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			<div class="grid_line ccmcss_form__line jFormLine copains_radio_list" id="divCivilite">
								<div class="grid_left">Civilité</div>
				<div class="grid_last">
					<div class="grid_line">
						<label><input type="radio" value="1" name="txtCivilite" id="txtCivilite1" checked> M.</label>
						<label><input type="radio" value="3" name="txtCivilite" id="txtCivilite3" > Mme</label>
						<label><input type="radio" value="2" name="txtCivilite" id="txtCivilite2" > Mlle</label>
					</div>
					<div class="jMsg"></div>
				</div>
			</div>
			<!-- /Civilité -->

			<!-- Nom -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divNom">
				<div class="grid_left">Nom de famille*</div>
				<div class="grid_last">
					<input type="text" value="" name="txtNom" id="txtNom">
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Nom -->

			<!-- Prénom -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divPrenom">
				<div class="grid_left">Prénom*</div>
				<div class="grid_last">
					<input type="text" value="" name="txtPrenom" id="txtPrenom">
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Prénom -->

			<!-- Nom de jeune fille -->
						<label class="grid_line ccmcss_form__line jFormLine" id="divNomDeJeuneFille" style="display: none;">
				<div class="grid_left">Nom de jeune fille</div>
				<div class="grid_last">
					<input type="text" value="" name="txtNomDeJeuneFille" id="txtNomDeJeuneFille">
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Nom de jeune fille -->

