{"id":9712,"date":"2024-04-24T08:52:29","date_gmt":"2024-04-24T07:52:29","guid":{"rendered":"https:\/\/www.parkgest.ch\/?page_id=9712"},"modified":"2025-04-23T07:36:34","modified_gmt":"2025-04-23T06:36:34","slug":"termination-request","status":"publish","type":"page","link":"https:\/\/www.parkgest.ch\/en\/termination-request\/","title":{"rendered":"Termination request"},"content":{"rendered":"<div id=\"text_1\">\n<div id=\"text_2\">To request a subscription cancellation, please choose your parking lot then complete the form <\/div>\n<\/div>\n<div class=\"row\">\n<div id=\"menuz\" class=\"col-md-3 col-lg-3\">\n<ul>\n<li>Mont-Blanc car park<\/li>\n<li>Villereuse car park<\/li>\n<li>Arcades car park<\/li>\n<li>Rayes car park<\/li>\n<li>Vand\u0153uvres car park<\/li>\n<li>Pr\u00e9-d\u2019Orsat car park<\/li>\n<li>Esplanade car park<\/li>\n<li>Fr\u00e9mis car park<\/li>\n<\/ul>\n<div class=\"pkg-xxl\">\n<h2>Mont-Blanc car park:<br \/>Discover XXL<\/h2>\n<p>The 4 XXL Area, located on the -4 level, provides permanent access.<br \/>\n      You can take advantage of 3.50 m-wide, large-format spaces\u2014the largest in Switzerland.<br \/>\n      Do not risk damage to your paintwork! Parking, entering and leaving the vehicle and getting access to it are much easier.<br \/>\n      -4 XXL: Space is freedom!<\/p>\n<p>      <a href=\"\/en\/espace-xxl\/\">Learn more<\/a><\/p>\n<\/div>\n<\/div>\n<div id=\"formuz\" class=\"col-md-7 col-lg-7 col-md-offset-1 col-lg-offset-1\">\n<div id=\"mont-blanc\">\n<h4>Request for cancellation of subscription to the Mont-Blanc car park<\/h4>\n<div data-uniq='6a00ac80ca67e' class='uniq-6a00ac80ca67e formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[60] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-60 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-60.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-60\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"60\" class=\"fc-form fc-form-60 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking du Mont-Blanc<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking du Mont-Blanc\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: right\" >T. +41 22 316 08 80<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\">parkingdumontblanc@parkgest.ch<\/a><br><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PMB_Conditions_Generales_VF_202201.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"villereuse\">\n<h4>Request for cancellation of subscription to the Villereuse car park<\/h4>\n<div data-uniq='6a00ac80e1952' class='uniq-6a00ac80e1952 formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[63] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-63 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-63.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-63\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"63\" class=\"fc-form fc-form-63 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking de Villereuse<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking de Villereuse\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: right\" ><\/p><p style=\"font-size: 13px;padding: 0px;text-align: right\" >T. +41 22 316 08 81<\/p><p style=\"font-size: 13px;padding: 0px;text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingdevillereuse@parkgest.ch\" style=\"font-size: 14.4px;text-align: left\">parkingdevillereuse@parkgest.ch<\/a><\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><br><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PV_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"arcades\">\n<h4>Request for cancellation of subscription to the Arcades car park<\/h4>\n<div data-uniq='6a00ac8107c1b' class='uniq-6a00ac8107c1b formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[66] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-66 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-66.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-66\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"66\" class=\"fc-form fc-form-66 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking des Arcades<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking des Arcades\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: right\" >T. +41 22 316 08 82<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingdesarcades@parkgest.ch\" style=\"font-size: 14.4px;text-align: left\">parkingdesarcades@parkgest.ch<\/a><br><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PA_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"rayes\">\n<h4>Request for cancellation of subscription to the Rayes car park<\/h4>\n<div data-uniq='6a00ac811e925' class='uniq-6a00ac811e925 formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[69] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-69 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-69.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-69\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"69\" class=\"fc-form fc-form-69 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left  \" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking Rayes<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking Rayes\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient   hasDatepicker ng-empty  \" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: right\" >T. +41 22 316 08 83<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingdesrayes@parkgest.ch\" style=\"text-align: left\">parkingdesrayes@<\/a><a href=\"mailto:info@parkgest.ch\" style=\"text-align: left\">parkgest.ch<\/a>\u200b<\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PR_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"vand\u0153uvres\">\n<h4>Request for cancellation of subscription to the Vand\u0153uvres car park<\/h4>\n<div data-uniq='6a00ac81458c9' class='uniq-6a00ac81458c9 formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[72] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-72 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-72.