don.ligue-cancer.net Open in urlscan Pro
2600:9000:26fa:c600:1c:8580:fb00:93a1  Public Scan

Submitted URL: http://donnercontrelecancer.be/
Effective URL: https://don.ligue-cancer.net/MarsbleuA/~mon-don?utm_source=FT&utm_medium=TV&utm_campaign=5&utm_content=btn&utm_term=PAY
Submission: On March 22 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /b/steps/save

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        <h2 style="height: 51px;">Mon don</h2>
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                aria-expanded="true"><a href="#once" role="presentation" tabindex="-1" class="ui-tabs-anchor" id="ui-id-1"><h3>JE DONNE UNE FOIS</h3></a></li>
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                <a href="#regular" role="presentation" tabindex="-1" class="ui-tabs-anchor" id="ui-id-2"><h3>JE DONNE TOUS LES MOIS</h3></a></li>
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                        <div class="unit"></div>
                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-once" value="10000" id="amount-once-10000" type="radio" data-amount="10000"> <span id="value_of_amount-once-10000"><data
                                class="price_amount">100</data>&nbsp;<data class="price_currency">€</data></span></label></div>
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                        <div class="unit"></div>
                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-once" value="15000" id="amount-once-15000" type="radio" data-amount="15000"> <span id="value_of_amount-once-15000"><data
                                class="price_amount">150</data>&nbsp;<data class="price_currency">€</data></span></label></div>
                      </li>
                      <li data-detail="tabs_3_amount-list-once">
                        <div class="unit"></div>
                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-once" value="20000" id="amount-once-20000" type="radio" data-amount="20000"> <span id="value_of_amount-once-20000"><data
                                class="price_amount">200</data>&nbsp;<data class="price_currency">€</data></span></label></div>
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                      <li data-detail="tabs_4_amount-list-once">
                        <div class="unit"></div>
                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-once" value="50000" id="amount-once-50000" type="radio" data-amount="50000"> <span id="value_of_amount-once-50000"><data
                                class="price_amount">500</data>&nbsp;<data class="price_currency">€</data></span></label></div>
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                  <div class="detail" id="tabs_4_amount-list-once" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/image22x.png">
                    <p>Une aide à domicile pour les personnes malades pendant 6 mois</p>
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                  <div class="detail" id="tabs_3_amount-list-once" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/shutterstock1318013744Retouchee3.jpg">
                    <p>Une aide au financement d'une prothèse mammaire</p>
                  </div>
                  <div class="detail" id="tabs_2_amount-list-once" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/1fois125.jpg">
                    <p>Une journée de travail pour un jeune chercheur</p>
                  </div>
                  <div class="detail" id="tabs_1_amount-list-once" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/sport.jpg">
                    <p>1h d'activité physique adaptée pour les personnes malades</p>
                  </div>
                  <div class="detail" id="tabs_0_amount-list-once" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/1fois35.jpg">
                    <p>Une séance de soin socio-esthétique</p>
                  </div>
                  <div class="amount-equivalences" style="display: none;">
                    <div class="equivalences_wrapper">
                      <p class="amount-equivalences-img"></p>
                      <p class="amount-equivalences-description"></p>
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                  <p class="tax-info light-text" style="display: none;"></p>
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            </div>
            <div id="regular" class="bloc ui-tabs-panel ui-corner-bottom ui-widget-content inactive-panel" aria-labelledby="ui-id-2" role="tabpanel" aria-hidden="true" style="display: none;">
              <div class="bloc-content">
                <div id="bloc-amount-regular">
                  <fieldset class="amount type2ct">
                    <ul class="radio-desc line" id="amount-list-regular">
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                        <div class="unit"></div>
                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-regular" value="800" id="amount-regular-800" type="radio" data-amount="800"> <span id="value_of_amount-regular-800"><data
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                        <div class="unit lastUnit"><label><input autocomplete="false" name="amount-regular" value="3500" id="amount-regular-3500" type="radio" data-amount="3500"> <span id="value_of_amount-regular-3500"><data
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                    <p>Permet de financer des actions de prévention</p>
                  </div>
                  <div class="detail" id="tabs_2_amount-list-regular" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/shutterstock1031184976Retouchee.jpg">
                    <p>Permet d'aider au financement d'une perruque</p>
                  </div>
                  <div class="detail" id="tabs_1_amount-list-regular" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/shutterstock572175373Retouchee.jpg">
                    <p>Permet de financer la recherche contre le cancer</p>
                  </div>
                  <div class="detail" id="tabs_0_amount-list-regular" style="display: none;"><img src="/cdn.iraiser.eu/DDk7/Qq3Kywn/xsE37i7Og==/default/origin/shutterstock454809184Retouchee.jpg">
                    <p>Permet d'aider une personne malade en soutien psychologique</p>
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                  <div class="amount-equivalences" style="display: none;">
                    <div class="equivalences_wrapper">
                      <p class="amount-equivalences-img"></p>
                      <p class="amount-equivalences-description"></p>
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                    <div class="spacer"></div>
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                <span class="reserved_title">📍 Choisissez à quel Comité départemental de la Ligue affecter votre don et permettez ainsi des actions locales. Par défaut, votre don sera attribué à votre département d'habitation.</span>
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              <select id="reserved_fundraiser_postcode" aria-describedby="nameHelp_reserved_fundraiser_postcode" name="reserved_fundraiser_postcode" data-scope="step1" data-required="" tabindex="-1" class="select2-hidden-accessible"
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                <option name="reserved_fundraiser_postcode" value="" selected="">📍 Choisissez à quel Comité départemental de la Ligue affecter votre don et permettez ainsi des actions locales. Par défaut, votre don sera attribué à votre département
                  d'habitation.</option>
                <option name="reserved_fundraiser_postcode" value="01">01 - Ain</option>
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                <option name="reserved_fundraiser_postcode" value="04">04 - Alpes-de-Haute-Provence</option>
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                <option name="reserved_fundraiser_postcode" value="06">06 - Alpes-Maritimes</option>
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                <option name="reserved_fundraiser_postcode" value="11">11 - Aude</option>
                <option name="reserved_fundraiser_postcode" value="12">12 - Aveyron</option>
                <option name="reserved_fundraiser_postcode" value="13">13 - Bouches-du-Rhône</option>
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                <option name="reserved_fundraiser_postcode" value="15">15 - Cantal</option>
                <option name="reserved_fundraiser_postcode" value="16">16 - Charente</option>
                <option name="reserved_fundraiser_postcode" value="17">17 - Charente-Maritime</option>
                <option name="reserved_fundraiser_postcode" value="18">18 - Cher</option>
                <option name="reserved_fundraiser_postcode" value="19">19 - Corrèze</option>
                <option name="reserved_fundraiser_postcode" value="100">2A - Corse-du-Sud</option>
                <option name="reserved_fundraiser_postcode" value="20">2B - Haute-Corse</option>
                <option name="reserved_fundraiser_postcode" value="21">21 - Côte-d'Or</option>
                <option name="reserved_fundraiser_postcode" value="22">22 - Côtes-d'Armor</option>
                <option name="reserved_fundraiser_postcode" value="23">23 - Creuse</option>
                <option name="reserved_fundraiser_postcode" value="24">24 - Dordogne</option>
                <option name="reserved_fundraiser_postcode" value="25">25 - Doubs Besançon</option>
                <option name="reserved_fundraiser_postcode" value="252">25 - Doubs Montbéliard</option>
                <option name="reserved_fundraiser_postcode" value="26">26 - Drôme</option>
                <option name="reserved_fundraiser_postcode" value="27">27 - Eure</option>
                <option name="reserved_fundraiser_postcode" value="28">28 - Eure-et-Loir</option>
                <option name="reserved_fundraiser_postcode" value="29">29 - Finistère</option>
                <option name="reserved_fundraiser_postcode" value="30">30 - Gard</option>
                <option name="reserved_fundraiser_postcode" value="31">31 - Haute-Garonne</option>
                <option name="reserved_fundraiser_postcode" value="32">32 - Gers</option>
                <option name="reserved_fundraiser_postcode" value="33">33 - Gironde</option>
                <option name="reserved_fundraiser_postcode" value="34">34 - Hérault</option>
                <option name="reserved_fundraiser_postcode" value="35">35 - Ille-et-Vilaine</option>
                <option name="reserved_fundraiser_postcode" value="36">36 - Indre</option>
                <option name="reserved_fundraiser_postcode" value="37">37 - Indre-et-Loire</option>
                <option name="reserved_fundraiser_postcode" value="38">38 - Isère</option>
                <option name="reserved_fundraiser_postcode" value="39">39 - Jura</option>
                <option name="reserved_fundraiser_postcode" value="40">40 - Landes</option>
                <option name="reserved_fundraiser_postcode" value="41">41 - Loir-et-Cher</option>
                <option name="reserved_fundraiser_postcode" value="42">42 - Loire</option>
                <option name="reserved_fundraiser_postcode" value="43">43 - Haute-Loire</option>
                <option name="reserved_fundraiser_postcode" value="44">44 - Loire-Atlantique</option>
                <option name="reserved_fundraiser_postcode" value="45">45 - Loiret</option>
                <option name="reserved_fundraiser_postcode" value="46">46 - Lot</option>
                <option name="reserved_fundraiser_postcode" value="47">47 - Lot-et-Garonne</option>
                <option name="reserved_fundraiser_postcode" value="48">48 - Lozère</option>
                <option name="reserved_fundraiser_postcode" value="49">49 - Maine-et-Loire</option>
                <option name="reserved_fundraiser_postcode" value="50">50 - Manche</option>
                <option name="reserved_fundraiser_postcode" value="51">51 - Marne</option>
                <option name="reserved_fundraiser_postcode" value="52">52 - Haute-Marne</option>
                <option name="reserved_fundraiser_postcode" value="53">53 - Mayenne</option>
                <option name="reserved_fundraiser_postcode" value="54">54 - Meurthe-et-Moselle</option>
                <option name="reserved_fundraiser_postcode" value="55">55 - Meuse</option>
                <option name="reserved_fundraiser_postcode" value="56">56 - Morbihan</option>
                <option name="reserved_fundraiser_postcode" value="57">57 - Moselle</option>
                <option name="reserved_fundraiser_postcode" value="58">58 - Nièvre</option>
                <option name="reserved_fundraiser_postcode" value="59">59 - Nord</option>
                <option name="reserved_fundraiser_postcode" value="60">60 - Oise</option>
                <option name="reserved_fundraiser_postcode" value="61">61 - Orne</option>
                <option name="reserved_fundraiser_postcode" value="62">62 - Pas-de-Calais</option>
                <option name="reserved_fundraiser_postcode" value="63">63 - Puy-de-Dôme</option>
                <option name="reserved_fundraiser_postcode" value="64">64 - Pyrénées-Atlantiques</option>
                <option name="reserved_fundraiser_postcode" value="65">65 - Hautes-Pyrénées</option>
                <option name="reserved_fundraiser_postcode" value="66">66 - Pyrénées-Orientales</option>
                <option name="reserved_fundraiser_postcode" value="67">67 - Bas-Rhin</option>
                <option name="reserved_fundraiser_postcode" value="68">68 - Haut-Rhin</option>
                <option name="reserved_fundraiser_postcode" value="69">69 - Rhône</option>
                <option name="reserved_fundraiser_postcode" value="70">70 - Haute-Saône</option>
                <option name="reserved_fundraiser_postcode" value="71">71 - Saône-et-Loire</option>
                <option name="reserved_fundraiser_postcode" value="72">72 - Sarthe</option>
                <option name="reserved_fundraiser_postcode" value="73">73 - Savoie</option>
                <option name="reserved_fundraiser_postcode" value="74">74 - Haute-Savoie</option>
                <option name="reserved_fundraiser_postcode" value="75">75 - Paris</option>
                <option name="reserved_fundraiser_postcode" value="76">76 - Seine-Maritime</option>
                <option name="reserved_fundraiser_postcode" value="77">77 - Seine-et-Marne</option>
                <option name="reserved_fundraiser_postcode" value="78">78 - Yvelines</option>
                <option name="reserved_fundraiser_postcode" value="79">79 - Deux-Sèvres</option>
                <option name="reserved_fundraiser_postcode" value="80">80 - Somme</option>
                <option name="reserved_fundraiser_postcode" value="81">81 - Tarn</option>
                <option name="reserved_fundraiser_postcode" value="82">82 - Tarn-et-Garonne</option>
                <option name="reserved_fundraiser_postcode" value="83">83 - Var</option>
                <option name="reserved_fundraiser_postcode" value="84">84 - Vaucluse</option>
                <option name="reserved_fundraiser_postcode" value="85">85 - Vendée</option>
                <option name="reserved_fundraiser_postcode" value="86">86 - Vienne</option>
                <option name="reserved_fundraiser_postcode" value="87">87 - Haute-Vienne</option>
                <option name="reserved_fundraiser_postcode" value="88">88 - Vosges</option>
                <option name="reserved_fundraiser_postcode" value="89">89 - Yonne</option>
                <option name="reserved_fundraiser_postcode" value="90">90 - Territoire de Belfort</option>
                <option name="reserved_fundraiser_postcode" value="91">91 - Essonne</option>
                <option name="reserved_fundraiser_postcode" value="92">92 - Hauts-de-Seine</option>
                <option name="reserved_fundraiser_postcode" value="93">93 - Seine-Saint-Denis</option>
                <option name="reserved_fundraiser_postcode" value="94">94 - Val-de-Marne</option>
                <option name="reserved_fundraiser_postcode" value="95">95 - Val-d'Oise</option>
                <option name="reserved_fundraiser_postcode" value="971">971 - Guadeloupe</option>
                <option name="reserved_fundraiser_postcode" value="972">972 - Martinique</option>
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                <option name="reserved_fundraiser_postcode" value="974">974 - Réunion</option>
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                <option name="reserved_fundraiser_postcode" value="988">988 - Nouvelle-Calédonie</option>
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                      title="📍 Choisissez à quel Comité départemental de la Ligue affecter votre don et permettez ainsi des actions locales. Par défaut, votre don sera attribué à votre département d'habitation.">📍 Choisissez à quel Comité
                      départemental de la Ligue affecter votre don et permettez ainsi des actions locales. Par défaut, votre don sera attribué à votre département d'habitation.</span><span class="select2-selection__arrow"
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        </div>
        <!-- End Once -->
        <!-- End Each-month -->
      </div> <!-- End Step-content -->
      <!-- End Step-info -->
    </div> <!-- End Step-container -->
  </div> <!-- End Step-1 -->
  <div id="step-2" class="unit size1of3">
    <div class="step-container step-info-mobile-hidden">
      <div class="step-title light-text" style="font-family: Lato;">
        <h2 style="height: 51px;">Mes coordonnées</h2>
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        <div class="height_adaptor">
          <fieldset id="fielset-step2-connect" class="step2_connect_block  onceblock">
            <h4 class="step2_head">Je me connecte et valide mon paiement en un clic</h4>
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          <fieldset id="fieldset-step2">
            <h4 class="step2_head step2_connect_block  onceblock"><span>ou je saisis mes coordonnées</span></h4>
            <p id="c-email">
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                    </div><span class="country-name">American Samoa</span><span class="dial-code">+1684</span>
                  </li>
                  <li class="country standard" id="iti-item-ad" role="option" data-dial-code="376" data-country-code="ad">
                    <div class="flag-box">
                      <div class="iti-flag ad"></div>
                    </div><span class="country-name">Andorra</span><span class="dial-code">+376</span>
                  </li>
                  <li class="country standard" id="iti-item-ao" role="option" data-dial-code="244" data-country-code="ao">
                    <div class="flag-box">
                      <div class="iti-flag ao"></div>
                    </div><span class="country-name">Angola</span><span class="dial-code">+244</span>
                  </li>
                  <li class="country standard" id="iti-item-ai" role="option" data-dial-code="1264" data-country-code="ai">
                    <div class="flag-box">
                      <div class="iti-flag ai"></div>
                    </div><span class="country-name">Anguilla</span><span class="dial-code">+1264</span>
                  </li>
                  <li class="country standard" id="iti-item-ag" role="option" data-dial-code="1268" data-country-code="ag">
                    <div class="flag-box">
                      <div class="iti-flag ag"></div>
                    </div><span class="country-name">Antigua and Barbuda</span><span class="dial-code">+1268</span>
                  </li>
                  <li class="country standard" id="iti-item-ar" role="option" data-dial-code="54" data-country-code="ar">
                    <div class="flag-box">
                      <div class="iti-flag ar"></div>
                    </div><span class="country-name">Argentina</span><span class="dial-code">+54</span>
                  </li>
                  <li class="country standard" id="iti-item-am" role="option" data-dial-code="374" data-country-code="am">
                    <div class="flag-box">
                      <div class="iti-flag am"></div>
                    </div><span class="country-name">Armenia (Հայաստան)</span><span class="dial-code">+374</span>
                  </li>
                  <li class="country standard" id="iti-item-aw" role="option" data-dial-code="297" data-country-code="aw">
                    <div class="flag-box">
                      <div class="iti-flag aw"></div>
                    </div><span class="country-name">Aruba</span><span class="dial-code">+297</span>
                  </li>
                  <li class="country standard" id="iti-item-au" role="option" data-dial-code="61" data-country-code="au">
                    <div class="flag-box">
                      <div class="iti-flag au"></div>
                    </div><span class="country-name">Australia</span><span class="dial-code">+61</span>
                  </li>
                  <li class="country standard" id="iti-item-at" role="option" data-dial-code="43" data-country-code="at">
                    <div class="flag-box">
                      <div class="iti-flag at"></div>
                    </div><span class="country-name">Austria (Österreich)</span><span class="dial-code">+43</span>
                  </li>
                  <li class="country standard" id="iti-item-az" role="option" data-dial-code="994" data-country-code="az">
                    <div class="flag-box">
                      <div class="iti-flag az"></div>
                    </div><span class="country-name">Azerbaijan (Azərbaycan)</span><span class="dial-code">+994</span>
                  </li>
                  <li class="country standard" id="iti-item-bs" role="option" data-dial-code="1242" data-country-code="bs">
                    <div class="flag-box">
                      <div class="iti-flag bs"></div>
                    </div><span class="country-name">Bahamas</span><span class="dial-code">+1242</span>
                  </li>
                  <li class="country standard" id="iti-item-bh" role="option" data-dial-code="973" data-country-code="bh">
                    <div class="flag-box">
                      <div class="iti-flag bh"></div>
                    </div><span class="country-name">Bahrain (‫البحرين‬‎)</span><span class="dial-code">+973</span>
                  </li>
                  <li class="country standard" id="iti-item-bd" role="option" data-dial-code="880" data-country-code="bd">
                    <div class="flag-box">
                      <div class="iti-flag bd"></div>
                    </div><span class="country-name">Bangladesh (বাংলাদেশ)</span><span class="dial-code">+880</span>
                  </li>
                  <li class="country standard" id="iti-item-bb" role="option" data-dial-code="1246" data-country-code="bb">
                    <div class="flag-box">
                      <div class="iti-flag bb"></div>
                    </div><span class="country-name">Barbados</span><span class="dial-code">+1246</span>
                  </li>
                  <li class="country standard" id="iti-item-by" role="option" data-dial-code="375" data-country-code="by">
                    <div class="flag-box">
                      <div class="iti-flag by"></div>
                    </div><span class="country-name">Belarus (Беларусь)</span><span class="dial-code">+375</span>
                  </li>
                  <li class="country standard" id="iti-item-be" role="option" data-dial-code="32" data-country-code="be">
                    <div class="flag-box">
                      <div class="iti-flag be"></div>
                    </div><span class="country-name">Belgium (België)</span><span class="dial-code">+32</span>
                  </li>
                  <li class="country standard" id="iti-item-bz" role="option" data-dial-code="501" data-country-code="bz">
                    <div class="flag-box">
                      <div class="iti-flag bz"></div>
                    </div><span class="country-name">Belize</span><span class="dial-code">+501</span>
                  </li>
                  <li class="country standard" id="iti-item-bj" role="option" data-dial-code="229" data-country-code="bj">
                    <div class="flag-box">
