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--
-- Table structure for table `wp_cf7_tab_panels`
--

CREATE TABLE `wp_cf7_tab_panels` (
  `id` int(10) unsigned NOT NULL AUTO_INCREMENT,
  `wp_post_ID` bigint(20) unsigned NOT NULL,
  `name` varchar(191) COLLATE utf8mb4_unicode_ci DEFAULT NULL,
  `panelizable_type` varchar(191) COLLATE utf8mb4_unicode_ci NOT NULL,
  `panelizable_id` int(10) unsigned NOT NULL,
  `content` longtext COLLATE utf8mb4_unicode_ci DEFAULT NULL,
  `created_at` timestamp NULL DEFAULT NULL,
  `updated_at` timestamp NULL DEFAULT NULL,
  PRIMARY KEY (`id`),
  KEY `cf7_tab_panels_wp_post_id_foreign` (`wp_post_ID`),
  CONSTRAINT `cf7_tab_panels_wp_post_id_foreign` FOREIGN KEY (`wp_post_ID`) REFERENCES `wp_posts` (`ID`) ON DELETE CASCADE
) ENGINE=InnoDB AUTO_INCREMENT=7010 DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci;

--
-- Dumping data for table `wp_cf7_tab_panels`
--

INSERT INTO `wp_cf7_tab_panels` VALUES (4018,6844,'','App\\Models\\Wpcf7FormPanel',2335,'[hidden lang \"fr\"]\r\n[hidden apporteur default:get]\r\n<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-1.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Bonjour, je suis Sarra votre assistante virtuelle ! En quelques questions je vais trouver\r\n                        l’offre d’Assurance Voyage adaptée à vos besoins, pour commencer sélectionnez votre profil :</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    [select type-personne \"Particuliers / Tourisme\" \"Etudiants\" \"Professionnels\" \"Expatriés\"]\r\n                    [hidden lang default:get]\r\n                </div>\r\n            </div>\r\n            <div class=\"row mt-4\">\r\n                [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Suivant\"]\r\n            </div>\r\n\r\n        </div>\r\n    </div>\r\n</div>','2020-02-07 11:58:50','2020-02-07 11:58:50'),(4019,6844,'','App\\Models\\Wpcf7FormPanel',2336,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-2.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Sélectionnez vos Dates de Voyage !</strong></p>\r\n                    <p>Date de Départ & Date de Retour dans le calendrier ci-dessous :</p>\r\n                       \r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            \r\n            [hidden max_diff-hidden \"365\"] \r\n            <div class=\"row mt-4  align-self-center\">\r\n                <fieldset>\r\n                    <label class=\"text-uppercase\" for=\"duration_date\">Période de Voyage</label>\r\n                    <div class=\"input-group daterange\">[text date-depart id:duration_date class:form-control\r\n                        class:daterange-start readonly][text date-fin class:form-control class:daterange-end\r\n                        readonly]<span class=\"input-group-append\" role=\"right-icon\"><button class=\"btn-transparent\" type=\"button\"><i class=\"fa fa-calendar\"></i></button></span></div>\r\n                </fieldset>\r\n                [diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div>\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\">\r\n                   \r\n                </div>\r\n\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Suivant\"]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-02-07 11:58:50','2020-02-07 11:58:50'),(4020,6844,'','App\\Models\\Wpcf7FormPanel',2337,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-4.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>OK, c\'est noté ! Maintenant, j\'ai besoin de savoir Combien de personnes souhaitez vous assurer\r\n                        pour ce Voyage ?</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col\">\r\n                        <fieldset>\r\n                            [radio categorie default:1 \"Je voyage seul(e)\" \"Plusieurs personnes (> à 2 pers.)\" \"Un\r\n                            groupe (> à 10 pers.)\"]\r\n\r\n                            [group multi]\r\n                            <label>Nombre de Personne</label>\r\n                            <i class=\"material-icons prefix\">account_circle</i>\r\n                            [number* number-pers]\r\n                            [/group]\r\n\r\n                        </fieldset>\r\n                    </div>\r\n                </div>\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Suivant\"]\r\n\r\n                    </div>\r\n                </div>\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-02-07 11:58:50','2020-02-07 11:58:50'),(4021,6844,'','App\\Models\\Wpcf7FormPanel',2338,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-3.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Parfait ! Dernière étape, indiquez votre Pays de Provenance et celui de votre Destination principale pour obtenir un Tarif détaillé :</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col-6\">\r\n                            <fieldset>\r\n                            <label class=\"text-uppercase\">Provenance</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style data-show-if-domtom:provdomtom default:get]</div>\r\n</fieldset>\r\n</div>\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label class=\"text-uppercase\">Destination</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [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 default:get include_blank]</div>\r\n\r\n                        </fieldset>\r\n                    </div>\r\n             \r\n                </div>\r\n\r\n                <div class=\"row mt-4 ml-3\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                            [group etudiant]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-etudiant/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group business]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-business/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group touriste]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-touristique/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group expatrie]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"window.location=\'https://www.foyerglobalhealth.com/fr/agis-fr/#section-quick-quote\';\"/>\r\n                            [/group]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-02-07 11:58:50','2020-02-07 11:58:50'),(4022,6844,'mcto6844','App\\Models\\Wpcf7MctoPanel',726,'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:\"\";}','2020-02-07 11:58:50','2020-02-07 11:58:50'),(5178,9815,'Voyageurs','App\\Models\\Wpcf7FormPanel',2747,'[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 de Groupe</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\">[text date-depart id:duration_date class:form-control class:daterange-start readonly default:get][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<div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n                        <fieldset>\r\n                        <label class=\"text-uppercase\">Montant du Séjour pour l\'ensemble des participants que vous souhaitez assurer pour ce voyage : <small>Montant Total en EURO (€) TTC</small></label>\r\n                        <div class=\"input-group mt-1\">[number montant_sejour class:w-100 class:swisscare-style default:get]</div> \r\n                       </fieldset>   \r\n                   </div>\r\n\r\n\r\n\r\n    <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n         <fieldset>\r\n             <label>Souhaitez vous étendre votre assurance Groupe avec la Garantie Annulation et Bagages pour l\'ensemble des assurés ajoutés ci-après ?