www.e-rewards.fr
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2600:9000:223c:3000:17:82bf:5ac0:93a1
Public Scan
Submitted URL: https://click.mail.all.com/?qs=d2fe9720465ea21114c3a65256cfebcaafa5a488f952f015d931b9b6c1bca04210b4108b8a3dcc41e3cefac0e779...
Effective URL: https://www.e-rewards.fr/fr/signup?id=wwvviazemxszkxv&sourceid=ml-20221008-SE-ALL-ALL-Partner-Bicester&uauid=aa93bfa8c1c4...
Submission: On October 13 via api from FR — Scanned from GB
Effective URL: https://www.e-rewards.fr/fr/signup?id=wwvviazemxszkxv&sourceid=ml-20221008-SE-ALL-ALL-Partner-Bicester&uauid=aa93bfa8c1c4...
Submission: On October 13 via api from FR — Scanned from GB
Form analysis 1 forms found in the DOM
Name: ff.form —
<form name="ff.form" ng-submit="ff.submit()" novalidate="" autocomplete="off" class="ng-pristine ng-valid-pattern ng-invalid ng-invalid-required ng-valid-email ng-valid-match">
<!-- Prevent autocompletes -->
<input type="password" style="display: none">
<ng-transclude>
<div class="twoColumns ng-scope">
<div class="col-1">
<div class="form-description ng-scope" form-group-desc="">
<div ng-bind-html="$root.unsafeHTML(ff.getActiveGroup().description)" class="ng-binding">
<h2>Inscrivez-vous</h2>
<p>Participez à des sondages et gagnez de superbes récompenses!</p>
<p>Vous avez déjà un compte ? <a href="login">Se connecter ici</a>
</p>
</div>
</div>
<div style="margin-bottom: 30px; margin-top: 30px; text-align: center">
<div prefix="Adhérer avec"></div>
</div>
<div class="form-description" ng-bind-html-recompile="vm.campaignTranslations.offer">
<p class="ng-scope"> Inscrivez-vous des aujourd’hui pour recevoir un bonus de <strong>250 points Reward</strong> lorsque vous complétez votre premier sondage. </p>
</div>
<!-- ngIf: vm.campaignTranslations -->
<div ng-if="vm.campaignTranslations" class="terms-link ng-scope">
<a href="" ng-click="vm.createTermsModal()" class="ng-binding"></a>
</div><!-- end ngIf: vm.campaignTranslations -->
</div>
<div class="col-2">
<div form-steps="" class="ng-scope">
<div class="reg-steps">
<ul class="steps">
<!-- ngRepeat: group in ff.groups -->
<li ng-repeat="group in ff.groups" ng-class="{ active: ff.activeGroupIndex === $index }" class="ng-scope active">
<span class="step-label"><b class="ng-binding">1</b></span>
<span class="step-text ng-binding">Vos informations</span>
</li><!-- end ngRepeat: group in ff.groups -->
<li ng-repeat="group in ff.groups" ng-class="{ active: ff.activeGroupIndex === $index }" class="ng-scope">
<span class="step-label"><b class="ng-binding">2</b></span>
<span class="step-text ng-binding">Terminer</span>
</li><!-- end ngRepeat: group in ff.groups -->
</ul>
</div>
</div>
<div form-elements="" class="ng-scope"><!-- ngIf: ff.formCannotLoad -->
<!-- ngIf: !ff.formCannotLoad -->
<div cg-busy="ff.isLoadingPromise" ng-if="!ff.formCannotLoad" class="ng-scope" style="position: relative;">
<!-- Global Errors -->
<div class="form-type1-row field-global-errors ng-hide ng-inactive" ng-show="ff.hasGlobalErrors()" ng-messages="" for="ff.globalErrors">
<span class="fa fa-exclamation-circle field-global-error-icon" aria-hidden="true"></span>
<!-- ngMessagesInclude: v-error-messages --><!-- ngMessage: birthDate -->
<!-- ngMessage: required -->
<!-- ngMessage: number -->
<!-- ngMessage: date -->
<!-- ngMessage: email -->
<!-- ngMessage: pattern -->
<!-- ngMessage: emailMatch -->
<!-- ngMessage: existingPostalCode -->
<!-- ngMessage: passwordMatch -->
<!-- ngMessage: uniqueEmail -->
<!-- ngMessage: alternateEmailNotMatchPrimary -->
<!-- ngMessage: error_ageMin -->
<!-- ngMessage: error_requiredDataMissing -->
<!-- ngMessage: error_brandNotExist -->
<!-- ngMessage: error_consentNotGiven -->
<!-- ngMessage: error_captcha -->
<!-- ngMessage: error_emailExist -->
<!-- ngMessage: error_enrollmentSuspended -->
<!-- ngMessage: error_generalError -->
<!-- ngMessage: error_invalidCaptcha -->
<!-- ngMessage: error_inactivePanel -->
<!-- ngMessage: error_invalidCredentials -->
<!-- ngMessage: error_invalidToken -->
<!-- ngMessage: error_mobileNotVerified -->
<!-- ngMessage: error_panelNotExist -->
<!-- ngMessage: error_passwordNotMatch -->
<!-- ngMessage: error_invalidValue -->
<!-- ngMessage: error_passwordRequirementFail -->
<!-- ngMessage: error_postalCode -->
<!-- ngMessage: error_unexpectedError -->
<!-- ngMessage: error_userDeleted -->
<!-- ngMessage: error_userLocked -->
<!-- ngMessage: error_userNotFound -->
<!-- ngMessage: error_resourceNotFound -->
<!-- ngMessage: error_taxFormRequired -->
<!-- ngMessage: error_resourceDoesNotExist -->
<!-- ngMessage: error_wrongAnswer -->
<!-- ngMessage: error_wrongPassword -->
<!-- ngMessage: error_matchCurrentPassword -->
<!-- ngMessage: error_noVouchersAvailable -->
<!-- ngMessage: error_exceeded_points_per_time -->
<!-- ngMessage: error_exceeded_awards_at_once -->
<!-- ngMessage: error_exceeded_redemptions_per_time -->
<!-- ngMessage: error_exceeded_redemptions_per_time_per_reward -->
<!-- ngMessage: minlength -->
</div>
<!-- Formly Form Elements -->
<ng-form class="form-type1 formly ng-pristine ng-valid ng-isolate-scope" name="formly_1" role="form" form="ff.form" ng-show="ff.formReady" model="ff.model" fields="ff.formFields">
<!-- ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-partnerAssignedIdFull" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"> <!-- ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<!-- ngIf: def.inputType != 'hidden' --><label class="form-type1-title ng-scope" for="firstName" ng-if="def.inputType != 'hidden'">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Prénom</span>
<!-- ngIf: (form.$submitted || !form[field].$pristine || displayErrors) && (overrideErrorMsg == undefined) && !showModal && !def.disabled && !showRetryButton -->
<!-- ngIf: (def.__key == 'partnerAssignedId') && (overrideErrorMsg != undefined) && !showRetryButton -->
