donner.francealzheimer.org
Open in
urlscan Pro
2606:4700:20::681a:7d
Public Scan
Submitted URL: https://tr.emailing.cifea-mkg.com/hit/CIFA/02H/gz/I04oOETB8EAK8T89UYvoDTp4ajjPlOOq9ym-4Rwg7wBmWtFP-vrdxQ9fCmhQ3-we_CyfT4p5FKf1FD5a...
Effective URL: https://donner.francealzheimer.org/email?utm_source=Email%201&utm_medium=Email&utm_campaign=Aidez-nous-a-aider&utm_content=CTA1
Submission: On July 18 via api from BE — Scanned from FR
Effective URL: https://donner.francealzheimer.org/email?utm_source=Email%201&utm_medium=Email&utm_campaign=Aidez-nous-a-aider&utm_content=CTA1
Submission: On July 18 via api from BE — Scanned from FR
Form analysis
1 forms found in the DOMName: form_order_model — POST /email
<form name="form_order_model" method="post" action="/email" novalidate="novalidate" id="form_order_model" data-controller="bootstrap product style validator phone confirm-donation"
data-action="product:updated:amountOrQuantity@document->style#display product:updated:checkAmount@document->confirm-donation#updateDonation" data-stripe-target="form" data-trigger-amount-message="Votre engagement sera de %order_amount% € par mois."
data-trigger-multi-amount="" data-trigger-sponsorship-amount="">
<div class="container">
<div class="row">
<div data-validator-target="productError" data-action="product:updated:quantity@document->validator#hideError">
</div>
<div class="col-120 col-lg-40">
<h1>Mon <strong>don</strong></h1>
<div class="block">
<h2>Je donne <strong>une fois</strong></h2>
<div class="row no-padding">
<button type="button" class="col-120 button-reset-style" data-action="product#setQuantity suggest-amount#display" data-id="1147">
<div class="amount-box d-flex">
<div class="col-30 my-auto"> 300 € </div>
<div class="col-90 my-auto text "> Permet de financer 6h de relaxation ou 5h du programme Vivre avec la maladie </div>
<input type="hidden" id="form_order_model_items_product_quantity_1147" name="form_order_model[items][product_quantity_1147]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="1147" data-type="S" data-purpose="D" data-free="0" data-amount="300" data-receipt="300" data-participant="1"
data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
</div>
</button>
<button type="button" class="col-120 button-reset-style" data-action="product#setQuantity suggest-amount#display" data-id="1148">
<div class="amount-box d-flex">
<div class="col-30 my-auto"> 500 € </div>
<div class="col-90 my-auto text "> Permet de financer 1/2 journée de recherche ou 4 séances du groupe de parole </div>
<input type="hidden" id="form_order_model_items_product_quantity_1148" name="form_order_model[items][product_quantity_1148]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="1148" data-type="S" data-purpose="D" data-free="0" data-amount="500" data-receipt="500" data-participant="1"
data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
</div>
</button>
<button type="button" class="col-120 button-reset-style" data-action="product#setQuantity suggest-amount#display" data-id="1149">
<div class="amount-box d-flex">
<div class="col-30 my-auto"> 1 000 € </div>
<div class="col-90 my-auto text "> Permet de financer 10 ateliers à médiation artistique ou 10 ateliers d'activités physiques adaptées </div>
<input type="hidden" id="form_order_model_items_product_quantity_1149" name="form_order_model[items][product_quantity_1149]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="1149" data-type="S" data-purpose="D" data-free="0" data-amount="1000" data-receipt="1000" data-participant="1"
data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
</div>
</button>
<button type="button" class="col-120 button-reset-style" data-action="product#setQuantity suggest-amount#display" data-id="1150">
<div class="amount-box d-flex">
<div class="col-30 my-auto"> 1 200 € </div>
<div class="col-90 my-auto text "> Permet de financer 12 séances de médiation animale (équithérapie etc.) </div>
<input type="hidden" id="form_order_model_items_product_quantity_1150" name="form_order_model[items][product_quantity_1150]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="1150" data-type="S" data-purpose="D" data-free="0" data-amount="1200" data-receipt="1200" data-participant="1"
data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
</div>
</button>
</div>
<div class="amount-box mb-3">
<input type="text" id="form_order_model_items_product_amount_1151" name="form_order_model[items][product_amount_1151]" inputmode="numeric" autocomplete="HackChromeBug" class="form-control amount-box"
data-action="input->product#amountForm click->product#amountForm blur->confirm-donation#checkDonationAmount" data-product-target="amountToClear" data-suggest-amount-target="freeAmount" data-id="1151" data-type="S" data-purpose="D"
data-free="1" placeholder="Montant libre" aria-label="Montant libre">
<span class="currency"> € </span>
<input type="hidden" id="form_order_model_items_product_quantity_1151" name="form_order_model[items][product_quantity_1151]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="1151" data-type="S" data-purpose="D" data-free="1" data-amount="0" data-receipt="0" data-participant="1" data-suggested-monthly-amount="0"
data-has-suggested-monthly-amount="0">
</div>
<div class="row g-0" data-suggest-amount-target="boxSuggestedAmount" id="box-suggested-amount" style="display: none;">
<div class="col-90 offset-5">
<p>Et si vous donniez plutôt</p>
<p class="fw-bold"><span id="suggested-amount"></span> € par mois ? </p>
<p id="comment"> (Vous pourrez déduire 66% du montant de vos impôts sur le revenu, soit <span id="yearly-suggested-amount"></span> € / an) </p>
</div>
<div class="col-20">
<span class="btn btn-primary" data-type="M" data-action="click->suggest-amount#select">OK</span>
</div>
<p id="arrow-down"></p>
</div>
<h2>Je souhaite <strong>consacrer mon don à</strong></h2>
<div class="mb-3" data-controller="tom-select">
<select id="form_order_model_affSingle" name="form_order_model[affSingle]" class="form-control aff form-select tomselected ts-hidden-accessible" data-tom-select-target="searchSelect" autocomplete="HackChromeBug"
aria-label="Je souhaite <strong>consacrer mon don à</strong>" tabindex="-1">
<option value="4">à la recherche uniquement</option>
<option value="3">aux missions prioritaires</option>
</select>
<div class="ts-wrapper form-control aff form-select single input-hidden full has-items">
<div class="ts-control">
<div data-value="3" class="item" data-ts-item="">aux missions prioritaires</div><input type="select-one" autocomplete="HackChromeBug" size="1" tabindex="0" role="combobox" aria-haspopup="listbox" aria-expanded="false"
aria-controls="form_order_model_affSingle-ts-dropdown" id="form_order_model_affSingle-ts-control">
</div>
<div class="ts-dropdown single" style="display: none;">
<div role="listbox" tabindex="-1" class="ts-dropdown-content" id="form_order_model_affSingle-ts-dropdown"></div>
</div>
</div>
</div>
<div class="tax-exemption-custom">
<div class="fr-view">
<h2>Ma déduction fiscale</h2>
<p>
</p>
<div id="tax-exemption" data-controller="tax-exemption" data-action="product:updated:amountOrQuantity@document->tax-exemption#refreshContent bootstrap:updated:hasOrganisation@document->tax-exemption#updatedOrganisation"
data-tax-exemption-coluche-value="0" data-tax-exemption-local-value="fr" data-tax-exemption-currency-value="€" data-tax-exemption-text-value="par mois">
<ul class="nav nav-tabs" role="tablist">
<li class="nav-item" role="presentation">
<a class="nav-link active" href="#is-1788460247" id="is-tab" data-tax-exemption-target="tabIs" data-bs-toggle="tab" role="tab" aria-controls="is-1788460247" aria-selected="true">Société</a>
</li>
</ul>
<div class="tab-content pt-2 pb-2">
<div class="tab-pane fade show active" id="is-1788460247" role="tabpanel" aria-labelledby="is-tab"> Votre don de <span class="no-wrap"><span data-tax-exemption-target="amountGive">0</span> <span
data-tax-exemption-target="currencySymbol">€</span></span>, ne vous coûte que <span class="no-wrap"><span data-tax-exemption-target="amountRedIs">0</span> <span data-tax-exemption-target="currencySymbol">€</span></span> après
réduction d'impôts de 60% dans la limite de 0,5% du chiffre d'affaires. </div>
</div>
</div>
<p></p>
<p><br></p>
<p><br></p>
</div>
<div class="clearfix"></div>
</div>
</div>
</div>
<div class="col-120 col-lg-40">
<h1>Mes <strong>coordonnées</strong></h1>
<div class="block">
<span class="notice">* Champs obligatoires</span>
<div class="d-none">
<div class="mb-3">
<div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_orga" name="form_order_model[client][orga]" data-box="box-organism" data-event="updated:hasOrganisation" data-action="bootstrap#eventOnSwitch"
data-bootstrap-target="bootstrapSwitch" checked="checked" class="form-check-input" value="1">
<label class="checkbox-switch form-check-label" for="form_order_model_client_orga">Je représente une organisation ou une société</label>
</div>
</div>
</div>
<div class="mb-3"><label for="form_order_model_client_organism" class="form-label required">Raison sociale de l'organisation</label><input type="text" id="form_order_model_client_organism" name="form_order_model[client][organism]"
required="required" class="form-control"></div>
<div class="row g-0">
<div class="col-59">
<div class="box-sirenLegalStatus mb-3" style="display: block;"><label class="form-label required" for="form_order_model_client_legalStatus">Forme juridique</label><select id="form_order_model_client_legalStatus"
name="form_order_model[client][legalStatus]" required="required" class="form-select">
<option value="" selected="selected"></option>
<option value="0">Organisme de placement collectif en valeurs mobilières sans personnalité morale</option>
<option value="10">Entrepreneur individuel</option>
<option value="21">Indivision</option>
<option value="22">Société créée de fait</option>
<option value="23">Société en participation</option>
<option value="24">Fiducie</option>
<option value="27">Paroisse hors zone concordataire</option>
<option value="28">Assujetti unique à la TVA</option>
<option value="29">Autre groupement de droit privé non doté de la personnalité morale</option>
<option value="31">Personne morale de droit étranger, immatriculée au RCS (registre du commerce et des sociétés)</option>
<option value="32">Personne morale de droit étranger, non immatriculée au RCS</option>
<option value="41">Etablissement public ou régie à caractère industriel ou commercial</option>
<option value="51">Société coopérative commerciale particulière</option>
<option value="52">Société en nom collectif</option>
<option value="53">Société en commandite</option>
<option value="54">Société à responsabilité limitée (SARL)</option>
<option value="55">Société anonyme à conseil d'administration</option>
<option value="56">Société anonyme à directoire</option>
<option value="57">Société par actions simplifiée</option>
<option value="58">Société européenne</option>
<option value="61">Caisse d'épargne et de prévoyance</option>
<option value="62">Groupement d'intérêt économique</option>
<option value="63">Société coopérative agricole</option>
<option value="64">Société d'assurance mutuelle</option>
<option value="65">Société civile</option>
<option value="69">Autre personne morale de droit privé inscrite au registre du commerce et des sociétés</option>
<option value="71">Administration de l'état</option>
<option value="72">Collectivité territoriale</option>
<option value="73">Etablissement public administratif</option>
<option value="74">Autre personne morale de droit public administratif</option>
<option value="81">Organisme gérant un régime de protection sociale à adhésion obligatoire</option>
<option value="82">Organisme mutualiste</option>
<option value="83">Comité d'entreprise</option>
<option value="84">Organisme professionnel</option>
<option value="85">Organisme de retraite à adhésion non obligatoire</option>
<option value="91">Syndicat de propriétaires</option>
<option value="92">Association loi 1901 ou assimilé</option>
<option value="93">Fondation</option>
<option value="99">Autre personne morale de droit privé</option>
</select></div>
</div>
<div class="col-59 offset-2">
<div class="box-sirenLegalStatus mb-3" style="display: block;"><label for="form_order_model_client_siren" class="form-label required">Numéro SIREN</label><input type="text" id="form_order_model_client_siren"
name="form_order_model[client][siren]" required="required" class="form-control"></div>
</div>
</div>
<hr class="box-organism" style="display: block;">
<div class="mb-3"><label class="form-label required" for="form_order_model_client_title">Civilité</label><select id="form_order_model_client_title" name="form_order_model[client][title]" class="form-select">
<option value="MMME">Monsieur et Madame</option>
<option value="MME">Madame</option>
<option value="MLLE">Mademoiselle</option>
<option value="M">Monsieur</option>
</select></div>
<div class="row g-0">
<div class="col-49">
<div class="mb-3"><label for="form_order_model_client_lastname" class="form-label required">Nom</label><input type="text" id="form_order_model_client_lastname" name="form_order_model[client][lastname]" required="required"
class="form-control"></div>
</div>
<div class="col-69 offset-2">
<div class="mb-3"><label for="form_order_model_client_firstname" class="form-label required">Prénom</label><input type="text" id="form_order_model_client_firstname" name="form_order_model[client][firstname]" required="required"
class="form-control"></div>
</div>
</div>
<div class="mb-3"><label for="form_order_model_client_email" class="form-label required">E-mail</label><input type="text" id="form_order_model_client_email" name="form_order_model[client][email]" required="required"
data-controller="sanitize" data-action="sanitize#email" class="form-control"></div>
<div class="d-none">
<div class="mb-3">
<div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_isAnonymous" name="form_order_model[client][isAnonymous]" checked="checked" class="form-check-input" value="1">
