
    <div id="keesame_plugin_message"></div>
    <form id="keesame_plugin_form_partner" class="keesame_plugin_form">
        <div class="container">
            <div class="row">
                                <div class="col-lg-12">
                    <div class="keesame_plugin_group">
                        <h3>Informations personnelles</h3>
                        <div class="row">
                                                                                    <div class="col-lg-6 form-group-type-text " >
                                <div id="group_person_first_name" class="form-group">
                                    <label for="input_person_first_name" class="keesame_plugin_label required">
                                        Prénom                                                                            </label>
                                                                            <input type="text" name="person_first_name" class="form-control " id="input_person_first_name" maxlength="255"   >
                                    </div>
                            </div>
                                                                                    <div class="col-lg-6 form-group-type-text " >
                                <div id="group_person_last_name" class="form-group">
                                    <label for="input_person_last_name" class="keesame_plugin_label required">
                                        Nom                                                                            </label>
                                                                            <input type="text" name="person_last_name" class="form-control " id="input_person_last_name" maxlength="255"   >
                                    </div>
                            </div>
                                                                                    <div class="col-lg-6 form-group-type-text " >
                                <div id="group_person_phone" class="form-group">
                                    <label for="input_person_phone" class="keesame_plugin_label required">
                                        Téléphone                                                                            </label>
                                                                            <input type="text" name="person_phone" class="form-control " id="input_person_phone" maxlength="14"   >
                                    </div>
                            </div>
                                                                                    <div class="col-lg-6 form-group-type-email " >
                                <div id="group_person_email" class="form-group">
                                    <label for="input_person_email" class="keesame_plugin_label required">
                                        Email                                                                            </label>
                                                                            <input type="email" name="person_email" class="form-control " id="input_person_email" maxlength="255"   >
                                    </div>
                            </div>
                                                    </div>
                    </div>
                </div>
                                <div class="col-lg-12">
                    <div class="keesame_plugin_group">
                        <h3>Entreprise</h3>
                        <div class="row">
                                                                                    <div class="col-lg-6 form-group-type-text " >
                                <div id="group_company_name" class="form-group">
                                    <label for="input_company_name" class="keesame_plugin_label required">
                                        Entreprise                                                                            </label>
                                                                            <input type="text" name="company_name" class="form-control " id="input_company_name" maxlength="255"   >
                                    </div>
                            </div>
                                                                                    <div class="col-lg-6 form-group-type-text " >
                                <div id="group_company_position" class="form-group">
                                    <label for="input_company_position" class="keesame_plugin_label required">
                                        Fonction                                                                            </label>
                                                                            <input type="text" name="company_position" class="form-control " id="input_company_position" maxlength="255"   >
                                    </div>
                            </div>
                                                                                    <div class=" form-group-type-select " >
                                <div id="group_company_country" class="form-group">
                                    <label for="input_company_country" class="keesame_plugin_label required">
                                        Pays                                                                            </label>
                                                                                <select name="company_country" class="form-control" id="input_company_country" style="width: 100%"  data-placeholder="Choisir une option">
        <option value=""></option>
                <option value="AFG" >Afghanistan</option>
                <option value="ALB" >Albania</option>
                <option value="DZA" >Algeria</option>
                <option value="AND" >Andorra</option>
                <option value="AGO" >Angola</option>
                <option value="ATG" >Antigua and Barbuda</option>
                <option value="ARG" >Argentina</option>
                <option value="ARM" >Armenia</option>
                <option value="AUS" >Australia</option>
                <option value="AUT" >Austria</option>
                <option value="AZE" >Azerbaijan</option>
                <option value="BHS" >Bahamas</option>
                <option value="BHR" >Bahrain</option>
                <option value="BGD" >Bangladesh</option>
                <option value="BRB" >Barbados</option>
                <option value="BLR" >Belarus</option>
                <option value="BEL" >Belgium</option>
                <option value="BLZ" >Belize</option>
                <option value="BEN" >Benin</option>
                <option value="BTN" >Bhutan</option>
                <option value="BOL" >Bolivia (Plurinational State of)</option>
                <option value="BIH" >Bosnia and Herzegovina</option>
                <option value="BWA" >Botswana</option>
                <option value="BRA" >Brazil</option>
                <option value="BRN" >Brunei Darussalam</option>
                <option value="BGR" >Bulgaria</option>
                <option value="BFA" >Burkina Faso</option>
