     &lt;!DOCTYPE html&gt;  &lt;!--[if lt IE 7 ]&gt;&lt;html lang=&quot;fr&quot; class=&quot;no-js ie6&quot;&gt;&lt;![endif]--&gt;&lt;!--[if IE 7 ]&gt;&lt;html lang=&quot;fr&quot; class=&quot;no-js ie7&quot;&gt;&lt;![endif]--&gt;&lt;!--[if IE 8 ]&gt;&lt;html lang=&quot;fr&quot; class=&quot;no-js ie8&quot;&gt;&lt;![endif]--&gt;&lt;!--[if IE 9 ]&gt;&lt;html lang=&quot;fr&quot; class=&quot;no-js ie9&quot;&gt;&lt;![endif]--&gt;&lt;!--[if (gt IE 9)|!(IE)]&gt;&lt;!--&gt;&lt;html lang=&quot;fr&quot; class=&quot;no-js&quot;&gt;&lt;!--&lt;![endif]--&gt;  &lt;head&gt;  &lt;meta charset=&quot;utf-8&quot;&gt;&lt;meta http-equiv=&quot;X-UA-Compatible&quot; content=&quot;IE=edge,chrome=1&quot;&gt;&lt;title&gt;Contact — La Maison Régent ****&lt;/title&gt;&lt;link rel=&quot;shortcut icon&quot; href=&quot;https://d6644ef6a12fcfb82f3f-5d6761b1e7eae8e264ad220502fbb6f0.ssl.cf5.rackcdn.com/a37a20b1-5c21-4272-9cd0-1ce8d1dfcb62/images/fav.ico&quot;&gt;&lt;meta name=&quot;viewport&quot; content=&quot;width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no&quot;&gt;&lt;meta name=&quot;description&quot; content=&quot;&quot;&gt;&lt;link rel=&quot;canonical&quot; href=&quot;https://www.le-regent.fr/es/contact&quot;/&gt;&lt;meta name=&quot;author&quot; content=&quot;BookingSync&quot;/&gt;  &lt;link href=&quot;//fonts.googleapis.com/css?family=Raleway:400,800&quot; rel=&quot;stylesheet&quot; type=&quot;text/css&quot;&gt; &lt;link href=&quot;https://d6644ef6a12fcfb82f3f-5d6761b1e7eae8e264ad220502fbb6f0.ssl.cf5.rackcdn.com/a37a20b1-5c21-4272-9cd0-1ce8d1dfcb62/stylesheets/application.css&quot; rel=&quot;stylesheet&quot; type=&quot;text/css&quot;  media=&quot;all&quot;&gt; 
        &lt;meta name=&quot;csrf-param&quot; content=&quot;authenticity_token&quot;&gt;
        &lt;meta name=&quot;csrf-token&quot; content=&quot;OS/ReZbQo3w1tvI9PmnKB5huc97mvMrPm3kji9+Jdhz599IeMKG1CLQYqvfc8hKtokSP0BZIRSPJdcuaWVV8vw==&quot;&gt;
      

  &lt;!-- start Cookies Widget config --&gt;
  &lt;style&gt;
    /* hide old cookiebar */
    html .cookiealert {
      display: none;
    }
  &lt;/style&gt;
  &lt;script&gt;
    if (typeof cookiesWidgetCookiesList !== &#39;object&#39; || cookiesWidgetCookiesList === null) {
      cookiesWidgetCookiesList = {};
    }

    if (!cookiesWidgetCookiesList.essentials) {
      cookiesWidgetCookiesList.essentials = [];
    }

    if (!cookiesWidgetCookiesList.preferences) {
      cookiesWidgetCookiesList.preferences = [];
    }

    if (!cookiesWidgetCookiesList.analytics) {
      cookiesWidgetCookiesList.analytics = [];
    }

    if (!cookiesWidgetCookiesList.marketings) {
      cookiesWidgetCookiesList.marketings = [];
    }