<label class="checkbox-switch form-check-label" for="form_order_model_client_isAnonymous">Je ne souhaite pas que mon nom apparaisse sur la liste des soutiens.</label>
</div>
</div>
</div>
<div class="d-none">
<div class="mb-3">
<div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_hasAddress" name="form_order_model[client][hasAddress]" data-box="address-field" data-action="bootstrap#eventOnSwitch"
data-bootstrap-target="bootstrapSwitch" checked="checked" class="form-check-input" value="1">
<label class="checkbox-switch form-check-label" for="form_order_model_client_hasAddress">Je souhaite obtenir mon attestation fiscale</label>
</div>
</div>
</div>
<div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_address1" class="form-label required">Adresse</label><input type="text" id="form_order_model_client_address1"
name="form_order_model[client][address1]" required="required" class="form-control"></div>
<div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_address2" class="form-label">Complément d'adresse</label><input type="text" id="form_order_model_client_address2"
name="form_order_model[client][address2]" class="form-control"></div>
<div class="row g-0">
<div class="col-59">
<div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_zipcode" class="form-label required">Code postal</label><input type="text" id="form_order_model_client_zipcode"
name="form_order_model[client][zipcode]" required="required" class="form-control"></div>
</div>
<div class="col-59 offset-2">
<div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_city" class="form-label required">Ville</label><input type="text" id="form_order_model_client_city" name="form_order_model[client][city]"
required="required" class="form-control"></div>
</div>
</div>
<div class="box-stateProvinceCA mb-3" style="display: none;"><label class="form-label required" for="form_order_model_client_stateProvinceCA">Etat/Province</label><select id="form_order_model_client_stateProvinceCA"
name="form_order_model[client][stateProvinceCA]" required="required" class="form-select">
<option value="" selected="selected">Sélectionnez une province</option>
<option value="AB">stateProvinceNameCA_AB</option>
<option value="BC">stateProvinceNameCA_BC</option>
<option value="MB">stateProvinceNameCA_MB</option>
<option value="NB">stateProvinceNameCA_NB</option>
<option value="NL">stateProvinceNameCA_NL</option>
<option value="NS">stateProvinceNameCA_NS</option>
<option value="ON">stateProvinceNameCA_ON</option>
<option value="PE">stateProvinceNameCA_PE</option>
<option value="QC">stateProvinceNameCA_QC</option>
<option value="SK">stateProvinceNameCA_SK</option>
</select></div>
<div class="box-stateProvinceUS mb-3" style="display: none;"><label class="form-label required" for="form_order_model_client_stateProvinceUS">Etat/Province</label><select id="form_order_model_client_stateProvinceUS"
name="form_order_model[client][stateProvinceUS]" required="required" class="form-select">
<option value="" selected="selected">Sélectionnez un État</option>
<option value="AL">stateProvinceNameUS_AL</option>
<option value="AK">stateProvinceNameUS_AK</option>
<option value="AZ">stateProvinceNameUS_AZ</option>
<option value="AR">stateProvinceNameUS_AR</option>
<option value="CA">stateProvinceNameUS_CA</option>
<option value="CO">stateProvinceNameUS_CO</option>
<option value="CT">stateProvinceNameUS_CT</option>
<option value="DE">stateProvinceNameUS_DE</option>
<option value="FL">stateProvinceNameUS_FL</option>
<option value="GA">stateProvinceNameUS_GA</option>
<option value="HI">stateProvinceNameUS_HI</option>
<option value="ID">stateProvinceNameUS_ID</option>
<option value="IL">stateProvinceNameUS_IL</option>
<option value="IN">stateProvinceNameUS_IN</option>
<option value="IA">stateProvinceNameUS_IA</option>
<option value="KS">stateProvinceNameUS_KS</option>
<option value="KY">stateProvinceNameUS_KY</option>
<option value="LA">stateProvinceNameUS_LA</option>
<option value="ME">stateProvinceNameUS_ME</option>
<option value="MD">stateProvinceNameUS_MD</option>
<option value="MA">stateProvinceNameUS_MA</option>
<option value="MI">stateProvinceNameUS_MI</option>
<option value="MN">stateProvinceNameUS_MN</option>
<option value="MS">stateProvinceNameUS_MS</option>
<option value="MO">stateProvinceNameUS_MO</option>
<option value="MT">stateProvinceNameUS_MT</option>
<option value="NE">stateProvinceNameUS_NE</option>
<option value="NV">stateProvinceNameUS_NV</option>
<option value="NH">stateProvinceNameUS_NH</option>
<option value="NJ">stateProvinceNameUS_NJ</option>
<option value="NM">stateProvinceNameUS_NM</option>
<option value="NY">stateProvinceNameUS_NY</option>
<option value="NC">stateProvinceNameUS_NC</option>
<option value="ND">stateProvinceNameUS_ND</option>
<option value="OH">stateProvinceNameUS_OH</option>
<option value="OK">stateProvinceNameUS_OK</option>
<option value="OR">stateProvinceNameUS_OR</option>
<option value="PA">stateProvinceNameUS_PA</option>
<option value="RI">stateProvinceNameUS_RI</option>
<option value="SC">stateProvinceNameUS_SC</option>
<option value="SD">stateProvinceNameUS_SD</option>
<option value="TN">stateProvinceNameUS_TN</option>
<option value="TX">stateProvinceNameUS_TX</option>
<option value="UT">stateProvinceNameUS_UT</option>
<option value="VT">stateProvinceNameUS_VT</option>
<option value="VA">stateProvinceNameUS_VA</option>
<option value="WA">stateProvinceNameUS_WA</option>
<option value="WV">stateProvinceNameUS_WV</option>
<option value="WI">stateProvinceNameUS_WI</option>
<option value="WY">stateProvinceNameUS_WY</option>
</select></div>
<div class="row g-0">
<div class="col-59">
<div class="address-field mb-3" style="display: block;"><label class="form-label required" for="form_order_model_client_country">Pays</label><select id="form_order_model_client_country" name="form_order_model[client][country]"
data-action="bootstrap#eventOnSelect" data-bootstrap-target="bootstrapSelect" class="form-select">
<option value="FR" data-box="box-sirenLegalStatus">France</option>
<option disabled="disabled">-------------------</option>
<option value="AF">Afghanistan</option>
<option value="ZA">Afrique du Sud</option>
<option value="AL">Albanie</option>
<option value="DZ">Algérie</option>
<option value="DE">Allemagne</option>
<option value="AD">Andorre</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctique</option>
<option value="AG">Antigua-et-Barbuda</option>
<option value="SA">Arabie saoudite</option>
<option value="AR">Argentine</option>
<option value="AM">Arménie</option>
<option value="AW">Aruba</option>
<option value="AU">Australie</option>
<option value="AT">Autriche</option>
<option value="AZ">Azerbaïdjan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahreïn</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbade</option>
<option value="BE">Belgique</option>
<option value="BZ">Belize</option>
<option value="BJ">Bénin</option>
<option value="BM">Bermudes</option>
<option value="BT">Bhoutan</option>
<option value="BY">Biélorussie</option>
<option value="BO">Bolivie</option>
<option value="BA">Bosnie-Herzégovine</option>
<option value="BW">Botswana</option>
<option value="BR">Brésil</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgarie</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodge</option>
<option value="CM">Cameroun</option>
<option value="CA" data-box="box-stateProvinceCA">Canada</option>
<option value="CV">Cap-Vert</option>
<option value="CL">Chili</option>
<option value="CN">Chine</option>
<option value="CY">Chypre</option>
<option value="CO">Colombie</option>
<option value="KM">Comores</option>
<option value="CG">Congo-Brazzaville</option>
<option value="CD">Congo-Kinshasa</option>
<option value="KP">Corée du Nord</option>
<option value="KR">Corée du Sud</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d’Ivoire</option>
<option value="HR">Croatie</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="DK">Danemark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominique</option>
<option value="EG">Égypte</option>
<option value="AE">Émirats arabes unis</option>
<option value="EC">Équateur</option>
<option value="ER">Érythrée</option>
<option value="ES">Espagne</option>
<option value="EE">Estonie</option>
<option value="SZ">Eswatini</option>
<option value="VA">État de la Cité du Vatican</option>
<option value="US" data-box="box-stateProvinceUS">États-Unis</option>
<option value="ET">Éthiopie</option>
<option value="FJ">Fidji</option>
<option value="FI">Finlande</option>
<option value="FR" data-box="box-sirenLegalStatus">France</option>
<option value="GA">Gabon</option>
<option value="GM">Gambie</option>
<option value="GE">Géorgie</option>
<option value="GS">Géorgie du Sud-et-les Îles Sandwich du Sud</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Grèce</option>
<option value="GD">Grenade</option>
<option value="GL">Groenland</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernesey</option>
<option value="GN">Guinée</option>
<option value="GQ">Guinée équatoriale</option>
<option value="GW">Guinée-Bissau</option>
<option value="GY">Guyana</option>
<option value="GF">Guyane française</option>
<option value="HT">Haïti</option>
<option value="HN">Honduras</option>
<option value="HU">Hongrie</option>
<option value="BV">Île Bouvet</option>
<option value="CX">Île Christmas</option>
<option value="IM">Île de Man</option>
<option value="NF">Île Norfolk</option>
<option value="AX">Îles Åland</option>
<option value="KY">Îles Caïmans</option>
<option value="CC">Îles Cocos</option>
<option value="CK">Îles Cook</option>
<option value="FO">Îles Féroé</option>
<option value="HM">Îles Heard-et-MacDonald</option>
<option value="FK">Îles Malouines</option>
<option value="MP">Îles Mariannes du Nord</option>
<option value="MH">Îles Marshall</option>
<option value="UM">Îles mineures éloignées des États-Unis</option>
<option value="PN">Îles Pitcairn</option>
<option value="SB">Îles Salomon</option>
<option value="TC">Îles Turques-et-Caïques</option>
<option value="VG">Îles Vierges britanniques</option>
<option value="VI">Îles Vierges des États-Unis</option>
<option value="IN">Inde</option>
<option value="ID">Indonésie</option>
<option value="IQ">Irak</option>
<option value="IR">Iran</option>
<option value="IE">Irlande</option>
<option value="IS">Islande</option>
<option value="IL">Israël</option>
<option value="IT">Italie</option>
<option value="JM">Jamaïque</option>
<option value="JP">Japon</option>
<option value="JE">Jersey</option>
<option value="JO">Jordanie</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KG">Kirghizstan</option>
<option value="KI">Kiribati</option>
<option value="KW">Koweït</option>
<option value="RE">La Réunion</option>
<option value="LA">Laos</option>
<option value="LS">Lesotho</option>
<option value="LV">Lettonie</option>
<option value="LB">Liban</option>
<option value="LR">Liberia</option>
<option value="LY">Libye</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lituanie</option>
<option value="LU">Luxembourg</option>
<option value="MK">Macédoine du Nord</option>
<option value="MG">Madagascar</option>
<option value="MY">Malaisie</option>
<option value="MW">Malawi</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malte</option>
<option value="MA">Maroc</option>
<option value="MQ">Martinique</option>
<option value="MU">Maurice</option>
<option value="MR">Mauritanie</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexique</option>
<option value="FM">Micronésie</option>
<option value="MD">Moldavie</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolie</option>
<option value="ME">Monténégro</option>
<option value="MS">Montserrat</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar (Birmanie)</option>
<option value="NA">Namibie</option>
<option value="NR">Nauru</option>
<option value="NP">Népal</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NO">Norvège</option>
<option value="NC">Nouvelle-Calédonie</option>
<option value="NZ">Nouvelle-Zélande</option>
<option value="OM">Oman</option>
<option value="UG">Ouganda</option>
<option value="UZ">Ouzbékistan</option>
<option value="PK">Pakistan</option>
<option value="PW">Palaos</option>
<option value="PA">Panama</option>
<option value="PG">Papouasie-Nouvelle-Guinée</option>
<option value="PY">Paraguay</option>
<option value="NL">Pays-Bas</option>
<option value="BQ">Pays-Bas caribéens</option>
<option value="PE">Pérou</option>
<option value="PH">Philippines</option>
<option value="PL">Pologne</option>
<option value="PF">Polynésie française</option>
<option value="PR">Porto Rico</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="HK">R.A.S. chinoise de Hong Kong</option>
<option value="MO">R.A.S. chinoise de Macao</option>
<option value="CF">République centrafricaine</option>
<option value="DO">République dominicaine</option>
<option value="RO">Roumanie</option>
<option value="GB">Royaume-Uni</option>
<option value="RU">Russie</option>
<option value="RW">Rwanda</option>
<option value="EH">Sahara occidental</option>
<option value="BL">Saint-Barthélemy</option>
<option value="KN">Saint-Christophe-et-Niévès</option>
<option value="SM">Saint-Marin</option>
<option value="MF">Saint-Martin</option>
<option value="SX">Saint-Martin (partie néerlandaise)</option>
<option value="PM">Saint-Pierre-et-Miquelon</option>
<option value="VC">Saint-Vincent-et-les Grenadines</option>
<option value="SH">Sainte-Hélène</option>
<option value="LC">Sainte-Lucie</option>
<option value="SV">Salvador</option>
<option value="WS">Samoa</option>
<option value="AS">Samoa américaines</option>
<option value="ST">Sao Tomé-et-Principe</option>
<option value="SN">Sénégal</option>
<option value="RS">Serbie</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapour</option>
<option value="SK">Slovaquie</option>
<option value="SI">Slovénie</option>
<option value="SO">Somalie</option>
<option value="SD">Soudan</option>
<option value="SS">Soudan du Sud</option>
<option value="LK">Sri Lanka</option>
<option value="SE">Suède</option>
<option value="CH">Suisse</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard et Jan Mayen</option>
