africapayidexpo.org
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Submitted URL: https://communication14.ovh/ec-13845--8f76357429c2792d007d549f5300fb77-60e0c4134e41cbd495336c8c1e023dd7.html
Effective URL: https://africapayidexpo.org/?page_id=2690
Submission: On October 05 via api from FR — Scanned from DE
Effective URL: https://africapayidexpo.org/?page_id=2690
Submission: On October 05 via api from FR — Scanned from DE
Form analysis 1 forms found in the DOM
POST /?page_id=2690#wpcf7-f2666-p2690-o1
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<div class="col-md-8">
<div class="row">
<div class="col-sm-6">
<div class="form-group">
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<div class="col-sm-6">
<div class="form-group">
<label>Prénom</label><br>
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<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label>Fonction</label><br>
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<div class="col-sm-6">
<div class="form-group">
<label>Société</label><br>
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<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label>Pays</label><br>
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<div class="col-sm-6">
<div class="form-group">
<label>Tél.</label><br>
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</div>
<div class="form-group">
<label>Email</label><br>
<span class="wpcf7-form-control-wrap email"><input type="email" name="email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email form-control" aria-required="true"
aria-invalid="false" placeholder="Email"></span>
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<div class="form-group">
<label>Intéressé par</label><br>
<span class="wpcf7-form-control-wrap choix"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first"><input type="checkbox" name="choix[]" value="Intervention"><span
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<div class="form-group">
<label>Comment avez vous entendu parler de l’événement </label><br>
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class="wpcf7-list-item last"><input type="radio" name="comment" value="Autres sources"><span class="wpcf7-list-item-label">Autres sources</span></span></span></span>
</div>
<div class="form-group">
<label>Votre Message</label><br>
<span class="wpcf7-form-control-wrap message"><textarea name="message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control" aria-required="true" aria-invalid="false"
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<div class="wpcf7-form-control-wrap">
<div data-sitekey="6LdO8qsZAAAAAP5NIJByUFCn5ENyRAHTC-H-O7p5" class="wpcf7-form-control g-recaptcha wpcf7-recaptcha">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
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</div><iframe style="display: none;"></iframe>
</div>
<noscript>
<div style="width: 302px; height: 422px;">
<div style="width: 302px; height: 422px; position: relative;">
<div style="width: 302px; height: 422px; position: absolute;">
<iframe src="https://www.google.com/recaptcha/api/fallback?k=6LdO8qsZAAAAAP5NIJByUFCn5ENyRAHTC-H-O7p5" frameborder="0" scrolling="no" style="width: 302px; height:422px; border-style: none;">
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<div style="width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;">
<textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;"> </textarea>
</div>
</div>
</div>
</noscript>
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<div class="text-center top-space">
<input type="submit" value="Send Message" class="wpcf7-form-control wpcf7-submit btn btn-success btn-block btn-lg"><span class="ajax-loader"></span>
</div>
</div>
</div>
</div>
<div class="wpcf7-response-output wpcf7-display-none"></div>
</form>Text Content
Toggle navigation DEMANDER LE PROGRAMME * Home * Demander le programme Nom Prénom Fonction Société Pays Tél. Email Intéressé par InterventionParticipationSponsoring Comment avez vous entendu parler de l’événement E-mailingRéseaux sociauxAutres sources Votre Message Copyright 2018 : i-conférences