www.bertin-instruments.com Open in urlscan Pro
54.37.169.31  Public Scan

Submitted URL: http://link.email.bertin.fr/ls/click?upn=BJxe-2FVxL3U7lYtw5FJaHh4sKrCNpDvc-2FO-2B281lyqe2yXdRnEkysoIjlcLT-2BXMcwKX4AvuMrVKWn...
Effective URL: https://www.bertin-instruments.com/contact/?gammesID=362&utm_plz_email_id=62d7e034eeec375475add60f&cid=6036cf78857a5b6d131bcfc1&utm...
Submission: On July 20 via manual from IN — Scanned from FR

Form analysis 7 forms found in the DOM

GET https://www.bertin-instruments.com

<form method="get" action="https://www.bertin-instruments.com">
  <input type="text" autocomplete="off" value="" placeholder="Your search" name="s" id="s">
</form>

POST https://www.bertin-instruments.com/contact/

<form action="https://www.bertin-instruments.com/contact/" method="post" id="form-contact" novalidate="novalidate">
  <div class="form-contact form-user">
    <div class="part-top" style="margin-bottom: 0">
      <div class="row">
        <div class="col-md-6">
          <label> Email <sup>*</sup><br>
            <input type="email" class="form-input" id="email" name="email" <="" label="">
          </label>
        </div>
        <div class="col-md-6">
          <label>Email confirmation <sup>*</sup><br>
            <input type="text" class="form-input" id="emailconfirm" name="emailconfirm">
          </label>
        </div>
      </div>
      <div class="row">
        <div class="col-md-6">
          <label> Industries of interest <sup>*</sup><br>
            <div class="custom-select">
              <select id="industriesinterest" name="industriesinterest" required="" aria-required="true">
                <option value=""></option>
                <option value="33">Defense &amp; Security</option>
                <option value="36">Environment &amp; Recycling</option>
                <option value="35">Life Sciences</option>
                <option value="32">Nuclear &amp; Health Physics</option>
              </select>
            </div>
          </label>
        </div>
        <div class="col-md-6">
          <label> Requested information <sup>*</sup><br>
            <div class="custom-select">
              <select id="request" name="request">
                <option value="empty"></option>
                <option value="0">Commercial information</option>
                <option value="1">Application information</option>
                <option value="2">Get a quote</option>
                <option value="3">Request for a demo</option>
                <option value="4">Customer &amp; device support</option>
                <option value="6">Subscribe to the Newsletter</option>
                <option value="7">Other</option>
                <option value="8" disabled="disabled">Request a free demo kit</option>
              </select>
            </div>
          </label>
        </div>
      </div>
      <div class="row">
        <div class="col-md-6">
          <label> Interest for <sup>*</sup><br>
            <div class="custom-select select2 ">
              <select id="gammesinterest" name="gammesinterest[]" multiple="" data-select2-id="gammesinterest" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
              </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="1" style="width: 407px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox"
                    aria-haspopup="true" aria-expanded="false" tabindex="-1">
                    <ul class="select2-selection__rendered">
                      <li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="none" spellcheck="false" role="textbox"
                          aria-autocomplete="list" placeholder="" style="width: 0.75em;"></li>
                    </ul>
                  </span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
            </div>
          </label>
        </div>
      </div>
    </div>
    <div class="part-bottom" style="border-bottom: 1px solid rgb(230, 230, 230); margin-top: 35px; padding-bottom: 15px;">
      <div class="commercial conditionnal-form">
        <div class="row">
          <div class="col-md-12">
            <p class="title"></p>
          </div>
        </div>
        <div class="row request-equipement-line" style="display: none;">
          <div class="col-md-6">
            <label> Requested equipment<sup style="display: none;">*</sup><br>
              <div class="custom-select">
                <select id="requestequipement" name="requestequipement">
                  <option value=""></option>
                </select>
              </div>
            </label>
          </div>
          <div class="col-md-6" id="serial-number" style="display: none;">
            <label>Serial number<sup>*</sup><br>
              <div class="custom-input">
                <input type="number" placeholder="xxxx" name="sn-precellys-evolution" id="sn-precellys-evolution" class="form-input" maxlength="4" minlength="4" size="4">
                <label for="sn-precellys-evolution">300 -</label>
                <input type="number" placeholder="xxxx" name="sn-precellys-24" id="sn-precellys-24" class="form-input" maxlength="4" minlength="4" size="4">
                <label for="sn-precellys-24">000 -</label>
                <input type="number" placeholder="xxxx" name="sn-minilys" id="sn-minilys" class="form-input" maxlength="4" minlength="4" size="4">
                <label for="sn-minilys">K</label>
                <input type="number" placeholder="xxx" name="sn-cryolys" id="sn-cryolys" class="form-input" maxlength="3" minlength="3" size="3">
                <input type="number" placeholder="xxxx" name="seri_number_global" id="seri_number_global" class="seri_number_global form-input" maxlength="4" minlength="4" size="4" style="display: none"><label for="seri_number_global"
                  class="seri_number_global" style="display: none"></label>
              </div>
              <span>You will find your serial number either on the back or on the bottom of your instrument.</span>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label>Qualification <sup style="display: none;">*</sup><br>
              <div class="custom-select">
                <select id="qualifications" name="qualifications">
                  <option value=""></option>
                  <option value="Customer">Customer</option>
                  <option value="Distributor">Distributor</option>
                  <option value="Partner">Partner</option>
                  <option value="Potential customer">Potential customer</option>
                  <option value="Potential distributor">Potential distributor</option>
                </select>
              </div>
            </label>
          </div>
          <div class="col-md-6" id="application_section">
            <label>Applications<br>
              <div class="custom-select select2">
                <select id="applications" name="applications[]" multiple="" data-select2-id="applications" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true" style="">
                  <option value="pcr-qpcr"> PCR/qPCR</option>
                  <option value="western-blot"> Western blot</option>
                  <option value="immunofluorescence-if"> Immunofluorescence IF</option>
                  <option value="elisa"> Elisa</option>
                  <option value="mass-spectrometry-chromatography"> Mass Spectrometry/Chromatography</option>
                  <option value="ngs-sequencing-metagenomics"> NGS/ Sequencing/Metagenomics</option>
                  <option value="enzymatic-activity"> Enzymatic activity</option>