</label>[radio optfm default:0 class:w-50 class:launch-tarif \"Non\" \"Oui\"] </fieldset>\r\n    </div>\r\n                [hidden devis-st][hidden number-pers default:get]\r\n          \r\n    \r\n    [hidden number-pers default:get]\r\n    \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</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>','2020-03-12 14:20:08','2020-03-12 14:20:08'),(5179,9815,'Devis','App\\Models\\Wpcf7FormPanel',2748,'<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\">[checkbox personne--option class:choix-option id:option \"Activer\"]</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>','2020-03-12 14:20:08','2020-03-12 14:20:08'),(5180,9815,'Souscription','App\\Models\\Wpcf7FormPanel',2749,'<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 rejoindre 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>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>','2020-03-12 14:20:08','2020-03-12 14:20:08'),(5181,9815,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',1573,'<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','2020-03-12 14:20:08','2020-03-12 14:20:08'),(5182,9815,'GARANTIES','App\\Models\\Wpcf7PdfPanel',1574,'','2020-03-12 14:20:09','2020-03-12 14:20:09'),(5183,9815,'CONTRAT','App\\Models\\Wpcf7PdfPanel',1575,'<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','2020-03-12 14:20:09','2020-03-12 14:20:09'),(5184,9815,'IPID','App\\Models\\Wpcf7PdfPanel',1576,'','2020-03-12 14:20:09','2020-03-12 14:20:09'),(5185,9815,'CGVNI','App\\Models\\Wpcf7PdfPanel',1577,'','2020-03-12 14:20:09','2020-03-12 14:20:09'),(5186,9815,'mcto9815','App\\Models\\Wpcf7MctoPanel',860,'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:\"\";}','2020-03-12 14:20:09','2020-03-12 14:20:09'),(6192,11746,'','App\\Models\\Wpcf7FormPanel',3039,'[hidden lang \"en\"]\r\n[hidden apporteur default:get]\r\n<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-1.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Hello, I\'m Sarra your virtual assistant! In a few questions I will find the Travel Insurance offer adapted to your needs, to start select your profile:</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    [select type-personne \"Tourist\" \"Student\" \"Business\" \"Expats\"]\r\n                    [hidden lang default:get]\r\n                </div>\r\n            </div>\r\n            <div class=\"row mt-4\">\r\n                [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n            </div>\r\n\r\n        </div>\r\n    </div>\r\n</div>','2020-04-06 09:46:20','2020-04-06 09:46:20'),(6193,11746,'','App\\Models\\Wpcf7FormPanel',3040,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-2.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Select your Travel Date !</strong></p>\r\n                    <p>Departure Date & Return Date in the Calendar below :</p>\r\n                       \r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            \r\n            [hidden max_diff-hidden \"365\"] \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\r\n                [diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div>\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\">\r\n                   \r\n                </div>\r\n\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 09:46:20','2020-04-06 09:46:20'),(6194,11746,'','App\\Models\\Wpcf7FormPanel',3041,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-4.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>OK ! Now I need to know how many people you want to insure for this travel ?</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col\">\r\n                        <fieldset>\r\n                            [radio categorie default:1 \"I\'m Alone\" \"Few people\" \"Group (> 10 people)\"]\r\n\r\n                            [group multi]\r\n                            <label>Number of people</label>\r\n                            <i class=\"material-icons prefix\">account_circle</i>\r\n                            [number* number-pers]\r\n                            [/group]\r\n\r\n                        </fieldset>\r\n                    </div>\r\n                </div>\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n\r\n                    </div>\r\n                </div>\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 09:46:20','2020-04-06 09:46:20'),(6195,11746,'','App\\Models\\Wpcf7FormPanel',3042,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-3.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Perfect ! Last step, please select your Country of Provenance and your main Destination to get a free quote :</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col-6\">\r\n                            <fieldset>\r\n                            <label class=\"text-uppercase\">Provenance</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style data-show-if-domtom:provdomtom default:get]</div>\r\n</fieldset>\r\n</div>\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label class=\"text-uppercase\">Destination</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [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 default:get include_blank]</div>\r\n\r\n                        </fieldset>\r\n                    </div>\r\n             \r\n                </div>\r\n\r\n                <div class=\"row mt-4 ml-3\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                            [group etudiant]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-etudiant/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group business]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-business/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group touriste]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/voyage-touristique/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group expatrie]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Suivant\" onclick=\"window.location=\'https://www.foyerglobalhealth.com/fr/agis-fr/#section-quick-quote\';\"/>\r\n                            [/group]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 09:46:20','2020-04-06 09:46:20'),(6196,11746,'mcto11746','App\\Models\\Wpcf7MctoPanel',950,'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:\"\";}','2020-04-06 09:46:20','2020-04-06 09:46:20'),(6276,12122,'','App\\Models\\Wpcf7FormPanel',3107,'[hidden lang \"en\"]\r\n[hidden apporteur default:get]\r\n<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-1.