			<!-- Pays -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divPays">
				<div class="grid_left">Pays</div>
				<div class="grid_last">
					<span class="ccmcss_form__select_wrapper">
						<select name="txtPays" id="idPays" style="width:100%">
							<option value="231" >Afghanistan</option><option value="451" >Afrique du Sud</option><option value="234" >Albanie</option><option value="284" >Alg&eacute;rie</option><option value="279" >Allemagne</option><option value="229" >Andorre</option><option value="237" >Angola</option><option value="233" >Anguilla</option><option value="238" >Antarctique</option><option value="232" >Antigua-et-Barbuda</option><option value="236" >Antilles N&eacute;erlandaises</option><option value="402" >Arabie Saoudite</option><option value="239" >Argentine</option><option value="235" >Arm&eacute;nie</option><option value="243" >Aruba</option><option value="242" >Australie</option><option value="241" >Autriche</option><option value="244" >Azerba&iuml;djan</option><option value="258" >Bahamas</option><option value="251" >Bahre&iuml;n</option><option value="247" >Bangladesh</option><option value="246" >Barbade</option><option value="248" >Belgique</option><option value="263" >Belize</option><option value="254" >Bermudes</option><option value="259" >Bhoutan</option><option value="262" >Bi&eacute;lorussie</option><option value="459" >Birmanie</option><option value="253" >B&eacute;nin</option><option value="256" >Bolivie</option><option value="245" >Bosnie-Herz&eacute;govine</option><option value="261" >Botswana</option><option value="257" >Br&eacute;sil</option><option value="255" >Brunei</option><option value="250" >Bulgarie</option><option value="249" >Burkina Faso</option><option value="252" >Burundi</option><option value="335" >Cambodge</option><option value="270" >Cameroun</option><option value="264" >Canada</option><option value="275" >Cap-Vert</option><option value="269" >Chili</option><option value="271" >Chine</option><option value="277" >Chypre</option><option value="272" >Colombie</option><option value="337" >Comores</option><option value="339" >Cor&eacute;e du Nord</option><option value="340" >Cor&eacute;e du Sud</option><option value="467" >Costa Rica</option><option value="319" >Croatie</option><option value="268" >C&ocirc;te d'Ivoire</option><option value="274" >Cuba</option><option value="281" >Danemark</option><option value="5495" >Djibouti</option><option value="282" >Dominique</option><option value="287" >Egypte</option><option value="230" >Emirats Arabes Unis</option><option value="285" >Equateur</option><option value="290" >Espagne</option><option value="286" >Estonie</option><option value="436" >Etats-Unis</option><option value="291" >Ethiopie</option><option value="293" >Fidji</option><option value="292" >Finlande</option><option value="297" selected="selected">France</option><option value="299" >Gabon</option><option value="307" >Gambie</option><option value="304" >Ghana</option><option value="305" >Gibraltar</option><option value="302" >G&eacute;orgie</option><option value="311" >Gr&egrave;ce</option><option value="301" >Grenade</option><option value="306" >Groenland</option><option value="309" >Guadeloupe</option><option value="314" >Guam</option><option value="313" >Guatemala</option><option value="308" >Guin&eacute;e</option><option value="315" >Guin&eacute;e-Bissau</option><option value="310" >Guin&eacute;e Equatoriale</option><option value="316" >Guyana</option><option value="303" >Guyane Fran&ccedil;aise</option><option value="5486" >Ha&iuml;ti</option><option value="318" >Honduras</option><option value="321" >Hongrie</option><option value="367" >Ile Maurice</option><option value="260" >Iles Bouvet</option><option value="342" >Iles Caimans</option><option value="276" >Iles Christmas</option><option value="5500" >Iles Cook</option><option value="294" >Iles Malouines</option><option value="362" >Iles Mariannes du Nord</option><option value="357" >Iles Marshall</option><option value="325" >Inde</option><option value="322" >Indon&eacute;sie</option><option value="469" >Irak</option><option value="327" >Iran</option><option value="323" >Irlande</option><option value="328" >Islande</option><option value="324" >Isra&euml;l</option><option value="329" >Italie</option><option value="330" >Jama&iuml;que</option><option value="332" >Japon</option><option value="331" >Jordanie</option><option value="343" >Kazakhstan</option><option value="333" >Kenya</option><option value="334" >Kirghizistan</option><option value="336" >Kiribati</option><option value="491" >Kosovo</option><option value="341" >Kowe&iuml;t</option><option value="344" >Laos</option><option value="398" >La R&eacute;union</option><option value="296" >&Icirc;les F&eacute;ro&eacute;</option><option value="376" >&Icirc;les Norfolk</option><option value="349" >Lesotho</option><option value="395" >&Icirc;les Palau</option><option value="403" >&Icirc;les Salomon</option><option value="312" >&Icirc;les Sandwich</option><option value="5483" >&Icirc;les Turques et Ca&iuml;ques</option><option value="431" >&Icirc;les Tuvalu</option><option value="443" >&Icirc;les Vierges</option><option value="442" >&Icirc;les Vierges Britanniques</option><option