<!-- ngIf: (form[field].$valid && form[field].$dirty && !form[field].$pristine && !displayErrors) || def.disabled -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label><!-- end ngIf: def.inputType != 'hidden' -->
<input pattern="^[a-zA-ZÀ-ÿ]+(([',. -][a-zA-ZÀ-ÿ ])?[a-zA-ZÀ-ÿ]*)*$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="text"
name="firstName" id="firstName" custom-validation="customValidation" ng-focus="true" ng-class="{'field-disabled': def.disabled, 'ng-invalid ng-dirty': displayErrors}" ng-disabled="def.disabled" ng-required="def.required"
ng-model="options.model[field]" ng-model-options="{debounce: 1200}" placeholder="" formly-custom-validation="" required="required">
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<!-- ngIf: def.inputType != 'hidden' --><label class="form-type1-title ng-scope" for="lastName" ng-if="def.inputType != 'hidden'">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Nom</span>
<!-- ngIf: (form.$submitted || !form[field].$pristine || displayErrors) && (overrideErrorMsg == undefined) && !showModal && !def.disabled && !showRetryButton -->
<!-- ngIf: (def.__key == 'partnerAssignedId') && (overrideErrorMsg != undefined) && !showRetryButton -->
<!-- ngIf: (form[field].$valid && form[field].$dirty && !form[field].$pristine && !displayErrors) || def.disabled -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label><!-- end ngIf: def.inputType != 'hidden' -->
<input pattern="^[a-zA-ZÀ-ÿ]+(([',. -][a-zA-ZÀ-ÿ ])?[a-zA-ZÀ-ÿ]*)*$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="text"
name="lastName" id="lastName" custom-validation="customValidation" ng-focus="true" ng-class="{'field-disabled': def.disabled, 'ng-invalid ng-dirty': displayErrors}" ng-disabled="def.disabled" ng-required="def.required"
ng-model="options.model[field]" ng-model-options="{debounce: 1200}" placeholder="" formly-custom-validation="" required="required">
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<!-- ngIf: def.inputType != 'hidden' --><label class="form-type1-title ng-scope" for="partnerAssignedId" ng-if="def.inputType != 'hidden'">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Numéro de fidélité Accor Live Limitless</span>
<!-- ngIf: (form.$submitted || !form[field].$pristine || displayErrors) && (overrideErrorMsg == undefined) && !showModal && !def.disabled && !showRetryButton -->
<!-- ngIf: (def.__key == 'partnerAssignedId') && (overrideErrorMsg != undefined) && !showRetryButton -->
<!-- ngIf: (form[field].$valid && form[field].$dirty && !form[field].$pristine && !displayErrors) || def.disabled -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label><!-- end ngIf: def.inputType != 'hidden' -->
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="text" name="partnerAssignedId" id="partnerAssignedId"
custom-validation="customValidation" ng-focus="true" ng-class="{'field-disabled': def.disabled, 'ng-invalid ng-dirty': displayErrors}" ng-disabled="def.disabled" ng-required="def.required" ng-model="options.model[field]"
ng-model-options="{debounce: 1200}" placeholder="" formly-custom-validation="" required="required">
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<!-- ngIf: def.inputType != 'hidden' -->
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-valid ng-isolate-scope ng-empty ng-valid-pattern ng-valid-required" type="hidden" name="loyaltyTier" id="loyaltyTier"
custom-validation="customValidation" ng-focus="true" ng-class="{'field-disabled': def.disabled, 'ng-invalid ng-dirty': displayErrors}" ng-disabled="def.disabled" ng-required="def.required" ng-model="options.model[field]"
ng-model-options="{debounce: 1200}" placeholder="" formly-custom-validation="">
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<!-- ngIf: showRetryButton -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-select" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div class="form-type1-row ng-scope" ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" ng-init="field = def.__key">
<!-- Error Handling -->
<label class="form-type1-title" for="gender">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Sexe</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<select class="form-type1-select ng-pristine ng-untouched ng-empty ng-invalid ng-invalid-required" name="gender" id="gender" ng-model="options.model[field]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">Faites une sélection</option>
<!-- ngRepeat: option in def.values track by $index -->
<option value="M" ng-repeat="option in def.values track by $index" class="ng-binding ng-scope">Homme</option><!-- end ngRepeat: option in def.values track by $index -->
<option value="F" ng-repeat="option in def.values track by $index" class="ng-binding ng-scope">Femme</option><!-- end ngRepeat: option in def.values track by $index -->
</select>
<!-- ngIf: def.supportingText -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-birthDate" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling -->
<label class="form-type1-title">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.label)" class="ng-binding">Date de naissance</span>
<span class="field-errors">
<!-- ngIf: form.$submitted || (!form.month.$pristine && !form.day.$pristine && !form.year.$pristine) -->
<!-- ngIf: birthDateField.complete && birthDateField.validDob && birthDateField.minAge -->
</span>
</label>
<div class="form-type1-inline-date">
<!-- ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select day ng-empty ng-invalid ng-invalid-required" name="day" id="day" ng-change="validateBirthDate()"
ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">jour</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="01" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">01</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="02" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">02</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="03" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">03</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="04" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">04</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="05" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">05</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="06" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">06</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="07" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">07</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="08" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">08</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="09" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">09</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="10" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">10</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="11" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">11</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="12" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">12</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="13" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">13</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="14" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">14</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="15" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">15</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="16" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">16</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="17" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">17</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="18" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">18</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="19" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">19</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="20" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">20</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="21" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">21</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="22" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">22</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="23" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">23</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="24" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">24</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="25" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">25</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="26" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">26</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="27" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">27</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="28" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">28</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="29" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">29</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="30" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">30</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="31" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">31</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select month ng-empty ng-invalid ng-invalid-required" name="month" id="month"
ng-change="validateBirthDate()" ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">mois</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="01" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">01</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="02" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">02</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="03" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">03</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="04" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">04</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="05" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">05</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="06" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">06</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="07" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">07</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="08" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">08</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="09" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">09</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="10" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">10</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="11" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">11</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="12" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">12</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] --><select ng-repeat="key in ['day', 'month', 'year']" class="form-type1-select year ng-empty ng-invalid ng-invalid-required" name="year" id="year"
ng-change="validateBirthDate()" ng-model="birthDateField[key]" ng-required="true" formly-custom-validation="" required="required">
<option value="" selected="" disabled="" style="display:none" class="ng-binding">année</option>
<!-- ngRepeat: option in dateOptions[key] track by $index -->