                  <option value="chemical-compounds"> Chemical analysis / Biochemicals</option>
                  <option value="cell-culture"> Cell Culture</option>
                  <option value="immunohistochemistry-ihc"> Immunohistochemistry (IHC)</option>
                  <option value="other"> Other</option>
                </select><span class="select2 select2-container select2-container--default" dir="ltr" data-select2-id="2" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--multiple" role="combobox"
                      aria-haspopup="true" aria-expanded="false" tabindex="-1">
                      <ul class="select2-selection__rendered">
                        <li class="select2-search select2-search--inline"><input class="select2-search__field" type="search" tabindex="0" autocomplete="off" autocorrect="off" autocapitalize="none" spellcheck="false" role="textbox"
                            aria-autocomplete="list" placeholder="" style="width: 0.75em;"></li>
                      </ul>
                    </span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
              </div>
            </label>
          </div>
          <div class="col-md-6" id="demokithider" style="display: none;">
            <label> Lysing kit<sup>*</sup><br>
              <div class="custom-select">
                <select name="demokit" id="demokit">
                  <option value=""></option>
                  <option value="1">Hard Tissue homogenizing CK28 – 2mL</option>
                  <option value="2">Hard Tissue homogenizing CK28 – 7mL</option>
                  <option value="21">Hard tissue homogenizing CK28 - 15mL</option>
                  <option value="3">Soft tissue homogenizing CK14 – 0.5mL</option>
                  <option value="4">Soft tissue homogenizing CK14 – 2mL</option>
                  <option value="5">Soft tissue homogenizing CK14 – 7mL</option>
                  <option value="6">Hard Tissue homogenizing CK28-R - 2mL</option>
                  <option value="7">Tissue homogenizing CKMix - 2mL</option>
                  <option value="8">Hard tissue grinding MK28 - 2mL</option>
                  <option value="9">Soil grinding SK38 – 2mL</option>
                  <option value="10">Soil grinding SK38 – 7mL</option>
                  <option value="11">Hard tissue grinding MK28-R - 2mL</option>
                  <option value="12">Tissue grinding CKMix50-R - 2mL</option>
                  <option value="13">Dry hard tissue grinding CK68-R - 2mL</option>
                  <option value="25">Dry hard tissue grinding CK68 - 15mL</option>
                  <option value="14">Tissue grinding CKMix50 - 7mL</option>
                  <option value="15">Tough micro-organism lysing VK05 - 0.5mL</option>
                  <option value="16">Micro-organism lysing VK01 - 2mL</option>
                  <option value="17">Bacteria lysing CK01 – 2mL</option>
                  <option value="18">Bacteria lysing CK01 – 7mL</option>
                  <option value="23">Bacteria lysing CK01 - 15mL</option>
                  <option value="19">Micro-organism lysing - VKMix - 7mL</option>
                  <option value="20">Tissue homogenizing CKMix - 96 Well-plate</option>
                  <option value="24">Tissue grinding CKMix50 - 15mL</option>
                  <option value="26">Sample grinding GK60 - 2mL</option>
                  <option value="22">Tough-microorganism lysing VK05 - 15mL</option>
                  <option value="27">Tough micro-organism lysing VK05 - 2mL</option>
                  <option value="28">Protein Safe Soft tissue homogenizing CK14 – 2 mL</option>
                  <option value="29">Protein Safe Hard tissue homogenizing CK28-R – 2 mL</option>
                  <option value="30">Precellys Emulsion Kit</option>
                </select>
              </div>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label> First name<sup>*</sup><br>
              <input type="text" class="form-input" id="firstname" name="firstname">
            </label>
          </div>
          <div class="col-md-6">
            <label>Last name <sup>*</sup><br>
              <input type="text" class="form-input" id="lastname" name="lastname">
            </label>
          </div>
        </div>
        <div id="block-special" style="display: none;">
          <div class="row">
            <div class="col-md-6">
              <label> Shipping address 1<sup>*</sup><br>
                <input type="text" class="form-input" id="shipaddress1" name="shipaddress1">
              </label>
            </div>
            <div class="col-md-6">
              <label>Shipping address 2<br>
                <input type="text" class="form-input" id="shipaddress2" name="shipaddress2">
              </label>
            </div>
          </div>
          <div class="row">
            <div class="col-md-6">
              <label> City<sup>*</sup><br>
                <input type="text" class="form-input" id="city" name="city">
              </label>
            </div>
            <div class="col-md-6">
              <label>Zip code<sup>*</sup><br>
                <input type="text" class="form-input" id="zip" name="zip">
              </label>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label>Phone<br>
              <input type="text" class="form-input" id="phone" name="phone">
            </label>
          </div>
          <div class="col-md-6">
            <label>Company <sup>*</sup><br>
              <input type="text" class="form-input" id="company" name="company" required="" aria-required="true">
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label for="country"> Country <sup style="display: none;">*</sup><br>
              <div class="custom-select">
                <select name="country" id="country" required="" aria-required="true">
                  <option value=""></option>
                  <option value="AF">Afghanistan</option>
                  <option value="AX">Åland 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="AU">Australia</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, Plurinational State of</option>
                  <option value="BQ">Bonaire, Sint 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="BN">Brunei Darussalam</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="CA">Canada</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 (Keeling) Islands</option>
                  <option value="CO">Colombia</option>
                  <option value="KM">Comoros</option>
                  <option value="CG">Congo</option>
                  <option value="CD">Congo, the Democratic Republic of the</option>
                  <option value="CK">Cook Islands</option>
                  <option value="CR">Costa Rica</option>
                  <option value="CI">Côte d'Ivoire</option>
                  <option value="HR">Croatia</option>
                  <option value="CU">Cuba</option>
                  <option value="CW">Curaçao</option>
                  <option value="CY">Cyprus</option>
                  <option value="CZ">Czech Republic</option>
                  <option value="DK">Denmark</option>
                  <option value="DJ">Djibouti</option>
                  <option value="DM">Dominica</option>
                  <option value="DO">Dominican Republic</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 (Malvinas)</option>
                  <option value="FO">Faroe Islands</option>
                  <option value="FJ">Fiji</option>
                  <option value="FI">Finland</option>