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Hello, I\'m Sarra your virtual assistant! In a few questions I will find the Travel Insurance offer adapted to your needs, to start select your profile:</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    [select type-personne \"Tourist\" \"Student\" \"Business\" \"Expats\"]\r\n                    [hidden lang default:get]\r\n                </div>\r\n            </div>\r\n            <div class=\"row mt-4\">\r\n                [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n            </div>\r\n\r\n        </div>\r\n    </div>\r\n</div>','2020-04-06 10:14:48','2020-04-06 10:14:48'),(6277,12122,'','App\\Models\\Wpcf7FormPanel',3108,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-2.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Select your Travel Date !</strong></p>\r\n                    <p>Departure Date & Return Date in the Calendar below :</p>\r\n                       \r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            \r\n            [hidden max_diff-hidden \"365\"] \r\n            <div class=\"row mt-4  align-self-center\">\r\n                <fieldset>\r\n                    <label class=\"text-uppercase\" for=\"duration_date\">Travel Period</label>\r\n                    <div class=\"input-group daterange\">[text date-depart id:duration_date class:form-control\r\n                        class:daterange-start readonly][text date-fin class:form-control class:daterange-end\r\n                        readonly]<span class=\"input-group-append\" role=\"right-icon\"><button class=\"btn-transparent\" type=\"button\"><i class=\"fa fa-calendar\"></i></button></span></div>\r\n                </fieldset>\r\n                [diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div>\r\n            </div>\r\n\r\n            <div class=\"row mt-4\">\r\n                <div class=\"col\">\r\n                   \r\n                </div>\r\n\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 10:14:48','2020-04-06 10:14:48'),(6278,12122,'','App\\Models\\Wpcf7FormPanel',3109,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-4.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>OK ! Now I need to know how many people you want to insure for this travel ?</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col\">\r\n                        <fieldset>\r\n                            [radio categorie default:1 \"Only one\" \"Few people\" \"Group (> à 10 people)\"]\r\n\r\n                            [group multi]\r\n                            <label>Number of people</label>\r\n                            <i class=\"material-icons prefix\">account_circle</i>\r\n                            [number* number-pers]\r\n                            [/group]\r\n\r\n                        </fieldset>\r\n                    </div>\r\n                </div>\r\n                <div class=\"row mt-4\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                        [submit id:nextBtn class:jump-tarif class:ml-5 class:w-50 class:btn-radius \"Next\"]\r\n\r\n                    </div>\r\n                </div>\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 10:14:48','2020-04-06 10:14:48'),(6279,12122,'','App\\Models\\Wpcf7FormPanel',3110,'<div class=\"container-fluid px-4\">\r\n    <div class=\"row\">\r\n\r\n        <!-- barre latérale gauche: image assistant, ecran large -->\r\n        <div class=\"col-xl-2 visible-lg\">\r\n            <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/assistante-3.png\">\r\n        </div>\r\n\r\n        <!-- contenu -->\r\n        <div class=\"col-xl-10\">\r\n            <!-- assistant infobulle -->\r\n            <div class=\"row\">\r\n                <div class=\"hidden-lg col-2 align-self-center\">\r\n                    <img class=\"avatar\" src=\"https://www.mondialcare.eu/wp-content/uploads/2019/12/vignette-mobile.gif\">\r\n                </div>\r\n                <div class=\"col-10\">\r\n                    <p><strong>Perfect ! Last step, please select your Country of Provenance and your main Destination to get a free quote :</strong></p>\r\n                </div>\r\n            </div>\r\n\r\n            <!-- contenu formulaire -->\r\n            <div class=\"row mt-4  align-self-center\">\r\n                <div class=\"row\">\r\n                    <div class=\"col-6\">\r\n                            <fieldset>\r\n                            <label class=\"text-uppercase\">Provenance</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style data-show-if-domtom:provdomtom default:get]</div>\r\n</fieldset>\r\n</div>\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label class=\"text-uppercase\">Destination</label>\r\n                            <div class=\"input-group mt-1\">\r\n                                [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 default:get include_blank]</div>\r\n\r\n                        </fieldset>\r\n                    </div>\r\n             \r\n                </div>\r\n\r\n                <div class=\"row mt-4 ml-3\">\r\n                    <div class=\"col-12 mt-2 d-flex justify-content-start mb-3\">\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\" />\r\n                            [group etudiant]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Next\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/student-insurance/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group business]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Next\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/business-insurance/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group touriste]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Next\" onclick=\"ouvrirProduit(\'https://www.mondialcare.eu/tourist-insurance/\', [\'date-depart\',\'date-fin\',\'resultatDuree\',\'number-pers\',\'destination_pays\',\'provenance_pays\',\'lang\',\'apporteur\'], this)\"/>\r\n                            [/group]\r\n                            [group expatrie]\r\n<input type=\"button\" id=\"nextBtn\" class=\"wpcf7-form-control