{"id":28556,"date":"2017-09-22T09:49:17","date_gmt":"2017-09-22T07:49:17","guid":{"rendered":"http:\/\/entrecourtiers.pro\/communication\/?page_id=28556"},"modified":"2024-01-15T17:34:33","modified_gmt":"2024-01-15T16:34:33","slug":"contacts","status":"publish","type":"page","link":"https:\/\/entrecourtiers.pro\/communication\/contacts-courtage\/","title":{"rendered":"Vos contacts importants"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row dfd_row_config=\u00a0\u00bbfull_width_content\u00a0\u00bb][vc_column][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb1\/4&Prime;][\/vc_column][vc_column width=\u00a0\u00bb1\/2&Prime;][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][dfd_heading subtitle=\u00a0\u00bbMaison fond\u00e9e en 2000&Prime; delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h2&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb subtitle_google_fonts=\u00a0\u00bbyes\u00a0\u00bb subtitle_custom_fonts=\u00a0\u00bbfont_family:Playfair%20Display%3Aregular%2Citalic%2C700%2C700italic%2C900%2C900italic|font_style:700%20bold%20italic%3A700%3Aitalic\u00a0\u00bb]PREMAVALS[\/dfd_heading][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb30&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime; screen_normal_spacer_size=\u00a0\u00bb20&Prime; screen_tablet_spacer_size=\u00a0\u00bb15&Prime; screen_mobile_spacer_size=\u00a0\u00bb15&Prime;][\/vc_column][vc_column width=\u00a0\u00bb1\/4&Prime;][\/vc_column][\/vc_row][vc_row css=\u00a0\u00bb.vc_custom_1506059208611{background-color: #ffffff !important;}\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1506059706382{background-color: #ffffff !important;}\u00a0\u00bb col_shadow=\u00a0\u00bbbox_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)\u00a0\u00bb col_shadow_hover=\u00a0\u00bbbox_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)\u00a0\u00bb][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb40&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][dfd_heading style=\u00a0\u00bbstyle_02&Prime; subtitle=\u00a0\u00bbPREMAVALS\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]Si\u00e8ge social &amp; Service souscriptions[\/dfd_heading][vc_column_text]<\/p>\n<p style=\"text-align: center;\">15 rue de l\u2019Universit\u00e9<br \/>\n93160 Noisy-le-Grand[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/2&Prime; css=\u00a0\u00bb.vc_custom_1506059718094{background-color: #ffffff !important;}\u00a0\u00bb col_shadow=\u00a0\u00bbbox_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)\u00a0\u00bb col_shadow_hover=\u00a0\u00bbbox_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C0.35)\u00a0\u00bb][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb40&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][dfd_heading style=\u00a0\u00bbstyle_02&Prime; subtitle=\u00a0\u00bbPREMAVALS\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]Services commercial &amp; m\u00e9dical[\/dfd_heading][vc_column_text]<\/p>\n<p style=\"text-align: center;\">Le Belv\u00e9d\u00e8res \u2013 Bat B<br \/>\n128 avenue de F\u00e8s<br \/>\n34090 Montpellier[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][dfd_delimiter delimiter_style=\u00a0\u00bbdfd-delimiter-with-text\u00a0\u00bb text_delimiter=\u00a0\u00bbTous vos contacts\u00a0\u00bb delimiter_height=\u00a0\u00bb2&Prime; delim_line_color=\u00a0\u00bb#167484&Prime; title_font_options=\u00a0\u00bbfont_size:15&Prime;][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][dfd_info_box module_animation=\u00a0\u00bbtransition.slideLeftBigIn\u00a0\u00bb title=\u00a0\u00bbT\u00e9l\u00e9chargez les contacts au format PDF\u00a0\u00bb subtitle=\u00a0\u00bb\u00a0\u00bb main_content=\u00a0\u00bb\u00a0\u00bb read_more=\u00a0\u00bbbox\u00a0\u00bb icon_type=\u00a0\u00bbcustom\u00a0\u00bb main_style=\u00a0\u00bbstyle-3&Prime; main_layout=\u00a0\u00bblayout-2&Prime; link=\u00a0\u00bburl:http%3A%2F%2Fentrecourtiers.pro%2FContacts%2Fcontacts_importants.pdf|target:_blank\u00a0\u00bb undefined=\u00a0\u00bb\u00a0\u00bb icon_image_id=\u00a0\u00bb30664&Prime; icon_size=\u00a0\u00bb62&Prime; icon_bg_size=\u00a0\u00bb66&Prime; border_radius=\u00a0\u00bb0&Prime; border_color=\u00a0\u00bbrgba(255,255,255,0.01)\u00a0\u00bb border_width=\u00a0\u00bb2&Prime; title_font_options=\u00a0\u00bbtag:div|font_size:11|color:%23121212|letter_spacing:3&Prime; hover_border_color=\u00a0\u00bb#ef7622&Prime;][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb30&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_column_inner][\/vc_row_inner][dfd_accordion style=\u00a0\u00bbstyle-8&Prime; active_section=\u00a0\u00bb0&Prime; tab_active_color_text=\u00a0\u00bb#007078&Prime;][vc_tta_section title=\u00a0\u00bbServices Souscription &amp; M\u00e9dical\u00a0\u00bb tab_id=\u00a0\u00bb1506010661855-05e90202-c007&Prime;][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAVALS[\/dfd_heading][vc_column_text]<strong><em>Du lundi au vendredi de 9h \u00e0 12h et de 13h \u00e0 17h30<\/em><\/strong>[\/vc_column_text][vc_column_text]<strong>Service Souscriptions<\/strong><\/p>\n<p>PREMAVALS<br \/>\nService Souscriptions<br \/>\n15 rue de l&rsquo;Universit\u00e9<br \/>\n93160 NOISY-LE-GRAND<\/p>\n<p>04 67 81 34 61<\/p>\n<p>E-mail | <a href=\"mailto:service-souscriptions@premavals.com\">service-souscriptions@premavals.com<\/a><\/p>\n<p><strong>Service M\u00e9dical<\/strong><\/p>\n<p>PREMAVALS<br \/>\nService M\u00e9dical<br \/>\nLe Belv\u00e9d\u00e8res \u2013 Bat B<br \/>\n128 avenue de F\u00e8s<br \/>\n34090 Montpellier<\/p>\n<p>E-mail | <a href=\"mailto:servicemedical@premavals.com\">servicemedical@premavals.