                  <option value="FR">France</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="DE">Germany</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="VA">Holy See (Vatican City State)</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, Islamic Republic of</option>
                  <option value="IQ">Iraq</option>
                  <option value="IE">Ireland</option>
                  <option value="IM">Isle of Man</option>
                  <option value="IL">Israel</option>
                  <option value="IT">Italy</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="KP">Korea, Democratic People's Republic of</option>
                  <option value="KR">Korea, Republic of</option>
                  <option value="KW">Kuwait</option>
                  <option value="KG">Kyrgyzstan</option>
                  <option value="LA">Lao People's Democratic Republic</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, the former Yugoslav Republic of</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, Federated States of</option>
                  <option value="MD">Moldova, Republic of</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="NZ">New Zealand</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="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, Occupied</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="RE">Réunion</option>
                  <option value="RO">Romania</option>
                  <option value="RU">Russian Federation</option>
                  <option value="RW">Rwanda</option>
                  <option value="BL">Saint Barthélemy</option>
                  <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
                  <option value="KN">Saint Kitts and Nevis</option>
                  <option value="LC">Saint Lucia</option>
                  <option value="MF">Saint Martin (French part)</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 (Dutch part)</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="SS">South Sudan</option>
                  <option value="ES">Spain</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">Syrian Arab Republic</option>
                  <option value="TW">Taiwan</option>
                  <option value="TJ">Tajikistan</option>
                  <option value="TZ">Tanzania, United Republic of</option>
                  <option value="TH">Thailand</option>
                  <option value="TL">Timor-Leste</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="UG">Uganda</option>
                  <option value="UA">Ukraine</option>
                  <option value="AE">United Arab Emirates</option>
                  <option value="GB">United Kingdom</option>
                  <option value="US">United States</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="VE">Venezuela, Bolivarian Republic of</option>
                  <option value="VN">Viet Nam</option>
                  <option value="VG">Virgin Islands, British</option>
                  <option value="VI">Virgin Islands, U.S.</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>
            </label>
          </div>
          <div class="col-md-6" id="frstates" style="display: none">
            <input type="hidden" value="[8327,8325,8326,358,364,2732]" id="game_select_show_department">
            <label> French Department<sup>*</sup><br>
              <div class="custom-select">
                <select name="frstates" id="frstates">
                  <option value=""></option>
                  <option value="Ain">Ain</option>
                  <option value="Aisne">Aisne</option>
                  <option value="Allier">Allier</option>
                  <option value="Alpes-de-Haute-Provence">Alpes-de-Haute-Provence</option>
                  <option value="Hautes-Alpes">Hautes-Alpes</option>
                  <option value="Alpes-Maritimes">Alpes-Maritimes</option>
                  <option value="Ardèche">Ardèche</option>
                  <option value="Ardennes">Ardennes</option>
                  <option value="Ariège">Ariège</option>
                  <option value="Aube">Aube</option>
                  <option value="Aude">Aude</option>
                  <option value="Aveyron">Aveyron</option>
                  <option value="Bouches-du-Rhône">Bouches-du-Rhône</option>
                  <option value="Calvados">Calvados</option>
                  <option value="Cantal">Cantal</option>
                  <option value="Charente">Charente</option>
                  <option value="Charente-Maritime">Charente-Maritime</option>
                  <option value="Cher">Cher</option>
                  <option value="Corrèze">Corrèze</option>
                  <option value="Corse-du-Sud">Corse-du-Sud</option>
                  <option value="Haute-Corse">Haute-Corse</option>
                  <option value="Côte-d'Or">Côte-d'Or</option>
                  <option value="Côtes-d'Armor">Côtes-d'Armor</option>
                  <option value="Creuse">Creuse</option>
                  <option value="Dordogne">Dordogne</option>
                  <option value="Doubs">Doubs</option>
                  <option value="Drôme">Drôme</option>
                  <option value="Eure">Eure</option>
                  <option value="Eure-et-Loir">Eure-et-Loir</option>
                  <option value="Finistère">Finistère</option>
                  <option value="Gard">Gard</option>
                  <option value="Haute-Garonne">Haute-Garonne</option>
                  <option value="Gers">Gers</option>
                  <option value="Gironde">Gironde</option>
                  <option value="Hérault">Hérault</option>
                  <option value="Ille-et-Vilaine">Ille-et-Vilaine</option>
                  <option value="Indre">Indre</option>
                  <option value="Indre-et-Loire">Indre-et-Loire</option>
                  <option value="Isère">Isère</option>
                  <option value="Jura">Jura</option>
                  <option value="Landes">Landes</option>
                  <option value="Loir-et-Cher">Loir-et-Cher</option>
                  <option value="Loire">Loire</option>
                  <option value="Haute-Loire">Haute-Loire</option>
                  <option value="Loire-Atlantique">Loire-Atlantique</option>
                  <option value="Loiret">Loiret</option>
                  <option value="Lot">Lot</option>
                  <option value="Lot-et-Garonne">Lot-et-Garonne</option>
                  <option value="Lozère">Lozère</option>
                  <option value="Maine-et-Loire">Maine-et-Loire</option>
                  <option value="Manche">Manche</option>
                  <option value="Marne">Marne</option>
                  <option value="Haute-Marne">Haute-Marne</option>
                  <option value="Mayenne">Mayenne</option>
                  <option value="Meurthe-et-Moselle">Meurthe-et-Moselle</option>
                  <option value="Meuse">Meuse</option>
                  <option value="Morbihan">Morbihan</option>
                  <option value="Moselle">Moselle</option>
                  <option value="Nièvre">Nièvre</option>
                  <option value="Nord">Nord</option>
                  <option value="Oise">Oise</option>
                  <option value="Orne">Orne</option>
                  <option value="Pas-de-Calais">Pas-de-Calais</option>
                  <option value="Puy-de-Dôme">Puy-de-Dôme</option>
                  <option value="Pyrénées-Atlantiques">Pyrénées-Atlantiques</option>
                  <option value="Hautes-Pyrénées">Hautes-Pyrénées</option>