    cookiesWidgetConfig = {
      lang: &#39;en&#39;,
      widgetClasses: &#39;cookies-widget--light&#39;,
      locales: {
        en: {
          title: &quot;Cookies et confidentialité&quot;,
          message: &quot;Les cookies vous permettent d&#39;utiliser des paniers d&#39;achat et de personnaliser votre expérience sur nos sites, nous indiquent quelles parties de nos sites Web les gens ont visitées, nous aident à mesurer l&#39;efficacité des publicités et des recherches sur le Web, et nous donnent des informations sur le comportement des utilisateurs afin que nous puissions améliorer notre communications et produits.&quot;,
          privacyPolicyLink: &#39;https://www.bookingsync.com/fr/my/15586/privacy_policy&#39;,
          privacyPolicyLabel: &quot;Politique de confidentialité&quot;,
          moreInfoUrl: &#39;/fr/cookies-policy-bookingsync&#39;,
          moreInfoLabel: &quot;Plus d&#39;information&quot;,
          acceptBtnLabel: &quot;Accepter les cookies&quot;,
          acceptAllBtnLabel: &quot;Accepter tous les cookies&quot;,
          rejectAllBtnLabel: &quot;Accepter les cookies essentiels&quot;,
          advancedBtnLabel: &quot;Personnaliser les cookies&quot;,
          cookieTypesTitle: &quot;Sélectionnez les cookies à accepter&quot;,
          showCookiesList: &quot;Liste des Cookies&quot;,
          cookies: {
            name: &quot;Nom&quot;,
            domain: &quot;Domaine&quot;,
            expiration: &quot;Expiration&quot;,
            description: &quot;Description&quot;,
            none: &quot;Aucun cookie utilisé dans cette catégorie&quot;
          },
        }
      },
      cookieTypes: {
        essentials: {
          t: {
            en: {
              label: &quot;Nécessaires&quot;,
              description: &quot;Ce sont des cookies indispensables au bon fonctionnement du site.&quot;
            }
          },
          fixed: true
        },
        preferences: {
          t: {
            en: {
              label: &quot;Préférences du site&quot;,
              description: &quot;Ce sont des cookies liés aux préférences de votre site, par ex. mémoriser votre nom d&#39;utilisateur, les couleurs du site, etc.&quot;
            }
          },
          checked: (typeof cookiesWidgetPreferencesChecked !== &#39;undefined&#39; &amp;&amp; cookiesWidgetPreferencesChecked) ? true : false
        },
        analytics: {
          t: {
            en: {
              label: &quot;Analytiques&quot;,
              description: &quot;Cookies liés aux visites du site, types de navigateurs, etc.&quot;
            }
          },
          checked: (typeof cookiesWidgetAnalyticsChecked !== &#39;undefined&#39; &amp;&amp; cookiesWidgetAnalyticsChecked) ? true : false
        },
        marketings: {
          t: {
            en: {
              label: &quot;Marketing&quot;,
              description: &quot;Cookies liés au marketing, par ex. newsletters, réseaux sociaux, etc.&quot;
            }
          },
          checked: (typeof cookiesWidgetMarketingsChecked !== &#39;undefined&#39; &amp;&amp; cookiesWidgetMarketingsChecked) ? true : false
        }
      },
      delay: 0
    };
  &lt;/script&gt;

  &lt;script type=&quot;text/javascript&quot; class=&quot;register-cookie&quot;&gt;
    cookiesWidgetCookiesList.essentials.push({
      name: &#39;_website_session&#39;,
      domain: &#39;www.le-regent.fr&#39;,
      t: {
        en: {
          expiration: &quot;À la fermeture de la session de navigation&quot;,
          description: &quot;Ce cookie créé un numéro généré aléatoirement comme identifiant client pour aider les pages web à charger plus rapidement et améliorer la navigation générale sur le site web.&quot;
        }
      }
    });
  &lt;/script&gt;
  &lt;!-- end Cookies Widget config --&gt;