                <option value="BDI" >Burundi</option>
                <option value="CPV" >Cabo Verde</option>
                <option value="KHM" >Cambodia</option>
                <option value="CMR" >Cameroon</option>
                <option value="CAN" >Canada</option>
                <option value="CAF" >Central African Republic</option>
                <option value="TCD" >Chad</option>
                <option value="CHL" >Chile</option>
                <option value="CHN" >China</option>
                <option value="COL" >Colombia</option>
                <option value="COM" >Comoros</option>
                <option value="COG" >Congo</option>
                <option value="COD" >Congo, Democratic Republic of the</option>
                <option value="CRI" >Costa Rica</option>
                <option value="CIV" >Côte d'Ivoire</option>
                <option value="HRV" >Croatia</option>
                <option value="CUB" >Cuba</option>
                <option value="CYP" >Cyprus</option>
                <option value="CZE" >Czechia</option>
                <option value="DNK" >Denmark</option>
                <option value="DJI" >Djibouti</option>
                <option value="DMA" >Dominica</option>
                <option value="DOM" >Dominican Republic</option>
                <option value="ECU" >Ecuador</option>
                <option value="EGY" >Egypt</option>
                <option value="SLV" >El Salvador</option>
                <option value="GNQ" >Equatorial Guinea</option>
                <option value="ERI" >Eritrea</option>
                <option value="EST" >Estonia</option>
                <option value="SWZ" >Eswatini</option>
                <option value="ETH" >Ethiopia</option>
                <option value="FJI" >Fiji</option>
                <option value="FIN" >Finland</option>
                <option value="FRA" >France</option>
                <option value="GAB" >Gabon</option>
                <option value="GMB" >Gambia</option>
                <option value="GEO" >Georgia</option>
                <option value="DEU" >Germany</option>
                <option value="GHA" >Ghana</option>
                <option value="GRC" >Greece</option>
                <option value="GRD" >Grenada</option>
                <option value="GTM" >Guatemala</option>
                <option value="GIN" >Guinea</option>
                <option value="GNB" >Guinea-Bissau</option>
                <option value="GUY" >Guyana</option>
                <option value="HTI" >Haiti</option>
                <option value="HND" >Honduras</option>
                <option value="HUN" >Hungary</option>
                <option value="ISL" >Iceland</option>
                <option value="IND" >India</option>
                <option value="IDN" >Indonesia</option>
                <option value="IRN" >Iran (Islamic Republic of)</option>
                <option value="IRQ" >Iraq</option>
                <option value="IRL" >Ireland</option>
                <option value="ISR" >Israel</option>
                <option value="ITA" >Italy</option>
                <option value="JAM" >Jamaica</option>
                <option value="JPN" >Japan</option>
                <option value="JOR" >Jordan</option>
                <option value="KAZ" >Kazakhstan</option>
                <option value="KEN" >Kenya</option>
                <option value="KIR" >Kiribati</option>
                <option value="PRK" >Korea (Democratic People's Republic of)</option>
                <option value="KOR" >Korea, Republic of</option>
                <option value="KWT" >Kuwait</option>
                <option value="KGZ" >Kyrgyzstan</option>
                <option value="LAO" >Lao People's Democratic Republic</option>
                <option value="LVA" >Latvia</option>
                <option value="LBN" >Lebanon</option>
                <option value="LSO" >Lesotho</option>
                <option value="LBR" >Liberia</option>
                <option value="LBY" >Libya</option>
                <option value="LIE" >Liechtenstein</option>
                <option value="LTU" >Lithuania</option>
                <option value="LUX" >Luxembourg</option>
                <option value="MDG" >Madagascar</option>
                <option value="MWI" >Malawi</option>
                <option value="MYS" >Malaysia</option>
                <option value="MDV" >Maldives</option>
                <option value="MLI" >Mali</option>
                <option value="MLT" >Malta</option>
                <option value="MHL" >Marshall Islands</option>
                <option value="MRT" >Mauritania</option>
                <option value="MUS" >Mauritius</option>
                <option value="MEX" >Mexico</option>
                <option value="FSM" >Micronesia (Federated States of)</option>
                <option value="MDA" >Moldova, Republic of</option>
                <option value="MCO" >Monaco</option>
                <option value="MNG" >Mongolia</option>
                <option value="MNE" >Montenegro</option>
                <option value="MAR" >Morocco</option>
                <option value="MOZ" >Mozambique</option>
                <option value="MMR" >Myanmar</option>
                <option value="NAM" >Namibia</option>
                <option value="NRU" >Nauru</option>
                <option value="NPL" >Nepal</option>
                <option value="NLD" >Netherlands</option>
                <option value="NZL" >New Zealand</option>
                <option value="NIC" >Nicaragua</option>
                <option value="NER" >Niger</option>
                <option value="NGA" >Nigeria</option>
                <option value="MKD" >North Macedonia</option>
                <option value="NOR" >Norway</option>
                <option value="OMN" >Oman</option>
                <option value="PAK" >Pakistan</option>
                <option value="PLW" >Palau</option>
                <option value="PAN" >Panama</option>
                <option value="PNG" >Papua New Guinea</option>
                <option value="PRY" >Paraguay</option>
                <option value="PER" >Peru</option>
                <option value="PHL" >Philippines</option>
                <option value="POL" >Poland</option>
                <option value="PRT" >Portugal</option>
                <option value="QAT" >Qatar</option>
                <option value="ROU" >Romania</option>
                <option value="RUS" >Russian Federation</option>
                <option value="RWA" >Rwanda</option>
                <option value="KNA" >Saint Kitts and Nevis</option>
                <option value="LCA" >Saint Lucia</option>
                <option value="VCT" >Saint Vincent and the Grenadines</option>
                <option value="WSM" >Samoa</option>
                <option value="SMR" >San Marino</option>
                <option value="STP" >Sao Tome and Principe</option>
                <option value="SAU" >Saudi Arabia</option>
                <option value="SEN" >Senegal</option>
                <option value="SRB" >Serbia</option>
                <option value="SYC" >Seychelles</option>
                <option value="SLE" >Sierra Leone</option>
                <option value="SGP" >Singapore</option>