wpcf7-submit button nextBtn btn-radius w-100\" value=\"Next\" onclick=\"window.location=\'https://www.foyerglobalhealth.com/fr/agis-fr/#section-quick-quote\';\"/>\r\n                            [/group]\r\n                    </div>\r\n                </div>\r\n\r\n            </div>\r\n        </div>\r\n\r\n    </div>\r\n</div>','2020-04-06 10:14:48','2020-04-06 10:14:48'),(6280,12122,'mcto12122','App\\Models\\Wpcf7MctoPanel',966,'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 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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:\"\";}','2020-04-06 10:14:48','2020-04-06 10:14:48'),(6304,12166,'','App\\Models\\Wpcf7FormPanel',3123,'[hidden lang default:get]\r\n[hidden temp_password-hidden]\r\n\r\nCompany name [text* raison-social-apporteur]\r\nTrade register number [text* numsiret-apporteur]\r\nIntercommunity VAT number [text tva-intra]\r\nAMADEUS ID AGENCY [text code-amadeus-apporteur]\r\nCreation Date [date datecreation]\r\nRegistered capital (in €) [text capital]\r\nRC [text rc]\r\nName of person in charge [text* nom-apporteur]\r\nFirst Name [text* prenom-apporteur]\r\nOffice phone [text* phone-fixe-apporteur]\r\nMobile phone [text* phone-mobile-apporteur]\r\nE-mail address [email* email-apporteur]\r\nWebsite [text* site-web-apporteur]\r\nOffice Adress [text adresse-postale-apporteur]\r\nPostal/Zip code [text code-postal-apporteur]\r\nCity [text* ville-apporteur]\r\nCountry [select_pays* pays-apporteur class:combobox default:get]\r\n\r\nYour message [textarea message]\r\n\r\n[hidden action \"/apporteur/new\"]\r\n[submit class:button-primary id:register-apporteur \"Send\"]','2020-04-21 13:49:59','2020-04-21 13:49:59'),(6305,12166,'mcto12166','App\\Models\\Wpcf7MctoPanel',978,'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 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SOCIAL [text* raison-social-apporteur]\r\nN°SIRET [text* numsiret-apporteur]\r\nN°TVA INTRACOMMUNAUTAIRE [text raison-social-apporteur]\r\nCODE AGENCE AMADEUS [text code-amadeus-apporteur]\r\nDate de création [date datecreation]\r\nCapital (en €) [text capital]\r\nNuméro RC [text rc]\r\nNom du responsable [text* nom-apporteur]\r\nPrénom [text* prenom-apporteur]\r\nNuméro de Téléphone Fixe [text* phone-fixe-apporteur]\r\nTéléphone Mobile [text* phone-mobile-apporteur]\r\nAdresse E-mail [email* email-apporteur]\r\nSite internet [text* site-web-apporteur]\r\nAdresse Postale [text adresse-postale-apporteur]\r\nCode Postal [text code-postal-apporteur]\r\nVille [text* ville-apporteur]\r\nPays [select_pays* pays-apporteur class:combobox default:get]\r\n\r\nVotre message [textarea message]\r\n\r\n[hidden action \"/apporteur/new\"]\r\n[submit class:button-primary id:register-apporteur \"Soumettre\"]','2020-04-22 13:20:21','2020-04-22 13:20:21'),(6493,7169,'mcto7169','App\\Models\\Wpcf7MctoPanel',995,'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:\"\";}','2020-04-22 13:20:21','2020-04-22 13:20:21'),(6804,8868,'Voyageurs','App\\Models\\Wpcf7FormPanel',3251,'[hidden lang default:get] \r\n[hidden temp_password-hidden] \r\n[hidden delta-hidden] \r\n[hidden max_diff-hidden \"365\"] \r\n[hidden num_contrat]\r\n[hidden apporteur default:get]\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 Annulation</h2>\r\n<p>Attention, cette souscription doit obligatoirement être effectuée le même jour que l\'achat de votre séjour chez un professionnel du tourisme.</p>\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>\r\n                        <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>\r\n                        \r\n                    </fieldset>\r\n                </div>\r\n            [diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n            </div>\r\n            <div class=\"row\">\r\n                <div class=\"col pl-2\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div>\r\n            </div>\r\n[hidden max_diff-hidden \"365\"]\r\n            <div class=\"row\">\r\n                <div class=\"row\">\r\n\r\n\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label class=\"text-uppercase\">Provenance</label>\r\n                            <div class=\"input-group mt-1\">[select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style default:get]</div></fieldset>\r\n\r\n                    </div>\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label>DESTINATION</label>\r\n                            <div class=\"input-group mt-1\">[select_pays* destination_pays class:combobox class:w-100 class:swisscare-style default:get]</div>\r\n                        </fieldset>\r\n                    </div>\r\n                  \r\n                </div>\r\n\r\n <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n                        <fieldset>\r\n                        <label class=\"text-uppercase\">Montant du Séjour pour l\'ensemble des participants que vous souhaitez assurer pour ce voyage : <small>Montant Total en EURO (€) TTC pour l\'ensemble du séjour réservé</small></label>\r\n                        <div class=\"input-group mt-1\">[number montant_sejour class:w-100 class:swisscare-style default:get]</div> \r\n                       </fieldset>   \r\n                   </div>\r\n\r\n\r\n\r\n    <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n         <fieldset>\r\n             <label>Souhaitez vous étendre la Garantie d\'Annulation pour couvrir les cas d\'attentats ou de catastrophes naturelles ? <small>(+18€/personne)</small></label>[radio optfm default:0 class:w-50 class:launch-tarif \"Non\" \"Oui\"] </fieldset>\r\n    </div>\r\n                [hidden devis-st][hidden number-pers default:get]\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</p>\r\n                    </div>\r\n                    \r\n                    <h2>Liste des assurés</h2>\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\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>\r\n                                            <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>\r\n                                            <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>\r\n                                            <label class=\"text-uppercase\">Date de Naissance</label>[date personne--date-naiss id:personne--date-naiss class:w-100 class:launch-tarif]</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<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=\"Previous\" />[submit id:nextBtn class:nextBtn  class:btn-radius \"Suivant\"]\r\n                        </div>\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>\r\n  </div>\r\n</div>','2020-04-23 01:15:31','2020-04-23 