<option value="2022" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2022</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2021" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2021</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2020" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2020</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2019" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2019</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2018" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2018</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2017" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2017</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2016" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2016</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2015" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2015</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2014" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2014</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2013" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2013</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2012" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2012</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2011" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2011</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2010" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2010</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2009" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2009</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2008" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2008</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2007" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2007</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2006" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2006</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2005" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2005</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2004" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2004</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2003" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2003</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2002" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2002</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2001" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2001</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="2000" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">2000</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1999" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1999</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1998" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1998</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1997" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1997</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1996" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1996</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1995" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1995</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1994" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1994</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1993" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1993</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1992" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1992</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1991" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1991</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1990" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1990</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1989" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1989</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1988" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1988</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1987" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1987</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1986" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1986</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1985" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1985</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1984" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1984</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1983" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1983</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1982" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1982</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1981" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1981</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1980" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1980</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1979" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1979</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1978" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1978</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1977" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1977</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1976" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1976</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1975" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1975</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1974" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1974</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1973" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1973</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1972" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1972</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1971" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1971</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1970" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1970</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1969" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1969</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1968" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1968</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1967" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1967</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1966" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1966</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1965" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1965</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1964" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1964</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1963" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1963</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1962" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1962</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1961" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1961</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1960" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1960</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1959" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1959</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1958" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1958</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1957" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1957</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1956" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1956</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1955" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1955</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1954" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1954</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1953" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1953</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1952" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1952</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1951" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1951</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1950" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1950</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1949" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1949</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1948" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1948</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1947" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1947</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1946" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1946</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1945" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1945</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1944" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1944</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1943" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1943</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1942" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1942</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1941" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1941</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1940" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1940</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1939" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1939</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1938" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1938</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1937" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1937</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1936" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1936</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1935" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1935</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1934" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1934</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1933" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1933</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1932" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1932</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1931" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1931</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1930" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1930</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1929" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1929</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1928" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1928</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1927" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1927</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1926" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1926</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1925" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1925</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1924" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1924</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1923" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1923</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
<option value="1922" ng-repeat="option in dateOptions[key] track by $index" class="ng-binding ng-scope">1922</option><!-- end ngRepeat: option in dateOptions[key] track by $index -->
</select><!-- end ngRepeat: key in ['day', 'month', 'year'] -->
</div>
<!-- ngIf: options.templateOptions.model.birthDate.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-postal" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
<div class="form-type1-row ng-scope" ng-init="field = def.__key" ng-if="(def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text'">
<!-- Error Handling -->
<label class="form-type1-title" for="streetAddress1">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Adresse postale, ligne 1 :</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<!-- ngIf: def.inputType === 'postal' -->
