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1 forms found in the DOM

POST /forms-1871-012020/#quform-3ab237

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      name="form_url" value="https://fertvoyages-affaires.ch/forms-1871-012020/"><input type="hidden" name="referring_url" value="https://fertvoyages-affaires.ch/forms-1871-012020/"><input type="hidden" name="post_id" value="5441"><input
      type="hidden" name="post_title" value="Forms 2"><input type="hidden" name="quform_current_page_id" value="1"><input type="hidden" name="quform_csrf_token" value="0n6uS89yv0RUzeskNqforPG7JiilFhXPS6xyjIOU">
    <div class="quform-elements quform-elements-9 quform-cf quform-responsive-elements-phone-landscape">
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              <div class="quform-label quform-label-9_22"><label class="quform-label-text" for="quform_9_22_3ab237">Greeting<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-select quform-inner-9_22">
                <div class="quform-input quform-input-select quform-input-9_22 quform-cf"><select id="quform_9_22_3ab237" name="quform_9_22" class="quform-field quform-field-select quform-field-9_22">
                    <option value="" selected="selected">Please select</option>
                    <option value="Mr.">Mr.</option>
                    <option value="Mrs.">Mrs.</option>
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          <div class="quform-element quform-element-text quform-element-9_23 quform-cf quform-element-required">
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              <div class="quform-label quform-label-9_23"><label class="quform-label-text" for="quform_9_23_3ab237">Surname(s)<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-text quform-inner-9_23">
                <div class="quform-input quform-input-text quform-input-9_23 quform-cf"><input type="text" id="quform_9_23_3ab237" name="quform_9_23" class="quform-field quform-field-text quform-field-9_23"></div>
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          <div class="quform-element quform-element-text quform-element-9_20 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_20"><label class="quform-label-text" for="quform_9_20_3ab237">Given Name(s)<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-text quform-inner-9_20">
                <div class="quform-input quform-input-text quform-input-9_20 quform-cf"><input type="text" id="quform_9_20_3ab237" name="quform_9_20" class="quform-field quform-field-text quform-field-9_20"></div>
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          <div class="quform-element quform-element-text quform-element-9_6 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_6"><label class="quform-label-text" for="quform_9_6_3ab237">Nationality<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-text quform-inner-9_6">
                <div class="quform-input quform-input-text quform-input-9_6 quform-cf"><input type="text" id="quform_9_6_3ab237" name="quform_9_6" class="quform-field quform-field-text quform-field-9_6"></div>
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          <div class="quform-element quform-element-email quform-element-9_7 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_7"><label class="quform-label-text" for="quform_9_7_3ab237">Email<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-email quform-inner-9_7">
                <div class="quform-input quform-input-email quform-input-9_7 quform-cf"><input type="email" id="quform_9_7_3ab237" name="quform_9_7" class="quform-field quform-field-email quform-field-9_7"></div>
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          </div>
          <div class="quform-element quform-element-text quform-element-9_8 quform-cf quform-element-optional">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_8"><label class="quform-label-text" for="quform_9_8_3ab237">Mobile phone (e.g. : +41790001122)</label></div>
              <div class="quform-inner quform-inner-text quform-inner-9_8">
                <div class="quform-input quform-input-text quform-input-9_8 quform-cf"><input type="text" id="quform_9_8_3ab237" name="quform_9_8" class="quform-field quform-field-text quform-field-9_8"></div>
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          <div class="quform-element quform-element-file quform-element-9_15 quform-cf quform-element-optional">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_15"><label class="quform-label-text" for="quform_9_15_3ab237">Attach Passport Copy</label></div>
              <div class="quform-inner quform-inner-file quform-inner-9_15">
                <div class="quform-input quform-input-file quform-input-9_15 quform-cf quform-button-style-theme"><input type="file" id="quform_9_15_3ab237" name="quform_9_15[]"
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          <div class="quform-element quform-element-checkbox quform-element-9_28 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_28"><label class="quform-label-text">I hereby declare to have understood that it is the traveller's responsibility to check and fulfill the passport, visa, health and immigration requirements
                  applicable to his itinerary with the relevant embassies and/or consulates. The travel agency can only provide general information. Fert Travel cannot accept any liability if the traveller is refused for boarding or entry into a
                  country due to incorrect documentation. <span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-checkbox quform-inner-9_28">