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-72\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"72\" class=\"fc-form fc-form-72 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking Vandoeuvres<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking Vandoeuvres\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p style=\"text-align: right\" ><\/p><p style=\"font-size: 13px;padding: 0px;text-align: right\" >T. +41 22 316 08 87<\/p><p style=\"font-size: 13px;padding: 0px;text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingdevand%C5%93uvres@parkgest.ch\" style=\"font-size: 14.4px;text-align: left\">parkingdevand\u0153uvres@parkgest.ch<\/a><\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><br><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PVa_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"pre-d-orsat\">\n<h4>Request for cancellation of subscription to the Pr\u00e9-d\u2019Orsat car park<\/h4>\n<div data-uniq='6a00ac815c2be' class='uniq-6a00ac815c2be formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[75] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-75 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-75.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-75\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"75\" class=\"fc-form fc-form-75 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking Pr\u00e9-d\u2019Orsat<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking Pr\u00e9-d\u2019Orsat\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" >T. +41 22 316 08 84<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingpredorsat@parkgest.ch\" style=\"text-decoration: underline;font-size: 14.4px;text-align: left\">parkingpredorsat@parkgest.ch<\/a>\u200b<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PPO_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div><\/div>\n<div id=\"esplanade\">\n<h4>Request for cancellation of subscription to the Esplanade car park<\/h4>\n<div data-uniq='6a00ac817345e' class='uniq-6a00ac817345e formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[78] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-78 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-78.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-78\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"78\" class=\"fc-form fc-form-78 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 options-false form-element-0 default-true form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking Esplanade<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking Esplanade\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.781px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" >T. +41 22 316 08 88<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingesplanade@parkgest.ch\" style=\"font-size: 14.4px;text-align: left\">parkingesplanade@parkgest.ch<\/a>\u200b<\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 options-true form-element-23 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PEs_Conditions_Generales_VF_202204.pdf\" target=\"_blank\" ><b>A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/b><\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<div id=\"fremis\">\n<h4>Request for cancellation of subscription to the Fr\u00e9mis car park<\/h4>\n<div data-uniq='6a00ac818d9c4' class='uniq-6a00ac818d9c4 formcraft-css form-live align-left'><style type='text\/css' scoped='scoped'>.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a {\ncolor: #000!important;\n}\n.formcraft-css .fc-form.fc-form-59 .form-element .customText-cover a:hover {\ntext-decoration: underline!important;\n}\n.formcraft-datepicker td {\npadding: 5px;\n}\n.formcraft-datepicker td .ui-state-default {\npadding: unset!important;\n}<\/style><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[84] = [[[[\"field32\",\"equal_to\",\"Autre motif\"]],[[\"show_fields\",\"field49\"]],\"and\"]]; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \">Step 1<\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-84 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #4488ee;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #000000;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #3b77d1;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-84.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #0d3559;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #0d3559;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t\tbackground: #4488ee;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #3b77d1 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #3b77d1;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #4488ee;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-84\t\t\t{\n\t\t\t\tfont-family: inherit;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"84\" class=\"fc-form fc-form-84 align- fc-temp-class save-form- dont-submit-hidden- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible field-alignment-left   ng-submitted\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field1\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field1 form-element-0 default-true form-element-type-heading is-required-false odd -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.8em; padding-top: ; padding-bottom: ; color:\" class=\"bold-true\"><span >Parking Fr\u00e9mis<\/span><\/div><input type=\"hidden\" data-field-id=\"field1\" name=\"field1[]\" value=\"Parking Fr\u00e9mis\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field13\" data-index=\"1\" style=\"width: 50%\" class=\" even form-element form-element-field13 options-false form-element-1 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-false\"><span >Client informations<\/span><\/div><input type=\"hidden\" data-field-id=\"field13\" name=\"field13[]\" value=\"Client informations\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"2\" style=\"width: 50%\" class=\" form-element form-element-field38 options-false form-element-2 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 30px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" ><span lang=\"en\">*Required fields<\/span><\/p><pre id=\"tw-target-text\" dir=\"ltr\" style=\"font-size: 28px;border: none;padding: 2px 0.14em 2px 0px;text-align: left;width: 270px\" ><span lang=\"en\"><\/span><\/pre><\/div><input type=\"hidden\" name=\"field38\" data-field-id=\"field38\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field2 options-false form-element-3 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Company<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field2\" name=\"field2[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field4\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field4 options-false form-element-4 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Surname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field4\" name=\"field4[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field5 options-false form-element-5 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Forname<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field6\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field6 