                      <div class="iti-flag bj"></div>
                    </div><span class="country-name">Benin (Bénin)</span><span class="dial-code">+229</span>
                  </li>
                  <li class="country standard" id="iti-item-bm" role="option" data-dial-code="1441" data-country-code="bm">
                    <div class="flag-box">
                      <div class="iti-flag bm"></div>
                    </div><span class="country-name">Bermuda</span><span class="dial-code">+1441</span>
                  </li>
                  <li class="country standard" id="iti-item-bt" role="option" data-dial-code="975" data-country-code="bt">
                    <div class="flag-box">
                      <div class="iti-flag bt"></div>
                    </div><span class="country-name">Bhutan (འབྲུག)</span><span class="dial-code">+975</span>
                  </li>
                  <li class="country standard" id="iti-item-bo" role="option" data-dial-code="591" data-country-code="bo">
                    <div class="flag-box">
                      <div class="iti-flag bo"></div>
                    </div><span class="country-name">Bolivia</span><span class="dial-code">+591</span>
                  </li>
                  <li class="country standard" id="iti-item-ba" role="option" data-dial-code="387" data-country-code="ba">
                    <div class="flag-box">
                      <div class="iti-flag ba"></div>
                    </div><span class="country-name">Bosnia and Herzegovina (Босна и Херцеговина)</span><span class="dial-code">+387</span>
                  </li>
                  <li class="country standard" id="iti-item-bw" role="option" data-dial-code="267" data-country-code="bw">
                    <div class="flag-box">
                      <div class="iti-flag bw"></div>
                    </div><span class="country-name">Botswana</span><span class="dial-code">+267</span>
                  </li>
                  <li class="country standard" id="iti-item-br" role="option" data-dial-code="55" data-country-code="br">
                    <div class="flag-box">
                      <div class="iti-flag br"></div>
                    </div><span class="country-name">Brazil (Brasil)</span><span class="dial-code">+55</span>
                  </li>
                  <li class="country standard" id="iti-item-io" role="option" data-dial-code="246" data-country-code="io">
                    <div class="flag-box">
                      <div class="iti-flag io"></div>
                    </div><span class="country-name">British Indian Ocean Territory</span><span class="dial-code">+246</span>
                  </li>
                  <li class="country standard" id="iti-item-vg" role="option" data-dial-code="1284" data-country-code="vg">
                    <div class="flag-box">
                      <div class="iti-flag vg"></div>
                    </div><span class="country-name">British Virgin Islands</span><span class="dial-code">+1284</span>
                  </li>
                  <li class="country standard" id="iti-item-bn" role="option" data-dial-code="673" data-country-code="bn">
                    <div class="flag-box">
                      <div class="iti-flag bn"></div>
                    </div><span class="country-name">Brunei</span><span class="dial-code">+673</span>
                  </li>
                  <li class="country standard" id="iti-item-bg" role="option" data-dial-code="359" data-country-code="bg">
                    <div class="flag-box">
                      <div class="iti-flag bg"></div>
                    </div><span class="country-name">Bulgaria (България)</span><span class="dial-code">+359</span>
                  </li>
                  <li class="country standard" id="iti-item-bf" role="option" data-dial-code="226" data-country-code="bf">
                    <div class="flag-box">
                      <div class="iti-flag bf"></div>
                    </div><span class="country-name">Burkina Faso</span><span class="dial-code">+226</span>
                  </li>
                  <li class="country standard" id="iti-item-bi" role="option" data-dial-code="257" data-country-code="bi">
                    <div class="flag-box">
                      <div class="iti-flag bi"></div>
                    </div><span class="country-name">Burundi (Uburundi)</span><span class="dial-code">+257</span>
                  </li>
                  <li class="country standard" id="iti-item-kh" role="option" data-dial-code="855" data-country-code="kh">
                    <div class="flag-box">
                      <div class="iti-flag kh"></div>
                    </div><span class="country-name">Cambodia (កម្ពុជា)</span><span class="dial-code">+855</span>
                  </li>
                  <li class="country standard" id="iti-item-cm" role="option" data-dial-code="237" data-country-code="cm">
                    <div class="flag-box">
                      <div class="iti-flag cm"></div>
                    </div><span class="country-name">Cameroon (Cameroun)</span><span class="dial-code">+237</span>
                  </li>
                  <li class="country standard" id="iti-item-ca" role="option" data-dial-code="1" data-country-code="ca">
                    <div class="flag-box">
                      <div class="iti-flag ca"></div>
                    </div><span class="country-name">Canada</span><span class="dial-code">+1</span>
                  </li>
                  <li class="country standard" id="iti-item-cv" role="option" data-dial-code="238" data-country-code="cv">
                    <div class="flag-box">
                      <div class="iti-flag cv"></div>
                    </div><span class="country-name">Cape Verde (Kabu Verdi)</span><span class="dial-code">+238</span>
                  </li>
                  <li class="country standard" id="iti-item-bq" role="option" data-dial-code="599" data-country-code="bq">
                    <div class="flag-box">
                      <div class="iti-flag bq"></div>
                    </div><span class="country-name">Caribbean Netherlands</span><span class="dial-code">+599</span>
                  </li>
                  <li class="country standard" id="iti-item-ky" role="option" data-dial-code="1345" data-country-code="ky">
                    <div class="flag-box">
                      <div class="iti-flag ky"></div>
                    </div><span class="country-name">Cayman Islands</span><span class="dial-code">+1345</span>
                  </li>
                  <li class="country standard" id="iti-item-cf" role="option" data-dial-code="236" data-country-code="cf">
                    <div class="flag-box">
                      <div class="iti-flag cf"></div>
                    </div><span class="country-name">Central African Republic (République centrafricaine)</span><span class="dial-code">+236</span>
                  </li>
                  <li class="country standard" id="iti-item-td" role="option" data-dial-code="235" data-country-code="td">
                    <div class="flag-box">
                      <div class="iti-flag td"></div>
                    </div><span class="country-name">Chad (Tchad)</span><span class="dial-code">+235</span>
                  </li>
                  <li class="country standard" id="iti-item-cl" role="option" data-dial-code="56" data-country-code="cl">
                    <div class="flag-box">
                      <div class="iti-flag cl"></div>
                    </div><span class="country-name">Chile</span><span class="dial-code">+56</span>
                  </li>
                  <li class="country standard" id="iti-item-cn" role="option" data-dial-code="86" data-country-code="cn">
                    <div class="flag-box">
                      <div class="iti-flag cn"></div>
                    </div><span class="country-name">China (中国)</span><span class="dial-code">+86</span>
                  </li>
                  <li class="country standard" id="iti-item-cx" role="option" data-dial-code="61" data-country-code="cx">
                    <div class="flag-box">
                      <div class="iti-flag cx"></div>
                    </div><span class="country-name">Christmas Island</span><span class="dial-code">+61</span>
                  </li>
                  <li class="country standard" id="iti-item-cc" role="option" data-dial-code="61" data-country-code="cc">
                    <div class="flag-box">
                      <div class="iti-flag cc"></div>
                    </div><span class="country-name">Cocos (Keeling) Islands</span><span class="dial-code">+61</span>
                  </li>
                  <li class="country standard" id="iti-item-co" role="option" data-dial-code="57" data-country-code="co">
                    <div class="flag-box">
                      <div class="iti-flag co"></div>
                    </div><span class="country-name">Colombia</span><span class="dial-code">+57</span>
                  </li>
                  <li class="country standard" id="iti-item-km" role="option" data-dial-code="269" data-country-code="km">
                    <div class="flag-box">
                      <div class="iti-flag km"></div>
                    </div><span class="country-name">Comoros (‫جزر القمر‬‎)</span><span class="dial-code">+269</span>
                  </li>
                  <li class="country standard" id="iti-item-cd" role="option" data-dial-code="243" data-country-code="cd">
                    <div class="flag-box">
                      <div class="iti-flag cd"></div>
                    </div><span class="country-name">Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)</span><span class="dial-code">+243</span>
                  </li>
                  <li class="country standard" id="iti-item-cg" role="option" data-dial-code="242" data-country-code="cg">
                    <div class="flag-box">
                      <div class="iti-flag cg"></div>
                    </div><span class="country-name">Congo (Republic) (Congo-Brazzaville)</span><span class="dial-code">+242</span>
                  </li>
                  <li class="country standard" id="iti-item-ck" role="option" data-dial-code="682" data-country-code="ck">
                    <div class="flag-box">
                      <div class="iti-flag ck"></div>
                    </div><span class="country-name">Cook Islands</span><span class="dial-code">+682</span>
                  </li>
                  <li class="country standard" id="iti-item-cr" role="option" data-dial-code="506" data-country-code="cr">
                    <div class="flag-box">
                      <div class="iti-flag cr"></div>
                    </div><span class="country-name">Costa Rica</span><span class="dial-code">+506</span>
                  </li>
                  <li class="country standard" id="iti-item-ci" role="option" data-dial-code="225" data-country-code="ci">
                    <div class="flag-box">
                      <div class="iti-flag ci"></div>
                    </div><span class="country-name">Côte d’Ivoire</span><span class="dial-code">+225</span>
                  </li>
                  <li class="country standard" id="iti-item-hr" role="option" data-dial-code="385" data-country-code="hr">
                    <div class="flag-box">
                      <div class="iti-flag hr"></div>
                    </div><span class="country-name">Croatia (Hrvatska)</span><span class="dial-code">+385</span>
                  </li>
                  <li class="country standard" id="iti-item-cu" role="option" data-dial-code="53" data-country-code="cu">
                    <div class="flag-box">
                      <div class="iti-flag cu"></div>
                    </div><span class="country-name">Cuba</span><span class="dial-code">+53</span>
                  </li>
                  <li class="country standard" id="iti-item-cw" role="option" data-dial-code="599" data-country-code="cw">
                    <div class="flag-box">
                      <div class="iti-flag cw"></div>
                    </div><span class="country-name">Curaçao</span><span class="dial-code">+599</span>
                  </li>
                  <li class="country standard" id="iti-item-cy" role="option" data-dial-code="357" data-country-code="cy">
                    <div class="flag-box">
                      <div class="iti-flag cy"></div>
                    </div><span class="country-name">Cyprus (Κύπρος)</span><span class="dial-code">+357</span>
                  </li>
                  <li class="country standard" id="iti-item-cz" role="option" data-dial-code="420" data-country-code="cz">
                    <div class="flag-box">
                      <div class="iti-flag cz"></div>
                    </div><span class="country-name">Czech Republic (Česká republika)</span><span class="dial-code">+420</span>
                  </li>
                  <li class="country standard" id="iti-item-dk" role="option" data-dial-code="45" data-country-code="dk">
                    <div class="flag-box">
                      <div class="iti-flag dk"></div>
                    </div><span class="country-name">Denmark (Danmark)</span><span class="dial-code">+45</span>
                  </li>
                  <li class="country standard" id="iti-item-dj" role="option" data-dial-code="253" data-country-code="dj">
                    <div class="flag-box">
                      <div class="iti-flag dj"></div>
                    </div><span class="country-name">Djibouti</span><span class="dial-code">+253</span>
                  </li>
                  <li class="country standard" id="iti-item-dm" role="option" data-dial-code="1767" data-country-code="dm">
                    <div class="flag-box">
                      <div class="iti-flag dm"></div>
                    </div><span class="country-name">Dominica</span><span class="dial-code">+1767</span>
                  </li>
                  <li class="country standard" id="iti-item-do" role="option" data-dial-code="1" data-country-code="do">
                    <div class="flag-box">
                      <div class="iti-flag do"></div>
                    </div><span class="country-name">Dominican Republic (República Dominicana)</span><span class="dial-code">+1</span>
                  </li>
                  <li class="country standard" id="iti-item-ec" role="option" data-dial-code="593" data-country-code="ec">
                    <div class="flag-box">
                      <div class="iti-flag ec"></div>
                    </div><span class="country-name">Ecuador</span><span class="dial-code">+593</span>
                  </li>
                  <li class="country standard" id="iti-item-eg" role="option" data-dial-code="20" data-country-code="eg">
                    <div class="flag-box">
                      <div class="iti-flag eg"></div>
                    </div><span class="country-name">Egypt (‫مصر‬‎)</span><span class="dial-code">+20</span>
                  </li>
                  <li class="country standard" id="iti-item-sv" role="option" data-dial-code="503" data-country-code="sv">
                    <div class="flag-box">
                      <div class="iti-flag sv"></div>
                    </div><span class="country-name">El Salvador</span><span class="dial-code">+503</span>
                  </li>
                  <li class="country standard" id="iti-item-gq" role="option" data-dial-code="240" data-country-code="gq">
                    <div class="flag-box">
                      <div class="iti-flag gq"></div>
                    </div><span class="country-name">Equatorial Guinea (Guinea Ecuatorial)</span><span class="dial-code">+240</span>
                  </li>
                  <li class="country standard" id="iti-item-er" role="option" data-dial-code="291" data-country-code="er">
                    <div class="flag-box">
                      <div class="iti-flag er"></div>
                    </div><span class="country-name">Eritrea</span><span class="dial-code">+291</span>
                  </li>
                  <li class="country standard" id="iti-item-ee" role="option" data-dial-code="372" data-country-code="ee">
                    <div class="flag-box">
                      <div class="iti-flag ee"></div>
                    </div><span class="country-name">Estonia (Eesti)</span><span class="dial-code">+372</span>
                  </li>
                  <li class="country standard" id="iti-item-et" role="option" data-dial-code="251" data-country-code="et">
                    <div class="flag-box">
                      <div class="iti-flag et"></div>
                    </div><span class="country-name">Ethiopia</span><span class="dial-code">+251</span>
                  </li>
                  <li class="country standard" id="iti-item-fk" role="option" data-dial-code="500" data-country-code="fk">
                    <div class="flag-box">
                      <div class="iti-flag fk"></div>
                    </div><span class="country-name">Falkland Islands (Islas Malvinas)</span><span class="dial-code">+500</span>
                  </li>
                  <li class="country standard" id="iti-item-fo" role="option" data-dial-code="298" data-country-code="fo">
                    <div class="flag-box">
                      <div class="iti-flag fo"></div>
                    </div><span class="country-name">Faroe Islands (Føroyar)</span><span class="dial-code">+298</span>
                  </li>
                  <li class="country standard" id="iti-item-fj" role="option" data-dial-code="679" data-country-code="fj">
                    <div class="flag-box">
                      <div class="iti-flag fj"></div>
                    </div><span class="country-name">Fiji</span><span class="dial-code">+679</span>
                  </li>
                  <li class="country standard" id="iti-item-fi" role="option" data-dial-code="358" data-country-code="fi">
                    <div class="flag-box">
                      <div class="iti-flag fi"></div>
                    </div><span class="country-name">Finland (Suomi)</span><span class="dial-code">+358</span>
                  </li>
                  <li class="country standard" id="iti-item-fr" role="option" data-dial-code="33" data-country-code="fr">
                    <div class="flag-box">
                      <div class="iti-flag fr"></div>
                    </div><span class="country-name">France</span><span class="dial-code">+33</span>
                  </li>
                  <li class="country standard" id="iti-item-gf" role="option" data-dial-code="594" data-country-code="gf">
                    <div class="flag-box">
                      <div class="iti-flag gf"></div>
                    </div><span class="country-name">French Guiana (Guyane française)</span><span class="dial-code">+594</span>
                  </li>
                  <li class="country standard" id="iti-item-pf" role="option" data-dial-code="689" data-country-code="pf">
                    <div class="flag-box">
                      <div class="iti-flag pf"></div>
                    </div><span class="country-name">French Polynesia (Polynésie française)</span><span class="dial-code">+689</span>
                  </li>
                  <li class="country standard" id="iti-item-ga" role="option" data-dial-code="241" data-country-code="ga">
                    <div class="flag-box">
                      <div class="iti-flag ga"></div>
                    </div><span class="country-name">Gabon</span><span class="dial-code">+241</span>
                  </li>
                  <li class="country standard" id="iti-item-gm" role="option" data-dial-code="220" data-country-code="gm">
                    <div class="flag-box">
                      <div class="iti-flag gm"></div>
                    </div><span class="country-name">Gambia</span><span class="dial-code">+220</span>
                  </li>
                  <li class="country standard" id="iti-item-ge" role="option" data-dial-code="995" data-country-code="ge">
                    <div class="flag-box">
                      <div class="iti-flag ge"></div>
                    </div><span class="country-name">Georgia (საქართველო)</span><span class="dial-code">+995</span>
                  </li>
                  <li class="country standard" id="iti-item-de" role="option" data-dial-code="49" data-country-code="de">
                    <div class="flag-box">
                      <div class="iti-flag de"></div>
                    </div><span class="country-name">Germany (Deutschland)</span><span class="dial-code">+49</span>
                  </li>
                  <li class="country standard" id="iti-item-gh" role="option" data-dial-code="233" data-country-code="gh">
                    <div class="flag-box">
                      <div class="iti-flag gh"></div>
                    </div><span class="country-name">Ghana (Gaana)</span><span class="dial-code">+233</span>
                  </li>
                  <li class="country standard" id="iti-item-gi" role="option" data-dial-code="350" data-country-code="gi">
                    <div class="flag-box">
                      <div class="iti-flag gi"></div>
                    </div><span class="country-name">Gibraltar</span><span class="dial-code">+350</span>
                  </li>
                  <li class="country standard" id="iti-item-gr" role="option" data-dial-code="30" data-country-code="gr">
                    <div class="flag-box">
                      <div class="iti-flag gr"></div>
                    </div><span class="country-name">Greece (Ελλάδα)</span><span class="dial-code">+30</span>
                  </li>
                  <li class="country standard" id="iti-item-gl" role="option" data-dial-code="299" data-country-code="gl">
                    <div class="flag-box">
                      <div class="iti-flag gl"></div>
                    </div><span class="country-name">Greenland (Kalaallit Nunaat)</span><span class="dial-code">+299</span>
                  </li>
                  <li class="country standard" id="iti-item-gd" role="option" data-dial-code="1473" data-country-code="gd">
                    <div class="flag-box">
                      <div class="iti-flag gd"></div>
                    </div><span class="country-name">Grenada</span><span class="dial-code">+1473</span>
                  </li>
                  <li class="country standard" id="iti-item-gp" role="option" data-dial-code="590" data-country-code="gp">
                    <div class="flag-box">
                      <div class="iti-flag gp"></div>
                    </div><span class="country-name">Guadeloupe</span><span class="dial-code">+590</span>
                  </li>
                  <li class="country standard" id="iti-item-gu" role="option" data-dial-code="1671" data-country-code="gu">
                    <div class="flag-box">
                      <div class="iti-flag gu"></div>
                    </div><span class="country-name">Guam</span><span class="dial-code">+1671</span>
                  </li>
                  <li class="country standard" id="iti-item-gt" role="option" data-dial-code="502" data-country-code="gt">
                    <div class="flag-box">
                      <div class="iti-flag gt"></div>
                    </div><span class="country-name">Guatemala</span><span class="dial-code">+502</span>
                  </li>
                  <li class="country standard" id="iti-item-gg" role="option" data-dial-code="44" data-country-code="gg">
                    <div class="flag-box">
                      <div class="iti-flag gg"></div>
                    </div><span class="country-name">Guernsey</span><span class="dial-code">+44</span>
                  </li>
                  <li class="country standard" id="iti-item-gn" role="option" data-dial-code="224" data-country-code="gn">
                    <div class="flag-box">
                      <div class="iti-flag gn"></div>
                    </div><span class="country-name">Guinea (Guinée)</span><span class="dial-code">+224</span>
                  </li>
                  <li class="country standard" id="iti-item-gw" role="option" data-dial-code="245" data-country-code="gw">
                    <div class="flag-box">
                      <div class="iti-flag gw"></div>
                    </div><span class="country-name">Guinea-Bissau (Guiné Bissau)</span><span class="dial-code">+245</span>
