don.frontpopulaire-2024.fr Open in urlscan Pro
2606:4700:20::ac43:493c  Public Scan

URL: https://don.frontpopulaire-2024.fr/
Submission: On August 10 via automatic, source certstream-suspicious — Scanned from FR

Form analysis 1 forms found in the DOM

Name: form_order_modelPOST /don

<form name="form_order_model" method="post" action="/don" novalidate="novalidate" id="form_order_model" data-controller="bootstrap product style validator phone confirm-donation periodicity"
  data-action="product:updated:amountOrQuantity@document->style#display product:updated:checkAmount@document->confirm-donation#updateDonation" data-stripe-target="form" data-trigger-amount-message="Votre engagement sera de %order_amount% € par mois."
  data-trigger-multi-amount="" data-trigger-sponsorship-amount="">
  <div class="container">
    <div class="row">
      <div data-validator-target="productError" data-action="product:updated:quantity@document->validator#hideError">
      </div>
      <div class="col-120 col-lg-40">
        <h1>Mon <strong>don</strong></h1>
        <div class="block">
          <h2>Je donne <strong>une fois</strong></h2>
          <div class="row no-padding">
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="1" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 20 € </div>
                <input type="hidden" id="form_order_model_items_product_quantity_1" name="form_order_model[items][product_quantity_1]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="1" data-type="S" data-purpose="D" data-free="0" data-amount="20" data-receipt="20" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="4" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 50 € </div>
                <input type="hidden" id="form_order_model_items_product_quantity_4" name="form_order_model[items][product_quantity_4]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="4" data-type="S" data-purpose="D" data-free="0" data-amount="50" data-receipt="50" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="7" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 100 € </div>
                <input type="hidden" id="form_order_model_items_product_quantity_7" name="form_order_model[items][product_quantity_7]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="7" data-type="S" data-purpose="D" data-free="0" data-amount="100" data-receipt="100" data-participant="1" data-suggested-monthly-amount="0"
                  data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="10" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 500 € </div>
                <input type="hidden" id="form_order_model_items_product_quantity_10" name="form_order_model[items][product_quantity_10]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
                  data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="10" data-type="S" data-purpose="D" data-free="0" data-amount="500" data-receipt="500" data-participant="1"
                  data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
          </div>
          <div class="amount-box mb-3">
            <input type="text" id="form_order_model_items_product_amount_13" name="form_order_model[items][product_amount_13]" inputmode="numeric" autocomplete="HackChromeBug" class="form-control amount-box"
              data-action="input->product#amountForm click->product#amountForm blur->confirm-donation#checkDonationAmount" data-product-target="amountToClear" data-suggest-amount-target="freeAmount" data-id="13" data-type="S" data-purpose="D"
              data-free="1" placeholder="Montant libre" aria-label="Montant libre">
            <span class="currency"> € </span>
            <input type="hidden" id="form_order_model_items_product_quantity_13" name="form_order_model[items][product_quantity_13]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
              data-product-target="quantity quantityToClear" data-id="13" data-type="S" data-purpose="D" data-free="1" data-amount="0" data-receipt="0" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
          </div>
          <div class="row g-0" data-suggest-amount-target="boxSuggestedAmount" id="box-suggested-amount" style="display: none;" data-action="periodicity:update:periodicity@document->suggest-amount#updatePeriodicity">
            <div class="col-90 offset-5">
              <p>Et si vous donniez plutôt</p>
              <p class="fw-bold"><span id="suggested-amount"></span> € <span data-suggest-amount-target="full"></span> ? </p>
              <p id="comment"> (Vous pourrez déduire 66% du montant de vos impôts sur le revenu, soit <span id="yearly-suggested-amount"></span> € / an) </p>
            </div>
            <div class="col-20">
              <span class="btn btn-primary" data-type="M" data-action="click->suggest-amount#select">OK</span>
            </div>
            <p id="arrow-down"></p>
          </div>
          <div class="tax-exemption-custom">
            <div class="fr-view">
              <p>
              </p>
              <div id="tax-exemption" data-controller="tax-exemption"
                data-action="         product:updated:amountOrQuantity@document->tax-exemption#refreshContent         bootstrap:updated:hasOrganisation@document->tax-exemption#updatedOrganisation         periodicity:update:periodicity@document->tax-exemption#updatePeriodicity"
                data-tax-exemption-coluche-value="0" data-tax-exemption-local-value="fr" data-tax-exemption-currency-value="€" data-tax-exemption-text-value="par mois">
                <ul class="nav nav-tabs" role="tablist">
                  <li class="nav-item" role="presentation">
                    <a class="nav-link active" href="#ir-215772064" id="ir-tab" data-tax-exemption-target="tabIr" data-bs-toggle="tab" role="tab" aria-controls="ir-215772064" aria-selected="true">Impôt sur le revenu</a>
                  </li>
                </ul>
                <div class="tab-content pt-2 pb-2">
                  <div class="tab-pane fade show active" id="ir-215772064" role="tabpanel" aria-labelledby="ir-tab"> Votre don de <span class="no-wrap"><span data-tax-exemption-target="amountGive">0</span> <span
                        data-tax-exemption-target="currencySymbol">€</span></span>, ne vous coûte que <span class="no-wrap"><span data-tax-exemption-target="amountRed66">0</span> <span data-tax-exemption-target="currencySymbol">€</span></span> après
                    réduction d'impôts de 66%, dans la limite de 20% de votre revenu imposable. Le surplus étant reportable 5 ans. </div>
                </div>
              </div>
              <br>
              <p></p>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
        <div class="block">
          <div class="mb-3" style="display: none;"><select id="form_order_model_periodicity" name="form_order_model[periodicity]" data-periodicity-target="periodicity" data-action="periodicity#update" class="form-select">
              <option value="M" data-periodicity-text="byMonth" data-periodicity-full="byMonthFull" data-periodicity-year-amount-operation="12">Mensuelle</option>
            </select></div>
          <h2>Je donne <strong>régulièrement</strong></h2>
          <div class="row no-padding">
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="2" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 10 € <span data-product-target="text">/ mois</span>
                </div>
                <input type="hidden" id="form_order_model_items_product_quantity_2" name="form_order_model[items][product_quantity_2]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="2" data-type="M" data-purpose="D" data-free="0" data-amount="10" data-receipt="10" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="5" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 25 € <span data-product-target="text">/ mois</span>
                </div>
                <input type="hidden" id="form_order_model_items_product_quantity_5" name="form_order_model[items][product_quantity_5]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="5" data-type="M" data-purpose="D" data-free="0" data-amount="25" data-receipt="25" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="8" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 50 € <span data-product-target="text">/ mois</span>
                </div>
                <input type="hidden" id="form_order_model_items_product_quantity_8" name="form_order_model[items][product_quantity_8]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
                  data-product-target="quantity quantityToClear" data-id="8" data-type="M" data-purpose="D" data-free="0" data-amount="50" data-receipt="50" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
            <button type="button" class="col-30 col-md-30  col-lg-30  col-xl-30 button-reset-style" data-action="
                    product#setQuantity
                    suggest-amount#display
                    periodicity:update:periodicity@document->product#updatePeriodicity" data-id="11" data-suggested-monthly-amount="0">
              <div class="amount-box d-flex">
                <div class="col-120 my-auto"> 100 € <span data-product-target="text">/ mois</span>
                </div>
                <input type="hidden" id="form_order_model_items_product_quantity_11" name="form_order_model[items][product_quantity_11]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0"
                  data-suggest-amount-target="product" data-product-target="quantity quantityToClear" data-id="11" data-type="M" data-purpose="D" data-free="0" data-amount="100" data-receipt="100" data-participant="1"
                  data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
              </div>
            </button>
          </div>
          <div class="amount-box mb-3">
            <input type="text" id="form_order_model_items_product_amount_14" name="form_order_model[items][product_amount_14]" inputmode="numeric" autocomplete="HackChromeBug" class="form-control amount-box"
              data-action="input->product#amountForm click->product#amountForm blur->confirm-donation#checkDonationAmount" data-product-target="amountToClear" data-suggest-amount-target="freeAmount" data-id="14" data-type="M" data-purpose="D"
              data-free="1" placeholder="Montant libre" aria-label="Montant libre">
            <span class="currency"> € <span data-product-target="text">/ mois</span>
            </span>
            <input type="hidden" id="form_order_model_items_product_quantity_14" name="form_order_model[items][product_quantity_14]" autocomplete="HackChromeBug" class="quantity" min="0" max="1" placeholder="0" data-suggest-amount-target="product"
              data-product-target="quantity quantityToClear" data-id="14" data-type="M" data-purpose="D" data-free="1" data-amount="0" data-receipt="0" data-participant="1" data-suggested-monthly-amount="0" data-has-suggested-monthly-amount="0">
          </div>
          <div class="tax-exemption-custom">
            <div class="fr-view">
              <p>
              </p>
              <div id="tax-exemption" data-controller="tax-exemption"
                data-action="         product:updated:amountOrQuantity@document->tax-exemption#refreshContent         bootstrap:updated:hasOrganisation@document->tax-exemption#updatedOrganisation         periodicity:update:periodicity@document->tax-exemption#updatePeriodicity"
                data-tax-exemption-coluche-value="0" data-tax-exemption-local-value="fr" data-tax-exemption-currency-value="€" data-tax-exemption-text-value="par mois">
                <ul class="nav nav-tabs" role="tablist">
                  <li class="nav-item" role="presentation">
                    <a class="nav-link active" href="#ir-5689413" id="ir-tab" data-tax-exemption-target="tabIr" data-bs-toggle="tab" role="tab" aria-controls="ir-5689413" aria-selected="true">Impôt sur le revenu</a>
                  </li>
                </ul>
                <div class="tab-content pt-2 pb-2">
                  <div class="tab-pane fade show active" id="ir-5689413" role="tabpanel" aria-labelledby="ir-tab"> Votre don de <span class="no-wrap"><span data-tax-exemption-target="amountGive">0</span> <span
                        data-tax-exemption-target="currencySymbol">€</span></span>, ne vous coûte que <span class="no-wrap"><span data-tax-exemption-target="amountRed66">0</span> <span data-tax-exemption-target="currencySymbol">€</span></span> après
                    réduction d'impôts de 66%, dans la limite de 20% de votre revenu imposable. Le surplus étant reportable 5 ans. </div>
                </div>
              </div>
              <br>
              <p></p>
            </div>
            <div class="clearfix"></div>
          </div>
        </div>
      </div>
      <div class="col-120 col-lg-40">
        <h1>Mes <strong>coordonnées</strong></h1>
        <div class="block">
          <span class="notice">* Champs obligatoires</span>
          <div class="mb-3"><label class="form-label required" for="form_order_model_client_title">Civilité</label><select id="form_order_model_client_title" name="form_order_model[client][title]" class="form-select">
              <option value="MME">Madame</option>
              <option value="M">Monsieur</option>
            </select></div>
          <div class="row g-0">
            <div class="col-49">
              <div class="mb-3"><label for="form_order_model_client_lastname" class="form-label required">Nom</label><input type="text" id="form_order_model_client_lastname" name="form_order_model[client][lastname]" required="required"
                  class="form-control"></div>
            </div>
            <div class="col-69 offset-2">
              <div class="mb-3"><label for="form_order_model_client_firstname" class="form-label required">Prénom</label><input type="text" id="form_order_model_client_firstname" name="form_order_model[client][firstname]" required="required"
                  class="form-control"></div>
            </div>
          </div>
          <div class="mb-3"><label for="form_order_model_client_email" class="form-label required">E-mail</label><input type="text" id="form_order_model_client_email" name="form_order_model[client][email]" required="required"
              data-controller="sanitize" data-action="sanitize#email" class="form-control"></div>
          <div class="d-none">
            <div class="mb-3">
              <div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_hasAddress" name="form_order_model[client][hasAddress]" data-box="address-field" data-action="bootstrap#eventOnSwitch"
                  data-bootstrap-target="bootstrapSwitch" checked="checked" class="form-check-input" value="1">
                <label class="checkbox-switch form-check-label" for="form_order_model_client_hasAddress">Je souhaite obtenir mon attestation fiscale</label>
              </div>
            </div>
          </div>
          <div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_address1" class="form-label required">Adresse</label><input type="text" id="form_order_model_client_address1"
              name="form_order_model[client][address1]" required="required" class="form-control"></div>
          <div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_address2" class="form-label">Complément d'adresse</label><input type="text" id="form_order_model_client_address2"
              name="form_order_model[client][address2]" class="form-control"></div>
          <div class="row g-0">
            <div class="col-59">
              <div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_zipcode" class="form-label required">Code postal</label><input type="text" id="form_order_model_client_zipcode"
                  name="form_order_model[client][zipcode]" required="required" class="form-control"></div>
            </div>
            <div class="col-59 offset-2">
              <div class="address-field mb-3" style="display: block;"><label for="form_order_model_client_city" class="form-label required">Ville</label><input type="text" id="form_order_model_client_city" name="form_order_model[client][city]"
                  required="required" class="form-control"></div>
            </div>
          </div>
          <div class="address-field" style="display: block;">
            <div class="box-stateProvinceCA mb-3" style="display: none;"><label class="form-label required" for="form_order_model_client_stateProvinceCA">Etat/Province</label><select id="form_order_model_client_stateProvinceCA"
                name="form_order_model[client][stateProvinceCA]" required="required" class="form-select">
                <option value="" selected="selected">Sélectionnez une province</option>
                <option value="AB">Alberta</option>
                <option value="BC">Colombie-Britannique</option>
                <option value="MB">Manitoba</option>
                <option value="NB">Nouveau-Brunswick</option>
                <option value="NL">Terre-Neuve-et-Labrador</option>
                <option value="NS">Nouvelle-Écosse</option>
                <option value="ON">Ontario</option>
                <option value="PE">Île-du-Prince-Édouard</option>
                <option value="QC">Québec</option>
                <option value="SK">Saskatchewan</option>
              </select></div>
            <div class="box-stateProvinceUS mb-3" style="display: none;"><label class="form-label required" for="form_order_model_client_stateProvinceUS">Etat/Province</label><select id="form_order_model_client_stateProvinceUS"
                name="form_order_model[client][stateProvinceUS]" required="required" class="form-select">
                <option value="" selected="selected">Sélectionnez un État</option>
                <option value="AL">Alabama</option>
                <option value="AK">Alaska</option>
                <option value="AZ">Arizona</option>
                <option value="AR">Arkansas</option>
                <option value="CA">Californie</option>
                <option value="CO">Colorado</option>
                <option value="CT">Connecticut</option>
                <option value="DE">Delaware</option>
                <option value="FL">Floride</option>
                <option value="GA">Géorgie</option>
                <option value="HI">Hawaï</option>
                <option value="ID">Idaho</option>
                <option value="IL">Illinois</option>
                <option value="IN">Indiana</option>
                <option value="IA">Iowa</option>
                <option value="KS">Kansas</option>
                <option value="KY">Kentucky</option>
                <option value="LA">Louisiane</option>
                <option value="ME">Maine</option>
                <option value="MD">Maryland</option>
                <option value="MA">Massachusetts</option>
                <option value="MI">Michigan</option>
                <option value="MN">Minnesota</option>
                <option value="MS">Mississippi</option>
                <option value="MO">Missouri</option>
                <option value="MT">Montana</option>
                <option value="NE">Nebraska</option>
                <option value="NV">Nevada</option>
                <option value="NH">New Hampshire</option>
                <option value="NJ">New Jersey</option>
                <option value="NM">Nouveau-Mexique</option>
                <option value="NY">New York</option>
                <option value="NC">Caroline du Nord</option>
