value="AM">Arménie</option>
<option value="AW">Aruba</option>
<option value="AU">Australie</option>
<option value="AT">Autriche</option>
<option value="AZ">Azerbaïdjan</option>
<option value="BS">Bahama</option>
<option value="BH">Bahreïn</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbade</option>
<option selected="selected" value="BE">Belgique</option>
<option value="BZ">Belize</option>
<option value="BM">Bermudes</option>
<option value="BT">Bhoutan</option>
<option value="BY">Biélorussie</option>
<option value="BO">Bolivie</option>
<option value="BA">Bosnie-Herzégovine</option>
<option value="BW">Botswana</option>
<option value="BN">Brunei Darussalam</option>
<option value="BR">Brésil</option>
<option value="BG">Bulgarie (Rép.)</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="BJ">Bénin</option>
<option value="KH">Cambodge</option>
<option value="CM">Cameroun</option>
<option value="CA">Canada</option>
<option value="CV">Cap-Vert</option>
<option value="KY">Caïmans (Iles)</option>
<option value="CF">Centrafricaine (Rép.)</option>
<option value="CL">Chili</option>
<option value="CN">Chine (Rép. Pop.)</option>
<option value="CY">Chypre</option>
<option value="VA">Cité du Vatican</option>
<option value="CO">Colombie</option>
<option value="KM">Comores (Iles)</option>
<option value="CD">Congo (Rép. Dém.) (ex-Zaïre)</option>
<option value="CG">Congo Brazzaville</option>
<option value="CK">Cook (Iles)</option>
<option value="KP">Corée du Nord (Rép. Dém. Pop.)</option>
<option value="KR">Corée du Sud (Rép.)</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatie</option>
<option value="CU">Cuba</option>
<option value="CI">Côte d'Ivoire (Rép.)</option>
<option value="DK">Danemark</option>
<option value="DJ">Djibouti</option>
<option value="DO">Dominicaine (République)</option>
<option value="DM">Dominique (Ile)</option>
<option value="EG">Egypte</option>
<option value="AE">Emirats Arabes Unis</option>
<option value="EC">Equateur</option>
<option value="ER">Erythrée</option>
<option value="ES">Espagne</option>
<option value="EE">Estonie</option>
<option value="US">Etats-Unis d'Amérique</option>
<option value="ET">Ethiopie</option>
<option value="FJ">Fidji (Iles)</option>
<option value="FI">Finlande</option>
<option value="FR">France</option>
<option value="FO">Féroé (Iles)</option>
<option value="GA">Gabon</option>
<option value="GM">Gambie</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GB">Grande-Bretagne</option>
<option value="GD">Grenade (Ile)</option>
<option value="GL">Groenland</option>
<option value="GR">Grèce</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam (Ile)</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernesey</option>
<option value="GN">Guinée</option>
<option value="GQ">Guinée Equatoriale</option>
<option value="GW">Guinée-Bissau</option>
<option value="GY">Guyana</option>
<option value="GF">Guyane Française</option>
<option value="GE">Géorgie</option>
<option value="GS">Géorgie du sud</option>
<option value="HT">Haïti</option>
<option value="HN">Honduras</option>
<option value="HK">Hongkong, Chine</option>
<option value="HU">Hongrie (Rép.)</option>
<option value="FK">Iles Falkland</option>
<option value="PN">Iles Pitcairn</option>
<option value="IN">Inde</option>
<option value="ID">Indonésie</option>
<option value="IQ">Irak</option>
<option value="IR">Iran (Rép. Islamique)</option>
<option value="IE">Irlande</option>
<option value="IS">Islande</option>
<option value="IL">Israël</option>
<option value="IT">Italie</option>
<option value="JM">Jamaïque</option>
<option value="JP">Japon</option>
<option value="JE">Jersey</option>
<option value="JO">Jordanie</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KG">Kirghizistan</option>
<option value="KI">Kiribati</option>
<option value="XK">Kosovo</option>
<option value="KW">Koweït</option>
<option value="LA">Lao (Rép. Dém. Pop.)</option>
<option value="LS">Lesotho</option>
<option value="LV">Lettonie</option>
<option value="LB">Liban</option>
<option value="LR">Liberia</option>
<option value="LY">Libye</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lituanie</option>
<option value="LU">Luxembourg (Grand-Duché)</option>
<option value="MO">Macao</option>
<option value="MK">Macédoine</option>
<option value="MG">Madagascar</option>
<option value="MY">Malaisie</option>