<option value="SY">Syrie</option>
<option value="TJ">Tadjikistan</option>
<option value="TW">Taïwan</option>
<option value="TZ">Tanzanie</option>
<option value="TD">Tchad</option>
<option value="CZ">Tchéquie</option>
<option value="TF">Terres australes françaises</option>
<option value="IO">Territoire britannique de l’océan Indien</option>
<option value="PS">Territoires palestiniens</option>
<option value="TH">Thaïlande</option>
<option value="TL">Timor oriental</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinité-et-Tobago</option>
<option value="TN">Tunisie</option>
<option value="TM">Turkménistan</option>
<option value="TR">Turquie</option>
<option value="TV">Tuvalu</option>
<option value="UA">Ukraine</option>
<option value="UY">Uruguay</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Viêt Nam</option>
<option value="WF">Wallis-et-Futuna</option>
<option value="YE">Yémen</option>
<option value="ZM">Zambie</option>
<option value="ZW">Zimbabwe</option>
</select></div>
</div>
<div class="col-59 offset-2">
<div class="address-field" style="display: block;"><label for="form_order_model_client_phone" class="form-label">Téléphone</label>
<div class="iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="France: +33" aria-activedescendant="iti-0__item-fr">
<div class="iti__flag iti__fr"></div>
<div class="iti__arrow"></div>
</div>
<ul class="iti__country-list iti__hide" id="iti-0__country-listbox" role="listbox" aria-label="List of countries">
<li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-us-preferred" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-gb-preferred" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gb"></div>
</div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__divider" role="separator" aria-disabled="true"></li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-af" role="option" data-dial-code="93" data-country-code="af" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__af"></div>
</div><span class="iti__country-name">Afghanistan (افغانستان)</span><span class="iti__dial-code">+93</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-al" role="option" data-dial-code="355" data-country-code="al" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__al"></div>
</div><span class="iti__country-name">Albania (Shqipëri)</span><span class="iti__dial-code">+355</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dz" role="option" data-dial-code="213" data-country-code="dz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dz"></div>
</div><span class="iti__country-name">Algeria (الجزائر)</span><span class="iti__dial-code">+213</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-as" role="option" data-dial-code="1" data-country-code="as" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__as"></div>
</div><span class="iti__country-name">American Samoa</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ad" role="option" data-dial-code="376" data-country-code="ad" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ad"></div>
</div><span class="iti__country-name">Andorra</span><span class="iti__dial-code">+376</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ao" role="option" data-dial-code="244" data-country-code="ao" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ao"></div>
</div><span class="iti__country-name">Angola</span><span class="iti__dial-code">+244</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ai" role="option" data-dial-code="1" data-country-code="ai" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ai"></div>
</div><span class="iti__country-name">Anguilla</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ag" role="option" data-dial-code="1" data-country-code="ag" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ag"></div>
</div><span class="iti__country-name">Antigua and Barbuda</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ar" role="option" data-dial-code="54" data-country-code="ar" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ar"></div>
</div><span class="iti__country-name">Argentina</span><span class="iti__dial-code">+54</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-am" role="option" data-dial-code="374" data-country-code="am" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__am"></div>
</div><span class="iti__country-name">Armenia (Հայաստան)</span><span class="iti__dial-code">+374</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-aw" role="option" data-dial-code="297" data-country-code="aw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__aw"></div>
</div><span class="iti__country-name">Aruba</span><span class="iti__dial-code">+297</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ac" role="option" data-dial-code="247" data-country-code="ac" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ac"></div>
</div><span class="iti__country-name">Ascension Island</span><span class="iti__dial-code">+247</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-au" role="option" data-dial-code="61" data-country-code="au" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__au"></div>
</div><span class="iti__country-name">Australia</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-at" role="option" data-dial-code="43" data-country-code="at" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__at"></div>
</div><span class="iti__country-name">Austria (Österreich)</span><span class="iti__dial-code">+43</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-az" role="option" data-dial-code="994" data-country-code="az" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__az"></div>
</div><span class="iti__country-name">Azerbaijan (Azərbaycan)</span><span class="iti__dial-code">+994</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bs" role="option" data-dial-code="1" data-country-code="bs" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bs"></div>
</div><span class="iti__country-name">Bahamas</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bh" role="option" data-dial-code="973" data-country-code="bh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bh"></div>
</div><span class="iti__country-name">Bahrain (البحرين)</span><span class="iti__dial-code">+973</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bd" role="option" data-dial-code="880" data-country-code="bd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bd"></div>
</div><span class="iti__country-name">Bangladesh (বাংলাদেশ)</span><span class="iti__dial-code">+880</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bb" role="option" data-dial-code="1" data-country-code="bb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bb"></div>
</div><span class="iti__country-name">Barbados</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-by" role="option" data-dial-code="375" data-country-code="by" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__by"></div>
</div><span class="iti__country-name">Belarus (Беларусь)</span><span class="iti__dial-code">+375</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-be" role="option" data-dial-code="32" data-country-code="be" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__be"></div>
</div><span class="iti__country-name">Belgium (België)</span><span class="iti__dial-code">+32</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bz" role="option" data-dial-code="501" data-country-code="bz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bz"></div>
</div><span class="iti__country-name">Belize</span><span class="iti__dial-code">+501</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bj" role="option" data-dial-code="229" data-country-code="bj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bj"></div>
</div><span class="iti__country-name">Benin (Bénin)</span><span class="iti__dial-code">+229</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bm" role="option" data-dial-code="1" data-country-code="bm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bm"></div>
</div><span class="iti__country-name">Bermuda</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bt" role="option" data-dial-code="975" data-country-code="bt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bt"></div>
</div><span class="iti__country-name">Bhutan (འབྲུག)</span><span class="iti__dial-code">+975</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bo" role="option" data-dial-code="591" data-country-code="bo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bo"></div>
</div><span class="iti__country-name">Bolivia</span><span class="iti__dial-code">+591</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ba" role="option" data-dial-code="387" data-country-code="ba" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ba"></div>
</div><span class="iti__country-name">Bosnia and Herzegovina (Босна и Херцеговина)</span><span class="iti__dial-code">+387</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bw" role="option" data-dial-code="267" data-country-code="bw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bw"></div>
</div><span class="iti__country-name">Botswana</span><span class="iti__dial-code">+267</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-br" role="option" data-dial-code="55" data-country-code="br" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__br"></div>
</div><span class="iti__country-name">Brazil (Brasil)</span><span class="iti__dial-code">+55</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-io" role="option" data-dial-code="246" data-country-code="io" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__io"></div>
</div><span class="iti__country-name">British Indian Ocean Territory</span><span class="iti__dial-code">+246</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vg" role="option" data-dial-code="1" data-country-code="vg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vg"></div>
</div><span class="iti__country-name">British Virgin Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bn" role="option" data-dial-code="673" data-country-code="bn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bn"></div>
</div><span class="iti__country-name">Brunei</span><span class="iti__dial-code">+673</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bg" role="option" data-dial-code="359" data-country-code="bg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bg"></div>
</div><span class="iti__country-name">Bulgaria (България)</span><span class="iti__dial-code">+359</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bf" role="option" data-dial-code="226" data-country-code="bf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bf"></div>
</div><span class="iti__country-name">Burkina Faso</span><span class="iti__dial-code">+226</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bi" role="option" data-dial-code="257" data-country-code="bi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bi"></div>
</div><span class="iti__country-name">Burundi (Uburundi)</span><span class="iti__dial-code">+257</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kh" role="option" data-dial-code="855" data-country-code="kh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kh"></div>
</div><span class="iti__country-name">Cambodia (កម្ពុជា)</span><span class="iti__dial-code">+855</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cm" role="option" data-dial-code="237" data-country-code="cm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cm"></div>
</div><span class="iti__country-name">Cameroon (Cameroun)</span><span class="iti__dial-code">+237</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ca" role="option" data-dial-code="1" data-country-code="ca" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ca"></div>
</div><span class="iti__country-name">Canada</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cv" role="option" data-dial-code="238" data-country-code="cv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cv"></div>
</div><span class="iti__country-name">Cape Verde (Kabu Verdi)</span><span class="iti__dial-code">+238</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bq" role="option" data-dial-code="599" data-country-code="bq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bq"></div>
</div><span class="iti__country-name">Caribbean Netherlands</span><span class="iti__dial-code">+599</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ky" role="option" data-dial-code="1" data-country-code="ky" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ky"></div>
</div><span class="iti__country-name">Cayman Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cf" role="option" data-dial-code="236" data-country-code="cf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cf"></div>
</div><span class="iti__country-name">Central African Republic (République centrafricaine)</span><span class="iti__dial-code">+236</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-td" role="option" data-dial-code="235" data-country-code="td" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__td"></div>
</div><span class="iti__country-name">Chad (Tchad)</span><span class="iti__dial-code">+235</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cl" role="option" data-dial-code="56" data-country-code="cl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cl"></div>
</div><span class="iti__country-name">Chile</span><span class="iti__dial-code">+56</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cn" role="option" data-dial-code="86" data-country-code="cn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cn"></div>
</div><span class="iti__country-name">China (中国)</span><span class="iti__dial-code">+86</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cx" role="option" data-dial-code="61" data-country-code="cx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cx"></div>
</div><span class="iti__country-name">Christmas Island</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cc" role="option" data-dial-code="61" data-country-code="cc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cc"></div>