                <option value="ND">Dakota du Nord</option>
                <option value="OH">Ohio</option>
                <option value="OK">Oklahoma</option>
                <option value="OR">Oregon</option>
                <option value="PA">Pennsylvanie</option>
                <option value="RI">Rhode Island</option>
                <option value="SC">Caroline du Sud</option>
                <option value="SD">Dakota du Sud</option>
                <option value="TN">Tennessee</option>
                <option value="TX">Texas</option>
                <option value="UT">Utah</option>
                <option value="VT">Vermont</option>
                <option value="VA">Virginie</option>
                <option value="WA">Washington</option>
                <option value="WV">Virginie-Occidentale</option>
                <option value="WI">Wisconsin</option>
                <option value="WY">Wyoming</option>
              </select></div>
          </div>
          <div class="row g-0">
            <div class="col-59">
              <div class="address-field mb-3" style="display: block;"><label class="form-label required" for="form_order_model_client_country">Pays</label><select id="form_order_model_client_country" name="form_order_model[client][country]"
                  data-action="bootstrap#eventOnSelect" data-bootstrap-target="bootstrapSelect" class="form-select">
                  <option value="FR" data-box="box-sirenLegalStatus">France</option>
                  <option disabled="disabled">-------------------</option>
                  <option value="AF">Afghanistan</option>
                  <option value="ZA">Afrique du Sud</option>
                  <option value="AL">Albanie</option>
                  <option value="DZ">Algérie</option>
                  <option value="DE">Allemagne</option>
                  <option value="AD">Andorre</option>
                  <option value="AO">Angola</option>
                  <option value="AI">Anguilla</option>
                  <option value="AQ">Antarctique</option>
                  <option value="AG">Antigua-et-Barbuda</option>
                  <option value="SA">Arabie saoudite</option>
                  <option value="AR">Argentine</option>
                  <option value="AM">Arménie</option>
                  <option value="AW">Aruba</option>
                  <option value="AU">Australie</option>
                  <option value="AT">Autriche</option>
                  <option value="AZ">Azerbaïdjan</option>
                  <option value="BS">Bahamas</option>
                  <option value="BH">Bahreïn</option>
                  <option value="BD">Bangladesh</option>
                  <option value="BB">Barbade</option>
                  <option value="BE">Belgique</option>
                  <option value="BZ">Belize</option>
                  <option value="BJ">Bénin</option>
                  <option value="BM">Bermudes</option>
                  <option value="BT">Bhoutan</option>
                  <option value="BY">Biélorussie</option>
                  <option value="BO">Bolivie</option>
                  <option value="BA">Bosnie-Herzégovine</option>
                  <option value="BW">Botswana</option>
                  <option value="BR">Brésil</option>
                  <option value="BN">Brunei</option>
                  <option value="BG">Bulgarie</option>
                  <option value="BF">Burkina Faso</option>
                  <option value="BI">Burundi</option>
                  <option value="KH">Cambodge</option>
                  <option value="CM">Cameroun</option>
                  <option value="CA" data-box="box-stateProvinceCA">Canada</option>
                  <option value="CV">Cap-Vert</option>
                  <option value="CL">Chili</option>
                  <option value="CN">Chine</option>
                  <option value="CY">Chypre</option>
                  <option value="CO">Colombie</option>
                  <option value="KM">Comores</option>
                  <option value="CG">Congo-Brazzaville</option>
                  <option value="CD">Congo-Kinshasa</option>
                  <option value="KP">Corée du Nord</option>
                  <option value="KR">Corée du Sud</option>
                  <option value="CR">Costa Rica</option>
                  <option value="CI">Côte d’Ivoire</option>
                  <option value="HR">Croatie</option>
                  <option value="CU">Cuba</option>
                  <option value="CW">Curaçao</option>
                  <option value="DK">Danemark</option>
                  <option value="DJ">Djibouti</option>
                  <option value="DM">Dominique</option>
                  <option value="EG">Égypte</option>
                  <option value="AE">Émirats arabes unis</option>
                  <option value="EC">Équateur</option>
                  <option value="ER">Érythrée</option>
                  <option value="ES">Espagne</option>
                  <option value="EE">Estonie</option>
                  <option value="SZ">Eswatini</option>
                  <option value="VA">État de la Cité du Vatican</option>
                  <option value="US" data-box="box-stateProvinceUS">États-Unis</option>
                  <option value="ET">Éthiopie</option>
                  <option value="FJ">Fidji</option>
                  <option value="FI">Finlande</option>
                  <option value="FR" data-box="box-sirenLegalStatus">France</option>
                  <option value="GA">Gabon</option>
                  <option value="GM">Gambie</option>
                  <option value="GE">Géorgie</option>
                  <option value="GS">Géorgie du Sud-et-les Îles Sandwich du Sud</option>
                  <option value="GH">Ghana</option>
                  <option value="GI">Gibraltar</option>
                  <option value="GR">Grèce</option>
                  <option value="GD">Grenade</option>
                  <option value="GL">Groenland</option>
                  <option value="GP">Guadeloupe</option>
                  <option value="GU">Guam</option>
                  <option value="GT">Guatemala</option>
                  <option value="GG">Guernesey</option>
                  <option value="GN">Guinée</option>
                  <option value="GQ">Guinée équatoriale</option>
                  <option value="GW">Guinée-Bissau</option>
                  <option value="GY">Guyana</option>
                  <option value="GF">Guyane française</option>
                  <option value="HT">Haïti</option>
                  <option value="HN">Honduras</option>
                  <option value="HU">Hongrie</option>
                  <option value="BV">Île Bouvet</option>
                  <option value="CX">Île Christmas</option>
                  <option value="IM">Île de Man</option>
                  <option value="NF">Île Norfolk</option>
                  <option value="AX">Îles Åland</option>
                  <option value="KY">Îles Caïmans</option>
                  <option value="CC">Îles Cocos</option>
                  <option value="CK">Îles Cook</option>
                  <option value="FO">Îles Féroé</option>
                  <option value="HM">Îles Heard-et-MacDonald</option>
                  <option value="FK">Îles Malouines</option>
                  <option value="MP">Îles Mariannes du Nord</option>
                  <option value="MH">Îles Marshall</option>
                  <option value="UM">Îles mineures éloignées des États-Unis</option>
                  <option value="PN">Îles Pitcairn</option>
                  <option value="SB">Îles Salomon</option>
                  <option value="TC">Îles Turques-et-Caïques</option>
                  <option value="VG">Îles Vierges britanniques</option>
                  <option value="VI">Îles Vierges des États-Unis</option>
                  <option value="IN">Inde</option>
                  <option value="ID">Indonésie</option>
                  <option value="IQ">Irak</option>
                  <option value="IR">Iran</option>
                  <option value="IE">Irlande</option>
                  <option value="IS">Islande</option>
                  <option value="IL">Israël</option>
                  <option value="IT">Italie</option>
                  <option value="JM">Jamaïque</option>
                  <option value="JP">Japon</option>
                  <option value="JE">Jersey</option>
                  <option value="JO">Jordanie</option>
                  <option value="KZ">Kazakhstan</option>
                  <option value="KE">Kenya</option>
                  <option value="KG">Kirghizstan</option>
                  <option value="KI">Kiribati</option>
                  <option value="KW">Koweït</option>
                  <option value="RE">La Réunion</option>
                  <option value="LA">Laos</option>
                  <option value="LS">Lesotho</option>
                  <option value="LV">Lettonie</option>
                  <option value="LB">Liban</option>
                  <option value="LR">Liberia</option>
                  <option value="LY">Libye</option>
                  <option value="LI">Liechtenstein</option>
                  <option value="LT">Lituanie</option>
                  <option value="LU">Luxembourg</option>
                  <option value="MK">Macédoine du Nord</option>
                  <option value="MG">Madagascar</option>
                  <option value="MY">Malaisie</option>
                  <option value="MW">Malawi</option>
                  <option value="MV">Maldives</option>
                  <option value="ML">Mali</option>
                  <option value="MT">Malte</option>
                  <option value="MA">Maroc</option>
                  <option value="MQ">Martinique</option>
                  <option value="MU">Maurice</option>
                  <option value="MR">Mauritanie</option>
                  <option value="YT">Mayotte</option>
                  <option value="MX">Mexique</option>
                  <option value="FM">Micronésie</option>
                  <option value="MD">Moldavie</option>
                  <option value="MC">Monaco</option>
                  <option value="MN">Mongolie</option>
                  <option value="ME">Monténégro</option>
                  <option value="MS">Montserrat</option>
                  <option value="MZ">Mozambique</option>
                  <option value="MM">Myanmar (Birmanie)</option>
                  <option value="NA">Namibie</option>
                  <option value="NR">Nauru</option>
                  <option value="NP">Népal</option>
                  <option value="NI">Nicaragua</option>
                  <option value="NE">Niger</option>
                  <option value="NG">Nigeria</option>
                  <option value="NU">Niue</option>
                  <option value="NO">Norvège</option>
                  <option value="NC">Nouvelle-Calédonie</option>
                  <option value="NZ">Nouvelle-Zélande</option>
                  <option value="OM">Oman</option>
                  <option value="UG">Ouganda</option>
                  <option value="UZ">Ouzbékistan</option>
                  <option value="PK">Pakistan</option>
                  <option value="PW">Palaos</option>
                  <option value="PA">Panama</option>
                  <option value="PG">Papouasie-Nouvelle-Guinée</option>
                  <option value="PY">Paraguay</option>
                  <option value="NL">Pays-Bas</option>
                  <option value="BQ">Pays-Bas caribéens</option>
                  <option value="PE">Pérou</option>
                  <option value="PH">Philippines</option>
                  <option value="PL">Pologne</option>
                  <option value="PF">Polynésie française</option>
                  <option value="PR">Porto Rico</option>
                  <option value="PT">Portugal</option>
                  <option value="QA">Qatar</option>
                  <option value="HK">R.A.S. chinoise de Hong Kong</option>
                  <option value="MO">R.A.S. chinoise de Macao</option>
                  <option value="CF">République centrafricaine</option>
                  <option value="DO">République dominicaine</option>
                  <option value="RO">Roumanie</option>
                  <option value="GB">Royaume-Uni</option>
                  <option value="RU">Russie</option>
                  <option value="RW">Rwanda</option>
                  <option value="EH">Sahara occidental</option>
                  <option value="BL">Saint-Barthélemy</option>
                  <option value="KN">Saint-Christophe-et-Niévès</option>
                  <option value="SM">Saint-Marin</option>
                  <option value="MF">Saint-Martin</option>
                  <option value="SX">Saint-Martin (partie néerlandaise)</option>
                  <option value="PM">Saint-Pierre-et-Miquelon</option>
                  <option value="VC">Saint-Vincent-et-les Grenadines</option>
                  <option value="SH">Sainte-Hélène</option>
                  <option value="LC">Sainte-Lucie</option>
                  <option value="SV">Salvador</option>
                  <option value="WS">Samoa</option>
                  <option value="AS">Samoa américaines</option>
                  <option value="ST">Sao Tomé-et-Principe</option>
                  <option value="SN">Sénégal</option>
                  <option value="RS">Serbie</option>
                  <option value="SC">Seychelles</option>
                  <option value="SL">Sierra Leone</option>
                  <option value="SG">Singapour</option>
                  <option value="SK">Slovaquie</option>
                  <option value="SI">Slovénie</option>
                  <option value="SO">Somalie</option>
                  <option value="SD">Soudan</option>
                  <option value="SS">Soudan du Sud</option>
                  <option value="LK">Sri Lanka</option>
                  <option value="SE">Suède</option>
                  <option value="CH">Suisse</option>
                  <option value="SR">Suriname</option>
                  <option value="SJ">Svalbard et Jan Mayen</option>
                  <option value="SY">Syrie</option>
                  <option value="TJ">Tadjikistan</option>
                  <option value="TW">Taïwan</option>
                  <option value="TZ">Tanzanie</option>
                  <option value="TD">Tchad</option>
                  <option value="CZ">Tchéquie</option>
                  <option value="TF">Terres australes françaises</option>
                  <option value="IO">Territoire britannique de l’océan Indien</option>
                  <option value="PS">Territoires palestiniens</option>
                  <option value="TH">Thaïlande</option>
                  <option value="TL">Timor oriental</option>
                  <option value="TG">Togo</option>
                  <option value="TK">Tokelau</option>
                  <option value="TO">Tonga</option>
                  <option value="TT">Trinité-et-Tobago</option>
                  <option value="TN">Tunisie</option>
                  <option value="TM">Turkménistan</option>
                  <option value="TR">Turquie</option>
                  <option value="TV">Tuvalu</option>
                  <option value="UA">Ukraine</option>
                  <option value="UY">Uruguay</option>
                  <option value="VU">Vanuatu</option>
                  <option value="VE">Venezuela</option>
                  <option value="VN">Viêt Nam</option>
                  <option value="WF">Wallis-et-Futuna</option>
                  <option value="YE">Yémen</option>
                  <option value="ZM">Zambie</option>
                  <option value="ZW">Zimbabwe</option>
                </select></div>
            </div>
            <div class="col-59 offset-2">
              <div class="address-field" style="display: block;"><label for="form_order_model_client_phone" class="form-label">Téléphone</label>
                <div class="iti iti--allow-dropdown">
                  <div class="iti__flag-container">
                    <div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="France: +33" aria-activedescendant="iti-0__item-fr">
                      <div class="iti__flag iti__fr"></div>
                      <div class="iti__arrow"></div>
                    </div>
                    <ul class="iti__country-list iti__hide" id="iti-0__country-listbox" role="listbox" aria-label="List of countries">
                      <li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-us-preferred" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__us"></div>
                        </div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__preferred" tabindex="-1" id="iti-0__item-gb-preferred" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gb"></div>
                        </div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
                      </li>
                      <li class="iti__divider" role="separator" aria-disabled="true"></li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-af" role="option" data-dial-code="93" data-country-code="af" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__af"></div>
                        </div><span class="iti__country-name">Afghanistan (‫افغانستان‬‎)</span><span class="iti__dial-code">+93</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-al" role="option" data-dial-code="355" data-country-code="al" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__al"></div>
                        </div><span class="iti__country-name">Albania (Shqipëri)</span><span class="iti__dial-code">+355</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dz" role="option" data-dial-code="213" data-country-code="dz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__dz"></div>
                        </div><span class="iti__country-name">Algeria (‫الجزائر‬‎)</span><span class="iti__dial-code">+213</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-as" role="option" data-dial-code="1" data-country-code="as" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__as"></div>
                        </div><span class="iti__country-name">American Samoa</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ad" role="option" data-dial-code="376" data-country-code="ad" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ad"></div>
                        </div><span class="iti__country-name">Andorra</span><span class="iti__dial-code">+376</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ao" role="option" data-dial-code="244" data-country-code="ao" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ao"></div>
                        </div><span class="iti__country-name">Angola</span><span class="iti__dial-code">+244</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ai" role="option" data-dial-code="1" data-country-code="ai" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ai"></div>
                        </div><span class="iti__country-name">Anguilla</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ag" role="option" data-dial-code="1" data-country-code="ag" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ag"></div>