                  <option value="Pyrénées-Orientales">Pyrénées-Orientales</option>
                  <option value="Bas-Rhin">Bas-Rhin</option>
                  <option value="Haut-Rhin">Haut-Rhin</option>
                  <option value="Rhône">Rhône</option>
                  <option value="Haute-Saône">Haute-Saône</option>
                  <option value="Saône-et-Loire">Saône-et-Loire</option>
                  <option value="Sarthe">Sarthe</option>
                  <option value="Savoie">Savoie</option>
                  <option value="Haute-Savoie">Haute-Savoie</option>
                  <option value="Paris">Paris</option>
                  <option value="Seine-Maritime">Seine-Maritime</option>
                  <option value="Seine-et-Marne">Seine-et-Marne</option>
                  <option value="Yvelines">Yvelines</option>
                  <option value="Deux-Sèvres">Deux-Sèvres</option>
                  <option value="Somme">Somme</option>
                  <option value="Tarn">Tarn</option>
                  <option value="Tarn-et-Garonne">Tarn-et-Garonne</option>
                  <option value="Var">Var</option>
                  <option value="Vaucluse">Vaucluse</option>
                  <option value="Vendée">Vendée</option>
                  <option value="Vienne">Vienne</option>
                  <option value="Haute-Vienne">Haute-Vienne</option>
                  <option value="Vosges">Vosges</option>
                  <option value="Yonne">Yonne</option>
                  <option value="Territoire de Belfort">Territoire de Belfort</option>
                  <option value="Essonne">Essonne</option>
                  <option value="Hauts-de-Seine">Hauts-de-Seine</option>
                  <option value="Seine-Saint-Denis">Seine-Saint-Denis</option>
                  <option value="Val-de-Marne">Val-de-Marne</option>
                  <option value="Val-d'Oise">Val-d'Oise</option>
                  <option value="Guadeloupe">Guadeloupe</option>
                  <option value="Martinique">Martinique</option>
                  <option value="Guyane">Guyane</option>
                  <option value="La Réunion">La Réunion</option>
                  <option value="Mayotte">Mayotte</option>
                </select>
              </div>
            </label>
          </div>
          <div class="col-md-6" id="usstates" data-labelus="State" data-labelca="Province" style="display: none;">
            <label><span></span><sup>*</sup><br>
              <div class="custom-select">
                <select name="usstates" id="usstates"
                  data-us="<option value=&quot;&quot;></option><option value=&quot;AL&quot; >Alabama</option><option value=&quot;AK&quot; >Alaska</option><option value=&quot;AZ&quot; >Arizona</option><option value=&quot;AR&quot; >Arkansas</option><option value=&quot;CA&quot; >California</option><option value=&quot;CO&quot; >Colorado</option><option value=&quot;CT&quot; >Connecticut</option><option value=&quot;DE&quot; >Delaware</option><option value=&quot;FL&quot; >Florida</option><option value=&quot;GA&quot; >Georgia</option><option value=&quot;HI&quot; >Hawaii</option><option value=&quot;ID&quot; >Idaho</option><option value=&quot;IL&quot; >Illinois</option><option value=&quot;IN&quot; >Indiana</option><option value=&quot;IA&quot; >Iowa</option><option value=&quot;KS&quot; >Kansas</option><option value=&quot;KY&quot; >Kentucky</option><option value=&quot;LA&quot; >Louisiana</option><option value=&quot;ME&quot; >Maine</option><option value=&quot;MD&quot; >Maryland</option><option value=&quot;MA :	 Massachusetts&quot; >MA :	 Massachusetts</option><option value=&quot;MI&quot; >Michigan</option><option value=&quot;MN&quot; >Minnesota</option><option value=&quot;MS&quot; >Mississippi</option><option value=&quot;MO&quot; >Missouri</option><option value=&quot;MT&quot; >Montana</option><option value=&quot;NE&quot; >Nebraska</option><option value=&quot;NV&quot; >Nevada</option><option value=&quot;NH&quot; >New Hampshire</option><option value=&quot;NJ&quot; >New Jersey</option><option value=&quot;NM&quot; >New Mexico</option><option value=&quot;NY&quot; >New York</option><option value=&quot;NC&quot; >North Carolina</option><option value=&quot;ND&quot; >North Dakota</option><option value=&quot;OH&quot; >Ohio</option><option value=&quot;OK&quot; >Oklahoma</option><option value=&quot;OR&quot; >Oregon</option><option value=&quot;PA&quot; >Pennsylvania</option><option value=&quot;RI&quot; >Rhode Island</option><option value=&quot;SC&quot; >South Carolina</option><option value=&quot;SD&quot; >South Dakota</option><option value=&quot;TN&quot; >Tennessee</option><option value=&quot;TX&quot; >Texas</option><option value=&quot;UT&quot; >Utah</option><option value=&quot;VT&quot; >Vermont</option><option value=&quot;VA&quot; >Virginia</option><option value=&quot;WA&quot; >Washington</option><option value=&quot;WV&quot; >West Virginia</option><option value=&quot;WI&quot; >Wisconsin</option><option value=&quot;WY&quot; >Wyoming</option>"
                  data-ca="<option value=&quot;&quot;></option><option value=&quot;AB&quot; >Alberta</option><option value=&quot;BC&quot; >British Columbia</option><option value=&quot;MB&quot; >Manitoba</option><option value=&quot;NB&quot; >New Brunswick</option><option value=&quot;NL&quot; >Newfoundland</option><option value=&quot;NT&quot; >Northwest Territories</option><option value=&quot;NS&quot; >Nova Scotia</option><option value=&quot;NU&quot; >Nunavut</option><option value=&quot;ON&quot; >Ontario</option><option value=&quot;PE&quot; >Prince Edward Island</option><option value=&quot;QC&quot; >Quebec</option><option value=&quot;SK&quot; >Saskatchewan</option><option value=&quot;YT&quot; >Yukon Territory</option>"
                  style="display: none;">
                </select>
              </div>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-12">
            <label> Your message <sup style="display: none;">*</sup>
              <br>
              <textarea name="message" class="form-area" id="message" cols="30" rows="10"></textarea>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-12" style="margin-bottom: 20px;">
            <div class="g-recaptcha" id="recaptcha1" data-sitekey="6LePgjsUAAAAAC6T8vQS0CQknlOoPp643SP0z8Ou">
              <div style="width: 304px; height: 78px;">
                <div><iframe title="reCAPTCHA"
                    src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LePgjsUAAAAAC6T8vQS0CQknlOoPp643SP0z8Ou&amp;co=aHR0cHM6Ly93d3cuYmVydGluLWluc3RydW1lbnRzLmNvbTo0NDM.&amp;hl=fr&amp;v=4rwLQsl5N_ccppoTAwwwMrEN&amp;size=normal&amp;cb=14dunz1mlulg"
                    width="304" height="78" role="presentation" name="a-6p12guhdcqrp" 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>
            </div>
            <label class="left">
              <input type="hidden" class="hiddenRecaptcha required" name="hiddenRecaptcha" id="hiddenRecaptcha" aria-required="true">
            </label>
          </div>
        </div>
      </div>
      <div class="part-submit">
        <div class="row">
          <div class="col-md-12">
            <input type="hidden" name="ICL_LANGUAGE_CODE" class="form-control" value="en">
            <input type="hidden" id="prodIDbtn" value="">
            <input type="hidden" id="launchModal" value="0">
            <input type="hidden" name="form-send" value="yes">
            <input type="submit" class="send-form" value="send">
          </div>
        </div>
      </div>
    </div>
  </div>
</form>