<!-- ngIf: def.inputType === 'text' --><input ng-if="def.inputType === 'text'" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-scope ng-empty ng-invalid ng-invalid-required ng-valid-pattern" type="text"
name="streetAddress1" id="streetAddress1" ng-disabled="def.readOnly" ng-required="def.required" ng-pattern="" ng-model="options.model[field]" placeholder="" formly-custom-validation=""
required="required"><!-- end ngIf: def.inputType === 'text' -->
<!-- ngIf: def.inputType === 'select' && def.values.length > 0 -->
<!-- ngIf: def.supportingText -->
</div><!-- end ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
<div class="form-type1-row ng-scope" ng-init="field = def.__key" ng-if="(def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text'">
<!-- Error Handling -->
<label class="form-type1-title" for="streetAddress2">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Adresse postale, ligne 2 :</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<!-- ngIf: def.inputType === 'postal' -->
<!-- ngIf: def.inputType === 'text' --><input ng-if="def.inputType === 'text'" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-valid ng-scope ng-empty ng-valid-pattern ng-valid-required" type="text"
name="streetAddress2" id="streetAddress2" ng-disabled="def.readOnly" ng-required="def.required" ng-pattern="" ng-model="options.model[field]" placeholder="" formly-custom-validation=""><!-- end ngIf: def.inputType === 'text' -->
<!-- ngIf: def.inputType === 'select' && def.values.length > 0 -->
<!-- ngIf: def.supportingText -->
</div><!-- end ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
<div class="form-type1-row ng-scope" ng-init="field = def.__key" ng-if="(def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text'">
<!-- Error Handling -->
<label class="form-type1-title" for="40">
<span ng-bind-html="$root.unsafeHTML(def.label)" class="ng-binding">Quel est votre code postal ?</span>
<!-- ngIf: form.$submitted || !form[field].$pristine -->
<!-- ngIf: form[field].$valid && form[field].$dirty && !form[field].$pristine -->
<!-- ngIf: form[field].$pending && form[field].$dirty -->
</label>
<!-- ngIf: def.inputType === 'postal' --><input ng-if="def.inputType === 'postal'" data-postalcode-check="1" autocomplete="off"
class="form-type1-text one-third ng-pristine ng-untouched ng-scope ng-isolate-scope ng-empty ng-invalid ng-invalid-required ng-valid-pattern" type="text" name="40" id="40" custom-validation="customValidation"
ng-disabled="def.readOnly" ng-required="def.required" ng-pattern=".*" ng-model="postalTemp" ng-model-options="{debounce: 700}" placeholder="" formly-custom-validation=""
required="required"><!-- end ngIf: def.inputType === 'postal' -->
<!-- ngIf: def.inputType === 'text' -->
<!-- ngIf: def.inputType === 'select' && def.values.length > 0 -->
<!-- ngIf: def.supportingText -->
</div><!-- end ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
<div ng-repeat="def in options.templateOptions.model | customSortObjectByKey: 'displayOrder'" class="ng-scope">
<!-- ngIf: (def.inputType === 'select' && def.values.length > 0) || def.inputType === 'postal' || def.inputType === 'text' -->
</div><!-- end ngRepeat: def in options.templateOptions.model | customSortObjectByKey: 'displayOrder' -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-confirmEmail" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling for Email -->
<label class="form-type1-title" for="email">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.email.label)" class="ng-binding">Courriel</span>
<!-- ngIf: form.$submitted || !form.email.$pristine -->
<!-- ngIf: form.email.$valid && form.email.$dirty && !form.email.$pristine -->
<!-- ngIf: form.email.$pending && form.email.$dirty -->
</label>
<input pattern="^\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-email ng-valid-pattern ng-invalid ng-invalid-required"
type="email" name="email" id="email" ng-disabled="options.templateOptions.model.email.readOnly" ng-required="options.templateOptions.model.email.required" ng-model="options.model.email" ng-model-options="{debounce: 700}"
placeholder="" custom-email="^\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*$" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.email.supportingText -->
</div>
<div class="form-type1-row ng-scope">
<!-- Error Handling for Confirm Email -->
<label class="form-type1-title" for="confirmEmail">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.confirmEmail.label)" class="ng-binding">Confirmez votre courriel</span>
<!-- ngIf: form.$submitted || !form.confirmEmail.$pristine -->
<!-- ngIf: form.confirmEmail.$valid && form.confirmEmail.$dirty && !form.confirmEmail.$pristine -->
<span ng-show="form.confirmEmail.$pending && form.confirmEmail.$dirty" class="ng-hide">
<i class="fa fa-spin fa-circle-o-notch" aria-hidden="true"></i>
</span>
</label>
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required ng-valid-match" type="text" name="confirmEmail" id="confirmEmail"
ng-disabled="options.templateOptions.model.confirmEmail.readOnly" ng-required="options.templateOptions.model.confirmEmail.required" ng-model="options.model.confirmEmail" ng-model-options="{debounce: 700}" placeholder=""
field-match="options.model.email" field-message-name="match" formly-custom-validation="" required="required" data-exclude="1">
<!-- ngIf: options.templateOptions.model.emailConfirm.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-passwordConfirm" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling for Password -->
<label class="form-type1-title" for="password">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.password.label)" class="ng-binding">Mot de passe</span>
<!-- ngIf: form.$submitted || !form.password.$pristine -->
<!-- ngIf: form.password.$valid && form.password.$dirty && !form.password.$pristine -->
<!-- ngIf: form.password.$pending && form.password.$dirty -->
</label>