                  </li>
                  <li class="country standard" id="iti-item-gy" role="option" data-dial-code="592" data-country-code="gy">
                    <div class="flag-box">
                      <div class="iti-flag gy"></div>
                    </div><span class="country-name">Guyana</span><span class="dial-code">+592</span>
                  </li>
                  <li class="country standard" id="iti-item-ht" role="option" data-dial-code="509" data-country-code="ht">
                    <div class="flag-box">
                      <div class="iti-flag ht"></div>
                    </div><span class="country-name">Haiti</span><span class="dial-code">+509</span>
                  </li>
                  <li class="country standard" id="iti-item-hn" role="option" data-dial-code="504" data-country-code="hn">
                    <div class="flag-box">
                      <div class="iti-flag hn"></div>
                    </div><span class="country-name">Honduras</span><span class="dial-code">+504</span>
                  </li>
                  <li class="country standard" id="iti-item-hk" role="option" data-dial-code="852" data-country-code="hk">
                    <div class="flag-box">
                      <div class="iti-flag hk"></div>
                    </div><span class="country-name">Hong Kong (香港)</span><span class="dial-code">+852</span>
                  </li>
                  <li class="country standard" id="iti-item-hu" role="option" data-dial-code="36" data-country-code="hu">
                    <div class="flag-box">
                      <div class="iti-flag hu"></div>
                    </div><span class="country-name">Hungary (Magyarország)</span><span class="dial-code">+36</span>
                  </li>
                  <li class="country standard" id="iti-item-is" role="option" data-dial-code="354" data-country-code="is">
                    <div class="flag-box">
                      <div class="iti-flag is"></div>
                    </div><span class="country-name">Iceland (Ísland)</span><span class="dial-code">+354</span>
                  </li>
                  <li class="country standard" id="iti-item-in" role="option" data-dial-code="91" data-country-code="in">
                    <div class="flag-box">
                      <div class="iti-flag in"></div>
                    </div><span class="country-name">India (भारत)</span><span class="dial-code">+91</span>
                  </li>
                  <li class="country standard" id="iti-item-id" role="option" data-dial-code="62" data-country-code="id">
                    <div class="flag-box">
                      <div class="iti-flag id"></div>
                    </div><span class="country-name">Indonesia</span><span class="dial-code">+62</span>
                  </li>
                  <li class="country standard" id="iti-item-ir" role="option" data-dial-code="98" data-country-code="ir">
                    <div class="flag-box">
                      <div class="iti-flag ir"></div>
                    </div><span class="country-name">Iran (‫ایران‬‎)</span><span class="dial-code">+98</span>
                  </li>
                  <li class="country standard" id="iti-item-iq" role="option" data-dial-code="964" data-country-code="iq">
                    <div class="flag-box">
                      <div class="iti-flag iq"></div>
                    </div><span class="country-name">Iraq (‫العراق‬‎)</span><span class="dial-code">+964</span>
                  </li>
                  <li class="country standard" id="iti-item-ie" role="option" data-dial-code="353" data-country-code="ie">
                    <div class="flag-box">
                      <div class="iti-flag ie"></div>
                    </div><span class="country-name">Ireland</span><span class="dial-code">+353</span>
                  </li>
                  <li class="country standard" id="iti-item-im" role="option" data-dial-code="44" data-country-code="im">
                    <div class="flag-box">
                      <div class="iti-flag im"></div>
                    </div><span class="country-name">Isle of Man</span><span class="dial-code">+44</span>
                  </li>
                  <li class="country standard" id="iti-item-il" role="option" data-dial-code="972" data-country-code="il">
                    <div class="flag-box">
                      <div class="iti-flag il"></div>
                    </div><span class="country-name">Israel (‫ישראל‬‎)</span><span class="dial-code">+972</span>
                  </li>
                  <li class="country standard" id="iti-item-it" role="option" data-dial-code="39" data-country-code="it">
                    <div class="flag-box">
                      <div class="iti-flag it"></div>
                    </div><span class="country-name">Italy (Italia)</span><span class="dial-code">+39</span>
                  </li>
                  <li class="country standard" id="iti-item-jm" role="option" data-dial-code="1" data-country-code="jm">
                    <div class="flag-box">
                      <div class="iti-flag jm"></div>
                    </div><span class="country-name">Jamaica</span><span class="dial-code">+1</span>
                  </li>
                  <li class="country standard" id="iti-item-jp" role="option" data-dial-code="81" data-country-code="jp">
                    <div class="flag-box">
                      <div class="iti-flag jp"></div>
                    </div><span class="country-name">Japan (日本)</span><span class="dial-code">+81</span>
                  </li>
                  <li class="country standard" id="iti-item-je" role="option" data-dial-code="44" data-country-code="je">
                    <div class="flag-box">
                      <div class="iti-flag je"></div>
                    </div><span class="country-name">Jersey</span><span class="dial-code">+44</span>
                  </li>
                  <li class="country standard" id="iti-item-jo" role="option" data-dial-code="962" data-country-code="jo">
                    <div class="flag-box">
                      <div class="iti-flag jo"></div>
                    </div><span class="country-name">Jordan (‫الأردن‬‎)</span><span class="dial-code">+962</span>
                  </li>
                  <li class="country standard" id="iti-item-kz" role="option" data-dial-code="7" data-country-code="kz">
                    <div class="flag-box">
                      <div class="iti-flag kz"></div>
                    </div><span class="country-name">Kazakhstan (Казахстан)</span><span class="dial-code">+7</span>
                  </li>
                  <li class="country standard" id="iti-item-ke" role="option" data-dial-code="254" data-country-code="ke">
                    <div class="flag-box">
                      <div class="iti-flag ke"></div>
                    </div><span class="country-name">Kenya</span><span class="dial-code">+254</span>
                  </li>
                  <li class="country standard" id="iti-item-ki" role="option" data-dial-code="686" data-country-code="ki">
                    <div class="flag-box">
                      <div class="iti-flag ki"></div>
                    </div><span class="country-name">Kiribati</span><span class="dial-code">+686</span>
                  </li>
                  <li class="country standard" id="iti-item-xk" role="option" data-dial-code="383" data-country-code="xk">
                    <div class="flag-box">
                      <div class="iti-flag xk"></div>
                    </div><span class="country-name">Kosovo</span><span class="dial-code">+383</span>
                  </li>
                  <li class="country standard" id="iti-item-kw" role="option" data-dial-code="965" data-country-code="kw">
                    <div class="flag-box">
                      <div class="iti-flag kw"></div>
                    </div><span class="country-name">Kuwait (‫الكويت‬‎)</span><span class="dial-code">+965</span>
                  </li>
                  <li class="country standard" id="iti-item-kg" role="option" data-dial-code="996" data-country-code="kg">
                    <div class="flag-box">
                      <div class="iti-flag kg"></div>
                    </div><span class="country-name">Kyrgyzstan (Кыргызстан)</span><span class="dial-code">+996</span>
                  </li>
                  <li class="country standard" id="iti-item-la" role="option" data-dial-code="856" data-country-code="la">
                    <div class="flag-box">
                      <div class="iti-flag la"></div>
                    </div><span class="country-name">Laos (ລາວ)</span><span class="dial-code">+856</span>
                  </li>
                  <li class="country standard" id="iti-item-lv" role="option" data-dial-code="371" data-country-code="lv">
                    <div class="flag-box">
                      <div class="iti-flag lv"></div>
                    </div><span class="country-name">Latvia (Latvija)</span><span class="dial-code">+371</span>
                  </li>
                  <li class="country standard" id="iti-item-lb" role="option" data-dial-code="961" data-country-code="lb">
                    <div class="flag-box">
                      <div class="iti-flag lb"></div>
                    </div><span class="country-name">Lebanon (‫لبنان‬‎)</span><span class="dial-code">+961</span>
                  </li>
                  <li class="country standard" id="iti-item-ls" role="option" data-dial-code="266" data-country-code="ls">
                    <div class="flag-box">
                      <div class="iti-flag ls"></div>
                    </div><span class="country-name">Lesotho</span><span class="dial-code">+266</span>
                  </li>
                  <li class="country standard" id="iti-item-lr" role="option" data-dial-code="231" data-country-code="lr">
                    <div class="flag-box">
                      <div class="iti-flag lr"></div>
                    </div><span class="country-name">Liberia</span><span class="dial-code">+231</span>
                  </li>
                  <li class="country standard" id="iti-item-ly" role="option" data-dial-code="218" data-country-code="ly">
                    <div class="flag-box">
                      <div class="iti-flag ly"></div>
                    </div><span class="country-name">Libya (‫ليبيا‬‎)</span><span class="dial-code">+218</span>
                  </li>
                  <li class="country standard" id="iti-item-li" role="option" data-dial-code="423" data-country-code="li">
                    <div class="flag-box">
                      <div class="iti-flag li"></div>
                    </div><span class="country-name">Liechtenstein</span><span class="dial-code">+423</span>
                  </li>
                  <li class="country standard" id="iti-item-lt" role="option" data-dial-code="370" data-country-code="lt">
                    <div class="flag-box">
                      <div class="iti-flag lt"></div>
                    </div><span class="country-name">Lithuania (Lietuva)</span><span class="dial-code">+370</span>
                  </li>
                  <li class="country standard" id="iti-item-lu" role="option" data-dial-code="352" data-country-code="lu">
                    <div class="flag-box">
                      <div class="iti-flag lu"></div>
                    </div><span class="country-name">Luxembourg</span><span class="dial-code">+352</span>
                  </li>
                  <li class="country standard" id="iti-item-mo" role="option" data-dial-code="853" data-country-code="mo">
                    <div class="flag-box">
                      <div class="iti-flag mo"></div>
                    </div><span class="country-name">Macau (澳門)</span><span class="dial-code">+853</span>
                  </li>
                  <li class="country standard" id="iti-item-mk" role="option" data-dial-code="389" data-country-code="mk">
                    <div class="flag-box">
                      <div class="iti-flag mk"></div>
                    </div><span class="country-name">Macedonia (FYROM) (Македонија)</span><span class="dial-code">+389</span>
                  </li>
                  <li class="country standard" id="iti-item-mg" role="option" data-dial-code="261" data-country-code="mg">
                    <div class="flag-box">
                      <div class="iti-flag mg"></div>
                    </div><span class="country-name">Madagascar (Madagasikara)</span><span class="dial-code">+261</span>
                  </li>
                  <li class="country standard" id="iti-item-mw" role="option" data-dial-code="265" data-country-code="mw">
                    <div class="flag-box">
                      <div class="iti-flag mw"></div>
                    </div><span class="country-name">Malawi</span><span class="dial-code">+265</span>
                  </li>
                  <li class="country standard" id="iti-item-my" role="option" data-dial-code="60" data-country-code="my">
                    <div class="flag-box">
                      <div class="iti-flag my"></div>
                    </div><span class="country-name">Malaysia</span><span class="dial-code">+60</span>
                  </li>
                  <li class="country standard" id="iti-item-mv" role="option" data-dial-code="960" data-country-code="mv">
                    <div class="flag-box">
                      <div class="iti-flag mv"></div>
                    </div><span class="country-name">Maldives</span><span class="dial-code">+960</span>
                  </li>
                  <li class="country standard" id="iti-item-ml" role="option" data-dial-code="223" data-country-code="ml">
                    <div class="flag-box">
                      <div class="iti-flag ml"></div>
                    </div><span class="country-name">Mali</span><span class="dial-code">+223</span>
                  </li>
                  <li class="country standard" id="iti-item-mt" role="option" data-dial-code="356" data-country-code="mt">
                    <div class="flag-box">
                      <div class="iti-flag mt"></div>
                    </div><span class="country-name">Malta</span><span class="dial-code">+356</span>
                  </li>
                  <li class="country standard" id="iti-item-mh" role="option" data-dial-code="692" data-country-code="mh">
                    <div class="flag-box">
                      <div class="iti-flag mh"></div>
                    </div><span class="country-name">Marshall Islands</span><span class="dial-code">+692</span>
                  </li>
                  <li class="country standard" id="iti-item-mq" role="option" data-dial-code="596" data-country-code="mq">
                    <div class="flag-box">
                      <div class="iti-flag mq"></div>
                    </div><span class="country-name">Martinique</span><span class="dial-code">+596</span>
                  </li>
                  <li class="country standard" id="iti-item-mr" role="option" data-dial-code="222" data-country-code="mr">
                    <div class="flag-box">
                      <div class="iti-flag mr"></div>
                    </div><span class="country-name">Mauritania (‫موريتانيا‬‎)</span><span class="dial-code">+222</span>
                  </li>
                  <li class="country standard" id="iti-item-mu" role="option" data-dial-code="230" data-country-code="mu">
                    <div class="flag-box">
                      <div class="iti-flag mu"></div>
                    </div><span class="country-name">Mauritius (Moris)</span><span class="dial-code">+230</span>
                  </li>
                  <li class="country standard" id="iti-item-yt" role="option" data-dial-code="262" data-country-code="yt">
                    <div class="flag-box">
                      <div class="iti-flag yt"></div>
                    </div><span class="country-name">Mayotte</span><span class="dial-code">+262</span>
                  </li>
                  <li class="country standard" id="iti-item-mx" role="option" data-dial-code="52" data-country-code="mx">
                    <div class="flag-box">
                      <div class="iti-flag mx"></div>
                    </div><span class="country-name">Mexico (México)</span><span class="dial-code">+52</span>
                  </li>
                  <li class="country standard" id="iti-item-fm" role="option" data-dial-code="691" data-country-code="fm">
                    <div class="flag-box">
                      <div class="iti-flag fm"></div>
                    </div><span class="country-name">Micronesia</span><span class="dial-code">+691</span>
                  </li>
                  <li class="country standard" id="iti-item-md" role="option" data-dial-code="373" data-country-code="md">
                    <div class="flag-box">
                      <div class="iti-flag md"></div>
                    </div><span class="country-name">Moldova (Republica Moldova)</span><span class="dial-code">+373</span>
                  </li>
                  <li class="country standard" id="iti-item-mc" role="option" data-dial-code="377" data-country-code="mc">
                    <div class="flag-box">
                      <div class="iti-flag mc"></div>
                    </div><span class="country-name">Monaco</span><span class="dial-code">+377</span>
                  </li>
                  <li class="country standard" id="iti-item-mn" role="option" data-dial-code="976" data-country-code="mn">
                    <div class="flag-box">
                      <div class="iti-flag mn"></div>
                    </div><span class="country-name">Mongolia (Монгол)</span><span class="dial-code">+976</span>
                  </li>
                  <li class="country standard" id="iti-item-me" role="option" data-dial-code="382" data-country-code="me">
                    <div class="flag-box">
                      <div class="iti-flag me"></div>
                    </div><span class="country-name">Montenegro (Crna Gora)</span><span class="dial-code">+382</span>
                  </li>
                  <li class="country standard" id="iti-item-ms" role="option" data-dial-code="1664" data-country-code="ms">
                    <div class="flag-box">
                      <div class="iti-flag ms"></div>
                    </div><span class="country-name">Montserrat</span><span class="dial-code">+1664</span>
                  </li>
                  <li class="country standard" id="iti-item-ma" role="option" data-dial-code="212" data-country-code="ma">
                    <div class="flag-box">
                      <div class="iti-flag ma"></div>
                    </div><span class="country-name">Morocco (‫المغرب‬‎)</span><span class="dial-code">+212</span>
                  </li>
                  <li class="country standard" id="iti-item-mz" role="option" data-dial-code="258" data-country-code="mz">
                    <div class="flag-box">
                      <div class="iti-flag mz"></div>
                    </div><span class="country-name">Mozambique (Moçambique)</span><span class="dial-code">+258</span>
                  </li>
                  <li class="country standard" id="iti-item-mm" role="option" data-dial-code="95" data-country-code="mm">
                    <div class="flag-box">
                      <div class="iti-flag mm"></div>
                    </div><span class="country-name">Myanmar (Burma) (မြန်မာ)</span><span class="dial-code">+95</span>
                  </li>
                  <li class="country standard" id="iti-item-na" role="option" data-dial-code="264" data-country-code="na">
                    <div class="flag-box">
                      <div class="iti-flag na"></div>
                    </div><span class="country-name">Namibia (Namibië)</span><span class="dial-code">+264</span>
                  </li>
                  <li class="country standard" id="iti-item-nr" role="option" data-dial-code="674" data-country-code="nr">
                    <div class="flag-box">
                      <div class="iti-flag nr"></div>
                    </div><span class="country-name">Nauru</span><span class="dial-code">+674</span>
                  </li>
                  <li class="country standard" id="iti-item-np" role="option" data-dial-code="977" data-country-code="np">
                    <div class="flag-box">
                      <div class="iti-flag np"></div>
                    </div><span class="country-name">Nepal (नेपाल)</span><span class="dial-code">+977</span>
                  </li>
                  <li class="country standard" id="iti-item-nl" role="option" data-dial-code="31" data-country-code="nl">
                    <div class="flag-box">
                      <div class="iti-flag nl"></div>
                    </div><span class="country-name">Netherlands (Nederland)</span><span class="dial-code">+31</span>
                  </li>
                  <li class="country standard" id="iti-item-nc" role="option" data-dial-code="687" data-country-code="nc">
                    <div class="flag-box">
                      <div class="iti-flag nc"></div>
                    </div><span class="country-name">New Caledonia (Nouvelle-Calédonie)</span><span class="dial-code">+687</span>
                  </li>
                  <li class="country standard" id="iti-item-nz" role="option" data-dial-code="64" data-country-code="nz">
                    <div class="flag-box">
                      <div class="iti-flag nz"></div>
                    </div><span class="country-name">New Zealand</span><span class="dial-code">+64</span>
                  </li>
                  <li class="country standard" id="iti-item-ni" role="option" data-dial-code="505" data-country-code="ni">
                    <div class="flag-box">
                      <div class="iti-flag ni"></div>
                    </div><span class="country-name">Nicaragua</span><span class="dial-code">+505</span>
                  </li>
                  <li class="country standard" id="iti-item-ne" role="option" data-dial-code="227" data-country-code="ne">
                    <div class="flag-box">
                      <div class="iti-flag ne"></div>
                    </div><span class="country-name">Niger (Nijar)</span><span class="dial-code">+227</span>
                  </li>
                  <li class="country standard" id="iti-item-ng" role="option" data-dial-code="234" data-country-code="ng">
                    <div class="flag-box">
                      <div class="iti-flag ng"></div>
                    </div><span class="country-name">Nigeria</span><span class="dial-code">+234</span>
                  </li>
                  <li class="country standard" id="iti-item-nu" role="option" data-dial-code="683" data-country-code="nu">
                    <div class="flag-box">
                      <div class="iti-flag nu"></div>
                    </div><span class="country-name">Niue</span><span class="dial-code">+683</span>
                  </li>
                  <li class="country standard" id="iti-item-nf" role="option" data-dial-code="672" data-country-code="nf">
                    <div class="flag-box">
                      <div class="iti-flag nf"></div>
                    </div><span class="country-name">Norfolk Island</span><span class="dial-code">+672</span>
                  </li>
                  <li class="country standard" id="iti-item-kp" role="option" data-dial-code="850" data-country-code="kp">
                    <div class="flag-box">
                      <div class="iti-flag kp"></div>
                    </div><span class="country-name">North Korea (조선 민주주의 인민 공화국)</span><span class="dial-code">+850</span>
                  </li>
                  <li class="country standard" id="iti-item-mp" role="option" data-dial-code="1670" data-country-code="mp">
                    <div class="flag-box">
                      <div class="iti-flag mp"></div>
                    </div><span class="country-name">Northern Mariana Islands</span><span class="dial-code">+1670</span>
                  </li>
                  <li class="country standard" id="iti-item-no" role="option" data-dial-code="47" data-country-code="no">
                    <div class="flag-box">
                      <div class="iti-flag no"></div>