&lt;!-- start BookingSync UserID --&gt;

&lt;script type=&quot;text/javascript&quot; class=&quot;register-cookie&quot;&gt;
  cookiesWidgetCookiesList.essentials.push({
    name: &#39;_bsWebsiteUserId&#39;,
    domain: &#39;www.le-regent.fr&#39;,
    t: {
      en: {
        expiration: &quot;Session&quot;,
        description: &quot;Ce cookie est utilisé pour distinguer les utilisateurs uniques en attribuant un numéro généré aléatoirement comme identifiant client.&quot;
      }
    }
  });
&lt;/script&gt;

&lt;script type=&quot;text/plain&quot; data-cookies=&quot;analytics&quot;&gt;
  function generateUserId() {
    return window.crypto.getRandomValues(new Uint32Array(1))[0].toString(16) + window.crypto.getRandomValues(new Uint32Array(1))[0].toString(16);
  }

  var match = document.cookie.match(new RegExp(&#39;(^| )_bsWebsiteUserId=([^;]+)&#39;))
  var userId = undefined;

  if(!(match)) {
    userId = generateUserId();
    document.cookie = &quot;_bsWebsiteUserId=&quot; + userId + &quot;;path=/;&quot;
  } else {
    userId = match[2]
  }

  window.BookingSync = {
    userId: userId
  };

&lt;/script&gt;
&lt;!-- end BookingSync UserID --&gt;


    &lt;script type=&quot;text/javascript&quot; class=&quot;register-cookie&quot;&gt;
      cookiesWidgetCookiesList.analytics.push({
        name: &#39;_ga&#39;,
        domain: &#39;www.le-regent.fr&#39;,
        t: {
          en: {
            expiration: &quot;2 ans&quot;,
            description: &quot;Ce cookie est utilisé par Google Analytics pour distinguer les utilisateurs uniques en attribuant un numéro généré aléatoirement comme identifiant client.&quot;
          }
        }
      },
      {
        name: &#39;_gid&#39;,
        domain: &#39;www.le-regent.fr&#39;,
        t: {
          en: {
            expiration: &quot;1 jour&quot;,
            description: &quot;Ce cookie est utilisé par Google Analytics pour distinguer les utilisateurs uniques en attribuant un numéro généré aléatoirement comme identifiant client.&quot;
          }
        }
      },
      {
        name: &#39;_gat&#39;,
        domain: &#39;www.le-regent.fr&#39;,
        t: {
          en: {
            expiration: &quot;1 minute&quot;,
            description: &quot;Ce cookie est utilisé pour limiter le taux de requêtes, limitant la collecte de données sur les sites à forte circulation.&quot;
          }
        }
      });
    &lt;/script&gt;
  

    &lt;!-- start Google Analytics 4 --&gt;

    &lt;script type=&quot;text/plain&quot; async src=&quot;https://www.googletagmanager.com/gtag/js?id=G-KYBJ89ZYMY&quot; data-cookies=&quot;analytics&quot;&gt;&lt;/script&gt;
    &lt;script type=&quot;text/plain&quot; data-cookies=&quot;analytics&quot;&gt;
      window.dataLayer = window.dataLayer || [];
      function gtag(){dataLayer.push(arguments);}
      gtag(&#39;js&#39;, new Date());

      gtag(&#39;config&#39;, &#39;G-KYBJ89ZYMY&#39;, {
        &#39;transport_type&#39;: &#39;beacon&#39;,
        &#39;allow_google_signals&#39;: true,
        &#39;user_id&#39;: window.BookingSync.userId,
        &#39;linker&#39;: {
          &#39;domains&#39;: [&#39;bookingsync.com&#39;, &#39;smily.com&#39;],
        },
      });

      gtag(&#39;event&#39;, &#39;page_view&#39;, {
        &#39;send_to&#39;: &#39;G-KYBJ89ZYMY&#39;,
        &#39;user_id&#39;: window.BookingSync.userId,
      });

