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order.dessine-ton-ame-soeur.com Open in urlscan Pro
3.218.179.218  Public Scan

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Submitted URL: http://url9328.dessine-ton-ame-soeur.com/ls/click?upn=0EtZLrUeIo02Q3Wygxobs8ESrivV88MiX6dFOIaMWkLS3pMPFzhNYwtaOkfGvseGwffJ-2B0C43lN8VOyMi...
Effective URL: https://order.dessine-ton-ame-soeur.com/rapport-complet-unique-votre-ame-soeur/?utm_content=14105391&utm_medium=Email&utm_name=Id&utm_so...
Submission: On April 14 via api from BE — Scanned from DE

Form analysis 3 forms found in the DOM

<form class="pure-form pure-form-rows" novalidate="" data-thrive-include="">
  <div class="data-field-block-name">
    <div class="data-field data-field-nulled data-field-block-name_inner" data-field-name="true">
      <div class="row row-columns">
        <div class="row-col"><input type="text" data-restore-name="customer.name" placeholder="Votre nom" data-restore-id="field-customer-name" class="ui-validate-on-blur"><label for="field-customer-name">Votre nom</label></div>
      </div>
    </div>
    <div class="data-field data-field-block-name_inner" data-field-name="firstlast">
      <div class="row row-columns">
        <div class="row-col"><input type="text" data-restore-name="customer.firstname" placeholder="Votre prénom" data-restore-id="field-customer-firstname" class="ui-validate-on-blur" name="customer.firstname" id="field-customer-firstname"><label
            for="field-customer-firstname">Votre prénom</label></div>
        <div class="row-col"><input type="text" data-restore-name="customer.lastname" placeholder="Votre nom de famille" data-restore-id="field-customer-lastname" class="ui-validate-on-blur" name="customer.lastname"
            id="field-customer-lastname"><label for="field-customer-lastname">Votre nom de famille</label></div>
      </div>
    </div>
    <div class="row row-columns data-field-block-email">
      <div class="row-col"><input type="email" name="customer.email" placeholder="Votre adresse email" id="field-customer-email" class="ui-validate-on-blur ui-validate-during-type"><label for="field-customer-email">Votre adresse email</label></div>
    </div>
  </div>
  <div class="row row-columns data-field-block-business_contact">
    <div class="row-col data-field data-field-nulled" data-field-business="optional"><input type="text" data-restore-name="customer.business_name" placeholder="Nom de societé" data-restore-id="field-customer-business_name"
        class="ui-optional ui-validate-on-blur"><label for="field-customer-business_name">Nom de societé</label></div>
    <div class="row-col data-field data-field-nulled" data-field-business="true"><input type="text" data-restore-name="customer.business_name" placeholder="Nom de societé" data-restore-id="field-customer-business_name"
        class="ui-validate-on-blur"><label for="field-customer-business_name">Nom de societé</label></div>
    <div class="row-col data-field data-field-nulled" data-field-businessinfo="optional"><input type="text" data-restore-name="customer.businessinfo" placeholder="" data-restore-id="field-customer-businessinfo"
        class="ui-optional ui-validate-on-blur"><label for="field-customer-businessinfo"></label></div>
    <div class="row-col data-field data-field-nulled" data-field-businessinfo="true"><input type="text" data-restore-name="customer.businessinfo" placeholder="" data-restore-id="field-customer-businessinfo" class="ui-validate-on-blur"><label
        for="field-customer-businessinfo"></label></div>
    <div class="row-col data-field data-field-nulled" data-field-contact="optional"><input type="text" data-restore-name="customer.contactno" placeholder="Numéro de téléphone" data-restore-id="field-customer-contactno" class="ui-optional"><label
        for="field-customer-contactno">Numéro de téléphone</label></div>
    <div class="row-col data-field data-field-nulled" data-field-contact="true"><input type="text" data-restore-name="customer.contactno" placeholder="Numéro de téléphone" data-restore-id="field-customer-contactno" class=""><label
        for="field-customer-contactno">Numéro de téléphone</label></div>
  </div>
  <div class="data-field data-field-nulled data-field-block-address" data-field-address="true">
    <h2 class="title-billing"><span class="builder-v2-block builder-v2-block-plaintext" data-block="plaintext" data-block-usage="billing_title" data-block-opts="{&quot;text_field_name&quot;:&quot;billing_title&quot;}">Adresse de facturation</span>
    </h2>
    <div class="row row-columns row-columns-country_field">
      <div class="row-col"><select data-restore-id="field-customer-address-country" data-restore-name="customer.address.country">
          <option value="US">United States</option>
          <option value="GB">United Kingdom</option>
          <option value="CA">Canada</option>
          <option value="FR">France</option>
          <option value="DE" selected="selected">Germany</option>
          <option value="ES">Spain</option>
          <option value="IT">Italy</option>
          <option value="IE">Ireland</option>
          <option value="AU">Australia</option>
          <option value="NZ">New Zealand</option>
          <option value="">-----------</option>
          <option value="AF">Afghanistan</option>
          <option value="AX">Aland Islands</option>
          <option value="AL">Albania</option>
          <option value="DZ">Algeria</option>
          <option value="AS">American Samoa</option>
          <option value="AD">Andorra</option>
          <option value="AO">Angola</option>
          <option value="AI">Anguilla</option>
          <option value="AQ">Antarctica</option>
          <option value="AG">Antigua and Barbuda</option>
          <option value="AR">Argentina</option>
          <option value="AM">Armenia</option>
          <option value="AW">Aruba</option>
          <option value="AT">Austria</option>
          <option value="AZ">Azerbaijan</option>
          <option value="BS">Bahamas</option>
          <option value="BH">Bahrain</option>
          <option value="BD">Bangladesh</option>
          <option value="BB">Barbados</option>
          <option value="BY">Belarus</option>
          <option value="BE">Belgium</option>
          <option value="BZ">Belize</option>
          <option value="BJ">Benin</option>
          <option value="BM">Bermuda</option>
          <option value="BT">Bhutan</option>
          <option value="BO">Bolivia</option>
          <option value="BQ">Bonaire, Saint Eustatius and Saba </option>
          <option value="BA">Bosnia and Herzegovina</option>
          <option value="BW">Botswana</option>
          <option value="BV">Bouvet Island</option>
          <option value="BR">Brazil</option>
          <option value="IO">British Indian Ocean Territory</option>
          <option value="VG">British Virgin Islands</option>
          <option value="BN">Brunei</option>
          <option value="BG">Bulgaria</option>
          <option value="BF">Burkina Faso</option>
          <option value="BI">Burundi</option>
          <option value="KH">Cambodia</option>
          <option value="CM">Cameroon</option>
          <option value="CV">Cape Verde</option>
          <option value="KY">Cayman Islands</option>
          <option value="CF">Central African Republic</option>