                    </div><span class="country-name">Norway (Norge)</span><span class="dial-code">+47</span>
                  </li>
                  <li class="country standard" id="iti-item-om" role="option" data-dial-code="968" data-country-code="om">
                    <div class="flag-box">
                      <div class="iti-flag om"></div>
                    </div><span class="country-name">Oman (‫عُمان‬‎)</span><span class="dial-code">+968</span>
                  </li>
                  <li class="country standard" id="iti-item-pk" role="option" data-dial-code="92" data-country-code="pk">
                    <div class="flag-box">
                      <div class="iti-flag pk"></div>
                    </div><span class="country-name">Pakistan (‫پاکستان‬‎)</span><span class="dial-code">+92</span>
                  </li>
                  <li class="country standard" id="iti-item-pw" role="option" data-dial-code="680" data-country-code="pw">
                    <div class="flag-box">
                      <div class="iti-flag pw"></div>
                    </div><span class="country-name">Palau</span><span class="dial-code">+680</span>
                  </li>
                  <li class="country standard" id="iti-item-ps" role="option" data-dial-code="970" data-country-code="ps">
                    <div class="flag-box">
                      <div class="iti-flag ps"></div>
                    </div><span class="country-name">Palestine (‫فلسطين‬‎)</span><span class="dial-code">+970</span>
                  </li>
                  <li class="country standard" id="iti-item-pa" role="option" data-dial-code="507" data-country-code="pa">
                    <div class="flag-box">
                      <div class="iti-flag pa"></div>
                    </div><span class="country-name">Panama (Panamá)</span><span class="dial-code">+507</span>
                  </li>
                  <li class="country standard" id="iti-item-pg" role="option" data-dial-code="675" data-country-code="pg">
                    <div class="flag-box">
                      <div class="iti-flag pg"></div>
                    </div><span class="country-name">Papua New Guinea</span><span class="dial-code">+675</span>
                  </li>
                  <li class="country standard" id="iti-item-py" role="option" data-dial-code="595" data-country-code="py">
                    <div class="flag-box">
                      <div class="iti-flag py"></div>
                    </div><span class="country-name">Paraguay</span><span class="dial-code">+595</span>
                  </li>
                  <li class="country standard" id="iti-item-pe" role="option" data-dial-code="51" data-country-code="pe">
                    <div class="flag-box">
                      <div class="iti-flag pe"></div>
                    </div><span class="country-name">Peru (Perú)</span><span class="dial-code">+51</span>
                  </li>
                  <li class="country standard" id="iti-item-ph" role="option" data-dial-code="63" data-country-code="ph">
                    <div class="flag-box">
                      <div class="iti-flag ph"></div>
                    </div><span class="country-name">Philippines</span><span class="dial-code">+63</span>
                  </li>
                  <li class="country standard" id="iti-item-pl" role="option" data-dial-code="48" data-country-code="pl">
                    <div class="flag-box">
                      <div class="iti-flag pl"></div>
                    </div><span class="country-name">Poland (Polska)</span><span class="dial-code">+48</span>
                  </li>
                  <li class="country standard" id="iti-item-pt" role="option" data-dial-code="351" data-country-code="pt">
                    <div class="flag-box">
                      <div class="iti-flag pt"></div>
                    </div><span class="country-name">Portugal</span><span class="dial-code">+351</span>
                  </li>
                  <li class="country standard" id="iti-item-pr" role="option" data-dial-code="1" data-country-code="pr">
                    <div class="flag-box">
                      <div class="iti-flag pr"></div>
                    </div><span class="country-name">Puerto Rico</span><span class="dial-code">+1</span>
                  </li>
                  <li class="country standard" id="iti-item-qa" role="option" data-dial-code="974" data-country-code="qa">
                    <div class="flag-box">
                      <div class="iti-flag qa"></div>
                    </div><span class="country-name">Qatar (‫قطر‬‎)</span><span class="dial-code">+974</span>
                  </li>
                  <li class="country standard" id="iti-item-re" role="option" data-dial-code="262" data-country-code="re">
                    <div class="flag-box">
                      <div class="iti-flag re"></div>
                    </div><span class="country-name">Réunion (La Réunion)</span><span class="dial-code">+262</span>
                  </li>
                  <li class="country standard" id="iti-item-ro" role="option" data-dial-code="40" data-country-code="ro">
                    <div class="flag-box">
                      <div class="iti-flag ro"></div>
                    </div><span class="country-name">Romania (România)</span><span class="dial-code">+40</span>
                  </li>
                  <li class="country standard" id="iti-item-ru" role="option" data-dial-code="7" data-country-code="ru">
                    <div class="flag-box">
                      <div class="iti-flag ru"></div>
                    </div><span class="country-name">Russia (Россия)</span><span class="dial-code">+7</span>
                  </li>
                  <li class="country standard" id="iti-item-rw" role="option" data-dial-code="250" data-country-code="rw">
                    <div class="flag-box">
                      <div class="iti-flag rw"></div>
                    </div><span class="country-name">Rwanda</span><span class="dial-code">+250</span>
                  </li>
                  <li class="country standard" id="iti-item-bl" role="option" data-dial-code="590" data-country-code="bl">
                    <div class="flag-box">
                      <div class="iti-flag bl"></div>
                    </div><span class="country-name">Saint Barthélemy</span><span class="dial-code">+590</span>
                  </li>
                  <li class="country standard" id="iti-item-sh" role="option" data-dial-code="290" data-country-code="sh">
                    <div class="flag-box">
                      <div class="iti-flag sh"></div>
                    </div><span class="country-name">Saint Helena</span><span class="dial-code">+290</span>
                  </li>
                  <li class="country standard" id="iti-item-kn" role="option" data-dial-code="1869" data-country-code="kn">
                    <div class="flag-box">
                      <div class="iti-flag kn"></div>
                    </div><span class="country-name">Saint Kitts and Nevis</span><span class="dial-code">+1869</span>
                  </li>
                  <li class="country standard" id="iti-item-lc" role="option" data-dial-code="1758" data-country-code="lc">
                    <div class="flag-box">
                      <div class="iti-flag lc"></div>
                    </div><span class="country-name">Saint Lucia</span><span class="dial-code">+1758</span>
                  </li>
                  <li class="country standard" id="iti-item-mf" role="option" data-dial-code="590" data-country-code="mf">
                    <div class="flag-box">
                      <div class="iti-flag mf"></div>
                    </div><span class="country-name">Saint Martin (Saint-Martin (partie française))</span><span class="dial-code">+590</span>
                  </li>
                  <li class="country standard" id="iti-item-pm" role="option" data-dial-code="508" data-country-code="pm">
                    <div class="flag-box">
                      <div class="iti-flag pm"></div>
                    </div><span class="country-name">Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)</span><span class="dial-code">+508</span>
                  </li>
                  <li class="country standard" id="iti-item-vc" role="option" data-dial-code="1784" data-country-code="vc">
                    <div class="flag-box">
                      <div class="iti-flag vc"></div>
                    </div><span class="country-name">Saint Vincent and the Grenadines</span><span class="dial-code">+1784</span>
                  </li>
                  <li class="country standard" id="iti-item-ws" role="option" data-dial-code="685" data-country-code="ws">
                    <div class="flag-box">
                      <div class="iti-flag ws"></div>
                    </div><span class="country-name">Samoa</span><span class="dial-code">+685</span>
                  </li>
                  <li class="country standard" id="iti-item-sm" role="option" data-dial-code="378" data-country-code="sm">
                    <div class="flag-box">
                      <div class="iti-flag sm"></div>
                    </div><span class="country-name">San Marino</span><span class="dial-code">+378</span>
                  </li>
                  <li class="country standard" id="iti-item-st" role="option" data-dial-code="239" data-country-code="st">
                    <div class="flag-box">
                      <div class="iti-flag st"></div>
                    </div><span class="country-name">São Tomé and Príncipe (São Tomé e Príncipe)</span><span class="dial-code">+239</span>
                  </li>
                  <li class="country standard" id="iti-item-sa" role="option" data-dial-code="966" data-country-code="sa">
                    <div class="flag-box">
                      <div class="iti-flag sa"></div>
                    </div><span class="country-name">Saudi Arabia (‫المملكة العربية السعودية‬‎)</span><span class="dial-code">+966</span>
                  </li>
                  <li class="country standard" id="iti-item-sn" role="option" data-dial-code="221" data-country-code="sn">
                    <div class="flag-box">
                      <div class="iti-flag sn"></div>
                    </div><span class="country-name">Senegal (Sénégal)</span><span class="dial-code">+221</span>
                  </li>
                  <li class="country standard" id="iti-item-rs" role="option" data-dial-code="381" data-country-code="rs">
                    <div class="flag-box">
                      <div class="iti-flag rs"></div>
                    </div><span class="country-name">Serbia (Србија)</span><span class="dial-code">+381</span>
                  </li>
                  <li class="country standard" id="iti-item-sc" role="option" data-dial-code="248" data-country-code="sc">
                    <div class="flag-box">
                      <div class="iti-flag sc"></div>
                    </div><span class="country-name">Seychelles</span><span class="dial-code">+248</span>
                  </li>
                  <li class="country standard" id="iti-item-sl" role="option" data-dial-code="232" data-country-code="sl">
                    <div class="flag-box">
                      <div class="iti-flag sl"></div>
                    </div><span class="country-name">Sierra Leone</span><span class="dial-code">+232</span>
                  </li>
                  <li class="country standard" id="iti-item-sg" role="option" data-dial-code="65" data-country-code="sg">
                    <div class="flag-box">
                      <div class="iti-flag sg"></div>
                    </div><span class="country-name">Singapore</span><span class="dial-code">+65</span>
                  </li>
                  <li class="country standard" id="iti-item-sx" role="option" data-dial-code="1721" data-country-code="sx">
                    <div class="flag-box">
                      <div class="iti-flag sx"></div>
                    </div><span class="country-name">Sint Maarten</span><span class="dial-code">+1721</span>
                  </li>
                  <li class="country standard" id="iti-item-sk" role="option" data-dial-code="421" data-country-code="sk">
                    <div class="flag-box">
                      <div class="iti-flag sk"></div>
                    </div><span class="country-name">Slovakia (Slovensko)</span><span class="dial-code">+421</span>
                  </li>
                  <li class="country standard" id="iti-item-si" role="option" data-dial-code="386" data-country-code="si">
                    <div class="flag-box">
                      <div class="iti-flag si"></div>
                    </div><span class="country-name">Slovenia (Slovenija)</span><span class="dial-code">+386</span>
                  </li>
                  <li class="country standard" id="iti-item-sb" role="option" data-dial-code="677" data-country-code="sb">
                    <div class="flag-box">
                      <div class="iti-flag sb"></div>
                    </div><span class="country-name">Solomon Islands</span><span class="dial-code">+677</span>
                  </li>
                  <li class="country standard" id="iti-item-so" role="option" data-dial-code="252" data-country-code="so">
                    <div class="flag-box">
                      <div class="iti-flag so"></div>
                    </div><span class="country-name">Somalia (Soomaaliya)</span><span class="dial-code">+252</span>
                  </li>
                  <li class="country standard" id="iti-item-za" role="option" data-dial-code="27" data-country-code="za">
                    <div class="flag-box">
                      <div class="iti-flag za"></div>
                    </div><span class="country-name">South Africa</span><span class="dial-code">+27</span>
                  </li>
                  <li class="country standard" id="iti-item-kr" role="option" data-dial-code="82" data-country-code="kr">
                    <div class="flag-box">
                      <div class="iti-flag kr"></div>
                    </div><span class="country-name">South Korea (대한민국)</span><span class="dial-code">+82</span>
                  </li>
                  <li class="country standard" id="iti-item-ss" role="option" data-dial-code="211" data-country-code="ss">
                    <div class="flag-box">
                      <div class="iti-flag ss"></div>
                    </div><span class="country-name">South Sudan (‫جنوب السودان‬‎)</span><span class="dial-code">+211</span>
                  </li>
                  <li class="country standard" id="iti-item-es" role="option" data-dial-code="34" data-country-code="es">
                    <div class="flag-box">
                      <div class="iti-flag es"></div>
                    </div><span class="country-name">Spain (España)</span><span class="dial-code">+34</span>
                  </li>
                  <li class="country standard" id="iti-item-lk" role="option" data-dial-code="94" data-country-code="lk">
                    <div class="flag-box">
                      <div class="iti-flag lk"></div>
                    </div><span class="country-name">Sri Lanka (ශ්‍රී ලංකාව)</span><span class="dial-code">+94</span>
                  </li>
                  <li class="country standard" id="iti-item-sd" role="option" data-dial-code="249" data-country-code="sd">
                    <div class="flag-box">
                      <div class="iti-flag sd"></div>
                    </div><span class="country-name">Sudan (‫السودان‬‎)</span><span class="dial-code">+249</span>
                  </li>
                  <li class="country standard" id="iti-item-sr" role="option" data-dial-code="597" data-country-code="sr">
                    <div class="flag-box">
                      <div class="iti-flag sr"></div>
                    </div><span class="country-name">Suriname</span><span class="dial-code">+597</span>
                  </li>
                  <li class="country standard" id="iti-item-sj" role="option" data-dial-code="47" data-country-code="sj">
                    <div class="flag-box">
                      <div class="iti-flag sj"></div>
                    </div><span class="country-name">Svalbard and Jan Mayen</span><span class="dial-code">+47</span>
                  </li>
                  <li class="country standard" id="iti-item-sz" role="option" data-dial-code="268" data-country-code="sz">
                    <div class="flag-box">
                      <div class="iti-flag sz"></div>
                    </div><span class="country-name">Swaziland</span><span class="dial-code">+268</span>
                  </li>
                  <li class="country standard" id="iti-item-se" role="option" data-dial-code="46" data-country-code="se">
                    <div class="flag-box">
                      <div class="iti-flag se"></div>
                    </div><span class="country-name">Sweden (Sverige)</span><span class="dial-code">+46</span>
                  </li>
                  <li class="country standard" id="iti-item-ch" role="option" data-dial-code="41" data-country-code="ch">
                    <div class="flag-box">
                      <div class="iti-flag ch"></div>
                    </div><span class="country-name">Switzerland (Schweiz)</span><span class="dial-code">+41</span>
                  </li>
                  <li class="country standard" id="iti-item-sy" role="option" data-dial-code="963" data-country-code="sy">
                    <div class="flag-box">
                      <div class="iti-flag sy"></div>
                    </div><span class="country-name">Syria (‫سوريا‬‎)</span><span class="dial-code">+963</span>
                  </li>
                  <li class="country standard" id="iti-item-tw" role="option" data-dial-code="886" data-country-code="tw">
                    <div class="flag-box">
                      <div class="iti-flag tw"></div>
                    </div><span class="country-name">Taiwan (台灣)</span><span class="dial-code">+886</span>
                  </li>
                  <li class="country standard" id="iti-item-tj" role="option" data-dial-code="992" data-country-code="tj">
                    <div class="flag-box">
                      <div class="iti-flag tj"></div>
                    </div><span class="country-name">Tajikistan</span><span class="dial-code">+992</span>
                  </li>
                  <li class="country standard" id="iti-item-tz" role="option" data-dial-code="255" data-country-code="tz">
                    <div class="flag-box">
                      <div class="iti-flag tz"></div>
                    </div><span class="country-name">Tanzania</span><span class="dial-code">+255</span>
                  </li>
                  <li class="country standard" id="iti-item-th" role="option" data-dial-code="66" data-country-code="th">
                    <div class="flag-box">
                      <div class="iti-flag th"></div>
                    </div><span class="country-name">Thailand (ไทย)</span><span class="dial-code">+66</span>
                  </li>
                  <li class="country standard" id="iti-item-tl" role="option" data-dial-code="670" data-country-code="tl">
                    <div class="flag-box">
                      <div class="iti-flag tl"></div>
                    </div><span class="country-name">Timor-Leste</span><span class="dial-code">+670</span>
                  </li>
                  <li class="country standard" id="iti-item-tg" role="option" data-dial-code="228" data-country-code="tg">
                    <div class="flag-box">
                      <div class="iti-flag tg"></div>
                    </div><span class="country-name">Togo</span><span class="dial-code">+228</span>
                  </li>
                  <li class="country standard" id="iti-item-tk" role="option" data-dial-code="690" data-country-code="tk">
                    <div class="flag-box">
                      <div class="iti-flag tk"></div>
                    </div><span class="country-name">Tokelau</span><span class="dial-code">+690</span>
                  </li>
                  <li class="country standard" id="iti-item-to" role="option" data-dial-code="676" data-country-code="to">
                    <div class="flag-box">
                      <div class="iti-flag to"></div>
                    </div><span class="country-name">Tonga</span><span class="dial-code">+676</span>
                  </li>
                  <li class="country standard" id="iti-item-tt" role="option" data-dial-code="1868" data-country-code="tt">
                    <div class="flag-box">
                      <div class="iti-flag tt"></div>
                    </div><span class="country-name">Trinidad and Tobago</span><span class="dial-code">+1868</span>
                  </li>
                  <li class="country standard" id="iti-item-tn" role="option" data-dial-code="216" data-country-code="tn">
                    <div class="flag-box">
                      <div class="iti-flag tn"></div>
                    </div><span class="country-name">Tunisia (‫تونس‬‎)</span><span class="dial-code">+216</span>
                  </li>
                  <li class="country standard" id="iti-item-tr" role="option" data-dial-code="90" data-country-code="tr">
                    <div class="flag-box">
                      <div class="iti-flag tr"></div>
                    </div><span class="country-name">Turkey (Türkiye)</span><span class="dial-code">+90</span>
                  </li>
                  <li class="country standard" id="iti-item-tm" role="option" data-dial-code="993" data-country-code="tm">
                    <div class="flag-box">
                      <div class="iti-flag tm"></div>
                    </div><span class="country-name">Turkmenistan</span><span class="dial-code">+993</span>
                  </li>
                  <li class="country standard" id="iti-item-tc" role="option" data-dial-code="1649" data-country-code="tc">
                    <div class="flag-box">
                      <div class="iti-flag tc"></div>
                    </div><span class="country-name">Turks and Caicos Islands</span><span class="dial-code">+1649</span>
                  </li>
                  <li class="country standard" id="iti-item-tv" role="option" data-dial-code="688" data-country-code="tv">
                    <div class="flag-box">
                      <div class="iti-flag tv"></div>
                    </div><span class="country-name">Tuvalu</span><span class="dial-code">+688</span>
                  </li>
                  <li class="country standard" id="iti-item-vi" role="option" data-dial-code="1340" data-country-code="vi">
                    <div class="flag-box">
                      <div class="iti-flag vi"></div>
                    </div><span class="country-name">U.S. Virgin Islands</span><span class="dial-code">+1340</span>
                  </li>
                  <li class="country standard" id="iti-item-ug" role="option" data-dial-code="256" data-country-code="ug">
                    <div class="flag-box">
                      <div class="iti-flag ug"></div>
                    </div><span class="country-name">Uganda</span><span class="dial-code">+256</span>
                  </li>
                  <li class="country standard" id="iti-item-ua" role="option" data-dial-code="380" data-country-code="ua">
                    <div class="flag-box">
                      <div class="iti-flag ua"></div>
                    </div><span class="country-name">Ukraine (Україна)</span><span class="dial-code">+380</span>
                  </li>
                  <li class="country standard" id="iti-item-ae" role="option" data-dial-code="971" data-country-code="ae">
                    <div class="flag-box">
                      <div class="iti-flag ae"></div>
                    </div><span class="country-name">United Arab Emirates (‫الإمارات العربية المتحدة‬‎)</span><span class="dial-code">+971</span>
                  </li>
                  <li class="country standard" id="iti-item-gb" role="option" data-dial-code="44" data-country-code="gb">
                    <div class="flag-box">
                      <div class="iti-flag gb"></div>
                    </div><span class="country-name">United Kingdom</span><span class="dial-code">+44</span>
                  </li>
                  <li class="country standard" id="iti-item-us" role="option" data-dial-code="1" data-country-code="us">