value="460" >Lettonie</option><option value="456" >Liban</option><option value="348" >Liberia</option><option value="352" >Libye</option><option value="346" >Liechtenstein</option><option value="350" >Lituanie</option><option value="351" >Luxembourg</option><option value="361" >Macao</option><option value="358" >Mac&eacute;doine</option><option value="356" >Madagascar</option><option value="371" >Malaisie</option><option value="369" >Malawi</option><option value="368" >Maldives</option><option value="359" >Mali</option><option value="366" >Malte</option><option value="353" >Maroc</option><option value="363" >Martinique</option><option value="364" >Mauritanie</option><option value="449" >Mayotte</option><option value="370" >Mexique</option><option value="295" >Micron&eacute;sie</option><option value="355" >Moldavie</option><option value="354" >Monaco</option><option value="360" >Mongolie</option><option value="5488" >Mont&eacute;n&eacute;gro</option><option value="365" >Montserrat</option><option value="372" >Mozambique</option><option value="373" >Namibie</option><option value="382" >Nauru</option><option value="378" >Nicaragua</option><option value="375" >Niger</option><option value="377" >Nigeria</option><option value="380" >Norv&egrave;ge</option><option value="374" >Nouvelle-Cal&eacute;donie</option><option value="383" >Nouvelle-Z&eacute;lande</option><option value="381" >N&eacute;pal</option><option value="435" >Ouganda</option><option value="438" >Ouzb&eacute;kistan</option><option value="390" >Pakistan</option><option value="5489" >Palaos</option><option value="477" >Palestine</option><option value="385" >Panam&aacute;</option><option value="388" >Papouasie-Nouvelle-Guin&eacute;e</option><option value="396" >Paraguay</option><option value="379" >Pays-Bas</option><option value="389" >Philippines</option><option value="391" >Pologne</option><option value="387" >Polyn&eacute;sie fran&ccedil;aise</option><option value="393" >Porto Rico</option><option value="394" >Portugal</option><option value="386" >P&eacute;rou</option><option value="397" >Qatar</option><option value="399" >Roumanie</option><option value="300" >Royaume-Uni</option><option value="265" >R&eacute;publique Centrafricaine</option><option value="280" >R&eacute;publique de Djibouti</option><option value="320" >R&eacute;publique d'Ha&iuml;ti</option><option value="266" >R&eacute;publique D&eacute;mocratique du Congo</option><option value="283" >R&eacute;publique Dominicaine</option><option value="5493" >R&eacute;publique du congo</option><option value="5485" >R&eacute;publique du Costa Rica</option><option value="400" >Russie</option><option value="401" >Rwanda</option><option value="289" >&Eacute;rythr&eacute;e</option><option value="288" >Sahara</option><option value="338" >Saint-Christophe-et-Ni&eacute;v&egrave;s</option><option value="408" >Sainte-H&eacute;l&egrave;ne</option><option value="345" >Sainte-Lucie</option><option value="5490" >Saint-Kitts-et-Nevis</option><option value="413" >Saint-Marin</option><option value="392" >Saint-Pierre-et-Miquelon</option><option value="440" >Saint-Vincent-et-les-Grenadines</option><option value="418" >Salvador</option><option value="447" >Samoa</option><option value="240" >Samoa am&eacute;ricaines</option><option value="417" >Sao Tom&eacute; e Principe</option><option value="479" >Serbie</option><option value="404" >Seychelles</option><option value="480" >Sierra Leone</option><option value="407" >Singapour</option><option value="411" >Slovaquie</option><option value="409" >Slov&eacute;nie</option><option value="414" >S&eacute;n&eacute;gal</option><option value="415" >Somalie</option><option value="405" >Soudan</option><option value="5511" >Soudan du Sud</option><option value="347" >Sri Lanka</option><option value="406" >Su&egrave;de</option><option value="267" >Suisse</option><option value="476" >Sultanat d'Oman</option><option value="416" >Surinam</option><option value="410" >Svalbard</option><option value="420" >Swaziland</option><option value="419" >Syrie</option><option value="424" >Tadjikistan</option><option value="433" >Tanzanie</option><option value="432" >Ta&iuml;wan</option><option value="5512" >Terres australes et antarctiques fran&ccedil;aises</option><option value="465" >Tchad</option><option value="278" >Tch&eacute;quie</option><option value="423" >Tha&iuml;lande</option><option value="428" >Timor-Oriental</option><option value="422" >Togo</option><option value="427" >Tonga</option><option value="430" >Trinit&eacute;-et-Tobago</option><option value="426" >Tunisie</option><option value="425" >Turkm&eacute;nistan</option><option value="429" >Turquie</option><option value="5492" >Tuvalu</option><option value="434" >Ukraine</option><option value="437" >Uruguay</option><option value="445" >Vanuatu</option><option value="439" >Vatican</option><option value="441" >Venezuela</option><option value="444" >Vi&ecirc;tnam</option><option value="446" >Wallis-et-Futuna</option><option value="448" >Yemen</option><option value="450" >Yougoslavie</option><option value="452" >Zambie</option><option value="453" >Za&iuml;re</option><option value="454" >Zimbabwe</option>						</select>
					</span>
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Pays -->