                        </div><span class="iti__country-name">Antigua and Barbuda</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ar" role="option" data-dial-code="54" data-country-code="ar" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ar"></div>
                        </div><span class="iti__country-name">Argentina</span><span class="iti__dial-code">+54</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-am" role="option" data-dial-code="374" data-country-code="am" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__am"></div>
                        </div><span class="iti__country-name">Armenia (Հայաստան)</span><span class="iti__dial-code">+374</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-aw" role="option" data-dial-code="297" data-country-code="aw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__aw"></div>
                        </div><span class="iti__country-name">Aruba</span><span class="iti__dial-code">+297</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ac" role="option" data-dial-code="247" data-country-code="ac" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ac"></div>
                        </div><span class="iti__country-name">Ascension Island</span><span class="iti__dial-code">+247</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-au" role="option" data-dial-code="61" data-country-code="au" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__au"></div>
                        </div><span class="iti__country-name">Australia</span><span class="iti__dial-code">+61</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-at" role="option" data-dial-code="43" data-country-code="at" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__at"></div>
                        </div><span class="iti__country-name">Austria (Österreich)</span><span class="iti__dial-code">+43</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-az" role="option" data-dial-code="994" data-country-code="az" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__az"></div>
                        </div><span class="iti__country-name">Azerbaijan (Azərbaycan)</span><span class="iti__dial-code">+994</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bs" role="option" data-dial-code="1" data-country-code="bs" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bs"></div>
                        </div><span class="iti__country-name">Bahamas</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bh" role="option" data-dial-code="973" data-country-code="bh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bh"></div>
                        </div><span class="iti__country-name">Bahrain (‫البحرين‬‎)</span><span class="iti__dial-code">+973</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bd" role="option" data-dial-code="880" data-country-code="bd" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bd"></div>
                        </div><span class="iti__country-name">Bangladesh (বাংলাদেশ)</span><span class="iti__dial-code">+880</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bb" role="option" data-dial-code="1" data-country-code="bb" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bb"></div>
                        </div><span class="iti__country-name">Barbados</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-by" role="option" data-dial-code="375" data-country-code="by" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__by"></div>
                        </div><span class="iti__country-name">Belarus (Беларусь)</span><span class="iti__dial-code">+375</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-be" role="option" data-dial-code="32" data-country-code="be" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__be"></div>
                        </div><span class="iti__country-name">Belgium (België)</span><span class="iti__dial-code">+32</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bz" role="option" data-dial-code="501" data-country-code="bz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bz"></div>
                        </div><span class="iti__country-name">Belize</span><span class="iti__dial-code">+501</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bj" role="option" data-dial-code="229" data-country-code="bj" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bj"></div>
                        </div><span class="iti__country-name">Benin (Bénin)</span><span class="iti__dial-code">+229</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bm" role="option" data-dial-code="1" data-country-code="bm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bm"></div>
                        </div><span class="iti__country-name">Bermuda</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bt" role="option" data-dial-code="975" data-country-code="bt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bt"></div>
                        </div><span class="iti__country-name">Bhutan (འབྲུག)</span><span class="iti__dial-code">+975</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bo" role="option" data-dial-code="591" data-country-code="bo" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bo"></div>
                        </div><span class="iti__country-name">Bolivia</span><span class="iti__dial-code">+591</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ba" role="option" data-dial-code="387" data-country-code="ba" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ba"></div>
                        </div><span class="iti__country-name">Bosnia and Herzegovina (Босна и Херцеговина)</span><span class="iti__dial-code">+387</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bw" role="option" data-dial-code="267" data-country-code="bw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bw"></div>
                        </div><span class="iti__country-name">Botswana</span><span class="iti__dial-code">+267</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-br" role="option" data-dial-code="55" data-country-code="br" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__br"></div>
                        </div><span class="iti__country-name">Brazil (Brasil)</span><span class="iti__dial-code">+55</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-io" role="option" data-dial-code="246" data-country-code="io" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__io"></div>
                        </div><span class="iti__country-name">British Indian Ocean Territory</span><span class="iti__dial-code">+246</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vg" role="option" data-dial-code="1" data-country-code="vg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__vg"></div>
                        </div><span class="iti__country-name">British Virgin Islands</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bn" role="option" data-dial-code="673" data-country-code="bn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bn"></div>
                        </div><span class="iti__country-name">Brunei</span><span class="iti__dial-code">+673</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bg" role="option" data-dial-code="359" data-country-code="bg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bg"></div>
                        </div><span class="iti__country-name">Bulgaria (България)</span><span class="iti__dial-code">+359</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bf" role="option" data-dial-code="226" data-country-code="bf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bf"></div>
                        </div><span class="iti__country-name">Burkina Faso</span><span class="iti__dial-code">+226</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bi" role="option" data-dial-code="257" data-country-code="bi" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bi"></div>
                        </div><span class="iti__country-name">Burundi (Uburundi)</span><span class="iti__dial-code">+257</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kh" role="option" data-dial-code="855" data-country-code="kh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kh"></div>
                        </div><span class="iti__country-name">Cambodia (កម្ពុជា)</span><span class="iti__dial-code">+855</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cm" role="option" data-dial-code="237" data-country-code="cm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cm"></div>
                        </div><span class="iti__country-name">Cameroon (Cameroun)</span><span class="iti__dial-code">+237</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ca" role="option" data-dial-code="1" data-country-code="ca" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ca"></div>
                        </div><span class="iti__country-name">Canada</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cv" role="option" data-dial-code="238" data-country-code="cv" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cv"></div>
                        </div><span class="iti__country-name">Cape Verde (Kabu Verdi)</span><span class="iti__dial-code">+238</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bq" role="option" data-dial-code="599" data-country-code="bq" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bq"></div>
                        </div><span class="iti__country-name">Caribbean Netherlands</span><span class="iti__dial-code">+599</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ky" role="option" data-dial-code="1" data-country-code="ky" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ky"></div>
                        </div><span class="iti__country-name">Cayman Islands</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cf" role="option" data-dial-code="236" data-country-code="cf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cf"></div>
                        </div><span class="iti__country-name">Central African Republic (République centrafricaine)</span><span class="iti__dial-code">+236</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-td" role="option" data-dial-code="235" data-country-code="td" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__td"></div>
                        </div><span class="iti__country-name">Chad (Tchad)</span><span class="iti__dial-code">+235</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cl" role="option" data-dial-code="56" data-country-code="cl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cl"></div>
                        </div><span class="iti__country-name">Chile</span><span class="iti__dial-code">+56</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cn" role="option" data-dial-code="86" data-country-code="cn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cn"></div>
                        </div><span class="iti__country-name">China (中国)</span><span class="iti__dial-code">+86</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cx" role="option" data-dial-code="61" data-country-code="cx" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cx"></div>
                        </div><span class="iti__country-name">Christmas Island</span><span class="iti__dial-code">+61</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cc" role="option" data-dial-code="61" data-country-code="cc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cc"></div>
                        </div><span class="iti__country-name">Cocos (Keeling) Islands</span><span class="iti__dial-code">+61</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-co" role="option" data-dial-code="57" data-country-code="co" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__co"></div>
                        </div><span class="iti__country-name">Colombia</span><span class="iti__dial-code">+57</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-km" role="option" data-dial-code="269" data-country-code="km" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__km"></div>
                        </div><span class="iti__country-name">Comoros (‫جزر القمر‬‎)</span><span class="iti__dial-code">+269</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cd" role="option" data-dial-code="243" data-country-code="cd" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cd"></div>
                        </div><span class="iti__country-name">Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)</span><span class="iti__dial-code">+243</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cg" role="option" data-dial-code="242" data-country-code="cg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cg"></div>
                        </div><span class="iti__country-name">Congo (Republic) (Congo-Brazzaville)</span><span class="iti__dial-code">+242</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ck" role="option" data-dial-code="682" data-country-code="ck" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ck"></div>
                        </div><span class="iti__country-name">Cook Islands</span><span class="iti__dial-code">+682</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cr" role="option" data-dial-code="506" data-country-code="cr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cr"></div>
                        </div><span class="iti__country-name">Costa Rica</span><span class="iti__dial-code">+506</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ci" role="option" data-dial-code="225" data-country-code="ci" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ci"></div>
                        </div><span class="iti__country-name">Côte d’Ivoire</span><span class="iti__dial-code">+225</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hr" role="option" data-dial-code="385" data-country-code="hr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__hr"></div>
                        </div><span class="iti__country-name">Croatia (Hrvatska)</span><span class="iti__dial-code">+385</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cu" role="option" data-dial-code="53" data-country-code="cu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cu"></div>
                        </div><span class="iti__country-name">Cuba</span><span class="iti__dial-code">+53</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cw" role="option" data-dial-code="599" data-country-code="cw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cw"></div>
                        </div><span class="iti__country-name">Curaçao</span><span class="iti__dial-code">+599</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cy" role="option" data-dial-code="357" data-country-code="cy" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cy"></div>
                        </div><span class="iti__country-name">Cyprus (Κύπρος)</span><span class="iti__dial-code">+357</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cz" role="option" data-dial-code="420" data-country-code="cz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__cz"></div>
                        </div><span class="iti__country-name">Czech Republic (Česká republika)</span><span class="iti__dial-code">+420</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dk" role="option" data-dial-code="45" data-country-code="dk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__dk"></div>
                        </div><span class="iti__country-name">Denmark (Danmark)</span><span class="iti__dial-code">+45</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dj" role="option" data-dial-code="253" data-country-code="dj" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__dj"></div>
                        </div><span class="iti__country-name">Djibouti</span><span class="iti__dial-code">+253</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dm" role="option" data-dial-code="1" data-country-code="dm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__dm"></div>
                        </div><span class="iti__country-name">Dominica</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-do" role="option" data-dial-code="1" data-country-code="do" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__do"></div>
                        </div><span class="iti__country-name">Dominican Republic (República Dominicana)</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ec" role="option" data-dial-code="593" data-country-code="ec" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ec"></div>
                        </div><span class="iti__country-name">Ecuador</span><span class="iti__dial-code">+593</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eg" role="option" data-dial-code="20" data-country-code="eg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__eg"></div>
                        </div><span class="iti__country-name">Egypt (‫مصر‬‎)</span><span class="iti__dial-code">+20</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sv" role="option" data-dial-code="503" data-country-code="sv" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sv"></div>
                        </div><span class="iti__country-name">El Salvador</span><span class="iti__dial-code">+503</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gq" role="option" data-dial-code="240" data-country-code="gq" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gq"></div>
                        </div><span class="iti__country-name">Equatorial Guinea (Guinea Ecuatorial)</span><span class="iti__dial-code">+240</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-er" role="option" data-dial-code="291" data-country-code="er" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__er"></div>
                        </div><span class="iti__country-name">Eritrea</span><span class="iti__dial-code">+291</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ee" role="option" data-dial-code="372" data-country-code="ee" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ee"></div>
                        </div><span class="iti__country-name">Estonia (Eesti)</span><span class="iti__dial-code">+372</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sz" role="option" data-dial-code="268" data-country-code="sz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sz"></div>
                        </div><span class="iti__country-name">Eswatini</span><span class="iti__dial-code">+268</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-et" role="option" data-dial-code="251" data-country-code="et" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__et"></div>
                        </div><span class="iti__country-name">Ethiopia</span><span class="iti__dial-code">+251</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fk" role="option" data-dial-code="500" data-country-code="fk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fk"></div>
                        </div><span class="iti__country-name">Falkland Islands (Islas Malvinas)</span><span class="iti__dial-code">+500</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fo" role="option" data-dial-code="298" data-country-code="fo" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fo"></div>
                        </div><span class="iti__country-name">Faroe Islands (Føroyar)</span><span class="iti__dial-code">+298</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fj" role="option" data-dial-code="679" data-country-code="fj" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fj"></div>
                        </div><span class="iti__country-name">Fiji</span><span class="iti__dial-code">+679</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fi" role="option" data-dial-code="358" data-country-code="fi" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fi"></div>