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion Pr\u00e9voyance Collective\u00a0\u00bb tab_id=\u00a0\u00bb1506010662029-056eda21-cebd\u00a0\u00bb][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST \u2013 GIE Groupe Nation[\/dfd_heading][vc_column_text]178 rue Montmartre<\/p>\n<p>75082 PARIS CEDEX 02<\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion Sant\u00e9 Collective\u00a0\u00bb tab_id=\u00a0\u00bb1506011093423-1b779535-a5b3&Prime;][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST \u2013 GIE Groupe Nation[\/dfd_heading][vc_column_text]178 rue Montmartre<br \/>\n75082 PARIS CEDEX 02<\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion Pr\u00e9voyance Individuelle\u00a0\u00bb tab_id=\u00a0\u00bb1506011113342-93c6afe7-ecec\u00a0\u00bb][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST &#8211; CBP Solutions[\/dfd_heading][vc_column_text]CS 20008<br \/>\n44967 NANTES CEDEX 9<\/p>\n<p>E-mail | <a href=\"mailto:prevals@prevoyance-gestion.fr\">prevals@prevoyance-gestion.fr<\/a><\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion Sant\u00e9 Individuelle\u00a0\u00bb tab_id=\u00a0\u00bb1506011131627-105566c0-878d\u00a0\u00bb][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST \u2013 GIE Groupe Nation[\/dfd_heading][vc_column_text]178 rue Montmartre<br \/>\n75082 PARIS CEDEX 02<\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion assurances de pr\u00eats\u00a0\u00bb tab_id=\u00a0\u00bb1506327958015-89875ef6-896f\u00a0\u00bb][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST &#8211; CBP Solutions[\/dfd_heading][vc_column_text]<strong><em>ACCUEIL<br \/>\n\u00c9tude du dossier et s\u00e9lection m\u00e9dicale<\/em><\/strong>[\/vc_column_text][vc_column_text]<strong><em>Du lundi au vendredi de 8h30 \u00e0 18h et le samedi de 8h30 \u00e0 13h<\/em><\/strong>[\/vc_column_text][vc_column_text]CS 20008<\/p>\n<p>44967 NANTES CEDEX 9<\/p>\n<p>0 969 390 736<\/p>\n<p>E-mail | <a href=\"mailto:emprunvals@prevoyance-gestion.fr\">emprunvals@prevoyance-gestion.fr<br \/>\n<\/a><\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][vc_column_text]<strong><em>ADH\u00c9SIONS<\/em><\/strong><\/p>\n<p><strong>Appel de cotisation et vie du contrat<\/strong>[\/vc_column_text][vc_column_text]0 974 500\u00a0025<\/p>\n<p>E-mail | <a href=\"mailto:emprunvals-adhesions@prevoyance-gestion.fr\">emprunvals-adhesions@prevoyance-gestion.fr<\/a><\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][vc_column_text]<strong><em>SINISTRES<\/em><\/strong>[\/vc_column_text][vc_column_text]0 974\u00a0500\u00a0153<\/p>\n<p>E-mail | <a href=\"mailto:emprunvals-sinistre@prevoyance-gestion.fr\">emprunvals-sinistre@prevoyance-gestion.fr<\/a><\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbGestion retraite Art. 83 (PREMARETRAITE 83)\u00a0\u00bb tab_id=\u00a0\u00bb1506328826181-845a539d-0d53&Prime;][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]PREMAGEST &#8211; Allianz Vie[\/dfd_heading][vc_column_text]Direction Op\u00e9rations Collectives<br \/>\nCentre Service Clients Retraite<br \/>\nTSA 11005<br \/>\n67018 Strasbourg cedex<\/p>\n<p>Espace client |<a href=\"http:\/\/espaceclient.allianz.fr\" class=\"broken_link\">\u00a0http:\/\/espaceclient.allianz.fr<\/a><\/p>\n<p><a href=\"http:\/\/www.premagest.com\">www.premagest.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbProtection juridique\u00a0\u00bb tab_id=\u00a0\u00bb1506058802404-97530c36-c65c\u00a0\u00bb][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]CFDP[\/dfd_heading][vc_column_text]<strong><em>Du lundi au vendredi de 9h \u00e0 12h30 et de 13h30 \u00e0 17h<\/em><\/strong>[\/vc_column_text][vc_column_text]<strong>Service Protection Juridique<\/strong><\/p>\n<p>Service Adh\u00e9sions<br \/>\n128 avenue de F\u00e8s<br \/>\nLes Belv\u00e9d\u00e8res &#8211; B\u00e2t. B<br \/>\n34080 MONTPELLIER<\/p>\n<p>0821 444 556<\/p>\n<p>E-mail | <a href=\"mailto:backoffice@premavals.com\">backoffice@premavals.com<\/a>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbAssistance\u00a0\u00bb tab_id=\u00a0\u00bb1506068801639-50b9449f-79e5&Prime;][dfd_heading subtitle=\u00a0\u00bb\u00a0\u00bb content_alignment=\u00a0\u00bbtext-left\u00a0\u00bb delimiter_settings=\u00a0\u00bbdelimiter_style:solid|delimiter_width:80|delimiter_height:1&Prime; title_font_options=\u00a0\u00bbtag:h6&Prime; subtitle_font_options=\u00a0\u00bbtag:div\u00a0\u00bb]INTER PARTNER Assistance[\/dfd_heading][vc_column_text]<strong><em>24h\/24 &#8211; 