                    <div class="flag-box">
                      <div class="iti-flag us"></div>
                    </div><span class="country-name">United States</span><span class="dial-code">+1</span>
                  </li>
                  <li class="country standard" id="iti-item-uy" role="option" data-dial-code="598" data-country-code="uy">
                    <div class="flag-box">
                      <div class="iti-flag uy"></div>
                    </div><span class="country-name">Uruguay</span><span class="dial-code">+598</span>
                  </li>
                  <li class="country standard" id="iti-item-uz" role="option" data-dial-code="998" data-country-code="uz">
                    <div class="flag-box">
                      <div class="iti-flag uz"></div>
                    </div><span class="country-name">Uzbekistan (Oʻzbekiston)</span><span class="dial-code">+998</span>
                  </li>
                  <li class="country standard" id="iti-item-vu" role="option" data-dial-code="678" data-country-code="vu">
                    <div class="flag-box">
                      <div class="iti-flag vu"></div>
                    </div><span class="country-name">Vanuatu</span><span class="dial-code">+678</span>
                  </li>
                  <li class="country standard" id="iti-item-va" role="option" data-dial-code="39" data-country-code="va">
                    <div class="flag-box">
                      <div class="iti-flag va"></div>
                    </div><span class="country-name">Vatican City (Città del Vaticano)</span><span class="dial-code">+39</span>
                  </li>
                  <li class="country standard" id="iti-item-ve" role="option" data-dial-code="58" data-country-code="ve">
                    <div class="flag-box">
                      <div class="iti-flag ve"></div>
                    </div><span class="country-name">Venezuela</span><span class="dial-code">+58</span>
                  </li>
                  <li class="country standard" id="iti-item-vn" role="option" data-dial-code="84" data-country-code="vn">
                    <div class="flag-box">
                      <div class="iti-flag vn"></div>
                    </div><span class="country-name">Vietnam (Việt Nam)</span><span class="dial-code">+84</span>
                  </li>
                  <li class="country standard" id="iti-item-wf" role="option" data-dial-code="681" data-country-code="wf">
                    <div class="flag-box">
                      <div class="iti-flag wf"></div>
                    </div><span class="country-name">Wallis and Futuna (Wallis-et-Futuna)</span><span class="dial-code">+681</span>
                  </li>
                  <li class="country standard" id="iti-item-eh" role="option" data-dial-code="212" data-country-code="eh">
                    <div class="flag-box">
                      <div class="iti-flag eh"></div>
                    </div><span class="country-name">Western Sahara (‫الصحراء الغربية‬‎)</span><span class="dial-code">+212</span>
                  </li>
                  <li class="country standard" id="iti-item-ye" role="option" data-dial-code="967" data-country-code="ye">
                    <div class="flag-box">
                      <div class="iti-flag ye"></div>
                    </div><span class="country-name">Yemen (‫اليمن‬‎)</span><span class="dial-code">+967</span>
                  </li>
                  <li class="country standard" id="iti-item-zm" role="option" data-dial-code="260" data-country-code="zm">
                    <div class="flag-box">
                      <div class="iti-flag zm"></div>
                    </div><span class="country-name">Zambia</span><span class="dial-code">+260</span>
                  </li>
                  <li class="country standard" id="iti-item-zw" role="option" data-dial-code="263" data-country-code="zw">
                    <div class="flag-box">
                      <div class="iti-flag zw"></div>
                    </div><span class="country-name">Zimbabwe</span><span class="dial-code">+263</span>
                  </li>
                  <li class="country standard" id="iti-item-ax" role="option" data-dial-code="358" data-country-code="ax">
                    <div class="flag-box">
                      <div class="iti-flag ax"></div>
                    </div><span class="country-name">Åland Islands</span><span class="dial-code">+358</span>
                  </li>
                </ul>
              </div><input id="reserved_mobile" type="tel" aria-describedby="nameHelp_reserved_mobile" name="reserved_mobile" data-scope="step2" data-required="" value="" placeholder="Numéro de mobile " autocomplete="off" data-intl-tel-input-id="0">
            </div>
            <p></p>
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            <p name="reserved_ENMEMOIRE" id="reserved_ENMEMOIRE_id_65fdf142d9db1" data-type="short">
              <label for="reserved_ENMEMOIRE" style="display: none;">
                <span class="reserved_title">Je fais un don en mémoire de</span>
                <span id="nameHelp_reserved_ENMEMOIRE" class="help"></span>
              </label>
              <input id="reserved_ENMEMOIRE" type="text" aria-describedby="nameHelp_reserved_ENMEMOIRE" name="reserved_ENMEMOIRE" data-scope="step2" data-required="" value="" placeholder="Je fais un don en mémoire de ">
            </p>
            <fieldset id="fielset-name">
              <p id="c-isc">
                <label><input type="checkbox" value="OK" name="iscompany" id="iscompany"><span></span> Je fais un don au nom d'une organisation ou d'une société</label>
              </p>
              <p id="c-isc-inf" class="company-infos hidden" style="display: none;">
                <label for="company" style="display: none;">Raison sociale <span class="required">*</span> <span class="help">ex. Dupond SARL</span>
                </label>
                <input type="text" name="company" id="company" class="required_for_company" value="" placeholder="Raison sociale *">
              </p>
              <p id="c-isc-inf-siren" class="company-infos hidden" style="display: none;">
                <label for="company_siren">SIREN <span class="required">*</span> <span class="help">539250571</span>
                </label>
                <input type="text" name="company_siren" id="company_siren" class="required_for_company" value="">
              </p>
              <p id="c-isc-inf-status" class="company-infos hidden" style="display: none;">
                <label for="company_status">Forme juridique <span class="required">*</span> </label>
                <select name="company_status" id="company_status" class="required_for_company select2-hidden-accessible" tabindex="-1" aria-hidden="true">
                  <option value="">Forme juridique</option>
                  <option value="71"> Administration de l'état </option>
                  <option value="92"> Association loi 1901 ou assimilé </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="99"> Autre personne morale de droit privé </option>
                  <option value="69"> Autre personne morale de droit privé inscrite au registre du commerce et des sociétés </option>
                  <option value="74"> Autre personne morale de droit public administratif </option>
                  <option value="61"> Caisse d'épargne et de prévoyance </option>
                  <option value="72"> Collectivité territoriale </option>
                  <option value="83"> Comité d'entreprise </option>
                  <option value="10"> Entrepreneur individuel </option>
                  <option value="73"> Etablissement public administratif </option>
                  <option value="41"> Etablissement public ou régie à caractère industriel ou commercial </option>
                  <option value="24"> Fiducie </option>
                  <option value="93"> Fondation </option>
                  <option value="62"> Groupement d'intérêt économique </option>
                  <option value="21"> Indivision </option>
                  <option value="00"> Organisme de placement collectif en valeurs mobilières sans personnalité morale </option>
                  <option value="85"> Organisme de retraite à adhésion non obligatoire </option>
                  <option value="81"> Organisme gérant un régime de protection sociale à adhésion obligatoire </option>
                  <option value="82"> Organisme mutualiste </option>
                  <option value="84"> Organisme professionnel </option>
                  <option value="27"> Paroisse hors zone concordataire </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="55"> Société anonyme à conseil d'administration </option>
                  <option value="56"> Société anonyme à directoire </option>
                  <option value="65"> Société civile </option>
                  <option value="63"> Société coopérative agricole </option>
                  <option value="51"> Société coopérative commerciale particulière </option>
                  <option value="22"> Société créée de fait </option>
                  <option value="64"> Société d'assurance mutuelle </option>
                  <option value="53"> Société en commandite </option>
                  <option value="52"> Société en nom collectif </option>
                  <option value="23"> Société en participation </option>
                  <option value="58"> Société européenne </option>
                  <option value="57"> Société par actions simplifiée </option>
                  <option value="54"> Société à responsabilité limitée (SARL) </option>
                  <option value="91"> Syndicat de propriétaires </option>
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                      aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-company_status-container"><span class="select2-selection__rendered" id="select2-company_status-container" title="Forme juridique">Forme
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              </p>
              <p id="c-civ">
                <label for="civility" style="display: none;">Civilité <span class="required">*</span></label>
                <select name="civility" id="civility" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
                  <option value="">Civilité *</option>
                  <option value="1">M</option>
                  <option value="2">Mme</option>
                  <option value="5">M et Mme</option>
                  <option value="18">n/a</option>
                </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 136px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
                      aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-civility-container"><span class="select2-selection__rendered" id="select2-civility-container" title="Civilité *">Civilité *</span><span
                        class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
              </p>
              <p id="c-fname">
                <label for="firstname" style="display: none;">Prénom <span class="required">*</span> <span class="help">ex. Bernard</span></label>
                <input type="text" name="firstname" id="firstname" value="" placeholder="Prénom *">
              </p>
              <p id="c-lname">
                <label for="lastname" style="display: none;">Nom <span class="required">*</span> <span class="help">ex. Dupond</span></label>
                <input type="text" name="lastname" id="lastname" value="" placeholder="Nom *">
              </p>
            </fieldset>
            <fieldset id="fielset-address">
              <p id="c-addr1">
                <label for="address1" style="display: none;">Adresse <span class="required">*</span> <span class="help">ex. 15 rue Jean Jaurès</span></label>
                <input type="text" name="address1" id="address1" value="" placeholder="Entrez votre adresse..." autocomplete="no" data-js-origin="pay-find-my-address"
                  class="fma-search"><i class="pay-icon pay-js-fma-manual" data-js-origin="pay-find-my-address" style="display: none;"></i>
              </p>
              <p id="c-addr2">
                <label for="address2" style="display: none;">Complément adresse <span class="help">ex. Bât. B</span></label>
                <input type="text" name="address2" id="address2" value="" placeholder="Complément adresse">
              </p>
              <div class="line">
                <p id="c-pcode" class="unit size1of2">
                  <label for="postcode" style="display: none;">Code postal <span class="required">*</span><span class="help">ex. 75008</span></label>
                  <input type="text" name="postcode" id="postcode" value="" placeholder="Code postal *">
                </p>
                <p id="c-city" class="unit size2of2 lastUnit">
                  <label for="city" style="display: none;">Ville <span class="required">*</span> <span class="help">ex. Paris</span></label>
                  <input type="text" name="city" id="city" value="" placeholder="Ville *">
                </p>
              </div>
              <p id="c-country">
                <label for="country" style="display: none;">Pays <span class="required">*</span> <span class="help">ex. France</span></label>
                <select name="country" id="country" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
                  <option value="BE">BELGIQUE</option>
                  <option value="FR" selected="selected">FRANCE</option>
                  <option value="GP">GUADELOUPE</option>
                  <option value="MQ">MARTINIQUE</option>
                  <option value="RE">RÉUNION</option>
                  <option value="">----------------------------------</option>
                  <option value="AF">AFGHANISTAN</option>
                  <option value="ZA">AFRIQUE DU SUD</option>
                  <option value="AX">ÅLAND, ÎLES</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="AN">ANTILLES NÉERLANDAISES</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="BY">BÉLARUS</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="BO">BOLIVIE, l'ÉTAT PLURINATIONAL DE</option>
                  <option value="BA">BOSNIE-HERZÉGOVINE</option>
                  <option value="BW">BOTSWANA</option>
                  <option value="BV">BOUVET, ÎLE</option>
                  <option value="BR">BRÉSIL</option>
                  <option value="BN">BRUNÉI DARUSSALAM</option>
                  <option value="BG">BULGARIE</option>
                  <option value="BF">BURKINA FASO</option>
                  <option value="BI">BURUNDI</option>
                  <option value="KY">CAÏMANES, ÎLES</option>
                  <option value="KH">CAMBODGE</option>
                  <option value="CM">CAMEROUN</option>
                  <option value="CA">CANADA</option>
                  <option value="CV">CAP-VERT</option>
                  <option value="CF">CENTRAFRICAINE, RÉPUBLIQUE</option>
                  <option value="CL">CHILI</option>
                  <option value="CN">CHINE</option>
                  <option value="CX">CHRISTMAS, ÎLE</option>
                  <option value="CY">CHYPRE</option>
                  <option value="CC">COCOS (KEELING), ÎLES</option>
                  <option value="CO">COLOMBIE</option>
                  <option value="KM">COMORES</option>
                  <option value="CG">CONGO</option>
                  <option value="CD">CONGO, LA RÉPUBLIQUE DÉMOCRATIQUE DU</option>
                  <option value="CK">COOK, ÎLES</option>
                  <option value="KR">CORÉE, RÉPUBLIQUE DE</option>
                  <option value="KP">CORÉE, RÉPUBLIQUE POPULAIRE DÉMOCRATIQUE DE</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="DK">DANEMARK</option>
                  <option value="DJ">DJIBOUTI</option>
                  <option value="DO">DOMINICAINE, RÉPUBLIQUE</option>
                  <option value="DM">DOMINIQUE</option>
                  <option value="EG">ÉGYPTE</option>
                  <option value="SV">EL SALVADOR</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="US">ÉTATS-UNIS</option>
                  <option value="ET">ÉTHIOPIE</option>
                  <option value="FK">FALKLAND, ÎLES (MALVINAS)</option>
                  <option value="FO">FÉROÉ, ÎLES</option>
                  <option value="FJ">FIDJI</option>
                  <option value="FI">FINLANDE</option>
                  <option value="FR">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="HM">HEARD, ÎLE ET MCDONALD, ÎLES</option>
                  <option value="HN">HONDURAS</option>
                  <option value="HK">HONG-KONG</option>
                  <option value="HU">HONGRIE</option>
                  <option value="IM">ÎLE DE MAN</option>
                  <option value="UM">ÎLES MINEURES ÉLOIGNÉES DES ÉTATS-UNIS</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="IR">IRAN, RÉPUBLIQUE ISLAMIQUE D'</option>
                  <option value="IQ">IRAQ</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">KIRGHIZISTAN</option>
                  <option value="KI">KIRIBATI</option>
                  <option value="KW">KOWEÏT</option>
                  <option value="LA">LAO, RÉPUBLIQUE DÉMOCRATIQUE POPULAIRE</option>
                  <option value="LS">LESOTHO</option>
                  <option value="LV">LETTONIE</option>
                  <option value="LB">LIBAN</option>
                  <option value="LR">LIBÉRIA</option>
                  <option value="LY">LIBYENNE, JAMAHIRIYA ARABE</option>
                  <option value="LI">LIECHTENSTEIN</option>
                  <option value="LT">LITUANIE</option>
                  <option value="LU">LUXEMBOURG</option>
                  <option value="MO">MACAO</option>
                  <option value="MK">MACÉDOINE, L'EX-RÉPUBLIQUE YOUGOSLAVE DE</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="MP">MARIANNES DU NORD, ÎLES</option>
                  <option value="MA">MAROC</option>
                  <option value="MH">MARSHALL, ÎLES</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, ÉTATS FÉDÉRÉS DE</option>
                  <option value="MD">MOLDOVA, RÉPUBLIQUE DE</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</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">NIGÉRIA</option>
                  <option value="NU">NIUÉ</option>
                  <option value="NF">NORFOLK, ÎLE</option>
                  <option value="NO">NORVÈGE</option>
                  <option value="NC">NOUVELLE-CALÉDONIE</option>
                  <option value="NZ">NOUVELLE-ZÉLANDE</option>
                  <option value="IO">OCÉAN INDIEN, TERRITOIRE BRITANNIQUE DE L'</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="PS">PALESTINIEN OCCUPÉ, TERRITOIRE</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="PE">PÉROU</option>
                  <option value="PH">PHILIPPINES</option>
                  <option value="PN">PITCAIRN</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="RE">RÉUNION</option>
                  <option value="RO">ROUMANIE</option>
                  <option value="GB">ROYAUME-UNI</option>
                  <option value="RU">RUSSIE, FÉDÉRATION DE</option>
                  <option value="RW">RWANDA</option>
                  <option value="EH">SAHARA OCCIDENTAL</option>
                  <option value="BL">SAINT-BARTHÉLEMY</option>
                  <option value="KN">SAINT-KITTS-ET-NEVIS</option>
                  <option value="SM">SAINT-MARIN</option>
                  <option value="MF">SAINT-MARTIN</option>
                  <option value="PM">SAINT-PIERRE-ET-MIQUELON</option>
                  <option value="VA">SAINT-SIÈGE (ÉTAT DE LA CITÉ DU VATICAN)</option>
                  <option value="VC">SAINT-VINCENT-ET-LES GRENADINES</option>
                  <option value="SH">SAINTE-HÉLÈNE, ASCENSION ET TRISTAN DA CUNHA</option>
                  <option value="LC">SAINTE-LUCIE</option>
                  <option value="SB">SALOMON, ÎLES</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="LK">SRI LANKA</option>
                  <option value="SE">SUÈDE</option>
                  <option value="CH">SUISSE</option>
                  <option value="SR">SURINAME</option>
                  <option value="SJ">SVALBARD ET ÎLE JAN MAYEN</option>
                  <option value="SZ">SWAZILAND</option>
                  <option value="SY">SYRIENNE, RÉPUBLIQUE ARABE</option>
                  <option value="TJ">TADJIKISTAN</option>
                  <option value="TW">TAÏWAN, PROVINCE DE CHINE</option>
                  <option value="TZ">TANZANIE, RÉPUBLIQUE-UNIE DE</option>
                  <option value="TD">TCHAD</option>
                  <option value="CZ">TCHÈQUE, RÉPUBLIQUE</option>
                  <option value="TF">TERRES AUSTRALES FRANÇAISES</option>
                  <option value="TH">THAÏLANDE</option>
                  <option value="TL">TIMOR-LESTE</option>
                  <option value="TG">TOGO</option>
                  <option value="TK">TOKELAU</option>
                  <option value="TO">TONGA</option>
                  <option value="TT">TRINITÉ-ET-TOBAGO</option>
                  <option value="TN">TUNISIE</option>
                  <option value="TM">TURKMÉNISTAN</option>
                  <option value="TC">TURKS ET CAÏQUES, ÎLES</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, RÉPUBLIQUE BOLIVARIENNE DU</option>
                  <option value="VN">VIET 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><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 340px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-autocomplete="list"
                      aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-country-container"><span class="select2-selection__rendered flag_country flag_FR" id="select2-country-container" title="FRANCE">FRANCE</span><span
                        class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
              </p>
              <!-- FindMyAddress (legacy v2 on libs) -->
              <script>
                var $findMyAddressOptions = $findMyAddressOptions || {};
                $findMyAddressOptions.hiddenFields = $findMyAddressOptions.hiddenFields || false;
                $findMyAddressOptions.api = 'addok';
                $('head').append('<link rel="stylesheet" type="text/css" href="/libs.iraiser.eu/libs/payment-find-my-address/production/v2/payment-find-my-address.min.css" />');
              </script>
              <script src="/libs.iraiser.eu/libs/payment-find-my-address/production/v2/payment-find-my-address.min.js"></script>
            </fieldset>
            <p id="required-info"><span class="required">*</span> <span class="help">Champs obligatoires (ces informations sont indispensables pour bénéficier de votre réduction fiscale)</span></p>
          </fieldset>
        </div>
      </div> <!-- End Bloc -->
      <!-- End Step-info -->
    </div> <!-- End Step-container -->
  </div> <!-- End Step-2 -->
  <div id="step-3" class="unit size1of3 lastUnit">
    <div class="step-container step-info-mobile-hidden">
      <div class="step-title light-text" style="font-family: Lato;">
        <h2 style="height: 51px;">Mon règlement</h2>
      </div>
      <div class="step-content" style="height: 887px;">
        <div class="height_adaptor">
          <div id="security-info">
            <p>Paiements hautement sécurisés grâce à la méthode de cryptage SSL 256 bits, la norme de sécurité la plus élevée.</p>
          </div>
          <div class="payment">
            <div id="payment_modes_once">
              <div class="payment_titles has_4_child">
                <h4 class="payment_head payment_mode-card-ingenico active light-text" data-paymentid="payment_mode-card-ingenico">
                  <span class="payment_mode_title">CARTE BANCAIRE</span>
                </h4>
                <h4 class="payment_head payment_mode-paypal light-text" data-paymentid="payment_mode-paypal"><span class="payment_mode_title">Paypal</span></h4>
                <h4 class="payment_head payment_mode-apple_pay-once light-text" data-paymentid="payment_mode-apple_pay-once" data-scope="stripe_apple_pay" id="payment_mode-apple_pay-once" data-stripe-mode="google"><span
                    class="payment_mode_title">Google Pay</span></h4>
                <h4 class="payment_head payment_mode-fintecture_banktransfer light-text" data-paymentid="payment_mode-fintecture_banktransfer"><span class="payment_mode_title">Payer par virement instantané</span></h4>