</div><span class="iti__country-name">Cocos (Keeling) Islands</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-co" role="option" data-dial-code="57" data-country-code="co" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__co"></div>
</div><span class="iti__country-name">Colombia</span><span class="iti__dial-code">+57</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-km" role="option" data-dial-code="269" data-country-code="km" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__km"></div>
</div><span class="iti__country-name">Comoros (جزر القمر)</span><span class="iti__dial-code">+269</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cd" role="option" data-dial-code="243" data-country-code="cd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cd"></div>
</div><span class="iti__country-name">Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)</span><span class="iti__dial-code">+243</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cg" role="option" data-dial-code="242" data-country-code="cg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cg"></div>
</div><span class="iti__country-name">Congo (Republic) (Congo-Brazzaville)</span><span class="iti__dial-code">+242</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ck" role="option" data-dial-code="682" data-country-code="ck" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ck"></div>
</div><span class="iti__country-name">Cook Islands</span><span class="iti__dial-code">+682</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cr" role="option" data-dial-code="506" data-country-code="cr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cr"></div>
</div><span class="iti__country-name">Costa Rica</span><span class="iti__dial-code">+506</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ci" role="option" data-dial-code="225" data-country-code="ci" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ci"></div>
</div><span class="iti__country-name">Côte d’Ivoire</span><span class="iti__dial-code">+225</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hr" role="option" data-dial-code="385" data-country-code="hr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hr"></div>
</div><span class="iti__country-name">Croatia (Hrvatska)</span><span class="iti__dial-code">+385</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cu" role="option" data-dial-code="53" data-country-code="cu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cu"></div>
</div><span class="iti__country-name">Cuba</span><span class="iti__dial-code">+53</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cw" role="option" data-dial-code="599" data-country-code="cw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cw"></div>
</div><span class="iti__country-name">Curaçao</span><span class="iti__dial-code">+599</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cy" role="option" data-dial-code="357" data-country-code="cy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cy"></div>
</div><span class="iti__country-name">Cyprus (Κύπρος)</span><span class="iti__dial-code">+357</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cz" role="option" data-dial-code="420" data-country-code="cz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cz"></div>
</div><span class="iti__country-name">Czech Republic (Česká republika)</span><span class="iti__dial-code">+420</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dk" role="option" data-dial-code="45" data-country-code="dk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dk"></div>
</div><span class="iti__country-name">Denmark (Danmark)</span><span class="iti__dial-code">+45</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dj" role="option" data-dial-code="253" data-country-code="dj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dj"></div>
</div><span class="iti__country-name">Djibouti</span><span class="iti__dial-code">+253</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dm" role="option" data-dial-code="1" data-country-code="dm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dm"></div>
</div><span class="iti__country-name">Dominica</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-do" role="option" data-dial-code="1" data-country-code="do" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__do"></div>
</div><span class="iti__country-name">Dominican Republic (República Dominicana)</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ec" role="option" data-dial-code="593" data-country-code="ec" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ec"></div>
</div><span class="iti__country-name">Ecuador</span><span class="iti__dial-code">+593</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eg" role="option" data-dial-code="20" data-country-code="eg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__eg"></div>
</div><span class="iti__country-name">Egypt (مصر)</span><span class="iti__dial-code">+20</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sv" role="option" data-dial-code="503" data-country-code="sv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sv"></div>
</div><span class="iti__country-name">El Salvador</span><span class="iti__dial-code">+503</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gq" role="option" data-dial-code="240" data-country-code="gq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gq"></div>
</div><span class="iti__country-name">Equatorial Guinea (Guinea Ecuatorial)</span><span class="iti__dial-code">+240</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-er" role="option" data-dial-code="291" data-country-code="er" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__er"></div>
</div><span class="iti__country-name">Eritrea</span><span class="iti__dial-code">+291</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ee" role="option" data-dial-code="372" data-country-code="ee" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ee"></div>
</div><span class="iti__country-name">Estonia (Eesti)</span><span class="iti__dial-code">+372</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sz" role="option" data-dial-code="268" data-country-code="sz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sz"></div>
</div><span class="iti__country-name">Eswatini</span><span class="iti__dial-code">+268</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-et" role="option" data-dial-code="251" data-country-code="et" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__et"></div>
</div><span class="iti__country-name">Ethiopia</span><span class="iti__dial-code">+251</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fk" role="option" data-dial-code="500" data-country-code="fk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fk"></div>
</div><span class="iti__country-name">Falkland Islands (Islas Malvinas)</span><span class="iti__dial-code">+500</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fo" role="option" data-dial-code="298" data-country-code="fo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fo"></div>
</div><span class="iti__country-name">Faroe Islands (Føroyar)</span><span class="iti__dial-code">+298</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fj" role="option" data-dial-code="679" data-country-code="fj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fj"></div>
</div><span class="iti__country-name">Fiji</span><span class="iti__dial-code">+679</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fi" role="option" data-dial-code="358" data-country-code="fi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fi"></div>
</div><span class="iti__country-name">Finland (Suomi)</span><span class="iti__dial-code">+358</span>
</li>
<li class="iti__country iti__standard iti__active" tabindex="-1" id="iti-0__item-fr" role="option" data-dial-code="33" data-country-code="fr" aria-selected="true">
<div class="iti__flag-box">
<div class="iti__flag iti__fr"></div>
</div><span class="iti__country-name">France</span><span class="iti__dial-code">+33</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gf" role="option" data-dial-code="594" data-country-code="gf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gf"></div>
</div><span class="iti__country-name">French Guiana (Guyane française)</span><span class="iti__dial-code">+594</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pf" role="option" data-dial-code="689" data-country-code="pf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pf"></div>
</div><span class="iti__country-name">French Polynesia (Polynésie française)</span><span class="iti__dial-code">+689</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ga" role="option" data-dial-code="241" data-country-code="ga" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ga"></div>
</div><span class="iti__country-name">Gabon</span><span class="iti__dial-code">+241</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gm" role="option" data-dial-code="220" data-country-code="gm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gm"></div>
</div><span class="iti__country-name">Gambia</span><span class="iti__dial-code">+220</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ge" role="option" data-dial-code="995" data-country-code="ge" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ge"></div>
</div><span class="iti__country-name">Georgia (საქართველო)</span><span class="iti__dial-code">+995</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-de" role="option" data-dial-code="49" data-country-code="de" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__de"></div>
</div><span class="iti__country-name">Germany (Deutschland)</span><span class="iti__dial-code">+49</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gh" role="option" data-dial-code="233" data-country-code="gh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gh"></div>
</div><span class="iti__country-name">Ghana (Gaana)</span><span class="iti__dial-code">+233</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gi" role="option" data-dial-code="350" data-country-code="gi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gi"></div>
</div><span class="iti__country-name">Gibraltar</span><span class="iti__dial-code">+350</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gr" role="option" data-dial-code="30" data-country-code="gr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gr"></div>
</div><span class="iti__country-name">Greece (Ελλάδα)</span><span class="iti__dial-code">+30</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gl" role="option" data-dial-code="299" data-country-code="gl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gl"></div>
</div><span class="iti__country-name">Greenland (Kalaallit Nunaat)</span><span class="iti__dial-code">+299</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gd" role="option" data-dial-code="1" data-country-code="gd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gd"></div>
</div><span class="iti__country-name">Grenada</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gp" role="option" data-dial-code="590" data-country-code="gp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gp"></div>
</div><span class="iti__country-name">Guadeloupe</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gu" role="option" data-dial-code="1" data-country-code="gu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gu"></div>
</div><span class="iti__country-name">Guam</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gt" role="option" data-dial-code="502" data-country-code="gt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gt"></div>
</div><span class="iti__country-name">Guatemala</span><span class="iti__dial-code">+502</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gg" role="option" data-dial-code="44" data-country-code="gg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gg"></div>
</div><span class="iti__country-name">Guernsey</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gn" role="option" data-dial-code="224" data-country-code="gn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gn"></div>
</div><span class="iti__country-name">Guinea (Guinée)</span><span class="iti__dial-code">+224</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gw" role="option" data-dial-code="245" data-country-code="gw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gw"></div>
</div><span class="iti__country-name">Guinea-Bissau (Guiné Bissau)</span><span class="iti__dial-code">+245</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gy" role="option" data-dial-code="592" data-country-code="gy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gy"></div>
</div><span class="iti__country-name">Guyana</span><span class="iti__dial-code">+592</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ht" role="option" data-dial-code="509" data-country-code="ht" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ht"></div>
</div><span class="iti__country-name">Haiti</span><span class="iti__dial-code">+509</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hn" role="option" data-dial-code="504" data-country-code="hn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hn"></div>
</div><span class="iti__country-name">Honduras</span><span class="iti__dial-code">+504</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hk" role="option" data-dial-code="852" data-country-code="hk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hk"></div>
</div><span class="iti__country-name">Hong Kong (香港)</span><span class="iti__dial-code">+852</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hu" role="option" data-dial-code="36" data-country-code="hu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hu"></div>
</div><span class="iti__country-name">Hungary (Magyarország)</span><span class="iti__dial-code">+36</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-is" role="option" data-dial-code="354" data-country-code="is" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__is"></div>