			<!-- Ville -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divVille">
				<div class="grid_left">Ville</div>
				<div class="grid_last">
					<input autocomplete="off" type="text" value="" name="txtVille" id="txtVille" />
					<input type="hidden" name="idville" value="" id="idville" />
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Ville -->

			<!-- Mail -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divEmail">
				<div class="grid_left">Votre mail*</div>
				<div class="grid_last">
					<input type="email" value="" name="txtEmail" id="txtEmail" class="jMailChecker" />
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Mail -->

			<!-- Mot de passe -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divPass">
				<div class="grid_left">Mot de passe*</div>
				<div class="grid_last jInputTooltip">
					<input type="password" name="pwdPass" id="pwdPass" />
					<div class="jMsg"></div>
					<span class="tooltip" style="display: none;">Votre mot de passe doit être d'au moins 8 caractères et comporter au moins un caractère spécial (!)@#&</span>
				</div>
			</label>
			<!-- /Mot de passe -->

			<!-- Confirmation mot de passe -->
			<label class="grid_line ccmcss_form__line jFormLine" id="divPassConf">
				<div class="grid_left">Re-saisissez votre mot de passe*</div>
				<div class="grid_last">
					<input type="password" name="pwdPassConf" id="pwdPassConf" />
					<div class="jMsg"></div>
				</div>
			</label>
			<!-- /Confirmation mot de passe -->

			<!-- Date de naissance -->
			<div class="grid_line ccmcss_form__line ccmcss_form__line--date jFormLine" id="divDateNaissance">
				<div class="grid_left">Date de naissance*</div>
				<div class="grid_last">
					<span class="ccmcss_form__select_wrapper"><select name="jourDeNaissance" id="jourDeNaissance">
						<option value="">- -</option>
						<option value="1" >01</option><option value="2" >02</option><option value="3" >03</option><option value="4" >04</option><option value="5" >05</option><option value="6" >06</option><option value="7" >07</option><option value="8" >08</option><option value="9" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option><option value="13" >13</option><option value="14" >14</option><option value="15" >15</option><option value="16" >16</option><option value="17" >17</option><option value="18" >18</option><option value="19" >19</option><option value="20" >20</option><option value="21" >21</option><option value="22" >22</option><option value="23" >23</option><option value="24" >24</option><option value="25" >25</option><option value="26" >26</option><option value="27" >27</option><option value="28" >28</option><option value="29" >29</option><option value="30" >30</option><option value="31" >31</option>					</select></span><span class="ccmcss_form__select_wrapper"><select name="moisDeNaissance" id="moisDeNaissance">
						<option value="">- -</option>
						<option value="1" >janvier</option><option value="2" >février</option><option value="3" >mars</option><option value="4" >avril</option><option value="5" >mai</option><option value="6" >juin</option><option value="7" >juillet</option><option value="8" >août</option><option value="9" >septembre</option><option value="10" >octobre</option><option value="11" >novembre</option><option value="12" >décembre</option>					</select></span><span class="ccmcss_form__select_wrapper"><select style="width:auto; margin-right: 0" name="anneeDeNaissance" id="anneeDeNaissance">
						<option value="">- -</option>
						<option value="2019" >2019</option><option value="2018" >2018</option><option value="2017" >2017</option><option value="2016" >2016</option><option value="2015" >2015</option><option value="2014" >2014</option><option value="2013" >2013</option><option value="2012" >2012</option><option value="2011" >2011</option><option value="2010" >2010</option><option value="2009" >2009</option><option value="2008" >2008</option><option value="2007" >2007</option><option value="2006" >2006</option><option value="2005" >2005</option><option value="2004" >2004</option><option value="2003" >2003</option><option value="2002" >2002</option><option value="2001" >2001</option><option value="2000" >2000</option><option value="1999" >1999</option><option value="1998" >1998</option><option value="1997" >1997</option><option value="1996" >1996</option><option value="1995" >1995</option><option value="1994" >1994</option><option value="1993" >1993</option><option value="1992" >1992</option><option value="1991" >1991</option><option value="1990" >1990</option><option value="1989" >1989</option><option value="1988" >1988</option><option value="1987" >1987</option><option value="1986" >1986</option><option value="1985" >1985</option><option value="1984" >1984</option><option value="1983" >1983</option><option value="1982" >1982</option><option value="1981" >1981</option><option value="1980" >1980</option><option value="1979" >1979</option><option value="1978" >1978</option><option value="1977" >1977</option><option value="1976" >1976</option><option value="1975" >1975</option><option value="1974" >1974</option><option value="1973" >1973</option><option value="1972" >1972</option><option value="1971" >1971</option><option value="1970" >1970</option><option value="1969" >1969</option><option value="1968" >1968</option><option value="1967" >1967</option><option value="1966" >1966</option><option value="1965" >1965</option><option value="1964" >1964</option><option value="1963" >1963</option><option value="1962" >1962</option><option value="1961" >1961</option><option value="1960" >1960</option><option value="1959" >1959</option><option value="1958" >1958</option><option value="1957" >1957</option><option value="1956" >1956</option><option value="1955" >1955</option><option value="1954" >1954</option><option value="1953" >1953</option><option value="1952" >1952</option><option value="1951" >1951</option><option value="1950" >1950</option><option value="1949" >1949</option><option value="1948" >1948</option><option value="1947" >1947</option><option value="1946" >1946</option><option value="1945" >1945</option><option value="1944" >1944</option><option value="1943" >1943</option><option value="1942" >1942</option><option value="1941" >1941</option><option value="1940" >1940</option><option value="1939" >1939</option><option value="1938" >1938</option><option value="1937" >1937</option><option value="1936" >1936</option><option value="1935" >1935</option><option value="1934" >1934</option><option value="1933" >1933</option><option value="1932" >1932</option><option value="1931" >1931</option><option value="1930" >1930</option><option value="1929" >1929</option><option value="1928" >1928</option><option value="1927" >1927</option><option value="1926" >1926</option><option value="1925" >1925</option><option value="1924" >1924</option><option value="1923" >1923</option><option value="1922" >1922</option><option value="1921" >1921</option><option value="1920" >1920</option><option value="1919" >1919</option><option value="1918" >1918</option><option value="1917" >1917</option><option value="1916" >1916</option><option value="1915" >1915</option><option value="1914" >1914</option><option value="1913" >1913</option><option value="1912" >1912</option><option value="1911" >1911</option><option value="1910" >1910</option><option value="1909" >1909</option><option value="1908" >1908</option><option value="1907" >1907</option><option value="1906" >1906</option><option value="1905" >1905</option><option value="1904" >1904</option><option value="1903" >1903</option><option value="1902" >1902</option><option value="1901" >1901</option><option value="1900" >1900</option>					</select></span>
					<div class="jMsg"></div>
				</div>
			</div>
			<!-- /Date de naissance -->
			<!-- panel -->
			<label class="grid_line ccmcss_form__line" id="divPanel">
				<div class="grid_left">Offres partenaires</div>
				<div class="grid_last">
										<input type="checkbox" value="1" name="flagAccepteMessagePartenaire" id="flagAccepteMessagePartenaire" >
					Je souhaite recevoir les offres partenaires de JDN Réseau.					<div class="jMsg" id="divErrorPanel"></div>
				</div>
			</label>