<input pattern="^(?=.*\d)(?=.*[^\d]).{8,100}$" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-empty ng-valid-pattern ng-invalid ng-invalid-required" type="password" name="password" id="password"
ng-disabled="options.templateOptions.model.password.readOnly" ng-required="options.templateOptions.model.password.required" ng-model="options.model.password" ng-model-options="{debounce: 700}" placeholder=""
custom-password="^(?=.*\d)(?=.*[^\d]).{8,100}$" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.password.supportingText -->
<div class="form-help-text ng-binding ng-scope" ng-if="options.templateOptions.model.password.supportingText" ng-bind-html="$root.unsafeHTML(options.templateOptions.model.password.supportingText)">Vous devez saisir un minimum de 8
caractères comprenant au moins une (1) lettre et un (1) chiffre</div><!-- end ngIf: options.templateOptions.model.password.supportingText -->
</div>
<div class="form-type1-row ng-scope">
<!-- Error Handling for Confirm Password -->
<label class="form-type1-title" for="confirmPassword">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model.confirmPassword.label)" class="ng-binding">Confirmez votre mot de passe</span>
<!-- ngIf: form.$submitted || !form.confirmPassword.$pristine -->
<!-- ngIf: form.confirmPassword.$valid && form.confirmPassword.$dirty && !form.confirmPassword.$pristine -->
<!-- ngIf: form.confirmPassword.$pending && form.confirmPassword.$dirty -->
</label>
<input pattern="" autocomplete="off" class="form-type1-text ng-pristine ng-untouched ng-isolate-scope ng-empty ng-valid-pattern ng-invalid ng-invalid-required ng-valid-match" type="password" name="confirmPassword"
id="confirmPassword" ng-disabled="options.templateOptions.model.confirmPassword.readOnly" ng-required="options.templateOptions.model.confirmPassword.required" ng-model="options.model.confirmPassword"
ng-model-options="{debounce: 700}" placeholder="" field-match="options.model.password" field-message-name="match" formly-custom-validation="" required="required">
<!-- ngIf: options.templateOptions.model.confirmPassword.supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-recaptcha" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index">
<div class="form-type1-row ng-scope">
<!-- Error Handling -->
<label class="form-type1-title" for="recaptcha">
<span ng-bind-html="$root.unsafeHTML(options.templateOptions.model[options.key].label)" class="ng-binding">Veuillez saisir le captcha ci-dessous :</span>
<!-- ngIf: form.$submitted || !form[options.key].$pristine -->
<!-- ngIf: form[options.key].$valid && form[options.key].$dirty && !form[options.key].$pristine -->
<!-- ngIf: form[options.key].$pending && form[options.key].$dirty -->
</label>
<input type="hidden" name="recaptcha" ng-model="options.model[options.key]" id="ff.form_recaptcha_recaptcha_6" formly-custom-validation="" class="ng-pristine ng-untouched ng-valid ng-empty">
<div class="form-type1-row">
<div class="g-recaptcha" id="recaptcha_1665640749044">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcRhCIUAAAAAIXbvq3leyKjtt8gt5CzBOi8Ezqt&co=aHR0cHM6Ly93d3cuZS1yZXdhcmRzLmZyOjQ0Mw..&hl=fr&v=vP4jQKq0YJFzU6e21-BGy3GP&size=normal&cb=megbhmxt3qcg"
width="304" height="78" role="presentation" name="a-j12cy7dob484" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div>
<!-- ngIf: options.templateOptions.model[options.key].supportingText -->
</div>
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields --><!-- ngIf: !field.hide -->
<div formly-field="" ng-repeat="field in fields " ng-if="!field.hide" class="formly-field ng-scope ng-isolate-scope formly-field-consent" options="field" model="field.model || model" original-model="model" fields="fields"
form="theFormlyForm" form-id="formly_1" form-state="options.formState" form-options="options" index="$index"><!-- Consent -->
<!-- ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Vous devez sélectionner une des réponses suivantes.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer first" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_85_">
<input autocomplete="off" id="sstb_85_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">J'autorise la collecte, l'utilisation et le partage des données de profil que je fournis dans le but de participer à l'étude de marché</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Vous devez sélectionner une des réponses suivantes.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_86_">
<input autocomplete="off" id="sstb_86_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">J’ai lu, compris et accepté la <a href="https://www.e-rewards.fr/privacy" target="_blank">
Politique de confidentialité
</a> .</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
<div class="parameter-rendered ng-scope checkbox_grid" ng-repeat="(parameterId, parameter) in parameters[0]" ng-class="getParameterClass(parameter)">
<div class="field-errors ng-hide" ng-show="!isValidAnswerValue(parameter, options.model[parameterId]) && !isValidForm">
<span class="ng-binding">* Vous devez sélectionner une des réponses suivantes.</span>
</div>
<!-- ngIf: parameter.values.length > 0 -->
<div class="questionAndAnswerWrap ng-scope" ng-if="parameter.values.length > 0">
<div class="answers">
<!-- ngIf: hasParameterClass('checkbox_grid', parameter) -->
<div ng-if="hasParameterClass('checkbox_grid', parameter)" class="ng-scope">
<div class="answer" ng-class="{'first':$index === 0}">
<div class="answer-wrapper">
<label for="sstb_87_">
<input autocomplete="off" id="sstb_87_" class="multi_select ng-pristine ng-untouched ng-valid ng-empty ng-valid-required" type="checkbox" ng-disabled="isAnswerDisabled(parameter, answer)"
ng-model="options.model[parameter.parameterId]" ng-required="false" ng-true-value="'296151'" ng-false-value="'296153'" name="ff.form_consent_85_7" formly-custom-validation="">
<span ng-bind-html="sanitizeHtml(parameter.label)" class="ng-binding">J’ai lu, compris et accepté les <a href="https://www.e-rewards.fr/terms" target="_blank">Conditions générales</a>. Je comprends que, pour bénéficier