              </div>
              <fieldset id="payment_mode-card-ingenico" class="payment_mode" style="display: block;">
                <h4 class="payment_head active light-text">
                  <span class="payment_mode_title">CARTE BANCAIRE</span>
                </h4>
                <div class="payment_body payment_mode-card-ingenico" id="creditcard-list" data-paymentid="payment_mode-card-ingenico">
                  <ul id="card-type">
                    <li data-value="mastercard"><label><input name="cardtype_ingenico" type="radio" value="mastercard"><span class="radio-type"></span> Mastercard</label></li>
                    <li data-value="visa"><label><input name="cardtype_ingenico" type="radio" value="visa"><span class="radio-type"></span> Visa</label></li>
                    <li data-value="cartebleue"><label><input name="cardtype_ingenico" type="radio" value="cartebleue"><span class="radio-type"></span> Carte Bleue</label></li>
                    <div class="clearfix"></div>
                  </ul>
                  <p id="card_ingenico-submit" class="payment-submit">
                    <input name="card_ingenico_submit" type="submit" id="card_ingenico_submit" class="button" data-scope="card_ingenico" value="VALIDER LE PAIEMENT">
                  </p>
                </div>
              </fieldset>
              <fieldset id="payment_mode-paypal" class="payment_mode" style="display: none;">
                <script type="text/javascript">
                  $(function() {
                    var scriptBaseURL = 'https://www.paypalobjects.com/webstatic/r/fb/';
                    var dom, doc, where, iframe = document.createElement('iframe');
                    iframe.src = "javascript:false";
                    iframe.title = "";
                    iframe.role = "presentation"; // a11y
                    (iframe.frameElement || iframe).style.cssText = "width: 0; height: 0; border: 0";
                    where = document.getElementsByTagName('script');
                    where = where[where.length - 1];
                    where.parentNode.insertBefore(iframe, where);
                    try {
                      doc = iframe.contentWindow.document;
                    } catch (e) {
                      dom = document.domain;
                      iframe.src = "javascript:var d=document.open();d.domain='" + dom + "';void(0);";
                      doc = iframe.contentWindow.document;
                    }
                    doc.open()._l = function() {
                      var js = this.createElement("script");
                      if (dom) {
                        this.domain = dom;
                      }
                      js.id = "js-iframe-async";
                      js.src = scriptBaseURL + 'fb-all-prod.pp.min.js';
                      this.body.appendChild(js);
                    };
                    doc.write('<body onload="document._l();">');
                    doc.close();
                  });
                </script>
                <h4 class="payment_head active light-text"><span class="payment_mode_title">Paypal</span></h4>
                <div class="payment_body payment_mode-paypal" id="paypal" data-paymentid="payment_mode-paypal">
                  <p id="paypal-submit" class="payment-submit">
                    <input name="paypal_submit" type="submit" value="VALIDER LE PAIEMENT" alt="Paypal" id="paypal_submit" class="button" data-scope="paypal">
                  </p>
                </div>
              </fieldset>
              <fieldset id="payment_mode-apple_pay-once" class="payment_mode" data-scope="stripe_apple_pay" style="display: none;">
                <h4 class="payment_head active light-text"><span class="payment_mode_title">Google Pay</span></h4>
                <div class="payment_body payment_mode-apple_pay-once" id="apple_pay" data-paymentid="payment_mode-apple_pay-once">
                  <div id="apple_pay-submit" class="payment-submit">
                    <input name="stripe_apple_pay_submit" type="submit" value="VALIDER LE PAIEMENT" alt="Apple Pay" id="stripe_apple_pay_submit" class="button once" data-scope="stripe_apple_pay" style="">
                  </div>
                  <input type="hidden" name="stripe_apple_pay_paymentMethod" id="stripe_apple_pay_paymentMethod" class="once" value="">
                </div>
              </fieldset>
              <iframe src="javascript:false" title="" role="presentation" style="width: 0px; height: 0px; border: 0px;"></iframe>
              <script>
                Stripe_obj.buttons.Step3 = true;
                $('#stripe_apple_pay_submit.once').click(function(event) {
                  // Submit the form if called after receiving the paymentMethod
                  if (
                    (Stripe_obj.buttons.Step2 || Stripe_obj.buttons.Step3) && $('#stripe_apple_pay_paymentMethod.once').val()) {
                    console.log('stripe_apple_pay_submit -- submitting form');
                    return true;
                  } else if (Stripe_obj.buttons.Step3) {
                    // Or show the Apple/Google/Microsoft popup if called in step 3 and the form is valid
                    if (Step1.check() && Step2.check() && Step3.check()) {
                      console.log('paymentRequest.show() -- stripePay');
                      Stripe_obj.paymentRequest.show();
                      return false;
                    } else {
                      DntErrors.displayErrors();
                    }
                  }
                  // Or stay on the form
                  setTimeout(() => $('.ira-processing').removeClass('ira-processing'), 500);
                  return false;
                });
              </script>
              <style>
                #stripe_apple_pay_submit.apple_pay_styled_button {
                  -webkit-appearance: -apple-pay-button !important;
                  -apple-pay-button-type: donate;
                  color: transparent !important;
                }
              </style>
              <fieldset id="payment_mode-fintecture_banktransfer" class="payment_mode" data-scope="fintecture_banktransfer" style="display: none;">
                <h4 class="payment_head active light-text"><span class="payment_mode_title">Payer par virement instantané</span></h4>
                <div class="payment_body payment_mode-fintecture_banktransfer" id="fintecture_banktransfer_body" data-paymentid="payment_mode-fintecture_banktransfer">
                  <p id="fintecture_banktransfer_provider" data-ira-errormsg="Vous devez sélectionner votre banque">
                    <label>
                      <select name="fintecture_banktransfer_provider" id="fintecture_banktransfer_provider_select" data-scope="fintecture_banktransfer" data-required="1" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
                        <option value="">Sélectionnez votre banque</option>
                        <option value="agfbfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Allianz Banque </option>
                        <optgroup label="Arkéa">
                          <option value="fegefr" data-logo="https://assets.fintecture.com/img/providers/svg/arkea-x.svg"> Arkéa Banque Privée </option>
                        </optgroup>
                        <option value="axabfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> AXA Banque </option>
                        <option value="bpsmfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque BCP </option>
                        <option value="bchafr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque Chalus </option>
                        <option value="bsavfr2c" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque de Savoie </option>
                        <option value="cdcgfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque des territoires </option>
                        <option value="bspffr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque Palatine </option>
                        <optgroup label="Banque Populaire">
                          <option value="ccbpfrppmtz" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Alsace&nbsp;Lorraine&nbsp;Champagne </option>
                          <option value="ccbpfrppbdx" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Aquitaine&nbsp;Centre&nbsp;Atlantique </option>
                          <option value="ccbpfrppgre" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Auvergne et Rhône-Alpes </option>
                          <option value="ccbpfrppdjn" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Bourgogne Franche Comté </option>
                          <option value="ccbpfrppna1" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Grand Ouest </option>
                          <option value="ccbpfrppnce" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Méditerranée </option>
                          <option value="ccbpfrpplil" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Nord </option>
                          <option value="ccbpfrpptls" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Occitane </option>
                          <option value="ccbpfrppmtg" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Rives de Paris </option>
                          <option value="ccbpfrppppg" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Sud </option>
                          <option value="ccbpfrppver" data-logo="https://assets.fintecture.com/img/providers/svg/ccbpfr.svg"> Banque Populaire Val de France </option>
                        </optgroup>
                        <option value="cmcifrp1" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Banque Transatlantique </option>
                        <optgroup label="BNP Paribas">
                          <option value="bnpafr" data-logo="https://assets.fintecture.com/img/providers/svg/bnpafr-x.svg"> BNP Paribas Ma Banque </option>
                          <option value="bnpafr-c" data-logo="https://assets.fintecture.com/img/providers/svg/bnpafr-x.svg"> BNP Paribas Ma Banque Entreprise </option>
                          <option value="bnpafr-p" data-logo="https://assets.fintecture.com/img/providers/svg/bnpafr-x.svg"> BNP Paribas Ma Banque Pro </option>
                        </optgroup>
                        <option value="bousfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> BoursoBank </option>
                        <option value="bredfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> BRED </option>
                        <option value="batifr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> BTP Banque </option>
                        <optgroup label="Caisse d'Epargne">
                          <option value="cepafrpp333" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Aquitaine Poitou-Charentes </option>
                          <option value="cepafrpp871" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Auvergne et Limousin </option>
                          <option value="cepafrpp213" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Bourgogne Franche-Comté </option>
                          <option value="cepafrpp444" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Bretagne-Pays De Loire </option>
                          <option value="cepafrpp831" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Côte d'Azur </option>
                          <option value="cepafrpp513" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Grand Est Europe </option>
                          <option value="cepafrpp627" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Hauts de France </option>
                          <option value="cepafrpp751" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Ile De France </option>
                          <option value="cepafrpp348" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Languedoc-Roussillon </option>
                          <option value="cepafrpp426" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Loire Drôme Ardèche </option>
                          <option value="cepafrpp450" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Loire-Centre </option>
                          <option value="cepafrpp313" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Midi-Pyrénées </option>
                          <option value="cepafrpp142" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Normandie </option>
                          <option value="cepafrpp131" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Provence Alpes Corse </option>
                          <option value="cepafrpp382" data-logo="https://assets.fintecture.com/img/providers/svg/cepafr.svg"> Caisse d'Epargne Rhône Alpes </option>
                        </optgroup>
                        <option value="cmcifrpp" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> CIC </option>
                        <option value="cmcifrpr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> CIC Privée </option>
                        <option value="crtafr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Creatis </option>
                        <optgroup label="Crédit Agricole">
                          <option value="agrifrpp813" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Alpes Provence </option>
                          <option value="agrifrpp872" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Alsace Vosges </option>
                          <option value="agrifrpp879" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Anjou Maine </option>
                          <option value="agrifrpp833" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Aquitaine </option>
                          <option value="agrifrpp847" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Atlantique Vendée </option>
                          <option value="agrifrpp887" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Brie Picardie </option>
                          <option value="agrifrpp878" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Centre Est </option>
                          <option value="agrifrpp868" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Centre France </option>
                          <option value="agrifrpp848" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Centre Loire </option>
                          <option value="agrifrpp895" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Centre Ouest </option>
                          <option value="agrifrpp810" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Champagne Bourgogne </option>
                          <option value="agrifrpp817" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Charente Maritime Deux Sèvres </option>
                          <option value="agrifrpp824" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Charente Périgord </option>
                          <option value="agrifrpp820" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Corse </option>
                          <option value="agrifrpp822" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Côtes-d'Armor </option>
                          <option value="agrifrpp829" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Finistère </option>
                          <option value="agrifrpp825" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Franche-Comté </option>
                          <option value="agrigp" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Guadeloupe </option>
                          <option value="agrifrpp836" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Ille et Vilaine </option>
                          <option value="agrifrpp835" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Languedoc </option>
                          <option value="agrifrpp845" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Loire Haute-Loire </option>
                          <option value="agrifrpp861" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Lorraine </option>
                          <option value="agrimq" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Martinique </option>
                          <option value="agrifrcc860" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Morbihan </option>
                          <option value="agrifrpp867" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Nord de France </option>
                          <option value="agrifrpp802" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Nord Est </option>
                          <option value="agrifrpp812" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Nord Midi-Pyrénées </option>
                          <option value="agrifrpp866" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Normandie </option>
                          <option value="agrifrpp883" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Normandie Seine </option>
                          <option value="agrifrpp882" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Paris </option>
                          <option value="agrifrpp891" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Provence Côte d'Azur </option>
                          <option value="agrifrcc869" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Pyrénées Gascogne </option>
                          <option value="agrire" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Reunion </option>
                          <option value="agrifrpp881" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Savoie </option>
                          <option value="agrifrpp871" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Sud Méditerranée </option>
                          <option value="agrifrpp839" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Sud Rhône Alpes </option>
                          <option value="agrifrpp831" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Toulouse 31 </option>
                          <option value="agrifrpp894" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Touraine Poitou </option>
                          <option value="agrifrpp844" data-logo="https://assets.fintecture.com/img/providers/svg/agrifr.svg"> Crédit Agricole Val de France </option>
                        </optgroup>
                        <option value="ccfrfr-r" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Crédit Commercial de France CCF </option>
                        <option value="ccopfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Crédit Coopératif </option>
                        <optgroup label="Crédit Maritime">
                          <option value="ccbpfrppna2" data-logo="https://assets.fintecture.com/img/providers/svg/cmmufr.svg"> Crédit Maritime Grand Ouest </option>
                          <option value="ccbpfrpp169" data-logo="https://assets.fintecture.com/img/providers/svg/cmmufr.svg"> Crédit Maritime Littoral du Sud Ouest </option>
                        </optgroup>
                        <option value="cmcifr2a" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Crédit Mutuel </option>
                        <optgroup label="Crédit Mutuel Arkéa">
                          <option value="cmbrfr" data-logo="https://assets.fintecture.com/img/providers/svg/cmxx.svg"> Crédit Mutuel Arkéa Crédit Mutuel de Bretagne </option>
                          <option value="cmsofr" data-logo="https://assets.fintecture.com/img/providers/svg/cmxx.svg"> Crédit Mutuel Arkéa Crédit Mutuel du Sud Ouest </option>
                        </optgroup>
                        <option value="cmcifrpa" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Crédit Mutuel Banque Européenne </option>
                        <option value="grcsfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Floa Bank </option>
                        <option value="ftnofr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Fortuneo </option>
                        <option value="bnpafrhb" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Hello Bank! </option>
                        <optgroup label="La Banque Postale">
                          <option value="psstfr" data-logo="https://assets.fintecture.com/img/providers/svg/psstfr-x.svg"> La Banque Postale Particulier </option>
                          <option value="psstfr-p" data-logo="https://assets.fintecture.com/img/providers/svg/psstfr-x.svg"> La Banque Postale Professionnel </option>
                        </optgroup>
                        <optgroup label="Le Crédit Lyonnais LCL">
                          <option value="crlyfr" data-logo="https://assets.fintecture.com/img/providers/svg/crlyfr-x.svg"> Le Crédit Lyonnais LCL Particulier </option>
                          <option value="crlyfr-p1" data-logo="https://assets.fintecture.com/img/providers/svg/crlyfr-x.svg"> Le Crédit Lyonnais LCL Professionnel </option>
                        </optgroup>
                        <option value="preufr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Louvre Banque Privée </option>
                        <option value="monnfr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Mona Banq </option>
                        <option value="ntsbdeb1" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> N26 </option>
                        <option value="qntofr" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Qonto </option>
                        <option value="revogb" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Revolut </option>
                        <optgroup label="Société Générale">
                          <option value="sogefr-c" data-logo="https://assets.fintecture.com/img/providers/svg/sogefr-x.svg"> Société Générale Entreprise </option>
                          <option value="sogefr" data-logo="https://assets.fintecture.com/img/providers/svg/sogefr-x.svg"> Société Générale Particulier </option>
                          <option value="sogefr-p" data-logo="https://assets.fintecture.com/img/providers/svg/sogefr-x.svg"> Société Générale Professionnel </option>
                        </optgroup>
                        <option value="trwigb" data-logo="https://assets.fintecture.com/img/providers/svg/null.svg"> Wise </option>
                      </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                            aria-autocomplete="list" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-fintecture_banktransfer_provider_select-container"><span class="select2-selection__rendered select-logo"
                              id="select2-fintecture_banktransfer_provider_select-container" title="Sélectionnez votre banque" style="background-image:url(&quot;undefined&quot;)">Sélectionnez votre banque</span><span class="select2-selection__arrow"
                              role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
                    </label>
                  </p>
                  <div class="help">Simple et rapide (sans IBAN ni carte bancaire)&nbsp;: <ol>
                      <li>sélectionnez votre banque</li>
                      <li>entrez vos identifiants de banque en ligne</li>
                      <li>validez la notification de votre application bancaire</li>
                    </ol>
                  </div>
                  <div id="fintecture_banktransfer-submit" class="payment-submit">
                    <input name="fintecture_banktransfer_submit" type="submit" value="VALIDER LE PAIEMENT" alt="Bank transfer" id="fintecture_banktransfer_submit" class="button once" data-scope="fintecture_banktransfer">
                  </div>
                </div>
              </fieldset>
            </div>
          </div>
        </div>
        <!-- End Payment -->
        <div class="clearfix"></div>
      </div> <!-- End Bloc -->
      <!-- End Step-info -->
    </div> <!-- End Step-container -->
  </div> <!-- End Step 3 -->
  <input type="hidden" name="private_stats_capture"><input type="hidden" name="private_stats_version"><input type="hidden" name="private_stats_config"
    value="{&quot;visitor_resolution_width&quot;:1600,&quot;visitor_resolution_height&quot;:1200,&quot;visitor_color&quot;:24,&quot;visitor_java_enabled&quot;:false,&quot;visitor_langage&quot;:&quot;en-US&quot;,&quot;visitor_screen_height&quot;:1200,&quot;visitor_screen_width&quot;:1600,&quot;user_agent&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/122.0.6261.128 Safari/537.36&quot;,&quot;visitor_timezone&quot;:600,&quot;window_width&quot;:1600,&quot;window_height&quot;:1200}">
</form>