          <option value="TD">Chad</option>
          <option value="CL">Chile</option>
          <option value="CN">China</option>
          <option value="CX">Christmas Island</option>
          <option value="CC">Cocos Islands</option>
          <option value="CO">Colombia</option>
          <option value="KM">Comoros</option>
          <option value="CK">Cook Islands</option>
          <option value="CR">Costa Rica</option>
          <option value="HR">Croatia</option>
          <option value="CU">Cuba</option>
          <option value="CW">Curacao</option>
          <option value="CY">Cyprus</option>
          <option value="CZ">Czech Republic</option>
          <option value="CD">Democratic Republic of the Congo</option>
          <option value="DK">Denmark</option>
          <option value="DJ">Djibouti</option>
          <option value="DM">Dominica</option>
          <option value="DO">Dominican Republic</option>
          <option value="TL">East Timor</option>
          <option value="EC">Ecuador</option>
          <option value="EG">Egypt</option>
          <option value="SV">El Salvador</option>
          <option value="GQ">Equatorial Guinea</option>
          <option value="ER">Eritrea</option>
          <option value="EE">Estonia</option>
          <option value="ET">Ethiopia</option>
          <option value="FK">Falkland Islands</option>
          <option value="FO">Faroe Islands</option>
          <option value="FJ">Fiji</option>
          <option value="FI">Finland</option>
          <option value="GF">French Guiana</option>
          <option value="PF">French Polynesia</option>
          <option value="TF">French Southern Territories</option>
          <option value="GA">Gabon</option>
          <option value="GM">Gambia</option>
          <option value="GE">Georgia</option>
          <option value="GH">Ghana</option>
          <option value="GI">Gibraltar</option>
          <option value="GR">Greece</option>
          <option value="GL">Greenland</option>
          <option value="GD">Grenada</option>
          <option value="GP">Guadeloupe</option>
          <option value="GU">Guam</option>
          <option value="GT">Guatemala</option>
          <option value="GG">Guernsey</option>
          <option value="GN">Guinea</option>
          <option value="GW">Guinea-Bissau</option>
          <option value="GY">Guyana</option>
          <option value="HT">Haiti</option>
          <option value="HM">Heard Island and McDonald Islands</option>
          <option value="HN">Honduras</option>
          <option value="HK">Hong Kong</option>
          <option value="HU">Hungary</option>
          <option value="IS">Iceland</option>
          <option value="IN">India</option>
          <option value="ID">Indonesia</option>
          <option value="IR">Iran</option>
          <option value="IQ">Iraq</option>
          <option value="IM">Isle of Man</option>
          <option value="IL">Israel</option>
          <option value="CI">Ivory Coast</option>
          <option value="JM">Jamaica</option>
          <option value="JP">Japan</option>
          <option value="JE">Jersey</option>
          <option value="JO">Jordan</option>
          <option value="KZ">Kazakhstan</option>
          <option value="KE">Kenya</option>
          <option value="KI">Kiribati</option>
          <option value="XK">Kosovo</option>
          <option value="KW">Kuwait</option>
          <option value="KG">Kyrgyzstan</option>
          <option value="LA">Laos</option>
          <option value="LV">Latvia</option>
          <option value="LB">Lebanon</option>
          <option value="LS">Lesotho</option>
          <option value="LR">Liberia</option>
          <option value="LY">Libya</option>
          <option value="LI">Liechtenstein</option>
          <option value="LT">Lithuania</option>
          <option value="LU">Luxembourg</option>
          <option value="MO">Macao</option>
          <option value="MK">Macedonia</option>
          <option value="MG">Madagascar</option>
          <option value="MW">Malawi</option>
          <option value="MY">Malaysia</option>
          <option value="MV">Maldives</option>
          <option value="ML">Mali</option>
          <option value="MT">Malta</option>
          <option value="MH">Marshall Islands</option>
          <option value="MQ">Martinique</option>
          <option value="MR">Mauritania</option>
          <option value="MU">Mauritius</option>
          <option value="YT">Mayotte</option>
          <option value="MX">Mexico</option>
          <option value="FM">Micronesia</option>
          <option value="MD">Moldova</option>
          <option value="MC">Monaco</option>
          <option value="MN">Mongolia</option>
          <option value="ME">Montenegro</option>
          <option value="MS">Montserrat</option>
          <option value="MA">Morocco</option>
          <option value="MZ">Mozambique</option>
          <option value="MM">Myanmar</option>
          <option value="NA">Namibia</option>
          <option value="NR">Nauru</option>
          <option value="NP">Nepal</option>
          <option value="NL">Netherlands</option>
          <option value="NC">New Caledonia</option>
          <option value="NI">Nicaragua</option>
          <option value="NE">Niger</option>
          <option value="NG">Nigeria</option>
          <option value="NU">Niue</option>
          <option value="NF">Norfolk Island</option>
          <option value="KP">North Korea</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="NO">Norway</option>
          <option value="OM">Oman</option>
          <option value="PK">Pakistan</option>
          <option value="PW">Palau</option>
          <option value="PS">Palestinian Territory</option>
          <option value="PA">Panama</option>
          <option value="PG">Papua New Guinea</option>
          <option value="PY">Paraguay</option>
          <option value="PE">Peru</option>
          <option value="PH">Philippines</option>
          <option value="PN">Pitcairn</option>
          <option value="PL">Poland</option>
          <option value="PT">Portugal</option>
          <option value="PR">Puerto Rico</option>
          <option value="QA">Qatar</option>
          <option value="CG">Republic of the Congo</option>
          <option value="RE">Reunion</option>
          <option value="RO">Romania</option>
          <option value="RU">Russia</option>
          <option value="RW">Rwanda</option>
          <option value="BL">Saint Barthelemy</option>
          <option value="SH">Saint Helena</option>
          <option value="KN">Saint Kitts and Nevis</option>
          <option value="LC">Saint Lucia</option>
          <option value="MF">Saint Martin</option>
          <option value="PM">Saint Pierre and Miquelon</option>
          <option value="VC">Saint Vincent and the Grenadines</option>
          <option value="WS">Samoa</option>
          <option value="SM">San Marino</option>
          <option value="ST">Sao Tome and Principe</option>
          <option value="SA">Saudi Arabia</option>
          <option value="SN">Senegal</option>
          <option value="RS">Serbia</option>
          <option value="SC">Seychelles</option>
          <option value="SL">Sierra Leone</option>
          <option value="SG">Singapore</option>