POST

<form id="popin-login-form-form" method="post" novalidate="novalidate">
  <div class="errors">
    <p></p>
  </div>
  <div class="form-field">
    <div class="icon arobase">@</div>
    <input type="email" class="form-input" name="loginlogin" id="loginlogin" placeholder="Email address">
  </div>
  <div class="form-field">
    <div class="icon icon-padlock-form"></div>
    <input type="password" class="form-input" id="loginpassword" name="loginpassword" placeholder="Password">
  </div>
  <div class="captcha-custom">
    <div id="captchalogin" data-key="6LePgjsUAAAAAC6T8vQS0CQknlOoPp643SP0z8Ou"></div>
  </div>
  <div class="field-remember">
    <label for="remember">
      <input type="checkbox" id="loginremember" name="loginremember"> Remember me </label>
  </div>
  <a href="#" class="forgot-password">Forgot Password ?</a>
  <div class="cta-container">
    <input type="hidden" name="loginredirect" id="loginredirect" value="https://www.bertin-instruments.com/my-account/">
    <button class="red" id="validate-login-form"><i class="icon icon-arrow-button"></i>Connect</button>
    <a href="https://www.bertin-instruments.com/account-registration/"><i class="icon icon-arrow-button"></i>Create an account</a>
  </div>
</form>

POST

<form id="recover-password-form" method="post" novalidate="novalidate">
  <div class="errors">
    <p></p>
  </div>
  <div class="form-field">
    <div class="icon arobase">@</div>
    <input type="email" class="form-input" name="recoverlogin" id="recoverlogin" placeholder="Email address" required="" aria-required="true">
  </div>
  <div class="cta-container">
    <input type="hidden" name="ICL_LANGUAGE_CODE" class="form-control" value="en">
    <button class="red" id="validate-login-form"><i class="icon icon-arrow-button"></i>Send</button>
    <a href="#" class="back-login"><i class="icon icon-arrow-button"></i>Back to login page</a>
  </div>
</form>

POST

<form id="faq-form" method="post" novalidate="novalidate">
  <div class="errors">
    <p></p>
  </div>
  <div class="form-field">
    <input type="text" class="form-input" name="faqaddfirstname" id="faqaddfirstname" placeholder="First name" required="" aria-required="true">
  </div>
  <div class="form-field">
    <input type="text" class="form-input" id="faqaddlastname" name="faqaddlastname" placeholder="Last name" required="" aria-required="true">
  </div>
  <div class="form-field">
    <input type="email" class="form-input" id="faqaddemail" name="faqaddemail" placeholder="Email adress" required="" aria-required="true">
  </div>
  <div class="form-field">
    <div class="custom-select">
      <select id="gammesinterest" name="gammesinterest" required="" aria-required="true">
        <option value="">Interest for</option>
        <option value="363">Air monitoring</option>
        <option value="8327">Alpha/Beta contamination control</option>
        <option value="17839">Bioreagent &amp; Bioanalytical tools</option>
        <option value="5583">Cell Imaging System</option>
        <option value="27294">Covid-19 Healthcare solutions</option>
        <option value="8325">Dose rate &amp; survey meters</option>
        <option value="8326">Dosimetry</option>
        <option value="15075">Elemental analysis</option>
        <option value="358">Environmental Radiation Monitoring</option>
        <option value="360">Gas detection sytems and sensors</option>
        <option value="361">Optronics – Surveillance solutions</option>
        <option value="364">Radiation portal monitors</option>
        <option value="359">Radon monitoring – detection and meter</option>
        <option value="362" selected="selected">Tissue Homogenizers – Sample preparation</option>
        <option value="17328">Unattended Ground Sensor system</option>
      </select>
    </div>
  </div>
  <div class="form-field">
    <textarea class="form-area" id="faqaddmessage" name="faqaddmessage" placeholder="Write your question here..." required="" aria-required="true"></textarea>
  </div>
  <div class="cta-container">
    <input type="hidden" name="ICL_LANGUAGE_CODE" class="form-control" value="en">
    <button class="red"><i class="icon icon-arrow-button"></i>Send</button>
  </div>
</form>

