(6963,10466,'Quote','App\\Models\\Wpcf7FormPanel',3288,'<div class=\"row p-4\">\r\n    <div class=\"col-12 error\"></div>\r\n<h2>Choose your options</h2>\r\n\r\n    <div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\" style=\"text-align:justify;\">Our Student Travel Insurance already covers a wide range of Assistance and Repatriation Guarantees for your trip, Baggage, cancellation or flight delay ... <strong> MONDIALCARE offers you to add an additional option </strong>, Personal Accident Insurance which guarantees a Capital in the event of death or disability up to €50,000. </p> <p>Activate this option (Yes / No) for each insured then click on \"Next\"</p>\r\n    </div>\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row align-items-center\" style=\"border-bottom: 2px solid #dee2e6; border-top: 1px solid #dee2e6; font-size: 15px\">\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Insured</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Date of Birth</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Option ?</b></div>\r\n            <div class=\"col-2\" style=\"padding: .75rem\"><b>Price</b></div></div>\r\n       <fieldset data-loop=\"[number-pers]\" class=\"p-0\">\r\n            <div class=\"row align-items-center line\" style=\"border-bottom: 1px solid #dee2e6; font-size: 15px\">\r\n               <div class=\"col-4\" style=\"padding: .75rem\">[[personne--nom]], [[personne--prenom]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[[personne--date-naiss]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[radio_switch personne--option id:personne--option class:choix-option default:2 \"Yes|true\" \"No|false\"]</div>\r\n               <div class=\"col-2\" style=\"padding: .75rem\"><strong class=\"devis-pp\">[[personne--devis-pp]] €</strong> VAT Inc.</div>\r\n            </div>\r\n       </fieldset></div>\r\n\r\n<div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\">Total of <strong class=\"devis-st\">€ [devis-st]</strong> VAT Inc. to pay by credit card</p>\r\n    </div>\r\n\r\n<div class=\"d-flex justify-content-end\">\r\n            <input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary\" value=\"Back\" />[submit id:nextBtn class:nextBtn class:btn-radius \"Next\"]</div>\r\n\r\n<div class=\"row ml-4\">\r\n            <div class=\"col-12\">\r\n                  <p>Add a promo code</p>\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  [text code-promo]\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  <input type=\"button\" class=\"btn check-code\" value=\"Add a promo code\">\r\n            </div>\r\n            <div class=\"col-12 code-notif\"></div>\r\n        </div>\r\n\r\n\r\n<div class=\"col-12\">\r\n        <div class=\"mustache\">\r\n            <p>Student Travel Insurance for the period from <br><strong>[date-depart]</strong> to <strong>[date-fin]</strong> from <strong class=\"translatable\">[provenance_pays]</strong> to <strong class=\"translatable\">[destination_pays]</strong></p>\r\n        </div>\r\n    </div>\r\n\r\n\r\n   \r\n</div>','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6964,10466,'Subscribe','App\\Models\\Wpcf7FormPanel',3289,'<div class=\"p-2\">\r\n<div class=\"row\">\r\n    <div class=\"col pl-2 pr-2\">\r\n        <p style=\"margin: 0px;\"><h2>Insurance Policyholder Information</h2> (person to contact for all correspondence)</p>\r\n    </div>\r\n</div>\r\n<div class=\"row\">\r\n    <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>LAST NAME</label>\r\n            [text* nom-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>FIRST NAME</label>\r\n            [text* prenom-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>HOME ADRESS</label>\r\n            [text* adresse-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>ZIP CODE</label>\r\n            [text* code-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n         \r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>CITY</label>\r\n            [text* ville-payeur]\r\n\r\n            </div>\r\n   <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY</label>\r\n            [text* pays-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 pl-2 pr-2\">\r\n\r\n            <label>E-MAIL ADRESS</label>\r\n            [email* email-payeur]\r\n\r\n            </div> \r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_fix-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>PHONE</label>\r\n            [tel* telephone_fix-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_mobile-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>MOBILE</label>\r\n            [tel* telephone_mobile-payeur]\r\n\r\n            </div>\r\n        </div>\r\n    </div>\r\n    <div class=\"col-12 col-sm-4 pl-2 pr-2 mt-4 d-flex flex-column justify-content-between\">\r\n      <div>\r\n        [radio titre-payeur default:1 \"Male\" \"Female\"]\r\n[pay_button value:Pay Now class:w-100 class:btn-radius class:wpcf7-submit]\r\n<input type=\"button\" id=\"prevBtn\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary mt-3 w-100\" value=\"Back\"/></div>  \r\n      <div class=\"row mb-5\">\r\n       <div class=\"col-12\">\r\n<img style=\"width: inherit;\" src=\"https://img.generation-nt.com/logo-paypal_080002C401390492.jpg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://cdn.1min30.com/wp-content/uploads/2017/04/Symbole-Visa.png\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://upload.wikimedia.org/wikipedia/commons/8/88/MasterCard_early_1990s_logo.svg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRc6h1CjJ1Ob2UXXd2IzS7bcbdwev3RiCQphMuePIu3oEDehuwC-w&s\">\r\n       </div>\r\n      </div>\r\n</div>\r\n  </div>\r\n</div>','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6965,10466,'CGVNI','App\\Models\\Wpcf7PdfPanel',2643,'','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6966,10466,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2644,'','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6967,10466,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2645,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">STUDENT TRAVEL INSURANCE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">CERTIFICATE N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 365 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> atteste par la pr&eacute;sente que l&#39;assur&eacute; d&eacute;nomm&eacute; ci-apr&egrave;s est garanti par le contrat GSL <strong>N&deg; ADP20192395 R&Eacute;F.GSL-AGISETUDIANTS0819 </strong>suivant les prestations d&eacute;crites dans les conditions g&eacute;n&eacute;rales.</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;\">L&#39;assur&eacute;(e) d&eacute;sign&eacute;(e) sur cette attestation d&rsquo;assurance, b&eacute;n&eacute;ficie des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe et selon ses options, montants de garanties et de franchises figurant aux tableaux ci-apr&egrave;s.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DE L&rsquo;ASSURE(E) BENEFICIAIRE DES GARANTIES</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Pour toutes demandes d&rsquo;Assistance</span></strong><span style=\"font-family:\'Myriad Pro\';\">, l&rsquo;Assur&eacute;(e) (ou toute personne agissant en son nom)<br />\r\ndoit contacter GROUPAMA ASSISTANCE au <strong><span style=\"font-family:\'Myriad Pro\';\">+33 1 55 98 57 35 </span></strong>(joignable 7 jours sur 7, 24h sur 24)</span><br />\r\n<span style=\"font-family:\'Myriad Pro\';\">en rappelant la r&eacute;f&eacute;rence du contrat <strong>GSL N&deg; ADP20192393 REF GSL-AGISSCHENGEN082019.</strong></span></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout autre renseignement et demande de remboursement FRAIS M&Eacute;DICAUX-HOSPITALISATION :</span></strong><br />\r\n<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Contacter <strong>MONDIALCARE&copy;</strong> par l&#39;intermediaire de AGIS SAS - 33 Avenue Victor Hugo 75784 Paris Cedex 16</span></span><br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Ce contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">75 000&euro; (Moyen Courrier)<br />\r\n			150 000&euro; (Long Courrier)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement sanitaire</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance des Bagages et Effets Personnels</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 2 000&euro;</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Responsabilit&eacute; Civile Vie Priv&eacute;e</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 4 500 000&euro;</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">L&#39;assur&eacute; b&eacute;n&eacute;ficie des Garanties en option suivantes ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--option]</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance Individuelle Accident</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 2 000 000&euro;</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;\"><span style=\"color:#000000;\">L&#39;assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce contrat est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; L&#39;assur&eacute; autorise son assureur &agrave; communiquer les informations relatives &agrave; son contrat &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. L&#39;assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6968,10466,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2646,'<meta charset=\"utf-8\">\r\n<title></title>\r\n<table align=\"center\" cellpadding=\"1\" cellspacing=\"1\" style=\"width:700px;height:991px;\">\r\n	<tbody>\r\n		<tr>\r\n			<td><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/02/CONTRAT-Assurance-Voyage-etudiant.png\" style=\"width:100%; height: 100%;\" /></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE ETUDIANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">FICHE D&#39;INFORMATIONS / BESOINS &amp; PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Afin de renforcer la protection et le service de l&#39;assur&eacute;, veuillez trouver ci-apr&egrave;s la fiche &quot;Informations et Conseils&quot; pr&eacute;alable &agrave; la conclusion d&#39;un contrat d&#39;assurance. Ce document est n&eacute;cessaire pour d&eacute;terminer de fa&ccedil;on claire et exacte vos besoins et objectifs en mati&egrave;re d&#39;assurance. Il doit notamment permettre &agrave; votre courtier conseil de vous d&eacute;livrer les informations et le conseil adapt&eacute;s en application de l&#39;article L.520-1 du code des assurances.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:9px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Votre courtier conseil est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de distributeur d&#39;assurance. MONDIALCARE est une marque de AGIS SAS, Interm&eacute;diaire d&#39;Assurance N&deg;10057380 est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de concepteur et gestionnaire du contrat d&#39;assurance.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">I - COURTIER CONSEIL</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">II - INFORMATIONS LEGALES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Informations du courtier :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur] [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">N&deg;ORIAS : </span></strong></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">III- INFORMATIONS COMPLEMENTAIRES</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Par ailleurs, en tant que de besoin, nous vous pr&eacute;cisons :<br />\r\n									<br />\r\n									<strong>O</strong> que notre cabinet d&eacute;tient une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital de la ou des entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>O</strong> que la ou les entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">d&eacute;tient (d&eacute;tiennent) une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital &eacute;manant de notre cabinet</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le futur assur&eacute; peut v&eacute;rifier l&#39;immatriculation de son courtier conseil &agrave; l&#39;adresse suivante :</span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:left;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ORIAS : Organisme pour le registre des Interm&eacute;diaires d&#39;Assurance www.orias.fr<br />\r\n						1 rue Jules Lefebvre - 75311 Paris Cedex 09<br />\r\n						T&eacute;l : 01 53 21 51 70</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Conform&eacute;ment aux dispositions de l&#39;article L.520-1-II b du code des assurances, le contrat qui vous est propos&eacute; a &eacute;t&eacute; s&eacute;lectionn&eacute; parmi les offres &eacute;manant d&#39;organismes d&#39;assurance partenaires privil&eacute;gi&eacute;s de notre cabinet. Nous tenons &agrave; votre disposition leurs noms et coordonn&eacute;es, sur simple demande de votre part. En cas de r&eacute;clamation, n&#39;h&eacute;sitez pas &agrave; nous contacter &agrave; l&#39;adresse indiqu&eacute;e au I. Courtier Conseil. Il est enfin rappel&eacute; les coordonn&eacute;es de l&#39;autorit&eacute; de Controle des Assurances et Mutuelles : </span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:left;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ACPR - Autorit&eacute; de contr&ocirc;le prudentiel et de R&eacute;solution - 4 place de Budapest CS92459 - 75436 Paris Cedex 09</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">IV - INFORMATIONS VOUS CONCERNANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>1- Votre statut : </strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Nom et Pr&eacute;nom de l&#39;assur&eacute;(e)</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:2px\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>2 - Expression de vos besoins :</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Dur&eacute;e de votre s&eacute;jour &agrave; l&#39;&eacute;tranger :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[resultatDuree] jours</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Votre Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie temporaire :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie annuelle :&nbsp;</span><strong>NON</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Quelles sont les garanties souhait&eacute;es ?</strong></span><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assistance rapatriement : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Frais m&eacute;dicaux et hospitalisation : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assurance Bagages et Effets personnels :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Responsabilit&eacute; Civile Vie Priv&eacute;e :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assurance Individuelle Accident :&nbsp;</span><strong>[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE ETUDIANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">V - PROTECTION DES DONNEES PERSONNELLES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Pour quelles fonctions ?</strong><br />\r\n						MONDIALCARE par AGIS SAS, responsable de traitement, collecte des donn&eacute;es personnelles obligatoires ayant comme base juridique la r&eacute;alisation de mesures pr&eacute;contractuelles, d&rsquo;actes de souscription, de gestion et d&rsquo;ex&eacute;cution de contrat. A ce titre, elles peuvent &eacute;galement &ecirc;tre utilis&eacute;es &agrave; des fins de recouvrement, d&rsquo;exercices des recours et de gestion des r&eacute;clamations et de contentieux, d&rsquo;examen, d&rsquo;appr&eacute;ciation, de contr&ocirc;le, de surveillance du risque et &agrave; des fins d&rsquo;&eacute;tudes statistiques et actuarielles. Ces informations auront &eacute;galement comme base juridique le respect des obligations l&eacute;gales dans le cadre de nos obligations r&eacute;glementaires de lutte contre le blanchiment des capitaux et le financement du terrorisme. Ces donn&eacute;es pourront &eacute;galement &ecirc;tre utilis&eacute;es dans le cadre de l&rsquo;int&eacute;r&ecirc;t l&eacute;gitime pour permettre de lutter contre la fraude &agrave; l&rsquo;assurance. Les donn&eacute;es relatives &agrave; votre sant&eacute; &eacute;ventuellement recueillies seront exclusivement utilis&eacute;es pour la passation, la gestion et l&rsquo;ex&eacute;cution de votre contrat. Vos donn&eacute;es seront conserv&eacute;es le temps n&eacute;cessaire &agrave; ces diff&eacute;rentes op&eacute;rations, ou pour la dur&eacute;e sp&eacute;cifiquement pr&eacute;vue par la CNIL (normes pour le secteur de l&rsquo;assurance) ou la loi (prescriptions l&eacute;gales).<br />\r\n						<strong>A qui sont communiqu&eacute;es vos donn&eacute;es ?</strong><br />\r\n						Vos donn&eacute;es seront uniquement communiqu&eacute;es &agrave; nos assureurs partenaires, et autres partenaires ou organismes professionnels habilit&eacute;s qui ont besoin d&rsquo;y avoir acc&egrave;s pour la r&eacute;alisation de ces op&eacute;rations. Nous sommes l&eacute;galement tenus de v&eacute;rifier que vos donn&eacute;es sont exactes, compl&egrave;tes et, si n&eacute;cessaire, mises &agrave; jour. Nous pourrons ainsi vous solliciter pour le v&eacute;rifier ou &ecirc;tre amen&eacute;s &agrave; compl&eacute;ter votre dossier (par exemple en enregistrant votre email si vous nous avez &eacute;crit un courrier &eacute;lectronique).<br />\r\n						<strong>Quels sont vos droits ?</strong><br />\r\n						Vous pouvez demander l&rsquo;acc&egrave;s, la rectification, l&rsquo;effacement ou la portabilit&eacute; de vos donn&eacute;es, d&eacute;finir des directives relatives &agrave; leur sort apr&egrave;s votre d&eacute;c&egrave;s, choisir d&rsquo;en limiter l&rsquo;usage ou vous opposer &agrave; leur traitement. Si vous avez donn&eacute; une autorisation sp&eacute;ciale et expresse pour l&rsquo;utilisation de certaines de vos donn&eacute;es, vous pouvez la retirer &agrave; tout moment sous r&eacute;serve qu&rsquo;il ne s&rsquo;agisse pas d&rsquo;informations qui conditionnent l&rsquo;application de votre contrat.<br />\r\n						<strong>Pour nous contacter et exercer vos droits ?</strong><br />\r\n						Vous pouvez contacter notre d&eacute;l&eacute;gu&eacute; &agrave; la protection des donn&eacute;es pour exercer vos droits par email : dpo@agis-group.com ou par courrier &agrave; MONDIALCARE / AGIS SAS, &agrave; l&rsquo;attention du DPO, 33 Avenue Victor Hugo &ndash; 75116 Paris Villeneuve d&rsquo;Ascq. En cas de r&eacute;clamation, vous pouvez choisir de saisir la CNIL par courrier &agrave; l&rsquo;adresse suivante : 3 Place de Fontenoy - TSA 80715 - 75334 PARIS CEDEX 07.<br />\r\n						<br />\r\n						Pour plus d&rsquo;informations sur le traitement de vos donn&eacute;es et sur vos droits, nous vous invitons &agrave; consulter notre &laquo; Politique de protection des donn&eacute;es &raquo; et &laquo; Informations sur les cookie &raquo; accessibles sur notre site internet.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VI - NOTRE PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Au vu des besoins exprim&eacute;s au terme du pr&eacute;sent diagnostic, nous vous recommandons de souscrire la garantie&nbsp;:<br />\r\n						<strong>ASSURANCE VOYAGE ETUDIANT</strong> (ADP20192395 REF.GSL-AGISETUDIANTS0819) propos&eacute;e par MONDIALCARE.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Vous trouverez ci-joint, les Conditions G&eacute;n&eacute;rales valant Notice d&#39;Information pour ce produit d&rsquo;Assurance.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le client reconna&icirc;t avoir pris connaissance du contenu du pr&eacute;sent projet pr&eacute;alablement &agrave; l&rsquo;adh&eacute;sion au contrat d&rsquo;assurance propos&eacute; ci-dessus, en avoir conserv&eacute; un exemplaire, et avoir re&ccedil;u une information d&eacute;taill&eacute;e sur l&rsquo;&eacute;tendue, la d&eacute;finition des risques et des garanties propos&eacute;es.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Votre courtier conseil :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:bottom;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE ETUDIANT</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(ADP20192395 REF GSL-AGISETUDIANTS0819)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">MON CONTRAT N&deg;[personne--num_client]</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATIONS DU SOUSCRIPTEUR</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATION DE L&#39;ASSURE / BENEFICIAIRE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TYPE DE CONTRAT SOUSCRIT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>ASSURANCE VOYAGE ETUDIANT</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>L&#39;option Assurance Individuelle Accident souscrite ?