          <option value="SX">Sint Maarten</option>
          <option value="SK">Slovakia</option>
          <option value="SI">Slovenia</option>
          <option value="SB">Solomon Islands</option>
          <option value="SO">Somalia</option>
          <option value="ZA">South Africa</option>
          <option value="GS">South Georgia and the South Sandwich Islands</option>
          <option value="KR">South Korea</option>
          <option value="SS">South Sudan</option>
          <option value="LK">Sri Lanka</option>
          <option value="SD">Sudan</option>
          <option value="SR">Suriname</option>
          <option value="SJ">Svalbard and Jan Mayen</option>
          <option value="SZ">Swaziland</option>
          <option value="SE">Sweden</option>
          <option value="CH">Switzerland</option>
          <option value="SY">Syria</option>
          <option value="TW">Taiwan</option>
          <option value="TJ">Tajikistan</option>
          <option value="TZ">Tanzania</option>
          <option value="TH">Thailand</option>
          <option value="TG">Togo</option>
          <option value="TK">Tokelau</option>
          <option value="TO">Tonga</option>
          <option value="TT">Trinidad and Tobago</option>
          <option value="TN">Tunisia</option>
          <option value="TR">Turkey</option>
          <option value="TM">Turkmenistan</option>
          <option value="TC">Turks and Caicos Islands</option>
          <option value="TV">Tuvalu</option>
          <option value="VI">U.S. Virgin Islands</option>
          <option value="UG">Uganda</option>
          <option value="UA">Ukraine</option>
          <option value="AE">United Arab Emirates</option>
          <option value="UM">United States Minor Outlying Islands</option>
          <option value="UY">Uruguay</option>
          <option value="UZ">Uzbekistan</option>
          <option value="VU">Vanuatu</option>
          <option value="VA">Vatican</option>
          <option value="VE">Venezuela</option>
          <option value="VN">Vietnam</option>
          <option value="WF">Wallis and Futuna</option>
          <option value="EH">Western Sahara</option>
          <option value="YE">Yemen</option>
          <option value="ZM">Zambia</option>
          <option value="ZW">Zimbabwe</option>
        </select></div>
      <div class="row-col ui-state-wrapper"><select data-restore-id="field-customer-address-state" data-restore-name="customer.address.state"
          data-states-us="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;AL&quot;:&quot;Alabama&quot;,&quot;AK&quot;:&quot;Alaska&quot;,&quot;AZ&quot;:&quot;Arizona&quot;,&quot;AR&quot;:&quot;Arkansas&quot;,&quot;CA&quot;:&quot;California&quot;,&quot;CO&quot;:&quot;Colorado&quot;,&quot;CT&quot;:&quot;Connecticut&quot;,&quot;DE&quot;:&quot;Delaware&quot;,&quot;DC&quot;:&quot;District of Columbia&quot;,&quot;FL&quot;:&quot;Florida&quot;,&quot;GA&quot;:&quot;Georgia&quot;,&quot;HI&quot;:&quot;Hawaii&quot;,&quot;ID&quot;:&quot;Idaho&quot;,&quot;IL&quot;:&quot;Illinois&quot;,&quot;IN&quot;:&quot;Indiana&quot;,&quot;IA&quot;:&quot;Iowa&quot;,&quot;KS&quot;:&quot;Kansas&quot;,&quot;KY&quot;:&quot;Kentucky&quot;,&quot;LA&quot;:&quot;Louisiana&quot;,&quot;ME&quot;:&quot;Maine&quot;,&quot;MD&quot;:&quot;Maryland&quot;,&quot;MA&quot;:&quot;Massachusetts&quot;,&quot;MI&quot;:&quot;Michigan&quot;,&quot;MN&quot;:&quot;Minnesota&quot;,&quot;MS&quot;:&quot;Mississippi&quot;,&quot;MO&quot;:&quot;Missouri&quot;,&quot;MT&quot;:&quot;Montana&quot;,&quot;NE&quot;:&quot;Nebraska&quot;,&quot;NV&quot;:&quot;Nevada&quot;,&quot;NH&quot;:&quot;New Hampshire&quot;,&quot;NJ&quot;:&quot;New Jersey&quot;,&quot;NM&quot;:&quot;New Mexico&quot;,&quot;NY&quot;:&quot;New York&quot;,&quot;NC&quot;:&quot;North Carolina&quot;,&quot;ND&quot;:&quot;North Dakota&quot;,&quot;OH&quot;:&quot;Ohio&quot;,&quot;OK&quot;:&quot;Oklahoma&quot;,&quot;OR&quot;:&quot;Oregon&quot;,&quot;PA&quot;:&quot;Pennsylvania&quot;,&quot;PR&quot;:&quot;Puerto Rico&quot;,&quot;RI&quot;:&quot;Rhode Island&quot;,&quot;SC&quot;:&quot;South Carolina&quot;,&quot;SD&quot;:&quot;South Dakota&quot;,&quot;TN&quot;:&quot;Tennessee&quot;,&quot;TX&quot;:&quot;Texas&quot;,&quot;UT&quot;:&quot;Utah&quot;,&quot;VT&quot;:&quot;Vermont&quot;,&quot;VA&quot;:&quot;Virginia&quot;,&quot;WA&quot;:&quot;Washington&quot;,&quot;WV&quot;:&quot;West Virginia&quot;,&quot;WI&quot;:&quot;Wisconsin&quot;,&quot;WY&quot;:&quot;Wyoming&quot;}"
          data-states-ca="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;AB&quot;:&quot;Alberta&quot;,&quot;BC&quot;:&quot;British Columbia&quot;,&quot;MB&quot;:&quot;Manitoba&quot;,&quot;NB&quot;:&quot;New Brunswick&quot;,&quot;NL&quot;:&quot;Newfoundland and Labrador&quot;,&quot;NT&quot;:&quot;Northwest Territories&quot;,&quot;NS&quot;:&quot;Nova Scotia&quot;,&quot;NU&quot;:&quot;Nunavut&quot;,&quot;ON&quot;:&quot;Ontario&quot;,&quot;PE&quot;:&quot;Prince Edward Island&quot;,&quot;QC&quot;:&quot;Quebec&quot;,&quot;SK&quot;:&quot;Saskatchewan&quot;,&quot;YTA&quot;:&quot;Yukon&quot;}"
          data-states-au="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;NSW&quot;:&quot;New South Wales&quot;,&quot;QLD&quot;:&quot;Queensland&quot;,&quot;SA&quot;:&quot;South Australia&quot;,&quot;TAS&quot;:&quot;Tasmania&quot;,&quot;VIC&quot;:&quot;Victoria&quot;,&quot;WA&quot;:&quot;Western Australia&quot;,&quot;ACT&quot;:&quot;Australian Capital Territory&quot;,&quot;NT&quot;:&quot;Northern Territory&quot;}"
          placeholder="Département">
          <option value="-">Sélectionnez votre région</option>
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="DC">District of Columbia</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="PR">Puerto Rico</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
        </select>
        <div class="error-target" data-name="customer.address.state"></div><label for="field-customer-address-state">Département</label>
      </div>
    </div>
    <div class="row row-columns">
      <div class="row-col"><input type="text" data-restore-name="customer.address.line1" placeholder="Adresse postale" data-restore-id="field-customer-address-line1"><label for="field-customer-address-line1">Adresse postale</label></div>
    </div>
    <div class="row row-columns">
      <div class="row-col"><input type="text" data-restore-name="customer.address.city" placeholder="Ville" data-restore-id="field-customer-address-city"><label for="field-customer-address-city">Ville</label></div>
      <div class="row-col"><input type="text" data-restore-name="customer.address.zip" placeholder="Code postal" data-placeholder="Code postal" data-placeholder-gb="Code postal" data-placeholder-ie="Code postal" data-placeholder-ca="Code postal"
          data-placeholder-au="Code postal" data-placeholder-nz="Code postal" data-restore-id="field-customer-address-zip"><label for="field-customer-address-zip">Code postal</label></div>
    </div>
  </div>
  <div class="data-field data-field-nulled" data-field-address="abbreviated">
    <div class="row row-columns ui-countryzip">
      <div class="row-col"><select data-restore-id="field-customer-address-country" data-restore-name="customer.address.country">
          <option value="US">United States</option>
          <option value="GB">United Kingdom</option>
          <option value="CA">Canada</option>