Text Content

Merci à Hugues pour son don de 50 €
Merci à Reullier pour son don de 30 €
Merci à Cyril pour son don de 150 €
Merci à Véronique pour son don de 20 €
Merci à Arlette pour son don de 60 €
Merci à Maëlys pour son don de 50 €
Merci à Josyane pour son don de 15 €
Merci à Sophie pour son don de 120 €
Merci à Patrick pour son don de 50 €
Merci à Navy pour son don de 50 €
Merci à Bertrand pour son don de 135 €
Merci à Élisabeth pour son don de 125 €
Merci à ELYANE pour son don de 30 €
Merci à Sébastien pour son don de 50 €
Merci à lucille pour son don de 20 €
Merci à Marie-Josée pour son don de 400 €
Merci à Roxane pour son don de 50 €
Merci à gilles pour son don de 40 €
Merci à diop pour son don de 10 €
Merci à Magali pour son don de 150 €
Merci à DEBREUCQ pour son don de 100 €
Merci à marc pour son don de 100 €
Merci à KEREIS FRANCE pour son don de 100 €
Merci à CHRISTIAN pour son don de 100 €
Merci à Jean Lou pour son don de 20 €
Merci à Jean-Pierre pour son don de 80 €
Merci à Chantal pour son don de 30 €
Merci à Françoise pour son don de 50 €
Merci à Natacha et Pierrick pour son don de 60 €
Merci à Thomas pour son don de 200 €
Merci à Michel pour son don de 200 €
Merci à Leslie pour son don de 60 €
Merci à eric pour son don de 10 €
Merci à aurore pour son don de 20 €
Merci à SOLUTION BI FRANCE pour son don de 150 €
Merci à Ludovic pour son don de 10 €
Merci à Marion pour son don de 50 €
Merci à Gilbert pour son don de 100 €
Merci à Michel Martine pour son don de 60 €
Merci à Les infirmieres pour son don de 50 €
Merci à Fanny pour son don de 50 €
Merci à Joel pour son don de 5 €
Merci à DAVID pour son don de 60 €
Merci à Tarek pour son don de 10 €
Merci à FRANCIS pour son don de 200 €
Merci à Julia pour son don de 100 €
Merci à Michel pour son don de 100 €
Merci à laurent pour son don de 100 €
Merci à François pour son don de 300 €
Merci à Marie-Ange pour son don de 30 €