                <option value="SVK" >Slovakia</option>
                <option value="SVN" >Slovenia</option>
                <option value="SLB" >Solomon Islands</option>
                <option value="SOM" >Somalia</option>
                <option value="ZAF" >South Africa</option>
                <option value="SSD" >South Sudan</option>
                <option value="ESP" >Spain</option>
                <option value="LKA" >Sri Lanka</option>
                <option value="SDN" >Sudan</option>
                <option value="SUR" >Suriname</option>
                <option value="SWE" >Sweden</option>
                <option value="CHE" >Switzerland</option>
                <option value="SYR" >Syrian Arab Republic</option>
                <option value="TJK" >Tajikistan</option>
                <option value="TZA" >Tanzania, United Republic of</option>
                <option value="THA" >Thailand</option>
                <option value="TLS" >Timor-Leste</option>
                <option value="TGO" >Togo</option>
                <option value="TON" >Tonga</option>
                <option value="TTO" >Trinidad and Tobago</option>
                <option value="TUN" >Tunisia</option>
                <option value="TUR" >Turkey</option>
                <option value="TKM" >Turkmenistan</option>
                <option value="TUV" >Tuvalu</option>
                <option value="UGA" >Uganda</option>
                <option value="UKR" >Ukraine</option>
                <option value="ARE" >United Arab Emirates</option>
                <option value="GBR" >United Kingdom of Great Britain and Northern Ireland</option>
                <option value="USA" >United States of America</option>
                <option value="URY" >Uruguay</option>
                <option value="UZB" >Uzbekistan</option>
                <option value="VUT" >Vanuatu</option>
                <option value="VEN" >Venezuela (Bolivarian Republic of)</option>
                <option value="VNM" >Viet Nam</option>
                <option value="YEM" >Yemen</option>
                <option value="ZMB" >Zambia</option>
                <option value="ZWE" >Zimbabwe</option>
            </select>
                                    </div>
                            </div>
                                                                                    <div class=" form-group-type-textarea " >
                                <div id="group_company_address" class="form-group">
                                    <label for="input_company_address" class="keesame_plugin_label required">
                                        Adresse                                                                            </label>
                                                                            <textarea name="company_address" class="form-control" id="input_company_address" rows="6" maxlength="255" ></textarea>
                                    </div>
                            </div>
                                                    </div>
                    </div>
                </div>
                                <div class="col-lg-12">
                    <div class="keesame_plugin_group">
                        <h3>Votre demande</h3>
                        <div class="row">
                                                                                    <div class=" form-group-type-select " >
                                <div id="group_request_relationship" class="form-group">
                                    <label for="input_request_relationship" class="keesame_plugin_label required">
                                        Relation avec Adwya                                                                            </label>
                                                                                <select name="request_relationship" class="form-control" id="input_request_relationship" style="width: 100%"  data-placeholder="Choisir une option">
        <option value=""></option>
                <option value="0" >Actionnaire / investisseur potential</option>
                <option value="1" >Partenaire d’affaires</option>
                <option value="2" >Client</option>
                <option value="3" >Média</option>
            </select>
                                    </div>
                            </div>
                                                                                    <div class=" form-group-type-select " >
                                <div id="group_request_subject" class="form-group">
                                    <label for="input_request_subject" class="keesame_plugin_label required">
                                        Objet                                                                            </label>
                                                                                <select name="request_subject" class="form-control" id="input_request_subject" style="width: 100%"  data-placeholder="Choisir une option">
        <option value=""></option>
                <option value="0" >Opportunité de business développement</option>
                <option value="1" >Export</option>
                <option value="2" >Fabrication</option>
                <option value="3" >IT</option>
                <option value="4" >Promotion médicale</option>
                <option value="5" >Commercial</option>
                <option value="6" >Média et presse</option>
            </select>
                                    </div>
                            </div>
                                                                                    <div class=" form-group-type-textarea " >
                                <div id="group_request_message" class="form-group">
                                    <label for="input_request_message" class="keesame_plugin_label required">
                                        Message                                                                            </label>
                                                                            <textarea name="request_message" class="form-control" id="input_request_message" rows="6" maxlength="255" ></textarea>
                                    </div>
                            </div>
                                                    </div>
                    </div>
                </div>
                            </div>
            <div class="row">
                <div class="col text-center">
                    <button type="submit" class="btn btn-large btn-primary">Envoyer</button>
                    <div id="group_form_control" class="form-group" style="visibility: hidden">
                        <label for="input_form_control" class="keesame_plugin_label">Form Control</label>
                        <input type="text" name="form_control" class="form-control " id="input_form_control" maxlength="255">
                        <input type="text" name="form_name" class="form-control " id="input_form_name" value="partner">
                    </div>
                </div>
            </div>
        </div>
    </form>
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