7j\/7<\/em><\/strong>[\/vc_column_text][vc_column_text]T\u00e9l\u00e9phone France : 01 55 92 12 12<br \/>\nT\u00e9l\u00e9phone Etranger : 33 1 55 92 12 12<br \/>\nT\u00e9l\u00e9copie France : 01 55 92 40 50<br \/>\nT\u00e9l\u00e9copie Etranger : 33 1 55 92 40 50<br \/>\nPar t\u00e9l\u00e9gramme : 6 rue Andr\u00e9 Gide &#8211; 92320 Ch\u00e2tillon[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][vc_column_text]Pour toute demande d\u2019assistance,<br \/>\nveuillez indiquer avec pr\u00e9cision :<br \/>\n\u2022 le num\u00e9ro de t\u00e9l\u00e9phone d\u2019o\u00f9 vous appelez<br \/>\n\u2022 le type d\u2019assistance demand\u00e9e<br \/>\n\u2022 le num\u00e9ro de votre convention : 0896722*00[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb20&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbService Commercial\u00a0\u00bb tab_id=\u00a0\u00bb1506011158837-de410338-1a10&Prime;][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<ul>\n<li><strong>RESPONSABLE COMMERCIALE :<\/strong> Marina GEAUGEY &#8211; 07 62 63 43 62 &#8211; <a href=\"mailto:m.geaugey@premavals.com\">m.geaugey@premavals.com<\/a><\/li>\n<li><strong>Assistant administratif :<\/strong> Pierre-Louis HASS &#8211; 04 11 93 08 41 &#8211; <a href=\"mailto:pl.hass@premavals.com\">pl.hass@premavals.com<\/a><\/li>\n<li><strong>Assistant commercial &#8211; PACA \/ CORSE \/ OCCITANIE :<\/strong> Beno\u00eet GOUDOU &#8211; 04 11 93 08 42 &#8211; 06 66 16 46 34 &#8211; <a href=\"mailto:b.goudou@premavals.com\">b.goudou@premavals.com<\/a><\/li>\n<li><strong>Assistant commercial &#8211; GRAND OUEST \/ AQUITAINE :<\/strong> Tom DEBREY &#8211; 04 26 78 48 03 &#8211; 06 59 67 67 06 &#8211;\u00a0<a href=\"mailto:t.debrey@premavals.com\">t.debrey@premavals.com<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb40&Prime; screen_normal_resolution=\u00a0\u00bb1280&Prime; screen_tablet_resolution=\u00a0\u00bb1024&Prime; screen_mobile_resolution=\u00a0\u00bb800&Prime;][\/vc_column_inner][\/vc_row_inner][\/vc_tta_section][vc_tta_section title=\u00a0\u00bbwww.premagest.com\u00a0\u00bb tab_id=\u00a0\u00bb1509001637980-d3db5f35-bde3&Prime;][vc_column_text]<strong>Guide espace assur\u00e9 sant\u00e9 individuelle &amp; collective : <a href=\"http:\/\/entrecourtiers.pro\/PREMAGEST\/PREMAGEST_guide.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Lien<\/a><\/strong><\/p>\n<p><strong>Guide espace assur\u00e9 QualyTrust &#8211; pr\u00e9voyance TNS : <a href=\"http:\/\/entrecourtiers.pro\/PREMAGEST\/QT_V2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Lien<\/a><\/strong><\/p>\n<p>Vos clients ont re\u00e7u par courrier leurs identifiants de connexion \u00e0 leur espace PREMAGEST. En cas de probl\u00e8me de connexion, ils devront se rapprocher de leur centre de gestion afin de trouver une solution.[\/vc_column_text][\/vc_tta_section][\/dfd_accordion][\/vc_column][\/vc_row][vc_row anchor=\u00a0\u00bbformulaire\u00a0\u00bb][vc_column][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][dfd_delimiter delimiter_style=\u00a0\u00bbdfd-delimiter-with-text\u00a0\u00bb text_delimiter=\u00a0\u00bbEnvoyez-nous un message\u00a0\u00bb delimiter_height=\u00a0\u00bb2&Prime; delim_line_color=\u00a0\u00bb#167484&Prime; title_font_options=\u00a0\u00bbfont_size:15&Prime;][dfd_spacer screen_wide_spacer_size=\u00a0\u00bb85&Prime; screen_normal_resolution=\u00a0\u00bb1024&Prime; screen_tablet_resolution=\u00a0\u00bb800&Prime; screen_mobile_resolution=\u00a0\u00bb480&Prime;][\/vc_column][\/vc_row][vc_row][vc_column]\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_20' style='display:none'><div id='gf_20' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_20' id='gform_20'  action='\/communication\/wp-json\/wp\/v2\/pages\/28556#gf_20'>\n                        <div class='gform_body'><ul id='gform_fields_20' class='gform_fields top_label form_sublabel_below description_below'><li id='field_20_29'  class='gfield gf_right_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_29' >Nom du cabinet<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_20_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_108'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_108' >Code courtage<\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_20_108' type='text' value='' class='large'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_30'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_30' >Nom &amp; Pr\u00e9nom<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_20_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_36'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_36' >E-mail<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_36' id='input_20_36' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_20_37'  class='gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_37' >T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_37' id='input_20_37' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_20_98'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_98' >Sujet<\/label><div class='ginput_container ginput_container_select'><select name='input_98' id='input_20_98' class='medium gfield_select'    aria-invalid=\"false\"><option value='Gestion contrat' >Gestion contrat<\/option><option value='Question commerciale' >Question commerciale<\/option><option value='Commissionnement (bordereaux, taux, etc.)' >Commissionnement (bordereaux, taux, etc.)