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MON DON


 * JE DONNE UNE FOIS


 * JE DONNE TOUS LES MOIS

 * 50 €
 * 100 €
 * 150 €
 * 200 €
 * 500 €

Une aide à domicile pour les personnes malades pendant 6 mois

Une aide au financement d'une prothèse mammaire

Une journée de travail pour un jeune chercheur

1h d'activité physique adaptée pour les personnes malades

Une séance de soin socio-esthétique



Montant libre €



 * 8 €
 * Don favori
   
   15 €
 * 25 €
 * 35 €

Permet de financer des actions de prévention

Permet d'aider au financement d'une perruque

Permet de financer la recherche contre le cancer

Permet d'aider une personne malade en soutien psychologique



Montant libre €






📍 Choisissez à quel Comité départemental de la Ligue affecter votre don et
permettez ainsi des actions locales. Par défaut, votre don sera attribué à votre
département d'habitation. 📍 Choisissez à quel Comité départemental de la Ligue
affecter votre don et permettez ainsi des actions locales. Par défaut, votre don
sera attribué à votre département d'habitation. 01 - Ain 02 - Aisne 03 - Allier
04 - Alpes-de-Haute-Provence 05 - Hautes-Alpes 06 - Alpes-Maritimes 07 - Ardèche
08 - Ardennes 09 - Ariège 10 - Aube 11 - Aude 12 - Aveyron 13 - Bouches-du-Rhône
14 - Calvados 15 - Cantal 16 - Charente 17 - Charente-Maritime 18 - Cher 19 -
Corrèze 2A - Corse-du-Sud 2B - Haute-Corse 21 - Côte-d'Or 22 - Côtes-d'Armor 23
- Creuse 24 - Dordogne 25 - Doubs Besançon 25 - Doubs Montbéliard 26 - Drôme 27
- Eure 28 - Eure-et-Loir 29 - Finistère 30 - Gard 31 - Haute-Garonne 32 - Gers
33 - Gironde 34 - Hérault 35 - Ille-et-Vilaine 36 - Indre 37 - Indre-et-Loire 38
- Isère 39 - Jura 40 - Landes 41 - Loir-et-Cher 42 - Loire 43 - Haute-Loire 44 -
Loire-Atlantique 45 - Loiret 46 - Lot 47 - Lot-et-Garonne 48 - Lozère 49 -
Maine-et-Loire 50 - Manche 51 - Marne 52 - Haute-Marne 53 - Mayenne 54 -
Meurthe-et-Moselle 55 - Meuse 56 - Morbihan 57 - Moselle 58 - Nièvre 59 - Nord
60 - Oise 61 - Orne 62 - Pas-de-Calais 63 - Puy-de-Dôme 64 -
Pyrénées-Atlantiques 65 - Hautes-Pyrénées 66 - Pyrénées-Orientales 67 - Bas-Rhin
68 - Haut-Rhin 69 - Rhône 70 - Haute-Saône 71 - Saône-et-Loire 72 - Sarthe 73 -
Savoie 74 - Haute-Savoie 75 - Paris 76 - Seine-Maritime 77 - Seine-et-Marne 78 -
Yvelines 79 - Deux-Sèvres 80 - Somme 81 - Tarn 82 - Tarn-et-Garonne 83 - Var 84
- Vaucluse 85 - Vendée 86 - Vienne 87 - Haute-Vienne 88 - Vosges 89 - Yonne 90 -
Territoire de Belfort 91 - Essonne 92 - Hauts-de-Seine 93 - Seine-Saint-Denis 94
- Val-de-Marne 95 - Val-d'Oise 971 - Guadeloupe 972 - Martinique 973 - Guyane
974 - Réunion 987 - Polynésie française 988 - Nouvelle-Calédonie 📍 Choisissez à
quel Comité départemental de la Ligue affecter votre don et permettez ainsi des
actions locales. Par défaut, votre don sera attribué à votre département
d'habitation.




MES COORDONNÉES

JE ME CONNECTE ET VALIDE MON PAIEMENT EN UN CLIC



OU JE SAISIS MES COORDONNÉES



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Je fais un don en mémoire de

Je fais un don au nom d'une organisation ou d'une société

Raison sociale * ex. Dupond SARL

SIREN * 539250571

Forme juridique * Forme juridique Administration de l'état Association loi 1901
ou assimilé Assujetti unique à la TVA Autre groupement de droit privé non doté
de la personnalité morale Autre personne morale de droit privé Autre personne
morale de droit privé inscrite au registre du commerce et des sociétés Autre
personne morale de droit public administratif Caisse d'épargne et de prévoyance
Collectivité territoriale Comité d'entreprise Entrepreneur individuel
Etablissement public administratif Etablissement public ou régie à caractère
industriel ou commercial Fiducie Fondation Groupement d'intérêt économique
Indivision Organisme de placement collectif en valeurs mobilières sans
personnalité morale Organisme de retraite à adhésion non obligatoire Organisme
gérant un régime de protection sociale à adhésion obligatoire Organisme
mutualiste Organisme professionnel Paroisse hors zone concordataire Personne
morale de droit étranger, immatriculée au RCS (registre du commerce et des
sociétés) Personne morale de droit étranger, non immatriculée au RCS Société
anonyme à conseil d'administration Société anonyme à directoire Société civile
Société coopérative agricole Société coopérative commerciale particulière
Société créée de fait Société d'assurance mutuelle Société en commandite Société
en nom collectif Société en participation Société européenne Société par actions
simplifiée Société à responsabilité limitée (SARL) Syndicat de propriétaires
Forme juridique

Civilité * Civilité * M Mme M et Mme n/a Civilité *

Prénom * ex. Bernard

Nom * ex. Dupond

Adresse * ex. 15 rue Jean Jaurès

Complément adresse ex. Bât. B

Code postal *ex. 75008

Ville * ex. Paris

Pays * ex. France BELGIQUE FRANCE GUADELOUPE MARTINIQUE RÉUNION
---------------------------------- AFGHANISTAN AFRIQUE DU SUD ÅLAND, ÎLES
ALBANIE ALGÉRIE ALLEMAGNE ANDORRE ANGOLA ANGUILLA ANTARCTIQUE ANTIGUA-ET-BARBUDA
ANTILLES NÉERLANDAISES ARABIE SAOUDITE ARGENTINE ARMÉNIE ARUBA AUSTRALIE
AUTRICHE AZERBAÏDJAN BAHAMAS BAHREÏN BANGLADESH BARBADE BÉLARUS BELGIQUE BELIZE
BÉNIN BERMUDES BHOUTAN BOLIVIE, l'ÉTAT PLURINATIONAL DE BOSNIE-HERZÉGOVINE
BOTSWANA BOUVET, ÎLE BRÉSIL BRUNÉI DARUSSALAM BULGARIE BURKINA FASO BURUNDI
CAÏMANES, ÎLES CAMBODGE CAMEROUN CANADA CAP-VERT CENTRAFRICAINE, RÉPUBLIQUE
CHILI CHINE CHRISTMAS, ÎLE CHYPRE COCOS (KEELING), ÎLES COLOMBIE COMORES CONGO
CONGO, LA RÉPUBLIQUE DÉMOCRATIQUE DU COOK, ÎLES CORÉE, RÉPUBLIQUE DE CORÉE,
RÉPUBLIQUE POPULAIRE DÉMOCRATIQUE DE COSTA RICA CÔTE D'IVOIRE CROATIE CUBA
DANEMARK DJIBOUTI DOMINICAINE, RÉPUBLIQUE DOMINIQUE ÉGYPTE EL SALVADOR ÉMIRATS
ARABES UNIS ÉQUATEUR ÉRYTHRÉE ESPAGNE ESTONIE ÉTATS-UNIS ÉTHIOPIE FALKLAND, ÎLES
(MALVINAS) FÉROÉ, ÎLES FIDJI FINLANDE FRANCE GABON GAMBIE GÉORGIE GÉORGIE DU SUD
ET LES ÎLES SANDWICH DU SUD GHANA GIBRALTAR GRÈCE GRENADE GROENLAND GUADELOUPE
GUAM GUATEMALA GUERNESEY GUINÉE GUINÉE ÉQUATORIALE GUINÉE-BISSAU GUYANA GUYANE
FRANÇAISE HAÏTI HEARD, ÎLE ET MCDONALD, ÎLES HONDURAS HONG-KONG HONGRIE ÎLE DE
MAN ÎLES MINEURES ÉLOIGNÉES DES ÉTATS-UNIS ÎLES VIERGES BRITANNIQUES ÎLES
VIERGES DES ÉTATS-UNIS INDE INDONÉSIE IRAN, RÉPUBLIQUE ISLAMIQUE D' IRAQ IRLANDE
ISLANDE ISRAËL ITALIE JAMAÏQUE JAPON JERSEY JORDANIE KAZAKHSTAN KENYA
KIRGHIZISTAN KIRIBATI KOWEÏT LAO, RÉPUBLIQUE DÉMOCRATIQUE POPULAIRE LESOTHO
LETTONIE LIBAN LIBÉRIA LIBYENNE, JAMAHIRIYA ARABE LIECHTENSTEIN LITUANIE
LUXEMBOURG MACAO MACÉDOINE, L'EX-RÉPUBLIQUE YOUGOSLAVE DE MADAGASCAR MALAISIE
MALAWI MALDIVES MALI MALTE MARIANNES DU NORD, ÎLES MAROC MARSHALL, ÎLES
MARTINIQUE MAURICE MAURITANIE MAYOTTE MEXIQUE MICRONÉSIE, ÉTATS FÉDÉRÉS DE
MOLDOVA, RÉPUBLIQUE DE MONACO MONGOLIE MONTÉNÉGRO MONTSERRAT MOZAMBIQUE MYANMAR
NAMIBIE NAURU NÉPAL NICARAGUA NIGER NIGÉRIA NIUÉ NORFOLK, ÎLE NORVÈGE
NOUVELLE-CALÉDONIE NOUVELLE-ZÉLANDE OCÉAN INDIEN, TERRITOIRE BRITANNIQUE DE L'
OMAN OUGANDA OUZBÉKISTAN PAKISTAN PALAOS PALESTINIEN OCCUPÉ, TERRITOIRE PANAMA
PAPOUASIE-NOUVELLE-GUINÉE PARAGUAY PAYS-BAS PÉROU PHILIPPINES PITCAIRN POLOGNE
POLYNÉSIE FRANÇAISE PORTO RICO PORTUGAL QATAR RÉUNION ROUMANIE ROYAUME-UNI
RUSSIE, FÉDÉRATION DE RWANDA SAHARA OCCIDENTAL SAINT-BARTHÉLEMY
SAINT-KITTS-ET-NEVIS SAINT-MARIN SAINT-MARTIN SAINT-PIERRE-ET-MIQUELON
SAINT-SIÈGE (ÉTAT DE LA CITÉ DU VATICAN) SAINT-VINCENT-ET-LES GRENADINES
SAINTE-HÉLÈNE, ASCENSION ET TRISTAN DA CUNHA SAINTE-LUCIE SALOMON, ÎLES SAMOA
SAMOA AMÉRICAINES SAO TOMÉ-ET-PRINCIPE SÉNÉGAL SERBIE SEYCHELLES SIERRA LEONE
SINGAPOUR SLOVAQUIE SLOVÉNIE SOMALIE SOUDAN SRI LANKA SUÈDE SUISSE SURINAME
SVALBARD ET ÎLE JAN MAYEN SWAZILAND SYRIENNE, RÉPUBLIQUE ARABE TADJIKISTAN
TAÏWAN, PROVINCE DE CHINE TANZANIE, RÉPUBLIQUE-UNIE DE TCHAD TCHÈQUE, RÉPUBLIQUE
TERRES AUSTRALES FRANÇAISES THAÏLANDE TIMOR-LESTE TOGO TOKELAU TONGA
TRINITÉ-ET-TOBAGO TUNISIE TURKMÉNISTAN TURKS ET CAÏQUES, ÎLES TURQUIE TUVALU
UKRAINE URUGUAY VANUATU VENEZUELA, RÉPUBLIQUE BOLIVARIENNE DU VIET NAM WALLIS ET
FUTUNA YÉMEN ZAMBIE ZIMBABWE FRANCE

* Champs obligatoires (ces informations sont indispensables pour bénéficier de
votre réduction fiscale)


MON RÈGLEMENT

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Simple et rapide (sans IBAN ni carte bancaire) :
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 2. entrez vos identifiants de banque en ligne
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POURQUOI DONNER

Vos dons, déductibles à 66% de vos impôts, sont indispensables pour intervenir
en toute indépendance nos actions prioritaires qui ont pour objectif de :

 * Financer des équipes et des programmes de recherche choisis pour leur
   excellence,
 * Répondre aux besoins des personnes malades et de leurs proches,
 * Contribuer à la promotion de leurs droits,
 * Prévenir la maladie.

Afin d’être le plus efficace possible, la Ligue contre le cancer fait le choix
de mutualiser les fonds reçus sur l’ensemble de ses missions.

Nous sommes la seule association qui lutte depuis 1918 sur tous les fronts de la
maladie, partout en France grâce à ses 11 500 bénévoles et à travers ses 103
Comités départementaux.

La Ligue contre le cancer est la 4ème association préférée des Français*

La Ligue contre le cancer est labéllisée par le Don en confiance, organisme de
contrôle des associations et fondations faisant appel aux dons. La Ligue contre
le cancer s'engage à respecter ses principes de transparence et d'efficacité.

Pour plus d’infos : www.donenconfiance.org


*Enquête menée par Harris Interactive à l'occasion de la journée internationale
du bénévolat

ADHÉRER À LA LIGUE, C'EST ÊTRE ACTEUR DE LA LUTTE CONTRE LE CANCER

Votre premier don de l’année comprend, sauf écrit contraire de votre part, un
montant d’adhésion de 8 €. En tant qu’adhérent, vous êtes la force de
l’association. Vous participez à la vie démocratique de l’association en élisant
vos représentants locaux.

Suite à votre don, un reçu fiscal vous est envoyé sous quelques jours
(don ponctuel) ou en début d'année (don régulier) par email.

Si le comité d'affectation est celui des Hauts-de-Seine (92), le traitement et
l'envoi du reçu fiscal est de 1 à 2 mois. 

RESPECT DE VOTRE VIE PRIVÉE
Les informations donateurs recueillies sont destinées à la Direction des
relations adhérents et aux tiers mandatés par le responsable des traitements à
des fins de gestion interne, pour répondre à vos demandes et faire appel à votre
générosité.

La Ligue contre le cancer s’engage à ne pas transférer les données en dehors de
l’Union Européenne. Ces données peuvent faire l’objet d’un échange avec des
tiers du secteur caritatif.

Conformément à la loi « informatique et libertés », vous disposez d’un droit
d’accès, de modification, de rectification et de suppression de vos données, en
contactant le service relation adhérent par mail :
relation.adherent@ligue-cancer.net ou par courrier adressé à : DPD de la Ligue
Contre le Cancer, 14 Rue Corvisart – 75013 PARIS

Vos données sont conservées pendant la durée strictement nécessaire à la
réalisation des finalités précitées.
 

VOTRE CONTACT :



Coralie Harmant
Relation Adhérents
01 53 55 24 53
relation.adherent@ligue-cancer.net

A QUOI SERT LA GÉNÉROSITÉ ?

En 2022, La Ligue a alloué 76,5 millions d’euros issus de la générosité du grand
public, au financement de ses 4 missions sociales :



 * 51% (39,3 M€) : RECHERCHE
   La Ligue est le 1er financeur privé de la recherche en cancérologie

 * 34% (26,2 M€) : ACTIONS POUR LES PERSONNES MALADES
   Plus de 100 000 personnes ont bénéficié d’accompagnements délivrés par plus
   de 1 000 intervenants diplômés

 * 12% (8,9 M€) : PREVENTION ET PROMOTION DES DEPISTAGES
   16 500 actions de prévention et promotion des dépistages auprès du grand
   public
   Plus de 100 000 élèves sensibilisés aux cancers et aux facteurs de risques et
   de protection lors d'interventions à l'école

 * 3% (2,1 M€) : MOBILISATION DE LA SOCIETE ET DES POUVOIRS PUBLICS
   422 représentants des usagers du système de santé mobilisés en France



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