01:15:31'),(6805,8868,'Devis','App\\Models\\Wpcf7FormPanel',3252,'<div class=\"row p-4\">\r\n    <div class=\"col-12 error\"></div>\r\n<h2>Vérifiez vos informations</h2>\r\n\r\n    <div class=\"col-12 d-flex flex-column justify-content-end p-2\">\r\n        <p class=\"mustache\">Voici la liste des participants assurés pour votre prochain séjour de [resultatDuree] jours à <strong class=\"translatable\">[destination_pays]</strong>. Cliquez sur Suivant pour finaliser votre souscription et passer au paiement :</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\">[[optfm]]</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 Annulation de Voyage 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>','2020-04-23 01:15:31','2020-04-23 01:15:31'),(6806,8868,'Souscription','App\\Models\\Wpcf7FormPanel',3253,'<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>','2020-04-23 01:15:31','2020-04-23 01:15:31'),(6807,8868,'CGVNI','App\\Models\\Wpcf7PdfPanel',2533,'','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6808,8868,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2534,'','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6809,8868,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2535,'<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 ANNULATION</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; RSP2019241 GSL- AGISANNULATION082019 </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; RSP2019241 GSL- AGISANNULATION082019.</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\';\">Annulation de Voyage (Remboursement Frais Annulation)(Franchise 50&euro; par personne)</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; 5 000&euro;/personne</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\';\">Annulation Autres Causes (Franchise 20% ou minimum 50&euro; par sinistre)</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 5 000&euro;/personne</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\';\">[optfm]</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\';\">Option Attentats, Catastrophes Naturelles (Franchise 20% ou minimum 75&euro; par personne)</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; 5 000&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','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6810,8868,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2536,'<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-Annulation.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 ANNULATION</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>&nbsp;&nbsp; Montant du S&eacute;jour : <strong><span style=\"font-family:\'Myriad Pro\';\">[montant_sejour]</span></strong>&euro;<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\';\">- </span></span><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Annulation de Voyage (Remboursement Frais Annulation)</span><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"> : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- </span></span><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Annulation Autres Causes </span><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"> : </span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- </span></span><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Option Attentats, Catastrophes Naturelles</span><span style=\"color:#000000;\"><span style=\"font-family:\'Myriad Pro\';\"> :&nbsp;</span><strong>[optfm]</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 ANNULATION</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 ANNULATION</strong> (RSP2019241 GSL- AGISANNULATION082019) 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 ANNULATION</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(RSP2019241 GSL- AGISANNULATION082019)</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 ANNULATION&nbsp;&nbsp; MONTANT DU SEJOUR : [montant_sejour]&euro;TTC</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 Annulation pour Attentats ou Catastrophes Natuelle souscrite ?&nbsp;&nbsp;&nbsp;[optfm]</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\r\n						<p style=\"margin-top:0pt; margin-bottom:0pt; font-size:10pt;text-align:left;\"><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">&nbsp;Garantie Annulation &agrave; compter du </span></strong></span><span style=\"font-family:Montserrat; color:#000000;\"><strong>[date_souscription], jusqu&#39;au </strong></span><span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\';\">[date-depart]</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\';\">Je reconnais avoir souscrit le contrat d&#39;assurance annulation le m&ecirc;me jour de l&#39;achat du voyage par l&#39;interm&eacute;diaire de l&#39;organisateur / professionnel du Tourisme.</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 ANNULATION</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;\">(RSP2019241 GSL- AGISANNULATION082019)</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','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6811,8868,'IPID','App\\Models\\Wpcf7PdfPanel',2537,'','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6812,8868,'mcto8868','App\\Models\\Wpcf7MctoPanel',1022,'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:\"\";}','2020-04-23 01:15:32','2020-04-23 01:15:32'),(6880,6845,'Voyageurs','App\\Models\\Wpcf7FormPanel',3269,'[hidden lang default:get] [hidden temp_password-hidden] [hidden delta-hidden] [hidden max_diff-hidden \"10\"] [hidden num_contrat] [hidden apporteur default:get]\r\n<div class=\"declenche-devis\">\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 Business</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>\r\n                        <div class=\"input-group daterange\">\r\n                            <label id=\"daterange-start-label\">Début</label>[text date-depart id:duration_date class:form-control class:daterange-start readonly default:get]\r\n                            <label id=\"daterange-end-label\">Fin</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>\r\n                        <h6 class=\"text-uppercase\"> Pour une assurance annuelle (multitrip) cochez la case suivante </h6>\r\n                        <div class=\"row align-items-center justify-content-center\">\r\n                            <div class=\"col-12 col-sm-3\">\r\n                                [checkbox multitrip class:annuel \"Multitrip\"]\r\n                            </div>\r\n                            <div class=\"col-12 col-sm-4 text-date pb-1\">\r\n                                [group text]\r\n                                <p style=\"font-size: 1rem\">Date début du contrat :</p>\r\n                                [/group]\r\n                            </div>\r\n                            <div class=\"col-12 col-sm-3 pr-2\">\r\n                                [group annuel] [date date-multi] [/group]\r\n                            </div>\r\n                        </div>\r\n                    </fieldset>\r\n                </div>\r\n                [diffdate resultatDuree date1:date-depart date2:date-fin get:d]\r\n            </div>\r\n            <div class=\"row\">\r\n                <div class=\"col pl-2\"><small class=\"date-difference\" style=\"opacity: 0.73;\"></small></div>\r\n            </div>\r\n            <div class=\"row\">\r\n                <div class=\"row\">\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label class=\"text-uppercase\">Provenance</label>\r\n                            <div class=\"input-group mt-1\">[select_pays* provenance_pays class:combobox class:w-100 class:swisscare-style default:get]</div>\r\n                        </fieldset>\r\n\r\n                    </div>\r\n                    <div class=\"col-6\">\r\n                        <fieldset>\r\n                            <label>DESTINATION</label>\r\n                            <div class=\"input-group mt-1\">[select_pays* destination_pays class:combobox class:w-100 class:swisscare-style default:get]</div>\r\n                        </fieldset>\r\n                    </div>\r\n                </div>\r\n\r\n                [hidden number-pers default:get] [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>\r\n                    </div>\r\n                    \r\n                    <h2>Liste des assurés</h2>\r\n\r\n                    <div class=\"row mt-1 mr-4\" 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\">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>\r\n                                            <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>\r\n                                            <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>\r\n                                            <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\r\n                                    <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n                                        [group sans-multitrip]\r\n                                        <fieldset>\r\n                                            <label>Pratiquez vous un métier à risque ? <small>(pompiers ,agents de sécurité , cascadeurs , personnel dans le BTP, personnel des mines ou extraction de matières premières (y compris les conducteurs d’engins), personnel des entreprises de la filière bois (scierie, bûcheronnage, élagage, opérateurs de scies à chaîne et d\'engins de débardage)</small> :</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--mr id:personne--mr class:launch-tarif col-opt1:SILVER line-opt1:0 col-opt2:MR_SILVER line-opt2:0 \"Non\" \"Oui\"]\r\n                                         <p class=\"price_text_translater\" style=\"display:none\">Prix:</p></div>\r\n                                        </fieldset>\r\n                                        [/group] \r\n\r\n                                        [group avec-multitrip]\r\n                                        <fieldset>\r\n                                            <label>Pratiquez vous un métier à risque ? <small>(pompiers ,agents de sécurité , cascadeurs , personnel dans le BTP, personnel des mines ou extraction de matières premières (y compris les conducteurs d’engins), personnel des entreprises de la filière bois (scierie, bûcheronnage, élagage, opérateurs de scies à chaîne et d\'engins de débardage)</small> :</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--mr id:personne--mr col-opt1:SILVER line-opt1:1 col-opt2:MR_SILVER line-opt2:1 \"Non\" \"Oui\"]\r\n                                            <p class=\"price_text_translater\" style=\"display:none\">Prix:</p></div>\r\n                                        </fieldset>\r\n                                        [/group]\r\n                                    </div>\r\n                                    <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n                                        [group capital] \r\n                                        [group capital-non]\r\n                                        <fieldset>\r\n                                            <label>Capital souhaité en cas de Décès ou Invalidité Permanente Totale ou Partielle :</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--optfm id:personne--optkdc col-opt1:SILVER line-opt1:1 col-opt2:SILVER line-opt2:2 \"50000€|50000\" \"150000€|150000\"]\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group] \r\n\r\n                                        [group capital-oui]\r\n                                        <fieldset>\r\n                                            <label>Capital souhaité en cas de Décès ou Invalidité Permanente Totale ou Partielle :</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--optfm id:personne--optkdc col-opt1:MR_SILVER line-opt1:1 col-opt2:MR_SILVER line-opt2:2 \"50000€|50000\" \"150000€|150000\"]\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group] [/group]\r\n                                    </div>\r\n\r\n                                    <div class=\"col-12 col sm-4 pl-2 pr-2\">\r\n                                        [group trajet]\r\n                                        [group trajet-50000-non]\r\n                                        <fieldset>\r\n                                            <label>Choisissez la formule adaptée à vos besoins</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--trajets id:personne--trajets class:launch-tarif col-opt1:SILVER line-opt1:1 col-opt2:PLATINIUM line-opt2:1 col-opt3:PLATINIUM_FAMILLE line-opt3:1 \"Silver|Silver\" \"Platinium|Platinium\" \"Platinium Famille|Platinium_famille\"]\r\n                                                <p id=\"p-Silver\" style=\"display:none\">Trajets Professionnels uniquement</p>\r\n                                                <p id=\"p-Platinium\" style=\"display:none\">Trajets Professionnels ET Personnels</p>\r\n                                                <p id=\"p-Platinium_famille\" style=\"display:none\">Trajets Pro. ET Perso. incluant la famille proche</p>\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group]\r\n                                        [group trajet-150000-non]\r\n                                        <fieldset>\r\n                                            <label>Choisissez la formule adaptée à vos besoins</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--trajets id:personne--trajets class:launch-tarif col-opt1:SILVER line-opt1:2 