POST https://www.bertin-instruments.com/contact/

<form action="https://www.bertin-instruments.com/contact/" method="post">
  <input type="email" class="field" placeholder="Enter your email adress" name="emailNewsletter" required="">
  <input type="hidden" value="6" name="form">
  <input type="submit" class="submit" value="Submit">
  <input type="hidden" name="ICL_LANGUAGE_CODE" class="form-control" value="en">
</form>

POST https://www.bertin-instruments.com/contact/?sendcallback=yes

<form id="callbackform" action="https://www.bertin-instruments.com/contact/?sendcallback=yes" method="POST" novalidate="novalidate">
  <div class="modal-body">
    <div class="row">
      <div class="col-md-12 infos">
        <p style="font-size: 20px; margin-bottom: 12px;"> Follow Up Call</p>
        <p> The Bertin's team</p>
      </div>
    </div>
    <div class="row form-user">
      <div class="col-md-12">
        <div class="row">
          <div class="col-md-6">
            <label for="callbackfirstname"> First Name:<br>
              <input type="text" class="form-input" name="callbackfirstname" id="callback-firstname" value="">
            </label>
          </div>
          <div class="col-md-6">
            <label for="callbacklastname"> Last Name:<br>
              <input type="text" class="form-input" name="callbacklastname" id="callback-lastname" value="">
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label for="callbackcountry"> Country:<br>
              <div class="custom-select">
                <select name="callbackcountry" id="callbackcountry">
                  <option value=""></option>
                  <option value="AF">Afghanistan</option>
                  <option value="AX">Åland 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="AU">Australia</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, Plurinational State of</option>
                  <option value="BQ">Bonaire, Sint 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="BN">Brunei Darussalam</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="CA">Canada</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 (Keeling) Islands</option>
                  <option value="CO">Colombia</option>
                  <option value="KM">Comoros</option>
                  <option value="CG">Congo</option>
                  <option value="CD">Congo, the Democratic Republic of the</option>
                  <option value="CK">Cook Islands</option>
                  <option value="CR">Costa Rica</option>
                  <option value="CI">Côte d'Ivoire</option>
                  <option value="HR">Croatia</option>
                  <option value="CU">Cuba</option>
                  <option value="CW">Curaçao</option>
                  <option value="CY">Cyprus</option>
                  <option value="CZ">Czech Republic</option>
                  <option value="DK">Denmark</option>
                  <option value="DJ">Djibouti</option>
                  <option value="DM">Dominica</option>
                  <option value="DO">Dominican Republic</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 (Malvinas)</option>
                  <option value="FO">Faroe Islands</option>
                  <option value="FJ">Fiji</option>
                  <option value="FI">Finland</option>
                  <option value="FR">France</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="DE">Germany</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="VA">Holy See (Vatican City State)</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, Islamic Republic of</option>
                  <option value="IQ">Iraq</option>
                  <option value="IE">Ireland</option>
                  <option value="IM">Isle of Man</option>
                  <option value="IL">Israel</option>
                  <option value="IT">Italy</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="KP">Korea, Democratic People's Republic of</option>
                  <option value="KR">Korea, Republic of</option>
                  <option value="KW">Kuwait</option>
                  <option value="KG">Kyrgyzstan</option>
                  <option value="LA">Lao People's Democratic Republic</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, the former Yugoslav Republic of</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, Federated States of</option>
                  <option value="MD">Moldova, Republic of</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="NZ">New Zealand</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="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, Occupied</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="RE">Réunion</option>
                  <option value="RO">Romania</option>
                  <option value="RU">Russian Federation</option>
                  <option value="RW">Rwanda</option>
                  <option value="BL">Saint Barthélemy</option>
                  <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
                  <option value="KN">Saint Kitts and Nevis</option>
                  <option value="LC">Saint Lucia</option>
                  <option value="MF">Saint Martin (French part)</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 (Dutch part)</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="SS">South Sudan</option>
                  <option value="ES">Spain</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">Syrian Arab Republic</option>
                  <option value="TW">Taiwan, Province of China</option>
                  <option value="TJ">Tajikistan</option>
                  <option value="TZ">Tanzania, United Republic of</option>
                  <option value="TH">Thailand</option>
                  <option value="TL">Timor-Leste</option>
                  <option value="TG">Togo</option>
                  <option value="TK">Tokelau</option>
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                  <option value="VN">Viet Nam</option>
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                  <option value="WF">Wallis and Futuna</option>
                  <option value="EH">Western Sahara</option>
                  <option value="YE">Yemen</option>
                  <option value="ZM">Zambia</option>