            <p class="ccmcss_form__line--no_col ccmcss_form__mandatory mod">
                * champs obligatoires
            </p>

            <!-- /panel -->

			    <p class="ccmcss_form__cgu">
        Les informations recueillies ci-dessus sont destinées à CCM Benchmark Group pour assurer la création et
        la gestion de votre compte, ainsi que des abonnements et autres services souscrits.
        Elles seront également utilisées sous réserve des options souscrites,
        à des fins de ciblage publicitaire et prospection commerciale au sein du Groupe Le Figaro,
        ainsi qu'avec nos partenaires commerciaux.
    </p>
    <p class="ccmcss_form__cgu">Vous bénéficiez d'un droit d'accès et de rectification de vos données personnelles,
        ainsi que celui d'en demander l'effacement dans les limites prévues par la loi.
        Vous pouvez également à tout moment revoir vos options en matière de prospection commerciale et de ciblage.
        Pour connaître l'ensemble de vos droits et plus largement nos pratiques en matière de traitement
        et protection des données personnelles, nous vous invitons à consulter notre
        <a class="a_hover" href="http://www.ccmbenchmark.com/donnees-personnelles?origin=reseau.journaldunet.com">politique de confidentialité</a>.
    </p>
    
			<footer class="ccmcss_form__line--no_col">
				<input type="submit" id="btnSubmit" value="Inscription" />
			</footer>
		</fieldset>
	</form>
</div>
                        </div>
                            <div class="grid_left w50">

                                <div class="ccmcss_form app_box_2">
                                    <header>
                                        <h2>Un seul compte suffit</h2>
                                    </header>
                                    <p>JDN Réseau utilise les mêmes identifiants et mots de passe que Copains d'avant</p>
                                </div>

                                <div class="ccmcss_form app_box_2">
                                    <header>
                                        <h2>
                                            Rechercher une entreprise                                        </h2>
                                    </header>
                                    <a href="http://reseau.journaldunet.com/glossary/entreprises" class="a_hover">Annuaire des établissements</a>
                                </div>

                                <div class="ccmcss_form app_box_2">

                                    <header class="grid_row">
                                        <h2 class="grid_col">Annuaire des membres</h2>
                                        <div class="grid_col grid_col--bottom ccmcss_align_r">
                                            
                                        </div>
                                    </header>
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