&nbsp;&nbsp;&nbsp;[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SEJOUR / VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Pays de provenance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[provenance_pays]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">P&eacute;riode de s&eacute;jour du :&nbsp;&nbsp;&nbsp;&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-depart]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">au :&nbsp;&nbsp;&nbsp;&nbsp; </span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-fin]</span></strong> </span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TARIFS en Euros (dont taxe d&#39;assurance 9%)</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Tarif unitaire :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--devis-pp]&euro;TTC (hors code promo)</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Nombre de Personnes participants au s&eacute;jour :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[number-pers]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Montant Total : </span><strong><span style=\"font-family:\'Myriad Pro\';\">[devis-st]&euro;TTC</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SIGNATURE DU CONTRAT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td>\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je demande la souscription au pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat se compose des conditions particuli&egrave;res et des conditions g&eacute;n&eacute;rales. Je reconnais en avoir pris connaissance et les accepte comme faisant partie dudit contrat.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat prend effet &agrave; la date de validit&eacute; indiqu&eacute;e et sous r&eacute;serve du paiement de la cotisation.<br />\r\n						La date de validit&eacute; ne peut &ecirc;tre ant&eacute;rieure &agrave; la date d&#39;envoi du contrat.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je d&eacute;clare avoir pris connaissance de la politique de traitement des donn&eacute;es personnelles de MONDIALCARE par AGIS SAS et de mes droits. Je reconnais et accepte que MONDIALCARE soit amen&eacute; &agrave; collecter et &agrave; traiter mes donn&eacute;es personnelles dans le cadre de la gestion du pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Je d&eacute;clare que toutes mes d&eacute;clarations sont sinc&egrave;res et exactes, n&#39;avoir rien &agrave; d&eacute;clarer ou omis de d&eacute;clarer et ne pas ignorer que si dans l&#39;appr&eacute;ciation du risque, la compagnie d&#39;assurance a &eacute;t&eacute; induite en erreur par suite d&#39;une fausse d&eacute;claration intentionnelle, le contrat sera annul&eacute; aux conditions pr&eacute;vues par le code des assurances fran&ccedil;ais.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:200px;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Cachet de l&#39;interm&eacute;diaire</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE ETUDIANT</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">CONTRAT N&deg;[personne--num_client]<br />\r\n						<span style=\"font-size:10px;\">(ADP20192395 REF GSL-AGISETUDIANTS0819)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VENTE A DISTANCE :<br />\r\n						FACULTE DE RENONCIATION</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">REPORT DE DATE DE VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du Code des assurances, l&rsquo;assur&eacute; a la possibilit&eacute; d&rsquo;exercer son droit de renoncement &agrave; son contrat d&rsquo;Assurance conclu &agrave; distance dans un d&eacute;lai de 14 jours &agrave; compter du jour de la conclusion du contrat.<br />\r\n						Cette facult&eacute; ne vaut pas pour les contrats d&rsquo;assurance voyages et assimil&eacute;s d&rsquo;une dur&eacute;e d&rsquo;un mois et inf&eacute;rieure &agrave; un mois. </strong></span></span><br />\r\n						<span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>La demande de renonciation doit &ecirc;tre adress&eacute;e par lettre recommand&eacute;e avec avis de r&eacute;ception &agrave; :</strong></span></span><br />\r\n						<span style=\"font-size:12px;\"><span style=\"font-family:\'Myriad Pro\'; color:#000000;\"><strong>MONDIALCARE par AGIS SAS<br />\r\n						33 Avenue Victor Hugo 75116 Paris.</strong></span></span><br />\r\n						<br />\r\n						<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Ci-apr&egrave;s Mod&egrave;le de lettre de renonciation :</strong></span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:9px;text-align:left;\"><i><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom, Pr&eacute;nom : ....................................................................<br />\r\n						Num&eacute;ro et appellation de contrat : .....................................<br />\r\n						Messieurs,<br />\r\n						Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du code des assurances, je renonce express&eacute;ment par la pr&eacute;sente &agrave; la souscription du contrat d&rsquo;assurance cit&eacute; en r&eacute;f&eacute;rences que j&rsquo;ai souscrit exclusivement &agrave; distance le ...../...../.....<br />\r\n						Je vous prie d&rsquo;agr&eacute;er, Messieurs, l&rsquo;expression de mes salutations distingu&eacute;es.<br />\r\n						Fait le : ...../...../.....</span></span></i></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">L&rsquo;assur&eacute; a la possibilit&eacute; de reporter une fois, les dates de son voyage sous r&eacute;serve que l&rsquo;assureur ait &eacute;t&eacute; pr&eacute;venu par &eacute;crit, avant la date de d&eacute;but de voyage.<br />\r\n						<br />\r\n						Le report devra intervenir dans le mois suivant la date initiale de prise d&rsquo;effet du contrat.</span></span></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">ANNULATION DU CONTRAT</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">En cas d&rsquo;annulation du voyage et uniquement dans ce cas, la cotisation pourra &ecirc;tre rembours&eacute;e au souscripteur sur demande &eacute;crite adress&eacute;e &agrave; MONDIALCARE <span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>par lettre recommand&eacute;e avec accus&eacute; de r&eacute;ception.</strong></span></span><br />\r\n									<br />\r\n									La demande devra parvenir avant la date d&rsquo;effet figurant sur le bulletin d&rsquo;adh&eacute;sion, le cachet de la poste faisant foi.<br />\r\n									<br />\r\n									Dans tous les cas, MONDIALCARE conservera la somme de 20 &euro; correspondant aux frais de dossier.</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:250px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td align=\"center\" style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\"><img height=\"170px\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/logo-email-footer.png\" width=\"170px\" />\r\n						<p style=\"text-align: center;font-size:15px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">Toute l&#39;&eacute;quipe de MONDIALCARE vous souhaite un agr&eacute;able Voyage.</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n</div>\r\n','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6969,10466,'IPID','App\\Models\\Wpcf7PdfPanel',2647,'','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6970,10466,'TICKET','App\\Models\\Wpcf7PdfPanel',2648,'<div style=\"text-align:center\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"height:142px; margin-left:auto; margin-right:auto; width:649px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"height:auto; vertical-align:middle; width:600px\">\r\n			<p style=\"text-align:center\">&nbsp;<img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"height:47px; margin:10px 20px; width:308px\" /></p>\r\n\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">TICKET DE PAIEMENT POUR LE CONTRAT N&deg; ORDERID</span></strong></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width:100%\">\r\n<table cellpadding=\"0\" style=\"height:77px; margin-left:auto; margin-right:auto; width:624px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"background-color:#eaeaea; height:auto; vertical-align:middle; width:100%\">\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">DETAIL DE LA TRANSACTION</span></strong><br />\r\n			Voici les infomations &agrave; propos de votre paiement :</p>\r\n\r\n			<table cellpadding=\"1\" cellspacing=\"1\" style=\"border-spacing:1.5pt; margin-left:auto; margin-right:auto; width:100%\">\r\n				<tbody>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Num&eacute;ro de transaction:</strong></td>\r\n						<td style=\"text-align:left\">TRANSACTIONID</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Type d&#39;op&eacute;ration:</strong></td>\r\n						<td style=\"text-align:left\">OPERATIONTYPE</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Description:</strong></td>\r\n						<td style=\"text-align:left\">DESCRIPTOR</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Montant:</strong></td>\r\n						<td style=\"text-align:left\">AMOUNT &euro;</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<p>&nbsp;</p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:center\"><img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-3logo-tr.png\" style=\"height:47px; width:69px\" /><br />\r\n<strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">www.</span></strong><strong><span style=\"color:#339999; font-family:Montserrat\">MONDIALCARE</span></strong><strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">.eu</span></strong></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n\r\n<p>&nbsp;</p>\r\n','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6971,10466,'mcto10466','App\\Models\\Wpcf7MctoPanel',1034,'a:49:{s:19:\"codage-format-value\";s:4:\"MCTO\";s:20:\"codage-version-value\";s:3:\"1.6\";s:23:\"entete-origine-emetteur\";s:10:\"AGIS GROUP\";s:42:\"entete-origine-date_emission-date_hms-date\";s:9:\"[[d-m-Y]]\";s:41:\"entete-origine-date_emission-date_hms-hms\";s:9:\"[[H:i:s]]\";s:39:\"entete-origine-canal_distribution-value\";s:3:\"NET\";s:21:\"entete-recepteur-code\";s:0:\"\";s:18:\"entete-payeur-code\";s:13:\"[code-payeur]\";s:23:\"entete-decimales-double\";s:1:\"2\";s:19:\"entete-devise-value\";s:0:\"\";s:33:\"dossier-code_action_dossier-value\";s:1:\"C\";s:33:\"dossier-type_action_dossier-value\";s:2:\"30\";s:28:\"dossier-statut_dossier-value\";s:2:\"RQ\";s:37:\"dossier-references_dossier-interne_to\";s:7:\"[title]\";s:38:\"dossier-references_dossier-nom_dossier\";s:7:\"[title]\";s:41:\"dossier-references_dossier-vendeur_agence\";s:19:\"AGIS[[dmY]]_MANAGER\";s:21:\"dossier-date_creation\";s:9:\"[[d-m-Y]]\";s:25:\"dossier-date_modification\";s:9:\"[[d-m-Y]]\";s:37:\"dossier-produit_principal-nom_produit\";s:7:\"[title]\";s:55:\"dossier-produit_principal-references_produit-interne_to\";s:0:\"\";s:40:\"dossier-voyage-periode_voyage-date_debut\";s:0:\"\";s:38:\"dossier-voyage-periode_voyage-date_fin\";s:0:\"\";s:28:\"dossier-voyage-depart_voyage\";s:17:\"[provenance_pays]\";s:28:\"dossier-voyage-retour_voyage\";s:18:\"[destination_pays]\";s:26:\"dossier-voyage-pays_sejour\";s:0:\"\";s:26:\"dossier-voyage-lieu_sejour\";s:0:\"\";s:38:\"dossier-passagers-titre_personne-value\";s:17:\"[personne--titre]\";s:21:\"dossier-passagers-nom\";s:15:\"[personne--nom]\";s:24:\"dossier-passagers-prenom\";s:18:\"[personne--prenom]\";s:32:\"dossier-passagers-date_naissance\";s:22:\"[personne--date-naiss]\";s:39:\"dossier-terrestres-type_terrestre-value\";s:0:\"\";s:64:\"dossier-terrestres-periode_prestation-periode_etendue-date_debut\";s:13:\"[date-depart]\";s:72:\"dossier-terrestres-periode_prestation-periode_etendue-heure_minute_debut\";s:13:\"[date-depart]\";s:66:\"dossier-terrestres-periode_prestation-periode_etendue-duree-intval\";s:15:\"[resultatDuree]\";s:44:\"dossier-terrestres-nombre_prestations-intval\";s:0:\"\";s:37:\"dossier-terrestres-libelle_prestation\";s:14:\"ASSURANCE AGIS\";s:30:\"dossier-terrestres-lieu_sejour\";s:0:\"\";s:36:\"dossier-details_tarifs-libelle_tarif\";s:0:\"\";s:38:\"dossier-details_tarifs-quantite-intval\";s:1:\"1\";s:44:\"dossier-details_tarifs-montant_brut-floatval\";s:12:\"[[devis-st]]\";s:44:\"dossier-montants_dossier-montant_brut-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_net-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_tva-intval\";s:1:\"0\";s:50:\"dossier-montants_dossier-montant_commission-intval\";s:0:\"\";s:39:\"dossier-nombre_passagers-adultes-intval\";s:1:\"1\";s:39:\"dossier-nombre_passagers-enfants-intval\";s:1:\"1\";s:37:\"dossier-nombre_passagers-bebes-intval\";s:1:\"1\";s:48:\"dossier-details_informations-libelle_information\";s:0:\"\";s:40:\"dossier-details_informations-detail-text\";s:0:\"\";}','2020-04-27 09:46:23','2020-04-27 09:46:23'),(6972,10269,'Passengers','App\\Models\\Wpcf7FormPanel',3290,'[hidden lang default:get]\r\n[hidden temp_password-hidden]\r\n[hidden delta-hidden]\r\n[hidden max_diff-hidden \"90\"]\r\n[hidden num_contrat]\r\n[hidden apporteur default:get]\r\n[hidden date_souscription]\r\n\r\n<div class=\"declenche-devis ml-4 mr-4\">\r\n<div class=\"row\">\r\n<div class=\"col-12 error\"></div>\r\n<div class=\"col-12 ml-2 mr-4\">\r\n<h2>Tourist Travel Insurance</h2>\r\n<div class=\"row\">\r\n<div class=\"col\">\r\n     <fieldset>\r\n    <label class=\"text-uppercase\" for=\"duration_date\">Travel Period</label><div class=\"input-group daterange\"><label id=\"daterange-start-label\">Departure Date</label>[text date-depart id:duration_date class:form-control class:daterange-start readonly default:get]<label id=\"daterange-end-label\">Return Date</label>[text date-fin class:form-control class:daterange-end readonly default:get]<span class=\"input-group-append\" role=\"right-icon\"><button class=\"btn-transparent\" type=\"button\"><i class=\"fa fa-calendar\"></i></button></span></div></fieldset></div></div>\r\n[diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n\r\n    <div class=\"row\"><div class=\"col pl-2\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div></div>\r\n\r\n    [hidden provenance_pays-zone \"\"]\r\n    <div class=\"row\">\r\n    <div class=\"col-6\">\r\n         <fieldset><label class=\"text-uppercase\">Provenance</label><div class=\"input-group mt-1\">[select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style data-show-if-domtom:provdomtom default:get]</div></fieldset>\r\n       [group provdomtom]\r\n       Vous appartenez à DOMTOM\r\n       <input type=\"hidden\" name=\"provenance_pays-zone[]\" value=\"DOMTOM\" data-value=\"DOMTOM\" />\r\n       [/group]\r\n</div>\r\n    <div class=\"col-6\">\r\n         <fieldset><label>DESTINATION</label><div class=\"input-group mt-1\">[select_pays* destination_pays class:combobox class:w-100 class:swisscare-style data-show-if-mc:mc data-show-if-schengen:schengen data-show-if-lc:lc data-show-if-domtom:destdomtom default:get]</div></fieldset></div>\r\n</div>\r\n\r\n    [hidden destination_pays-zone \"\"]\r\n    <div class=\"row\">\r\n      <div class=\"col-6\">\r\n         [group mc]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"MC\" data-value=\"MC\"/>\r\n         [/group]\r\n      </div>\r\n\r\n      <div class=\"col-6\">\r\n         [group lc]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"LC\" data-value=\"LC\"/>\r\n         [/group]\r\n      </div>\r\n\r\n      <div class=\"col-6\">\r\n         [group schengen]\r\n         \r\n         [/group]\r\n      </div>\r\n       <div class=\"col-6\">\r\n         [group destdomtom]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"DOMTOM\" data-value=\"DOMTOM\"/>\r\n         [/group]\r\n      </div>\r\n      </div>\r\n\r\n    \r\n    [hidden number-pers default:get]\r\n    [hidden devis-st]\r\n<div class=\"col-12 mt-3\">\r\n<div class=\"pl-2 pr-2\" style=\"background-color: darkorange\">\r\n    <p class=\"mustache text-white\">Estimated cost of your Travel Insurance : <span class=\"devis-st\">€ [devis-st]</span> VAT Inc.</p></div>\r\n\r\n<h2>List of Insured</h2>\r\n\r\n\r\n    <div class=\"btn-plus ml-1\"><i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"> </i><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"> </i><small class=\"text-muted\">  Add / Remove Insureds</small></div>\r\n</div>\r\n   \r\n\r\n<div class=\"row mt-1 mr-5\" id=\"assure\">\r\n    <div class=\"col-12\">\r\n        \r\n        <div class=\"row mt-2\" v-for=\"(person, index) in people\" :data-loop-index=\"index\">\r\n[hidden personne--num_client]\r\n[hidden personne--devis-pp]\r\n            <div class=\"col-xl-12 pl-2\">\r\n             <h3 class=\"title\">Insured n° {{index+1}} - <strong class=\"mustache devis-pp\">Price: € [[personne--devis-pp]]</strong></h3>\r\n             </div>\r\n            <div class=\"row\">\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>LAST NAME</label>[text* personne--nom id:personne--nom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>FIRST NAME</label>[text* personne--prenom id:personne--prenom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n       <fieldset><label class=\"text-uppercase\">Date of birth</label>[date personne--date-naiss id:personne--date-naiss class:w-100]</fieldset>[diffdate personne--age id:personne--age date1:personne--date-naiss date2:now get:y]\r\n                </div>\r\n                <div class=\"close-col\" >\r\n             <div class=\"delete\" v-on:click=\"deletePerson(index)\"><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"></i></div>\r\n                </div>\r\n\r\n            </div>\r\n    </div>\r\n<div class=\"col-12 mt-3\">\r\n            <div class=\"btn-plus\" v-on:click=\"add()\">\r\n                <i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"></i>\r\n            </div>\r\n       </div>    \r\n</div>\r\n\r\n<div class=\"col col-12 d-flex justify-content-end\">\r\n<input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control wpcf7-submit button prevBtn btn-radius button-secondary\" value=\"Back\"/>[submit id:nextBtn class:nextBtn class:btn-radius \"Next\"]\r\n</div>\r\n\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row mt-4\">\r\n                <div class=\"col-12 mt-2\">\r\n                <label class=\"checkbox-group\">[acceptance terms]<small>The information collected on this page is subject to a treatment designed to receive information about our services, and to follow up and training of your application. Your personal information is exclusively intended for the persons authorized to process these requests. By clicking on \"Next\", I acknowledge having read the <strong> <a href=\"http://193.70.73.91/wp-content/uploads/2020/01/PGPD-AGIS-2020.pdf\" target=\"_blank\"> AGIS data protection policy</a></strong> having appointed a Data Protection Officer to the CNIL, by proving your identity, you can exercise your rights of access, rectification or deletion of information about you. You can also, for legitimate reasons, oppose the processing of your data. Please send us an email to dpo@agis-group.com.</small>[/acceptance]</label>\r\n            </div>\r\n        </div>\r\n    </div>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6973,10269,'Quote','App\\Models\\Wpcf7FormPanel',3291,'<div class=\"row p-4\">\r\n    <div class=\"col-12 error\"></div>\r\n<h2>Choose your options</h2>\r\n\r\n    <div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\" style=\"text-align:justify;\">Our Tourist Travel Insurance already covers a wide range of Assistance and Repatriation Guarantees for your trip, MONDIALCARE offers a package of additional benefits in options, such as Cancellation, flight Delay, Baggage and Personal Effects Guarantees, these options are available at the time of subscription</p><p>Activate the option (Yes / No) for each insured then click on \"Next\".</p>\r\n    </div>\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row align-items-center\" style=\"border-bottom: 2px solid #dee2e6; border-top: 1px solid #dee2e6; font-size: 15px\">\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Insured</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Date of Birth</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Option ?