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              </div>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label for="callback-area"> Area code:<br>
              <input type="text" class="form-input" name="callbackarea" required="" id="callback-area" value="" aria-required="true">
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          </div>
          <div class="col-md-6">
            <label for="callback-phone"> Phone number:<br>
              <input type="text" class="form-input" name="callbackphone" required="" id="callback-phone" value="" aria-required="true">
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          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
            <label>Company <sup>*</sup><br>
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            </label>
          </div>
          <div class="col-md-6">
            <label for="callbackindustries-interest"> Range of products:<sup>*</sup><br>
              <div class="custom-select">
                <select id="callback-gammes-interest" class="multi-select" name="callbackgammesID[]" multiple="multiple" required="" aria-required="true" style="display: none;">
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                  <option value="8327">Alpha/Beta contamination control</option>
                  <option value="17839">Bioreagent &amp; Bioanalytical tools</option>
                  <option value="5583">Cell Imaging System</option>
                  <option value="27294">Covid-19 Healthcare solutions</option>
                  <option value="8325">Dose rate &amp; survey meters</option>
                  <option value="8326">Dosimetry</option>
                  <option value="15075">Elemental analysis</option>
                  <option value="358">Environmental Radiation Monitoring</option>
                  <option value="360">Gas detection sytems and sensors</option>
                  <option value="361">Optronics – Surveillance solutions</option>
                  <option value="364">Radiation portal monitors</option>
                  <option value="359">Radon monitoring – detection and meter</option>
                  <option value="362">Tissue Homogenizers – Sample preparation</option>
                  <option value="17328">Unattended Ground Sensor system</option>
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                <div class="btn-group"><button type="button" class="multiselect dropdown-toggle btn btn-default" data-toggle="dropdown" title="None selected"><span class="multiselect-selected-text">None selected</span> <b class="caret"></b></button>
                  <ul class="multiselect-container dropdown-menu">
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="363"> Air monitoring</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="8327"> Alpha/Beta contamination control</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="17839"> Bioreagent &amp; Bioanalytical tools</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="5583"> Cell Imaging System</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="27294"> Covid-19 Healthcare solutions</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="8325"> Dose rate &amp; survey meters</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="8326"> Dosimetry</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="15075"> Elemental analysis</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="358"> Environmental Radiation Monitoring</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="360"> Gas detection sytems and sensors</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="361"> Optronics – Surveillance solutions</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="364"> Radiation portal monitors</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="359"> Radon monitoring – detection and meter</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="362"> Tissue Homogenizers – Sample preparation</label></a></li>
                    <li><a tabindex="0"><label class="checkbox"><input type="checkbox" value="17328"> Unattended Ground Sensor system</label></a></li>
                  </ul>
                </div>
              </div>
            </label>
          </div>
        </div>
        <div class="row">
          <div class="col-md-6">
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            </label>
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          <div class="col-md-6">
            <label for="callbackdate"> Email:<br>
              <input type="email" class="form-input" name="callbackemail" id="callbackemail" required="" aria-required="true">
            </label>
          </div>
        </div>
        <div class="row">
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            <div class="pull-left form-user">
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                  <div><iframe title="reCAPTCHA"
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  <div class="modal-footer">
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Déclaration relative aux cookies [#IABV2SETTINGS#] À propos des cookies
 Nécessaires (9)  Préférences (3)  Statistiques (7)  Marketing (32)  Non classés
(2)
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NomFournisseurFinalitéExpirationTypeCookieConsentCookiebotStocke l'autorisation
d'utilisation de cookies pour le domaine actuel par l'utilisateur 1
annéeHTTPPHPSESSIDwww.bertin-instruments.comConserve la configuration des
paramètres des utilisateurs à travers les demandes de
page.SessionHTTPvisitorPleziConserve la configuration des paramètres des
utilisateurs à travers les demandes de page.1 annéeHTTPCONSENT [x2]Google
YouTubeUtilisé pour détecter si le visiteur a accepté la catégorie marketing
dans la bannière de cookie. Ce cookie est nécessaire pour la conformité du site
Web avec le RGPD.2 annéesHTTPrc::aGoogleCe cookie est utilisé pour distinguer
les humains des robots. Ceci est bénéfique pour le site web afin de créer des
rapports valides sur l'utilisation du leur site.PersistentHTMLrc::cGoogleCe
cookie est utilisé pour distinguer les humains des
robots.SessionHTMLli_gcLinkedInStocke l'autorisation d'utilisation de cookies
pour le domaine actuel par l'utilisateur 2 annéesHTTPuSelectScienceNécessaire
pour la fonction d'inscription sur le site Web.1 jourHTTP