      
    &lt;/script&gt;
    &lt;!-- end Google Analytics 4 --&gt;
  

  &lt;!-- start Cookies Widget --&gt;
  &lt;script src=&quot;https://cdn.bookingsync.io/libs/cookies-widget/1.1.2/js/cookies-widget.min.js&quot; type=&quot;application/javascript&quot;&gt;&lt;/script&gt;
  &lt;script&gt;
      // merge cookieslist and widget config
      if (cookiesWidgetCookiesList) {
        Object.keys(cookiesWidgetCookiesList).forEach(function(key){
          cookiesWidgetConfig.cookieTypes[key].cookies = cookiesWidgetCookiesList[key]
        });
      }

      // init cookies-widget
      window.cookiesWidget = new CookiesWidget(cookiesWidgetConfig);
  &lt;/script&gt;
  &lt;!-- end Cookies Widget --&gt;

 &lt;script async src=&quot;https://www.googletagmanager.com/gtag/js?id=AW-955643525&quot;&gt;&lt;/script&gt;&lt;script&gt; window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag(&#39;js&#39;, new Date()); gtag(&#39;config&#39;, &#39;AW-955643525&#39;); &lt;/script&gt;&lt;/head&gt;&lt;body class=&quot;c-contact_requests a-new offset-top d-flex flex-column&quot; data-currency-symbol=&quot;€&quot; data-currency-code=&quot;EUR&quot;&gt;&lt;div class=&quot;ajax-loader&quot;&gt;&lt;/div&gt; &lt;header id=&quot;navbar&quot; class=&quot;navbar navbar-light bg-white shadow-sm fixed-top&quot; data-on-scroll-classes=&quot;&quot; role=&quot;navigation&quot;&gt;&lt;div class=&quot;container&quot;&gt;&lt;a class=&quot;navbar-brand d-inline-flex py-0 &quot; href=&quot;https://www.le-regent.fr/fr&quot;&gt;&lt;img src=&quot;https://d6644ef6a12fcfb82f3f-5d6761b1e7eae8e264ad220502fbb6f0.ssl.cf5.rackcdn.com/a37a20b1-5c21-4272-9cd0-1ce8d1dfcb62/images/logo_dark.png&quot; alt=&quot;La Maison Régent ****&quot;/&gt;&lt;img src=&quot;https://d6644ef6a12fcfb82f3f-5d6761b1e7eae8e264ad220502fbb6f0.ssl.cf5.rackcdn.com/a37a20b1-5c21-4272-9cd0-1ce8d1dfcb62/images/logo_light.png&quot; class=&quot;d-none&quot; alt=&quot;La Maison Régent ****&quot;/&gt;  &lt;/a&gt;&lt;button class=&quot;navbar-toggler p-0 border-0&quot; type=&quot;button&quot; data-toggle=&quot;sidebar&quot; aria-expanded=&quot;false&quot; data-target=&quot;#navbarNav&quot; aria-controls=&quot;navbarNav&quot; aria-label=&quot;Toggle navigation&quot;&gt;&lt;span class=&quot;navbar-toggler-icon&quot;&gt;&lt;/span&gt;&lt;/button&gt;&lt;div id=&quot;navbarNav&quot; class=&quot;collapse navbar-collapse flex-shrink-0&quot;&gt;&lt;ul class=&quot;nav navbar-nav ml-auto&quot;&gt;    &lt;li class=&quot;nav-item dropdown &quot;&gt;  &lt;a href=&quot;#&quot; class=&quot;nav-link dropdown-toggle dropdown-hover&quot; role=&quot;button&quot; data-toggle=&quot;dropdown&quot; aria-haspopup=&quot;true&quot; aria-expanded=&quot;false&quot;&gt; La maison &lt;/a&gt;&lt;ul class=&quot;dropdown-menu dropdown-menu-right&quot; role=&quot;menu&quot;&gt;   &lt;li&gt;&lt;a href=&quot;/fr/notre-histoire&quot; class=&quot;dropdown-item &quot;&gt; Notre histoire &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/categories/b99b2080-28b0-4ed7-8a05-32b500c1a198&quot; class=&quot;dropdown-item &quot;&gt; Nos appartements &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/longue-duree&quot; class=&quot;dropdown-item &quot;&gt; Longue durée &lt;/a&gt;&lt;/li&gt;  &lt;/ul&gt;  &lt;/li&gt;   &lt;li class=&quot;nav-item dropdown &quot;&gt;  &lt;a href=&quot;#&quot; class=&quot;nav-link dropdown-toggle dropdown-hover&quot; role=&quot;button&quot; data-toggle=&quot;dropdown&quot; aria-haspopup=&quot;true&quot; aria-expanded=&quot;false&quot;&gt; Services &lt;/a&gt;&lt;ul class=&quot;dropdown-menu dropdown-menu-right&quot; role=&quot;menu&quot;&gt;   &lt;li&gt;&lt;a href=&quot;/fr/notre-service-hotelier&quot; class=&quot;dropdown-item &quot;&gt; Notre service hôtelier &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/espace-bien-etre&quot; class=&quot;dropdown-item &quot;&gt; Espace de bien-être &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/massages-et-sophrologie&quot; class=&quot;dropdown-item &quot;&gt; Massages et sophrologie &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/chargeurs-vehicules-electriques&quot; class=&quot;dropdown-item &quot;&gt; Chargeurs voitures électriques &lt;/a&gt;&lt;/li&gt;  &lt;/ul&gt;  &lt;/li&gt;   &lt;li class=&quot;nav-item  &quot;&gt;  &lt;a href=&quot;/fr/offrir-ou-soffrir&quot; class=&quot;nav-link&quot;&gt; Boutique &lt;/a&gt;  &lt;/li&gt;   &lt;li class=&quot;nav-item dropdown &quot;&gt;  &lt;a href=&quot;#&quot; class=&quot;nav-link dropdown-toggle dropdown-hover&quot; role=&quot;button&quot; data-toggle=&quot;dropdown&quot; aria-haspopup=&quot;true&quot; aria-expanded=&quot;false&quot;&gt; Découvrir &lt;/a&gt;&lt;ul class=&quot;dropdown-menu dropdown-menu-right&quot; role=&quot;menu&quot;&gt;   &lt;li&gt;&lt;a href=&quot;/fr/decouvrir-pornichet&quot; class=&quot;dropdown-item &quot;&gt; Découvrir Pornichet &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/decouvrir-la-baule&quot; class=&quot;dropdown-item &quot;&gt; Découvrir les environs &lt;/a&gt;&lt;/li&gt;   &lt;li&gt;&lt;a href=&quot;/fr/webcam&quot; class=&quot;dropdown-item &quot;&gt; Notre webcam &lt;/a&gt;&lt;/li&gt;  &lt;/ul&gt;  &lt;/li&gt;   &lt;li class=&quot;nav-item dropdown&quot;&gt;&lt;a href=&quot;#&quot; class=&quot;nav-link dropdown-toggle dropdown-hover&quot; data-toggle=&quot;dropdown&quot; role=&quot;button&quot; data-toggle=&quot;dropdown&quot; aria-haspopup=&quot;true&quot; aria-expanded=&quot;false&quot;&gt; Français &lt;/a&gt;&lt;ul class=&quot;dropdown-menu dropdown-menu-right&quot; role=&quot;menu&quot;&gt;  &lt;li&gt;&lt;a