                        </div><span class="iti__country-name">Finland (Suomi)</span><span class="iti__dial-code">+358</span>
                      </li>
                      <li class="iti__country iti__standard iti__active" tabindex="-1" id="iti-0__item-fr" role="option" data-dial-code="33" data-country-code="fr" aria-selected="true">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fr"></div>
                        </div><span class="iti__country-name">France</span><span class="iti__dial-code">+33</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gf" role="option" data-dial-code="594" data-country-code="gf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gf"></div>
                        </div><span class="iti__country-name">French Guiana (Guyane française)</span><span class="iti__dial-code">+594</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pf" role="option" data-dial-code="689" data-country-code="pf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pf"></div>
                        </div><span class="iti__country-name">French Polynesia (Polynésie française)</span><span class="iti__dial-code">+689</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ga" role="option" data-dial-code="241" data-country-code="ga" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ga"></div>
                        </div><span class="iti__country-name">Gabon</span><span class="iti__dial-code">+241</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gm" role="option" data-dial-code="220" data-country-code="gm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gm"></div>
                        </div><span class="iti__country-name">Gambia</span><span class="iti__dial-code">+220</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ge" role="option" data-dial-code="995" data-country-code="ge" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ge"></div>
                        </div><span class="iti__country-name">Georgia (საქართველო)</span><span class="iti__dial-code">+995</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-de" role="option" data-dial-code="49" data-country-code="de" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__de"></div>
                        </div><span class="iti__country-name">Germany (Deutschland)</span><span class="iti__dial-code">+49</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gh" role="option" data-dial-code="233" data-country-code="gh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gh"></div>
                        </div><span class="iti__country-name">Ghana (Gaana)</span><span class="iti__dial-code">+233</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gi" role="option" data-dial-code="350" data-country-code="gi" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gi"></div>
                        </div><span class="iti__country-name">Gibraltar</span><span class="iti__dial-code">+350</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gr" role="option" data-dial-code="30" data-country-code="gr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gr"></div>
                        </div><span class="iti__country-name">Greece (Ελλάδα)</span><span class="iti__dial-code">+30</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gl" role="option" data-dial-code="299" data-country-code="gl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gl"></div>
                        </div><span class="iti__country-name">Greenland (Kalaallit Nunaat)</span><span class="iti__dial-code">+299</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gd" role="option" data-dial-code="1" data-country-code="gd" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gd"></div>
                        </div><span class="iti__country-name">Grenada</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gp" role="option" data-dial-code="590" data-country-code="gp" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gp"></div>
                        </div><span class="iti__country-name">Guadeloupe</span><span class="iti__dial-code">+590</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gu" role="option" data-dial-code="1" data-country-code="gu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gu"></div>
                        </div><span class="iti__country-name">Guam</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gt" role="option" data-dial-code="502" data-country-code="gt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gt"></div>
                        </div><span class="iti__country-name">Guatemala</span><span class="iti__dial-code">+502</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gg" role="option" data-dial-code="44" data-country-code="gg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gg"></div>
                        </div><span class="iti__country-name">Guernsey</span><span class="iti__dial-code">+44</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gn" role="option" data-dial-code="224" data-country-code="gn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gn"></div>
                        </div><span class="iti__country-name">Guinea (Guinée)</span><span class="iti__dial-code">+224</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gw" role="option" data-dial-code="245" data-country-code="gw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gw"></div>
                        </div><span class="iti__country-name">Guinea-Bissau (Guiné Bissau)</span><span class="iti__dial-code">+245</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gy" role="option" data-dial-code="592" data-country-code="gy" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gy"></div>
                        </div><span class="iti__country-name">Guyana</span><span class="iti__dial-code">+592</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ht" role="option" data-dial-code="509" data-country-code="ht" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ht"></div>
                        </div><span class="iti__country-name">Haiti</span><span class="iti__dial-code">+509</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hn" role="option" data-dial-code="504" data-country-code="hn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__hn"></div>
                        </div><span class="iti__country-name">Honduras</span><span class="iti__dial-code">+504</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hk" role="option" data-dial-code="852" data-country-code="hk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__hk"></div>
                        </div><span class="iti__country-name">Hong Kong (香港)</span><span class="iti__dial-code">+852</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hu" role="option" data-dial-code="36" data-country-code="hu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__hu"></div>
                        </div><span class="iti__country-name">Hungary (Magyarország)</span><span class="iti__dial-code">+36</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-is" role="option" data-dial-code="354" data-country-code="is" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__is"></div>
                        </div><span class="iti__country-name">Iceland (Ísland)</span><span class="iti__dial-code">+354</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-in" role="option" data-dial-code="91" data-country-code="in" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__in"></div>
                        </div><span class="iti__country-name">India (भारत)</span><span class="iti__dial-code">+91</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-id" role="option" data-dial-code="62" data-country-code="id" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__id"></div>
                        </div><span class="iti__country-name">Indonesia</span><span class="iti__dial-code">+62</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ir" role="option" data-dial-code="98" data-country-code="ir" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ir"></div>
                        </div><span class="iti__country-name">Iran (‫ایران‬‎)</span><span class="iti__dial-code">+98</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-iq" role="option" data-dial-code="964" data-country-code="iq" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__iq"></div>
                        </div><span class="iti__country-name">Iraq (‫العراق‬‎)</span><span class="iti__dial-code">+964</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ie" role="option" data-dial-code="353" data-country-code="ie" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ie"></div>
                        </div><span class="iti__country-name">Ireland</span><span class="iti__dial-code">+353</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-im" role="option" data-dial-code="44" data-country-code="im" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__im"></div>
                        </div><span class="iti__country-name">Isle of Man</span><span class="iti__dial-code">+44</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-il" role="option" data-dial-code="972" data-country-code="il" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__il"></div>
                        </div><span class="iti__country-name">Israel (‫ישראל‬‎)</span><span class="iti__dial-code">+972</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-it" role="option" data-dial-code="39" data-country-code="it" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__it"></div>
                        </div><span class="iti__country-name">Italy (Italia)</span><span class="iti__dial-code">+39</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jm" role="option" data-dial-code="1" data-country-code="jm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__jm"></div>
                        </div><span class="iti__country-name">Jamaica</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jp" role="option" data-dial-code="81" data-country-code="jp" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__jp"></div>
                        </div><span class="iti__country-name">Japan (日本)</span><span class="iti__dial-code">+81</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-je" role="option" data-dial-code="44" data-country-code="je" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__je"></div>
                        </div><span class="iti__country-name">Jersey</span><span class="iti__dial-code">+44</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jo" role="option" data-dial-code="962" data-country-code="jo" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__jo"></div>
                        </div><span class="iti__country-name">Jordan (‫الأردن‬‎)</span><span class="iti__dial-code">+962</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kz" role="option" data-dial-code="7" data-country-code="kz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kz"></div>
                        </div><span class="iti__country-name">Kazakhstan (Казахстан)</span><span class="iti__dial-code">+7</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ke" role="option" data-dial-code="254" data-country-code="ke" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ke"></div>
                        </div><span class="iti__country-name">Kenya</span><span class="iti__dial-code">+254</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ki" role="option" data-dial-code="686" data-country-code="ki" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ki"></div>
                        </div><span class="iti__country-name">Kiribati</span><span class="iti__dial-code">+686</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-xk" role="option" data-dial-code="383" data-country-code="xk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__xk"></div>
                        </div><span class="iti__country-name">Kosovo</span><span class="iti__dial-code">+383</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kw" role="option" data-dial-code="965" data-country-code="kw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kw"></div>
                        </div><span class="iti__country-name">Kuwait (‫الكويت‬‎)</span><span class="iti__dial-code">+965</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kg" role="option" data-dial-code="996" data-country-code="kg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kg"></div>
                        </div><span class="iti__country-name">Kyrgyzstan (Кыргызстан)</span><span class="iti__dial-code">+996</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-la" role="option" data-dial-code="856" data-country-code="la" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__la"></div>
                        </div><span class="iti__country-name">Laos (ລາວ)</span><span class="iti__dial-code">+856</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lv" role="option" data-dial-code="371" data-country-code="lv" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lv"></div>
                        </div><span class="iti__country-name">Latvia (Latvija)</span><span class="iti__dial-code">+371</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lb" role="option" data-dial-code="961" data-country-code="lb" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lb"></div>
                        </div><span class="iti__country-name">Lebanon (‫لبنان‬‎)</span><span class="iti__dial-code">+961</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ls" role="option" data-dial-code="266" data-country-code="ls" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ls"></div>
                        </div><span class="iti__country-name">Lesotho</span><span class="iti__dial-code">+266</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lr" role="option" data-dial-code="231" data-country-code="lr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lr"></div>
                        </div><span class="iti__country-name">Liberia</span><span class="iti__dial-code">+231</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ly" role="option" data-dial-code="218" data-country-code="ly" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ly"></div>
                        </div><span class="iti__country-name">Libya (‫ليبيا‬‎)</span><span class="iti__dial-code">+218</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-li" role="option" data-dial-code="423" data-country-code="li" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__li"></div>
                        </div><span class="iti__country-name">Liechtenstein</span><span class="iti__dial-code">+423</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lt" role="option" data-dial-code="370" data-country-code="lt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lt"></div>
                        </div><span class="iti__country-name">Lithuania (Lietuva)</span><span class="iti__dial-code">+370</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lu" role="option" data-dial-code="352" data-country-code="lu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lu"></div>
                        </div><span class="iti__country-name">Luxembourg</span><span class="iti__dial-code">+352</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mo" role="option" data-dial-code="853" data-country-code="mo" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mo"></div>
                        </div><span class="iti__country-name">Macau (澳門)</span><span class="iti__dial-code">+853</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mg" role="option" data-dial-code="261" data-country-code="mg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mg"></div>
                        </div><span class="iti__country-name">Madagascar (Madagasikara)</span><span class="iti__dial-code">+261</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mw" role="option" data-dial-code="265" data-country-code="mw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mw"></div>
                        </div><span class="iti__country-name">Malawi</span><span class="iti__dial-code">+265</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-my" role="option" data-dial-code="60" data-country-code="my" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__my"></div>
                        </div><span class="iti__country-name">Malaysia</span><span class="iti__dial-code">+60</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mv" role="option" data-dial-code="960" data-country-code="mv" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mv"></div>
                        </div><span class="iti__country-name">Maldives</span><span class="iti__dial-code">+960</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ml" role="option" data-dial-code="223" data-country-code="ml" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ml"></div>
                        </div><span class="iti__country-name">Mali</span><span class="iti__dial-code">+223</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mt" role="option" data-dial-code="356" data-country-code="mt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mt"></div>
                        </div><span class="iti__country-name">Malta</span><span class="iti__dial-code">+356</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mh" role="option" data-dial-code="692" data-country-code="mh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mh"></div>
                        </div><span class="iti__country-name">Marshall Islands</span><span class="iti__dial-code">+692</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mq" role="option" data-dial-code="596" data-country-code="mq" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mq"></div>
                        </div><span class="iti__country-name">Martinique</span><span class="iti__dial-code">+596</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mr" role="option" data-dial-code="222" data-country-code="mr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mr"></div>
                        </div><span class="iti__country-name">Mauritania (‫موريتانيا‬‎)</span><span class="iti__dial-code">+222</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mu" role="option" data-dial-code="230" data-country-code="mu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mu"></div>
                        </div><span class="iti__country-name">Mauritius (Moris)</span><span class="iti__dial-code">+230</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-yt" role="option" data-dial-code="262" data-country-code="yt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__yt"></div>
                        </div><span class="iti__country-name">Mayotte</span><span class="iti__dial-code">+262</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mx" role="option" data-dial-code="52" data-country-code="mx" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mx"></div>
                        </div><span class="iti__country-name">Mexico (México)</span><span class="iti__dial-code">+52</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fm" role="option" data-dial-code="691" data-country-code="fm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__fm"></div>
                        </div><span class="iti__country-name">Micronesia</span><span class="iti__dial-code">+691</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-md" role="option" data-dial-code="373" data-country-code="md" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__md"></div>
