{"id":4354,"date":"2023-04-05T17:24:27","date_gmt":"2023-04-05T15:24:27","guid":{"rendered":"https:\/\/orava.lu\/facturatioun\/"},"modified":"2023-08-22T11:48:58","modified_gmt":"2023-08-22T09:48:58","slug":"facturatioun","status":"publish","type":"page","link":"https:\/\/orava.lu\/lu-lu\/facturatioun\/","title":{"rendered":"Facturatioun"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4354\" class=\"elementor elementor-4354 elementor-357\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-916faa4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"916faa4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-21a9ab5\" data-id=\"21a9ab5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c3ac33 pp-wpforms-labels-yes pp-wpforms-form-button-custom elementor-widget elementor-widget-pp-wpforms\" data-id=\"2c3ac33\" data-element_type=\"widget\" data-widget_type=\"pp-wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-contact-form pp-wpforms pp-custom-radio-checkbox\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-463\"><form id=\"wpforms-form-463\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"463\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/lu-lu\/wp-json\/wp\/v2\/pages\/4354?wpforms_form_id=463\" data-token=\"8e910c161bfec729c30c06eed6416bc3\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Facturation<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator circles\" data-indicator=\"circles\" data-indicator-color=\"#f1850d\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"4\" tabindex=\"-1\"><div class=\"wpforms-page-indicator-page active wpforms-page-indicator-page-1\"><span class=\"wpforms-page-indicator-page-number\" style=\"background-color:#f1850d\">1<\/span><span class=\"wpforms-page-indicator-page-title\">Donn\u00e9es personnelles<span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-2\"><span class=\"wpforms-page-indicator-page-number\">2<\/span><span class=\"wpforms-page-indicator-page-title\">Prestation<span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-3\"><span class=\"wpforms-page-indicator-page-number\">3<\/span><span class=\"wpforms-page-indicator-page-title\">D\u00e9tails de prestation<span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-4\"><span class=\"wpforms-page-indicator-page-number\">4<\/span><span class=\"wpforms-page-indicator-page-title\">Remarques<span><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-463-field_81-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"81\"><\/div><div id=\"wpforms-463-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Pr\u00e9nom &amp; Nom <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-463-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-463-field_1-error\" required><label for=\"wpforms-463-field_1\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-463-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-463-field_1-last-error\" required><label for=\"wpforms-463-field_1-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-463-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_2\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-463-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-463-field_2-error\" required><\/div><div id=\"wpforms-463-field_3-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Adresse <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-463-field_3\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][3][address1]\" placeholder=\"Num\u00e9ro &amp; rue\" aria-errormessage=\"wpforms-463-field_3-error\" required><label for=\"wpforms-463-field_3\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-463-field_3-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][3][city]\" placeholder=\"Ville\" aria-errormessage=\"wpforms-463-field_3-city-error\" required><label for=\"wpforms-463-field_3-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-463-field_3-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][3][postal]\" placeholder=\"Code Postal\" aria-errormessage=\"wpforms-463-field_3-postal-error\" required><label for=\"wpforms-463-field_3-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-463-field_3-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][3][country]\" value=\"LU\" aria-errormessage=\"wpforms-463-field_3-country-error\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\"  selected='selected'>Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-463-field_3-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-463-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_8\">IBAN <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-463-field_8-error\" required><\/div><div id=\"wpforms-463-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_9\">Banque (BIC)<\/label><input type=\"text\" id=\"wpforms-463-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-463-field_9-error\" ><\/div><div id=\"wpforms-463-field_98-container\" class=\"wpforms-field wpforms-field-radio tva wpforms-list-inline wpforms-conditional-trigger\" data-field-id=\"98\"><fieldset><legend class=\"wpforms-field-label\">Num\u00e9ro de TVA<\/legend><ul id=\"wpforms-463-field_98\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-463-field_98_1\" name=\"wpforms[fields][98]\" value=\"Oui\" aria-errormessage=\"wpforms-463-field_98_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-463-field_98_1\">Oui<\/label><\/li><li class=\"choice-2 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-463-field_98_2\" name=\"wpforms[fields][98]\" value=\"Non\" aria-errormessage=\"wpforms-463-field_98_2-error\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-463-field_98_2\">Non<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-463-field_97-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"97\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_97\" aria-hidden=\"false\">Num\u00e9ro de TVA <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_97\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][97]\" aria-errormessage=\"wpforms-463-field_97-error\" aria-describedby=\"wpforms-463-field_97-description\" required><div id=\"wpforms-463-field_97-description\" class=\"wpforms-field-description\">Veuillez indiquer votre num\u00e9ro de TVA<\/div><\/div><div id=\"wpforms-463-field_80-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"80\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-463-field_13-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_13\">N\u00b0 de contrat <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-463-field_13-error\" required><\/div><div id=\"wpforms-463-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_11\">Client <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-463-field_11-error\" required><\/div><div id=\"wpforms-463-field_241-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"241\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_241\">Mission (voir contrat) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_241\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][241]\" aria-errormessage=\"wpforms-463-field_241-error\" required><\/div><div id=\"wpforms-463-field_49-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-trigger\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_49\">Nombre de jour prest\u00e9s <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" placeholder=\"Veuillez indiquer un nombre entre 1 et 10.