
	<div class="woocommerce-info">
		Remplissez le formulaire pour demander l'accès à notre boutique en ligne.	</div>
    
    <div id="woo_new_user_application">

        <div class="woo_new_user_application_wrapper">

            <form id="woo_mew_user_form" method="post">

                <div class="form-group woo_billing_first_name">
                    <label class="control-label" for="billing_first_name">Nom de l'Entreprise</label>  
                    <div class="control-input">
                        <input id="billing_first_name" name="billing_first_name" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_email">
                    <label class="control-label" for="billing_email">E-mail&nbsp;</label>  
                    <div class="control-input">
                        <input id="billing_email" name="billing_email" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_phone">
                    <label class="control-label" for="billing_phone">Téléphone</label>  
                    <div class="control-input">
                        <input id="billing_phone" name="billing_phone" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_vat">
                    <label class="control-label" for="billing_vat">VAT</label>
                    <div class="control-input">
                        <input id="billing_vat" name="billing_vat" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_country">
                    <label class="control-label" for="billing_country">Pays</label>
                    <div class="control-input">
                        <select id="billing_country" name="billing_country" class="form-control select-md">
                            <option value="" disabled selected>Sélectionnez un pays</option>
                            <option value="AF">Afghanistan</option><option value="ZA">Afrique du Sud</option><option value="AX">Åland Islands</option><option value="AL">Albanie</option><option value="DZ">Algérie</option><option value="DE">Allemagne</option><option value="AS">American Samoa</option><option value="AD">Andorre</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctique</option><option value="AG">Antigua-et-Barbuda</option><option value="SA">Arabie Saoudite</option><option value="AR">Argentine</option><option value="AM">Arménie</option><option value="AW">Aruba</option><option value="AU">Australie</option><option value="AT">Autriche</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbades</option><option value="PW">Belau</option><option value="BE">Belgique</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermudes</option><option value="BT">Bhutan</option><option value="BY">Biélorussie</option><option value="BO">Bolivie</option><option value="BA">Bosnie-Herzégovine</option><option value="BW">Botswana</option><option value="BR">Brésil</option><option value="BN">Brunei</option><option value="BG">Bulgarie</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodge</option><option value="CM">Cameroun</option><option value="CA">Canada</option><option value="CV">Cap Vert</option><option value="CL">Chili</option><option value="CN">Chine</option><option value="CX">Christmas Island</option><option value="CY">Chypre</option><option value="CO">Colombie</option><option value="KM">Comores</option><option value="CG">Congo (Brazzaville)</option><option value="CD">Congo (Kinshasa)</option><option value="KP">Corée du Nord</option><option value="KR">Corée du Sud</option><option value="CR">Costa Rica</option><option value="CI">Côte-d’Ivoire</option><option value="HR">Croatie</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="DK">Danemark</option><option value="DJ">Djibouti</option><option value="DM">Dominique</option><option value="EG">Égypte</option><option value="AE">Émirats Arabes Unis</option><option value="EC">Équateur</option><option value="ER">Erythrée</option><option value="ES">Espagne</option><option value="EE">Estonie</option><option value="SZ">Eswatini</option><option value="US">Etats-Unis (USA)</option><option value="ET">Éthiopie</option><option value="FJ">Fidji</option><option value="FI">Finlande</option><option value="FR">France</option><option value="GA">Gabon</option><option value="GM">Gambie</option><option value="GE">Géorgie</option><option value="GS">Géorgie du Sud / îles Sandwich</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Grèce</option><option value="GD">Grenade</option><option value="GL">Groenland</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernesey</option><option value="GN">Guinée</option><option value="GQ">Guinée équatoriale</option><option value="GW">Guinée-Bissau</option><option value="GY">Guyane</option><option value="GF">Guyane Française</option><option value="HT">Haïti</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hongrie</option><option value="BV">Île Bouvet</option><option value="IM">Île de Man</option><option value="NF">Île Norfolk</option><option value="KY">Îles Caïmans</option><option value="CC">Îles Cocos</option><option value="CK">Îles Cook</option><option value="FK">Îles Falkland</option><option value="FO">Îles Féroé</option><option value="HM">Îles Heard-et-MacDonald</option><option value="MH">Îles Marshall</option><option value="UM">Îles Mineures éloignées des États-Unis</option><option value="SB">Îles Salomon</option><option value="TC">Îles Turques et Caïques</option><option value="IN">Inde</option><option value="ID">Indonésie</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Irlande</option><option value="IS">Islande</option><option value="IL">Israël</option><option value="IT">Italie</option><option value="JM">Jamaïque</option><option value="JP">Japon</option><option value="JE">Jersey</option><option value="JO">Jordanie</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Koweït</option><option value="KG">Kyrgyzstan</option><option value="RE">La Réunion</option><option value="LA">Laos</option><option value="LS">Lesotho</option><option value="LV">Lettonie</option><option value="LB">Liban</option><option value="LR">Liberia</option><option value="LY">Libye</option><option value="LI">Liechtenstein</option><option value="LT">Lituanie</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MG">Madagascar</option><option value="MY">Malaisie</option><option value="MW">Malawi</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malte</option><option value="MA">Maroc</option><option value="MQ">Martinique</option><option value="MU">Maurice</option><option value="MR">Mauritanie</option><option value="YT">Mayotte</option><option value="MX">Mexique</option><option value="FM">Micronésie</option><option value="MD">Moldavie</option><option value="MC">Monaco</option><option value="MN">Mongolie</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibie</option><option value="NR">Nauru</option><option value="NP">Népal</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="MK">North Macedonia</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norvège</option><option value="NC">Nouvelle-Calédonie</option><option value="NZ">Nouvelle-Zélande</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PA">Panama</option><option value="PG">Papouasie-Nouvelle-Guinée</option><option value="PY">Paraguay</option><option value="NL">Pays-Bas</option><option value="PE">Pérou</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Pologne</option><option value="PF">Polynésie Française</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="CF">République Centrafricaine</option><option value="DO">République Dominicaine</option><option value="CZ">République Tchèque</option><option value="RO">Roumanie</option><option value="GB">Royaume-Uni (UK)</option><option value="RU">Russie</option><option value="RW">Rwanda</option><option value="BQ">Saba, Saint-Eustache et Bonaire</option><option value="EH">Sahara occidental</option><option value="BL">Saint Barthélemy</option><option value="PM">Saint Pierre et Miquelon</option><option value="KN">Saint-Kitts-et-Nevis</option><option value="MF">Saint-Martin (partie française)</option><option value="SX">Saint-Martin (partie néerlandaise)</option><option value="VC">Saint-Vincent-et-les-Grenadines</option><option value="SH">Sainte-Hélène</option><option value="LC">Sainte-Lucie</option><option value="SV">Salvador</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tomé-et-Principe</option><option value="SN">Sénégal</option><option value="RS">Serbie</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapour</option><option value="SK">Slovaquie</option><option value="SI">Slovénie</option><option value="SO">Somalie</option><option value="SD">Soudan</option><option value="SS">Soudan du Sud</option><option value="LK">Sri Lanka</option><option value="SE">Suède</option><option value="CH">Suisse</option><option value="SR">Suriname</option><option value="SJ">Svalbard et Jan Mayen</option><option value="SY">Syrie</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzanie</option><option value="TD">Tchad</option><option value="TF">Terres Australes Françaises</option><option value="IO">Territoire britannique de l&rsquo;océan Indien</option><option value="PS">Territoire Palestinien</option><option value="TH">Thailande</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinité-et-Tobago</option><option value="TN">Tunisie</option><option value="TM">Turkménistan</option><option value="TR">Turquie</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="VG">Virgin Islands (British)</option><option value="VI">Virgin Islands (US)</option><option value="WF">Wallis et Futuna</option><option value="YE">Yemen</option><option value="ZM">Zambie</option><option value="ZW">Zimbabwe</option>                        </select>
                    </div>
                </div>