</b></div>\r\n            <div class=\"col-2\" style=\"padding: .75rem\"><b>Price</b></div></div>\r\n       <fieldset data-loop=\"[number-pers]\" class=\"p-0\">\r\n            <div class=\"row align-items-center line\" style=\"border-bottom: 1px solid #dee2e6; font-size: 15px\">\r\n               <div class=\"col-4\" style=\"padding: .75rem\">[[personne--nom]], [[personne--prenom]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[[personne--date-naiss]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[radio_switch personne--option id:personne--option class:choix-option default:2 \"Yes|true\" \"No|false\"]</div>\r\n               <div class=\"col-2\" style=\"padding: .75rem\"><strong class=\"devis-pp\">[[personne--devis-pp]] €</strong> TTC</div>\r\n            </div>\r\n       </fieldset></div>\r\n\r\n<div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\">Total of <strong class=\"devis-st\">€ [devis-st]</strong> VAT Inc. to pay by credit card</p>\r\n    </div>\r\n\r\n<div class=\"d-flex justify-content-end\">\r\n            <input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary\" value=\"Back\" />[submit id:nextBtn class:nextBtn class:btn-radius \"Next\"]</div>\r\n\r\n<div class=\"row ml-4\">\r\n            <div class=\"col-12\">\r\n                  <p>Add a promo code</p>\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  [text code-promo]\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  <input type=\"button\" class=\"btn check-code\" value=\"Add a promo code\">\r\n            </div>\r\n            <div class=\"col-12 code-notif\"></div>\r\n        </div>\r\n\r\n\r\n<div class=\"col-12\">\r\n        <div class=\"mustache\">\r\n            <p>Tourist Travel Insurance for the period from <br><strong>[date-depart]</strong> to <strong>[date-fin]</strong> from <strong class=\"translatable\">[provenance_pays]</strong> to <strong class=\"translatable\">[destination_pays]</strong></p>\r\n        </div>\r\n    </div>\r\n\r\n\r\n   \r\n</div>','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6974,10269,'Subscribe','App\\Models\\Wpcf7FormPanel',3292,'<div class=\"p-2\">\r\n<div class=\"row\">\r\n    <div class=\"col pl-2 pr-2\">\r\n        <p style=\"margin: 0px;\"><h2>Insurance Policyholder Information</h2> (person to contact for all correspondence)</p>\r\n    </div>\r\n</div>\r\n<div class=\"row\">\r\n    <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>LAST NAME</label>\r\n            [text* nom-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>FIRST NAME</label>\r\n            [text* prenom-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>HOME ADRESS</label>\r\n            [text* adresse-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>ZIP CODE</label>\r\n            [text* code-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n         \r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>CITY</label>\r\n            [text* ville-payeur]\r\n\r\n            </div>\r\n   <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY</label>\r\n            [text* pays-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 pl-2 pr-2\">\r\n\r\n            <label>E-MAIL ADRESS</label>\r\n            [email* email-payeur]\r\n\r\n            </div> \r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_fix-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>PHONE</label>\r\n            [tel* telephone_fix-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_mobile-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>MOBILE</label>\r\n            [tel* telephone_mobile-payeur]\r\n\r\n            </div>\r\n        </div>\r\n    </div>\r\n    <div class=\"col-12 col-sm-4 pl-2 pr-2 mt-4 d-flex flex-column justify-content-between\">\r\n      <div>\r\n        [radio titre-payeur default:1 \"Male\" \"Female\"]\r\n[pay_button value:Pay Now class:w-100 class:btn-radius class:wpcf7-submit]\r\n<input type=\"button\" id=\"prevBtn\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary mt-3 w-100\" value=\"Back\"/></div>  \r\n      <div class=\"row mb-5\">\r\n       <div class=\"col-12\">\r\n<img style=\"width: inherit;\" src=\"https://img.generation-nt.com/logo-paypal_080002C401390492.jpg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://cdn.1min30.com/wp-content/uploads/2017/04/Symbole-Visa.png\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://upload.wikimedia.org/wikipedia/commons/8/88/MasterCard_early_1990s_logo.svg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRc6h1CjJ1Ob2UXXd2IzS7bcbdwev3RiCQphMuePIu3oEDehuwC-w&s\">\r\n       </div>\r\n      </div>\r\n</div>\r\n  </div>\r\n</div>','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6975,10269,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2649,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">ATTESTATION D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">CERTIFICAT N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 90 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> atteste par la pr&eacute;sente que l&#39;assur&eacute; d&eacute;nomm&eacute; ci-apr&egrave;s est garanti par le contrat GSL <strong>N&deg; ADP20192398 REF GSL-AGISTOURISME082019 </strong>suivant les prestations d&eacute;crites dans les conditions g&eacute;n&eacute;rales.</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\">L&#39;assur&eacute;(e) d&eacute;sign&eacute;(e) sur cette attestation d&rsquo;assurance, b&eacute;n&eacute;ficie des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe et selon ses options, montants de garanties et de franchises figurant aux tableaux ci-apr&egrave;s.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DE L&rsquo;ASSURE(E) BENEFICIAIRE DES GARANTIES</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Pour toutes demandes d&rsquo;Assistance</span></strong><span style=\"font-family:\'Myriad Pro\';\">, l&rsquo;Assur&eacute;(e) (ou toute personne agissant en son nom)<br />\r\ndoit contacter GROUPAMA ASSISTANCE au <strong><span style=\"font-family:\'Myriad Pro\';\">+33 1 55 98 57 35 </span></strong>(joignable 7 jours sur 7, 24h sur 24)</span><br />\r\n<span style=\"font-family:\'Myriad Pro\';\">en rappelant la r&eacute;f&eacute;rence du contrat <strong>GSL N&deg; ADP20192398 REF GSL-AGISTOURISME082019.</strong></span></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout autre renseignement et demande de remboursement FRAIS M&Eacute;DICAUX-HOSPITALISATION :</span></strong><br />\r\n<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Contacter <strong>MONDIALCARE&copy;</strong> par l&#39;intermediaire de AGIS SAS - 33 Avenue Victor Hugo 75784 Paris Cedex 16</span></span><br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Ce contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">75 000&euro; (Moyen Courrier)<br />\r\n			150 000&euro; (Long Courrier)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement sanitaire</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">L&#39;assur&eacute; b&eacute;n&eacute;ficie des Garanties en option suivantes ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--option]</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance des Bagages et Effets Personnels</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 2 000&euro;</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance Retard, Annulation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 4 000&euro;</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\"><span style=\"color:#000000;\">L&#39;assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce contrat est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; L&#39;assur&eacute; autorise son assureur &agrave; communiquer les informations relatives &agrave; son contrat &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. L&#39;assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6976,10269,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2650,'','2020-04-27 09:47:39','2020-04-27 09:47:39');
INSERT INTO `wp_cf7_tab_panels` VALUES (6977,10269,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2651,'<meta charset=\"utf-8\">\r\n<title></title>\r\n<table align=\"center\" cellpadding=\"1\" cellspacing=\"1\" style=\"width:700px;height:991px;\">\r\n	<tbody>\r\n		<tr>\r\n			<td><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/02/Asset-2bulletin-mondialcare-scaled.png\" style=\"width:100%; height: 100%;\" /></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE TOURISTIQUE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">FICHE D&#39;INFORMATIONS / BESOINS &amp; PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Afin de renforcer la protection et le service de l&#39;assur&eacute;, veuillez trouver ci-apr&egrave;s la fiche &quot;Informations et Conseils&quot; pr&eacute;alable &agrave; la conclusion d&#39;un contrat d&#39;assurance. Ce document est n&eacute;cessaire pour d&eacute;terminer de fa&ccedil;on claire et exacte vos besoins et objectifs en mati&egrave;re d&#39;assurance. Il doit notamment permettre &agrave; votre courtier conseil de vous d&eacute;livrer les informations et le conseil adapt&eacute;s en application de l&#39;article L.520-1 du code des assurances.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Votre courtier conseil est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de distributeur d&#39;assurance. MONDIALCARE est une marque de AGIS SAS, Interm&eacute;diaire d&#39;Assurance N&deg;10057380 est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de concepteur et gestionnaire du contrat d&#39;assurance.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">I - COURTIER CONSEIL</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">II - INFORMATIONS LEGALES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Informations du courtier :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur] [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">N&deg;ORIAS : </span></strong></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">III- INFORMATIONS COMPLEMENTAIRES</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Par ailleurs, en tant que de besoin, nous vous pr&eacute;cisons :<br />\r\n									<br />\r\n									<strong>O</strong> que notre cabinet d&eacute;tient une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital de la ou des entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>O</strong> que la ou les entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">d&eacute;tient (d&eacute;tiennent) une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital &eacute;manant de notre cabinet</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le futur assur&eacute; peut v&eacute;rifier l&#39;immatriculation de son courtier conseil &agrave; l&#39;adresse suivante :</span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:justify;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ORIAS : Organisme pour le registre des Interm&eacute;diaires d&#39;Assurance www.orias.fr<br />\r\n						1 rue Jules Lefebvre - 75311 Paris Cedex 09<br />\r\n						T&eacute;l : 01 53 21 51 70</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Conform&eacute;ment aux dispositions de l&#39;article L.520-1-II b du code des assurances, le contrat qui vous est propos&eacute; a &eacute;t&eacute; s&eacute;lectionn&eacute; parmi les offres &eacute;manant d&#39;organismes d&#39;assurance partenaires privil&eacute;gi&eacute;s de notre cabinet. Nous tenons &agrave; votre disposition leurs noms et coordonn&eacute;es, sur simple demande de votre part. En cas de r&eacute;clamation, n&#39;h&eacute;sitez pas &agrave; nous contacter &agrave; l&#39;adresse indiqu&eacute;e au I. Courtier Conseil. Il est enfin rappel&eacute; les coordonn&eacute;es de l&#39;autorit&eacute; de Controle des Assurances et Mutuelles : </span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:left;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ACPR - Autorit&eacute; de contr&ocirc;le prudentiel et de R&eacute;solution - 4 place de Budapest CS92459 - 75436 Paris Cedex 09</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">IV - INFORMATIONS VOUS CONCERNANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>1- Votre statut : </strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Nom, Pr&eacute;nom et Date de Naissance des assur&eacute;s</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:2px\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>2 - Expression de vos besoins :</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Dur&eacute;e de votre s&eacute;jour &agrave; l&#39;&eacute;tranger :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[resultatDuree] jours</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Votre Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie temporaire :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie annuelle :&nbsp;</span><strong>NON</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Quelles sont les garanties souhait&eacute;es ?</strong></span><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assistance rapatriement : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Frais m&eacute;dicaux et hospitalisation : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Annulation / Interuption de s&eacute;jour :&nbsp;</span><strong>[personne--option]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assurance Bagages et Effets personnels :&nbsp;</span><strong>[personne--option]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Retard d&#39;avion, annulation de vol :&nbsp;</span><strong>[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE TOURISTIQUE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">V - PROTECTION DES DONNEES PERSONNELLES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Pour quelles fonctions ?</strong><br />\r\n						MONDIALCARE par AGIS SAS, responsable de traitement, collecte des donn&eacute;es personnelles obligatoires ayant comme base juridique la r&eacute;alisation de mesures pr&eacute;contractuelles, d&rsquo;actes de souscription, de gestion et d&rsquo;ex&eacute;cution de contrat. A ce titre, elles peuvent &eacute;galement &ecirc;tre utilis&eacute;es &agrave; des fins de recouvrement, d&rsquo;exercices des recours et de gestion des r&eacute;clamations et de contentieux, d&rsquo;examen, d&rsquo;appr&eacute;ciation, de contr&ocirc;le, de surveillance du risque et &agrave; des fins d&rsquo;&eacute;tudes statistiques et actuarielles. Ces informations auront &eacute;galement comme base juridique le respect des obligations l&eacute;gales dans le cadre de nos obligations r&eacute;glementaires de lutte contre le blanchiment des capitaux et le financement du terrorisme. Ces donn&eacute;es pourront &eacute;galement &ecirc;tre utilis&eacute;es dans le cadre de l&rsquo;int&eacute;r&ecirc;t l&eacute;gitime pour permettre de lutter contre la fraude &agrave; l&rsquo;assurance. Les donn&eacute;es relatives &agrave; votre sant&eacute; &eacute;ventuellement recueillies seront exclusivement utilis&eacute;es pour la passation, la gestion et l&rsquo;ex&eacute;cution de votre contrat. Vos donn&eacute;es seront conserv&eacute;es le temps n&eacute;cessaire &agrave; ces diff&eacute;rentes op&eacute;rations, ou pour la dur&eacute;e sp&eacute;cifiquement pr&eacute;vue par la CNIL (normes pour le secteur de l&rsquo;assurance) ou la loi (prescriptions l&eacute;gales).<br />\r\n						<strong>A qui sont communiqu&eacute;es vos donn&eacute;es ?</strong><br />\r\n						Vos donn&eacute;es seront uniquement communiqu&eacute;es &agrave; nos assureurs partenaires, et autres partenaires ou organismes professionnels habilit&eacute;s qui ont besoin d&rsquo;y avoir acc&egrave;s pour la r&eacute;alisation de ces op&eacute;rations. Nous sommes l&eacute;galement tenus de v&eacute;rifier que vos donn&eacute;es sont exactes, compl&egrave;tes et, si n&eacute;cessaire, mises &agrave; jour. Nous pourrons ainsi vous solliciter pour le v&eacute;rifier ou &ecirc;tre amen&eacute;s &agrave; compl&eacute;ter votre dossier (par exemple en enregistrant votre email si vous nous avez &eacute;crit un courrier &eacute;lectronique).<br />\r\n						<strong>Quels sont vos droits ?</strong><br />\r\n						Vous pouvez demander l&rsquo;acc&egrave;s, la rectification, l&rsquo;effacement ou la portabilit&eacute; de vos donn&eacute;es, d&eacute;finir des directives relatives &agrave; leur sort apr&egrave;s votre d&eacute;c&egrave;s, choisir d&rsquo;en limiter l&rsquo;usage ou vous opposer &agrave; leur traitement. Si vous avez donn&eacute; une autorisation sp&eacute;ciale et expresse pour l&rsquo;utilisation de certaines de vos donn&eacute;es, vous pouvez la retirer &agrave; tout moment sous r&eacute;serve qu&rsquo;il ne s&rsquo;agisse pas d&rsquo;informations qui conditionnent l&rsquo;application de votre contrat.<br />\r\n						<strong>Pour nous contacter et exercer vos droits ?</strong><br />\r\n						Vous pouvez contacter notre d&eacute;l&eacute;gu&eacute; &agrave; la protection des donn&eacute;es pour exercer vos droits par email : dpo@agis-group.com ou par courrier &agrave; MONDIALCARE / AGIS SAS, &agrave; l&rsquo;attention du DPO, 33 Avenue Victor Hugo &ndash; 75116 Paris Villeneuve d&rsquo;Ascq. En cas de r&eacute;clamation, vous pouvez choisir de saisir la CNIL par courrier &agrave; l&rsquo;adresse suivante : 3 Place de Fontenoy - TSA 80715 - 75334 PARIS CEDEX 07.<br />\r\n						<br />\r\n						Pour plus d&rsquo;informations sur le traitement de vos donn&eacute;es et sur vos droits, nous vous invitons &agrave; consulter notre &laquo; Politique de protection des donn&eacute;es &raquo; et &laquo; Informations sur les cookie &raquo; accessibles sur notre site internet.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VI - NOTRE PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Au vu des besoins exprim&eacute;s au terme du pr&eacute;sent diagnostic, nous vous recommandons de souscrire la garantie&nbsp;:<br />\r\n						<strong>ASSURANCE VOYAGE TOURISTIQUE</strong> (ADP20192398 REF GSL-AGISTOURISME082019) propos&eacute;e par MONDIALCARE.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Vous trouverez ci-joint, les Conditions G&eacute;n&eacute;rales valant Notice d&#39;Information pour ce produit d&rsquo;Assurance.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le client reconna&icirc;t avoir pris connaissance du contenu du pr&eacute;sent projet pr&eacute;alablement &agrave; l&rsquo;adh&eacute;sion au contrat d&rsquo;assurance propos&eacute; ci-dessus, en avoir conserv&eacute; un exemplaire, et avoir re&ccedil;u une information d&eacute;taill&eacute;e sur l&rsquo;&eacute;tendue, la d&eacute;finition des risques et des garanties propos&eacute;es.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Votre courtier conseil :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:bottom;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(ADP20192398 REF GSL-AGISTOURISME082019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">MON CONTRAT N&deg;[personne--num_client]</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATIONS DU SOUSCRIPTEUR</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATION DES ASSURES / BENEFICIAIRES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TYPE DE CONTRAT SOUSCRIT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>ASSURANCE VOYAGE TOURISTIQUE</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>L&#39;option Assurance Annulation / Retard + Bagages et Effets personnels souscrite ?&nbsp;&nbsp;&nbsp;[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SEJOUR / VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Pays de provenance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[provenance_pays]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">P&eacute;riode de s&eacute;jour du :&nbsp;&nbsp;&nbsp;&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-depart]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">au :&nbsp;&nbsp;&nbsp;&nbsp; </span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-fin]</span></strong> </span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TARIFS en Euros (dont taxe d&#39;assurance 9%)</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Tarif unitaire :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--devis-pp]&euro;TTC (hors code promo)</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Nombre de Personnes participants au s&eacute;jour :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[number-pers]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Montant Total : </span><strong><span style=\"font-family:\'Myriad Pro\';\">[devis-st]&euro;TTC</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SIGNATURE DU CONTRAT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td>\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je demande la souscription au pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat se compose des conditions particuli&egrave;res et des conditions g&eacute;n&eacute;rales. Je reconnais en avoir pris connaissance et les accepte comme faisant partie dudit contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat prend effet &agrave; la date de validit&eacute; indiqu&eacute;e et sous r&eacute;serve du paiement de la cotisation.<br />\r\n						La date de validit&eacute; ne peut &ecirc;tre ant&eacute;rieure &agrave; la date d&#39;envoi du contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je d&eacute;clare avoir pris connaissance de la politique de traitement des donn&eacute;es personnelles de MONDIALCARE par AGIS SAS et de mes droits. Je reconnais et accepte que MONDIALCARE soit amen&eacute; &agrave; collecter et &agrave; traiter mes donn&eacute;es personnelles dans le cadre de la gestion du pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Je d&eacute;clare que toutes mes d&eacute;clarations sont sinc&egrave;res et exactes, n&#39;avoir rien &agrave; d&eacute;clarer ou omis de d&eacute;clarer et ne pas ignorer que si dans l&#39;appr&eacute;ciation du risque, la compagnie d&#39;assurance a &eacute;t&eacute; induite en erreur par suite d&#39;une fausse d&eacute;claration intentionnelle, le contrat sera annul&eacute; aux conditions pr&eacute;vues par le code des assurances fran&ccedil;ais.