\" aria-errormessage=\"wpforms-463-field_49-error\" required><\/div><div id=\"wpforms-463-field_83-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"83\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-463-field_51-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"51\"><h3 id=\"wpforms-463-field_51\" name=\"wpforms[fields][51]\" aria-errormessage=\"wpforms-463-field_51-error\">Jour 1<\/h3><\/div><div id=\"wpforms-463-field_15-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_15\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_15\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][15][date]\" aria-errormessage=\"wpforms-463-field_15-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_17\">Lieu de travail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-463-field_17-error\" required><\/div><div id=\"wpforms-463-field_20-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"20\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_20\" aria-hidden=\"false\">Mise en page<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_99-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j1\" data-field-id=\"99\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_99-time\">Heure d\u00e9but <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_99-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][99][time]\" aria-errormessage=\"wpforms-463-field_99-time-error\" required><\/div><div id=\"wpforms-463-field_100-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j1\" data-field-id=\"100\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_100-time\">Heure fin <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_100-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][100][time]\" aria-errormessage=\"wpforms-463-field_100-time-error\" required><\/div><div id=\"wpforms-463-field_161-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input\" data-field-id=\"161\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_161\">Tarif horaire en \u20ac <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_161\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][161]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_161-error\" required><\/div><div id=\"wpforms-463-field_101-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd\" data-field-id=\"101\"><div id=\"wpforms-463-field_101\" aria-errormessage=\"wpforms-463-field_101-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-1\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_19-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_19\">Nombre de KM<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_19-error\" ><\/div><div id=\"wpforms-463-field_160-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input\" data-field-id=\"160\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_160\">Tarif par KM en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_160\" class=\"wpforms-field-medium\" name=\"wpforms[fields][160]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_160-error\" ><\/div><div id=\"wpforms-463-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_24\">Achats \/ Parking<\/label><input type=\"text\" id=\"wpforms-463-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_24-error\" ><\/div><div id=\"wpforms-463-field_162-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input\" data-field-id=\"162\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_162\">Co\u00fbts en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_162\" class=\"wpforms-field-medium\" name=\"wpforms[fields][162]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_162-error\" aria-describedby=\"wpforms-463-field_162-description\" ><div id=\"wpforms-463-field_162-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_152-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j1\" data-field-id=\"152\"><input type=\"hidden\" id=\"wpforms-463-field_152\" name=\"wpforms[fields][152]\" aria-errormessage=\"wpforms-463-field_152-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_53-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"53\" style=\"display:none;\"><h3 id=\"wpforms-463-field_53\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-463-field_53-error\">Jour 2<\/h3><\/div><div id=\"wpforms-463-field_27-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_27\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_27\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][27][date]\" aria-errormessage=\"wpforms-463-field_27-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_33-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"33\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_33\">Lieu de travail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-463-field_33-error\" required><\/div><div id=\"wpforms-463-field_107-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"107\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_107\" aria-hidden=\"false\">Mise en page<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_108-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j2 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"108\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_108-time\">Heure d\u00e9but <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_108-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][108][time]\" aria-errormessage=\"wpforms-463-field_108-time-error\" required><\/div><div id=\"wpforms-463-field_112-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j2 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"112\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_112-time\">Heure fin <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_112-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][112][time]\" aria-errormessage=\"wpforms-463-field_112-time-error\" required><\/div><div id=\"wpforms-463-field_163-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"163\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_163\">Tarif horaire en \u20ac <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_163\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][163]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_163-error\" required><\/div><div id=\"wpforms-463-field_109-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"109\" style=\"display:none;\"><div id=\"wpforms-463-field_109\" aria-errormessage=\"wpforms-463-field_109-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-2\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_110-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"110\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_110\">Nombre de KM<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_110\" class=\"wpforms-field-medium\" name=\"wpforms[fields][110]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_110-error\" ><\/div><div id=\"wpforms-463-field_154-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"154\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_154\">Tarif par KM