          <option value="FR">France</option>
          <option value="DE" selected="selected">Germany</option>
          <option value="ES">Spain</option>
          <option value="IT">Italy</option>
          <option value="IE">Ireland</option>
          <option value="AU">Australia</option>
          <option value="NZ">New Zealand</option>
          <option value="">-----------</option>
          <option value="AF">Afghanistan</option>
          <option value="AX">Aland Islands</option>
          <option value="AL">Albania</option>
          <option value="DZ">Algeria</option>
          <option value="AS">American Samoa</option>
          <option value="AD">Andorra</option>
          <option value="AO">Angola</option>
          <option value="AI">Anguilla</option>
          <option value="AQ">Antarctica</option>
          <option value="AG">Antigua and Barbuda</option>
          <option value="AR">Argentina</option>
          <option value="AM">Armenia</option>
          <option value="AW">Aruba</option>
          <option value="AT">Austria</option>
          <option value="AZ">Azerbaijan</option>
          <option value="BS">Bahamas</option>
          <option value="BH">Bahrain</option>
          <option value="BD">Bangladesh</option>
          <option value="BB">Barbados</option>
          <option value="BY">Belarus</option>
          <option value="BE">Belgium</option>
          <option value="BZ">Belize</option>
          <option value="BJ">Benin</option>
          <option value="BM">Bermuda</option>
          <option value="BT">Bhutan</option>
          <option value="BO">Bolivia</option>
          <option value="BQ">Bonaire, Saint Eustatius and Saba </option>
          <option value="BA">Bosnia and Herzegovina</option>
          <option value="BW">Botswana</option>
          <option value="BV">Bouvet Island</option>
          <option value="BR">Brazil</option>
          <option value="IO">British Indian Ocean Territory</option>
          <option value="VG">British Virgin Islands</option>
          <option value="BN">Brunei</option>
          <option value="BG">Bulgaria</option>
          <option value="BF">Burkina Faso</option>
          <option value="BI">Burundi</option>
          <option value="KH">Cambodia</option>
          <option value="CM">Cameroon</option>
          <option value="CV">Cape Verde</option>
          <option value="KY">Cayman Islands</option>
          <option value="CF">Central African Republic</option>
          <option value="TD">Chad</option>
          <option value="CL">Chile</option>
          <option value="CN">China</option>
          <option value="CX">Christmas Island</option>
          <option value="CC">Cocos Islands</option>
          <option value="CO">Colombia</option>
          <option value="KM">Comoros</option>
          <option value="CK">Cook Islands</option>
          <option value="CR">Costa Rica</option>
          <option value="HR">Croatia</option>
          <option value="CU">Cuba</option>
          <option value="CW">Curacao</option>
          <option value="CY">Cyprus</option>
          <option value="CZ">Czech Republic</option>
          <option value="CD">Democratic Republic of the Congo</option>
          <option value="DK">Denmark</option>
          <option value="DJ">Djibouti</option>
          <option value="DM">Dominica</option>
          <option value="DO">Dominican Republic</option>
          <option value="TL">East Timor</option>
          <option value="EC">Ecuador</option>
          <option value="EG">Egypt</option>
          <option value="SV">El Salvador</option>
          <option value="GQ">Equatorial Guinea</option>
          <option value="ER">Eritrea</option>
          <option value="EE">Estonia</option>
          <option value="ET">Ethiopia</option>
          <option value="FK">Falkland Islands</option>
          <option value="FO">Faroe Islands</option>
          <option value="FJ">Fiji</option>
          <option value="FI">Finland</option>
          <option value="GF">French Guiana</option>
          <option value="PF">French Polynesia</option>
          <option value="TF">French Southern Territories</option>
          <option value="GA">Gabon</option>
          <option value="GM">Gambia</option>
          <option value="GE">Georgia</option>
          <option value="GH">Ghana</option>
          <option value="GI">Gibraltar</option>
          <option value="GR">Greece</option>
          <option value="GL">Greenland</option>
          <option value="GD">Grenada</option>
          <option value="GP">Guadeloupe</option>
          <option value="GU">Guam</option>
          <option value="GT">Guatemala</option>
          <option value="GG">Guernsey</option>
          <option value="GN">Guinea</option>
          <option value="GW">Guinea-Bissau</option>
          <option value="GY">Guyana</option>
          <option value="HT">Haiti</option>
          <option value="HM">Heard Island and McDonald Islands</option>
          <option value="HN">Honduras</option>
          <option value="HK">Hong Kong</option>
          <option value="HU">Hungary</option>
          <option value="IS">Iceland</option>
          <option value="IN">India</option>
          <option value="ID">Indonesia</option>
          <option value="IR">Iran</option>
          <option value="IQ">Iraq</option>
          <option value="IM">Isle of Man</option>
          <option value="IL">Israel</option>
          <option value="CI">Ivory Coast</option>
          <option value="JM">Jamaica</option>
          <option value="JP">Japan</option>
          <option value="JE">Jersey</option>
          <option value="JO">Jordan</option>
          <option value="KZ">Kazakhstan</option>
          <option value="KE">Kenya</option>
          <option value="KI">Kiribati</option>
          <option value="XK">Kosovo</option>
          <option value="KW">Kuwait</option>
          <option value="KG">Kyrgyzstan</option>
          <option value="LA">Laos</option>
          <option value="LV">Latvia</option>
          <option value="LB">Lebanon</option>
          <option value="LS">Lesotho</option>
          <option value="LR">Liberia</option>
          <option value="LY">Libya</option>
          <option value="LI">Liechtenstein</option>
          <option value="LT">Lithuania</option>
          <option value="LU">Luxembourg</option>
          <option value="MO">Macao</option>
          <option value="MK">Macedonia</option>
          <option value="MG">Madagascar</option>
          <option value="MW">Malawi</option>
          <option value="MY">Malaysia</option>
          <option value="MV">Maldives</option>
          <option value="ML">Mali</option>
          <option value="MT">Malta</option>
          <option value="MH">Marshall Islands</option>
          <option value="MQ">Martinique</option>
          <option value="MR">Mauritania</option>
          <option value="MU">Mauritius</option>
          <option value="YT">Mayotte</option>
          <option value="MX">Mexico</option>
          <option value="FM">Micronesia</option>
          <option value="MD">Moldova</option>
          <option value="MC">Monaco</option>
          <option value="MN">Mongolia</option>
          <option value="ME">Montenegro</option>
          <option value="MS">Montserrat</option>
          <option value="MA">Morocco</option>