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:200px;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Cachet de l&#39;interm&eacute;diaire</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">CONTRAT N&deg;[personne--num_client]<br />\r\n						<span style=\"font-size:10px;\">(ADP20192398 REF GSL-AGISTOURISME082019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VENTE A DISTANCE :<br />\r\n						FACULTE DE RENONCIATION</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">REPORT DE DATE DE VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du Code des assurances, l&rsquo;assur&eacute; a la possibilit&eacute; d&rsquo;exercer son droit de renoncement &agrave; son contrat d&rsquo;Assurance conclu &agrave; distance dans un d&eacute;lai de 14 jours &agrave; compter du jour de la conclusion du contrat.<br />\r\n						Cette facult&eacute; ne vaut pas pour les contrats d&rsquo;assurance voyages et assimil&eacute;s d&rsquo;une dur&eacute;e d&rsquo;un mois et inf&eacute;rieure &agrave; un mois. </strong></span></span><br />\r\n						<span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>La demande de renonciation doit &ecirc;tre adress&eacute;e par lettre recommand&eacute;e avec avis de r&eacute;ception &agrave; :</strong></span></span><br />\r\n						<span style=\"font-size:12px;\"><span style=\"font-family:\'Myriad Pro\'; color:#000000;\"><strong>MONDIALCARE par AGIS SAS<br />\r\n						33 Avenue Victor Hugo 75116 Paris.</strong></span></span><br />\r\n						<br />\r\n						<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Ci-apr&egrave;s Mod&egrave;le de lettre de renonciation :</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:4pt; margin-left:10pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><i><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom, Pr&eacute;nom : ....................................................................<br />\r\n						Num&eacute;ro et appellation de contrat : .....................................<br />\r\n						<br />\r\n						Messieurs,<br />\r\n						Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du code des assurances, je renonce express&eacute;ment par la pr&eacute;sente &agrave; la souscription du contrat d&rsquo;assurance cit&eacute; en r&eacute;f&eacute;rences que j&rsquo;ai souscrit exclusivement &agrave; distance le ...../...../.....<br />\r\n						Je vous prie d&rsquo;agr&eacute;er, Messieurs, l&rsquo;expression de mes salutations distingu&eacute;es.<br />\r\n						Fait le : ...../...../.....</span></span></i></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">L&rsquo;assur&eacute; a la possibilit&eacute; de reporter une fois, les dates de son voyage sous r&eacute;serve que l&rsquo;assureur ait &eacute;t&eacute; pr&eacute;venu par &eacute;crit, avant la date de d&eacute;but de voyage.<br />\r\n						<br />\r\n						Le report devra intervenir dans le mois suivant la date initiale de prise d&rsquo;effet du contrat.</span></span></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">ANNULATION DU CONTRAT</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">En cas d&rsquo;annulation du voyage et uniquement dans ce cas, la cotisation pourra &ecirc;tre rembours&eacute;e au souscripteur sur demande &eacute;crite adress&eacute;e &agrave; MONDIALCARE <span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>par lettre recommand&eacute;e avec accus&eacute; de r&eacute;ception.</strong></span></span><br />\r\n									<br />\r\n									La demande devra parvenir avant la date d&rsquo;effet figurant sur le bulletin d&rsquo;adh&eacute;sion, le cachet de la poste faisant foi.<br />\r\n									<br />\r\n									Dans tous les cas, MONDIALCARE conservera la somme de 25&euro; correspondant aux frais de dossier.</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:250px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td align=\"center\" style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\"><img height=\"170px\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/logo-email-footer.png\" width=\"170px\" />\r\n						<p style=\"text-align: center;font-size:15px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">Toute l&#39;&eacute;quipe de MONDIALCARE vous souhaite un agr&eacute;able Voyage.</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n</div>\r\n','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6978,10269,'CGVNI','App\\Models\\Wpcf7PdfPanel',2652,'','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6979,10269,'IPID','App\\Models\\Wpcf7PdfPanel',2653,'','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6980,10269,'TICKET','App\\Models\\Wpcf7PdfPanel',2654,'<div style=\"text-align:center\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"height:142px; margin-left:auto; margin-right:auto; width:649px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"height:auto; vertical-align:middle; width:600px\">\r\n			<p style=\"text-align:center\">&nbsp;<img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"height:47px; margin:10px 20px; width:308px\" /></p>\r\n\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">TICKET DE PAIEMENT POUR LE CONTRAT N&deg; ORDERID</span></strong></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width:100%\">\r\n<table cellpadding=\"0\" style=\"height:77px; margin-left:auto; margin-right:auto; width:624px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"background-color:#eaeaea; height:auto; vertical-align:middle; width:100%\">\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">DETAIL DE LA TRANSACTION</span></strong><br />\r\n			Voici les infomations &agrave; propos de votre paiement :</p>\r\n\r\n			<table cellpadding=\"1\" cellspacing=\"1\" style=\"border-spacing:1.5pt; margin-left:auto; margin-right:auto; width:100%\">\r\n				<tbody>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Num&eacute;ro de transaction:</strong></td>\r\n						<td style=\"text-align:left\">TRANSACTIONID</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Type d&#39;op&eacute;ration:</strong></td>\r\n						<td style=\"text-align:left\">OPERATIONTYPE</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Description:</strong></td>\r\n						<td style=\"text-align:left\">DESCRIPTOR</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Montant:</strong></td>\r\n						<td style=\"text-align:left\">AMOUNT &euro;</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<p>&nbsp;</p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:center\"><img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-3logo-tr.png\" style=\"height:47px; width:69px\" /><br />\r\n<strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">www.</span></strong><strong><span style=\"color:#339999; font-family:Montserrat\">MONDIALCARE</span></strong><strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">.eu</span></strong></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n\r\n<p>&nbsp;</p>\r\n','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6981,10269,'mcto10269','App\\Models\\Wpcf7MctoPanel',1035,'a:49:{s:19:\"codage-format-value\";s:4:\"MCTO\";s:20:\"codage-version-value\";s:3:\"1.6\";s:23:\"entete-origine-emetteur\";s:10:\"AGIS GROUP\";s:42:\"entete-origine-date_emission-date_hms-date\";s:9:\"[[d-m-Y]]\";s:41:\"entete-origine-date_emission-date_hms-hms\";s:9:\"[[H:i:s]]\";s:39:\"entete-origine-canal_distribution-value\";s:3:\"NET\";s:21:\"entete-recepteur-code\";s:0:\"\";s:18:\"entete-payeur-code\";s:13:\"[code-payeur]\";s:23:\"entete-decimales-double\";s:1:\"2\";s:19:\"entete-devise-value\";s:0:\"\";s:33:\"dossier-code_action_dossier-value\";s:1:\"C\";s:33:\"dossier-type_action_dossier-value\";s:2:\"30\";s:28:\"dossier-statut_dossier-value\";s:2:\"RQ\";s:37:\"dossier-references_dossier-interne_to\";s:7:\"[title]\";s:38:\"dossier-references_dossier-nom_dossier\";s:7:\"[title]\";s:41:\"dossier-references_dossier-vendeur_agence\";s:19:\"AGIS[[dmY]]_MANAGER\";s:21:\"dossier-date_creation\";s:9:\"[[d-m-Y]]\";s:25:\"dossier-date_modification\";s:9:\"[[d-m-Y]]\";s:37:\"dossier-produit_principal-nom_produit\";s:7:\"[title]\";s:55:\"dossier-produit_principal-references_produit-interne_to\";s:0:\"\";s:40:\"dossier-voyage-periode_voyage-date_debut\";s:0:\"\";s:38:\"dossier-voyage-periode_voyage-date_fin\";s:0:\"\";s:28:\"dossier-voyage-depart_voyage\";s:17:\"[provenance_pays]\";s:28:\"dossier-voyage-retour_voyage\";s:18:\"[destination_pays]\";s:26:\"dossier-voyage-pays_sejour\";s:0:\"\";s:26:\"dossier-voyage-lieu_sejour\";s:0:\"\";s:38:\"dossier-passagers-titre_personne-value\";s:17:\"[personne--titre]\";s:21:\"dossier-passagers-nom\";s:15:\"[personne--nom]\";s:24:\"dossier-passagers-prenom\";s:18:\"[personne--prenom]\";s:32:\"dossier-passagers-date_naissance\";s:22:\"[personne--date-naiss]\";s:39:\"dossier-terrestres-type_terrestre-value\";s:0:\"\";s:64:\"dossier-terrestres-periode_prestation-periode_etendue-date_debut\";s:13:\"[date-depart]\";s:72:\"dossier-terrestres-periode_prestation-periode_etendue-heure_minute_debut\";s:13:\"[date-depart]\";s:66:\"dossier-terrestres-periode_prestation-periode_etendue-duree-intval\";s:15:\"[resultatDuree]\";s:44:\"dossier-terrestres-nombre_prestations-intval\";s:0:\"\";s:37:\"dossier-terrestres-libelle_prestation\";s:14:\"ASSURANCE AGIS\";s:30:\"dossier-terrestres-lieu_sejour\";s:0:\"\";s:36:\"dossier-details_tarifs-libelle_tarif\";s:0:\"\";s:38:\"dossier-details_tarifs-quantite-intval\";s:1:\"1\";s:44:\"dossier-details_tarifs-montant_brut-floatval\";s:12:\"[[devis-st]]\";s:44:\"dossier-montants_dossier-montant_brut-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_net-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_tva-intval\";s:1:\"0\";s:50:\"dossier-montants_dossier-montant_commission-intval\";s:0:\"\";s:39:\"dossier-nombre_passagers-adultes-intval\";s:1:\"1\";s:39:\"dossier-nombre_passagers-enfants-intval\";s:1:\"1\";s:37:\"dossier-nombre_passagers-bebes-intval\";s:1:\"1\";s:48:\"dossier-details_informations-libelle_information\";s:0:\"\";s:40:\"dossier-details_informations-detail-text\";s:0:\"\";}','2020-04-27 09:47:39','2020-04-27 09:47:39'),(6982,11351,'Passengers','App\\Models\\Wpcf7FormPanel',3293,'[hidden lang default:get]\r\n[hidden temp_password-hidden]\r\n[hidden delta-hidden]\r\n[hidden max_diff-hidden \"90\"]\r\n[hidden num_contrat]\r\n[hidden apporteur default:get]\r\n[hidden date_souscription]\r\n<div class=\"declenche-devis ml-4 mr-4\">\r\n<div class=\"row\">\r\n<div class=\"col-12 error\"></div>\r\n<div class=\"col-12 ml-2 mr-4\">\r\n<h2>WorldWide Travel Insurance</h2>\r\n<div class=\"row\">\r\n<div class=\"col\">\r\n    <fieldset>\r\n     <label class=\"text-uppercase\" for=\"duration_date\">Travel Period</label>\r\n     <div class=\"input-group daterange\"><label id=\"daterange-start-label\">Departure Date</label>[text date-depart id:duration_date class:form-control class:daterange-start readonly default:get]<label id=\"daterange-end-label\">Return Date</label>[text date-fin class:form-control class:daterange-end readonly default:get]<span class=\"input-group-append\" role=\"right-icon\"><button class=\"btn-transparent\" type=\"button\"><i class=\"fa fa-calendar\"></i></button></span>\r\n                        </div>\r\n                    </fieldset>\r\n                </div>\r\n            </div>\r\n[diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n\r\n    <div class=\"row\"><div class=\"col pl-2\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div></div>\r\n\r\n    [hidden provenance_pays-zone \"\"]\r\n    <div class=\"row\">\r\n    <div class=\"col-6\">\r\n         <fieldset><label class=\"text-uppercase\">Provenance</label><div class=\"input-group mt-1\">[select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style no-display:schengen default:get]</div></fieldset>\r\n      \r\n</div>\r\n    <div class=\"col-6\">\r\n         <fieldset><label>DESTINATION</label><div class=\"input-group mt-1\">[select_pays* destination_pays class:combobox class:w-100 class:swisscare-style no-display:blacklist default:get]</div></fieldset></div>\r\n</div>\r\n\r\n \r\n    [hidden number-pers defaut:get]\r\n    [hidden devis-st]\r\n<div class=\"col-12 mt-3\">\r\n<div class=\"pl-2 pr-2\" style=\"background-color: darkorange\">\r\n    <p class=\"mustache text-white\">Estimated cost of your Travel Insurance : <span class=\"devis-st\">€ [devis-st]</span> VAT Inc.</p></div>\r\n\r\n<h2>List of Insured</h2>\r\n\r\n\r\n    <div class=\"btn-plus ml-1\"><i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"> </i><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"> </i><small class=\"text-muted\">  Add/Remove insured</small></div>\r\n</div>\r\n   \r\n\r\n<div class=\"row mt-1 mr-5\" id=\"assure\">\r\n    <div class=\"col-12\">\r\n        \r\n        <div class=\"row mt-2\" v-for=\"(person, index) in people\" :data-loop-index=\"index\">\r\n[hidden personne--num_client]\r\n            <div class=\"col-xl-12 pl-2\">\r\n             <h3 class=\"title\">Insured n° {{index+1}} - <strong class=\"mustache devis-pp\">- Price: € [[personne--devis-pp]] </strong></h3>\r\n             </div>\r\n            <div class=\"row\">\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>NAME</label>[text* personne--nom id:personne--nom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>LAST NAME</label>[text* personne--prenom id:personne--prenom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n       <fieldset><label class=\"text-uppercase\">BIRTHDATE</label>[date personne--date-naiss id:personne--date-naiss class:w-100]</fieldset>[diffdate personne--age id:personne--age date1:personne--date-naiss date2:now get:y]\r\n                </div>\r\n                <div class=\"close-col\" >\r\n             <div class=\"delete\" v-on:click=\"deletePerson(index)\"><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"></i></div>\r\n                </div>\r\n\r\n            </div>\r\n    </div>\r\n<div class=\"col-12 mt-3\">\r\n            <div class=\"btn-plus\" v-on:click=\"add()\">\r\n                <i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"></i>\r\n            </div>\r\n       </div>    \r\n</div>\r\n\r\n<div class=\"col col-12 d-flex justify-content-end\">\r\n<input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control wpcf7-submit button prevBtn btn-radius button-secondary\" value=\"Back\"/>[submit id:nextBtn class:nextBtn class:btn-radius \"Next\"]\r\n</div>\r\n\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row mt-4\">\r\n                <div class=\"col-12 mt-2\">\r\n                <label class=\"checkbox-group\">[acceptance terms]<small>The information collected on this page is subject to a treatment designed to receive information about our services, and to follow up and training of your application. Your personal information is exclusively intended for the persons authorized to process these requests. By clicking on \"Next\", I acknowledge having read the <strong> <a href=\"http://193.70.73.91/wp-content/uploads/2020/01/PGPD-AGIS-2020.pdf\" target=\"_blank\"> AGIS data protection policy</a></strong> having appointed a Data Protection Officer to the CNIL, by proving your identity, you can exercise your rights of access, rectification or deletion of information about you. You can also, for legitimate reasons, oppose the processing of your data. Please send us an email to dpo@agis-group.com.</small>[/acceptance]</label>\r\n            </div>\r\n        </div>\r\n    </div>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6983,11351,'Quote','App\\Models\\Wpcf7FormPanel',3294,'<div class=\"row p-4\">\r\n    <div class=\"col-12 error\"></div>\r\n<h2>Check the informations</h2>\r\n\r\n    <div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\" style=\"text-align:justify;\">To validate your quotation and obtain your insurance certificate, please check the information below, and click \"Next\" to continue</p>\r\n    </div>\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row align-items-center\" style=\"border-bottom: 2px solid #dee2e6; border-top: 1px solid #dee2e6; font-size: 12px\">\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Insured</b></div>\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Birthdate</b></div>\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Price</b></div></div>\r\n       <fieldset data-loop=\"[number-pers]\" class=\"p-0\">\r\n            <div class=\"row align-items-center line\" style=\"border-bottom: 1px solid #dee2e6; font-size: 12px\">\r\n               <div class=\"col-4\" style=\"padding: .75rem\">[[personne--nom]], [[personne--prenom]]</div>\r\n               <div class=\"col-4\" style=\"padding: .75rem\">[[personne--date-naiss]]</div>\r\n               <div class=\"col-4\" style=\"padding: .75rem\"><strong class=\"devis-pp\">[[personne--devis-pp]] €</strong> TTC</div>\r\n            </div>\r\n       </fieldset></div>\r\n\r\n<div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\">Total of <strong class=\"devis-st\">€ [devis-st]</strong> VAT Inc. to pay by credit card</p>\r\n    </div>\r\n\r\n<div class=\"d-flex justify-content-end\">\r\n            <input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary\" value=\"Back\" />[submit id:nextBtn class:nextBtn class:btn-radius \"Next\"]</div>\r\n\r\n<div class=\"row ml-4\">\r\n            <div class=\"col-12\">\r\n                  <p>Add a promo code</p>\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  [text code-promo]\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  <input type=\"button\" class=\"btn check-code\" value=\"Add a promo code\">\r\n            </div>\r\n            <div class=\"col-12 code-notif\"></div>\r\n        </div>\r\n\r\n\r\n\r\n<div class=\"col-12\">\r\n        <div class=\"mustache\">\r\n            <p>WorldWide Travel Insurance for the period from <br><strong>[date-depart]</strong> to <strong>[date-fin]</strong> from <strong class=\"translatable\">[provenance_pays]</strong> to <strong class=\"translatable\">[destination_pays]</strong></p>\r\n        </div>\r\n    </div>\r\n\r\n\r\n   \r\n</div>','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6984,11351,'Subscribe','App\\Models\\Wpcf7FormPanel',3295,'<div class=\"p-2\">\r\n<div class=\"row\">\r\n    <div class=\"col pl-2 pr-2\">\r\n        <p style=\"margin: 0px;\"><h2>Insurance Policyholder Information</h2> (person to contact for all correspondence)</p>\r\n    </div>\r\n</div>\r\n<div class=\"row\">\r\n    <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>LAST NAME</label>\r\n            [text* nom-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>FIRST NAME</label>\r\n            [text* prenom-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>HOME ADRESS</label>\r\n            [text* adresse-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>ZIP CODE</label>\r\n            [text* code-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n         \r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>CITY</label>\r\n            [text* ville-payeur]\r\n\r\n            </div>\r\n   <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY</label>\r\n            [text* pays-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 pl-2 pr-2\">\r\n\r\n            <label>E-MAIL ADRESS</label>\r\n            [email* email-payeur]\r\n\r\n            </div> \r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_fix-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>PHONE</label>\r\n            [tel* telephone_fix-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>COUNTRY CODE</label>\r\n            [text* ind_mobile-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>MOBILE</label>\r\n            [tel* telephone_mobile-payeur]\r\n\r\n            </div>\r\n        </div>\r\n    </div>\r\n    <div class=\"col-12 col-sm-4 pl-2 pr-2 mt-4 d-flex flex-column justify-content-between\">\r\n      <div>\r\n        [radio titre-payeur default:1 \"Male\" \"Female\"]\r\n[pay_button value:Pay Now class:w-100 class:btn-radius class:wpcf7-submit]\r\n<input type=\"button\" id=\"prevBtn\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary mt-3 w-100\" value=\"Back\"/></div>  \r\n      <div class=\"row mb-5\">\r\n       <div class=\"col-12\">\r\n<img style=\"width: inherit;\" src=\"https://img.generation-nt.com/logo-paypal_080002C401390492.jpg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://cdn.1min30.com/wp-content/uploads/2017/04/Symbole-Visa.png\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://upload.wikimedia.org/wikipedia/commons/8/88/MasterCard_early_1990s_logo.svg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRc6h1CjJ1Ob2UXXd2IzS7bcbdwev3RiCQphMuePIu3oEDehuwC-w&s\">\r\n       </div>\r\n      </div>\r\n</div>\r\n  </div>\r\n</div>','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6985,11351,'CGVNI','App\\Models\\Wpcf7PdfPanel',2655,'','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6986,11351,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2656,'','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6987,11351,'IPID','App\\Models\\Wpcf7PdfPanel',2657,'','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6988,11351,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2658,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">ATTESTATION D&#39;ASSURANCE VOYAGE MONDE A MONDE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">CERTIFICAT N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 90 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> atteste par la pr&eacute;sente que l&#39;assur&eacute; d&eacute;nomm&eacute; ci-apr&egrave;s est garanti par le contrat GSL <strong>N&deg; ADP20192599 REF GSL-AGISMONDE1019 </strong>suivant les prestations d&eacute;crites dans les conditions g&eacute;n&eacute;rales.