en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_154\" class=\"wpforms-field-medium\" name=\"wpforms[fields][154]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_154-error\" ><\/div><div id=\"wpforms-463-field_111-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"111\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_111\">Achats \/ Parking<\/label><input type=\"text\" id=\"wpforms-463-field_111\" class=\"wpforms-field-medium\" name=\"wpforms[fields][111]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_111-error\" ><\/div><div id=\"wpforms-463-field_164-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"164\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_164\">Co\u00fbts en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_164\" class=\"wpforms-field-medium\" name=\"wpforms[fields][164]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_164-error\" aria-describedby=\"wpforms-463-field_164-description\" ><div id=\"wpforms-463-field_164-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_147-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j2\" data-field-id=\"147\"><input type=\"hidden\" id=\"wpforms-463-field_147\" name=\"wpforms[fields][147]\" aria-errormessage=\"wpforms-463-field_147-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_57-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"57\" style=\"display:none;\"><h3 id=\"wpforms-463-field_57\" name=\"wpforms[fields][57]\" aria-errormessage=\"wpforms-463-field_57-error\">Jour 3<\/h3><\/div><div id=\"wpforms-463-field_38-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"38\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_38\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_38\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][38][date]\" aria-errormessage=\"wpforms-463-field_38-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_44-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_44\">Lieu de travail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-463-field_44-error\" required><\/div><div id=\"wpforms-463-field_116-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"116\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_116\" aria-hidden=\"false\">Mise en page<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_117-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j3 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"117\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_117-time\">Heure d\u00e9but <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_117-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][117][time]\" aria-errormessage=\"wpforms-463-field_117-time-error\" required><\/div><div id=\"wpforms-463-field_121-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j3 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"121\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_121-time\">Heure fin <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_121-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][121][time]\" aria-errormessage=\"wpforms-463-field_121-time-error\" required><\/div><div id=\"wpforms-463-field_165-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"165\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_165\">Tarif horaire en \u20ac <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_165\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][165]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_165-error\" required><\/div><div id=\"wpforms-463-field_118-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"118\" style=\"display:none;\"><div id=\"wpforms-463-field_118\" aria-errormessage=\"wpforms-463-field_118-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-3\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_119-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"119\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_119\">Nombre de KM <\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_119\" class=\"wpforms-field-medium\" name=\"wpforms[fields][119]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_119-error\" ><\/div><div id=\"wpforms-463-field_155-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"155\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_155\">Tarif par KM en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_155\" class=\"wpforms-field-medium\" name=\"wpforms[fields][155]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_155-error\" ><\/div><div id=\"wpforms-463-field_120-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"120\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_120\">Achats \/ Parking<\/label><input type=\"text\" id=\"wpforms-463-field_120\" class=\"wpforms-field-medium\" name=\"wpforms[fields][120]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_120-error\" ><\/div><div id=\"wpforms-463-field_166-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"166\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_166\">Co\u00fbts en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_166\" class=\"wpforms-field-medium\" name=\"wpforms[fields][166]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_166-error\" aria-describedby=\"wpforms-463-field_166-description\" ><div id=\"wpforms-463-field_166-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_148-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j3\" data-field-id=\"148\"><input type=\"hidden\" id=\"wpforms-463-field_148\" name=\"wpforms[fields][148]\" aria-errormessage=\"wpforms-463-field_148-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_58-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"58\" style=\"display:none;\"><h3 id=\"wpforms-463-field_58\" name=\"wpforms[fields][58]\" aria-errormessage=\"wpforms-463-field_58-error\">Jour 4<\/h3><\/div><div id=\"wpforms-463-field_59-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"59\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_59\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_59\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][59][date]\" aria-errormessage=\"wpforms-463-field_59-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_65-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"65\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_65\">Lieu de travail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_65\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][65]\" aria-errormessage=\"wpforms-463-field_65-error\" required><\/div><div id=\"wpforms-463-field_125-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"125\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_125\" aria-hidden=\"false\">Mise en page<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_126-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j4 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"126\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_126-time\">Heure d\u00e9but <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_126-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][126][time]\" aria-errormessage=\"wpforms-463-field_126-time-error\" required><\/div><div id=\"wpforms-463-field_130-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j4 