options-false form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >SuStreet name and number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field6\" name=\"field6[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field7 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Post code<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field8 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Town<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field8\" name=\"field8[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"9\" style=\"width: 100%\" class=\" even form-element form-element-field9 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field9\" name=\"field9\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"Suisse\" class=\" \">Suisse<\/option><option value=\"France\" class=\" \">France<\/option><option value=\"-------------------------------\" class=\" \">-------------------------------<\/option><option value=\"AF\" class=\" \">Afghanistan<\/option><option value=\"AL\" class=\" \">Albania<\/option><option value=\"DZ\" class=\" \">Algeria<\/option><option value=\"AS\" class=\" \">American Samoa<\/option><option value=\"AD\" class=\" \">Andorra<\/option><option value=\"AO\" class=\" \">Angola<\/option><option value=\"AI\" class=\" \">Anguilla<\/option><option value=\"AQ\" class=\" \">Antarctica<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda<\/option><option value=\"AR\" class=\" \">Argentina<\/option><option value=\"AM\" class=\" \">Armenia<\/option><option value=\"AW\" class=\" \">Aruba<\/option><option value=\"AU\" class=\" \">Australia<\/option><option value=\"AT\" class=\" \">Austria<\/option><option value=\"AZ\" class=\" \">Azerbaijan<\/option><option value=\"BS\" class=\" \">Bahamas<\/option><option value=\"BH\" class=\" \">Bahrain<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados<\/option><option value=\"BY\" class=\" \">Belarus<\/option><option value=\"BE\" class=\" \">Belgium<\/option><option value=\"BZ\" class=\" \">Belize<\/option><option value=\"BJ\" class=\" \">Benin<\/option><option value=\"BM\" class=\" \">Bermuda<\/option><option value=\"BT\" class=\" \">Bhutan<\/option><option value=\"BO\" class=\" \">Bolivia<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BW\" class=\" \">Botswana<\/option><option value=\"BV\" class=\" \">Bouvet Island<\/option><option value=\"BR\" class=\" \">Brazil<\/option><option value=\"IO\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BN\" class=\" \">Brunei Darussalam<\/option><option value=\"BG\" class=\" \">Bulgaria<\/option><option value=\"BF\" class=\" \">Burkina Faso<\/option><option value=\"BI\" class=\" \">Burundi<\/option><option value=\"KH\" class=\" \">Cambodia<\/option><option value=\"CM\" class=\" \">Cameroon<\/option><option value=\"CA\" class=\" \">Canada<\/option><option value=\"CV\" class=\" \">Cape Verde<\/option><option value=\"KY\" class=\" \">Cayman Islands<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"10\" style=\"width: 50%\" class=\" form-element form-element-field10 options-false form-element-10 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Phone fixed<\/span><\/span><span class=\"sub-label\"><span >Ex. +412212345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field11\" data-index=\"11\" style=\"width: 50%\" class=\" even form-element form-element-field11 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Mobile phone<\/span><\/span><span class=\"sub-label\"><span >Ex. +417912345678<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field11\" name=\"field11[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field12\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field12 options-false form-element-12 default-false form-element-type-email is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >Insert a valid address<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"\" data-field-id=\"field12\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field12\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field44\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field44 options-false form-element-13 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Information concerning permanent access<\/span><\/div><input type=\"hidden\" data-field-id=\"field44\" name=\"field44[]\" value=\"Information concerning permanent access\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field34\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field34 options-false form-element-14 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >End of validity requested<\/span><\/span><span class=\"sub-label\"><span >Only per the end of a month, 1 month\u2019s notice required<\/span><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field34\" placeholder=\"\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"fr-CH\" name=\"field34\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-15 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Access card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"\" make-read-only=\"false\" data-field-id=\"field51\" name=\"field51[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-\"><\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.5em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Reason for the termination<\/span><\/div><input type=\"hidden\" data-field-id=\"field31\" name=\"field31[]\" value=\"Reason for the termination\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field32 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Please tick the corresponding box<\/span><\/span><span class=\"sub-label\"><span >A choice<\/span><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a private parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a private parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Will park in a public parking place in the neighbourhood\" class=\"validation-lenient\"><span><span >Will park in a public parking place in the neighbourhood<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Moving house\" class=\"validation-lenient\"><span><span >Moving house<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Changing jobs\" class=\"validation-lenient\"><span><span >Changing jobs<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"No longer in employment\" class=\"validation-lenient\"><span><span >No longer in employment<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Change of means of transport\" class=\"validation-lenient\"><span><span >Change of means of transport<\/span><\/span><\/label><label