{"id":53840,"date":"2025-01-24T11:22:16","date_gmt":"2025-01-24T10:22:16","guid":{"rendered":"https:\/\/re-uz.com\/?page_id=53840"},"modified":"2025-02-28T10:24:52","modified_gmt":"2025-02-28T09:24:52","slug":"get-in-touch","status":"publish","type":"page","link":"https:\/\/re-uz.com\/en\/get-in-touch\/","title":{"rendered":"Get in touch"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"53840\" class=\"elementor elementor-53840\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-66b1be8 e-flex e-con-boxed e-con e-parent\" data-id=\"66b1be8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77afc56 elementor-widget elementor-widget-heading\" data-id=\"77afc56\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Get in touch<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb90e15 elementor-widget elementor-widget-text-editor\" data-id=\"fb90e15\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Share a few details with us, and we will get back to you as soon as possible.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e42ac68 elementor-widget elementor-widget-shortcode\" data-id=\"e42ac68\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_4' id='gform_4'  action='\/en\/wp-json\/wp\/v2\/pages\/53840#gf_4' data-formid='4' novalidate>\n        <div id='gf_progressbar_wrapper_4' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>3<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_4_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_4_27\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_27' id='input_4_27' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='General EN' \/><\/div><\/div><fieldset id=\"field_4_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full ben--form__input gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Civility<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_30'>\n\t\t\t<div class='gchoice gchoice_4_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Mme'  id='choice_4_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_30_0' id='label_4_30_0' class='gform-field-label gform-field-label--type-inline'>Ms.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='M.'  id='choice_4_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_30_1' id='label_4_30_1' class='gform-field-label gform-field-label--type-inline'>Mr.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Identity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_1'>\n                            \n                            <span id='input_4_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_4_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n                                                            <input type='text' name='input_1.6' id='input_4_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_17'>Field of activity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_4_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='individual' >A private individual<\/option><option value='association' >An association<\/option><option value='company' >A company<\/option><option value='local authority' >A community<\/option><\/select><\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_18'>Company name<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_38\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half text--gris__clair field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_38'>Opportunity<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_4_38' type='text' value='' class='large'  aria-describedby=\"gfield_description_4_38\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_4_38'>When would you like to know more about our products?<\/div><\/div><div id=\"field_4_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_22'>Name of your community<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'>Name of your association<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_4_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_34\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_34'>Your community sector<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_4_34' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Communes' >Communes<\/option><option value='Departments' >Departments<\/option><option value='Regions' >Regions<\/option><option value='Public Establishments of Intercommunal Cooperation' >Public Establishments of Intercommunal Cooperation<\/option><option value='Overseas territories' >Overseas territories<\/option><option value='Public institutions' >Public institutions<\/option><option value='National administrative structures' >National administrative structures<\/option><\/select><\/div><\/div><div id=\"field_4_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_36'>Your association&#039;s sector<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_4_36' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Culture and leisure' >Culture and leisure<\/option><option value='Sport' >Sport<\/option><option value='Education and training' >Education and training<\/option><option value='Health and welfare' >Health and welfare<\/option><option value='Defending human rights' >Defending human rights<\/option><option value='Environment' >Environment<\/option><option value='Local development and economic promotion' >Local development and economic promotion<\/option><option value='Humanitarian and charitable activities' >Humanitarian and charitable activities<\/option><option value='Religious and spiritual' >Religious and spiritual<\/option><option value='Trade unions' >Trade unions<\/option><option value='Professional orders' >Professional orders<\/option><\/select><\/div><\/div><div id=\"field_4_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_35'>Your company&#039;s sector<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_4_35' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Agriculture, forestry and fishing' >Agriculture, forestry and fishing<\/option><option value='Mining and quarrying' >Mining and quarrying<\/option><option value='Manufacturing industry' >Manufacturing industry<\/option><option value='Energy' >Energy<\/option><option value='Water' >Water<\/option><option