                        </div><span class="iti__country-name">Moldova (Republica Moldova)</span><span class="iti__dial-code">+373</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mc" role="option" data-dial-code="377" data-country-code="mc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mc"></div>
                        </div><span class="iti__country-name">Monaco</span><span class="iti__dial-code">+377</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mn" role="option" data-dial-code="976" data-country-code="mn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mn"></div>
                        </div><span class="iti__country-name">Mongolia (Монгол)</span><span class="iti__dial-code">+976</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-me" role="option" data-dial-code="382" data-country-code="me" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__me"></div>
                        </div><span class="iti__country-name">Montenegro (Crna Gora)</span><span class="iti__dial-code">+382</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ms" role="option" data-dial-code="1" data-country-code="ms" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ms"></div>
                        </div><span class="iti__country-name">Montserrat</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ma" role="option" data-dial-code="212" data-country-code="ma" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ma"></div>
                        </div><span class="iti__country-name">Morocco (‫المغرب‬‎)</span><span class="iti__dial-code">+212</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mz" role="option" data-dial-code="258" data-country-code="mz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mz"></div>
                        </div><span class="iti__country-name">Mozambique (Moçambique)</span><span class="iti__dial-code">+258</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mm" role="option" data-dial-code="95" data-country-code="mm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mm"></div>
                        </div><span class="iti__country-name">Myanmar (Burma) (မြန်မာ)</span><span class="iti__dial-code">+95</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-na" role="option" data-dial-code="264" data-country-code="na" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__na"></div>
                        </div><span class="iti__country-name">Namibia (Namibië)</span><span class="iti__dial-code">+264</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nr" role="option" data-dial-code="674" data-country-code="nr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nr"></div>
                        </div><span class="iti__country-name">Nauru</span><span class="iti__dial-code">+674</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-np" role="option" data-dial-code="977" data-country-code="np" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__np"></div>
                        </div><span class="iti__country-name">Nepal (नेपाल)</span><span class="iti__dial-code">+977</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nl" role="option" data-dial-code="31" data-country-code="nl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nl"></div>
                        </div><span class="iti__country-name">Netherlands (Nederland)</span><span class="iti__dial-code">+31</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nc" role="option" data-dial-code="687" data-country-code="nc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nc"></div>
                        </div><span class="iti__country-name">New Caledonia (Nouvelle-Calédonie)</span><span class="iti__dial-code">+687</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nz" role="option" data-dial-code="64" data-country-code="nz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nz"></div>
                        </div><span class="iti__country-name">New Zealand</span><span class="iti__dial-code">+64</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ni" role="option" data-dial-code="505" data-country-code="ni" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ni"></div>
                        </div><span class="iti__country-name">Nicaragua</span><span class="iti__dial-code">+505</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ne" role="option" data-dial-code="227" data-country-code="ne" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ne"></div>
                        </div><span class="iti__country-name">Niger (Nijar)</span><span class="iti__dial-code">+227</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ng" role="option" data-dial-code="234" data-country-code="ng" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ng"></div>
                        </div><span class="iti__country-name">Nigeria</span><span class="iti__dial-code">+234</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nu" role="option" data-dial-code="683" data-country-code="nu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nu"></div>
                        </div><span class="iti__country-name">Niue</span><span class="iti__dial-code">+683</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nf" role="option" data-dial-code="672" data-country-code="nf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__nf"></div>
                        </div><span class="iti__country-name">Norfolk Island</span><span class="iti__dial-code">+672</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kp" role="option" data-dial-code="850" data-country-code="kp" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kp"></div>
                        </div><span class="iti__country-name">North Korea (조선 민주주의 인민 공화국)</span><span class="iti__dial-code">+850</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mk" role="option" data-dial-code="389" data-country-code="mk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mk"></div>
                        </div><span class="iti__country-name">North Macedonia (Северна Македонија)</span><span class="iti__dial-code">+389</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mp" role="option" data-dial-code="1" data-country-code="mp" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mp"></div>
                        </div><span class="iti__country-name">Northern Mariana Islands</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-no" role="option" data-dial-code="47" data-country-code="no" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__no"></div>
                        </div><span class="iti__country-name">Norway (Norge)</span><span class="iti__dial-code">+47</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-om" role="option" data-dial-code="968" data-country-code="om" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__om"></div>
                        </div><span class="iti__country-name">Oman (‫عُمان‬‎)</span><span class="iti__dial-code">+968</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pk" role="option" data-dial-code="92" data-country-code="pk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pk"></div>
                        </div><span class="iti__country-name">Pakistan (‫پاکستان‬‎)</span><span class="iti__dial-code">+92</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pw" role="option" data-dial-code="680" data-country-code="pw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pw"></div>
                        </div><span class="iti__country-name">Palau</span><span class="iti__dial-code">+680</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ps" role="option" data-dial-code="970" data-country-code="ps" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ps"></div>
                        </div><span class="iti__country-name">Palestine (‫فلسطين‬‎)</span><span class="iti__dial-code">+970</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pa" role="option" data-dial-code="507" data-country-code="pa" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pa"></div>
                        </div><span class="iti__country-name">Panama (Panamá)</span><span class="iti__dial-code">+507</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pg" role="option" data-dial-code="675" data-country-code="pg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pg"></div>
                        </div><span class="iti__country-name">Papua New Guinea</span><span class="iti__dial-code">+675</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-py" role="option" data-dial-code="595" data-country-code="py" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__py"></div>
                        </div><span class="iti__country-name">Paraguay</span><span class="iti__dial-code">+595</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pe" role="option" data-dial-code="51" data-country-code="pe" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pe"></div>
                        </div><span class="iti__country-name">Peru (Perú)</span><span class="iti__dial-code">+51</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ph" role="option" data-dial-code="63" data-country-code="ph" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ph"></div>
                        </div><span class="iti__country-name">Philippines</span><span class="iti__dial-code">+63</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pl" role="option" data-dial-code="48" data-country-code="pl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pl"></div>
                        </div><span class="iti__country-name">Poland (Polska)</span><span class="iti__dial-code">+48</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pt" role="option" data-dial-code="351" data-country-code="pt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pt"></div>
                        </div><span class="iti__country-name">Portugal</span><span class="iti__dial-code">+351</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pr" role="option" data-dial-code="1" data-country-code="pr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pr"></div>
                        </div><span class="iti__country-name">Puerto Rico</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-qa" role="option" data-dial-code="974" data-country-code="qa" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__qa"></div>
                        </div><span class="iti__country-name">Qatar (‫قطر‬‎)</span><span class="iti__dial-code">+974</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-re" role="option" data-dial-code="262" data-country-code="re" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__re"></div>
                        </div><span class="iti__country-name">Réunion (La Réunion)</span><span class="iti__dial-code">+262</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ro" role="option" data-dial-code="40" data-country-code="ro" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ro"></div>
                        </div><span class="iti__country-name">Romania (România)</span><span class="iti__dial-code">+40</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ru" role="option" data-dial-code="7" data-country-code="ru" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ru"></div>
                        </div><span class="iti__country-name">Russia (Россия)</span><span class="iti__dial-code">+7</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rw" role="option" data-dial-code="250" data-country-code="rw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__rw"></div>
                        </div><span class="iti__country-name">Rwanda</span><span class="iti__dial-code">+250</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bl" role="option" data-dial-code="590" data-country-code="bl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__bl"></div>
                        </div><span class="iti__country-name">Saint Barthélemy</span><span class="iti__dial-code">+590</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sh" role="option" data-dial-code="290" data-country-code="sh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sh"></div>
                        </div><span class="iti__country-name">Saint Helena</span><span class="iti__dial-code">+290</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kn" role="option" data-dial-code="1" data-country-code="kn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kn"></div>
                        </div><span class="iti__country-name">Saint Kitts and Nevis</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lc" role="option" data-dial-code="1" data-country-code="lc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lc"></div>
                        </div><span class="iti__country-name">Saint Lucia</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mf" role="option" data-dial-code="590" data-country-code="mf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__mf"></div>
                        </div><span class="iti__country-name">Saint Martin (Saint-Martin (partie française))</span><span class="iti__dial-code">+590</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pm" role="option" data-dial-code="508" data-country-code="pm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__pm"></div>
                        </div><span class="iti__country-name">Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)</span><span class="iti__dial-code">+508</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vc" role="option" data-dial-code="1" data-country-code="vc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__vc"></div>
                        </div><span class="iti__country-name">Saint Vincent and the Grenadines</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ws" role="option" data-dial-code="685" data-country-code="ws" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ws"></div>
                        </div><span class="iti__country-name">Samoa</span><span class="iti__dial-code">+685</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sm" role="option" data-dial-code="378" data-country-code="sm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sm"></div>
                        </div><span class="iti__country-name">San Marino</span><span class="iti__dial-code">+378</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-st" role="option" data-dial-code="239" data-country-code="st" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__st"></div>
                        </div><span class="iti__country-name">São Tomé and Príncipe (São Tomé e Príncipe)</span><span class="iti__dial-code">+239</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sa" role="option" data-dial-code="966" data-country-code="sa" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sa"></div>
                        </div><span class="iti__country-name">Saudi Arabia (‫المملكة العربية السعودية‬‎)</span><span class="iti__dial-code">+966</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sn" role="option" data-dial-code="221" data-country-code="sn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sn"></div>
                        </div><span class="iti__country-name">Senegal (Sénégal)</span><span class="iti__dial-code">+221</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rs" role="option" data-dial-code="381" data-country-code="rs" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__rs"></div>
                        </div><span class="iti__country-name">Serbia (Србија)</span><span class="iti__dial-code">+381</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sc" role="option" data-dial-code="248" data-country-code="sc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sc"></div>
                        </div><span class="iti__country-name">Seychelles</span><span class="iti__dial-code">+248</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sl" role="option" data-dial-code="232" data-country-code="sl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sl"></div>
                        </div><span class="iti__country-name">Sierra Leone</span><span class="iti__dial-code">+232</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sg" role="option" data-dial-code="65" data-country-code="sg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sg"></div>
                        </div><span class="iti__country-name">Singapore</span><span class="iti__dial-code">+65</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sx" role="option" data-dial-code="1" data-country-code="sx" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sx"></div>
                        </div><span class="iti__country-name">Sint Maarten</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sk" role="option" data-dial-code="421" data-country-code="sk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sk"></div>
                        </div><span class="iti__country-name">Slovakia (Slovensko)</span><span class="iti__dial-code">+421</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-si" role="option" data-dial-code="386" data-country-code="si" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__si"></div>
                        </div><span class="iti__country-name">Slovenia (Slovenija)</span><span class="iti__dial-code">+386</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sb" role="option" data-dial-code="677" data-country-code="sb" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sb"></div>
                        </div><span class="iti__country-name">Solomon Islands</span><span class="iti__dial-code">+677</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-so" role="option" data-dial-code="252" data-country-code="so" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__so"></div>
                        </div><span class="iti__country-name">Somalia (Soomaaliya)</span><span class="iti__dial-code">+252</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-za" role="option" data-dial-code="27" data-country-code="za" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__za"></div>
                        </div><span class="iti__country-name">South Africa</span><span class="iti__dial-code">+27</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kr" role="option" data-dial-code="82" data-country-code="kr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__kr"></div>
                        </div><span class="iti__country-name">South Korea (대한민국)</span><span class="iti__dial-code">+82</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ss" role="option" data-dial-code="211" data-country-code="ss" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ss"></div>
                        </div><span class="iti__country-name">South Sudan (‫جنوب السودان‬‎)</span><span class="iti__dial-code">+211</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-es" role="option" data-dial-code="34" data-country-code="es" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__es"></div>
                        </div><span class="iti__country-name">Spain (España)</span><span class="iti__dial-code">+34</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lk" role="option" data-dial-code="94" data-country-code="lk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__lk"></div>
                        </div><span class="iti__country-name">Sri Lanka (ශ්‍රී ලංකාව)</span><span class="iti__dial-code">+94</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sd" role="option" data-dial-code="249" data-country-code="sd" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sd"></div>