style=\"width: 100%\" ><img alt=\"\"><input data-field-id=\"field32\" type=\"radio\" data-is-required=\"true\" name=\"field32[]\" value=\"Other reason\" class=\"validation-lenient\"><span><span >Other reason<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field49\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field49 options-false form-element-18 default-true form-element-type-textarea is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"textarea-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Specify the reason<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><textarea data-field-id=\"field49\" placeholder=\"\" class=\"validation-lenient\" name=\"field49\" value=\"\" rows=\"5\" data-min-char=\"\" data-max-char=\"\" data-is-required=\"true\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\" style=\"min-height: 110.02px\"><\/textarea><div class=\"count-\"><span class=\"current-count\">0<\/span> \/ <span class=\"max-count \"><\/span><\/div><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field35\" data-index=\"19\" style=\"width: 100%\" class=\" even form-element form-element-field35 options-false form-element-19 default-false form-element-type-heading is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >Contacts<\/span><\/div><input type=\"hidden\" data-field-id=\"field35\" name=\"field35[]\" value=\"Contacts\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field59\" data-index=\"20\" style=\"width: 50%\" class=\" form-element form-element-field59 options-false form-element-20 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b>PARKGEST Services SA<\/b><br>Rue de la R\u00f4tisserie 4bis&nbsp;<br>1204 Gen\u00e8ve<\/p><\/div><input type=\"hidden\" name=\"field59\" data-field-id=\"field59\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field60\" data-index=\"21\" style=\"width: 50%\" class=\" even form-element form-element-field60 form-element-21 default-false form-element-type-customText is-required-false -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><\/p><p style=\"text-align: right\" >T. +41 22 &nbsp;310 01 30<\/p><p style=\"text-align: right\" ><a href=\"mailto:parkingdumontblanc@parkgest.ch\" target=\"\"><\/a><a href=\"mailto:parkingpredorsat@parkgest.ch\" style=\"text-decoration: underline;font-size: 14.4px;text-align: left\"><\/a><a href=\"mailto:parkingdefremis@parkgest.ch\" target=\"\">parkingdefremis@parkgest.ch<\/a><\/p><p ><\/p><\/div><input type=\"hidden\" name=\"field60\" data-field-id=\"field60\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"22\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-22 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 1.7000000000000002em; padding-top: 30px; padding-bottom: ; color: #0086ff\" class=\"bold-\"><span >General conditions<\/span><\/div><input type=\"hidden\" data-field-id=\"field54\" name=\"field54[]\" value=\"General conditions\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"23\" style=\"width: 100%\" class=\" even form-element form-element-field36 form-element-23 default-false form-element-type-customText is-required-false -handle options-false\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #ffffff !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><a href=\"https:\/\/www.parkgest.ch\/wp-content\/uploads\/PFr_Conditions-generales_20250326_VF.pdf\" target=\"_blank\" style=\"font-size: 14px;text-align: left;font-weight: bold\">A full version is available at the control centre, in the commercial service, and at www.parkgest.ch. Any amendment to these general conditions shall enter into force from the time the new version of this document is available at the control centre or commercial service, or at www.parkgest.ch.<\/a><\/p><\/div><input type=\"hidden\" name=\"field36\" data-field-id=\"field36\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"24\" style=\"width: 100%\" class=\" form-element form-element-field39 options-false form-element-24 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images- checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field39\" type=\"radio\" data-is-required=\"true\" name=\"field39[]\" value=\"I've read the above conditions\" class=\"validation-lenient\"><span><span >I've read the above conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"25\" style=\"width: 100%\" class=\" even form-element form-element-field37 options-false form-element-25 default-false form-element-type-submit is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-right wide-true submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">Send<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field25 options-false form-element-26 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p align=\"left\" ><span style=\"font-size: 9px\" >The information provided in the context of a request for permanent access rights above (also see Articles 45 &amp; 46 of the terms and conditions) may be used solely for the purpose of informing you about and offering you services related to the Parking facilities of our Group, in accordance with the Federal Act on Data Protection (FADP).<\/span><\/p><\/div><input type=\"hidden\" name=\"field25\" data-field-id=\"field25\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 620px; color: #0d3559; font-size: 100%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>To request a subscription cancellation, please choose your parking lot then complete the form Mont-Blanc car park Villereuse car park Arcades car park Rayes car park Vand\u0153uvres car park Pr\u00e9-d\u2019Orsat car park Esplanade car park Fr\u00e9mis car park Mont-Blanc car park:Discover XXL The 4 XXL Area, located on the -4 level, provides permanent access. You [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"abonnement.php","meta":{"footnotes":""},"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Termination request | Parkgest<\/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:\/\/www.parkgest.ch\/en\/termination-request\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Termination request | Parkgest\" \/>\n<meta property=\"og:description\" content=\"To request a subscription cancellation, please choose your parking lot then complete the form Mont-Blanc car park Villereuse car park Arcades car park Rayes car park Vand\u0153uvres car park Pr\u00e9-d\u2019Orsat car park Esplanade car park Fr\u00e9mis car park Mont-Blanc car park:Discover XXL The 4 XXL Area, located on the -4 level, provides permanent access. 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