          <option value="MZ">Mozambique</option>
          <option value="MM">Myanmar</option>
          <option value="NA">Namibia</option>
          <option value="NR">Nauru</option>
          <option value="NP">Nepal</option>
          <option value="NL">Netherlands</option>
          <option value="NC">New Caledonia</option>
          <option value="NI">Nicaragua</option>
          <option value="NE">Niger</option>
          <option value="NG">Nigeria</option>
          <option value="NU">Niue</option>
          <option value="NF">Norfolk Island</option>
          <option value="KP">North Korea</option>
          <option value="MP">Northern Mariana Islands</option>
          <option value="NO">Norway</option>
          <option value="OM">Oman</option>
          <option value="PK">Pakistan</option>
          <option value="PW">Palau</option>
          <option value="PS">Palestinian Territory</option>
          <option value="PA">Panama</option>
          <option value="PG">Papua New Guinea</option>
          <option value="PY">Paraguay</option>
          <option value="PE">Peru</option>
          <option value="PH">Philippines</option>
          <option value="PN">Pitcairn</option>
          <option value="PL">Poland</option>
          <option value="PT">Portugal</option>
          <option value="PR">Puerto Rico</option>
          <option value="QA">Qatar</option>
          <option value="CG">Republic of the Congo</option>
          <option value="RE">Reunion</option>
          <option value="RO">Romania</option>
          <option value="RU">Russia</option>
          <option value="RW">Rwanda</option>
          <option value="BL">Saint Barthelemy</option>
          <option value="SH">Saint Helena</option>
          <option value="KN">Saint Kitts and Nevis</option>
          <option value="LC">Saint Lucia</option>
          <option value="MF">Saint Martin</option>
          <option value="PM">Saint Pierre and Miquelon</option>
          <option value="VC">Saint Vincent and the Grenadines</option>
          <option value="WS">Samoa</option>
          <option value="SM">San Marino</option>
          <option value="ST">Sao Tome and Principe</option>
          <option value="SA">Saudi Arabia</option>
          <option value="SN">Senegal</option>
          <option value="RS">Serbia</option>
          <option value="SC">Seychelles</option>
          <option value="SL">Sierra Leone</option>
          <option value="SG">Singapore</option>
          <option value="SX">Sint Maarten</option>
          <option value="SK">Slovakia</option>
          <option value="SI">Slovenia</option>
          <option value="SB">Solomon Islands</option>
          <option value="SO">Somalia</option>
          <option value="ZA">South Africa</option>
          <option value="GS">South Georgia and the South Sandwich Islands</option>
          <option value="KR">South Korea</option>
          <option value="SS">South Sudan</option>
          <option value="LK">Sri Lanka</option>
          <option value="SD">Sudan</option>
          <option value="SR">Suriname</option>
          <option value="SJ">Svalbard and Jan Mayen</option>
          <option value="SZ">Swaziland</option>
          <option value="SE">Sweden</option>
          <option value="CH">Switzerland</option>
          <option value="SY">Syria</option>
          <option value="TW">Taiwan</option>
          <option value="TJ">Tajikistan</option>
          <option value="TZ">Tanzania</option>
          <option value="TH">Thailand</option>
          <option value="TG">Togo</option>
          <option value="TK">Tokelau</option>
          <option value="TO">Tonga</option>
          <option value="TT">Trinidad and Tobago</option>
          <option value="TN">Tunisia</option>
          <option value="TR">Turkey</option>
          <option value="TM">Turkmenistan</option>
          <option value="TC">Turks and Caicos Islands</option>
          <option value="TV">Tuvalu</option>
          <option value="VI">U.S. Virgin Islands</option>
          <option value="UG">Uganda</option>
          <option value="UA">Ukraine</option>
          <option value="AE">United Arab Emirates</option>
          <option value="UM">United States Minor Outlying Islands</option>
          <option value="UY">Uruguay</option>
          <option value="UZ">Uzbekistan</option>
          <option value="VU">Vanuatu</option>
          <option value="VA">Vatican</option>
          <option value="VE">Venezuela</option>
          <option value="VN">Vietnam</option>
          <option value="WF">Wallis and Futuna</option>
          <option value="EH">Western Sahara</option>
          <option value="YE">Yemen</option>
          <option value="ZM">Zambia</option>
          <option value="ZW">Zimbabwe</option>
        </select></div>
      <div class="row-col ui-state-wrapper"><select data-restore-id="field-customer-address-state" data-restore-name="customer.address.state"
          data-states-us="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;AL&quot;:&quot;Alabama&quot;,&quot;AK&quot;:&quot;Alaska&quot;,&quot;AZ&quot;:&quot;Arizona&quot;,&quot;AR&quot;:&quot;Arkansas&quot;,&quot;CA&quot;:&quot;California&quot;,&quot;CO&quot;:&quot;Colorado&quot;,&quot;CT&quot;:&quot;Connecticut&quot;,&quot;DE&quot;:&quot;Delaware&quot;,&quot;DC&quot;:&quot;District of Columbia&quot;,&quot;FL&quot;:&quot;Florida&quot;,&quot;GA&quot;:&quot;Georgia&quot;,&quot;HI&quot;:&quot;Hawaii&quot;,&quot;ID&quot;:&quot;Idaho&quot;,&quot;IL&quot;:&quot;Illinois&quot;,&quot;IN&quot;:&quot;Indiana&quot;,&quot;IA&quot;:&quot;Iowa&quot;,&quot;KS&quot;:&quot;Kansas&quot;,&quot;KY&quot;:&quot;Kentucky&quot;,&quot;LA&quot;:&quot;Louisiana&quot;,&quot;ME&quot;:&quot;Maine&quot;,&quot;MD&quot;:&quot;Maryland&quot;,&quot;MA&quot;:&quot;Massachusetts&quot;,&quot;MI&quot;:&quot;Michigan&quot;,&quot;MN&quot;:&quot;Minnesota&quot;,&quot;MS&quot;:&quot;Mississippi&quot;,&quot;MO&quot;:&quot;Missouri&quot;,&quot;MT&quot;:&quot;Montana&quot;,&quot;NE&quot;:&quot;Nebraska&quot;,&quot;NV&quot;:&quot;Nevada&quot;,&quot;NH&quot;:&quot;New Hampshire&quot;,&quot;NJ&quot;:&quot;New Jersey&quot;,&quot;NM&quot;:&quot;New Mexico&quot;,&quot;NY&quot;:&quot;New York&quot;,&quot;NC&quot;:&quot;North Carolina&quot;,&quot;ND&quot;:&quot;North Dakota&quot;,&quot;OH&quot;:&quot;Ohio&quot;,&quot;OK&quot;:&quot;Oklahoma&quot;,&quot;OR&quot;:&quot;Oregon&quot;,&quot;PA&quot;:&quot;Pennsylvania&quot;,&quot;PR&quot;:&quot;Puerto Rico&quot;,&quot;RI&quot;:&quot;Rhode Island&quot;,&quot;SC&quot;:&quot;South Carolina&quot;,&quot;SD&quot;:&quot;South Dakota&quot;,&quot;TN&quot;:&quot;Tennessee&quot;,&quot;TX&quot;:&quot;Texas&quot;,&quot;UT&quot;:&quot;Utah&quot;,&quot;VT&quot;:&quot;Vermont&quot;,&quot;VA&quot;:&quot;Virginia&quot;,&quot;WA&quot;:&quot;Washington&quot;,&quot;WV&quot;:&quot;West Virginia&quot;,&quot;WI&quot;:&quot;Wisconsin&quot;,&quot;WY&quot;:&quot;Wyoming&quot;}"
          data-states-ca="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;AB&quot;:&quot;Alberta&quot;,&quot;BC&quot;:&quot;British Columbia&quot;,&quot;MB&quot;:&quot;Manitoba&quot;,&quot;NB&quot;:&quot;New Brunswick&quot;,&quot;NL&quot;:&quot;Newfoundland and Labrador&quot;,&quot;NT&quot;:&quot;Northwest Territories&quot;,&quot;NS&quot;:&quot;Nova Scotia&quot;,&quot;NU&quot;:&quot;Nunavut&quot;,&quot;ON&quot;:&quot;Ontario&quot;,&quot;PE&quot;:&quot;Prince Edward Island&quot;,&quot;QC&quot;:&quot;Quebec&quot;,&quot;SK&quot;:&quot;Saskatchewan&quot;,&quot;YTA&quot;:&quot;Yukon&quot;}"