</div><span class="iti__country-name">Iceland (Ísland)</span><span class="iti__dial-code">+354</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-in" role="option" data-dial-code="91" data-country-code="in" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__in"></div>
</div><span class="iti__country-name">India (भारत)</span><span class="iti__dial-code">+91</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-id" role="option" data-dial-code="62" data-country-code="id" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__id"></div>
</div><span class="iti__country-name">Indonesia</span><span class="iti__dial-code">+62</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ir" role="option" data-dial-code="98" data-country-code="ir" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ir"></div>
</div><span class="iti__country-name">Iran (ایران)</span><span class="iti__dial-code">+98</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-iq" role="option" data-dial-code="964" data-country-code="iq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__iq"></div>
</div><span class="iti__country-name">Iraq (العراق)</span><span class="iti__dial-code">+964</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ie" role="option" data-dial-code="353" data-country-code="ie" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ie"></div>
</div><span class="iti__country-name">Ireland</span><span class="iti__dial-code">+353</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-im" role="option" data-dial-code="44" data-country-code="im" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__im"></div>
</div><span class="iti__country-name">Isle of Man</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-il" role="option" data-dial-code="972" data-country-code="il" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__il"></div>
</div><span class="iti__country-name">Israel (ישראל)</span><span class="iti__dial-code">+972</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-it" role="option" data-dial-code="39" data-country-code="it" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__it"></div>
</div><span class="iti__country-name">Italy (Italia)</span><span class="iti__dial-code">+39</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jm" role="option" data-dial-code="1" data-country-code="jm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jm"></div>
</div><span class="iti__country-name">Jamaica</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jp" role="option" data-dial-code="81" data-country-code="jp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jp"></div>
</div><span class="iti__country-name">Japan (日本)</span><span class="iti__dial-code">+81</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-je" role="option" data-dial-code="44" data-country-code="je" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__je"></div>
</div><span class="iti__country-name">Jersey</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jo" role="option" data-dial-code="962" data-country-code="jo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jo"></div>
</div><span class="iti__country-name">Jordan (الأردن)</span><span class="iti__dial-code">+962</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kz" role="option" data-dial-code="7" data-country-code="kz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kz"></div>
</div><span class="iti__country-name">Kazakhstan (Казахстан)</span><span class="iti__dial-code">+7</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ke" role="option" data-dial-code="254" data-country-code="ke" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ke"></div>
</div><span class="iti__country-name">Kenya</span><span class="iti__dial-code">+254</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ki" role="option" data-dial-code="686" data-country-code="ki" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ki"></div>
</div><span class="iti__country-name">Kiribati</span><span class="iti__dial-code">+686</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-xk" role="option" data-dial-code="383" data-country-code="xk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__xk"></div>
</div><span class="iti__country-name">Kosovo</span><span class="iti__dial-code">+383</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kw" role="option" data-dial-code="965" data-country-code="kw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kw"></div>
</div><span class="iti__country-name">Kuwait (الكويت)</span><span class="iti__dial-code">+965</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kg" role="option" data-dial-code="996" data-country-code="kg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kg"></div>
</div><span class="iti__country-name">Kyrgyzstan (Кыргызстан)</span><span class="iti__dial-code">+996</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-la" role="option" data-dial-code="856" data-country-code="la" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__la"></div>
</div><span class="iti__country-name">Laos (ລາວ)</span><span class="iti__dial-code">+856</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lv" role="option" data-dial-code="371" data-country-code="lv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lv"></div>
</div><span class="iti__country-name">Latvia (Latvija)</span><span class="iti__dial-code">+371</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lb" role="option" data-dial-code="961" data-country-code="lb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lb"></div>
</div><span class="iti__country-name">Lebanon (لبنان)</span><span class="iti__dial-code">+961</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ls" role="option" data-dial-code="266" data-country-code="ls" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ls"></div>
</div><span class="iti__country-name">Lesotho</span><span class="iti__dial-code">+266</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lr" role="option" data-dial-code="231" data-country-code="lr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lr"></div>
</div><span class="iti__country-name">Liberia</span><span class="iti__dial-code">+231</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ly" role="option" data-dial-code="218" data-country-code="ly" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ly"></div>
</div><span class="iti__country-name">Libya (ليبيا)</span><span class="iti__dial-code">+218</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-li" role="option" data-dial-code="423" data-country-code="li" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__li"></div>
</div><span class="iti__country-name">Liechtenstein</span><span class="iti__dial-code">+423</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lt" role="option" data-dial-code="370" data-country-code="lt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lt"></div>
</div><span class="iti__country-name">Lithuania (Lietuva)</span><span class="iti__dial-code">+370</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lu" role="option" data-dial-code="352" data-country-code="lu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lu"></div>
</div><span class="iti__country-name">Luxembourg</span><span class="iti__dial-code">+352</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mo" role="option" data-dial-code="853" data-country-code="mo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mo"></div>
</div><span class="iti__country-name">Macau (澳門)</span><span class="iti__dial-code">+853</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mg" role="option" data-dial-code="261" data-country-code="mg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mg"></div>
</div><span class="iti__country-name">Madagascar (Madagasikara)</span><span class="iti__dial-code">+261</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mw" role="option" data-dial-code="265" data-country-code="mw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mw"></div>
</div><span class="iti__country-name">Malawi</span><span class="iti__dial-code">+265</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-my" role="option" data-dial-code="60" data-country-code="my" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__my"></div>
</div><span class="iti__country-name">Malaysia</span><span class="iti__dial-code">+60</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mv" role="option" data-dial-code="960" data-country-code="mv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mv"></div>
</div><span class="iti__country-name">Maldives</span><span class="iti__dial-code">+960</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ml" role="option" data-dial-code="223" data-country-code="ml" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ml"></div>
</div><span class="iti__country-name">Mali</span><span class="iti__dial-code">+223</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mt" role="option" data-dial-code="356" data-country-code="mt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mt"></div>
</div><span class="iti__country-name">Malta</span><span class="iti__dial-code">+356</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mh" role="option" data-dial-code="692" data-country-code="mh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mh"></div>
</div><span class="iti__country-name">Marshall Islands</span><span class="iti__dial-code">+692</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mq" role="option" data-dial-code="596" data-country-code="mq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mq"></div>
</div><span class="iti__country-name">Martinique</span><span class="iti__dial-code">+596</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mr" role="option" data-dial-code="222" data-country-code="mr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mr"></div>
</div><span class="iti__country-name">Mauritania (موريتانيا)</span><span class="iti__dial-code">+222</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mu" role="option" data-dial-code="230" data-country-code="mu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mu"></div>
</div><span class="iti__country-name">Mauritius (Moris)</span><span class="iti__dial-code">+230</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-yt" role="option" data-dial-code="262" data-country-code="yt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__yt"></div>
</div><span class="iti__country-name">Mayotte</span><span class="iti__dial-code">+262</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mx" role="option" data-dial-code="52" data-country-code="mx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mx"></div>
</div><span class="iti__country-name">Mexico (México)</span><span class="iti__dial-code">+52</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fm" role="option" data-dial-code="691" data-country-code="fm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fm"></div>
</div><span class="iti__country-name">Micronesia</span><span class="iti__dial-code">+691</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-md" role="option" data-dial-code="373" data-country-code="md" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__md"></div>
</div><span class="iti__country-name">Moldova (Republica Moldova)</span><span class="iti__dial-code">+373</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mc" role="option" data-dial-code="377" data-country-code="mc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mc"></div>
</div><span class="iti__country-name">Monaco</span><span class="iti__dial-code">+377</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mn" role="option" data-dial-code="976" data-country-code="mn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mn"></div>
</div><span class="iti__country-name">Mongolia (Монгол)</span><span class="iti__dial-code">+976</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-me" role="option" data-dial-code="382" data-country-code="me" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__me"></div>
</div><span class="iti__country-name">Montenegro (Crna Gora)</span><span class="iti__dial-code">+382</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ms" role="option" data-dial-code="1" data-country-code="ms" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ms"></div>
</div><span class="iti__country-name">Montserrat</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ma" role="option" data-dial-code="212" data-country-code="ma" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ma"></div>
</div><span class="iti__country-name">Morocco (المغرب)</span><span class="iti__dial-code">+212</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mz" role="option" data-dial-code="258" data-country-code="mz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mz"></div>
</div><span class="iti__country-name">Mozambique (Moçambique)</span><span class="iti__dial-code">+258</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mm" role="option" data-dial-code="95" data-country-code="mm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mm"></div>
</div><span class="iti__country-name">Myanmar (Burma) (မြန်မာ)</span><span class="iti__dial-code">+95</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-na" role="option" data-dial-code="264" data-country-code="na" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__na"></div>
</div><span class="iti__country-name">Namibia (Namibië)</span><span class="iti__dial-code">+264</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nr" role="option" data-dial-code="674" data-country-code="nr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nr"></div>
</div><span class="iti__country-name">Nauru</span><span class="iti__dial-code">+674</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-np" role="option" data-dial-code="977" data-country-code="np" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__np"></div>
</div><span class="iti__country-name">Nepal (नेपाल)</span><span class="iti__dial-code">+977</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nl" role="option" data-dial-code="31" data-country-code="nl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nl"></div>