</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\">L&#39;assur&eacute;(e) d&eacute;sign&eacute;(e) sur cette attestation d&rsquo;assurance, b&eacute;n&eacute;ficie des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe et selon ses options, montants de garanties et de franchises figurant aux tableaux ci-apr&egrave;s.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DE L&rsquo;ASSURE(E) BENEFICIAIRE DES GARANTIES</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Pour toutes demandes d&rsquo;Assistance</span></strong><span style=\"font-family:\'Myriad Pro\';\">, l&rsquo;Assur&eacute;(e) (ou toute personne agissant en son nom)<br />\r\ndoit contacter GROUPAMA ASSISTANCE au <strong><span style=\"font-family:\'Myriad Pro\';\">+33 1 55 98 57 35 </span></strong>(joignable 7 jours sur 7, 24h sur 24)</span><br />\r\n<span style=\"font-family:\'Myriad Pro\';\">en rappelant la r&eacute;f&eacute;rence du contrat <strong>GSL N&deg; ADP20192599 REF GSL-AGISMONDE1019.</strong></span></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout autre renseignement et demande de remboursement FRAIS M&Eacute;DICAUX-HOSPITALISATION :</span></strong><br />\r\n<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Contacter <strong>MONDIALCARE&copy;</strong> par l&#39;intermediaire de AGIS SAS - 33 Avenue Victor Hugo 75784 Paris Cedex 16</span></span><br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Ce contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 50 000&euro;<br />\r\n			(Franchise 50&euro;/sinistre)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement avec accompagnant</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\"><span style=\"color:#000000;\">L&#39;assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce contrat est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; L&#39;assur&eacute; autorise son assureur &agrave; communiquer les informations relatives &agrave; son contrat &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. L&#39;assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6989,11351,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2659,'<meta charset=\"utf-8\">\r\n<title></title>\r\n<table align=\"center\" cellpadding=\"1\" cellspacing=\"1\" style=\"width:700px;height:991px;\">\r\n	<tbody>\r\n		<tr>\r\n			<td><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/02/CONTRAT-Assurance-Voyage-Mondeamonde.png\" style=\"width:100%; height: 100%;\" /></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE MONDE A MONDE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">FICHE D&#39;INFORMATIONS / BESOINS &amp; PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Afin de renforcer la protection et le service de l&#39;assur&eacute;, veuillez trouver ci-apr&egrave;s la fiche &quot;Informations et Conseils&quot; pr&eacute;alable &agrave; la conclusion d&#39;un contrat d&#39;assurance. Ce document est n&eacute;cessaire pour d&eacute;terminer de fa&ccedil;on claire et exacte vos besoins et objectifs en mati&egrave;re d&#39;assurance. Il doit notamment permettre &agrave; votre courtier conseil de vous d&eacute;livrer les informations et le conseil adapt&eacute;s en application de l&#39;article L.520-1 du code des assurances.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Votre courtier conseil est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de distributeur d&#39;assurance. MONDIALCARE est une marque de AGIS SAS, Interm&eacute;diaire d&#39;Assurance N&deg;10057380 est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de concepteur et gestionnaire du contrat d&#39;assurance.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">I - COURTIER CONSEIL</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">II - INFORMATIONS LEGALES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Informations du courtier :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur] [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">N&deg;ORIAS : </span></strong></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">III- INFORMATIONS COMPLEMENTAIRES</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Par ailleurs, en tant que de besoin, nous vous pr&eacute;cisons :<br />\r\n									<br />\r\n									<strong>O</strong> que notre cabinet d&eacute;tient une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital de la ou des entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>O</strong> que la ou les entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">d&eacute;tient (d&eacute;tiennent) une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital &eacute;manant de notre cabinet</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le futur assur&eacute; peut v&eacute;rifier l&#39;immatriculation de son courtier conseil &agrave; l&#39;adresse suivante :</span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:justify;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ORIAS : Organisme pour le registre des Interm&eacute;diaires d&#39;Assurance www.orias.fr<br />\r\n						1 rue Jules Lefebvre - 75311 Paris Cedex 09<br />\r\n						T&eacute;l : 01 53 21 51 70</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Conform&eacute;ment aux dispositions de l&#39;article L.520-1-II b du code des assurances, le contrat qui vous est propos&eacute; a &eacute;t&eacute; s&eacute;lectionn&eacute; parmi les offres &eacute;manant d&#39;organismes d&#39;assurance partenaires privil&eacute;gi&eacute;s de notre cabinet. Nous tenons &agrave; votre disposition leurs noms et coordonn&eacute;es, sur simple demande de votre part. En cas de r&eacute;clamation, n&#39;h&eacute;sitez pas &agrave; nous contacter &agrave; l&#39;adresse indiqu&eacute;e au I. Courtier Conseil. Il est enfin rappel&eacute; les coordonn&eacute;es de l&#39;autorit&eacute; de Controle des Assurances et Mutuelles : </span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:left;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ACPR - Autorit&eacute; de contr&ocirc;le prudentiel et de R&eacute;solution - 4 place de Budapest CS92459 - 75436 Paris Cedex 09</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">IV - INFORMATIONS VOUS CONCERNANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>1- Votre statut : </strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Nom, Pr&eacute;nom et Date de Naissance des assur&eacute;s</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:2px\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>2 - Expression de vos besoins :</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Dur&eacute;e de votre s&eacute;jour &agrave; l&#39;&eacute;tranger :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[resultatDuree] jours</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Votre Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie temporaire :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie annuelle :&nbsp;</span><strong>NON</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Quelles sont les garanties souhait&eacute;es ?</strong></span><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assistance rapatriement en cas de maladie ou accident : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Frais m&eacute;dicaux et hospitalisation : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Accompagnement assur&eacute; rapatri&eacute; :&nbsp;</span><strong>OUI</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE MONDE A MONDE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">V - PROTECTION DES DONNEES PERSONNELLES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Pour quelles fonctions ?</strong><br />\r\n						MONDIALCARE par AGIS SAS, responsable de traitement, collecte des donn&eacute;es personnelles obligatoires ayant comme base juridique la r&eacute;alisation de mesures pr&eacute;contractuelles, d&rsquo;actes de souscription, de gestion et d&rsquo;ex&eacute;cution de contrat. A ce titre, elles peuvent &eacute;galement &ecirc;tre utilis&eacute;es &agrave; des fins de recouvrement, d&rsquo;exercices des recours et de gestion des r&eacute;clamations et de contentieux, d&rsquo;examen, d&rsquo;appr&eacute;ciation, de contr&ocirc;le, de surveillance du risque et &agrave; des fins d&rsquo;&eacute;tudes statistiques et actuarielles. Ces informations auront &eacute;galement comme base juridique le respect des obligations l&eacute;gales dans le cadre de nos obligations r&eacute;glementaires de lutte contre le blanchiment des capitaux et le financement du terrorisme. Ces donn&eacute;es pourront &eacute;galement &ecirc;tre utilis&eacute;es dans le cadre de l&rsquo;int&eacute;r&ecirc;t l&eacute;gitime pour permettre de lutter contre la fraude &agrave; l&rsquo;assurance. Les donn&eacute;es relatives &agrave; votre sant&eacute; &eacute;ventuellement recueillies seront exclusivement utilis&eacute;es pour la passation, la gestion et l&rsquo;ex&eacute;cution de votre contrat. Vos donn&eacute;es seront conserv&eacute;es le temps n&eacute;cessaire &agrave; ces diff&eacute;rentes op&eacute;rations, ou pour la dur&eacute;e sp&eacute;cifiquement pr&eacute;vue par la CNIL (normes pour le secteur de l&rsquo;assurance) ou la loi (prescriptions l&eacute;gales).<br />\r\n						<strong>A qui sont communiqu&eacute;es vos donn&eacute;es ?</strong><br />\r\n						Vos donn&eacute;es seront uniquement communiqu&eacute;es &agrave; nos assureurs partenaires, et autres partenaires ou organismes professionnels habilit&eacute;s qui ont besoin d&rsquo;y avoir acc&egrave;s pour la r&eacute;alisation de ces op&eacute;rations. Nous sommes l&eacute;galement tenus de v&eacute;rifier que vos donn&eacute;es sont exactes, compl&egrave;tes et, si n&eacute;cessaire, mises &agrave; jour. Nous pourrons ainsi vous solliciter pour le v&eacute;rifier ou &ecirc;tre amen&eacute;s &agrave; compl&eacute;ter votre dossier (par exemple en enregistrant votre email si vous nous avez &eacute;crit un courrier &eacute;lectronique).<br />\r\n						<strong>Quels sont vos droits ?</strong><br />\r\n						Vous pouvez demander l&rsquo;acc&egrave;s, la rectification, l&rsquo;effacement ou la portabilit&eacute; de vos donn&eacute;es, d&eacute;finir des directives relatives &agrave; leur sort apr&egrave;s votre d&eacute;c&egrave;s, choisir d&rsquo;en limiter l&rsquo;usage ou vous opposer &agrave; leur traitement. Si vous avez donn&eacute; une autorisation sp&eacute;ciale et expresse pour l&rsquo;utilisation de certaines de vos donn&eacute;es, vous pouvez la retirer &agrave; tout moment sous r&eacute;serve qu&rsquo;il ne s&rsquo;agisse pas d&rsquo;informations qui conditionnent l&rsquo;application de votre contrat.<br />\r\n						<strong>Pour nous contacter et exercer vos droits ?</strong><br />\r\n						Vous pouvez contacter notre d&eacute;l&eacute;gu&eacute; &agrave; la protection des donn&eacute;es pour exercer vos droits par email : dpo@agis-group.com ou par courrier &agrave; MONDIALCARE / AGIS SAS, &agrave; l&rsquo;attention du DPO, 33 Avenue Victor Hugo &ndash; 75116 Paris Villeneuve d&rsquo;Ascq. En cas de r&eacute;clamation, vous pouvez choisir de saisir la CNIL par courrier &agrave; l&rsquo;adresse suivante : 3 Place de Fontenoy - TSA 80715 - 75334 PARIS CEDEX 07.<br />\r\n						<br />\r\n						Pour plus d&rsquo;informations sur le traitement de vos donn&eacute;es et sur vos droits, nous vous invitons &agrave; consulter notre &laquo; Politique de protection des donn&eacute;es &raquo; et &laquo; Informations sur les cookie &raquo; accessibles sur notre site internet.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VI - NOTRE PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Au vu des besoins exprim&eacute;s au terme du pr&eacute;sent diagnostic, nous vous recommandons de souscrire la garantie&nbsp;:<br />\r\n						<strong>ASSURANCE VOYAGE MONDE A MONDE</strong> (ADP20192599 REF GSL-AGISMONDE1019) propos&eacute;e par MONDIALCARE.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Vous trouverez ci-joint, les Conditions G&eacute;n&eacute;rales valant Notice d&#39;Information pour ce produit d&rsquo;Assurance.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le client reconna&icirc;t avoir pris connaissance du contenu du pr&eacute;sent projet pr&eacute;alablement &agrave; l&rsquo;adh&eacute;sion au contrat d&rsquo;assurance propos&eacute; ci-dessus, en avoir conserv&eacute; un exemplaire, et avoir re&ccedil;u une information d&eacute;taill&eacute;e sur l&rsquo;&eacute;tendue, la d&eacute;finition des risques et des garanties propos&eacute;es.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Votre courtier conseil :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:bottom;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE MONDE A MONDE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(ADP20192599 REF GSL-AGISMONDE1019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">MON CONTRAT N&deg;[personne--num_client]</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATIONS DU SOUSCRIPTEUR</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATION DES ASSURES / BENEFICIAIRES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TYPE DE CONTRAT SOUSCRIT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>ASSURANCE VOYAGE MONDE A MONDE</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SEJOUR / VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Pays de provenance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[provenance_pays]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">P&eacute;riode de s&eacute;jour du :&nbsp;&nbsp;&nbsp;&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-depart]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">au :&nbsp;&nbsp;&nbsp;&nbsp; </span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-fin]</span></strong> </span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TARIFS en Euros (dont taxe d&#39;assurance 9%)</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Tarif unitaire :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--devis-pp]&euro;TTC (hors code promo)</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Nombre de Personnes participants au s&eacute;jour :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[number-pers]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Montant Total : </span><strong><span style=\"font-family:\'Myriad Pro\';\">[devis-st]&euro;TTC</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SIGNATURE DU CONTRAT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td>\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je demande la souscription au pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat se compose des conditions particuli&egrave;res et des conditions g&eacute;n&eacute;rales. Je reconnais en avoir pris connaissance et les accepte comme faisant partie dudit contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat prend effet &agrave; la date de validit&eacute; indiqu&eacute;e et sous r&eacute;serve du paiement de la cotisation.<br />\r\n						La date de validit&eacute; ne peut &ecirc;tre ant&eacute;rieure &agrave; la date d&#39;envoi du contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je d&eacute;clare avoir pris connaissance de la politique de traitement des donn&eacute;es personnelles de MONDIALCARE par AGIS SAS et de mes droits. Je reconnais et accepte que MONDIALCARE soit amen&eacute; &agrave; collecter et &agrave; traiter mes donn&eacute;es personnelles dans le cadre de la gestion du pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Je d&eacute;clare que toutes mes d&eacute;clarations sont sinc&egrave;res et exactes, n&#39;avoir rien &agrave; d&eacute;clarer ou omis de d&eacute;clarer et ne pas ignorer que si dans l&#39;appr&eacute;ciation du risque, la compagnie d&#39;assurance a &eacute;t&eacute; induite en erreur par suite d&#39;une fausse d&eacute;claration intentionnelle, le contrat sera annul&eacute; aux conditions pr&eacute;vues par le code des assurances fran&ccedil;ais.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:200px;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Cachet de l&#39;interm&eacute;diaire</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE MONDE A MONDE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">CONTRAT N&deg;[personne--num_client]<br />\r\n						<span style=\"font-size:10px;\">(ADP20192599 REF GSL-AGISMONDE1019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VENTE A DISTANCE :<br />\r\n						FACULTE DE RENONCIATION</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">REPORT DE DATE DE VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du Code des assurances, l&rsquo;assur&eacute; a la possibilit&eacute; d&rsquo;exercer son droit de renoncement &agrave; son contrat d&rsquo;Assurance conclu &agrave; distance dans un d&eacute;lai de 14 jours &agrave; compter du jour de la conclusion du contrat.<br />\r\n						Cette facult&eacute; ne vaut pas pour les contrats d&rsquo;assurance voyages et assimil&eacute;s d&rsquo;une dur&eacute;e d&rsquo;un mois et inf&eacute;rieure &agrave; un mois. </strong></span></span><br />\r\n						<span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>La demande de renonciation doit &ecirc;tre adress&eacute;e par lettre recommand&eacute;e avec avis de r&eacute;ception &agrave; :</strong></span></span><br />\r\n						<span style=\"font-size:12px;\"><span style=\"font-family:\'Myriad Pro\'; color:#000000;\"><strong>MONDIALCARE par AGIS SAS<br />\r\n						33 Avenue Victor Hugo 75116 Paris.</strong></span></span><br />\r\n						<br />\r\n						<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Ci-apr&egrave;s Mod&egrave;le de lettre de renonciation :</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:4pt; margin-left:10pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><i><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom, Pr&eacute;nom : ....................................................................<br />\r\n						Num&eacute;ro et appellation de contrat : .....................................<br />\r\n						<br />\r\n						Messieurs,<br />\r\n						Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du code des assurances, je renonce express&eacute;ment par la pr&eacute;sente &agrave; la souscription du contrat d&rsquo;assurance cit&eacute; en r&eacute;f&eacute;rences que j&rsquo;ai souscrit exclusivement &agrave; distance le ...../...../.....<br />\r\n						Je vous prie d&rsquo;agr&eacute;er, Messieurs, l&rsquo;expression de mes salutations distingu&eacute;es.<br />\r\n						Fait le : ...../...../.....</span></span></i></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">L&rsquo;assur&eacute; a la possibilit&eacute; de reporter une fois, les dates de son voyage sous r&eacute;serve que l&rsquo;assureur ait &eacute;t&eacute; pr&eacute;venu par &eacute;crit, avant la date de d&eacute;but de voyage.<br />\r\n						<br />\r\n						Le report devra intervenir dans le mois suivant la date initiale de prise d&rsquo;effet du contrat.</span></span></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">ANNULATION DU CONTRAT</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">En cas d&rsquo;annulation du voyage et uniquement dans ce cas, la cotisation pourra &ecirc;tre rembours&eacute;e au souscripteur sur demande &eacute;crite adress&eacute;e &agrave; MONDIALCARE <span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>par lettre recommand&eacute;e avec accus&eacute; de r&eacute;ception.</strong></span></span><br />\r\n									<br />\r\n									La demande devra parvenir avant la date d&rsquo;effet figurant sur le bulletin d&rsquo;adh&eacute;sion, le cachet de la poste faisant foi.<br />\r\n									<br />\r\n									Dans tous les cas, MONDIALCARE conservera la somme de 25&euro; correspondant aux frais de dossier.</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:250px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td align=\"center\" style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\"><img height=\"170px\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/logo-email-footer.png\" width=\"170px\" />\r\n						<p style=\"text-align: center;font-size:15px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">Toute l&#39;&eacute;quipe de MONDIALCARE vous souhaite un agr&eacute;able Voyage.