                        </div><span class="iti__country-name">Sudan (‫السودان‬‎)</span><span class="iti__dial-code">+249</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sr" role="option" data-dial-code="597" data-country-code="sr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sr"></div>
                        </div><span class="iti__country-name">Suriname</span><span class="iti__dial-code">+597</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sj" role="option" data-dial-code="47" data-country-code="sj" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sj"></div>
                        </div><span class="iti__country-name">Svalbard and Jan Mayen</span><span class="iti__dial-code">+47</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-se" role="option" data-dial-code="46" data-country-code="se" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__se"></div>
                        </div><span class="iti__country-name">Sweden (Sverige)</span><span class="iti__dial-code">+46</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ch" role="option" data-dial-code="41" data-country-code="ch" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ch"></div>
                        </div><span class="iti__country-name">Switzerland (Schweiz)</span><span class="iti__dial-code">+41</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sy" role="option" data-dial-code="963" data-country-code="sy" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__sy"></div>
                        </div><span class="iti__country-name">Syria (‫سوريا‬‎)</span><span class="iti__dial-code">+963</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tw" role="option" data-dial-code="886" data-country-code="tw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tw"></div>
                        </div><span class="iti__country-name">Taiwan (台灣)</span><span class="iti__dial-code">+886</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tj" role="option" data-dial-code="992" data-country-code="tj" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tj"></div>
                        </div><span class="iti__country-name">Tajikistan</span><span class="iti__dial-code">+992</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tz" role="option" data-dial-code="255" data-country-code="tz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tz"></div>
                        </div><span class="iti__country-name">Tanzania</span><span class="iti__dial-code">+255</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-th" role="option" data-dial-code="66" data-country-code="th" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__th"></div>
                        </div><span class="iti__country-name">Thailand (ไทย)</span><span class="iti__dial-code">+66</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tl" role="option" data-dial-code="670" data-country-code="tl" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tl"></div>
                        </div><span class="iti__country-name">Timor-Leste</span><span class="iti__dial-code">+670</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tg" role="option" data-dial-code="228" data-country-code="tg" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tg"></div>
                        </div><span class="iti__country-name">Togo</span><span class="iti__dial-code">+228</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tk" role="option" data-dial-code="690" data-country-code="tk" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tk"></div>
                        </div><span class="iti__country-name">Tokelau</span><span class="iti__dial-code">+690</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-to" role="option" data-dial-code="676" data-country-code="to" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__to"></div>
                        </div><span class="iti__country-name">Tonga</span><span class="iti__dial-code">+676</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tt" role="option" data-dial-code="1" data-country-code="tt" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tt"></div>
                        </div><span class="iti__country-name">Trinidad and Tobago</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tn" role="option" data-dial-code="216" data-country-code="tn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tn"></div>
                        </div><span class="iti__country-name">Tunisia (‫تونس‬‎)</span><span class="iti__dial-code">+216</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tr" role="option" data-dial-code="90" data-country-code="tr" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tr"></div>
                        </div><span class="iti__country-name">Turkey (Türkiye)</span><span class="iti__dial-code">+90</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tm" role="option" data-dial-code="993" data-country-code="tm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tm"></div>
                        </div><span class="iti__country-name">Turkmenistan</span><span class="iti__dial-code">+993</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tc" role="option" data-dial-code="1" data-country-code="tc" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tc"></div>
                        </div><span class="iti__country-name">Turks and Caicos Islands</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tv" role="option" data-dial-code="688" data-country-code="tv" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__tv"></div>
                        </div><span class="iti__country-name">Tuvalu</span><span class="iti__dial-code">+688</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vi" role="option" data-dial-code="1" data-country-code="vi" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__vi"></div>
                        </div><span class="iti__country-name">U.S. Virgin Islands</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ug" role="option" data-dial-code="256" data-country-code="ug" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ug"></div>
                        </div><span class="iti__country-name">Uganda</span><span class="iti__dial-code">+256</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ua" role="option" data-dial-code="380" data-country-code="ua" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ua"></div>
                        </div><span class="iti__country-name">Ukraine (Україна)</span><span class="iti__dial-code">+380</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ae" role="option" data-dial-code="971" data-country-code="ae" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ae"></div>
                        </div><span class="iti__country-name">United Arab Emirates (‫الإمارات العربية المتحدة‬‎)</span><span class="iti__dial-code">+971</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gb" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__gb"></div>
                        </div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-us" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__us"></div>
                        </div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uy" role="option" data-dial-code="598" data-country-code="uy" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__uy"></div>
                        </div><span class="iti__country-name">Uruguay</span><span class="iti__dial-code">+598</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uz" role="option" data-dial-code="998" data-country-code="uz" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__uz"></div>
                        </div><span class="iti__country-name">Uzbekistan (Oʻzbekiston)</span><span class="iti__dial-code">+998</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vu" role="option" data-dial-code="678" data-country-code="vu" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__vu"></div>
                        </div><span class="iti__country-name">Vanuatu</span><span class="iti__dial-code">+678</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-va" role="option" data-dial-code="39" data-country-code="va" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__va"></div>
                        </div><span class="iti__country-name">Vatican City (Città del Vaticano)</span><span class="iti__dial-code">+39</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ve" role="option" data-dial-code="58" data-country-code="ve" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ve"></div>
                        </div><span class="iti__country-name">Venezuela</span><span class="iti__dial-code">+58</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vn" role="option" data-dial-code="84" data-country-code="vn" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__vn"></div>
                        </div><span class="iti__country-name">Vietnam (Việt Nam)</span><span class="iti__dial-code">+84</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-wf" role="option" data-dial-code="681" data-country-code="wf" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__wf"></div>
                        </div><span class="iti__country-name">Wallis and Futuna (Wallis-et-Futuna)</span><span class="iti__dial-code">+681</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eh" role="option" data-dial-code="212" data-country-code="eh" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__eh"></div>
                        </div><span class="iti__country-name">Western Sahara (‫الصحراء الغربية‬‎)</span><span class="iti__dial-code">+212</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ye" role="option" data-dial-code="967" data-country-code="ye" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ye"></div>
                        </div><span class="iti__country-name">Yemen (‫اليمن‬‎)</span><span class="iti__dial-code">+967</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zm" role="option" data-dial-code="260" data-country-code="zm" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__zm"></div>
                        </div><span class="iti__country-name">Zambia</span><span class="iti__dial-code">+260</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zw" role="option" data-dial-code="263" data-country-code="zw" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__zw"></div>
                        </div><span class="iti__country-name">Zimbabwe</span><span class="iti__dial-code">+263</span>
                      </li>
                      <li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ax" role="option" data-dial-code="358" data-country-code="ax" aria-selected="false">
                        <div class="iti__flag-box">
                          <div class="iti__flag iti__ax"></div>
                        </div><span class="iti__country-name">Åland Islands</span><span class="iti__dial-code">+358</span>
                      </li>
                    </ul>
                  </div><input type="text" id="form_order_model_client_phone" name="form_order_model[client][phone]" class="form-control" autocomplete="off" placeholder="06 12 34 56 78" data-intl-tel-input-id="0">
                </div>
              </div>
            </div>
          </div>
          <div class="mb-3">
            <div class="form-check"><input type="checkbox" id="form_order_model_F3" name="form_order_model[F3]" required="required" class="form-check-input" value="1">
              <label class="form-check-label required" for="form_order_model_F3">Je certifie sur l'honneur être une personne physique de nationalité française ou résidant en France, et que le règlement de mon don ne provient pas d'une personne morale
                (association, société, société civile...) mais de mon compte bancaire personnel.</label>
            </div>
          </div>
          <div class="d-none">
            <div class="mb-3">
              <div class="form-check form-switch"><input type="checkbox" id="form_order_model_checkGRPD" name="form_order_model[checkGRPD]" required="required" class="form-check-input form-check-input" checked="checked" value="1">
                <label class="form-check-label checkbox-switch form-check-label required" for="form_order_model_checkGRPD">En soumettant ce formulaire, j'accepte que les informations saisies soient exploitées dans le cadre du traitement de mon don et
                  des communications diffusées par l'organisation.</label>
              </div>
            </div>
          </div>
          <div class="d-none">
            <div class="mb-3">
              <div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_isAnonymous" name="form_order_model[client][isAnonymous]" checked="checked" class="form-check-input" value="1">
                <label class="checkbox-switch form-check-label" for="form_order_model_client_isAnonymous">Je ne souhaite pas que mon nom apparaisse sur la liste des soutiens.</label>
              </div>
            </div>
          </div>
          <div class="mb-3">
            <div class="form-check form-switch"><input type="checkbox" id="form_order_model_client_hasNewsletter" name="form_order_model[client][hasNewsletter]" class="form-check-input" value="1">
              <label class="checkbox-switch form-check-label" for="form_order_model_client_hasNewsletter">Je souhaite recevoir la newsletter</label>
            </div>
          </div>
        </div>
      </div>
      <div class="col-120 col-lg-40">
        <h1 class="title">Mon <strong>règlement</strong></h1>
        <div class="block">
          <div data-controller="button" data-action="product:updated:amountOrQuantity@document->button#display periodicity:update:periodicity@document->button#displayFromPeriodicity">
            <button type="submit" id="form_order_model_3" name="form_order_model[3]" aria-label="" class="btn btn-primary submitButton trackingDonCB1 btn" data-button-target="buttonR" data-texts="Je donne par carte"
              data-textm="Je donne tous les mois par carte" data-periodicities="[&quot;M&quot;]" style="display: none;">Je donne par carte</button>
            <button type="submit" id="form_order_model_4" name="form_order_model[4]" aria-label="" class="btn btn-primary selected submitButton trackingDonCB1 btn" data-button-target="buttonP" data-texts="Je donne par carte"
              data-textm="Je donne par carte tous les mois" data-periodicities="[&quot;M&quot;]" style="display: block;">Je donne par carte</button>
            <button type="submit" id="form_order_model_1" name="form_order_model[1]" aria-label="" class="btn btn-primary submitButton trackingDonPA1 btn" data-button-target="buttonP" data-texts="Je fais un don par chèque"
              data-textm="Je donne par prélèvement mensuel" data-periodicities="[&quot;M&quot;]" style="display: block;">Je fais un don par chèque</button>
            <button type="submit" id="form_order_model_26" name="form_order_model[26]" aria-label="" class="btn btn-primary selected submitButton trackingDonPA1 btn" data-button-target="buttonR" data-texts="Je fais un don par chèque"
              data-textm="Je donne par prélèvement mensuel" data-periodicities="[&quot;M&quot;]" style="display: none;">Je fais un don par chèque</button>
          </div>
        </div>
        <h1>Mentions légales</h1>
        <div class="block">
          <div class="fr-view">
            <p>Il est possible, dans des cas exceptionnels, de faire un don directement par virement bancaire. Pour en discuter, contactez-nous à dons@avecruffin.fr<br><br>Pour toute demande d'aide technique ou de gestion de votre don, contactez-nous
              à dons@avecruffin.fr</p>
            <p>Les dons sont destinés à L'Association de financement de Picardie debout !, déclarée à la préfecture de la Somme le 12 février 2019, seule habilité à recevoir les dons en faveur de Picardie debout !. Un reçu détaché d’une formule
              numérotée vous sera directement adressé. Tout don de personne morale (entreprise, association, SCI, compte professionnel de professions libérales ou de commerçants…) est interdit.&nbsp;</p>
            <p id="isPasted">Vos dons sont indispensables notamment pour payer des salariés et des locaux de travail, organiser des événements, acheter du matériel, imprimer des affiches, des tracts...</p>
            <p>Ils nous aident à financer l'action politique de François Ruffin et de Picardie Debout !</p>
            <p>Premier alinéa de l’article 11-4 de la loi 88-227 du 11 mars 1988 modifiée : une personne physique peut verser un don à un parti ou groupement politique si elle est de nationalité française ou si elle réside en France. Les dons
              consentis et les cotisations versées en qualité d’adhérent d’un ou de plusieurs partis ou groupements politiques par une personne physique dûment identifiée à une ou plusieurs associations agréées en qualité d’association de financement
              ou à un ou plusieurs mandataires financiers d’un ou de plusieurs partis ou groupements politiques ne peuvent annuellement excéder 7 500 euros.&nbsp;</p>
            <p>Troisième alinéa de l’article 11-4 : Les personnes morales à l’exception des partis ou groupements politiques ne peuvent contribuer au financement des partis ou groupements politiques, ni en consentant des dons, sous quelque forme que
              ce soit, à leurs associations de financement ou à leurs mandataires financiers, ni en leur fournissant des biens, services ou autres avantages directs ou indirects à des prix inférieurs à ceux qui sont habituellement pratiqués. Les
              personnes morales, à l’exception des partis et groupements politiques ainsi que des établissements de crédit et sociétés de financement ayant leur siège social dans un Etat membre de l’Union européenne ou partie à l’accord sur l’Espace
              économique européen, ne peuvent ni consentir des prêts aux partis et groupements politiques ni apporter leur garantie aux prêts octroyés aux partis et groupements politiques.&nbsp;</p>
            <p>Premier alinéa de l’article 11-5 : Les personnes qui ont versé un don ou consenti un prêt à un ou plusieurs partis ou groupements politiques en violation des articles 11-3-1 et 11-4 sont punies de trois ans d’emprisonnement et de 45
              000 € d’amende.</p>
          </div>
          <div class="clearfix"></div>
        </div>
      </div>
    </div>
  </div>
  <div class="overlayPaiement" style="display:none;"></div>
  <input type="hidden" id="form_order_model_step" name="form_order_model[step]" value="2"><input type="hidden" id="form_order_model_codeSegment" name="form_order_model[codeSegment]"><input type="hidden" id="form_order_model_utmSource"
    name="form_order_model[utmSource]"><input type="hidden" id="form_order_model_utmMedium" name="form_order_model[utmMedium]"><input type="hidden" id="form_order_model_utmTerm" name="form_order_model[utmTerm]"><input type="hidden"
    id="form_order_model_utmContent" name="form_order_model[utmContent]"><input type="hidden" id="form_order_model_utmCampaign" name="form_order_model[utmCampaign]"><input type="hidden" id="form_order_model_externalId"
    name="form_order_model[externalId]"><input type="hidden" id="form_order_model_mediaCode" name="form_order_model[mediaCode]"><input type="hidden" id="form_order_model_fieldPositions" name="form_order_model[fieldPositions]"
    options="Doctrine\Common\Collections\ArrayCollection@00000000113139b3000000002e0173fc"><input type="hidden" id="form_order_model__token" name="form_order_model[_token]"
    value="a5175.5FUpLM8pNz8AEP1jq-9kLlrFnhOirP7bNa5rjNJTK7A.gDpbWaRveEpGR8gV_Y0JaxGg0SXkx6mxTccb-78xX9KGBlFdoRh4dGN_ng">
</form>

