{"id":15082,"date":"2026-09-29T10:57:29","date_gmt":"2026-09-29T09:57:29","guid":{"rendered":"https:\/\/hibernia-line.com\/?page_id=15082"},"modified":"2026-10-29T14:06:03","modified_gmt":"2026-10-29T14:06:03","slug":"become-an-account-holder","status":"publish","type":"page","link":"https:\/\/hibernia-line.com\/fr\/freight\/become-an-account-holder\/","title":{"rendered":"Become an Account Holder FR"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15082\" class=\"elementor elementor-15082 elementor-14094\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c706010 e-flex e-con-boxed e-con e-parent\" data-id=\"c706010\" 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-1e78283 elementor-widget elementor-widget-heading\" data-id=\"1e78283\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Services de fret<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ede3b5 elementor-widget elementor-widget-heading\" data-id=\"0ede3b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Devenir titulaire d\u2019un compte<\/h1>\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-f47eceb e-flex e-con-boxed e-con e-parent\" data-id=\"f47eceb\" 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-1b0293e elementor-widget elementor-widget-shortcode\" data-id=\"1b0293e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-14115\">\n\t\t\t\t#wpforms-14115 {\n\t\t\t\t--wpforms-field-border-radius: 12px;\n--wpforms-field-border-color: #CBD5E1;\n--wpforms-field-border-color-spare: #CBD5E1;\n--wpforms-field-text-color: #0f3073;\n--wpforms-label-color: #0f3073;\n--wpforms-label-sublabel-color: rgba(0, 0, 0, 0.55);\n--wpforms-button-border-radius: 8px;\n--wpforms-button-background-color: #ffb300;\n--wpforms-button-text-color: #00215C;\n--wpforms-background-color: rgba(0, 0, 0, 0);\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-14115-custom-css\">\n\t\t\t\t#wpforms-14115 {\n\t\t\t\t\tbutton#wpforms-submit-14115 {\r\n    font-size: 16px;\r\n    font-weight: bold;\r\n    text-transform: uppercase;\r\n\twidth: 40%;\r\n}\r\n.wpforms-container .wpforms-field-label {\r\n    font-weight: 400;\r\n}\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-14115\"><form id=\"wpforms-form-14115\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"14115\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/15082\" data-token=\"eae8f166359468c65f1bb495902eb41d\" data-token-time=\"1793693720\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-14115-field_26-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"26\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tInformations sur l\u2019entreprise\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"31\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_31\" aria-hidden=\"false\">Raison sociale  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" placeholder=\"Raison sociale *\" aria-errormessage=\"wpforms-14115-field_31-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"28\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_28\" aria-hidden=\"false\">Trading Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" placeholder=\"Trading Name *\" aria-errormessage=\"wpforms-14115-field_28-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"32\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_32\" aria-hidden=\"false\">Company Reg Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" placeholder=\"Num\u00e9ro d\u2019immatriculation de l\u2019entreprise *\" aria-errormessage=\"wpforms-14115-field_32-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"33\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_33\" aria-hidden=\"false\">VAT Number<\/label><input type=\"text\" id=\"wpforms-14115-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" placeholder=\"Num\u00e9ro de TVA\" aria-errormessage=\"wpforms-14115-field_33-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"34\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_34\" aria-hidden=\"false\">EORI Number<\/label><input type=\"text\" id=\"wpforms-14115-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" placeholder=\"Num\u00e9ro EORI\" aria-errormessage=\"wpforms-14115-field_34-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_35-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"35\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_35\" aria-hidden=\"false\">Limited or Sole Trader <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-14115-field_35\" class=\"wpforms-field-medium wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][35]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Soci\u00e9t\u00e9 \u00e0 responsabilit\u00e9 limit\u00e9e ou entreprise individuelle ---<\/option><option value=\"Soci\u00e9t\u00e9 \u00e0 responsabilit\u00e9 limit\u00e9e\"  class=\"choice-1 depth-1\"  >Soci\u00e9t\u00e9 \u00e0 responsabilit\u00e9 limit\u00e9e<\/option><option value=\"Entreprise individuelle\"  class=\"choice-2 depth-1\"  >Entreprise individuelle<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_1-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"1\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tAdresse commerciale\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"36\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_36\" aria-hidden=\"false\">Street <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" placeholder=\"Rue *\" aria-errormessage=\"wpforms-14115-field_36-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_37-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"37\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_37\" aria-hidden=\"false\">Town <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_37\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][37]\" placeholder=\"Ville *\" aria-errormessage=\"wpforms-14115-field_37-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"38\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_38\" aria-hidden=\"false\">County <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" placeholder=\"R\u00e9gion *\" aria-errormessage=\"wpforms-14115-field_38-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"39\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_39\" aria-hidden=\"false\">Eircode <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" placeholder=\"Code postal *\" aria-errormessage=\"wpforms-14115-field_39-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_40-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Billing address is different from Trading address<\/legend><ul id=\"wpforms-14115-field_40\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14115-field_40_1\" name=\"wpforms[fields][40][]\" value=\"L\u2019adresse de facturation est diff\u00e9rente de l\u2019adresse commerciale\" aria-errormessage=\"wpforms-14115-field_40_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14115-field_40_1\">L\u2019adresse de facturation