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"130\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_130-time\">Heure fin  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_130-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][130][time]\" aria-errormessage=\"wpforms-463-field_130-time-error\" required><\/div><div id=\"wpforms-463-field_167-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"167\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_167\">Tarif horaire en \u20ac  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_167\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][167]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_167-error\" required><\/div><div id=\"wpforms-463-field_127-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"127\" style=\"display:none;\"><div id=\"wpforms-463-field_127\" aria-errormessage=\"wpforms-463-field_127-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-4\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_128-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"128\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_128\">Nombre de KM<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_128\" class=\"wpforms-field-medium\" name=\"wpforms[fields][128]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_128-error\" ><\/div><div id=\"wpforms-463-field_156-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"156\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_156\">Tarif par KM en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_156\" class=\"wpforms-field-medium\" name=\"wpforms[fields][156]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_156-error\" ><\/div><div id=\"wpforms-463-field_129-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"129\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_129\">Achats \/ Parking <\/label><input type=\"text\" id=\"wpforms-463-field_129\" class=\"wpforms-field-medium\" name=\"wpforms[fields][129]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_129-error\" ><\/div><div id=\"wpforms-463-field_168-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"168\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_168\">Co\u00fbts en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_168\" class=\"wpforms-field-medium\" name=\"wpforms[fields][168]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_168-error\" aria-describedby=\"wpforms-463-field_168-description\" ><div id=\"wpforms-463-field_168-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_149-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j4\" data-field-id=\"149\"><input type=\"hidden\" id=\"wpforms-463-field_149\" name=\"wpforms[fields][149]\" aria-errormessage=\"wpforms-463-field_149-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_69-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"69\" style=\"display:none;\"><h3 id=\"wpforms-463-field_69\" name=\"wpforms[fields][69]\" aria-errormessage=\"wpforms-463-field_69-error\">Jour 5<\/h3><\/div><div id=\"wpforms-463-field_70-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_70\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_70\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][70][date]\" aria-errormessage=\"wpforms-463-field_70-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_76\">Lieu de travail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_76\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][76]\" aria-errormessage=\"wpforms-463-field_76-error\" required><\/div><div id=\"wpforms-463-field_134-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"134\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_134\" aria-hidden=\"false\">Mise en page<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_135-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j5 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"135\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_135-time\">Heure d\u00e9but  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_135-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][135][time]\" aria-errormessage=\"wpforms-463-field_135-time-error\" required><\/div><div id=\"wpforms-463-field_139-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j5 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"139\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_139-time\">Heure fin   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_139-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][139][time]\" aria-errormessage=\"wpforms-463-field_139-time-error\" required><\/div><div id=\"wpforms-463-field_169-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"169\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_169\">Tarif horaire en \u20ac  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_169\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][169]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_169-error\" required><\/div><div id=\"wpforms-463-field_136-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"136\" style=\"display:none;\"><div id=\"wpforms-463-field_136\" aria-errormessage=\"wpforms-463-field_136-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-5\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_137-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"137\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_137\">Nombre de KM<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_137\" class=\"wpforms-field-medium\" name=\"wpforms[fields][137]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_137-error\" ><\/div><div id=\"wpforms-463-field_157-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"157\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_157\">Tarif par KM en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_157\" class=\"wpforms-field-medium\" name=\"wpforms[fields][157]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_157-error\" ><\/div><div id=\"wpforms-463-field_138-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"138\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_138\">Achats \/ Parking <\/label><input type=\"text\" id=\"wpforms-463-field_138\" class=\"wpforms-field-medium\" name=\"wpforms[fields][138]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_138-error\" ><\/div><div id=\"wpforms-463-field_170-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"170\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_170\">Co\u00fbts en \u20ac<\/label><input type=\"text\" id=\"wpforms-463-field_170\" class=\"wpforms-field-medium\" name=\"wpforms[fields][170]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_170-error\" aria-describedby=\"wpforms-463-field_170-description\" ><div id=\"wpforms-463-field_170-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_150-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j5\" data-field-id=\"150\"><input type=\"hidden\" id=\"wpforms-463-field_150\" name=\"wpforms[fields][150]\" aria-errormessage=\"wpforms-463-field_150-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_171-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"171\" style=\"display:none;\"><h3 id=\"wpforms-463-field_171\" name=\"wpforms[fields][171]\" aria-errormessage=\"wpforms-463-field_171-error\">Jour 