</div><span class="iti__country-name">Netherlands (Nederland)</span><span class="iti__dial-code">+31</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nc" role="option" data-dial-code="687" data-country-code="nc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nc"></div>
</div><span class="iti__country-name">New Caledonia (Nouvelle-Calédonie)</span><span class="iti__dial-code">+687</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nz" role="option" data-dial-code="64" data-country-code="nz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nz"></div>
</div><span class="iti__country-name">New Zealand</span><span class="iti__dial-code">+64</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ni" role="option" data-dial-code="505" data-country-code="ni" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ni"></div>
</div><span class="iti__country-name">Nicaragua</span><span class="iti__dial-code">+505</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ne" role="option" data-dial-code="227" data-country-code="ne" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ne"></div>
</div><span class="iti__country-name">Niger (Nijar)</span><span class="iti__dial-code">+227</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ng" role="option" data-dial-code="234" data-country-code="ng" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ng"></div>
</div><span class="iti__country-name">Nigeria</span><span class="iti__dial-code">+234</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nu" role="option" data-dial-code="683" data-country-code="nu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nu"></div>
</div><span class="iti__country-name">Niue</span><span class="iti__dial-code">+683</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nf" role="option" data-dial-code="672" data-country-code="nf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nf"></div>
</div><span class="iti__country-name">Norfolk Island</span><span class="iti__dial-code">+672</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kp" role="option" data-dial-code="850" data-country-code="kp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kp"></div>
</div><span class="iti__country-name">North Korea (조선 민주주의 인민 공화국)</span><span class="iti__dial-code">+850</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mk" role="option" data-dial-code="389" data-country-code="mk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mk"></div>
</div><span class="iti__country-name">North Macedonia (Северна Македонија)</span><span class="iti__dial-code">+389</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mp" role="option" data-dial-code="1" data-country-code="mp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mp"></div>
</div><span class="iti__country-name">Northern Mariana Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-no" role="option" data-dial-code="47" data-country-code="no" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__no"></div>
</div><span class="iti__country-name">Norway (Norge)</span><span class="iti__dial-code">+47</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-om" role="option" data-dial-code="968" data-country-code="om" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__om"></div>
</div><span class="iti__country-name">Oman (عُمان)</span><span class="iti__dial-code">+968</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pk" role="option" data-dial-code="92" data-country-code="pk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pk"></div>
</div><span class="iti__country-name">Pakistan (پاکستان)</span><span class="iti__dial-code">+92</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pw" role="option" data-dial-code="680" data-country-code="pw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pw"></div>
</div><span class="iti__country-name">Palau</span><span class="iti__dial-code">+680</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ps" role="option" data-dial-code="970" data-country-code="ps" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ps"></div>
</div><span class="iti__country-name">Palestine (فلسطين)</span><span class="iti__dial-code">+970</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pa" role="option" data-dial-code="507" data-country-code="pa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pa"></div>
</div><span class="iti__country-name">Panama (Panamá)</span><span class="iti__dial-code">+507</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pg" role="option" data-dial-code="675" data-country-code="pg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pg"></div>
</div><span class="iti__country-name">Papua New Guinea</span><span class="iti__dial-code">+675</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-py" role="option" data-dial-code="595" data-country-code="py" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__py"></div>
</div><span class="iti__country-name">Paraguay</span><span class="iti__dial-code">+595</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pe" role="option" data-dial-code="51" data-country-code="pe" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pe"></div>
</div><span class="iti__country-name">Peru (Perú)</span><span class="iti__dial-code">+51</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ph" role="option" data-dial-code="63" data-country-code="ph" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ph"></div>
</div><span class="iti__country-name">Philippines</span><span class="iti__dial-code">+63</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pl" role="option" data-dial-code="48" data-country-code="pl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pl"></div>
</div><span class="iti__country-name">Poland (Polska)</span><span class="iti__dial-code">+48</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pt" role="option" data-dial-code="351" data-country-code="pt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pt"></div>
</div><span class="iti__country-name">Portugal</span><span class="iti__dial-code">+351</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pr" role="option" data-dial-code="1" data-country-code="pr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pr"></div>
</div><span class="iti__country-name">Puerto Rico</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-qa" role="option" data-dial-code="974" data-country-code="qa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__qa"></div>
</div><span class="iti__country-name">Qatar (قطر)</span><span class="iti__dial-code">+974</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-re" role="option" data-dial-code="262" data-country-code="re" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__re"></div>
</div><span class="iti__country-name">Réunion (La Réunion)</span><span class="iti__dial-code">+262</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ro" role="option" data-dial-code="40" data-country-code="ro" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ro"></div>
</div><span class="iti__country-name">Romania (România)</span><span class="iti__dial-code">+40</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ru" role="option" data-dial-code="7" data-country-code="ru" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ru"></div>
</div><span class="iti__country-name">Russia (Россия)</span><span class="iti__dial-code">+7</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rw" role="option" data-dial-code="250" data-country-code="rw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__rw"></div>
</div><span class="iti__country-name">Rwanda</span><span class="iti__dial-code">+250</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bl" role="option" data-dial-code="590" data-country-code="bl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bl"></div>
</div><span class="iti__country-name">Saint Barthélemy</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sh" role="option" data-dial-code="290" data-country-code="sh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sh"></div>
</div><span class="iti__country-name">Saint Helena</span><span class="iti__dial-code">+290</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kn" role="option" data-dial-code="1" data-country-code="kn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kn"></div>
</div><span class="iti__country-name">Saint Kitts and Nevis</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lc" role="option" data-dial-code="1" data-country-code="lc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lc"></div>
</div><span class="iti__country-name">Saint Lucia</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mf" role="option" data-dial-code="590" data-country-code="mf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mf"></div>
</div><span class="iti__country-name">Saint Martin (Saint-Martin (partie française))</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pm" role="option" data-dial-code="508" data-country-code="pm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pm"></div>
</div><span class="iti__country-name">Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)</span><span class="iti__dial-code">+508</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vc" role="option" data-dial-code="1" data-country-code="vc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vc"></div>
</div><span class="iti__country-name">Saint Vincent and the Grenadines</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ws" role="option" data-dial-code="685" data-country-code="ws" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ws"></div>
</div><span class="iti__country-name">Samoa</span><span class="iti__dial-code">+685</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sm" role="option" data-dial-code="378" data-country-code="sm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sm"></div>
</div><span class="iti__country-name">San Marino</span><span class="iti__dial-code">+378</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-st" role="option" data-dial-code="239" data-country-code="st" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__st"></div>
</div><span class="iti__country-name">São Tomé and Príncipe (São Tomé e Príncipe)</span><span class="iti__dial-code">+239</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sa" role="option" data-dial-code="966" data-country-code="sa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sa"></div>
</div><span class="iti__country-name">Saudi Arabia (المملكة العربية السعودية)</span><span class="iti__dial-code">+966</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sn" role="option" data-dial-code="221" data-country-code="sn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sn"></div>
</div><span class="iti__country-name">Senegal (Sénégal)</span><span class="iti__dial-code">+221</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rs" role="option" data-dial-code="381" data-country-code="rs" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__rs"></div>
</div><span class="iti__country-name">Serbia (Србија)</span><span class="iti__dial-code">+381</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sc" role="option" data-dial-code="248" data-country-code="sc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sc"></div>
</div><span class="iti__country-name">Seychelles</span><span class="iti__dial-code">+248</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sl" role="option" data-dial-code="232" data-country-code="sl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sl"></div>
</div><span class="iti__country-name">Sierra Leone</span><span class="iti__dial-code">+232</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sg" role="option" data-dial-code="65" data-country-code="sg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sg"></div>
</div><span class="iti__country-name">Singapore</span><span class="iti__dial-code">+65</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sx" role="option" data-dial-code="1" data-country-code="sx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sx"></div>
</div><span class="iti__country-name">Sint Maarten</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sk" role="option" data-dial-code="421" data-country-code="sk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sk"></div>
</div><span class="iti__country-name">Slovakia (Slovensko)</span><span class="iti__dial-code">+421</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-si" role="option" data-dial-code="386" data-country-code="si" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__si"></div>
</div><span class="iti__country-name">Slovenia (Slovenija)</span><span class="iti__dial-code">+386</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sb" role="option" data-dial-code="677" data-country-code="sb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sb"></div>
</div><span class="iti__country-name">Solomon Islands</span><span class="iti__dial-code">+677</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-so" role="option" data-dial-code="252" data-country-code="so" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__so"></div>
</div><span class="iti__country-name">Somalia (Soomaaliya)</span><span class="iti__dial-code">+252</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-za" role="option" data-dial-code="27" data-country-code="za" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__za"></div>
</div><span class="iti__country-name">South Africa</span><span class="iti__dial-code">+27</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kr" role="option" data-dial-code="82" data-country-code="kr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kr"></div>
</div><span class="iti__country-name">South Korea (대한민국)</span><span class="iti__dial-code">+82</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ss" role="option" data-dial-code="211" data-country-code="ss" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ss"></div>