                <div class="form-group woo_billing_address_1">
                    <label class="control-label" for="billing_address_1">Adresse</label>
                    <div class="control-input">
                        <input id="billing_address_1" name="billing_address_1" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_postcode">
                    <label class="control-label" for="billing_postcode">Code postal</label>  
                    <div class="control-input">
                        <input id="billing_postcode" name="billing_postcode" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_state">
                    <label class="control-label" for="billing_state">Province / État</label>  
                    <div class="control-input">
                        <select id="billing_state" name="billing_state" class="form-control select-md">

                        </select>
                    </div>
                </div>

                <div class="form-group woo_billing_city">
                    <label class="control-label" for="billing_city">Ville</label>  
                    <div class="control-input">
                        <input id="billing_city" name="billing_city" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_legal">
                    <div class="control-input">
                        <div class="form-check">
                            <input id="woo_legal" name="woo_legal" type="checkbox" placeholder="" class="form-check-input" required="" value="">
                            <label class="form-check-label">
                                J'ai lu et j'accepte la politique de <a href="https://working.sumusfun.com/fr/politique-de-confidentialite/">Potection des confidentialité</a> de VINCKE HYDRAULICS                            </label>
                        </div>    
                    </div>
                </div>

                
                <p class="form-group">
                    <button type="submit" class="button" name="new_user_request" value="Guardar dirección">Envoyer la demande</button></p>
                </p>

            </form>

        </div>

    </div>
    <script src="https://www.google.com/recaptcha/api.js?render=6LfxKlwaAAAAADdgKAhmNgcbyf3Q4aTI91mXU5su"></script>