6<\/h3><\/div><div id=\"wpforms-463-field_172-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"172\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_172\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_172\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][172][date]\" aria-errormessage=\"wpforms-463-field_172-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_173-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"173\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_173\">Lieu de travail  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_173\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][173]\" aria-errormessage=\"wpforms-463-field_173-error\" required><\/div><div id=\"wpforms-463-field_174-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"174\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_174\" aria-hidden=\"false\">Mise en page <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_175-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j6 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"175\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_175-time\">Heure d\u00e9but  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_175-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][175][time]\" aria-errormessage=\"wpforms-463-field_175-time-error\" required><\/div><div id=\"wpforms-463-field_176-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j6 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"176\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_176-time\">Heure fin   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_176-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][176][time]\" aria-errormessage=\"wpforms-463-field_176-time-error\" required><\/div><div id=\"wpforms-463-field_177-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"177\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_177\">Tarif horaire en \u20ac   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_177\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][177]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_177-error\" required><\/div><div id=\"wpforms-463-field_178-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"178\" style=\"display:none;\"><div id=\"wpforms-463-field_178\" aria-errormessage=\"wpforms-463-field_178-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-6\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_179-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"179\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_179\">Nombre de KM<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_179\" class=\"wpforms-field-medium\" name=\"wpforms[fields][179]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_179-error\" ><\/div><div id=\"wpforms-463-field_180-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"180\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_180\">Tarif par KM en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_180\" class=\"wpforms-field-medium\" name=\"wpforms[fields][180]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_180-error\" ><\/div><div id=\"wpforms-463-field_181-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"181\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_181\">Achats \/ Parking  <\/label><input type=\"text\" id=\"wpforms-463-field_181\" class=\"wpforms-field-medium\" name=\"wpforms[fields][181]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_181-error\" ><\/div><div id=\"wpforms-463-field_182-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"182\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_182\">Co\u00fbts en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_182\" class=\"wpforms-field-medium\" name=\"wpforms[fields][182]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_182-error\" aria-describedby=\"wpforms-463-field_182-description\" ><div id=\"wpforms-463-field_182-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_183-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j6\" data-field-id=\"183\"><input type=\"hidden\" id=\"wpforms-463-field_183\" name=\"wpforms[fields][183]\" aria-errormessage=\"wpforms-463-field_183-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_184-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"184\" style=\"display:none;\"><h3 id=\"wpforms-463-field_184\" name=\"wpforms[fields][184]\" aria-errormessage=\"wpforms-463-field_184-error\">Jour 7<\/h3><\/div><div id=\"wpforms-463-field_185-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"185\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_185\">Date  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_185\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][185][date]\" aria-errormessage=\"wpforms-463-field_185-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_186-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"186\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_186\">Lieu de travail  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_186\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][186]\" aria-errormessage=\"wpforms-463-field_186-error\" required><\/div><div id=\"wpforms-463-field_187-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"187\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_187\" aria-hidden=\"false\">Mise en page  <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_188-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j7 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"188\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_188-time\">Heure d\u00e9but   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_188-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][188][time]\" aria-errormessage=\"wpforms-463-field_188-time-error\" required><\/div><div id=\"wpforms-463-field_189-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j7 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"189\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_189-time\">Heure fin   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_189-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][189][time]\" aria-errormessage=\"wpforms-463-field_189-time-error\" required><\/div><div id=\"wpforms-463-field_190-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"190\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_190\">Tarif horaire en \u20ac   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_190\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][190]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_190-error\" required><\/div><div id=\"wpforms-463-field_191-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"191\" style=\"display:none;\"><div id=\"wpforms-463-field_191\" aria-errormessage=\"wpforms-463-field_191-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-7\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_192-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"192\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_192\">Nombre de KM <\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_192\" class=\"wpforms-field-medium\" name=\"wpforms[fields][192]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_192-error\" ><\/div><div