</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n</div>\r\n','2020-04-27 09:48:15','2020-04-27 09:48:15'),(6990,11351,'DEVISCGVNI','App\\Models\\Wpcf7PdfPanel',2660,'','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6991,11351,'DEVISGARANTIES','App\\Models\\Wpcf7PdfPanel',2661,'','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6992,11351,'DEVISIPID','App\\Models\\Wpcf7PdfPanel',2662,'','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6993,11351,'DEVIS','App\\Models\\Wpcf7PdfPanel',2663,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">ASSURANCE VOYAGE MONDE A MONDE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">DEVIS N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 90 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> vous pr&eacute;sente votre Devis d&#39;Assurance Voyage Monde &agrave; Monde</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\">L&#39;&eacute;tudiant b&eacute;n&eacute;ficiera d&egrave;s validation de son contrat des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DU FUTUR ASSURE</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Le montant du Devis s&#39;&eacute;l&egrave;ve &agrave; [devis-st]&euro; TTC</span></strong></span> <span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>.</strong></span></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout renseignement contactez MONDIALCARE :</span></strong></span><br />\r\n<br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Le futur contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 50 000&euro;<br />\r\n			(Franchise 50&euro;/sinistre)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement avec accompagnant</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\">&nbsp;</p>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\"><span style=\"color:#000000;\">Le futur assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce devis est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; Le futur assur&eacute; autorise la compagnie d&#39;assurance &agrave; communiquer les informations relatives &agrave; son devis &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. Le futur assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6994,11351,'TICKET','App\\Models\\Wpcf7PdfPanel',2664,'<div style=\"text-align:center\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"height:142px; margin-left:auto; margin-right:auto; width:649px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"height:auto; vertical-align:middle; width:600px\">\r\n			<p style=\"text-align:center\">&nbsp;<img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"height:47px; margin:10px 20px; width:308px\" /></p>\r\n\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">TICKET DE PAIEMENT POUR LE CONTRAT N&deg; ORDERID</span></strong></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width:100%\">\r\n<table cellpadding=\"0\" style=\"height:77px; margin-left:auto; margin-right:auto; width:624px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"background-color:#eaeaea; height:auto; vertical-align:middle; width:100%\">\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">DETAIL DE LA TRANSACTION</span></strong><br />\r\n			Voici les infomations &agrave; propos de votre paiement :</p>\r\n\r\n			<table cellpadding=\"1\" cellspacing=\"1\" style=\"border-spacing:1.5pt; margin-left:auto; margin-right:auto; width:100%\">\r\n				<tbody>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Num&eacute;ro de transaction:</strong></td>\r\n						<td style=\"text-align:left\">TRANSACTIONID</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Type d&#39;op&eacute;ration:</strong></td>\r\n						<td style=\"text-align:left\">OPERATIONTYPE</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Description:</strong></td>\r\n						<td style=\"text-align:left\">DESCRIPTOR</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Montant:</strong></td>\r\n						<td style=\"text-align:left\">AMOUNT &euro;</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<p>&nbsp;</p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:center\"><img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-3logo-tr.png\" style=\"height:47px; width:69px\" /><br />\r\n<strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">www.</span></strong><strong><span style=\"color:#339999; font-family:Montserrat\">MONDIALCARE</span></strong><strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">.eu</span></strong></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n\r\n<p>&nbsp;</p>\r\n','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6995,11351,'mcto11351','App\\Models\\Wpcf7MctoPanel',1036,'a:49:{s:19:\"codage-format-value\";s:4:\"MCTO\";s:20:\"codage-version-value\";s:3:\"1.6\";s:23:\"entete-origine-emetteur\";s:10:\"AGIS GROUP\";s:42:\"entete-origine-date_emission-date_hms-date\";s:9:\"[[d-m-Y]]\";s:41:\"entete-origine-date_emission-date_hms-hms\";s:9:\"[[H:i:s]]\";s:39:\"entete-origine-canal_distribution-value\";s:3:\"NET\";s:21:\"entete-recepteur-code\";s:0:\"\";s:18:\"entete-payeur-code\";s:13:\"[code-payeur]\";s:23:\"entete-decimales-double\";s:1:\"2\";s:19:\"entete-devise-value\";s:0:\"\";s:33:\"dossier-code_action_dossier-value\";s:1:\"C\";s:33:\"dossier-type_action_dossier-value\";s:2:\"30\";s:28:\"dossier-statut_dossier-value\";s:2:\"RQ\";s:37:\"dossier-references_dossier-interne_to\";s:7:\"[title]\";s:38:\"dossier-references_dossier-nom_dossier\";s:7:\"[title]\";s:41:\"dossier-references_dossier-vendeur_agence\";s:19:\"AGIS[[dmY]]_MANAGER\";s:21:\"dossier-date_creation\";s:9:\"[[d-m-Y]]\";s:25:\"dossier-date_modification\";s:9:\"[[d-m-Y]]\";s:37:\"dossier-produit_principal-nom_produit\";s:7:\"[title]\";s:55:\"dossier-produit_principal-references_produit-interne_to\";s:0:\"\";s:40:\"dossier-voyage-periode_voyage-date_debut\";s:0:\"\";s:38:\"dossier-voyage-periode_voyage-date_fin\";s:0:\"\";s:28:\"dossier-voyage-depart_voyage\";s:17:\"[provenance_pays]\";s:28:\"dossier-voyage-retour_voyage\";s:18:\"[destination_pays]\";s:26:\"dossier-voyage-pays_sejour\";s:0:\"\";s:26:\"dossier-voyage-lieu_sejour\";s:0:\"\";s:38:\"dossier-passagers-titre_personne-value\";s:17:\"[personne--titre]\";s:21:\"dossier-passagers-nom\";s:15:\"[personne--nom]\";s:24:\"dossier-passagers-prenom\";s:18:\"[personne--prenom]\";s:32:\"dossier-passagers-date_naissance\";s:22:\"[personne--date-naiss]\";s:39:\"dossier-terrestres-type_terrestre-value\";s:0:\"\";s:64:\"dossier-terrestres-periode_prestation-periode_etendue-date_debut\";s:13:\"[date-depart]\";s:72:\"dossier-terrestres-periode_prestation-periode_etendue-heure_minute_debut\";s:13:\"[date-depart]\";s:66:\"dossier-terrestres-periode_prestation-periode_etendue-duree-intval\";s:15:\"[resultatDuree]\";s:44:\"dossier-terrestres-nombre_prestations-intval\";s:0:\"\";s:37:\"dossier-terrestres-libelle_prestation\";s:14:\"ASSURANCE AGIS\";s:30:\"dossier-terrestres-lieu_sejour\";s:0:\"\";s:36:\"dossier-details_tarifs-libelle_tarif\";s:0:\"\";s:38:\"dossier-details_tarifs-quantite-intval\";s:1:\"1\";s:44:\"dossier-details_tarifs-montant_brut-floatval\";s:12:\"[[devis-st]]\";s:44:\"dossier-montants_dossier-montant_brut-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_net-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_tva-intval\";s:1:\"0\";s:50:\"dossier-montants_dossier-montant_commission-intval\";s:0:\"\";s:39:\"dossier-nombre_passagers-adultes-intval\";s:1:\"1\";s:39:\"dossier-nombre_passagers-enfants-intval\";s:1:\"1\";s:37:\"dossier-nombre_passagers-bebes-intval\";s:1:\"1\";s:48:\"dossier-details_informations-libelle_information\";s:0:\"\";s:40:\"dossier-details_informations-detail-text\";s:0:\"\";}','2020-04-27 09:48:16','2020-04-27 09:48:16'),(6996,4323,'Voyageurs','App\\Models\\Wpcf7FormPanel',3296,'[hidden lang default:get]\r\n[hidden temp_password-hidden]\r\n[hidden delta-hidden]\r\n[hidden max_diff-hidden \"90\"]\r\n[hidden num_contrat]\r\n[hidden apporteur default:get]\r\n[hidden date_souscription]\r\n\r\n<div class=\"declenche-devis ml-4 mr-4\">\r\n<div class=\"row\">\r\n<div class=\"col-12 error\"></div>\r\n<div class=\"col-12 ml-2 mr-4\">\r\n<h2>Assurance Voyage Touristique</h2>\r\n<div class=\"row\">\r\n<div class=\"col\">\r\n    <fieldset>\r\n    <label class=\"text-uppercase\" for=\"duration_date\">Période de Voyage</label><div class=\"input-group daterange\"><label id=\"daterange-start-label\">Date de départ</label>[text date-depart id:duration_date class:form-control class:daterange-start readonly default:get]<label id=\"daterange-end-label\">Date de retour</label>[text date-fin class:form-control class:daterange-end readonly default:get]<span class=\"input-group-append\" role=\"right-icon\"><button class=\"btn-transparent\" type=\"button\"><i class=\"fa fa-calendar\"></i></button></span></div></fieldset></div></div>\r\n[diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n\r\n    <div class=\"row\"><div class=\"col pl-2\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div></div>\r\n\r\n    [hidden provenance_pays-zone \"\"]\r\n    <div class=\"row\">\r\n    <div class=\"col-6\">\r\n         <fieldset><label class=\"text-uppercase\">Provenance</label><div class=\"input-group mt-1\">[select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style data-show-if-domtom:provdomtom default:get]</div></fieldset>\r\n       [group provdomtom]\r\n       Vous appartenez à DOMTOM\r\n       <input type=\"hidden\" name=\"provenance_pays-zone[]\" value=\"DOMTOM\" data-value=\"DOMTOM\" />\r\n       [/group]\r\n</div>\r\n    <div class=\"col-6\">\r\n         <fieldset><label>DESTINATION</label><div class=\"input-group mt-1\">[select_pays* destination_pays class:combobox class:w-100 class:swisscare-style data-show-if-mc:mc data-show-if-schengen:schengen data-show-if-lc:lc data-show-if-domtom:destdomtom default:get]</div></fieldset></div>\r\n</div>\r\n\r\n    [hidden destination_pays-zone \"\"]\r\n    <div class=\"row\">\r\n      <div class=\"col-6\">\r\n         [group mc]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"MC\" data-value=\"MC\"/>\r\n         [/group]\r\n      </div>\r\n\r\n      <div class=\"col-6\">\r\n         [group lc]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"LC\" data-value=\"LC\"/>\r\n         [/group]\r\n      </div>\r\n\r\n      <div class=\"col-6\">\r\n         [group schengen]\r\n         \r\n         [/group]\r\n      </div>\r\n       <div class=\"col-6\">\r\n         [group destdomtom]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"DOMTOM\" data-value=\"DOMTOM\"/>\r\n         [/group]\r\n      </div>\r\n      </div>\r\n\r\n    \r\n    [hidden number-pers default:get]\r\n    [hidden devis-st]\r\n<div class=\"col-12 mt-3\">\r\n<div class=\"pl-2 pr-2\" style=\"background-color: darkorange\">\r\n    <p class=\"mustache text-white\">Estimation de votre Assurance Voyage : <span class=\"devis-st\">[devis-st] €</span> TTC (hors options)</p></div>\r\n\r\n<h2>Liste des assurés</h2>\r\n\r\n\r\n    <div class=\"btn-plus ml-1\"><i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"> </i><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"> </i><small class=\"text-muted\">  Ajouter / Retirer des Assurés</small></div>\r\n</div>\r\n   \r\n\r\n<div class=\"row mt-1 mr-5\" id=\"assure\">\r\n    <div class=\"col-12\">\r\n        \r\n        <div class=\"row mt-2\" v-for=\"(person, index) in people\" :data-loop-index=\"index\">\r\n[hidden personne--num_client]\r\n[hidden personne--devis-pp]\r\n            <div class=\"col-xl-12 pl-2\">\r\n             <h3 class=\"title\">Assuré n° {{index+1}} - <strong class=\"mustache devis-pp\">Tarif: [[personne--devis-pp]] €</strong></h3>\r\n             </div>\r\n            <div class=\"row\">\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>NOM</label>[text* personne--nom id:personne--nom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n                    <fieldset><label>PRENOM</label>[text* personne--prenom id:personne--prenom]</fieldset>\r\n                </div>\r\n                <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n       <fieldset><label class=\"text-uppercase\">Date de Naissance</label>[date personne--date-naiss id:personne--date-naiss class:w-100]</fieldset>[diffdate personne--age id:personne--age date1:personne--date-naiss date2:now get:y]\r\n                </div>\r\n                <div class=\"close-col\" >\r\n             <div class=\"delete\" v-on:click=\"deletePerson(index)\"><i class=\"fa fa-trash-o\" style=\"font-size: 25px;color: rgb(247,1,1);\"></i></div>\r\n                </div>\r\n\r\n            </div>\r\n    </div>\r\n<div class=\"col-12 mt-3\">\r\n            <div class=\"btn-plus\" v-on:click=\"add()\">\r\n                <i class=\"fa fa-plus-circle\" style=\"font-size: 35px;color: rgba(33,37,41,0.51);\"></i>\r\n            </div>\r\n       </div>    \r\n</div>\r\n\r\n<div class=\"col col-12 d-flex justify-content-end\">\r\n<input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control wpcf7-submit button prevBtn btn-radius button-secondary\" value=\"Retour\"/>[submit id:nextBtn class:nextBtn class:btn-radius \"Suivant\"]\r\n</div>\r\n\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row mt-4\">\r\n                <div class=\"col-12 mt-2\">\r\n                <label class=\"checkbox-group\">[acceptance terms]<small>Les informations recueillies sur cette page font l’objet d’un traitement informatique destiné à recevoir des informations sur nos services, ainsi que d’assurer le suivi et l’instruction de votre demande. Vos informations à caractère personnel sont exclusivement destinées aux personnes habilitées à traiter ces demandes. En cliquant sur « Suivant », je reconnais avoir pris connaissance de la <strong><a href=\"http://193.70.73.91/wp-content/uploads/2020/01/PGPD-AGIS-2020.pdf\" target=\"_blank\">politique de protection des données de AGIS</a></strong> ayant désigné un Délégué à la Protection des Données auprès de la CNIL, en justifiant de votre identité, vous pouvez exercer vos droits d’accès, de rectification ou de suppression des informations vous concernant. Vous pouvez également pour des motifs légitimes, vous opposer au traitement de vos données. Merci de nous adresser en ce cas un mail à dpo@agis-group.com. </small>[/acceptance]</label>\r\n            </div>\r\n        </div>\r\n    </div>\r\n\r\n</div>\r\n</div>\r\n</div>\r\n</div>','2020-04-27 10:49:46','2020-04-27 10:49:46'),(6997,4323,'Devis','App\\Models\\Wpcf7FormPanel',3297,'<div class=\"row p-4\">\r\n    <div class=\"col-12 error\"></div>\r\n<h2>Choisissez vos options</h2>\r\n\r\n    <div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\" style=\"text-align:justify;\">Notre contrat d\'Assurance Voyage Touristique couvre déjà un grand nombre de Garanties d\'Assistance et de Rapatriement pour votre voyage, <strong>MONDIALCARE propose un package d\'options supplémentaires</strong>, telles que les <strong>Garanties Annulation, Retard, Garantie Bagages et Effets Personnels</strong>, ces options sont disponibles au moment de la souscription.</p><p>Cochez le(s) assuré(s) qui bénéficieront de ce package d\'option puis cliquez sur \"Suivant\".</p>\r\n    </div>\r\n\r\n    <div class=\"col-12\">\r\n        <div class=\"row align-items-center\" style=\"border-bottom: 2px solid #dee2e6; border-top: 1px solid #dee2e6; font-size: 15px\">\r\n            <div class=\"col-4\" style=\"padding: .75rem\"><b>Assuré</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Date de Naissance</b></div>\r\n            <div class=\"col-3\" style=\"padding: .75rem\"><b>Option ?</b></div>\r\n            <div class=\"col-2\" style=\"padding: .75rem\"><b>Tarif</b></div></div>\r\n       <fieldset data-loop=\"[number-pers]\" class=\"p-0\">\r\n            <div class=\"row align-items-center line\" style=\"border-bottom: 1px solid #dee2e6; font-size: 15px\">\r\n               <div class=\"col-4\" style=\"padding: .75rem\">[[personne--nom]], [[personne--prenom]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[[personne--date-naiss]]</div>\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[radio_switch personne--option id:personne--option class:choix-option default:2 \"Oui|true\" \"Non|false\"]</div>\r\n               <div class=\"col-2\" style=\"padding: .75rem\"><strong class=\"devis-pp\">[[personne--devis-pp]] €</strong> TTC</div>\r\n            </div>\r\n       </fieldset></div>\r\n\r\n<div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\">Total de <strong class=\"devis-st\">[devis-st] €</strong> TTC à régler par carte bancaire</p>\r\n    </div>\r\n\r\n<div class=\"d-flex justify-content-end\">\r\n            <input type=\"button\" id=\"prevBtn\" style=\"margin-rigth: 15px;\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary\" value=\"Retour\" />[submit id:nextBtn class:nextBtn class:btn-radius \"Suivant\"]</div>\r\n\r\n<div class=\"row ml-4\">\r\n            <div class=\"col-12\">\r\n                  <p>Ajouter un code promo</p>\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  [text code-promo]\r\n            </div>\r\n            <div class=\"col-6\">\r\n                  <input type=\"button\" class=\"btn check-code\" value=\"Ajouter un code Promo\">\r\n            </div>\r\n            <div class=\"col-12 code-notif\"></div>\r\n        </div>\r\n\r\n\r\n<div class=\"col-12\">\r\n        <div class=\"mustache\">\r\n            <p>Assurance Voyage Touristique pour la période du <br><strong>[date-depart]</strong> au <strong>[date-fin]</strong> en Provenance de <strong class=\"translatable\">[provenance_pays]</strong> et à destination de <strong class=\"translatable\">[destination_pays]</strong></p>\r\n        </div>\r\n    </div>\r\n\r\n\r\n   \r\n</div>','2020-04-27 10:49:46','2020-04-27 10:49:46'),(6998,4323,'Souscription','App\\Models\\Wpcf7FormPanel',3298,'<div class=\"p-2\">\r\n<div class=\"row\">\r\n    <div class=\"col pl-2 pr-2\">\r\n        <p style=\"margin: 0px;\"><h2>Informations du souscripteur</h2> (personne à joindre pour toute correspondance)</p>\r\n    </div>\r\n</div>\r\n<div class=\"row\">\r\n    <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>IDENTIFIANT</label>\r\n            [text* login-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>NOM</label>\r\n            [text* nom-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>PRENOM</label>\r\n            [text* prenom-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-8 pl-2 pr-2\">\r\n\r\n            <label>ADRESSE DOMICILE</label>\r\n            [text* adresse-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-4 pl-2 pr-2\">\r\n\r\n            <label>CODE POSTAL</label>\r\n            [text* code-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n         \r\n            <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>VILLE</label>\r\n            [text* ville-payeur]\r\n\r\n            </div>\r\n   <div class=\"col-12 col-sm-6 pl-2 pr-2\">\r\n\r\n            <label>PAYS</label>\r\n            [text* pays-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 pl-2 pr-2\">\r\n\r\n            <label>ADRESSE E-MAIL</label>\r\n            [email* email-payeur]\r\n\r\n            </div> \r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-3 pl-2 pr-2\">\r\n\r\n            <label>INDICATIF</label>\r\n            [text* ind_fix-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-9 pl-2 pr-2\">\r\n\r\n            <label>N°FIXE</label>\r\n            [tel* telephone_fix-payeur]\r\n\r\n            </div>\r\n        </div>\r\n        <div class=\"row\">\r\n            <div class=\"col-12 col-sm-3 pl-2 pr-2\">\r\n\r\n            <label>INDICATIF</label>\r\n            [text* ind_mobile-payeur]\r\n\r\n            </div>\r\n            <div class=\"col-12 col-sm-9 pl-2 pr-2\">\r\n\r\n            <label>N°MOBILE</label>\r\n            [tel* telephone_mobile-payeur]\r\n\r\n            </div>\r\n        </div>\r\n    </div>\r\n    <div class=\"col-12 col-sm-4 pl-2 pr-2 mt-4 d-flex flex-column justify-content-between\">\r\n      <div>\r\n        [radio titre-payeur default:1 \"Homme\" \"Femme\"]\r\n[pay_button value:Payer class:w-100 class:btn-radius class:wpcf7-submit]\r\n<input type=\"button\" id=\"prevBtn\" class=\"wpcf7-form-control button prevBtn btn-radius button-secondary mt-3 w-100\" value=\"Retour\"/></div>  \r\n      <div class=\"row mb-5\">\r\n       <div class=\"col-12\">\r\n<img style=\"width: inherit;\" src=\"https://img.generation-nt.com/logo-paypal_080002C401390492.jpg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://cdn.1min30.com/wp-content/uploads/2017/04/Symbole-Visa.png\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://upload.wikimedia.org/wikipedia/commons/8/88/MasterCard_early_1990s_logo.svg\">\r\n       </div>\r\n       <div class=\"col-4\">\r\n<img style=\"width: inherit;\" src=\"https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcRc6h1CjJ1Ob2UXXd2IzS7bcbdwev3RiCQphMuePIu3oEDehuwC-w&s\">\r\n       </div>\r\n      </div>\r\n</div>\r\n  </div>\r\n</div>','2020-04-27 10:49:46','2020-04-27 10:49:46'),(6999,4323,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2665,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">ATTESTATION D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">CERTIFICAT N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 90 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> atteste par la pr&eacute;sente que l&#39;assur&eacute; d&eacute;nomm&eacute; ci-apr&egrave;s est garanti par le contrat GSL <strong>N&deg; ADP20192398 REF GSL-AGISTOURISME082019 </strong>suivant les prestations d&eacute;crites dans les conditions g&eacute;n&eacute;rales.