</div><span class="iti__country-name">South Sudan (جنوب السودان)</span><span class="iti__dial-code">+211</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-es" role="option" data-dial-code="34" data-country-code="es" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__es"></div>
</div><span class="iti__country-name">Spain (España)</span><span class="iti__dial-code">+34</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lk" role="option" data-dial-code="94" data-country-code="lk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lk"></div>
</div><span class="iti__country-name">Sri Lanka (ශ්රී ලංකාව)</span><span class="iti__dial-code">+94</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sd" role="option" data-dial-code="249" data-country-code="sd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sd"></div>
</div><span class="iti__country-name">Sudan (السودان)</span><span class="iti__dial-code">+249</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sr" role="option" data-dial-code="597" data-country-code="sr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sr"></div>
</div><span class="iti__country-name">Suriname</span><span class="iti__dial-code">+597</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sj" role="option" data-dial-code="47" data-country-code="sj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sj"></div>
</div><span class="iti__country-name">Svalbard and Jan Mayen</span><span class="iti__dial-code">+47</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-se" role="option" data-dial-code="46" data-country-code="se" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__se"></div>
</div><span class="iti__country-name">Sweden (Sverige)</span><span class="iti__dial-code">+46</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ch" role="option" data-dial-code="41" data-country-code="ch" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ch"></div>
</div><span class="iti__country-name">Switzerland (Schweiz)</span><span class="iti__dial-code">+41</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sy" role="option" data-dial-code="963" data-country-code="sy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sy"></div>
</div><span class="iti__country-name">Syria (سوريا)</span><span class="iti__dial-code">+963</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tw" role="option" data-dial-code="886" data-country-code="tw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tw"></div>
</div><span class="iti__country-name">Taiwan (台灣)</span><span class="iti__dial-code">+886</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tj" role="option" data-dial-code="992" data-country-code="tj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tj"></div>
</div><span class="iti__country-name">Tajikistan</span><span class="iti__dial-code">+992</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tz" role="option" data-dial-code="255" data-country-code="tz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tz"></div>
</div><span class="iti__country-name">Tanzania</span><span class="iti__dial-code">+255</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-th" role="option" data-dial-code="66" data-country-code="th" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__th"></div>
</div><span class="iti__country-name">Thailand (ไทย)</span><span class="iti__dial-code">+66</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tl" role="option" data-dial-code="670" data-country-code="tl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tl"></div>
</div><span class="iti__country-name">Timor-Leste</span><span class="iti__dial-code">+670</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tg" role="option" data-dial-code="228" data-country-code="tg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tg"></div>
</div><span class="iti__country-name">Togo</span><span class="iti__dial-code">+228</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tk" role="option" data-dial-code="690" data-country-code="tk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tk"></div>
</div><span class="iti__country-name">Tokelau</span><span class="iti__dial-code">+690</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-to" role="option" data-dial-code="676" data-country-code="to" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__to"></div>
</div><span class="iti__country-name">Tonga</span><span class="iti__dial-code">+676</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tt" role="option" data-dial-code="1" data-country-code="tt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tt"></div>
</div><span class="iti__country-name">Trinidad and Tobago</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tn" role="option" data-dial-code="216" data-country-code="tn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tn"></div>
</div><span class="iti__country-name">Tunisia (تونس)</span><span class="iti__dial-code">+216</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tr" role="option" data-dial-code="90" data-country-code="tr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tr"></div>
</div><span class="iti__country-name">Turkey (Türkiye)</span><span class="iti__dial-code">+90</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tm" role="option" data-dial-code="993" data-country-code="tm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tm"></div>
</div><span class="iti__country-name">Turkmenistan</span><span class="iti__dial-code">+993</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tc" role="option" data-dial-code="1" data-country-code="tc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tc"></div>
</div><span class="iti__country-name">Turks and Caicos Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tv" role="option" data-dial-code="688" data-country-code="tv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tv"></div>
</div><span class="iti__country-name">Tuvalu</span><span class="iti__dial-code">+688</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vi" role="option" data-dial-code="1" data-country-code="vi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vi"></div>
</div><span class="iti__country-name">U.S. Virgin Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ug" role="option" data-dial-code="256" data-country-code="ug" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ug"></div>
</div><span class="iti__country-name">Uganda</span><span class="iti__dial-code">+256</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ua" role="option" data-dial-code="380" data-country-code="ua" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ua"></div>
</div><span class="iti__country-name">Ukraine (Україна)</span><span class="iti__dial-code">+380</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ae" role="option" data-dial-code="971" data-country-code="ae" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ae"></div>
</div><span class="iti__country-name">United Arab Emirates (الإمارات العربية المتحدة)</span><span class="iti__dial-code">+971</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gb" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gb"></div>
</div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-us" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uy" role="option" data-dial-code="598" data-country-code="uy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__uy"></div>
</div><span class="iti__country-name">Uruguay</span><span class="iti__dial-code">+598</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uz" role="option" data-dial-code="998" data-country-code="uz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__uz"></div>
</div><span class="iti__country-name">Uzbekistan (Oʻzbekiston)</span><span class="iti__dial-code">+998</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vu" role="option" data-dial-code="678" data-country-code="vu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vu"></div>
</div><span class="iti__country-name">Vanuatu</span><span class="iti__dial-code">+678</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-va" role="option" data-dial-code="39" data-country-code="va" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__va"></div>
</div><span class="iti__country-name">Vatican City (Città del Vaticano)</span><span class="iti__dial-code">+39</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ve" role="option" data-dial-code="58" data-country-code="ve" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ve"></div>
</div><span class="iti__country-name">Venezuela</span><span class="iti__dial-code">+58</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vn" role="option" data-dial-code="84" data-country-code="vn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vn"></div>
</div><span class="iti__country-name">Vietnam (Việt Nam)</span><span class="iti__dial-code">+84</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-wf" role="option" data-dial-code="681" data-country-code="wf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__wf"></div>
</div><span class="iti__country-name">Wallis and Futuna (Wallis-et-Futuna)</span><span class="iti__dial-code">+681</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eh" role="option" data-dial-code="212" data-country-code="eh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__eh"></div>
</div><span class="iti__country-name">Western Sahara (الصحراء الغربية)</span><span class="iti__dial-code">+212</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ye" role="option" data-dial-code="967" data-country-code="ye" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ye"></div>
</div><span class="iti__country-name">Yemen (اليمن)</span><span class="iti__dial-code">+967</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zm" role="option" data-dial-code="260" data-country-code="zm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__zm"></div>
</div><span class="iti__country-name">Zambia</span><span class="iti__dial-code">+260</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zw" role="option" data-dial-code="263" data-country-code="zw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__zw"></div>
</div><span class="iti__country-name">Zimbabwe</span><span class="iti__dial-code">+263</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ax" role="option" data-dial-code="358" data-country-code="ax" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ax"></div>
</div><span class="iti__country-name">Åland Islands</span><span class="iti__dial-code">+358</span>
</li>
</ul>
</div><input type="text" id="form_order_model_client_phone" name="form_order_model[client][phone]" class="form-control" autocomplete="off" placeholder="06 12 34 56 78" data-intl-tel-input-id="0">
</div>
</div>
</div>
</div>
<div class="d-none">
<div class="mb-3">
<div class="form-check form-switch"><input type="checkbox" id="form_order_model_checkGRPD" name="form_order_model[checkGRPD]" required="required" class="form-check-input form-check-input" checked="checked" value="1">
<label class="form-check-label checkbox-switch form-check-label required" for="form_order_model_checkGRPD">En soumettant ce formulaire, j'accepte que les informations saisies soient exploitées dans le cadre du traitement de mon don et
des communications diffusées par l'organisation.</label>
</div>
</div>
</div>
<div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_hasTarget" name="form_order_model[client][hasTarget]" class="form-check-input" value="1">
<label class="checkbox-switch form-check-label" for="form_order_model_client_hasTarget">Je souhaite recevoir la newsletter Partenariat</label>
</div>
</div>
</div>
<div class="col-120 col-lg-40">
<h1 class="title">Mon <strong>règlement</strong></h1>
<div class="block">
<div data-controller="button" data-action="product:updated:amountOrQuantity@document->button#display">
<button type="submit" id="form_order_model_222" name="form_order_model[222]" aria-label="" class="btn btn-primary submitButton trackingDonCB1 btn" data-button-target="buttonP" data-texts="Je donne par carte bancaire"
data-textm="Je donne par carte bancaire" style="display: block;">Je donne par carte bancaire</button>
<button type="submit" id="form_order_model_223" name="form_order_model[223]" aria-label="" class="btn btn-primary submitButton trackingDonPA1 btn" data-button-target="buttonP" data-texts="Je donne par chèque"
data-textm="Je donne par chèque" style="display: block;">Je donne par chèque</button>
</div>
</div>
<h1>Pourquoi donner ?</h1>
<div class="block">
<div class="fr-view">
<p><img src="https://donner.francealzheimer.org/uploads/img/4/645a41038dd5f.jpg" style="width: auto; height: auto;" class="fr-fic fr-dii img-fluid"></p>
</div>
<div class="clearfix"></div>
</div>
</div>
</div>
</div>
<div class="overlayPaiement" style="display:none;"></div>
<input type="hidden" id="form_order_model_step" name="form_order_model[step]" value="2"><input type="hidden" id="form_order_model_codeSegment" name="form_order_model[codeSegment]"><input type="hidden" id="form_order_model_utmSource"
name="form_order_model[utmSource]" value="Email 1"><input type="hidden" id="form_order_model_utmMedium" name="form_order_model[utmMedium]" value="Email"><input type="hidden" id="form_order_model_utmTerm" name="form_order_model[utmTerm]"><input
type="hidden" id="form_order_model_utmContent" name="form_order_model[utmContent]" value="CTA1"><input type="hidden" id="form_order_model_utmCampaign" name="form_order_model[utmCampaign]" value="Aidez-nous-a-aider"><input type="hidden"
id="form_order_model_externalId" name="form_order_model[externalId]"><input type="hidden" id="form_order_model_mediaCode" name="form_order_model[mediaCode]"><input type="hidden" id="form_order_model_fieldPositions"
name="form_order_model[fieldPositions]" options="Doctrine\Common\Collections\ArrayCollection@000000005d70678b000000001b00618f"><input type="hidden" id="form_order_model__token" name="form_order_model[_token]"
value="208502f.psLs0shQuJXO64OMBJNfxz2HdukxN5NYZB8Gh7UbXro.lfSWp4A5y6ODm7LYQuUr9AjOAoJQdNcoVVU_5uV-DumQ-raQvRvQw5icsw">
</form>
Text Content