          data-states-au="{&quot;-&quot;:&quot;S\u00e9lectionnez votre r\u00e9gion&quot;,&quot;NSW&quot;:&quot;New South Wales&quot;,&quot;QLD&quot;:&quot;Queensland&quot;,&quot;SA&quot;:&quot;South Australia&quot;,&quot;TAS&quot;:&quot;Tasmania&quot;,&quot;VIC&quot;:&quot;Victoria&quot;,&quot;WA&quot;:&quot;Western Australia&quot;,&quot;ACT&quot;:&quot;Australian Capital Territory&quot;,&quot;NT&quot;:&quot;Northern Territory&quot;}"
          placeholder="Département">
          <option value="-">Sélectionnez votre région</option>
          <option value="AL">Alabama</option>
          <option value="AK">Alaska</option>
          <option value="AZ">Arizona</option>
          <option value="AR">Arkansas</option>
          <option value="CA">California</option>
          <option value="CO">Colorado</option>
          <option value="CT">Connecticut</option>
          <option value="DE">Delaware</option>
          <option value="DC">District of Columbia</option>
          <option value="FL">Florida</option>
          <option value="GA">Georgia</option>
          <option value="HI">Hawaii</option>
          <option value="ID">Idaho</option>
          <option value="IL">Illinois</option>
          <option value="IN">Indiana</option>
          <option value="IA">Iowa</option>
          <option value="KS">Kansas</option>
          <option value="KY">Kentucky</option>
          <option value="LA">Louisiana</option>
          <option value="ME">Maine</option>
          <option value="MD">Maryland</option>
          <option value="MA">Massachusetts</option>
          <option value="MI">Michigan</option>
          <option value="MN">Minnesota</option>
          <option value="MS">Mississippi</option>
          <option value="MO">Missouri</option>
          <option value="MT">Montana</option>
          <option value="NE">Nebraska</option>
          <option value="NV">Nevada</option>
          <option value="NH">New Hampshire</option>
          <option value="NJ">New Jersey</option>
          <option value="NM">New Mexico</option>
          <option value="NY">New York</option>
          <option value="NC">North Carolina</option>
          <option value="ND">North Dakota</option>
          <option value="OH">Ohio</option>
          <option value="OK">Oklahoma</option>
          <option value="OR">Oregon</option>
          <option value="PA">Pennsylvania</option>
          <option value="PR">Puerto Rico</option>
          <option value="RI">Rhode Island</option>
          <option value="SC">South Carolina</option>
          <option value="SD">South Dakota</option>
          <option value="TN">Tennessee</option>
          <option value="TX">Texas</option>
          <option value="UT">Utah</option>
          <option value="VT">Vermont</option>
          <option value="VA">Virginia</option>
          <option value="WA">Washington</option>
          <option value="WV">West Virginia</option>
          <option value="WI">Wisconsin</option>
          <option value="WY">Wyoming</option>
        </select>
        <div class="error-target" data-name="customer.address.state"></div><label for="field-customer-address-state">Département</label>
      </div>
      <div class="row-col"><input type="text" data-restore-name="customer.address.zip" placeholder="Code postal" data-placeholder="Code postal" data-placeholder-gb="Code postal" data-placeholder-ca="Code postal" data-placeholder-ie="Code postal"
          data-placeholder-au="Code postal" data-placeholder-nz="Code postal" data-restore-id="field-customer-address-zip"><label for="field-customer-address-zip">Code postal</label></div>
    </div>
  </div>
  <div class="data-field data-field-nulled" data-field-address="country">
    <div class="row row-columns">
      <div class="row-col"><select data-restore-id="field-customer-address-country" data-restore-name="customer.address.country">
          <option value="US">United States</option>
          <option value="GB">United Kingdom</option>
          <option value="CA">Canada</option>
          <option value="FR">France</option>
          <option value="DE" selected="selected">Germany</option>
          <option value="ES">Spain</option>
          <option value="IT">Italy</option>
          <option value="IE">Ireland</option>
          <option value="AU">Australia</option>
          <option value="NZ">New Zealand</option>
          <option value="">-----------</option>
          <option value="AF">Afghanistan</option>
          <option value="AX">Aland Islands</option>
          <option value="AL">Albania</option>
          <option value="DZ">Algeria</option>
          <option value="AS">American Samoa</option>
          <option value="AD">Andorra</option>
          <option value="AO">Angola</option>
          <option value="AI">Anguilla</option>
          <option value="AQ">Antarctica</option>
          <option value="AG">Antigua and Barbuda</option>
          <option value="AR">Argentina</option>
          <option value="AM">Armenia</option>
          <option value="AW">Aruba</option>
          <option value="AT">Austria</option>
          <option value="AZ">Azerbaijan</option>
          <option value="BS">Bahamas</option>
          <option value="BH">Bahrain</option>
          <option value="BD">Bangladesh</option>
          <option value="BB">Barbados</option>
          <option value="BY">Belarus</option>
          <option value="BE">Belgium</option>
          <option value="BZ">Belize</option>
          <option value="BJ">Benin</option>
          <option value="BM">Bermuda</option>
          <option value="BT">Bhutan</option>
          <option value="BO">Bolivia</option>
          <option value="BQ">Bonaire, Saint Eustatius and Saba </option>
          <option value="BA">Bosnia and Herzegovina</option>
          <option value="BW">Botswana</option>
          <option value="BV">Bouvet Island</option>
          <option value="BR">Brazil</option>
          <option value="IO">British Indian Ocean Territory</option>
          <option value="VG">British Virgin Islands</option>
          <option value="BN">Brunei</option>
          <option value="BG">Bulgaria</option>
          <option value="BF">Burkina Faso</option>
          <option value="BI">Burundi</option>
          <option value="KH">Cambodia</option>
          <option value="CM">Cameroon</option>
          <option value="CV">Cape Verde</option>
          <option value="KY">Cayman Islands</option>
          <option value="CF">Central African Republic</option>
          <option value="TD">Chad</option>
          <option value="CL">Chile</option>
          <option value="CN">China</option>
          <option value="CX">Christmas Island</option>
          <option value="CC">Cocos Islands</option>
          <option value="CO">Colombia</option>
          <option value="KM">Comoros</option>
          <option value="CK">Cook Islands</option>
          <option value="CR">Costa Rica</option>
          <option value="HR">Croatia</option>
          <option value="CU">Cuba</option>
          <option value="CW">Curacao</option>
          <option value="CY">Cyprus</option>
          <option value="CZ">Czech Republic</option>