<\/option><option value='Tarificateur PREVALS PRO+' >Tarificateur PREVALS PRO+<\/option><option value='Transfert de portefeuille' >Transfert de portefeuille<\/option><option value='Probl\u00e8mes de connexion espace courtage' >Probl\u00e8mes de connexion espace courtage<\/option><option value='Probl\u00e8me sur le tarificateur (projets, adh\u00e9sions, documents...)' >Probl\u00e8me sur le tarificateur (projets, adh\u00e9sions, documents...)<\/option><option value='Formation' >Formation<\/option><option value='Marketing' >Marketing<\/option><option value='Bilan de protection social' >Bilan de protection social<\/option><option value='Convention de Partenariat' >Convention de Partenariat<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/li><li id='field_20_112'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden' ><h2 class='gsection_title'>Informations assur\u00e9(e)<\/h2><\/li><li id='field_20_111'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_111' >Nom du souscripteur du contrat<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_20_111' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_113'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_113' >N\u00b0 du contrat<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_20_113' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_114'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_114' >N\u00b0 de S\u00e9curit\u00e9 sociale de l\u2019assur\u00e9<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_20_114' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_115'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019assur\u00e9(e)<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_115'>\n                            \n                            <span id='input_20_115_3_container' class='name_first' >\n                                                    <input type='text' name='input_115.3' id='input_20_115_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_115_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_115_6_container' class='name_last' >\n                                                    <input type='text' name='input_115.6' id='input_20_115_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_115_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_115_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_115.8' id='input_20_115_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_115_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_116'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Adresse postale de l\u2019assur\u00e9(e)<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address' id='input_20_116' >\n                         <span class='ginput_full address_line_1' id='input_20_116_1_container' >\n                                        <input type='text' name='input_116.1' id='input_20_116_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_20_116_1' id='input_20_116_1_label' >Adresse postale<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_20_116_3_container' >\n                                    <input type='text' name='input_116.3' id='input_20_116_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_20_116_3' id='input_20_116_3_label' >Code postal<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_116.4' id='input_20_116_4' value=''\/><span class='ginput_right address_zip' id='input_20_116_5_container' >\n                                    <input type='text' name='input_116.5' id='input_20_116_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_20_116_5' id='input_20_116_5_label' >Ville<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_116.6' id='input_20_116_6' value='France'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_20_117'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_117' >T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_117' id='input_20_117' type='text' value='' class='medium'    aria-invalid=\"false\"  \/><\/div><\/li><li id='field_20_118'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_118' >E-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_118' id='input_20_118' type='text' value='' class='medium'     aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_20_119'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Ayants droit ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_20_119'><li class='gchoice_20_119_0'><input name='input_119' type='radio' value='OUI'  id='choice_20_119_0'    \/><label for='choice_20_119_0' id='label_20_119_0'>OUI<\/label><\/li><li class='gchoice_20_119_1'><input name='input_119' type='radio' value='NON'  id='choice_20_119_1'    \/><label for='choice_20_119_1' id='label_20_119_1'>NON<\/label><\/li><\/ul><\/div><\/li><li