<option value="MW">Malawi</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malte</option>
<option value="MP">Mariannes du Nord</option>
<option value="MA">Maroc</option>
<option value="MH">Marshall (Iles - Etats-Unis)</option>
<option value="MQ">Martinique</option>
<option value="MU">Maurice</option>
<option value="MR">Mauritanie (Rép. Islamique)</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexique</option>
<option value="FM">Micronésie (Etats Fédérés)</option>
<option value="MD">Moldavie</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolie</option>
<option value="MS">Montserrat (Ile)</option>
<option value="ME">Monténégro</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar (Birmanie)</option>
<option value="NA">Namibie</option>
<option value="NR">Nauru</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue (Ile)</option>
<option value="NF">Norfolk (Ile)</option>
<option value="NO">Norvège</option>
<option value="NC">Nouvelle-Calédonie</option>
<option value="NZ">Nouvelle-Zélande</option>
<option value="NP">Népal</option>
<option value="OM">Oman</option>
<option value="UG">Ouganda</option>
<option value="UZ">Ouzbékhistan</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinien occupé, territoire</option>
<option value="PA">Panama (Rép.)</option>
<option value="PG">Papouasie-Nouvelle-Guinée</option>
<option value="PY">Paraguay</option>
<option value="NL">Pays-Bas</option>
<option value="PH">Philippines</option>
<option value="PL">Pologne</option>
<option value="PF">Polynésie Française</option>
<option value="PR">Porto Rico</option>
<option value="PT">Portugal</option>
<option value="PE">Pérou</option>
<option value="QA">Qatar</option>
<option value="RO">Roumanie</option>
<option value="RU">Russie (Fédération de)</option>
<option value="RW">Rwanda</option>
<option value="CZ">République Tchèque</option>
<option value="RE">Réunion</option>
<option value="KN">Saint Kitts (Ile) et Nevis (Ile)</option>
<option value="BL">Saint-Barthélemy</option>
<option value="SM">Saint-Marin</option>
<option value="MF">Saint-Martin (partie France)</option>
<option value="PM">Saint-Pierre-et-Miquelon</option>
<option value="VC">Saint-Vincent-et-les Grenadines</option>
<option value="SH">Sainte-Hélène</option>
<option value="LC">Sainte-Lucie</option>
<option value="SB">Salomon (Iles)</option>
<option value="SV">Salvador</option>
<option value="AS">Samoa Américaines</option>
<option value="WS">Samoa occidentales</option>
<option value="RS">Serbie</option>
<option value="SC">SeychellenFR</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapour</option>
<option value="SK">Slovaquie</option>
<option value="SI">Slovénie</option>
<option value="SO">Somalie</option>
<option value="SD">Soudan</option>
<option value="LK">Sri Lanka</option>
<option value="CH">Suisse</option>
<option value="SR">Suriname</option>
<option value="SE">Suède</option>
<option value="SZ">Swaziland</option>
<option value="SY">Syrie (Rép. Arabe)</option>
<option value="ST">São Tomé et Príncipe (Iles)</option>
<option value="SN">Sénégal</option>
<option value="TJ">Tadjikistan</option>
<option value="TZ">Tanzanie (Rép. Unie)</option>
<option value="TW">Taïwan (Rép. De Chine)</option>
<option value="TD">Tchad</option>
<option value="TF">Terres Australes Françaises</option>
<option value="IO">Territoire Britannique de l'océan Indien</option>
<option value="TH">Thaïlande</option>
<option value="TG">Togo</option>
<option value="TO">Tonga</option>
<option value="TT">Trinité-et-Tobago</option>
<option value="TN">Tunisie</option>
<option value="TM">Turkménistan</option>
<option value="TC">Turks et Caicos (Iles)</option>
<option value="TR">Turquie</option>
<option value="TV">Tuvalu</option>
<option value="UA">Ukraine</option>
<option value="UY">Uruguay</option>
<option value="VU">Vanuatu (Nouvelles-Hébrides)</option>
<option value="VE">Venezuela</option>
<option value="VI">Vierges (Iles - Etats-Unis)</option>
<option value="VG">Vierges (Iles - Grande-Bretagne)</option>
<option value="VN">Vietnam</option>
<option value="WF">Wallis-et-Futuna</option>
<option value="YU">Yougoslavie</option>
<option value="YE">Yémen</option>
<option value="ZM">Zambie</option>
<option value="ZW">Zimbabwe</option>
<option value="IM">Île de Man</option>
</select>
</div>
</div>
</div>
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