          <option value="CD">Democratic Republic of the Congo</option>
          <option value="DK">Denmark</option>
          <option value="DJ">Djibouti</option>
          <option value="DM">Dominica</option>
          <option value="DO">Dominican Republic</option>
          <option value="TL">East Timor</option>
          <option value="EC">Ecuador</option>
          <option value="EG">Egypt</option>
          <option value="SV">El Salvador</option>
          <option value="GQ">Equatorial Guinea</option>
          <option value="ER">Eritrea</option>
          <option value="EE">Estonia</option>
          <option value="ET">Ethiopia</option>
          <option value="FK">Falkland Islands</option>
          <option value="FO">Faroe Islands</option>
          <option value="FJ">Fiji</option>
          <option value="FI">Finland</option>
          <option value="GF">French Guiana</option>
          <option value="PF">French Polynesia</option>
          <option value="TF">French Southern Territories</option>
          <option value="GA">Gabon</option>
          <option value="GM">Gambia</option>
          <option value="GE">Georgia</option>
          <option value="GH">Ghana</option>
          <option value="GI">Gibraltar</option>
          <option value="GR">Greece</option>
          <option value="GL">Greenland</option>
          <option value="GD">Grenada</option>
          <option value="GP">Guadeloupe</option>
          <option value="GU">Guam</option>
          <option value="GT">Guatemala</option>
          <option value="GG">Guernsey</option>
          <option value="GN">Guinea</option>
          <option value="GW">Guinea-Bissau</option>
          <option value="GY">Guyana</option>
          <option value="HT">Haiti</option>
          <option value="HM">Heard Island and McDonald Islands</option>
          <option value="HN">Honduras</option>
          <option value="HK">Hong Kong</option>
          <option value="HU">Hungary</option>
          <option value="IS">Iceland</option>
          <option value="IN">India</option>
          <option value="ID">Indonesia</option>
          <option value="IR">Iran</option>
          <option value="IQ">Iraq</option>
          <option value="IM">Isle of Man</option>
          <option value="IL">Israel</option>
          <option value="CI">Ivory Coast</option>
          <option value="JM">Jamaica</option>
          <option value="JP">Japan</option>
          <option value="JE">Jersey</option>
          <option value="JO">Jordan</option>
          <option value="KZ">Kazakhstan</option>
          <option value="KE">Kenya</option>
          <option value="KI">Kiribati</option>
          <option value="XK">Kosovo</option>
          <option value="KW">Kuwait</option>
          <option value="KG">Kyrgyzstan</option>
          <option value="LA">Laos</option>
          <option value="LV">Latvia</option>
          <option value="LB">Lebanon</option>
          <option value="LS">Lesotho</option>
          <option value="LR">Liberia</option>
          <option value="LY">Libya</option>
          <option value="LI">Liechtenstein</option>
          <option value="LT">Lithuania</option>
          <option value="LU">Luxembourg</option>
          <option value="MO">Macao</option>
          <option value="MK">Macedonia</option>
          <option value="MG">Madagascar</option>
          <option value="MW">Malawi</option>
          <option value="MY">Malaysia</option>
          <option value="MV">Maldives</option>
          <option value="ML">Mali</option>
          <option value="MT">Malta</option>
          <option value="MH">Marshall Islands</option>
          <option value="MQ">Martinique</option>
          <option value="MR">Mauritania</option>
          <option value="MU">Mauritius</option>
          <option value="YT">Mayotte</option>
          <option value="MX">Mexico</option>
          <option value="FM">Micronesia</option>
          <option value="MD">Moldova</option>
          <option value="MC">Monaco</option>
          <option value="MN">Mongolia</option>
          <option value="ME">Montenegro</option>
          <option value="MS">Montserrat</option>
          <option value="MA">Morocco</option>
          <option value="MZ">Mozambique</option>
          <option value="MM">Myanmar</option>
          <option value="NA">Namibia</option>
          <option value="NR">Nauru</option>
          <option value="NP">Nepal</option>
          <option value="NL">Netherlands</option>
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          <option value="PY">Paraguay</option>
          <option value="PE">Peru</option>
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          <option value="PN">Pitcairn</option>
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          <option value="RW">Rwanda</option>
          <option value="BL">Saint Barthelemy</option>
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          <option value="PM">Saint Pierre and Miquelon</option>
          <option value="VC">Saint Vincent and the Grenadines</option>
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          <option value="SN">Senegal</option>
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          <option value="SX">Sint Maarten</option>
          <option value="SK">Slovakia</option>
          <option value="SI">Slovenia</option>
          <option value="SB">Solomon Islands</option>
          <option value="SO">Somalia</option>
          <option value="ZA">South Africa</option>
          <option value="GS">South Georgia and the South Sandwich Islands</option>
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          <option value="SS">South Sudan</option>
          <option value="LK">Sri Lanka</option>
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          <option value="SJ">Svalbard and Jan Mayen</option>
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          <option value="SE">Sweden</option>
          <option value="CH">Switzerland</option>
          <option value="SY">Syria</option>
          <option value="TW">Taiwan</option>
          <option value="TJ">Tajikistan</option>
          <option value="TZ">Tanzania</option>
          <option value="TH">Thailand</option>
          <option value="TG">Togo</option>
          <option value="TK">Tokelau</option>
          <option value="TO">Tonga</option>
          <option value="TT">Trinidad and Tobago</option>
          <option value="TN">Tunisia</option>
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          <option value="TV">Tuvalu</option>
          <option value="VI">U.S. Virgin Islands</option>
          <option value="UG">Uganda</option>
          <option value="UA">Ukraine</option>
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          <option value="UM">United States Minor Outlying Islands</option>
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          <option value="UZ">Uzbekistan</option>
          <option value="VU">Vanuatu</option>
          <option value="VA">Vatican</option>
          <option value="VE">Venezuela</option>
          <option value="VN">Vietnam</option>
          <option value="WF">Wallis and Futuna</option>
          <option value="EH">Western Sahara</option>
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Text Content