id=\"wpforms-463-field_193-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"193\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_193\">Tarif par KM en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_193\" class=\"wpforms-field-medium\" name=\"wpforms[fields][193]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_193-error\" ><\/div><div id=\"wpforms-463-field_194-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"194\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_194\">Achats \/ Parking  <\/label><input type=\"text\" id=\"wpforms-463-field_194\" class=\"wpforms-field-medium\" name=\"wpforms[fields][194]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_194-error\" ><\/div><div id=\"wpforms-463-field_195-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"195\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_195\">Co\u00fbts en \u20ac <\/label><input type=\"text\" id=\"wpforms-463-field_195\" class=\"wpforms-field-medium\" name=\"wpforms[fields][195]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_195-error\" aria-describedby=\"wpforms-463-field_195-description\" ><div id=\"wpforms-463-field_195-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_196-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j7\" data-field-id=\"196\"><input type=\"hidden\" id=\"wpforms-463-field_196\" name=\"wpforms[fields][196]\" aria-errormessage=\"wpforms-463-field_196-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_209-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"209\" style=\"display:none;\"><h3 id=\"wpforms-463-field_209\" name=\"wpforms[fields][209]\" aria-errormessage=\"wpforms-463-field_209-error\">Jour 8<\/h3><\/div><div id=\"wpforms-463-field_208-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"208\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_208\">Date  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_208\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][208][date]\" aria-errormessage=\"wpforms-463-field_208-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_207-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"207\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_207\">Lieu de travail  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_207\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][207]\" aria-errormessage=\"wpforms-463-field_207-error\" required><\/div><div id=\"wpforms-463-field_197-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"197\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_197\" aria-hidden=\"false\">Mise en page   <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_198-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j8 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"198\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_198-time\">Heure d\u00e9but  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_198-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][198][time]\" aria-errormessage=\"wpforms-463-field_198-time-error\" required><\/div><div id=\"wpforms-463-field_199-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j8 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"199\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_199-time\">Heure fin    <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_199-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][199][time]\" aria-errormessage=\"wpforms-463-field_199-time-error\" required><\/div><div id=\"wpforms-463-field_200-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"200\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_200\">Tarif horaire en \u20ac   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_200\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][200]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_200-error\" required><\/div><div id=\"wpforms-463-field_201-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"201\" style=\"display:none;\"><div id=\"wpforms-463-field_201\" aria-errormessage=\"wpforms-463-field_201-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-8\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_202-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"202\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_202\">Nombre de KM  <\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_202\" class=\"wpforms-field-medium\" name=\"wpforms[fields][202]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_202-error\" ><\/div><div id=\"wpforms-463-field_203-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"203\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_203\">Tarif par KM en \u20ac  <\/label><input type=\"text\" id=\"wpforms-463-field_203\" class=\"wpforms-field-medium\" name=\"wpforms[fields][203]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_203-error\" ><\/div><div id=\"wpforms-463-field_204-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"204\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_204\">Achats \/ Parking  <\/label><input type=\"text\" id=\"wpforms-463-field_204\" class=\"wpforms-field-medium\" name=\"wpforms[fields][204]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_204-error\" ><\/div><div id=\"wpforms-463-field_205-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"205\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_205\">Co\u00fbts en \u20ac  <\/label><input type=\"text\" id=\"wpforms-463-field_205\" class=\"wpforms-field-medium\" name=\"wpforms[fields][205]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_205-error\" aria-describedby=\"wpforms-463-field_205-description\" ><div id=\"wpforms-463-field_205-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_206-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j8\" data-field-id=\"206\"><input type=\"hidden\" id=\"wpforms-463-field_206\" name=\"wpforms[fields][206]\" aria-errormessage=\"wpforms-463-field_206-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_222-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"222\" style=\"display:none;\"><h3 id=\"wpforms-463-field_222\" name=\"wpforms[fields][222]\" aria-errormessage=\"wpforms-463-field_222-error\">Jour 9<\/h3><\/div><div id=\"wpforms-463-field_221-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"221\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_221\">Date   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_221\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][221][date]\" aria-errormessage=\"wpforms-463-field_221-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_220-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"220\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_220\">Lieu de travail  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_220\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][220]\" aria-errormessage=\"wpforms-463-field_220-error\" required><\/div><div id=\"wpforms-463-field_210-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"210\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_210\" aria-hidden=\"false\">Mise en page  <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_211-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j9 