{"id":32896,"date":"2024-03-28T20:08:53","date_gmt":"2024-03-28T18:08:53","guid":{"rendered":"https:\/\/globepharmadubai.com\/formulaire-nouveau-client\/"},"modified":"2024-03-28T20:23:35","modified_gmt":"2024-03-28T18:23:35","slug":"formulaire-nouveau-client","status":"publish","type":"page","link":"https:\/\/globepharmadubai.com\/fr\/formulaire-nouveau-client\/","title":{"rendered":"Formulaire nouveau client"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row&#8221; enable_first_overlay=&#8221;true&#8221; first_overlay_opacity=&#8221;100&#8243; first_background_color=&#8221;#555555&#8243; enable_parallax=&#8221;true&#8221; css=&#8221;.vc_custom_1511655817644{margin-top: -60px !important;}&#8221;][vc_column][vc_empty_space height=&#8221;110px&#8221;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1509846467231{margin-top: 50px !important;}&#8221;][vc_column][vc_custom_heading text=&#8221;Formulaire nouveau client&#8221; 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description_above validation_below'><div id=\"field_20_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_4\" ><label class='gfield_label gform-field-label' for='input_20_4'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_20_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_20_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_5\" ><label class='gfield_label gform-field-label' for='input_20_5'>Company Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_20_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_20_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_2\" ><label class='gfield_label gform-field-label' for='input_20_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_20_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_20_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_6\" ><label class='gfield_label gform-field-label' for='input_20_6'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_20_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_20_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_7\" ><label class='gfield_label gform-field-label' for='input_20_7'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_20_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_20_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_8\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Have you imported from other countries before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_20_8'><div class='gchoice gchoice_20_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Yes'  id='choice_20_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_1' id='label_20_8_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='No'  id='choice_20_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_8_2' id='label_20_8_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_20_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Countries you have imported from<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_20_9'><div class='gchoice gchoice_20_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='UK'  id='choice_20_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_1' id='label_20_9_1' class='gform-field-label gform-field-label--type-inline'>UK<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.2' type='checkbox'  value='UAE'  id='choice_20_9_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_2' id='label_20_9_2' class='gform-field-label gform-field-label--type-inline'>UAE<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.3' type='checkbox'  value='FRANCE'  id='choice_20_9_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_3' id='label_20_9_3' class='gform-field-label gform-field-label--type-inline'>FRANCE<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.4' type='checkbox'  value='TURKEY'  id='choice_20_9_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_4' id='label_20_9_4' class='gform-field-label gform-field-label--type-inline'>TURKEY<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.5' type='checkbox'  value='INDIA'  id='choice_20_9_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_5' id='label_20_9_5' class='gform-field-label gform-field-label--type-inline'>INDIA<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.6' type='checkbox'  value='EGYPT'  id='choice_20_9_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_6' id='label_20_9_6' class='gform-field-label gform-field-label--type-inline'>EGYPT<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_20_9_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.7' type='checkbox'  value='OTHER'  id='choice_20_9_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_20_9_7' id='label_20_9_7' class='gform-field-label gform-field-label--type-inline'>OTHER<\/label>\n\t\t\t\t\t\t\t<\/div><button type=\"button\" id=\"button_9_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Tout s\u00e9lectionner\" data-label-deselect=\"Tout d\u00e9s\u00e9lectionner\">Tout s\u00e9lectionner<\/button><\/div><\/div><\/fieldset><div id=\"field_20_10\" class=\"gfield 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