</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\">L&#39;assur&eacute;(e) d&eacute;sign&eacute;(e) sur cette attestation d&rsquo;assurance, b&eacute;n&eacute;ficie des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe et selon ses options, montants de garanties et de franchises figurant aux tableaux ci-apr&egrave;s.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DE L&rsquo;ASSURE(E) BENEFICIAIRE DES GARANTIES</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es de l&#39;assur&eacute;(e)</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Pour toutes demandes d&rsquo;Assistance</span></strong><span style=\"font-family:\'Myriad Pro\';\">, l&rsquo;Assur&eacute;(e) (ou toute personne agissant en son nom)<br />\r\ndoit contacter GROUPAMA ASSISTANCE au <strong><span style=\"font-family:\'Myriad Pro\';\">+33 1 55 98 57 35 </span></strong>(joignable 7 jours sur 7, 24h sur 24)</span><br />\r\n<span style=\"font-family:\'Myriad Pro\';\">en rappelant la r&eacute;f&eacute;rence du contrat <strong>GSL N&deg; ADP20192398 REF GSL-AGISTOURISME082019.</strong></span></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout autre renseignement et demande de remboursement FRAIS M&Eacute;DICAUX-HOSPITALISATION :</span></strong><br />\r\n<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Contacter <strong>MONDIALCARE&copy;</strong> par l&#39;intermediaire de AGIS SAS - 33 Avenue Victor Hugo 75784 Paris Cedex 16</span></span><br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Ce contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">75 000&euro; (Moyen Courrier)<br />\r\n			150 000&euro; (Long Courrier)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement sanitaire</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">L&#39;assur&eacute; b&eacute;n&eacute;ficie des Garanties en option suivantes ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--option]</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance des Bagages et Effets Personnels</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 2 000&euro;</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance Retard, Annulation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 4 000&euro;</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\"><span style=\"color:#000000;\">L&#39;assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce contrat est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; L&#39;assur&eacute; autorise son assureur &agrave; communiquer les informations relatives &agrave; son contrat &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. L&#39;assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 10:49:46','2020-04-27 10:49:46'),(7000,4323,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2666,'','2020-04-27 10:49:46','2020-04-27 10:49:46'),(7001,4323,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2667,'<meta charset=\"utf-8\">\r\n<title></title>\r\n<table align=\"center\" cellpadding=\"1\" cellspacing=\"1\" style=\"width:700px;height:991px;\">\r\n	<tbody>\r\n		<tr>\r\n			<td><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/02/Asset-2bulletin-mondialcare-scaled.png\" style=\"width:100%; height: 100%;\" /></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE TOURISTIQUE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">FICHE D&#39;INFORMATIONS / BESOINS &amp; PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Afin de renforcer la protection et le service de l&#39;assur&eacute;, veuillez trouver ci-apr&egrave;s la fiche &quot;Informations et Conseils&quot; pr&eacute;alable &agrave; la conclusion d&#39;un contrat d&#39;assurance. Ce document est n&eacute;cessaire pour d&eacute;terminer de fa&ccedil;on claire et exacte vos besoins et objectifs en mati&egrave;re d&#39;assurance. Il doit notamment permettre &agrave; votre courtier conseil de vous d&eacute;livrer les informations et le conseil adapt&eacute;s en application de l&#39;article L.520-1 du code des assurances.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Votre courtier conseil est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de distributeur d&#39;assurance. MONDIALCARE est une marque de AGIS SAS, Interm&eacute;diaire d&#39;Assurance N&deg;10057380 est r&eacute;mun&eacute;r&eacute; par une commission en sa qualit&eacute; de concepteur et gestionnaire du contrat d&#39;assurance.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">I - COURTIER CONSEIL</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">II - INFORMATIONS LEGALES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Informations du courtier :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur] [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:8pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">N&deg;ORIAS : </span></strong></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">III- INFORMATIONS COMPLEMENTAIRES</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Par ailleurs, en tant que de besoin, nous vous pr&eacute;cisons :<br />\r\n									<br />\r\n									<strong>O</strong> que notre cabinet d&eacute;tient une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital de la ou des entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>O</strong> que la ou les entreprise(s) d&#39;assurance suivante(s) :</span></span></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:30px\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #eaeaea;\">&nbsp;</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">d&eacute;tient (d&eacute;tiennent) une participation directe ou indirecte sup&eacute;rieure &agrave; 10% des droits de vote ou du capital &eacute;manant de notre cabinet</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le futur assur&eacute; peut v&eacute;rifier l&#39;immatriculation de son courtier conseil &agrave; l&#39;adresse suivante :</span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:justify;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ORIAS : Organisme pour le registre des Interm&eacute;diaires d&#39;Assurance www.orias.fr<br />\r\n						1 rue Jules Lefebvre - 75311 Paris Cedex 09<br />\r\n						T&eacute;l : 01 53 21 51 70</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Conform&eacute;ment aux dispositions de l&#39;article L.520-1-II b du code des assurances, le contrat qui vous est propos&eacute; a &eacute;t&eacute; s&eacute;lectionn&eacute; parmi les offres &eacute;manant d&#39;organismes d&#39;assurance partenaires privil&eacute;gi&eacute;s de notre cabinet. Nous tenons &agrave; votre disposition leurs noms et coordonn&eacute;es, sur simple demande de votre part. En cas de r&eacute;clamation, n&#39;h&eacute;sitez pas &agrave; nous contacter &agrave; l&#39;adresse indiqu&eacute;e au I. Courtier Conseil. Il est enfin rappel&eacute; les coordonn&eacute;es de l&#39;autorit&eacute; de Controle des Assurances et Mutuelles : </span></span></p>\r\n\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:14px;text-align:left;\"><span style=\"color:#339999;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>ACPR - Autorit&eacute; de contr&ocirc;le prudentiel et de R&eacute;solution - 4 place de Budapest CS92459 - 75436 Paris Cedex 09</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">IV - INFORMATIONS VOUS CONCERNANT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>1- Votre statut : </strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Nom, Pr&eacute;nom et Date de Naissance des assur&eacute;s</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:2px\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #ff6600;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:0pt; text-align:left; font-size:10pt;\"><span style=\"color:#ffffff;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>2 - Expression de vos besoins :</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Dur&eacute;e de votre s&eacute;jour &agrave; l&#39;&eacute;tranger :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[resultatDuree] jours</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Votre Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie temporaire :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Souhaitez-vous une garantie annuelle :&nbsp;</span><strong>NON</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Quelles sont les garanties souhait&eacute;es ?</strong></span><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assistance rapatriement : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Frais m&eacute;dicaux et hospitalisation : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Annulation / Interuption de s&eacute;jour :&nbsp;</span><strong>[personne--option]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Assurance Bagages et Effets personnels :&nbsp;</span><strong>[personne--option]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Retard d&#39;avion, annulation de vol :&nbsp;</span><strong>[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS &amp; CONSEILS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">ASSURANCE VOYAGE TOURISTIQUE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">V - PROTECTION DES DONNEES PERSONNELLES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Pour quelles fonctions ?</strong><br />\r\n						MONDIALCARE par AGIS SAS, responsable de traitement, collecte des donn&eacute;es personnelles obligatoires ayant comme base juridique la r&eacute;alisation de mesures pr&eacute;contractuelles, d&rsquo;actes de souscription, de gestion et d&rsquo;ex&eacute;cution de contrat. A ce titre, elles peuvent &eacute;galement &ecirc;tre utilis&eacute;es &agrave; des fins de recouvrement, d&rsquo;exercices des recours et de gestion des r&eacute;clamations et de contentieux, d&rsquo;examen, d&rsquo;appr&eacute;ciation, de contr&ocirc;le, de surveillance du risque et &agrave; des fins d&rsquo;&eacute;tudes statistiques et actuarielles. Ces informations auront &eacute;galement comme base juridique le respect des obligations l&eacute;gales dans le cadre de nos obligations r&eacute;glementaires de lutte contre le blanchiment des capitaux et le financement du terrorisme. Ces donn&eacute;es pourront &eacute;galement &ecirc;tre utilis&eacute;es dans le cadre de l&rsquo;int&eacute;r&ecirc;t l&eacute;gitime pour permettre de lutter contre la fraude &agrave; l&rsquo;assurance. Les donn&eacute;es relatives &agrave; votre sant&eacute; &eacute;ventuellement recueillies seront exclusivement utilis&eacute;es pour la passation, la gestion et l&rsquo;ex&eacute;cution de votre contrat. Vos donn&eacute;es seront conserv&eacute;es le temps n&eacute;cessaire &agrave; ces diff&eacute;rentes op&eacute;rations, ou pour la dur&eacute;e sp&eacute;cifiquement pr&eacute;vue par la CNIL (normes pour le secteur de l&rsquo;assurance) ou la loi (prescriptions l&eacute;gales).<br />\r\n						<strong>A qui sont communiqu&eacute;es vos donn&eacute;es ?</strong><br />\r\n						Vos donn&eacute;es seront uniquement communiqu&eacute;es &agrave; nos assureurs partenaires, et autres partenaires ou organismes professionnels habilit&eacute;s qui ont besoin d&rsquo;y avoir acc&egrave;s pour la r&eacute;alisation de ces op&eacute;rations. Nous sommes l&eacute;galement tenus de v&eacute;rifier que vos donn&eacute;es sont exactes, compl&egrave;tes et, si n&eacute;cessaire, mises &agrave; jour. Nous pourrons ainsi vous solliciter pour le v&eacute;rifier ou &ecirc;tre amen&eacute;s &agrave; compl&eacute;ter votre dossier (par exemple en enregistrant votre email si vous nous avez &eacute;crit un courrier &eacute;lectronique).<br />\r\n						<strong>Quels sont vos droits ?</strong><br />\r\n						Vous pouvez demander l&rsquo;acc&egrave;s, la rectification, l&rsquo;effacement ou la portabilit&eacute; de vos donn&eacute;es, d&eacute;finir des directives relatives &agrave; leur sort apr&egrave;s votre d&eacute;c&egrave;s, choisir d&rsquo;en limiter l&rsquo;usage ou vous opposer &agrave; leur traitement. Si vous avez donn&eacute; une autorisation sp&eacute;ciale et expresse pour l&rsquo;utilisation de certaines de vos donn&eacute;es, vous pouvez la retirer &agrave; tout moment sous r&eacute;serve qu&rsquo;il ne s&rsquo;agisse pas d&rsquo;informations qui conditionnent l&rsquo;application de votre contrat.<br />\r\n						<strong>Pour nous contacter et exercer vos droits ?</strong><br />\r\n						Vous pouvez contacter notre d&eacute;l&eacute;gu&eacute; &agrave; la protection des donn&eacute;es pour exercer vos droits par email : dpo@agis-group.com ou par courrier &agrave; MONDIALCARE / AGIS SAS, &agrave; l&rsquo;attention du DPO, 33 Avenue Victor Hugo &ndash; 75116 Paris Villeneuve d&rsquo;Ascq. En cas de r&eacute;clamation, vous pouvez choisir de saisir la CNIL par courrier &agrave; l&rsquo;adresse suivante : 3 Place de Fontenoy - TSA 80715 - 75334 PARIS CEDEX 07.<br />\r\n						<br />\r\n						Pour plus d&rsquo;informations sur le traitement de vos donn&eacute;es et sur vos droits, nous vous invitons &agrave; consulter notre &laquo; Politique de protection des donn&eacute;es &raquo; et &laquo; Informations sur les cookie &raquo; accessibles sur notre site internet.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VI - NOTRE PROPOSITION</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Au vu des besoins exprim&eacute;s au terme du pr&eacute;sent diagnostic, nous vous recommandons de souscrire la garantie&nbsp;:<br />\r\n						<strong>ASSURANCE VOYAGE TOURISTIQUE</strong> (ADP20192398 REF GSL-AGISTOURISME082019) propos&eacute;e par MONDIALCARE.</span></span></p>\r\n\r\n						<p align=\"justify\" style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Vous trouverez ci-joint, les Conditions G&eacute;n&eacute;rales valant Notice d&#39;Information pour ce produit d&rsquo;Assurance.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le client reconna&icirc;t avoir pris connaissance du contenu du pr&eacute;sent projet pr&eacute;alablement &agrave; l&rsquo;adh&eacute;sion au contrat d&rsquo;assurance propos&eacute; ci-dessus, en avoir conserv&eacute; un exemplaire, et avoir re&ccedil;u une information d&eacute;taill&eacute;e sur l&rsquo;&eacute;tendue, la d&eacute;finition des risques et des garanties propos&eacute;es.</span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Votre courtier conseil :</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:bottom;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(ADP20192398 REF GSL-AGISTOURISME082019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:18px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">MON CONTRAT N&deg;[personne--num_client]</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATIONS DU SOUSCRIPTEUR</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[nom-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[prenom-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Code Postal :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[code-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Ville :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style=\"font-family:\'Myriad Pro\';\">Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">INFORMATION DES ASSURES / BENEFICIAIRES</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span class=\"tL8wMe EMoHub\" dir=\"ltr\" id=\":1ol.co\" style=\"text-align: left;\">[_liste_assures]</span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TYPE DE CONTRAT SOUSCRIT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>ASSURANCE VOYAGE TOURISTIQUE</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\"><strong>L&#39;option Assurance Annulation / Retard + Bagages et Effets personnels souscrite ?&nbsp;&nbsp;&nbsp;[personne--option]</strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SEJOUR / VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Pays de provenance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[provenance_pays]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Pays de Destination :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[destination_pays]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">P&eacute;riode de s&eacute;jour du :&nbsp;&nbsp;&nbsp;&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-depart]</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">au :&nbsp;&nbsp;&nbsp;&nbsp; </span><strong><span style=\"font-family:\'Myriad Pro\';\">[date-fin]</span></strong> </span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: #339999;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">TARIFS en Euros (dont taxe d&#39;assurance 9%)</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Tarif unitaire :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--devis-pp]&euro;TTC (hors code promo)</span></strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span style=\"font-family:\'Myriad Pro\';\">Nombre de Personnes participants au s&eacute;jour :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[number-pers]</span></strong> </span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Montant Total : </span><strong><span style=\"font-family:\'Myriad Pro\';\">[devis-st]&euro;TTC</span></strong></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">SIGNATURE DU CONTRAT</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td>\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je demande la souscription au pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat se compose des conditions particuli&egrave;res et des conditions g&eacute;n&eacute;rales. Je reconnais en avoir pris connaissance et les accepte comme faisant partie dudit contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Le pr&eacute;sent contrat prend effet &agrave; la date de validit&eacute; indiqu&eacute;e et sous r&eacute;serve du paiement de la cotisation.<br />\r\n						La date de validit&eacute; ne peut &ecirc;tre ant&eacute;rieure &agrave; la date d&#39;envoi du contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Je d&eacute;clare avoir pris connaissance de la politique de traitement des donn&eacute;es personnelles de MONDIALCARE par AGIS SAS et de mes droits. Je reconnais et accepte que MONDIALCARE soit amen&eacute; &agrave; collecter et &agrave; traiter mes donn&eacute;es personnelles dans le cadre de la gestion du pr&eacute;sent contrat.</span></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Je d&eacute;clare que toutes mes d&eacute;clarations sont sinc&egrave;res et exactes, n&#39;avoir rien &agrave; d&eacute;clarer ou omis de d&eacute;clarer et ne pas ignorer que si dans l&#39;appr&eacute;ciation du risque, la compagnie d&#39;assurance a &eacute;t&eacute; induite en erreur par suite d&#39;une fausse d&eacute;claration intentionnelle, le contrat sera annul&eacute; aux conditions pr&eacute;vues par le code des assurances fran&ccedil;ais.</strong></span></span></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:200px;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; height: 200px; margin-right:auto; margin-left:auto;\">\r\n				<tbody>\r\n					<tr style=\"height:200px\">\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>Fait en double exemplaire</strong></span></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><span style=\"font-family:Montserrat; color:#000000;\"><strong>&agrave; Paris, le [date_souscription]</strong></span></p>\r\n						</td>\r\n						<td style=\"width: 33%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Cachet de l&#39;interm&eacute;diaire</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_raison-social-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_nom-apporteur], [_info_apporteur_prenom-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_adresse-postale-apporteur]</span></strong></p>\r\n\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:7pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_code-postal-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_ville-apporteur]</span></strong> <strong><span style=\"font-family:Montserrat; color:#000000;\">[_info_apporteur_pays-apporteur]</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 34%; padding: 0.75pt; vertical-align: top; background-color: #eaeaea ;\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#000000;\">Signature du souscripteur</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"page-break-after: always\"><span style=\"display: none;\">&nbsp;</span></div>\r\n\r\n<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 30%; vertical-align: middle; background-color: rgb(255, 255, 255);\"><img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"width: 200px; height: 31px;\" /></td>\r\n						<td style=\"width: 70%; vertical-align: middle; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"text-align: center;font-size:13px;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">CONTRAT D&#39;ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\">CONTRAT N&deg;[personne--num_client]<br />\r\n						<span style=\"font-size:10px;\">(ADP20192398 REF GSL-AGISTOURISME082019)</span></span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:600px; vertical-align:middle;\">\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:100%; margin-right:auto; margin-left:auto;margin-top:10px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">VENTE A DISTANCE :<br />\r\n						FACULTE DE RENONCIATION</span></strong></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">REPORT DE DATE DE VOYAGE</span></strong></p>\r\n						</td>\r\n					</tr>\r\n					<tr style=\"height:auto;\">\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:0pt; margin-left:10pt; margin-bottom:0pt; font-size:10px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du Code des assurances, l&rsquo;assur&eacute; a la possibilit&eacute; d&rsquo;exercer son droit de renoncement &agrave; son contrat d&rsquo;Assurance conclu &agrave; distance dans un d&eacute;lai de 14 jours &agrave; compter du jour de la conclusion du contrat.