RÉCUPÉREZ LES VISUALISATIONS DE AYAMI TAKAHASHI SOUS FORME DE RAPPORT

0 j:0 h:14 m:55 s
Voulez-vous savoir quand allez-vous rencontrer votre Âme Soeur ?
mais aussi le lieu de votre rencontre, quel est son caractère, sa situation
financière, sa situation amoureuse actuelle, son signe astro et plein d'autres
informations... 
OFFRE SPÉCIALE RAPPORT COMPLET SUR VOTRE ÂME SOEUR : 19€ au lieu de 232€

Ayami Takahashi a aidé plus de 4178 personnes à travers le monde à trouver
l'amour grâce à ses visions puissantes et en utilisant la numerologie pour
prédire la date de votre rencontre.


C'est en se connectant à votre âme que Ayami Takahashi visualise votre Âme Soeur
pour recevoir plein d'informations sur lui qu'elle reçoit par clairvoyance.

Souhaitez-vous recevoir UN RAPPORT COMPLET d'une dizaine de pages concernant
votre âme soeur ? 


VOICI CE QUE VOUS ALLEZ RECEVOIR :
 * La période la plus favorable à votre réunion d'âmes et votre rencontre
   
 * Lecture de personnalité complète de votre âme soeur
   
 * Ses traits de caractère
   
 * Ses forces et ses faiblesses
 * Ses relations amicales et familiales
 * Son métier 
 * Sa situation financière
   
 * Sa situation amoureuse actuelle
 * Son signe astrologique
   
 * Lecture de Connexion d'âme soeur des vies passées
 * Vos taux de compatibilité sur les plans émotionnels et relationnel, physique
   et sexuel, communication et intellectuel
 * Ses valeurs et croyances


OUI, JE VEUX AJOUTER LES INFORMATIONS SUR MA VIE PASSÉE AVEC MON ÂME SOEUR À MA
COMMANDE

RECOMMANDÉ - 9€ AU LIEU DE 287€

Au cours de vos vies antérieures, vous et votre âme sœur avez connu des
événements intenses. 


Grâce aux séances de visualisation approfondies, Ayami Takahashi peut identifier
les moments et les lieux où ces expériences ont eu lieu. 


Ayami vous guidera à travers vos vies passées pour vous aider à comprendre les
modèles karmiques qui vous ont réunis. 


Avec l'aide d'Ayami, vous obtiendrez une compréhension plus profonde de vos
expériences de vies antérieures avec votre âme sœur, notamment les leçons que
vous avez apprises, les obstacles que vous avez rencontrés et les liens que vous
avez créés. En découvrant les secrets de votre connexion d'âme sœur, vous pouvez
renforcer votre lien et surmonter les défis auxquels vous pourriez faire face
ensemble.


Ajoutez cette visualisation à votre commande à 9€ au lieu de 287€ habituellement
et plongez dans votre vie antérieure.


VÉRIFIEZ VOS INFORMATIONS POUR ÊTRE SÛR DE RECEVOIR TOUTES LES INFORMATIONS SUR
VOTRE ÂME SOEUR

Votre nom
Votre prénom
Votre nom de famille
Votre adresse email
Nom de societé
Nom de societé


Numéro de téléphone
Numéro de téléphone


ADRESSE DE FACTURATION

United StatesUnited KingdomCanadaFranceGermanySpainItalyIrelandAustraliaNew
Zealand-----------AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Saint Eustatius and Saba Bosnia and HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBritish Virgin
IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos
IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech
RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican
RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFrench
GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIsle of ManIsraelIvory
CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of
the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and
NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the
GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth KoreaSouth SudanSri LankaSudanSurinameSvalbard and
Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin
IslandsUgandaUkraineUnited Arab EmiratesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern
SaharaYemenZambiaZimbabwe
Sélectionnez votre
régionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Département
Adresse postale
Ville
Code postal
United StatesUnited KingdomCanadaFranceGermanySpainItalyIrelandAustraliaNew
Zealand-----------AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Saint Eustatius and Saba Bosnia and HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBritish Virgin
IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos
IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech
RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican
RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFrench
GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIsle of ManIsraelIvory
CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of
the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and
NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the
GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth KoreaSouth SudanSri LankaSudanSurinameSvalbard and
Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin
IslandsUgandaUkraineUnited Arab EmiratesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern
SaharaYemenZambiaZimbabwe
Sélectionnez votre
régionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict
of
ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Département
Code postal
United StatesUnited KingdomCanadaFranceGermanySpainItalyIrelandAustraliaNew
Zealand-----------AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Saint Eustatius and Saba Bosnia and HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBritish Virgin
IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos
IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech
RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican
RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFrench
GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIsle of ManIsraelIvory
CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana
IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of
the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and
NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the
GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth KoreaSouth SudanSri LankaSudanSurinameSvalbard and
Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad
and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin
IslandsUgandaUkraineUnited Arab EmiratesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern
SaharaYemenZambiaZimbabwe
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 * Paiement total
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