href=&quot;https://www.le-regent.fr/fr/contact&quot; class=&quot;dropdown-item active&quot;&gt; Français &lt;/a&gt;&lt;/li&gt;  &lt;li&gt;&lt;a href=&quot;https://www.le-regent.fr/en/contact&quot; class=&quot;dropdown-item &quot;&gt; English &lt;/a&gt;&lt;/li&gt;  &lt;/ul&gt;&lt;/li&gt;   &lt;/ul&gt;&lt;/div&gt;&lt;/div&gt;&lt;/header&gt; &lt;div class=&quot;flex-grow-1&quot; role=&quot;main&quot;&gt; &lt;div class=&quot;py-4 py-md-5 text-white bg-primary&quot;&gt;&lt;div class=&quot;container&quot;&gt;&lt;h1&gt;Contact&lt;/h1&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;py-4 py-md-5 bg-light h-100&quot;&gt;&lt;div class=&quot;container&quot;&gt;&lt;div class=&quot;row&quot;&gt;&lt;div class=&quot;col-md-3&quot;&gt;&lt;div class=&quot;vcard&quot;&gt;&lt;h3 class=&quot;h4 fn&quot;&gt;Adresse&lt;/h3&gt;&lt;p class=&quot;adr&quot;&gt;&lt;span class=&quot;street-address&quot;&gt; 150 Boulevard des Oceanides  &lt;/span&gt;&lt;br&gt;&lt;span class=&quot;postal-code&quot;&gt;44380&lt;/span&gt;&lt;span class=&quot;locality&quot;&gt;Pornichet&lt;/span&gt;&lt;br&gt;  &lt;span class=&quot;country&quot;&gt;France&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;  &lt;div class=&quot;tel&quot;&gt;&lt;h3 class=&quot;h4 type&quot;&gt;Téléphone&lt;/h3&gt;&lt;a href=&quot;tel:+33(0)240610404&quot; class=&quot;value&quot; itemprop=&quot;telephone&quot;&gt;&lt;p&gt;+33(0)240610404&lt;/p&gt;&lt;/a&gt;&lt;/div&gt;     &lt;div class=&quot;email&quot;&gt;&lt;h3 class=&quot;h4 type&quot;&gt;Email&lt;/h3&gt;&lt;span class=&quot;value&quot;&gt;&lt;p&gt;&lt;script id=&quot;mail_to-b39hqty6&quot;&gt;eval(decodeURIComponent(&#39;%76%61%72%20%73%63%72%69%70%74%20%3d%20%64%6f%63%75%6d%65%6e%74%2e%67%65%74%45%6c%65%6d%65%6e%74%42%79%49%64%28%27%6d%61%69%6c%5f%74%6f%2d%62%33%39%68%71%74%79%36%27%29%3b%76%61%72%20%61%20%3d%20%64%6f%63%75%6d%65%6e%74%2e%63%72%65%61%74%65%45%6c%65%6d%65%6e%74%28%27%61%27%29%3b%61%2e%73%65%74%41%74%74%72%69%62%75%74%65%28%27%68%72%65%66%27%2c%20%27%6d%61%69%6c%74%6f%3a%6d%61%69%73%6f%6e%40%6c%65%2d%72%65%67%65%6e%74%2e%66%72%27%29%3b%61%2e%61%70%70%65%6e%64%43%68%69%6c%64%28%64%6f%63%75%6d%65%6e%74%2e%63%72%65%61%74%65%54%65%78%74%4e%6f%64%65%28%27%6d%61%69%73%6f%6e%40%6c%65%2d%72%65%67%65%6e%74%2e%66%72%27%29%29%3b%73%63%72%69%70%74%2e%70%61%72%65%6e%74%4e%6f%64%65%2e%69%6e%73%65%72%74%42%65%66%6f%72%65%28%61%2c%73%63%72%69%70%74%29%3b&#39;))&lt;/script&gt;&lt;/p&gt;&lt;/span&gt;&lt;/div&gt;  &lt;/div&gt;  &lt;div class=&quot;col-md-9&quot;&gt;   &lt;form accept-charset=&quot;UTF-8&quot; action=&quot;/fr/contact&quot; id=&quot;new_contact_request&quot; method=&quot;post&quot;&gt;&lt;div style=&quot;margin:0;padding:0;display:inline&quot;&gt;&lt;input name=&quot;utf8&quot; value=&quot;&amp;#x2713;&quot; type=&quot;hidden&quot;&gt;&lt;input