est diff\u00e9rente de l\u2019adresse commerciale<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-14115-field_41-container\" class=\"wpforms-field wpforms-field-layout wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"layout\" data-field-id=\"41\" style=\"display:none;\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tBilling Address\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_42-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"42\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_42\" aria-hidden=\"false\">Street<\/label><input type=\"text\" id=\"wpforms-14115-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" placeholder=\"Rue\" aria-errormessage=\"wpforms-14115-field_42-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_44-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_44\" aria-hidden=\"false\">Town<\/label><input type=\"text\" id=\"wpforms-14115-field_44\" class=\"wpforms-field-medium\" name=\"wpforms[fields][44]\" placeholder=\"Ville\" aria-errormessage=\"wpforms-14115-field_44-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_43-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"43\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_43\" aria-hidden=\"false\">County<\/label><input type=\"text\" id=\"wpforms-14115-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" placeholder=\"R\u00e9gion\" aria-errormessage=\"wpforms-14115-field_43-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_45-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_45\" aria-hidden=\"false\">Eircode<\/label><input type=\"text\" id=\"wpforms-14115-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" placeholder=\"Code postal\" aria-errormessage=\"wpforms-14115-field_45-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_47-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"47\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_30-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"30\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_30\" aria-hidden=\"false\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14115-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" placeholder=\"Adresse e-mail *\" spellcheck=\"false\" aria-errormessage=\"wpforms-14115-field_30-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_29-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"29\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_29\" aria-hidden=\"false\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-14115-field_29\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][29]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone *\" aria-label=\"Phone Number\" aria-errormessage=\"wpforms-14115-field_29-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_10-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"10\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tCoordonn\u00e9es\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_48-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"48\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_48\" aria-hidden=\"false\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_48\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][48]\" placeholder=\"Nom *\" aria-errormessage=\"wpforms-14115-field_48-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"69\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_69\" aria-hidden=\"false\">Fonction<\/label><input type=\"text\" id=\"wpforms-14115-field_69\" class=\"wpforms-field-medium\" name=\"wpforms[fields][69]\" placeholder=\"Fonction\" aria-errormessage=\"wpforms-14115-field_69-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_50-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"50\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_50\" aria-hidden=\"false\">Email Address Contact <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14115-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" placeholder=\"Adresse e-mail *\" spellcheck=\"false\" aria-errormessage=\"wpforms-14115-field_50-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_49-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"49\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_49\" aria-hidden=\"false\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-14115-field_49\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][49]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone *\" aria-label=\"Phone Number\" aria-errormessage=\"wpforms-14115-field_49-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_74-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"74\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Identiques aux informations commerciales<\/legend><ul id=\"wpforms-14115-field_74\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-14115-field_74_1\" name=\"wpforms[fields][74][]\" value=\"Utiliser le m\u00eame num\u00e9ro de t\u00e9l\u00e9phone et la m\u00eame adresse e-mail que dans les informations commerciales\" aria-errormessage=\"wpforms-14115-field_74_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-14115-field_74_1\">Utiliser le m\u00eame num\u00e9ro de t\u00e9l\u00e9phone et la m\u00eame adresse e-mail que dans les informations commerciales<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-14115-field_4-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"4\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tInformations sur le compte\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_51-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"51\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_51\" aria-hidden=\"false\">Accounts Telephone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-14115-field_51\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][51]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone du service comptabilit\u00e9 *\" aria-label=\"Accounts Telephone Number\" aria-errormessage=\"wpforms-14115-field_51-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_52-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"52\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_52\" aria-hidden=\"false\">Email address for invoices\/statements <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14115-field_52\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][52]\" placeholder=\"Adresse e-mail relative aux factures\/relev\u00e9s *\" spellcheck=\"false\" aria-errormessage=\"wpforms-14115-field_52-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_53-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"53\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_53\" aria-hidden=\"false\">Email address for bookings <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-14115-field_53\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][53]\" placeholder=\"Adresse e-mail relative aux r\u00e9servations *\" spellcheck=\"false\" aria-errormessage=\"wpforms-14115-field_53-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_8-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"8\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tCoordonn\u00e9es bancaires\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_70-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_70\">Banque <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-14115-field_70-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_72-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"72\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_72\">Agence <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_72\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][72]\" aria-errormessage=\"wpforms-14115-field_72-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_71-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_71\">N\u00b0 IBAN  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_71\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][71]\" aria-errormessage=\"wpforms-14115-field_71-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_73-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_73\">BIC <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-14115-field_73\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][73]\" aria-errormessage=\"wpforms-14115-field_73-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_17-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"17\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tActivit\u00e9 estim\u00e9e\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_57-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_57\">Nombre de chargements par semaine <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-14115-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" step=\"any\" aria-errormessage=\"wpforms-14115-field_57-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_58-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_58\">Avec chauffeur<\/label><select id=\"wpforms-14115-field_58\" class=\"wpforms-field-medium\" name=\"wpforms[fields][58]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- S\u00e9lectionner une option ---<\/option><option value=\"1\"  class=\"choice-1 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-2 depth-1\"  >2<\/option><\/select><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_59-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_59\">Non accompagn\u00e9<\/label><input type=\"number\" id=\"wpforms-14115-field_59\" class=\"wpforms-field-medium\" name=\"wpforms[fields][59]\" step=\"any\" aria-errormessage=\"wpforms-14115-field_59-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-14115-field_60-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_60\">Facilit\u00e9 de cr\u00e9dit requise \u2013 \u20ac  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-14115-field_60\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][60]\" step=\"any\" aria-errormessage=\"wpforms-14115-field_60-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-14115-field_21-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"21\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tR\u00e9f\u00e9rences commerciales\n\t\t\t<\/h3><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_22\">Raison sociale<\/label><input type=\"text\" id=\"wpforms-14115-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" placeholder=\"Raison sociale\" aria-errormessage=\"wpforms-14115-field_22-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_23\">Nom de la personne de contact<\/label><input type=\"text\" id=\"wpforms-14115-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" placeholder=\"Nom de la personne de contact \" aria-errormessage=\"wpforms-14115-field_23-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_61-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-14115-field_61\">Num\u00e9ro de t\u00e9l\u00e9phone <\/label><input type=\"tel\" id=\"wpforms-14115-field_61\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][61]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone \" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone \" aria-errormessage=\"wpforms-14115-field_61-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_62-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"62\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_62\" aria-hidden=\"false\">Company Name 2<\/label><input type=\"text\" id=\"wpforms-14115-field_62\" class=\"wpforms-field-medium\" name=\"wpforms[fields][62]\" placeholder=\"Raison sociale\" aria-errormessage=\"wpforms-14115-field_62-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_64-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"64\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_64\" aria-hidden=\"false\">Contact Name 2<\/label><input type=\"text\" id=\"wpforms-14115-field_64\" class=\"wpforms-field-medium\" name=\"wpforms[fields][64]\" placeholder=\"Nom de la personne de contact \" aria-errormessage=\"wpforms-14115-field_64-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_65-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"65\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_65\" aria-hidden=\"false\">Phone Number 2<\/label><input type=\"tel\" id=\"wpforms-14115-field_65\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][65]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone \" aria-label=\"Phone Number 2\" aria-errormessage=\"wpforms-14115-field_65-error\" ><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_66-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"66\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_66\" aria-hidden=\"false\">Company Name 3<\/label><input type=\"text\" id=\"wpforms-14115-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" placeholder=\"Raison sociale\" aria-errormessage=\"wpforms-14115-field_66-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_67-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"67\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_67\" aria-hidden=\"false\">Contact Name 3<\/label><input type=\"text\" id=\"wpforms-14115-field_67\" class=\"wpforms-field-medium\" name=\"wpforms[fields][67]\" placeholder=\"Nom de la personne de contact \" aria-errormessage=\"wpforms-14115-field_67-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-14115-field_68-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"68\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-14115-field_68\" aria-hidden=\"false\">Phone Number 3<\/label><input type=\"tel\" id=\"wpforms-14115-field_68\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][68]\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone \" aria-label=\"Phone Number 3\" aria-errormessage=\"wpforms-14115-field_68-error\" ><\/div><\/div><\/div><\/div><\/div><\/div><!-- 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