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"211\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_211-time\">Heure d\u00e9but   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_211-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][211][time]\" aria-errormessage=\"wpforms-463-field_211-time-error\" required><\/div><div id=\"wpforms-463-field_212-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j9 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"212\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_212-time\">Heure fin    <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_212-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][212][time]\" aria-errormessage=\"wpforms-463-field_212-time-error\" required><\/div><div id=\"wpforms-463-field_213-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"213\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_213\">Tarif horaire en \u20ac  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_213\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][213]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_213-error\" required><\/div><div id=\"wpforms-463-field_214-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"214\" style=\"display:none;\"><div id=\"wpforms-463-field_214\" aria-errormessage=\"wpforms-463-field_214-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-9\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_215-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"215\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_215\">Nombre de KM  <\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_215\" class=\"wpforms-field-medium\" name=\"wpforms[fields][215]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_215-error\" ><\/div><div id=\"wpforms-463-field_216-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"216\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_216\">Tarif par KM en \u20ac  <\/label><input type=\"text\" id=\"wpforms-463-field_216\" class=\"wpforms-field-medium\" name=\"wpforms[fields][216]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_216-error\" ><\/div><div id=\"wpforms-463-field_217-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"217\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_217\">Achats \/ Parking  <\/label><input type=\"text\" id=\"wpforms-463-field_217\" class=\"wpforms-field-medium\" name=\"wpforms[fields][217]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_217-error\" ><\/div><div id=\"wpforms-463-field_218-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"218\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_218\">Co\u00fbts en \u20ac  <\/label><input type=\"text\" id=\"wpforms-463-field_218\" class=\"wpforms-field-medium\" name=\"wpforms[fields][218]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_218-error\" aria-describedby=\"wpforms-463-field_218-description\" ><div id=\"wpforms-463-field_218-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_219-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j9\" data-field-id=\"219\"><input type=\"hidden\" id=\"wpforms-463-field_219\" name=\"wpforms[fields][219]\" aria-errormessage=\"wpforms-463-field_219-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_235-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"235\" style=\"display:none;\"><h3 id=\"wpforms-463-field_235\" name=\"wpforms[fields][235]\" aria-errormessage=\"wpforms-463-field_235-error\">Jour 10<\/h3><\/div><div id=\"wpforms-463-field_234-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"234\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_234\">Date    <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-463-field_234\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][234][date]\" aria-errormessage=\"wpforms-463-field_234-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-463-field_233-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"233\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_233\">Lieu de travail  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_233\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][233]\" aria-errormessage=\"wpforms-463-field_233-error\" required><\/div><div id=\"wpforms-463-field_223-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"223\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-463-field_223\" aria-hidden=\"false\">Mise en page <\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_224-container\" class=\"wpforms-field wpforms-field-date-time input_hDeb j10 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"224\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_224-time\">Heure d\u00e9but  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_224-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][224][time]\" aria-errormessage=\"wpforms-463-field_224-time-error\" required><\/div><div id=\"wpforms-463-field_225-container\" class=\"wpforms-field wpforms-field-date-time input_hFin j10 wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"225\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_225-time\">Heure fin  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_225-time\" class=\"wpforms-field-date-time-time wpforms-timepicker wpforms-field-required wpforms-field-medium\" data-time-format=\"H:i\" data-step=\"15\" data-rule-time24h=\"true\" name=\"wpforms[fields][225][time]\" aria-errormessage=\"wpforms-463-field_225-time-error\" required><\/div><div id=\"wpforms-463-field_226-container\" class=\"wpforms-field wpforms-field-text trf_horaire positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"226\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_226\">Tarif horaire en \u20ac   <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-463-field_226\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][226]\" placeholder=\"Exemple : &quot;15.5&quot; pas &quot;15,5&quot; !\" aria-errormessage=\"wpforms-463-field_226-error\" required><\/div><div id=\"wpforms-463-field_227-container\" class=\"wpforms-field wpforms-field-html nb_hours_wrkd wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"227\" style=\"display:none;\"><div id=\"wpforms-463-field_227\" aria-errormessage=\"wpforms-463-field_227-error\"><label class=\"label-for-nb-hours-worked\">Nombre d'heures<\/label>\r\n<p id=\"nb-hours-worked-10\">0:00<\/p><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-463-field_228-container\" class=\"wpforms-field wpforms-field-number nb_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"228\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_228\">Nombre de KM   <\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-463-field_228\" class=\"wpforms-field-medium\" name=\"wpforms[fields][228]\" placeholder=\"Veuillez indiquer le total aller-retour\" aria-errormessage=\"wpforms-463-field_228-error\" ><\/div><div id=\"wpforms-463-field_229-container\" class=\"wpforms-field wpforms-field-text trf_km positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"229\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_229\">Tarif par KM en \u20ac   <\/label><input type=\"text\" id=\"wpforms-463-field_229\" class=\"wpforms-field-medium\" name=\"wpforms[fields][229]\" placeholder=\"Exemple : &quot;0.3&quot; pas &quot;0,3&quot; !