col-opt2:PLATINIUM line-opt2:2 col-opt3:PLATINIUM_FAMILLE line-opt3:2 \"Silver|Silver\" \"Platinium|Platinium\" \"Platinium Famille|Platinium_famille\"]\r\n                                                <p id=\"p-Silver\" style=\"display:none\">Trajets Professionnels uniquement</p>\r\n                                                <p id=\"p-Platinium\" style=\"display:none\">Trajets Professionnels ET Personnels</p>\r\n                                                <p id=\"p-Platinium_famille\" style=\"display:none\">Trajets Pro. ET Perso. incluant la famille proche</p>\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group]\r\n                                        [group trajet-50000-oui]\r\n                                        <fieldset>\r\n                                            <label>Choisissez la formule adaptée à vos besoins</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--trajets id:personne--trajets class:launch-tarif col-opt1:MR_SILVER line-opt1:1 col-opt2:MR_PLATINIUM line-opt2:1 col-opt3:MR_PLATINIUM_FAM line-opt3:1 \"Silver|Silver\" \"Platinium|Platinium\" \"Platinium Famille|Platinium_famille\"]\r\n                                                <p id=\"p-Silver\" style=\"display:none\">Trajets Professionnels uniquement</p>\r\n                                                <p id=\"p-Platinium\" style=\"display:none\">Trajets Professionnels ET Personnels</p>\r\n                                                <p id=\"p-Platinium_famille\" style=\"display:none\">Trajets Pro. ET Perso. incluant la famille proche</p>\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group]\r\n                                        [group trajet-150000-oui]\r\n                                        <fieldset>\r\n                                            <label>Choisissez la formule adaptée à vos besoins</label>\r\n                                            <div class=\"card-wrapper\">\r\n                                                [option_card personne--trajets id:personne--trajets class:launch-tarif col-opt1:MR_SILVER line-opt1:2 col-opt2:MR_PLATINIUM line-opt2:2 col-opt3:MR_PLATINIUM_FAM line-opt3:2 \"Silver|Silver\" \"Platinium|Platinium\" \"Platinium Famille|Platinium_famille\"]\r\n                                                <p id=\"p-Silver\" style=\"display:none\">Trajets Professionnels uniquement</p>\r\n                                                <p id=\"p-Platinium\" style=\"display:none\">Trajets Professionnels ET Personnels</p>\r\n                                                <p id=\"p-Platinium_famille\" style=\"display:none\">Trajets Pro. ET Perso. incluant la famille proche</p>\r\n                                            </div>\r\n                                        </fieldset>\r\n                                        [/group]\r\n                                        [/group]\r\n                                    </div>\r\n\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                        <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                        <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=\"Previous\" />[submit id:nextBtn class:nextBtn class:btn-radius \"Suivant\"]\r\n                        </div>\r\n                    </div>\r\n                </div>\r\n            </div>\r\n        </div>\r\n    </div>\r\n</div>\r\n<script>\r\nwindow.labels = {\r\n      \"conjoint\": {\r\n        \"titre\": \"Conjoint\",\r\n        \"conjoint-nom\": \"Nom\",\r\n        \"conjoint-prenom\": \"Prénom\",\r\n        \"conjoint-datenais\": \"Date de naissance\"\r\n      },\r\n      \"enfants\": {\r\n        \"titre\": \"Enfants (moins de 21 ans)\",\r\n        \"enfant-num\": \"n°*num*\",\r\n        \"enfant-nom\": \"Nom\",\r\n        \"enfant-prenom\": \"Prénom\",\r\n        \"enfant-datenaiss\": \"Date de naissance\",\r\n        \"enfant-action\": \"Action\"\r\n      },\r\n      \"buttons\": {\r\n        \"ajout\": \"Ajouter\",\r\n        \"suppression\": \"Supprimer\"\r\n      },\r\n      \'accordion\': {\r\n        \"activeText\": \"Masquer les membres de la famille\",\r\n        \"inactiveText\": \"Gérer les membres de la famille\"\r\n      }\r\n    };\r\n</script>','2020-04-27 09:39:45','2020-04-27 09:39:45'),(6881,6845,'Devis','App\\Models\\Wpcf7FormPanel',3270,'<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;\">Vous êtes sur le point de souscrire votre contrat d\'Assurance Voyage Business, veuillez vérifier que les informations ci-dessous sont correctes et cliquez sur \"Suivant\" pour continuer :.</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-3\" style=\"padding: .75rem\"><b>Assuré</b></div>\r\n            <div class=\"col-2\" style=\"padding: .75rem\"><b>Date de Naissance</b></div>\r\n            <div class=\"col-5\" style=\"padding: .75rem\"><b>Options</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: 12px\">\r\n               <div class=\"col-3\" style=\"padding: .75rem\">[[personne--nom]], [[personne--prenom]]</div>\r\n               <div class=\"col-2\" style=\"padding: .75rem\">[[personne--date-naiss]]</div>\r\n               <div class=\"col-5\" style=\"padding: .75rem\">[[personne--indivfam]]  -  [[personne--trajets]]  -  [[personne--optfm]]</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 Business 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 09:39:45','2020-04-27 09:39:45'),(6882,6845,'Souscripteur','App\\Models\\Wpcf7FormPanel',3271,'<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 rejoindre 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 09:39:45','2020-04-27 09:39:45'),(6883,6845,'IPID','App\\Models\\Wpcf7PdfPanel',2585,'','2020-04-27 09:39:45','2020-04-27 09:39:45'),(6884,6845,'CGVNI','App\\Models\\Wpcf7PdfPanel',2586,'','2020-04-27 09:39:46','2020-04-27 09:39:46'),(6885,6845,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2587,'','2020-04-27 09:39:46','2020-04-27 09:39:46'),(6886,6845,'ATTESTATION','App\\Models\\Wpcf7PdfPanel',2588,'<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 BUSINESS</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 365 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;ADP20192394 REF GSL-AGISBUSINESSTRIP0819 </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; ADP20192394 REF GSL-AGISBUSINESSTRIP0819.