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1 forms found in the DOM

Name: loyalty_card — POST

<form name="loyalty_card" method="post" form-elements="" class="form p-0 ng-untouched ng-pristine ng-invalid" novalidate="" id="ask-form">
  <div form-elements="" class="form-padding">
    <p form-elements="" class="text-small">Pour réinitialiser votre code secret, veuillez renseigner les champs ci-dessous. Vous recevrez ensuite un e-mail qui vous permettra de créer un nouveau code secret.</p>
  </div>
  <div form-elements="" class="border-top form-padding">
    <div form-elements="" class="form-line row mx-0">
      <label form-elements="" class="col-5 form-label-underline d-none d-sm-block font-size-13" for="cardNumber"><label for="loyalty_card_number" class="required">Numéro de Carte de fidélité *</label></label>
      <div form-elements="" class="col-12 col-sm-7 p-0 form-input-div"><input type="text" id="loyalty_card_number" name="loyalty_card[number]" required="required" form-elements=""
          class="form-input col-12 font-size-13 ng-untouched ng-pristine ng-invalid" formcontrolname="cardNumber" maxlength="13"></div>
    </div>
  </div>
  <div form-elements="" class="form-padding limited">
    <div class="g-recaptcha" data-sitekey="6Lf19gwaAAAAACoCimEFR_d1g4fah7z3ckxx8XGq" data-callback="onSubmit" data-size="invisible"><span class="form_required">Autoriser le reCAPTCHA, puis valider *</span>
      <div class="tac_activate tac_activate_recaptcha">
        <div class="tac_float"> reCAPTCHA is disabled. <button type="button" class="tarteaucitronAllow" id="Eng97184edrecaptcha"> <span class="tarteaucitronCheck"></span> Allow </button> </div>
      </div>
    </div>
    <button type="button" id="demande_form_submit" name="demande_form[submit]" form-elements="" class="btn btn-primary w-100 submit" onclick="validateCaptcha()">Valider</button>
    <div class="small-font mandatory-italic">* Données obligatoires</div>
  </div>
</form>

Text Content

DEMANDE DE RÉINITIALISATION DE CODE SECRET


RÉINITIALISATION DU CODE SECRET

Pour réinitialiser votre code secret, veuillez renseigner les champs ci-dessous.
Vous recevrez ensuite un e-mail qui vous permettra de créer un nouveau code
secret.

Numéro de Carte de fidélité *

Autoriser le reCAPTCHA, puis valider *
reCAPTCHA is disabled. Allow
Valider
* Données obligatoires

 * Mentions légales
 * Conditions générales de la Carte de fidélité E.Leclerc
 * Charte de protection des données de la Carte de fidélité E.Leclerc
 * Politique cookies

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