	<div class="woocommerce-info">
		Remplissez le formulaire pour demander l'accès à notre boutique en ligne.	</div>
    
    <div id="woo_new_user_application">

        <div class="woo_new_user_application_wrapper">

            <form id="woo_mew_user_form" method="post">

                <div class="form-group woo_billing_first_name">
                    <label class="control-label" for="billing_first_name">Nom de l'Entreprise</label>  
                    <div class="control-input">
                        <input id="billing_first_name" name="billing_first_name" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_email">
                    <label class="control-label" for="billing_email">E-mail&nbsp;</label>  
                    <div class="control-input">
                        <input id="billing_email" name="billing_email" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_phone">
                    <label class="control-label" for="billing_phone">Téléphone</label>  
                    <div class="control-input">
                        <input id="billing_phone" name="billing_phone" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_vat">
                    <label class="control-label" for="billing_vat">VAT</label>
                    <div class="control-input">
                        <input id="billing_vat" name="billing_vat" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_country">
                    <label class="control-label" for="billing_country">Pays</label>
                    <div class="control-input">
                        <select id="billing_country" name="billing_country" class="form-control select-md">
                            <option value="" disabled selected>Sélectionnez un pays</option>
                            <option value="AF">Afghanistan</option><option value="ZA">Afrique du Sud</option><option value="AX">Åland Islands</option><option value="AL">Albanie</option><option value="DZ">Algérie</option><option value="DE">Allemagne</option><option value="AS">American Samoa</option><option value="AD">Andorre</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctique</option><option value="AG">Antigua-et-Barbuda</option><option value="SA">Arabie Saoudite</option><option value="AR">Argentine</option><option value="AM">Arménie</option><option value="AW">Aruba</option><option value="AU">Australie</option><option value="AT">Autriche</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbades</option><option value="PW">Belau</option><option value="BE">Belgique</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermudes</option><option value="BT">Bhutan</option><option value="BY">Biélorussie</option><option value="BO">Bolivie</option><option value="BA">Bosnie-Herzégovine</option><option value="BW">Botswana</option><option value="BR">Brésil</option><option value="BN">Brunei</option><option value="BG">Bulgarie</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodge</option><option value="CM">Cameroun</option><option value="CA">Canada</option><option value="CV">Cap Vert</option><option value="CL">Chili</option><option value="CN">Chine</option><option value="CX">Christmas Island</option><option value="CY">Chypre</option><option value="CO">Colombie</option><option value="KM">Comores</option><option value="CG">Congo (Brazzaville)</option><option value="CD">Congo (Kinshasa)</option><option value="KP">Corée du Nord</option><option value="KR">Corée du Sud</option><option value="CR">Costa Rica</option><option value="CI">Côte-d’Ivoire</option><option value="HR">Croatie</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="DK">Danemark</option><option value="DJ">Djibouti</option><option value="DM">Dominique</option><option value="EG">Égypte</option><option value="AE">Émirats Arabes Unis</option><option value="EC">Équateur</option><option value="ER">Erythrée</option><option value="ES">Espagne</option><option value="EE">Estonie</option><option value="SZ">Eswatini</option><option value="US">Etats-Unis (USA)</option><option value="ET">Éthiopie</option><option value="FJ">Fidji</option><option value="FI">Finlande</option><option value="FR">France</option><option value="GA">Gabon</option><option value="GM">Gambie</option><option value="GE">Géorgie</option><option value="GS">Géorgie du Sud / îles Sandwich</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Grèce</option><option value="GD">Grenade</option><option value="GL">Groenland</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernesey</option><option value="GN">Guinée</option><option value="GQ">Guinée équatoriale</option><option value="GW">Guinée-Bissau</option><option value="GY">Guyane</option><option value="GF">Guyane Française</option><option value="HT">Haïti</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hongrie</option><option value="BV">Île Bouvet</option><option value="IM">Île de Man</option><option value="NF">Île Norfolk</option><option value="KY">Îles Caïmans</option><option value="CC">Îles Cocos</option><option value="CK">Îles Cook</option><option value="FK">Îles Falkland</option><option value="FO">Îles Féroé</option><option value="HM">Îles Heard-et-MacDonald</option><option value="MH">Îles Marshall</option><option value="UM">Îles Mineures éloignées des États-Unis</option><option value="SB">Îles Salomon</option><option value="TC">Îles Turques et Caïques</option><option value="IN">Inde</option><option value="ID">Indonésie</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Irlande</option><option value="IS">Islande</option><option value="IL">Israël</option><option value="IT">Italie</option><option value="JM">Jamaïque</option><option value="JP">Japon</option><option value="JE">Jersey</option><option value="JO">Jordanie</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Koweït</option><option value="KG">Kyrgyzstan</option><option value="RE">La Réunion</option><option value="LA">Laos</option><option value="LS">Lesotho</option><option value="LV">Lettonie</option><option value="LB">Liban</option><option value="LR">Liberia</option><option value="LY">Libye</option><option value="LI">Liechtenstein</option><option value="LT">Lituanie</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MG">Madagascar</option><option value="MY">Malaisie</option><option value="MW">Malawi</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malte</option><option value="MA">Maroc</option><option value="MQ">Martinique</option><option value="MU">Maurice</option><option value="MR">Mauritanie</option><option value="YT">Mayotte</option><option value="MX">Mexique</option><option value="FM">Micronésie</option><option value="MD">Moldavie</option><option value="MC">Monaco</option><option value="MN">Mongolie</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibie</option><option value="NR">Nauru</option><option value="NP">Népal</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="MK">North Macedonia</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norvège</option><option value="NC">Nouvelle-Calédonie</option><option value="NZ">Nouvelle-Zélande</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PA">Panama</option><option value="PG">Papouasie-Nouvelle-Guinée</option><option value="PY">Paraguay</option><option value="NL">Pays-Bas</option><option value="PE">Pérou</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Pologne</option><option value="PF">Polynésie Française</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="CF">République Centrafricaine</option><option value="DO">République Dominicaine</option><option value="CZ">République Tchèque</option><option value="RO">Roumanie</option><option value="GB">Royaume-Uni (UK)</option><option value="RU">Russie</option><option value="RW">Rwanda</option><option value="BQ">Saba, Saint-Eustache et Bonaire</option><option value="EH">Sahara occidental</option><option value="BL">Saint Barthélemy</option><option value="PM">Saint Pierre et Miquelon</option><option value="KN">Saint-Kitts-et-Nevis</option><option value="MF">Saint-Martin (partie française)</option><option value="SX">Saint-Martin (partie néerlandaise)</option><option value="VC">Saint-Vincent-et-les-Grenadines</option><option value="SH">Sainte-Hélène</option><option value="LC">Sainte-Lucie</option><option value="SV">Salvador</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tomé-et-Principe</option><option value="SN">Sénégal</option><option value="RS">Serbie</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapour</option><option value="SK">Slovaquie</option><option value="SI">Slovénie</option><option value="SO">Somalie</option><option value="SD">Soudan</option><option value="SS">Soudan du Sud</option><option value="LK">Sri Lanka</option><option value="SE">Suède</option><option value="CH">Suisse</option><option value="SR">Suriname</option><option value="SJ">Svalbard et Jan Mayen</option><option value="SY">Syrie</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzanie</option><option value="TD">Tchad</option><option value="TF">Terres Australes Françaises</option><option value="IO">Territoire britannique de l&rsquo;océan Indien</option><option value="PS">Territoire Palestinien</option><option value="TH">Thailande</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinité-et-Tobago</option><option value="TN">Tunisie</option><option value="TM">Turkménistan</option><option value="TR">Turquie</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="VG">Virgin Islands (British)</option><option value="VI">Virgin Islands (US)</option><option value="WF">Wallis et Futuna</option><option value="YE">Yemen</option><option value="ZM">Zambie</option><option value="ZW">Zimbabwe</option>                        </select>
                    </div>
                </div>