MON DON JE DONNE UNE FOIS 300 € Permet de financer 6h de relaxation ou 5h du programme Vivre avec la maladie 500 € Permet de financer 1/2 journée de recherche ou 4 séances du groupe de parole 1 000 € Permet de financer 10 ateliers à médiation artistique ou 10 ateliers d'activités physiques adaptées 1 200 € Permet de financer 12 séances de médiation animale (équithérapie etc.) € Et si vous donniez plutôt € par mois ? (Vous pourrez déduire 66% du montant de vos impôts sur le revenu, soit € / an) OK JE SOUHAITE CONSACRER MON DON À à la recherche uniquementaux missions prioritaires aux missions prioritaires MA DÉDUCTION FISCALE * Société Votre don de 0 €, ne vous coûte que 0 € après réduction d'impôts de 60% dans la limite de 0,5% du chiffre d'affaires. MES COORDONNÉES * Champs obligatoires Je représente une organisation ou une société Raison sociale de l'organisation Forme juridiqueOrganisme de placement collectif en valeurs mobilières sans personnalité moraleEntrepreneur individuelIndivisionSociété créée de faitSociété en participationFiducieParoisse hors zone concordataireAssujetti unique à la TVAAutre groupement de droit privé non doté de la personnalité moralePersonne morale de droit étranger, immatriculée au RCS (registre du commerce et des sociétés)Personne morale de droit étranger, non immatriculée au RCSEtablissement public ou régie à caractère industriel ou commercialSociété coopérative commerciale particulièreSociété en nom collectifSociété en commanditeSociété à responsabilité limitée (SARL)Société anonyme à conseil d'administrationSociété anonyme à directoireSociété par actions simplifiéeSociété européenneCaisse d'épargne et de prévoyanceGroupement d'intérêt économiqueSociété coopérative agricoleSociété d'assurance mutuelleSociété civileAutre personne morale de droit privé inscrite au registre du commerce et des sociétésAdministration de l'étatCollectivité territorialeEtablissement public administratifAutre personne morale de droit public administratifOrganisme gérant un régime de protection sociale à adhésion obligatoireOrganisme mutualisteComité d'entrepriseOrganisme professionnelOrganisme de retraite à adhésion non obligatoireSyndicat de propriétairesAssociation loi 1901 ou assimiléFondationAutre personne morale de droit privé Numéro SIREN -------------------------------------------------------------------------------- CivilitéMonsieur et MadameMadameMademoiselleMonsieur Nom Prénom E-mail Je ne souhaite pas que mon nom apparaisse sur la liste des soutiens. Je souhaite obtenir mon attestation fiscale Adresse Complément d'adresse Code postal Ville Etat/ProvinceSélectionnez une provincestateProvinceNameCA_ABstateProvinceNameCA_BCstateProvinceNameCA_MBstateProvinceNameCA_NBstateProvinceNameCA_NLstateProvinceNameCA_NSstateProvinceNameCA_ONstateProvinceNameCA_PEstateProvinceNameCA_QCstateProvinceNameCA_SK Etat/ProvinceSélectionnez un ÉtatstateProvinceNameUS_ALstateProvinceNameUS_AKstateProvinceNameUS_AZstateProvinceNameUS_ARstateProvinceNameUS_CAstateProvinceNameUS_COstateProvinceNameUS_CTstateProvinceNameUS_DEstateProvinceNameUS_FLstateProvinceNameUS_GAstateProvinceNameUS_HIstateProvinceNameUS_IDstateProvinceNameUS_ILstateProvinceNameUS_INstateProvinceNameUS_IAstateProvinceNameUS_KSstateProvinceNameUS_KYstateProvinceNameUS_LAstateProvinceNameUS_MEstateProvinceNameUS_MDstateProvinceNameUS_MAstateProvinceNameUS_MIstateProvinceNameUS_MNstateProvinceNameUS_MSstateProvinceNameUS_MOstateProvinceNameUS_MTstateProvinceNameUS_NEstateProvinceNameUS_NVstateProvinceNameUS_NHstateProvinceNameUS_NJstateProvinceNameUS_NMstateProvinceNameUS_NYstateProvinceNameUS_NCstateProvinceNameUS_NDstateProvinceNameUS_OHstateProvinceNameUS_OKstateProvinceNameUS_ORstateProvinceNameUS_PAstateProvinceNameUS_RIstateProvinceNameUS_SCstateProvinceNameUS_SDstateProvinceNameUS_TNstateProvinceNameUS_TXstateProvinceNameUS_UTstateProvinceNameUS_VTstateProvinceNameUS_VAstateProvinceNameUS_WAstateProvinceNameUS_WVstateProvinceNameUS_WIstateProvinceNameUS_WY Pays France-------------------AfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie saouditeArgentineArménieArubaAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBelgiqueBelizeBéninBermudesBhoutanBiélorussieBolivieBosnie-HerzégovineBotswanaBrésilBruneiBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongo-BrazzavilleCongo-KinshasaCorée du NordCorée du SudCosta RicaCôte d’IvoireCroatieCubaCuraçaoDanemarkDjiboutiDominiqueÉgypteÉmirats arabes unisÉquateurÉrythréeEspagneEstonieEswatiniÉtat de la Cité du VaticanÉtats-UnisÉthiopieFidjiFinlandeFranceGabonGambieGéorgieGéorgie du Sud-et-les Îles Sandwich du SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée équatorialeGuinée-BissauGuyanaGuyane françaiseHaïtiHondurasHongrieÎle BouvetÎle ChristmasÎle de ManÎle NorfolkÎles ÅlandÎles CaïmansÎles CocosÎles CookÎles FéroéÎles Heard-et-MacDonaldÎles MalouinesÎles Mariannes du NordÎles MarshallÎles mineures éloignées des États-UnisÎles PitcairnÎles SalomonÎles Turques-et-CaïquesÎles Vierges britanniquesÎles Vierges des États-UnisIndeIndonésieIrakIranIrlandeIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKirghizstanKiribatiKoweïtLa RéunionLaosLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacédoine du NordMadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauriceMauritanieMayotteMexiqueMicronésieMoldavieMonacoMongolieMonténégroMontserratMozambiqueMyanmar (Birmanie)NamibieNauruNépalNicaraguaNigerNigeriaNiueNorvègeNouvelle-CalédonieNouvelle-ZélandeOmanOugandaOuzbékistanPakistanPalaosPanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPays-Bas caribéensPérouPhilippinesPolognePolynésie françaisePorto RicoPortugalQatarR.A.S. chinoise de Hong KongR.A.S. chinoise de MacaoRépublique centrafricaineRépublique dominicaineRoumanieRoyaume-UniRussieRwandaSahara occidentalSaint-BarthélemySaint-Christophe-et-NiévèsSaint-MarinSaint-MartinSaint-Martin (partie néerlandaise)Saint-Pierre-et-MiquelonSaint-Vincent-et-les GrenadinesSainte-HélèneSainte-LucieSalvadorSamoaSamoa américainesSao Tomé-et-PrincipeSénégalSerbieSeychellesSierra LeoneSingapourSlovaquieSlovénieSomalieSoudanSoudan du SudSri LankaSuèdeSuisseSurinameSvalbard et Jan MayenSyrieTadjikistanTaïwanTanzanieTchadTchéquieTerres australes françaisesTerritoire britannique de l’océan IndienTerritoires palestiniensThaïlandeTimor orientalTogoTokelauTongaTrinité-et-TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaViêt NamWallis-et-FutunaYémenZambieZimbabwe Téléphone * United States+1 * United Kingdom+44 * * Afghanistan (افغانستان)+93 * Albania (Shqipëri)+355 * Algeria (الجزائر)+213 * American Samoa+1 * Andorra+376 * Angola+244 * Anguilla+1 * Antigua and Barbuda+1 * Argentina+54 * Armenia (Հայաստան)+374 * Aruba+297 * Ascension Island+247 * Australia+61 * Austria (Österreich)+43 * Azerbaijan (Azərbaycan)+994 * Bahamas+1 * Bahrain (البحرين)+973 * Bangladesh (বাংলাদেশ)+880 * Barbados+1 * Belarus (Беларусь)+375 * Belgium (België)+32 * Belize+501 * Benin (Bénin)+229 * Bermuda+1 * Bhutan (འབྲུག)+975 * Bolivia+591 * Bosnia and Herzegovina (Босна и Херцеговина)+387 * Botswana+267 * Brazil (Brasil)+55 * British Indian Ocean Territory+246 * British Virgin Islands+1 * Brunei+673 * Bulgaria (България)+359 * Burkina Faso+226 * Burundi (Uburundi)+257 * Cambodia (កម្ពុជា)+855 * Cameroon (Cameroun)+237 * Canada+1 * Cape Verde (Kabu Verdi)+238 * Caribbean Netherlands+599 * Cayman Islands+1 * Central African Republic (République centrafricaine)+236 * Chad (Tchad)+235 * Chile+56 * China (中国)+86 * Christmas Island+61 * Cocos (Keeling) Islands+61 * Colombia+57 * Comoros (جزر القمر)+269 * Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243 * Congo (Republic) (Congo-Brazzaville)+242 * Cook Islands+682 * Costa Rica+506 * Côte d’Ivoire+225 * Croatia (Hrvatska)+385 * Cuba+53 * Curaçao+599 * Cyprus (Κύπρος)+357 * Czech Republic (Česká republika)+420 * Denmark (Danmark)+45 * Djibouti+253 * Dominica+1 * Dominican Republic (República Dominicana)+1 * Ecuador+593 * Egypt (مصر)+20 * El Salvador+503 * Equatorial Guinea (Guinea Ecuatorial)+240 * Eritrea+291 * Estonia (Eesti)+372 * Eswatini+268 * Ethiopia+251 * Falkland Islands (Islas Malvinas)+500 * Faroe Islands (Føroyar)+298 * Fiji+679 * Finland (Suomi)+358 * France+33 * French Guiana (Guyane française)+594 * French Polynesia (Polynésie française)+689 * Gabon+241 * Gambia+220 * Georgia (საქართველო)+995 * Germany (Deutschland)+49 * Ghana (Gaana)+233 * Gibraltar+350 * Greece (Ελλάδα)+30 * Greenland (Kalaallit Nunaat)+299 * Grenada+1 * Guadeloupe+590 * Guam+1 * Guatemala+502 * Guernsey+44 * Guinea (Guinée)+224 * Guinea-Bissau (Guiné Bissau)+245 * Guyana+592 * Haiti+509 * Honduras+504 * Hong Kong (香港)+852 * Hungary (Magyarország)+36 * Iceland (Ísland)+354 * India (भारत)+91 * Indonesia+62 * Iran (ایران)+98 * Iraq (العراق)+964 * Ireland+353 * Isle of Man+44 * Israel (ישראל)+972 * Italy (Italia)+39 * Jamaica+1 * Japan (日本)+81 * Jersey+44 * Jordan (الأردن)+962 * Kazakhstan (Казахстан)+7 * Kenya+254 * Kiribati+686 * Kosovo+383 * Kuwait (الكويت)+965 * Kyrgyzstan (Кыргызстан)+996 * Laos (ລາວ)+856 * Latvia (Latvija)+371 * Lebanon (لبنان)+961 * Lesotho+266 * Liberia+231 * Libya (ليبيا)+218 * Liechtenstein+423 * Lithuania (Lietuva)+370 * Luxembourg+352 * Macau (澳門)+853 * Madagascar (Madagasikara)+261 * Malawi+265 * Malaysia+60 * Maldives+960 * Mali+223 * Malta+356 * Marshall Islands+692 * Martinique+596 * Mauritania (موريتانيا)+222 * Mauritius (Moris)+230 * Mayotte+262 * Mexico (México)+52 * Micronesia+691 * Moldova (Republica Moldova)+373 * Monaco+377 * Mongolia (Монгол)+976 * Montenegro (Crna Gora)+382 * Montserrat+1 * Morocco (المغرب)+212 * Mozambique (Moçambique)+258 * Myanmar (Burma) (မြန်မာ)+95 * Namibia (Namibië)+264 * Nauru+674 * Nepal (नेपाल)+977 * Netherlands (Nederland)+31 * New Caledonia (Nouvelle-Calédonie)+687 * New Zealand+64 * Nicaragua+505 * Niger (Nijar)+227 * Nigeria+234 * Niue+683 * Norfolk Island+672 * North Korea (조선 민주주의 인민 공화국)+850 * North Macedonia (Северна Македонија)+389 * Northern Mariana Islands+1 * Norway (Norge)+47 * Oman (عُمان)+968 * Pakistan (پاکستان)+92 * Palau+680 * Palestine (فلسطين)+970 * Panama (Panamá)+507 * Papua New Guinea+675 * Paraguay+595 * Peru (Perú)+51 * Philippines+63 * Poland (Polska)+48 * Portugal+351 * Puerto Rico+1 * Qatar (قطر)+974 * Réunion (La Réunion)+262 * Romania (România)+40 * Russia (Россия)+7 * Rwanda+250 * Saint Barthélemy+590 * Saint Helena+290 * Saint Kitts and Nevis+1 * Saint Lucia+1 * Saint Martin (Saint-Martin (partie française))+590 * Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508 * Saint Vincent and the Grenadines+1 * Samoa+685 * San Marino+378 * São Tomé and Príncipe (São Tomé e Príncipe)+239 * Saudi Arabia (المملكة العربية السعودية)+966 * Senegal (Sénégal)+221 * Serbia (Србија)+381 * Seychelles+248 * Sierra Leone+232 * Singapore+65 * Sint Maarten+1 * Slovakia (Slovensko)+421 * Slovenia (Slovenija)+386 * Solomon Islands+677 * Somalia (Soomaaliya)+252 * South Africa+27 * South Korea (대한민국)+82 * South Sudan (جنوب السودان)+211 * Spain (España)+34 * Sri Lanka (ශ්රී ලංකාව)+94 * Sudan (السودان)+249 * Suriname+597 * Svalbard and Jan Mayen+47 * Sweden (Sverige)+46 * Switzerland (Schweiz)+41 * Syria (سوريا)+963 * Taiwan (台灣)+886 * Tajikistan+992 * Tanzania+255 * Thailand (ไทย)+66 * Timor-Leste+670 * Togo+228 * Tokelau+690 * Tonga+676 * Trinidad and Tobago+1 * Tunisia (تونس)+216 * Turkey (Türkiye)+90 * Turkmenistan+993 * Turks and Caicos Islands+1 * Tuvalu+688 * U.S. Virgin Islands+1 * Uganda+256 * Ukraine (Україна)+380 * United Arab Emirates (الإمارات العربية المتحدة)+971 * United Kingdom+44 * United States+1 * Uruguay+598 * Uzbekistan (Oʻzbekiston)+998 * Vanuatu+678 * Vatican City (Città del Vaticano)+39 * Venezuela+58 * Vietnam (Việt Nam)+84 * Wallis and Futuna (Wallis-et-Futuna)+681 * Western Sahara (الصحراء الغربية)+212 * Yemen (اليمن)+967 * Zambia+260 * Zimbabwe+263 * Åland Islands+358 En soumettant ce formulaire, j'accepte que les informations saisies soient exploitées dans le cadre du traitement de mon don et des communications diffusées par l'organisation. Je souhaite recevoir la newsletter Partenariat MON RÈGLEMENT Je donne par carte bancaire Je donne par chèque POURQUOI DONNER ? VOUS ÊTES UNE ENTREPRISE ET VOUS AVEZ DES QUESTIONS ? NOTRE SERVICE EST À VOTRE ÉCOUTE : Service Mécénat/Partenariat Tél : 01 42 97 48 93 - Email : partenariats@francealzheimer.org Courrier à : France Alzheimer et maladies apparentées 11 rue Tronchet 75008 Paris - France NOUS SOUTENIR EN TOUTE CONFIANCE -Respect de votre vie privée. Vos coordonnées sont indispensables pour vous envoyer votre reçu fiscal. Conformément à la loi informatique et libertés du 6 janvier 1978, vous disposez d'un droit d'accès, de modification, de rectification et de suppression des données vous concernant. Pour exercer ce droit, contactez notre service Mécénat. -Ce site internet est 100% sécurisé. Toutes les informations bancaires pour traiter le paiement sont cryptées grâce au protocole SSL. Elles ne sont en aucun cas conservées sur nos systèmes informatiques. Chaque année, les comptes de France Alzheimer et maladies apparentées sont vérifiés et certifiés par un commissaire aux comptes assermenté et indépendant. Les opérations de collecte de fonds gérées par France Alzheimer et maladies apparentées sont déclarées et contrôlées auprès de la Préfecture de Paris. -Label Don en Confiance. L’association France Alzheimer et maladies apparentées est labellisée par le Don en confiance : www.donenconfiance.org Nous adresser votre don c’est être solidaire du combat quotidien que mènent les familles et les personnes malades ! * GiveXpert est une solution européenne de collecte en ligne. * Les formulaires et le paiement sont 100% sécurisés. * Aucun % n’est prélevé sur sur vos dons. * L’ensemble des données personnelles recueillies sont hébergées en France et en Suisse. * GiveXpert fait partie du groupe Eudonet. Vous aussi vous souhaitez une solution performante et éthique pour collecter ? Visitez le site GiveXpert. Gérer les cookies Nous utilisons des cookies dans le cadre du suivi statistique de notre site. Accepter les cookies Refuser les cookies