                <div class="quform-input quform-input-checkbox quform-input-9_28 quform-cf">
                  <div class="quform-options quform-cf quform-options-block">
                    <div class="quform-option"><input type="checkbox" name="quform_9_28[]" id="quform_9_28_3ab237_1" class="quform-field quform-field-checkbox quform-field-9_28 quform-field-9_28_1" value="I agree"><label for="quform_9_28_3ab237_1"
                        class="quform-option-label quform-option-label-9_28_1"><span class="quform-option-text">I agree</span></label></div>
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          <div class="quform-element quform-element-select quform-element-9_27 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_27"><label class="quform-label-text" for="quform_9_27_3ab237">From<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-select quform-inner-9_27">
                <div class="quform-input quform-input-select quform-input-9_27 quform-cf"><select id="quform_9_27_3ab237" name="quform_9_27" class="quform-field quform-field-select quform-field-9_27">
                    <option value="" selected="selected">Veuillez sélectionner</option>
                    <option value="Geneva">Geneva</option>
                    <option value="Paris">Paris</option>
                    <option value="London">London</option>
                    <option value="Rome">Rome</option>
                    <option value="Nice">Nice</option>
                    <option value="Cannes">Cannes</option>
                    <option value="Monaco">Monaco</option>
                  </select></div>
              </div>
            </div>
          </div>
          <div class="quform-element quform-element-select quform-element-9_29 quform-cf quform-element-required">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_29"><label class="quform-label-text" for="quform_9_29_3ab237">To<span class="quform-required">*</span></label></div>
              <div class="quform-inner quform-inner-select quform-inner-9_29">
                <div class="quform-input quform-input-select quform-input-9_29 quform-cf"><select id="quform_9_29_3ab237" name="quform_9_29" class="quform-field quform-field-select quform-field-9_29">
                    <option value="" selected="selected">Veuillez sélectionner</option>
                    <option value="Geneva">Geneva</option>
                    <option value="Paris">Paris</option>
                    <option value="London">London</option>
                    <option value="Rome">Rome</option>
                    <option value="Nice">Nice</option>
                    <option value="Cannes">Cannes</option>
                    <option value="Monaco">Monaco</option>
                  </select></div>
              </div>
            </div>
          </div>
          <div class="quform-element quform-element-textarea quform-element-9_14 quform-cf quform-element-optional">
            <div class="quform-spacer">
              <div class="quform-label quform-label-9_14"><label class="quform-label-text" for="quform_9_14_3ab237">Remarks</label></div>
              <div class="quform-inner quform-inner-textarea quform-inner-9_14">
                <div class="quform-input quform-input-textarea quform-input-9_14 quform-cf"><textarea id="quform_9_14_3ab237" name="quform_9_14" class="quform-field quform-field-textarea quform-field-9_14"></textarea></div>
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          <div class="quform-element quform-element-submit quform-element-9_2 quform-cf quform-button-style-theme">
            <div class="quform-button-submit quform-button-submit-default quform-button-submit-9_2"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span
                  class="quform-button-text quform-button-submit-text">Submit</span></button></div>
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              <div class="quform-loading-inner">
                <div class="quform-loading-spinner">
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          <div class="quform-element-tree"><label for="quform_9_0_3ab237">Ce champ devrait être laissé vide</label><input type="text" id="quform_9_0_3ab237" name="quform_9_0" class="quform-field quform-field-tree quform-field-9_0" tabindex="-1"
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    <div class="quform-upload-progress-wrap">
      <div class="quform-upload-progress-bar-wrap">
        <div class="quform-upload-progress-bar"></div>
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      <div class="quform-upload-info quform-cf">
        <div class="quform-upload-filename"></div>
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</form>

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EUROPEAN HIGH JEWELLERY PROGRAMS 2020




Greeting*
Please selectMr.Mrs.
Surname(s)*

Given Name(s)*

Nationality*

Email*

Mobile phone (e.g. : +41790001122)

Attach Passport Copy

I hereby declare to have understood that it is the traveller's responsibility to
check and fulfill the passport, visa, health and immigration requirements
applicable to his itinerary with the relevant embassies and/or consulates. The
travel agency can only provide general information. Fert Travel cannot accept
any liability if the traveller is refused for boarding or entry into a country
due to incorrect documentation. *
I agree
From*
Veuillez sélectionnerGenevaParisLondonRomeNiceCannesMonaco
To*
Veuillez sélectionnerGenevaParisLondonRomeNiceCannesMonaco
Remarks

Submit

Ce champ devrait être laissé vide






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+41 22 839 43 11


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