                <div class="form-group woo_billing_address_1">
                    <label class="control-label" for="billing_address_1">Adresse</label>
                    <div class="control-input">
                        <input id="billing_address_1" name="billing_address_1" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_postcode">
                    <label class="control-label" for="billing_postcode">Code postal</label>  
                    <div class="control-input">
                        <input id="billing_postcode" name="billing_postcode" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_billing_state">
                    <label class="control-label" for="billing_state">Province / État</label>  
                    <div class="control-input">
                        <select id="billing_state" name="billing_state" class="form-control select-md">

                        </select>
                    </div>
                </div>

                <div class="form-group woo_billing_city">
                    <label class="control-label" for="billing_city">Ville</label>  
                    <div class="control-input">
                        <input id="billing_city" name="billing_city" type="text" placeholder="" class="form-control input-md" required="" style="min-width: 250px;"  >
                    </div>
                </div>

                <div class="form-group woo_legal">
                    <div class="control-input">
                        <div class="form-check">
                            <input id="woo_legal" name="woo_legal" type="checkbox" placeholder="" class="form-check-input" required="" value="">
                            <label class="form-check-label">
                                J'ai lu et j'accepte la politique de <a href="https://working.sumusfun.com/fr/politique-de-confidentialite/">Potection des confidentialité</a> de VINCKE HYDRAULICS                            </label>
                        </div>    
                    </div>
                </div>

                
                <p class="form-group">
                    <button type="submit" class="button" name="new_user_request" value="Guardar dirección">Envoyer la demande</button></p>
                </p>

            </form>

        </div>

    </div>
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