<br />\r\n						Cette facult&eacute; ne vaut pas pour les contrats d&rsquo;assurance voyages et assimil&eacute;s d&rsquo;une dur&eacute;e d&rsquo;un mois et inf&eacute;rieure &agrave; un mois. </strong></span></span><br />\r\n						<span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>La demande de renonciation doit &ecirc;tre adress&eacute;e par lettre recommand&eacute;e avec avis de r&eacute;ception &agrave; :</strong></span></span><br />\r\n						<span style=\"font-size:12px;\"><span style=\"font-family:\'Myriad Pro\'; color:#000000;\"><strong>MONDIALCARE par AGIS SAS<br />\r\n						33 Avenue Victor Hugo 75116 Paris.</strong></span></span><br />\r\n						<br />\r\n						<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>Ci-apr&egrave;s Mod&egrave;le de lettre de renonciation :</strong></span></span></p>\r\n\r\n						<p style=\"margin-top:4pt; margin-left:10pt; margin-bottom:0pt; font-size:9px;text-align:justify;\"><i><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom, Pr&eacute;nom : ....................................................................<br />\r\n						Num&eacute;ro et appellation de contrat : .....................................<br />\r\n						<br />\r\n						Messieurs,<br />\r\n						Conform&eacute;ment &agrave; l&rsquo;article L112-2-1 du code des assurances, je renonce express&eacute;ment par la pr&eacute;sente &agrave; la souscription du contrat d&rsquo;assurance cit&eacute; en r&eacute;f&eacute;rences que j&rsquo;ai souscrit exclusivement &agrave; distance le ...../...../.....<br />\r\n						Je vous prie d&rsquo;agr&eacute;er, Messieurs, l&rsquo;expression de mes salutations distingu&eacute;es.<br />\r\n						Fait le : ...../...../.....</span></span></i></p>\r\n						</td>\r\n						<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n						<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">L&rsquo;assur&eacute; a la possibilit&eacute; de reporter une fois, les dates de son voyage sous r&eacute;serve que l&rsquo;assureur ait &eacute;t&eacute; pr&eacute;venu par &eacute;crit, avant la date de d&eacute;but de voyage.<br />\r\n						<br />\r\n						Le report devra intervenir dans le mois suivant la date initiale de prise d&rsquo;effet du contrat.</span></span></p>\r\n\r\n						<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:300px; margin-right:auto; margin-left:auto;margin-top:15px;\">\r\n							<tbody>\r\n								<tr style=\"height:auto\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: middle; background-color: rgb(51, 153, 153);\">\r\n									<p style=\"margin-top:0pt; margin-bottom:0pt; margin-left:10pt; text-align:left; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">ANNULATION DU CONTRAT</span></strong></p>\r\n									</td>\r\n								</tr>\r\n								<tr style=\"height:auto;\">\r\n									<td style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n									<p style=\"margin-top:5pt; margin-left:10pt; margin-bottom:0pt; font-size:11px;text-align:justify;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">En cas d&rsquo;annulation du voyage et uniquement dans ce cas, la cotisation pourra &ecirc;tre rembours&eacute;e au souscripteur sur demande &eacute;crite adress&eacute;e &agrave; MONDIALCARE <span style=\"color:#ff6600;\"><span style=\"font-family:\'Myriad Pro\';\"><strong>par lettre recommand&eacute;e avec accus&eacute; de r&eacute;ception.</strong></span></span><br />\r\n									<br />\r\n									La demande devra parvenir avant la date d&rsquo;effet figurant sur le bulletin d&rsquo;adh&eacute;sion, le cachet de la poste faisant foi.<br />\r\n									<br />\r\n									Dans tous les cas, MONDIALCARE conservera la somme de 25&euro; correspondant aux frais de dossier.</span></span></p>\r\n									</td>\r\n								</tr>\r\n							</tbody>\r\n						</table>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto; margin-top:250px;\">\r\n				<tbody>\r\n					<tr style=\"height:auto;\">\r\n						<td align=\"center\" style=\"width: 100%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\"><img height=\"170px\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/logo-email-footer.png\" width=\"170px\" />\r\n						<p style=\"text-align: center;font-size:15px;\"><strong><span style=\"font-family:Montserrat; color:#339999;\">Toute l&#39;&eacute;quipe de MONDIALCARE vous souhaite un agr&eacute;able Voyage.</span></strong></p>\r\n						</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n			</td>\r\n		</tr>\r\n		<tr>\r\n			<td width=\"100%\">\r\n			<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n</div>\r\n','2020-04-27 10:49:46','2020-04-27 10:49:46'),(7002,4323,'IPID','App\\Models\\Wpcf7PdfPanel',2668,'','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7003,4323,'CGVNI','App\\Models\\Wpcf7PdfPanel',2669,'','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7004,4323,'DEVIS','App\\Models\\Wpcf7PdfPanel',2670,'<div style=\"text-align:center;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td colspan=\"2\" style=\"width:600px; padding:0.75pt; vertical-align:middle;\">\r\n			<p style=\"text-align: center;\">&nbsp;<img alt=\"\" src=\"https://www.mondialcare.eu/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"margin: 10px 20px; width: 308px; height: 47px;\" /></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:5pt; font-size:15pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">ASSURANCE VOYAGE TOURISTIQUE</span></strong><br />\r\n			<strong><span style=\"font-family:Montserrat; color:#339999;\">DEVIS N&deg;[personne--num_client]</span></strong></p>\r\n\r\n			<p style=\"text-align: center; margin-top:0pt; margin-bottom:0pt; font-size:13px;\"><strong><span style=\"font-family:\'Myriad Pro\'; color:#ff6600;\">Certificat en conformit&eacute; avec les exigences internationales pour les s&eacute;jours de 90 jours maximum.</span></strong></p>\r\n\r\n			<div align=\"left\">\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\"><strong>MONDIALCARE&copy; par AGIS SAS</strong> vous pr&eacute;sente votre Devis d&#39;Assurance Voyage Touristique</p>\r\n\r\n			<p style=\"font-size: 12px; color:#000000;text-align: justify;\">Le futur assur&eacute; b&eacute;n&eacute;ficiera d&egrave;s validation de son contrat des garanties d&eacute;finies aux conditions g&eacute;n&eacute;rales valant notice d&rsquo;information jointes en annexe.</p>\r\n			</div>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<div style=\"text-align:center; width: 100%;\">&nbsp;</div>\r\n\r\n<div style=\"text-align:center; width: 100%;\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width:100%; vertical-align:middle; background-color:#eaeaea;\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:12pt;\"><strong><span style=\"font-family:Montserrat; color:#ff6600;\">INFORMATIONS DU FUTUR ASSURE</span></strong><br />\r\n			<span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">P&eacute;riode de Garantie : du&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-depart]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;au&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[date-fin]&nbsp;</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">inclus &ndash; soit&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[resultatDuree]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;jours</span><br />\r\n			<span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pays de Provenance</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;</span><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[provenance_pays]</span></strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">&nbsp;&ndash; Pays de Destination:&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">[destination_pays]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr style=\"height:auto\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: middle; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Identit&eacute; du futur assur&eacute;</span></strong></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 102, 0);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; text-align:center; font-size:10pt;\"><strong><span style=\"font-family:Montserrat; color:#ffffff;\">Coordonn&eacute;es du futur assur&eacute;</span></strong></p>\r\n			</td>\r\n		</tr>\r\n		<tr style=\"height:auto;\">\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">Nom :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--nom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pr&eacute;nom(s) :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--prenom]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Date de Naissance :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[personne--date-naiss]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[adresse-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Pays de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[pays-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Ville de r&eacute;sidence :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[ville-payeur]</span></strong></span></p>\r\n			</td>\r\n			<td style=\"width: 50%; padding: 0.75pt; vertical-align: top; background-color: rgb(255, 255, 255);\">\r\n			<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;\"><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\">T&eacute;l Fixe :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_fix-payeur][telephone_fix-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Mobile :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">+[ind_mobile-payeur][telephone_mobile-payeur]</span></strong><br />\r\n			<span style=\"font-family:\'Myriad Pro\';\">Adresse E-mail :&nbsp;</span><strong><span style=\"font-family:\'Myriad Pro\';\">[email-payeur]</span></strong></span></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 10pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">Le montant du Devis s&#39;&eacute;l&egrave;ve &agrave; [devis-st]&euro; TTC</span></strong></span></p>\r\n\r\n<p style=\"margin-top: 14pt; margin-bottom: 14pt; font-size: 11pt; text-align: center;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\">Pour tout renseignement contactez MONDIALCARE :</span></strong></span><br />\r\n<br />\r\n<span style=\"font-size:14px;\"><span style=\"color:#000000;\"><span style=\"font-family: &quot;Myriad Pro&quot;;\">T&eacute;l&eacute;phone : +33182835626&nbsp;</span><span style=\"font-family: &quot;Myriad Pro&quot;;\">ou par E-mail :&nbsp;</span> </span><a href=\"mailto:contact@mondialcare.eu\" style=\"text-decoration:none;\"><span style=\"color:#000000;\"><u><span style=\"font-family: &quot;Myriad Pro&quot;;\">contact@mondialcare.eu</span></u></span></a></span></p>\r\n\r\n<p><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Le futur contrat pr&eacute;voit notamment les garanties suivantes (voir le Tableau de Garanties pour plus de d&eacute;tails):</span></p>\r\n\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"width:600px; margin-right:auto; margin-left:auto;\">\r\n	<tbody>\r\n		<tr>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Garanties</span></th>\r\n			<th style=\"text-align: left;font-size:10pt;background-color: rgb(255, 102, 0);\"><span style=\"font-family:Montserrat; color:#ffffff;\">Montants TTC Maximum</span></th>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais m&eacute;dicaux, chirurgicaux, pharmaceutiques et d&#39;hospitalisation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">75 000&euro; (Moyen Courrier)<br />\r\n			150 000&euro; (Long Courrier)</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assistance m&eacute;dicale compl&egrave;te</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement sanitaire</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Rapatriement du corps en cas de d&eacute;c&egrave;s</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Frais R&eacute;els</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">L&#39;assur&eacute; b&eacute;n&eacute;ficie des Garanties en option suivantes ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--option]</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance des Bagages et Effets Personnels</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 2 000&euro;</span></td>\r\n		</tr>\r\n		<tr>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Assurance Retard, Annulation</span></td>\r\n			<td style=\"text-align: left;font-size:14px; background: #FDFDFD;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 4 000&euro;</span></td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n\r\n<p style=\"font-size:10px;text-align: justify;\"><span style=\"color:#000000;\">Le futur assur&eacute; reconna&icirc;t avoir pris connaissance de l&#39;ensemble des informations figurant sur son contrat et les conditions g&eacute;n&eacute;rales. Ce devis est &eacute;tabli selon ses d&eacute;clarations; le code des assurances pr&eacute;voit express&eacute;ment la nullit&eacute; du contrat (article L113.8 du Code des assurances) en cas de fausse d&eacute;claration ou de d&eacute;claration incompl&egrave;te.&nbsp; Le futur assur&eacute; autorise la compagnie d&#39;assurance &agrave; communiquer les informations relatives &agrave; son devis &agrave; toute personne qui pourrait en avoir besoin en raison de sa gestion ou de son ex&eacute;cution. Le futur assur&eacute; dispose d&#39;un droit d&#39;acc&egrave;s et de rectification pour toute information le concernant, qu&#39;il pourra exercer aupr&egrave;s de notre si&egrave;ge ou contactez DPO EXPERT au 01 4227 7349 &agrave; dpo@agis-group.com</span></p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n</div>\r\n','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7005,4323,'DEVISCGVNI','App\\Models\\Wpcf7PdfPanel',2671,'','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7006,4323,'DEVISGARANTIES','App\\Models\\Wpcf7PdfPanel',2672,'','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7007,4323,'DEVISIPID','App\\Models\\Wpcf7PdfPanel',2673,'','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7008,4323,'TICKET','App\\Models\\Wpcf7PdfPanel',2674,'<div style=\"text-align:center\">\r\n<table cellpadding=\"0\" cellspacing=\"2\" style=\"height:142px; margin-left:auto; margin-right:auto; width:649px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"height:auto; vertical-align:middle; width:600px\">\r\n			<p style=\"text-align:center\">&nbsp;<img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-2logo-tr.png\" style=\"height:47px; margin:10px 20px; width:308px\" /></p>\r\n\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">TICKET DE PAIEMENT POUR LE CONTRAT N&deg; ORDERID</span></strong></p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<div style=\"text-align:center; width:100%\">\r\n<table cellpadding=\"0\" style=\"height:77px; margin-left:auto; margin-right:auto; width:624px\">\r\n	<tbody>\r\n		<tr>\r\n			<td colspan=\"2\" style=\"background-color:#eaeaea; height:auto; vertical-align:middle; width:100%\">\r\n			<p style=\"text-align:center\"><strong><span style=\"color:#ff6600; font-family:Montserrat\">DETAIL DE LA TRANSACTION</span></strong><br />\r\n			Voici les infomations &agrave; propos de votre paiement :</p>\r\n\r\n			<table cellpadding=\"1\" cellspacing=\"1\" style=\"border-spacing:1.5pt; margin-left:auto; margin-right:auto; width:100%\">\r\n				<tbody>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Num&eacute;ro de transaction:</strong></td>\r\n						<td style=\"text-align:left\">TRANSACTIONID</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Type d&#39;op&eacute;ration:</strong></td>\r\n						<td style=\"text-align:left\">OPERATIONTYPE</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Description:</strong></td>\r\n						<td style=\"text-align:left\">DESCRIPTOR</td>\r\n					</tr>\r\n					<tr>\r\n						<td style=\"text-align:right\"><strong>Montant:</strong></td>\r\n						<td style=\"text-align:left\">AMOUNT &euro;</td>\r\n					</tr>\r\n				</tbody>\r\n			</table>\r\n\r\n			<p>&nbsp;</p>\r\n			</td>\r\n		</tr>\r\n	</tbody>\r\n</table>\r\n</div>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:center\"><img alt=\"\" src=\"http://193.70.73.91/wp-content/uploads/2020/01/Asset-3logo-tr.png\" style=\"height:47px; width:69px\" /><br />\r\n<strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">www.</span></strong><strong><span style=\"color:#339999; font-family:Montserrat\">MONDIALCARE</span></strong><strong><span style=\"color:#339999; font-family:\'Myriad Pro\'\">.eu</span></strong></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p style=\"text-align:justify; font-size:10px;\"><span style=\"color:#000000;\"><strong>MONDIALCARE &copy; par AGIS SAS - 33 Avenue Victor Hugo 75116 Paris - T&eacute;l : +33 9 70 46 66 10 ou +33 1 82 83 56 26 </strong>RCS Paris B 524 120409 Garantie Financi&egrave;re et responsabilit&eacute; civile professionnelle conformes &agrave; la loi Immatriculation sous le num&eacute;ro 10057380 au registre des Interm&eacute;diaires d&#39;Assurances Orias - 1 rue Jules Lef&egrave;vre - 75311 Paris Cedex 9 - Activit&eacute; exerc&eacute;e sous le contr&ocirc;le de l&#39;ACPR - 4 Place de Budapest - CS 92459&nbsp; 75436 Paris</span></p>\r\n\r\n<p>&nbsp;</p>\r\n','2020-04-27 10:49:47','2020-04-27 10:49:47'),(7009,4323,'mcto4323','App\\Models\\Wpcf7MctoPanel',1037,'a:49:{s:19:\"codage-format-value\";s:4:\"MCTO\";s:20:\"codage-version-value\";s:3:\"1.6\";s:23:\"entete-origine-emetteur\";s:10:\"AGIS GROUP\";s:42:\"entete-origine-date_emission-date_hms-date\";s:9:\"[[d-m-Y]]\";s:41:\"entete-origine-date_emission-date_hms-hms\";s:9:\"[[H:i:s]]\";s:39:\"entete-origine-canal_distribution-value\";s:3:\"NET\";s:21:\"entete-recepteur-code\";s:0:\"\";s:18:\"entete-payeur-code\";s:13:\"[code-payeur]\";s:23:\"entete-decimales-double\";s:1:\"2\";s:19:\"entete-devise-value\";s:0:\"\";s:33:\"dossier-code_action_dossier-value\";s:1:\"C\";s:33:\"dossier-type_action_dossier-value\";s:2:\"30\";s:28:\"dossier-statut_dossier-value\";s:2:\"RQ\";s:37:\"dossier-references_dossier-interne_to\";s:7:\"[title]\";s:38:\"dossier-references_dossier-nom_dossier\";s:7:\"[title]\";s:41:\"dossier-references_dossier-vendeur_agence\";s:19:\"AGIS[[dmY]]_MANAGER\";s:21:\"dossier-date_creation\";s:9:\"[[d-m-Y]]\";s:25:\"dossier-date_modification\";s:9:\"[[d-m-Y]]\";s:37:\"dossier-produit_principal-nom_produit\";s:7:\"[title]\";s:55:\"dossier-produit_principal-references_produit-interne_to\";s:0:\"\";s:40:\"dossier-voyage-periode_voyage-date_debut\";s:0:\"\";s:38:\"dossier-voyage-periode_voyage-date_fin\";s:0:\"\";s:28:\"dossier-voyage-depart_voyage\";s:17:\"[provenance_pays]\";s:28:\"dossier-voyage-retour_voyage\";s:18:\"[destination_pays]\";s:26:\"dossier-voyage-pays_sejour\";s:0:\"\";s:26:\"dossier-voyage-lieu_sejour\";s:0:\"\";s:38:\"dossier-passagers-titre_personne-value\";s:17:\"[personne--titre]\";s:21:\"dossier-passagers-nom\";s:15:\"[personne--nom]\";s:24:\"dossier-passagers-prenom\";s:18:\"[personne--prenom]\";s:32:\"dossier-passagers-date_naissance\";s:22:\"[personne--date-naiss]\";s:39:\"dossier-terrestres-type_terrestre-value\";s:0:\"\";s:64:\"dossier-terrestres-periode_prestation-periode_etendue-date_debut\";s:13:\"[date-depart]\";s:72:\"dossier-terrestres-periode_prestation-periode_etendue-heure_minute_debut\";s:13:\"[date-depart]\";s:66:\"dossier-terrestres-periode_prestation-periode_etendue-duree-intval\";s:15:\"[resultatDuree]\";s:44:\"dossier-terrestres-nombre_prestations-intval\";s:0:\"\";s:37:\"dossier-terrestres-libelle_prestation\";s:14:\"ASSURANCE AGIS\";s:30:\"dossier-terrestres-lieu_sejour\";s:0:\"\";s:36:\"dossier-details_tarifs-libelle_tarif\";s:0:\"\";s:38:\"dossier-details_tarifs-quantite-intval\";s:1:\"1\";s:44:\"dossier-details_tarifs-montant_brut-floatval\";s:12:\"[[devis-st]]\";s:44:\"dossier-montants_dossier-montant_brut-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_net-intval\";s:10:\"[devis-st]\";s:43:\"dossier-montants_dossier-montant_tva-intval\";s:1:\"0\";s:50:\"dossier-montants_dossier-montant_commission-intval\";s:0:\"\";s:39:\"dossier-nombre_passagers-adultes-intval\";s:1:\"1\";s:39:\"dossier-nombre_passagers-enfants-intval\";s:1:\"1\";s:37:\"dossier-nombre_passagers-bebes-intval\";s:1:\"1\";s:48:\"dossier-details_informations-libelle_information\";s:0:\"\";s:40:\"dossier-details_informations-detail-text\";s:0:\"\";}','2020-04-27 10:49:47','2020-04-27 10:49:47');

--