du service, je recevrai des emails concernant les enquêtes pertinentes et les mises à jour de l’abonnement.</span>
</label>
</div>
</div>
</div><!-- end ngIf: hasParameterClass('checkbox_grid', parameter) -->
</div>
</div><!-- end ngIf: parameter.values.length > 0 -->
</div><!-- end ngRepeat: (parameterId, parameter) in parameters[0] -->
</div><!-- end ngIf: !field.hide --><!-- end ngRepeat: field in fields -->
<div ng-transclude="" class=""></div>
</ng-form>
<!-- Submit Actions -->
<!-- ngIf: ff.formReady && ff.flareFormsShowSubmit -->
<div class="form-type1-row form-type1-actions ng-scope" ng-if="ff.formReady && ff.flareFormsShowSubmit">
<button type="submit" ng-class="{ valid: ff.form.$valid }" class="button button-yellow buttonSecondary button-medium submit">
<span class="ng-binding">CONTINUER</span>
</button>
<span ng-show="vm.submitStatus === 'pending'" class="ng-hide">
<i class="fa fa-spin fa-circle-o-notch" aria-hidden="true"></i>
</span>
<span class="field-errors ng-binding ng-hide" ng-show="ff.form.$invalid && ff.form.$submitted"> Le formulaire contient des erreurs </span>
</div><!-- end ngIf: ff.formReady && ff.flareFormsShowSubmit -->
<div class="cg-busy cg-busy-backdrop cg-busy-backdrop-animation ng-scope ng-hide" ng-show="$cgBusyIsActive()"></div>
<div class="cg-busy cg-busy-animation ng-scope ng-hide" ng-show="$cgBusyIsActive()">
<div class="cg-busy-default-wrapper" style="position: absolute; inset: 0px;">
<div class="cg-busy-default-sign">
<div class="cg-busy-default-spinner">
<div class="bar1"></div>
<div class="bar2"></div>
<div class="bar3"></div>
<div class="bar4"></div>
<div class="bar5"></div>
<div class="bar6"></div>
<div class="bar7"></div>
<div class="bar8"></div>
<div class="bar9"></div>
<div class="bar10"></div>
<div class="bar11"></div>
<div class="bar12"></div>
</div>
<div class="cg-busy-default-text ng-binding">Chargement en cours...</div>
</div>
</div>
</div>
</div><!-- end ngIf: !ff.formCannotLoad -->
</div>
</div>
</div>
</ng-transclude>
<input type="hidden" name="ra_1" id="ra_1" style="width:1200px" value="4bb80361-7823-4bb5-8b81-f203bd84842d"><input type="hidden" name="ra_2" id="ra_2" style="width:1200px" value="98abcde2-3bf1-47b1-a153-18a15530b1a5"><input type="hidden"
name="ra_3" id="ra_3" style="width:1200px" value="e58bc7fe-ff68-655c-bbe8-4430fc37f8c3"><label for="ra__511969" aria-hidden="true"
style="display: inline-block !important; height: 0 !important; width: 0 !important; border: 0 !important; padding: 0 !important; margin: 0 !important" tabindex="-1"></label><input type="text" id="ra__511969" data-exclude="1"
style="height: 0 !important; width: 0 !important; border: 0 !important; padding: 0 !important; margin: 0 !important" tabindex="-1">
</form>Text Content
VOUS ÊTES DÉJÀ INSCRIT Bonjour , l'adresse électronique est déjà enregistrée et votre compte est prêt à être utilisé. Si vous souhaitez réinitialiser votre mot de passe et continuer à participer, veuillez cliquer ici Nous vous remercions de l'intérêt que vous nous portez ! Nous ne sommes actuellement pas en mesure d'accepter votre inscription. Conditions générales INSCRIVEZ-VOUS Participez à des sondages et gagnez de superbes récompenses! Vous avez déjà un compte ? Se connecter ici Inscrivez-vous des aujourd’hui pour recevoir un bonus de 250 points Reward lorsque vous complétez votre premier sondage. * 1 Vos informations * 2 Terminer Prénom Nom Numéro de fidélité Accor Live Limitless Sexe Faites une sélection HommeFemme Date de naissance jour 01020304050607080910111213141516171819202122232425262728293031 mois 010203040506070809101112 année 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922 Adresse postale, ligne 1 : Adresse postale, ligne 2 : Quel est votre code postal ? Courriel Confirmez votre courriel Mot de passe Vous devez saisir un minimum de 8 caractères comprenant au moins une (1) lettre et un (1) chiffre Confirmez votre mot de passe Veuillez saisir le captcha ci-dessous : * Vous devez sélectionner une des réponses suivantes. J'autorise la collecte, l'utilisation et le partage des données de profil que je fournis dans le but de participer à l'étude de marché * Vous devez sélectionner une des réponses suivantes. J’ai lu, compris et accepté la Politique de confidentialité . * Vous devez sélectionner une des réponses suivantes. J’ai lu, compris et accepté les Conditions générales. Je comprends que, pour bénéficier du service, je recevrai des emails concernant les enquêtes pertinentes et les mises à jour de l’abonnement. CONTINUER Le formulaire contient des erreurs Chargement en cours... Aide Conditions générales Confidentialité Cookies ©2022 Dynata Global UK Limited (f/k/a Research Now Limited), e-Rewards et le logo e-Rewards sont des marques commerciales de Dynata Global UK Limited (f/k/a Research Now Limited). Tous droits réservés. Javascript est apparemment désactivé. Vous devez activer Javascript pour que cette page fonctionne. Veuillez visiter le site http://enable-javascript.com/fr/ pour plus d'informations. We need your consent to proceed We use cookies to personalize and enhance your experience on our site. Visit our Privacy Policy for more information on our data collection practices. By clicking Accept, you agree to our use of cookies for the purposes listed in our Cookie Consent Tool. To see a complete list of the companies that use these cookies and other technologies and to tell us whether they can be used on your device or not, access our Cookie Consent Tool. You will see this message only once, but you will always be able to set your preferences at any time in the Cookie Consent Tool. In addition, find more information about the use of cookies and similar technologies on this site in our Cookie Notice. When you proceed to access our site, the companies listed in the Cookie Consent Tool will use cookies and other technologies. This is further explained in our Cookie Notice. Agree and Access Site Close ✖