Text Content




FAIRE UN DON À FRANÇOIS RUFFIN

Vos dons sont indispensables notamment pour payer des salariés et des locaux de
travail, organiser des événements, acheter du matériel, imprimer des affiches,
des tracts... Ils nous aident à financer l'action politique de François Ruffin
et de Picardie Debout !

Vous pouvez faire un don ponctuel ou mensuel par Carte bancaire, prélèvement
SEPA ou par chèque en remplissant le formulaire ci-dessous. Vos dons ouvrent
droit à une réduction d'impôt sur le revenu égale à 66% du montant versé.


MON DON


JE DONNE UNE FOIS

20 €
50 €
100 €
500 €
€

Et si vous donniez plutôt

€ ?

(Vous pourrez déduire 66% du montant de vos impôts sur le revenu, soit € / an)

OK



 * Impôt sur le revenu

Votre don de 0 €, ne vous coûte que 0 € après réduction d'impôts de 66%, dans la
limite de 20% de votre revenu imposable. Le surplus étant reportable 5 ans.





Mensuelle


JE DONNE RÉGULIÈREMENT

10 € / mois
25 € / mois
50 € / mois
100 € / mois
€ / mois

 * Impôt sur le revenu

Votre don de 0 €, ne vous coûte que 0 € après réduction d'impôts de 66%, dans la
limite de 20% de votre revenu imposable. Le surplus étant reportable 5 ans.