id='field_20_120'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_120' >Nombre d&#039;ayants droit<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_20_120' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><\/select><\/div><\/li><li id='field_20_121'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_121'>\n                            \n                            <span id='input_20_121_3_container' class='name_first' >\n                                                    <input type='text' name='input_121.3' id='input_20_121_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_121_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_121_6_container' class='name_last' >\n                                                    <input type='text' name='input_121.6' id='input_20_121_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_121_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_121_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_121.8' id='input_20_121_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_121_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_122'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit n\u00b02<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_122'>\n                            \n                            <span id='input_20_122_3_container' class='name_first' >\n                                                    <input type='text' name='input_122.3' id='input_20_122_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_122_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_122_6_container' class='name_last' >\n                                                    <input type='text' name='input_122.6' id='input_20_122_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_122_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_122_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_122.8' id='input_20_122_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_122_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_123'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit n\u00b03<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_123'>\n                            \n                            <span id='input_20_123_3_container' class='name_first' >\n                                                    <input type='text' name='input_123.3' id='input_20_123_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_123_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_123_6_container' class='name_last' >\n                                                    <input type='text' name='input_123.6' id='input_20_123_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_123_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_123_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_123.8' id='input_20_123_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_123_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_124'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit n\u00b04<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_124'>\n                            \n                            <span id='input_20_124_3_container' class='name_first' >\n                                                    <input type='text' name='input_124.3' id='input_20_124_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_124_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_124_6_container' class='name_last' >\n                                                    <input type='text' name='input_124.6' id='input_20_124_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_124_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_124_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_124.8' id='input_20_124_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_124_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_125'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit n\u00b05<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_125'>\n                            \n                            <span id='input_20_125_3_container' class='name_first' >\n                                                    <input type='text' name='input_125.3' id='input_20_125_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_125_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_125_6_container' class='name_last' >\n                                                    <input type='text' name='input_125.6' id='input_20_125_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_125_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_125_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_125.8' id='input_20_125_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_125_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_126'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom, Pr\u00e9nom &amp; Date de naissance de l\u2019ayant droit n\u00b06<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name' id='input_20_126'>\n                            \n                            <span