value='Construction' >Construction<\/option><option value='Trade' >Trade<\/option><option value='Automotive' >Automotive<\/option><option value='Transport' >Transport<\/option><option value='Logistics' >Logistics<\/option><option value='Accommodation and catering' >Accommodation and catering<\/option><option value='Information and communication' >Information and communication<\/option><option value='Financial and insurance activities' >Financial and insurance activities<\/option><option value='Real estate activities' >Real estate activities<\/option><option value='Specialized, scientific and technical activities' >Specialized, scientific and technical activities<\/option><option value='Administrative and support service activities' >Administrative and support service activities<\/option><option value='Arts, entertainment and recreation' >Arts, entertainment and recreation<\/option><option value='Other service activities' >Other service activities<\/option><option value='Human health and social work' >Human health and social work<\/option><\/select><\/div><\/div><div id=\"field_4_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_19'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_4_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='FR' >France<\/option><option value='BE' >Belgium<\/option><option value='GB' >United Kingdom<\/option><option value='NL' >Netherlands<\/option><option value='FROM' >Germany<\/option><option value='ES' >Spain<\/option><option value='CH' >Switzerland<\/option><option value='LU' >Luxembourg<\/option><option value='ZA' >South Africa<\/option><option value='AL' >Albania<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AT' >Australia<\/option><option value='AT' >Austria<\/option><option value='BG' >Bulgaria<\/option><option value='BI' >Burundi<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CY' >Cyprus<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='AE' >United Arab Emirates<\/option><option value='EE' >Estonia<\/option><option value='US' >United States<\/option><option value='FI' >Finland<\/option><option value='GR' >Greece<\/option><option value='HU' >Hungary<\/option><option value='IE' >Ireland<\/option><option value='IS' >Iceland<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='KE' >Kenya<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LT' >Lithuania<\/option><option value='MK' >Macedonia<\/option><option value='MT' >Malta<\/option><option value='MA' >Morocco<\/option><option value='MX' >Mexico<\/option><option value='NO' >Norway<\/option><option value='NC' >New Caledonia<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='CZ' >Czech Republic<\/option><option value='RO' >Romania<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='LK' >Sri Lanka<\/option><option value='SE' >Sweden<\/option><option value='TH' >Thailand<\/option><option value='QA' >Qatar<\/option><\/select><\/div><\/div><div id=\"field_4_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_33'>VAT number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_4_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_4_28' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><fieldset id=\"field_4_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_4_2_container'>\n                                <span id='input_4_2_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_4_2' class='gform-field-label gform-field-label--type-sub '>E-mail address<\/label>\n                                    <input class='' type='email' name='input_2' id='input_4_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <span id='input_4_2_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_4_2_2' class='gform-field-label gform-field-label--type-sub '>Confirm your e-mail address<\/label>\n                                    <input class='' type='email' name='input_2_2' id='input_4_2_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_4_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_4_5' type='tel' value='' class='medium'  placeholder='+XXXXXXXXXXXXXX' aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_4_29' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_4_29' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_3' class='gform_page' data-js='page-field-id-29' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_4_3' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_4_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_37'>Your request concerns<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_4_37' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >A sale<\/option><option value='2' >A rental<\/option><option value='2' >Other<\/option><\/select><\/div><\/div><div id=\"field_4_3\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'>Your needs<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_3'>Tell us what you need so that our teams can offer you a tailor-made solution<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_3' id='input_4_3' class='textarea small'  aria-describedby=\"gfield_description_4_3\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_24\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >RGPD<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_24.1' id='input_4_24_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_24_1' >I accept the <a href=\"https:\/\/re-uz.com\/politique-protection-vie-privee\/\">privacy policy<\/a>.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_24.2' value='I accept the &lt;a href=&quot;https:\/\/re-uz.com\/politique-protection-vie-privee\/&quot;&gt;privacy policy&lt;\/a&gt;.' class='gform_hidden' \/><input type='hidden' name='input_24.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_4_39\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_39'>Name<\/label><div class='ginput_container'><input name='input_39' id='input_4_39' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_39'>This field is for validation purposes and should be left unchanged.<\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=22e09829f4e1d5035aca43aba02663e7' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' 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