MES COORDONNÉES

* Champs obligatoires
CivilitéMadameMonsieur
Nom
Prénom
E-mail
Je souhaite obtenir mon attestation fiscale
Adresse
Complément d'adresse
Code postal
Ville
Etat/ProvinceSélectionnez une
provinceAlbertaColombie-BritanniqueManitobaNouveau-BrunswickTerre-Neuve-et-LabradorNouvelle-ÉcosseOntarioÎle-du-Prince-ÉdouardQuébecSaskatchewan
Etat/ProvinceSélectionnez un
ÉtatAlabamaAlaskaArizonaArkansasCalifornieColoradoConnecticutDelawareFlorideGéorgieHawaïIdahoIllinoisIndianaIowaKansasKentuckyLouisianeMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNouveau-MexiqueNew YorkCaroline du NordDakota du
NordOhioOklahomaOregonPennsylvanieRhode IslandCaroline du SudDakota du
SudTennesseeTexasUtahVermontVirginieWashingtonVirginie-OccidentaleWisconsinWyoming
Pays France-------------------AfghanistanAfrique du
SudAlbanieAlgérieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie
saouditeArgentineArménieArubaAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBarbadeBelgiqueBelizeBéninBermudesBhoutanBiélorussieBolivieBosnie-HerzégovineBotswanaBrésilBruneiBulgarieBurkina
FasoBurundiCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongo-BrazzavilleCongo-KinshasaCorée
du NordCorée du SudCosta RicaCôte
d’IvoireCroatieCubaCuraçaoDanemarkDjiboutiDominiqueÉgypteÉmirats arabes
unisÉquateurÉrythréeEspagneEstonieEswatiniÉtat de la Cité du
VaticanÉtats-UnisÉthiopieFidjiFinlandeFranceGabonGambieGéorgieGéorgie du
Sud-et-les Îles Sandwich du
SudGhanaGibraltarGrèceGrenadeGroenlandGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée
équatorialeGuinée-BissauGuyanaGuyane françaiseHaïtiHondurasHongrieÎle BouvetÎle
ChristmasÎle de ManÎle NorfolkÎles ÅlandÎles CaïmansÎles CocosÎles CookÎles
FéroéÎles Heard-et-MacDonaldÎles MalouinesÎles Mariannes du NordÎles
MarshallÎles mineures éloignées des États-UnisÎles PitcairnÎles SalomonÎles
Turques-et-CaïquesÎles Vierges britanniquesÎles Vierges des
États-UnisIndeIndonésieIrakIranIrlandeIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKirghizstanKiribatiKoweïtLa
RéunionLaosLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacédoine
du
NordMadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauriceMauritanieMayotteMexiqueMicronésieMoldavieMonacoMongolieMonténégroMontserratMozambiqueMyanmar
(Birmanie)NamibieNauruNépalNicaraguaNigerNigeriaNiueNorvègeNouvelle-CalédonieNouvelle-ZélandeOmanOugandaOuzbékistanPakistanPalaosPanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPays-Bas
caribéensPérouPhilippinesPolognePolynésie françaisePorto RicoPortugalQatarR.A.S.
chinoise de Hong KongR.A.S. chinoise de MacaoRépublique centrafricaineRépublique
dominicaineRoumanieRoyaume-UniRussieRwandaSahara
occidentalSaint-BarthélemySaint-Christophe-et-NiévèsSaint-MarinSaint-MartinSaint-Martin
(partie néerlandaise)Saint-Pierre-et-MiquelonSaint-Vincent-et-les
GrenadinesSainte-HélèneSainte-LucieSalvadorSamoaSamoa américainesSao
Tomé-et-PrincipeSénégalSerbieSeychellesSierra
LeoneSingapourSlovaquieSlovénieSomalieSoudanSoudan du SudSri
LankaSuèdeSuisseSurinameSvalbard et Jan
MayenSyrieTadjikistanTaïwanTanzanieTchadTchéquieTerres australes
françaisesTerritoire britannique de l’océan IndienTerritoires
palestiniensThaïlandeTimor
orientalTogoTokelauTongaTrinité-et-TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaViêt
NamWallis-et-FutunaYémenZambieZimbabwe
Téléphone
 * 
   United States+1
 * 
   United Kingdom+44
 * 
 * 
   Afghanistan (‫افغانستان‬‎)+93
 * 
   Albania (Shqipëri)+355
 * 
   Algeria (‫الجزائر‬‎)+213
 * 
   American Samoa+1
 * 
   Andorra+376
 * 
   Angola+244
 * 
   Anguilla+1
 * 
   Antigua and Barbuda+1
 * 
   Argentina+54
 * 
   Armenia (Հայաստան)+374
 * 
   Aruba+297
 * 
   Ascension Island+247
 * 
   Australia+61
 * 
   Austria (Österreich)+43
 * 
   Azerbaijan (Azərbaycan)+994
 * 
   Bahamas+1
 * 
   Bahrain (‫البحرين‬‎)+973
 * 
   Bangladesh (বাংলাদেশ)+880
 * 
   Barbados+1
 * 
   Belarus (Беларусь)+375
 * 
   Belgium (België)+32
 * 
   Belize+501
 * 
   Benin (Bénin)+229
 * 
   Bermuda+1
 * 
   Bhutan (འབྲུག)+975
 * 
   Bolivia+591
 * 
   Bosnia and Herzegovina (Босна и Херцеговина)+387
 * 
   Botswana+267
 * 
   Brazil (Brasil)+55
 * 
   British Indian Ocean Territory+246
 * 
   British Virgin Islands+1
 * 
   Brunei+673
 * 
   Bulgaria (България)+359
 * 
   Burkina Faso+226
 * 
   Burundi (Uburundi)+257
 * 
   Cambodia (កម្ពុជា)+855
 * 
   Cameroon (Cameroun)+237
 * 
   Canada+1
 * 
   Cape Verde (Kabu Verdi)+238
 * 
   Caribbean Netherlands+599
 * 
   Cayman Islands+1
 * 
   Central African Republic (République centrafricaine)+236
 * 
   Chad (Tchad)+235
 * 
   Chile+56
 * 
   China (中国)+86
 * 
   Christmas Island+61
 * 
   Cocos (Keeling) Islands+61
 * 
   Colombia+57
 * 
   Comoros (‫جزر القمر‬‎)+269
 * 
   Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)+243
 * 
   Congo (Republic) (Congo-Brazzaville)+242
 * 
   Cook Islands+682
 * 
   Costa Rica+506
 * 
   Côte d’Ivoire+225
 * 
   Croatia (Hrvatska)+385
 * 
   Cuba+53
 * 
   Curaçao+599
 * 
   Cyprus (Κύπρος)+357
 * 
   Czech Republic (Česká republika)+420
 * 
   Denmark (Danmark)+45
 * 
   Djibouti+253
 * 
   Dominica+1
 * 
   Dominican Republic (República Dominicana)+1
 * 
   Ecuador+593
 * 
   Egypt (‫مصر‬‎)+20
 * 
   El Salvador+503
 * 
   Equatorial Guinea (Guinea Ecuatorial)+240
 * 
   Eritrea+291
 * 
   Estonia (Eesti)+372
 * 
   Eswatini+268
 * 
   Ethiopia+251
 * 
   Falkland Islands (Islas Malvinas)+500
 * 
   Faroe Islands (Føroyar)+298
 * 
   Fiji+679
 * 
   Finland (Suomi)+358
 * 
   France+33
 * 
   French Guiana (Guyane française)+594
 * 
   French Polynesia (Polynésie française)+689
 * 
   Gabon+241
 * 
   Gambia+220
 * 
   Georgia (საქართველო)+995
 * 
   Germany (Deutschland)+49
 * 
   Ghana (Gaana)+233
 * 
   Gibraltar+350
 * 
   Greece (Ελλάδα)+30
 * 
   Greenland (Kalaallit Nunaat)+299
 * 
   Grenada+1
 * 
   Guadeloupe+590
 * 
   Guam+1
 * 
   Guatemala+502
 * 
   Guernsey+44
 * 
   Guinea (Guinée)+224
 * 
   Guinea-Bissau (Guiné Bissau)+245
 * 
   Guyana+592
 * 
   Haiti+509
 * 
   Honduras+504
 * 
   Hong Kong (香港)+852
 * 
   Hungary (Magyarország)+36
 * 
   Iceland (Ísland)+354
 * 
   India (भारत)+91
 * 
   Indonesia+62
 * 
   Iran (‫ایران‬‎)+98
 * 
   Iraq (‫العراق‬‎)+964
 * 
   Ireland+353
 * 
   Isle of Man+44
 * 
   Israel (‫ישראל‬‎)+972
 * 
   Italy (Italia)+39
 * 
   Jamaica+1
 * 
   Japan (日本)+81
 * 
   Jersey+44
 * 
   Jordan (‫الأردن‬‎)+962
 * 
   Kazakhstan (Казахстан)+7
 * 
   Kenya+254
 * 
   Kiribati+686
 * 
   Kosovo+383
 * 
   Kuwait (‫الكويت‬‎)+965
 * 
   Kyrgyzstan (Кыргызстан)+996
 * 
   Laos (ລາວ)+856
 * 
   Latvia (Latvija)+371
 * 
   Lebanon (‫لبنان‬‎)+961
 * 
   Lesotho+266
 * 
   Liberia+231
 * 
   Libya (‫ليبيا‬‎)+218
 * 
   Liechtenstein+423
 * 
   Lithuania (Lietuva)+370
 * 
   Luxembourg+352
 * 
   Macau (澳門)+853
 * 
   Madagascar (Madagasikara)+261
 * 
   Malawi+265
 * 
   Malaysia+60
 * 
   Maldives+960
 * 
   Mali+223
 * 
   Malta+356
 * 
   Marshall Islands+692
 * 
   Martinique+596
 * 
   Mauritania (‫موريتانيا‬‎)+222
 * 
   Mauritius (Moris)+230
 * 
   Mayotte+262
 * 
   Mexico (México)+52
 * 
   Micronesia+691
 * 
   Moldova (Republica Moldova)+373
 * 
   Monaco+377
 * 
   Mongolia (Монгол)+976
 * 
   Montenegro (Crna Gora)+382
 * 
   Montserrat+1
 * 
   Morocco (‫المغرب‬‎)+212
 * 
   Mozambique (Moçambique)+258
 * 
   Myanmar (Burma) (မြန်မာ)+95
 * 
   Namibia (Namibië)+264
 * 
   Nauru+674
 * 
   Nepal (नेपाल)+977
 * 
   Netherlands (Nederland)+31
 * 
   New Caledonia (Nouvelle-Calédonie)+687
 * 
   New Zealand+64
 * 
   Nicaragua+505
 * 
   Niger (Nijar)+227
 * 
   Nigeria+234
 * 
   Niue+683
 * 
   Norfolk Island+672
 * 
   North Korea (조선 민주주의 인민 공화국)+850
 * 
   North Macedonia (Северна Македонија)+389
 * 
   Northern Mariana Islands+1
 * 
   Norway (Norge)+47
 * 
   Oman (‫عُمان‬‎)+968
 * 
   Pakistan (‫پاکستان‬‎)+92
 * 
   Palau+680
 * 
   Palestine (‫فلسطين‬‎)+970
 * 
   Panama (Panamá)+507
 * 
   Papua New Guinea+675
 * 
   Paraguay+595
 * 
   Peru (Perú)+51
 * 
   Philippines+63
 * 
   Poland (Polska)+48
 * 
   Portugal+351
 * 
   Puerto Rico+1
 * 
   Qatar (‫قطر‬‎)+974
 * 
   Réunion (La Réunion)+262
 * 
   Romania (România)+40
 * 
   Russia (Россия)+7
 * 
   Rwanda+250
 * 
   Saint Barthélemy+590
 * 
   Saint Helena+290
 * 
   Saint Kitts and Nevis+1
 * 
   Saint Lucia+1
 * 
   Saint Martin (Saint-Martin (partie française))+590
 * 
   Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)+508
 * 
   Saint Vincent and the Grenadines+1
 * 
   Samoa+685
 * 
   San Marino+378
 * 
   São Tomé and Príncipe (São Tomé e Príncipe)+239
 * 
   Saudi Arabia (‫المملكة العربية السعودية‬‎)+966
 * 
   Senegal (Sénégal)+221
 * 
   Serbia (Србија)+381
 * 
   Seychelles+248
 * 
   Sierra Leone+232
 * 
   Singapore+65
 * 
   Sint Maarten+1
 * 
   Slovakia (Slovensko)+421
 * 
   Slovenia (Slovenija)+386
 * 
   Solomon Islands+677
 * 
   Somalia (Soomaaliya)+252
 * 
   South Africa+27
 * 
   South Korea (대한민국)+82
 * 
   South Sudan (‫جنوب السودان‬‎)+211
 * 
   Spain (España)+34
 * 
   Sri Lanka (ශ්‍රී ලංකාව)+94
 * 
   Sudan (‫السودان‬‎)+249
 * 
   Suriname+597
 * 
   Svalbard and Jan Mayen+47
 * 
   Sweden (Sverige)+46
 * 
   Switzerland (Schweiz)+41
 * 
   Syria (‫سوريا‬‎)+963
 * 
   Taiwan (台灣)+886
 * 
   Tajikistan+992
 * 
   Tanzania+255
 * 
   Thailand (ไทย)+66
 * 
   Timor-Leste+670
 * 
   Togo+228
 * 
   Tokelau+690
 * 
   Tonga+676
 * 
   Trinidad and Tobago+1
 * 
   Tunisia (‫تونس‬‎)+216
 * 
   Turkey (Türkiye)+90
 * 
   Turkmenistan+993
 * 
   Turks and Caicos Islands+1
 * 
   Tuvalu+688
 * 
   U.S. Virgin Islands+1
 * 
   Uganda+256
 * 
   Ukraine (Україна)+380
 * 
   United Arab Emirates (‫الإمارات العربية المتحدة‬‎)+971
 * 
   United Kingdom+44
 * 
   United States+1
 * 
   Uruguay+598
 * 
   Uzbekistan (Oʻzbekiston)+998
 * 
   Vanuatu+678
 * 
   Vatican City (Città del Vaticano)+39
 * 
   Venezuela+58
 * 
   Vietnam (Việt Nam)+84
 * 
   Wallis and Futuna (Wallis-et-Futuna)+681
 * 
   Western Sahara (‫الصحراء الغربية‬‎)+212
 * 
   Yemen (‫اليمن‬‎)+967
 * 
   Zambia+260
 * 
   Zimbabwe+263
 * 
   Åland Islands+358

Je certifie sur l'honneur être une personne physique de nationalité française ou
résidant en France, et que le règlement de mon don ne provient pas d'une
personne morale (association, société, société civile...) mais de mon compte
bancaire personnel.
En soumettant ce formulaire, j'accepte que les informations saisies soient
exploitées dans le cadre du traitement de mon don et des communications
diffusées par l'organisation.
Je ne souhaite pas que mon nom apparaisse sur la liste des soutiens.
Je souhaite recevoir la newsletter


MON RÈGLEMENT

Je donne par carte Je donne par carte Je fais un don par chèque Je fais un don
par chèque


MENTIONS LÉGALES

Il est possible, dans des cas exceptionnels, de faire un don directement par
virement bancaire. Pour en discuter, contactez-nous à dons@avecruffin.fr

Pour toute demande d'aide technique ou de gestion de votre don, contactez-nous à
dons@avecruffin.fr

Les dons sont destinés à L'Association de financement de Picardie debout !,
déclarée à la préfecture de la Somme le 12 février 2019, seule habilité à
recevoir les dons en faveur de Picardie debout !. Un reçu détaché d’une formule
numérotée vous sera directement adressé. Tout don de personne morale
(entreprise, association, SCI, compte professionnel de professions libérales ou
de commerçants…) est interdit. 

Vos dons sont indispensables notamment pour payer des salariés et des locaux de
travail, organiser des événements, acheter du matériel, imprimer des affiches,
des tracts...

Ils nous aident à financer l'action politique de François Ruffin et de Picardie
Debout !

Premier alinéa de l’article 11-4 de la loi 88-227 du 11 mars 1988 modifiée : une
personne physique peut verser un don à un parti ou groupement politique si elle
est de nationalité française ou si elle réside en France. Les dons consentis et
les cotisations versées en qualité d’adhérent d’un ou de plusieurs partis ou
groupements politiques par une personne physique dûment identifiée à une ou
plusieurs associations agréées en qualité d’association de financement ou à un
ou plusieurs mandataires financiers d’un ou de plusieurs partis ou groupements
politiques ne peuvent annuellement excéder 7 500 euros. 

Troisième alinéa de l’article 11-4 : Les personnes morales à l’exception des
partis ou groupements politiques ne peuvent contribuer au financement des partis
ou groupements politiques, ni en consentant des dons, sous quelque forme que ce
soit, à leurs associations de financement ou à leurs mandataires financiers, ni
en leur fournissant des biens, services ou autres avantages directs ou indirects
à des prix inférieurs à ceux qui sont habituellement pratiqués. Les personnes
morales, à l’exception des partis et groupements politiques ainsi que des
établissements de crédit et sociétés de financement ayant leur siège social dans
un Etat membre de l’Union européenne ou partie à l’accord sur l’Espace
économique européen, ne peuvent ni consentir des prêts aux partis et groupements
politiques ni apporter leur garantie aux prêts octroyés aux partis et
groupements politiques. 

Premier alinéa de l’article 11-5 : Les personnes qui ont versé un don ou
consenti un prêt à un ou plusieurs partis ou groupements politiques en violation
des articles 11-3-1 et 11-4 sont punies de trois ans d’emprisonnement et de 45
000 € d’amende.




Retourner sur la plateforme de François Ruffin



 * GiveXpert est une solution européenne de collecte en ligne.
 * Les formulaires et le paiement sont 100% sécurisés.
 * Aucun % n’est prélevé sur sur vos dons.
 * L’ensemble des données personnelles recueillies sont hébergées en France et
   en Suisse.
 * GiveXpert fait partie du groupe Eudonet.

Vous aussi vous souhaitez une solution performante et éthique pour collecter ?
Visitez le site GiveXpert.





Gérer les cookies
Nous utilisons des cookies dans le cadre du suivi statistique de notre site.
Accepter les cookies
Refuser les cookies