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qui modifient la manière dont le site se comporte ou s’affiche, comme votre
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NomFournisseurFinalitéExpirationTypelang [x2]LinkedInRappelle la version
linguistique d'un site sélectionnée par
l'utilisateurSessionHTTPwp-wpml_current_languagewww.bertin-instruments.comDésigne
le code de pays calculé selon l'adresse IP de l'utilisateur. Utilisé pour
déterminer quelle langue doit être utilisée pour des utilisateurs.SessionHTTP

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NomFournisseurFinalitéExpirationType_at.hist.#OracleUtilisé par la plateforme de
partage social AddThis pour stocker l'historique d'utilisation du widget de
partage AddThis de l'utilisateurPersistentHTML_gaGoogleEnregistre un identifiant
unique utilisé pour générer des données statistiques sur la façon dont le
visiteur utilise le site.1 annéeHTTP_gatGoogleUtilisé par Google Analytics pour
diminuer radicalement le taux de requêtes1 jourHTTP_gidGoogleEnregistre un
identifiant unique utilisé pour générer des données statistiques sur la façon
dont le visiteur utilise le site.1 jourHTTPvisitPleziIdentifiant unique de
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jourHTTPSGoogleDéfinit un identifiant unique pour la session. Cela permet au
site Web d'obtenir des données sur le comportement des visiteurs à des fins
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Les cookies marketing sont utilisés pour effectuer le suivi des visiteurs au
travers des sites Web. Le but est d'afficher des publicités qui sont pertinentes
et intéressantes pour l'utilisateur individuel et donc plus précieuses pour les
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NomFournisseurFinalitéExpirationTypelocOracleLa géolocalisation est utilisée
pour aider les fournisseurs à déterminer comment les utilisateurs qui partagent
des informations sont situés géographiquement (au niveau de l'État).1
annéeHTTPuvcOracleDétecte combien de fois le service de partage social AddThis
rencontre le même utilisateur.1 annéeHTTPxtcOracleEnregistre le contenu partagé
par l'utilisateur via les médias sociaux.1 annéeHTTP__atuvcOracleMet à jour le
compteur des fonctionnalités de partage social d'un site web.1
annéeHTTP__atuvsOracleAssure que le compteur mis à jour est affiché à
l'utilisateur si une page est partagée avec le service de partage social,
AddThis.1 jourHTTP_at.cwwOracleUtilisé par la plateforme de partage social
AddThisPersistentHTML_gcl_auGoogleUtilisé par Google AdSense pour expérimenter
l'efficacité de la publicité sur de divers sites Web en utilisant leurs
services.3 moisHTTPat-randOracleUtilisé par la plateforme de partage social
AddThisPersistentHTMLCOMPASSGoogleEn attente1 jourHTTPIDEGoogleUtilisé par
Google DoubleClick pour enregistrer et signaler les actions de l'utilisateur du
site après qu'il ait vu ou cliqué sur une des pubs de l'annonceur dans le but de
mesurer l'efficacité et de présenter des annonces publicitaires ciblées à
l'utilisateur.1 annéeHTTPpagead/landing [x2]GoogleCollecte des données sur le
comportement des visiteurs à partir de plusieurs sites web afin de présenter des
publicités plus pertinentes. Cela permet également au site web de limiter le
nombre de fois où la même publicité est présentée au
visiteur.SessionPixeltest_cookieGoogleUtilisé pour vérifier si le navigateur de
l'utilisateur accepte les cookies.1 jourHTTPads/ga-audiencesGoogleUsed by Google
AdWords to re-engage visitors that are likely to convert to customers based on
the visitor's online behaviour across websites.SessionPixelNIDGoogleEnregistre
un identifiant qui identifie l'appareil de l'utilisateur récurrent. Cet
identifiant est utilisé pour des annonces ciblées.6
moisHTTPpagead/1p-user-list/#GoogleRepère si l'internaute a montré de l'intérêt
pour des produits ou des événements spécifiques sur plusieurs sites web et
détecte la façon dont l'internaute navigue entre les sites. Cela est utilisé
pour mesurer les efforts publicitaires et facilite le paiement des frais de
référence entre les sites web.SessionPixelbcookieLinkedInUtilisé par le service
de réseau social, LinkedIn, pour le suivi de l'utilisation des services
intégrés.2 annéesHTTPbscookieLinkedInUtilisé par le service de réseau social,
LinkedIn, pour le suivi de l'utilisation des services intégrés.2
annéesHTTPlidcLinkedInUtilisé par le service de réseau social, LinkedIn, pour le
suivi de l'utilisation des services intégrés.1
jourHTTPUserMatchHistoryLinkedInUtilisé pour suivre les visiteurs sur plusieurs
sites Web, afin de présenter des publicités pertinentes en fonction des
préférences du visiteur. 29 joursHTTPVISITOR_INFO1_LIVEYouTubeTente d'estimer la
bande passante des utilisateurs sur des pages avec des vidéos YouTube
intégrées.179 joursHTTPYSCYouTubeEnregistre un identifiant unique pour conserver
des statistiques sur les vidéos de YouTube vues par
l'utilisateur.SessionHTTPyt.innertube::nextIdYouTubeEnregistre un identifiant
unique pour conserver des statistiques sur les vidéos de YouTube vues par
l'utilisateur.PersistentHTMLyt.innertube::requestsYouTubeEnregistre un
identifiant unique pour conserver des statistiques sur les vidéos de YouTube
vues par l'utilisateur.PersistentHTMLytidb::LAST_RESULT_ENTRY_KEYYouTubeStocke
les préférences de lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesPersistentHTMLyt-remote-cast-availableYouTubeStocke les préférences
de lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesSessionHTMLyt-remote-cast-installedYouTubeStocke les préférences de
lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesSessionHTMLyt-remote-connected-devicesYouTubeStocke les préférences
de lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesPersistentHTMLyt-remote-device-idYouTubeStocke les préférences de
lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesPersistentHTMLyt-remote-fast-check-periodYouTubeStocke les
préférences de lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesSessionHTMLyt-remote-session-appYouTubeStocke les préférences de
lecture vidéo de l'utilisateur pour les vidéos YouTube
incorporéesSessionHTMLyt-remote-session-nameYouTubeStocke les préférences de
lecture vidéo de l'utilisateur pour les vidéos YouTube incorporéesSessionHTML

Les cookies non classés sont les cookies qui sont en cours de classification,
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NomFournisseurFinalitéExpirationTypeapi/v1/analytics/createPleziEn
attenteSessionPixel_depot_sessionbioz.comEn attenteSessionHTTP

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Hard Tissue homogenizing CK28 – 2mLHard Tissue homogenizing CK28 – 7mLHard
tissue homogenizing CK28 - 15mLSoft tissue homogenizing CK14 – 0.5mLSoft tissue
homogenizing CK14 – 2mLSoft tissue homogenizing CK14 – 7mLHard Tissue
homogenizing CK28-R - 2mLTissue homogenizing CKMix - 2mLHard tissue grinding
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lysing CK01 – 2mLBacteria lysing CK01 – 7mLBacteria lysing CK01 -
15mLMicro-organism lysing - VKMix - 7mLTissue homogenizing CKMix - 96
Well-plateTissue grinding CKMix50 - 15mLSample grinding GK60 -
2mLTough-microorganism lysing VK05 - 15mLTough micro-organism lysing VK05 -
2mLProtein Safe Soft tissue homogenizing CK14 – 2 mLProtein Safe Hard tissue
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