</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; 2 000 000&euro;</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;\"><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\';\">Capital D&eacute;c&egrave;s accidentel et Invalidit&eacute; Permanente</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; [personne--optfm]</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\';\">Forfait Individuel ou Famille ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--indivfam]</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 billetterie, D&eacute;tournement a&eacute;rien</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; 5 000&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\';\">[multitrip]</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; 5 000&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 09:39:46','2020-04-27 09:39:46'),(6887,6845,'CONTRAT','App\\Models\\Wpcf7PdfPanel',2589,'<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-business.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 BUSINESS</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>[multitrip]</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\';\">- Niveau du Capital en cas de d&eacute;c&egrave;s ou invalidit&eacute; :&nbsp;</span><strong>[personne--optfm]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Garanties Individuel ou Famille :&nbsp;</span><strong>[personne--indivfam]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Annulation Billetterie / Interuption de s&eacute;jour :&nbsp;</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\';\">- Retard d&#39;avion, annulation de vol :&nbsp;</span><strong>OUI</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Responsabilit&eacute; Civile Vie Priv&eacute;e :&nbsp;</span><strong>[multitrip]</strong><br />\r\n						<span style=\"font-family:\'Myriad Pro\';\">- Exercez-vous un m&eacute;tier &agrave; risque :&nbsp;</span><strong>[personne--mr]</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 BUSINESS</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 BUSINESS avec un Capital D&eacute;c&egrave;s et Invalidit&eacute; de [personne--optfm]</strong> option [personne--indivfam], Formule [personne--trajets]<br />\r\n						(ADP20192394 REF GSL-AGISBUSINESSTRIP0819) 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 BUSINESS</span></strong><br />\r\n						<strong><span style=\"font-family:Montserrat; color:#339999;\"><span style=\"font-size:10px;\">(ADP20192394 REF GSL-AGISBUSINESSTRIP0819)</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 BUSINESS avec un Capital D&eacute;c&egrave;s ou Invalidit&eacute; jusqu&#39;&agrave; [personne--optfm],<br />\r\n						Option [personne--indivfam], Formule [personne--trajets]</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 BUSINESS</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;\">(ADP20192394 REF GSL-AGISBUSINESSTRIP0819)</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 09:39:46','2020-04-27 09:39:46'),(6888,6845,'DEVIS','App\\Models\\Wpcf7PdfPanel',2590,'<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 BUSINESS</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 365 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 Business</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> <span style=\"color:#000000;\"><strong><span style=\"font-family:\'Myriad Pro\'; font-size:10pt;\"> :</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; 2 000 000&euro;</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;\"><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\';\">Capital D&eacute;c&egrave;s accidentel et Invalidit&eacute; Permanente</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">Jusqu&#39;&agrave; [personne--optfm]</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\';\">Forfait Individuel ou Famille ?</span></td>\r\n			<td style=\"text-align: left;font-size:14px;\"><span style=\"color:#000000;font-family:\'Myriad Pro\';\">[personne--indivfam]</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 billetterie, D&eacute;tournement a&eacute;rien</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; 5 000&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\';\">[multitrip]</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; 5 000&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 09:39:46','2020-04-27 09:39:46'),(6889,6845,'DEVISCGVNI','App\\Models\\Wpcf7PdfPanel',2591,'','2020-04-27 09:39:46','2020-04-27 09:39:46'),(6890,6845,'DEVISGARANTIES','App\\Models\\Wpcf7PdfPanel',2592,'','2020-04-27 09:39:46','2020-04-27 09:39:46'),(6891,6845,'DEVISIPID','App\\Models\\Wpcf7PdfPanel',2593,'','2020-04-27 09:39:46','2020-04-27 09:39:46'),(6892,6845,'TICKET','App\\Models\\Wpcf7PdfPanel',2594,'<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 09:39:46','2020-04-27 09:39:46'),(6893,6845,'mcto6845','App\\Models\\Wpcf7MctoPanel',1028,'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 09:39:46','2020-04-27 09:39:46'),(6894,6846,'Voyageurs','App\\Models\\Wpcf7FormPanel',3272,'[hidden lang default:get]\r\n[hidden temp_password-hidden]\r\n[hidden delta-hidden]\r\n[hidden max_diff-hidden \"365\"]\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 Etudiant</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>\r\n      <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>\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 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 data-show-if-lc:lc data-show-if-schengen:schengen default:get]</div></fieldset></div>\r\n</div>\r\n\r\n    [hidden destination_pays-zone \"\"]\r\n    <div class=\"row\">\r\n      \r\n      <div class=\"col-6\">\r\n         [group schengen]\r\n         \r\n         <input type=hidden name=\"destination_pays-zone[]\" value=\"SCHENGEN\" data-value=\"SCHENGEN\"/>\r\n         [/group]\r\n      </div>\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>\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 09:41:35','2020-04-27 09:41:35'),(6895,6846,'Devis','App\\Models\\Wpcf7FormPanel',3273,'<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 Etudiant couvre déjà un grand nombre de Garanties d\'Assistance et de Rapatriement pour votre voyage, les Bagages, l\'annulation ou le retard...<strong>MONDIALCARE vous propose d\'ajouter une option supplémentaire</strong>, l\'Assurance Individuelle Accident qui garantit un Capital en cas de décès ou invalidité jusqu\'à 50 000€.</p><p>Pour bénéficier de cette garantie supplémentaire, cochez l\'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 Etudiant 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 09:41:35','2020-04-27 09:41:35'),(6896,6846,'Souscription','App\\Models\\Wpcf7FormPanel',3274,'<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 09:41:35','2020-04-27 09:41:35'),(6897,6846,'CGVNI','App\\Models\\Wpcf7PdfPanel',2595,'','2020-04-27 09:41:35','2020-04-27 09:41:35'),(6898,6846,'GARANTIES','App\\Models\\Wpcf7PdfPanel',2596,'','2020-04-27 09:41:36','2020-04-27 09:41:36'),(6899,6846,'IPID','App\\Models\\Wpcf7PdfPanel',2597,'','2020-04-27 09:41:36','2020-04-27 09:41:36'),