\" aria-errormessage=\"wpforms-463-field_229-error\" ><\/div><div id=\"wpforms-463-field_230-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"230\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_230\">Achats \/ Parking   <\/label><input type=\"text\" id=\"wpforms-463-field_230\" class=\"wpforms-field-medium\" name=\"wpforms[fields][230]\" placeholder=\"Veuillez indiquer la nature de votre achat\" aria-errormessage=\"wpforms-463-field_230-error\" ><\/div><div id=\"wpforms-463-field_231-container\" class=\"wpforms-field wpforms-field-text couts_supp positive_input wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"231\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_231\">Co\u00fbts en \u20ac   <\/label><input type=\"text\" id=\"wpforms-463-field_231\" class=\"wpforms-field-medium\" name=\"wpforms[fields][231]\" placeholder=\"Exemple : &quot;10.5&quot; pas &quot;10,5&quot; !\" aria-errormessage=\"wpforms-463-field_231-error\" aria-describedby=\"wpforms-463-field_231-description\" ><div id=\"wpforms-463-field_231-description\" class=\"wpforms-field-description\">Veuillez indiquer votre d\u00e9pense totale<\/div><\/div><div id=\"wpforms-463-field_232-container\" class=\"wpforms-field wpforms-field-hidden hid_field_j10\" data-field-id=\"232\"><input type=\"hidden\" id=\"wpforms-463-field_232\" name=\"wpforms[fields][232]\" aria-errormessage=\"wpforms-463-field_232-error\"><\/div><\/div><\/div><\/div><div id=\"wpforms-463-field_84-container\" class=\"wpforms-field wpforms-field-pagebreak btn_displayResults\" data-field-id=\"84\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Pr\u00e9c\u00e9dent<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Suivant<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4 last btn_displayResults\" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-463-field_104-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"104\"><div id=\"wpforms-463-field_104\" aria-errormessage=\"wpforms-463-field_104-error\"><h4>Recettes totales<\/h4>\r\n<table id=\"tab_recap\">\r\n  <tr>\r\n    <td>Salaire<\/td>\r\n    <td id=\"rec_h\"><\/td>\r\n  <\/tr>\r\n  <tr>\r\n    <td>Frais de d\u00e9placement<\/td>\r\n    <td id=\"rec_km\"><\/td>\r\n  <\/tr>\r\n  <tr>\r\n    <td>Co\u00fbts suppl\u00e9mentaires<\/td>\r\n    <td id=\"rec_coutSupp\"><\/td>\r\n  <\/tr>\r\n  <tr class=\"tab_recap_tot\">\r\n     <td>TOTAL HTVA<\/td>\r\n     <td id=\"total_htva\"><\/td>\r\n  <\/tr>\r\n  <tr class=\"spacing_bottom\">\r\n     <td>TVA (17%)<\/td>\r\n     <td id=\"mt_tva\"><\/td>\r\n  <\/tr>\r\n  <tr class=\"tab_recap_tot\">\r\n     <td>TOTAL TTC<\/td>\r\n     <td id=\"total_ttc\"><\/td>\r\n  <\/tr>\r\n<\/table><\/div><\/div><div id=\"wpforms-463-field_151-container\" class=\"wpforms-field wpforms-field-hidden hid_field_total\" data-field-id=\"151\"><input type=\"hidden\" id=\"wpforms-463-field_151\" name=\"wpforms[fields][151]\" aria-errormessage=\"wpforms-463-field_151-error\"><\/div><div id=\"wpforms-463-field_85-container\" class=\"wpforms-field wpforms-field-richtext wpforms-field-medium\" data-field-id=\"85\"><fieldset><legend class=\"wpforms-field-label\">Remarque(s)<\/legend><div id=\"wp-wpforms-463-field_85-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/orava.lu\/wp-includes\/css\/dashicons.min.css?ver=6.3.1' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/orava.lu\/wp-includes\/css\/editor.min.css?ver=6.3.1' media='all' \/>\n<style>.wpforms-field-richtext .insert-media.add_media { display: none !important; }<\/style>\n<div id=\"wp-wpforms-463-field_85-editor-tools\" class=\"wp-editor-tools hide-if-no-js\"><div class=\"wp-editor-tabs\"><button type=\"button\" id=\"wpforms-463-field_85-tmce\" class=\"wp-switch-editor switch-tmce\" data-wp-editor-id=\"wpforms-463-field_85\">Visual<\/button>\n<button type=\"button\" id=\"wpforms-463-field_85-html\" class=\"wp-switch-editor switch-html\" data-wp-editor-id=\"wpforms-463-field_85\">Text<\/button>\n<\/div>\n<\/div>\n<div id=\"wp-wpforms-463-field_85-editor-container\" class=\"wp-editor-container\"><div id=\"qt_wpforms-463-field_85_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" style=\"height: 120px\" autocomplete=\"off\" cols=\"40\" name=\"wpforms[fields][85]\" id=\"wpforms-463-field_85\"><\/textarea><\/div>\n<\/div>\n\n<\/fieldset><\/div><div id=\"wpforms-463-field_86-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"86\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_86\">Contrat \/ Ticket \/ Ticket Parking<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"86\"\n\t\tdata-form-id=\"463\"\n\t\tdata-input-name=\"wpforms_463_86\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"536870912\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-463-field_86\"\n\t\tname=\"wpforms_463_86\" \t\tvalue=\"\">\n<div id=\"wpforms-463-field_86-description\" class=\"wpforms-field-description\">Veuillez ins\u00e9rer vos justificatifs<\/div><\/div><div id=\"wpforms-463-field_242-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"242\"><label class=\"wpforms-field-label\" for=\"wpforms-463-field_242\">Ticket \/ Ticket Parking<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"242\"\n\t\tdata-form-id=\"463\"\n\t\tdata-input-name=\"wpforms_463_242\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"536870912\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"536870912\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-463-field_242\"\n\t\tname=\"wpforms_463_242\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-463-field_82-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"82\"><div class=\"wpforms-clear wpforms-pagebreak-center\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"463\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Pr\u00e9c\u00e9dent<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"463\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-463\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/orava.lu\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>FacturationVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.1Donn\u00e9es personnelles2Prestation3D\u00e9tails de prestation4Remarques Pr\u00e9nom &amp; Nom * Pr\u00e9nomNom E-mail * Adresse * Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"folder":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Facturatioun - Orava | Field marketing<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/orava.lu\/lu-lu\/facturatioun\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Facturatioun - Orava | Field marketing\" \/>\n<meta property=\"og:description\" content=\"FacturationVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.1Donn\u00e9es personnelles2Prestation3D\u00e9tails de prestation4Remarques Pr\u00e9nom &amp; Nom * Pr\u00e9nomNom E-mail * Adresse * Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/orava.lu\/lu-lu\/facturatioun\/\" \/>\n<meta property=\"og:site_name\" content=\"Orava | Field marketing\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/orava2107\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-22T09:48:58+00:00\" \/>\n<meta property=\"og:image\" 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