id='input_20_126_3_container' class='name_first' >\n                                                    <input type='text' name='input_126.3' id='input_20_126_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_126_3' >Nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_20_126_6_container' class='name_last' >\n                                                    <input type='text' name='input_126.6' id='input_20_126_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_126_6' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            <span id='input_20_126_8_container' class='name_suffix ' >\n                                                    <input type='text' name='input_126.8' id='input_20_126_8' value='' aria-label='Suffixe du nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_20_126_8' >Date de naissance<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id='field_20_127'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden' ><h2 class='gsection_title'>Pr\u00e9cisez votre demande<\/h2><\/li><li id='field_20_101'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Objet<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_20_101'><li class='gchoice_20_101_1'>\n\t\t\t\t\t\t\t\t<input name='input_101.1' type='checkbox'  value='Demande de documents d&#039;aide \u00e0 la vente'  id='choice_20_101_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_101_1' id='label_20_101_1'>Demande de documents d'aide \u00e0 la vente<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_20_101_2'>\n\t\t\t\t\t\t\t\t<input name='input_101.2' type='checkbox'  value='Demande de catalogue (PREMABOOK)'  id='choice_20_101_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_101_2' id='label_20_101_2'>Demande de catalogue (PREMABOOK)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_20_101_3'>\n\t\t\t\t\t\t\t\t<input name='input_101.3' type='checkbox'  value='Newsletter'  id='choice_20_101_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_101_3' id='label_20_101_3'>Newsletter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_20_101_4'>\n\t\t\t\t\t\t\t\t<input name='input_101.4' type='checkbox'  value='Autre'  id='choice_20_101_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_101_4' id='label_20_101_4'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_20_128'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_128' >Nombre de catalogues<\/label><div class='ginput_container ginput_container_number'><input name='input_128' id='input_20_128' type='text'    value='' class='medium'      aria-invalid=\"false\" \/><div class='instruction '>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>5<\/strong>.<\/div><\/div><\/li><li id='field_20_107'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><strong style=\"font-size: large; color: #008C86;\">Vos bordereaux de commissions sont disponibles au t\u00e9l\u00e9chargement dans votre espace courtage : <\/br>\n     <a href=\"https:\/\/bit.ly\/2J7gGk7\" target=\"_blank\" style=\"color: #F1550F\">BORDEREAUX (lien)<\/a><\/strong><\/li><li id='field_20_99'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_99' >Objet de votre demande<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_20_99' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_20_103'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Transmettre un document ?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_20_103'><li class='gchoice_20_103_0'><input name='input_103' type='radio' value='Oui'  id='choice_20_103_0'    \/><label for='choice_20_103_0' id='label_20_103_0'>Oui<\/label><\/li><\/ul><\/div><\/li><li id='field_20_104'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Fichier (2 Mo max.)<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_20_104' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_20_104&quot;,&quot;container&quot;:&quot;gform_multifile_upload_20_104&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_20_104&quot;,&quot;filelist&quot;:&quot;gform_preview_20_104&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/entrecourtiers.pro\\\/communication\\\/?gf_page=ae8f246eabaab2b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/entrecourtiers.pro\\\/communication\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/entrecourtiers.pro\\\/communication\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers 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class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_20_104' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message_20_104'  \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message_20_104' class='screen-reader-text'><\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_20_104'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_20_104'><\/div><\/li><li id='field_20_41'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_20_41' >Message<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_41' id='input_20_41' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li>\n                            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