name=&quot;authenticity_token&quot; value=&quot;F5IX1upLFp5w/fSgm5kgRXf7oHb5fW7heoI1YgyiNVHXShSxTDoA6vFTrGp5AvjvVdFceAmJ4Q0ojt1zin4/8g==&quot; type=&quot;hidden&quot;&gt;&lt;/div&gt;&lt;div class=&quot;row&quot;&gt;&lt;div class=&quot;form-group col-md-6 &quot;&gt;&lt;label class=&quot;form-label&quot; for=&quot;contact_request_name&quot;&gt;Nom *&lt;/label&gt;&lt;input required class=&quot;form-control&quot; id=&quot;contact_request_name&quot; name=&quot;contact_request[name]&quot; placeholder=&quot;Nom&quot; type=&quot;text&quot; value=&quot;&quot;&gt;&lt;/div&gt;&lt;div class=&quot;form-group col-md-6 &quot;&gt;&lt;label class=&quot;form-label&quot; for=&quot;contact_request_email&quot;&gt;Email *&lt;/label&gt;&lt;input required class=&quot;form-control&quot; id=&quot;contact_request_email&quot; name=&quot;contact_request[email]&quot; placeholder=&quot;Email&quot; type=&quot;email&quot; value=&quot;&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;row&quot;&gt;&lt;div class=&quot;form-group col-md-6 &quot;&gt;&lt;label class=&quot;form-label&quot; for=&quot;contact_request_phone&quot;&gt;Téléphone&lt;/label&gt;&lt;input class=&quot;form-control&quot; id=&quot;contact_request_phone&quot; name=&quot;contact_request[phone]&quot; placeholder=&quot;Téléphone&quot; type=&quot;text&quot; value=&quot;&quot;&gt;&lt;/div&gt;&lt;div class=&quot;form-group col-md-6 &quot;&gt;&lt;label class=&quot;form-label&quot; for=&quot;contact_request_country&quot;&gt;Pays&lt;/label&gt;&lt;input class=&quot;form-control&quot; id=&quot;contact_request_country&quot; name=&quot;contact_request[country]&quot; placeholder=&quot;Pays&quot; type=&quot;text&quot; value=&quot;&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;row&quot;&gt;&lt;div class=&quot;form-group col-12 &quot;&gt;&lt;label class=&quot;form-label&quot; for=&quot;contact_request_message&quot;&gt;Message *&lt;/label&gt;&lt;textarea required class=&quot;form-control&quot; id=&quot;contact_request_message&quot; name=&quot;contact_request[message]&quot; placeholder=&quot;Message&quot; style=&quot;height:180px&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;row&quot;&gt;&lt;div class=&quot;form-group col-md-12&quot;&gt;&lt;div class=&quot;checkbox checkbox-inline&quot;&gt;&lt;input name=&quot;contact_request[accept_privacy_policy]&quot; type=&quot;hidden&quot; value=&quot;0&quot;&gt;&lt;input id=&quot;contact_request_accept_privacy_policy&quot; name=&quot;contact_request[accept_privacy_policy]&quot; type=&quot;checkbox&quot; value=&quot;1&quot; data-type=&quot;accept_privacy_policy&quot;/&gt;&lt;label class=&quot;boolean&quot; for=&quot;contact_request_accept_privacy_policy&quot;&gt;&lt;span class=&quot;text-overflow needsclick&quot; 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