{"id":23417596,"date":"2025-11-14T09:38:02","date_gmt":"2025-11-14T09:38:02","guid":{"rendered":"https:\/\/mediprema.com\/sign-up\/"},"modified":"2026-03-19T11:54:07","modified_gmt":"2026-03-19T11:54:07","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/www.mediprema.com\/en\/sign-up\/","title":{"rendered":"Sign up"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row make_equal=&#8221;on&#8221; module_class=&#8221;midll1&#8243; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]\t<div class='user-registration ur-frontend-form   ' id='user-registration-form-1872'>\n\t\t\t\t\t\t\t\t<form method='post' class='register' data-form-id=\"1872\"\n\t\t\t\tdata-enable-strength-password=\"\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \"enctype=multipart\/form-data\" data-captcha-enabled=\"\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"7\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"section_title_1763118420\" class=\"ur-field-item field-section_title \" data-ref-id=\"section_title_1763118420\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<h3 id=\"section_title_1763118420\">Informations personnelles<\/h3> <input type=\"hidden\" data-rules=\"\" data-id=\"section_title_1763118420\" value=\"\" class=\" ur-frontend-field  \" name=\"section_title_1763118420\" id=\"section_title_1763118420\" \/> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_login\" class=\"ur-field-item field-user_login \" data-ref-id=\"user_login\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_login_field\" data-priority=\"\" ><label for=\"user_login\" class=\"ur-label\">Nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_login\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"user_login\" id=\"user_login\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Nom\" data-username-character=\"1\"\/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"last_name\" class=\"ur-field-item field-last_name \" data-ref-id=\"last_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"last_name_field\" data-priority=\"\" ><label for=\"last_name\" class=\"ur-label\">Pr\u00e9nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"last_name\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"last_name\" id=\"last_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Pr\u00e9nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"2\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113362\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113362\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"input_box_1763113362_field\" data-priority=\"\" ><label for=\"input_box_1763113362\" class=\"ur-label\">\u00c9tablissement \/ Organisation <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113362\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113362\" id=\"input_box_1763113362\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"\u00c9tablissement \/ Organisation\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113374\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113374\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763113374_field\" data-priority=\"\" ><label for=\"input_box_1763113374\" class=\"ur-label\">Fonction<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113374\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113374\" id=\"input_box_1763113374\" placeholder=\"\"  value=\"\" data-label=\"Fonction\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"3\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email \" data-ref-id=\"user_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">Adresse e-mail professionnelle <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text  without_icon input-email ur-frontend-field  \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Adresse e-mail professionnelle\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113779\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113779\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763113779_field\" data-priority=\"\" ><label for=\"input_box_1763113779\" class=\"ur-label\">T\u00e9l\u00e9phone<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113779\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113779\" id=\"input_box_1763113779\" placeholder=\"\"  value=\"\" data-label=\"T\u00e9l\u00e9phone\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"8\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"section_title_1763118478\" class=\"ur-field-item field-section_title \" data-ref-id=\"section_title_1763118478\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<h3 id=\"section_title_1763118478\">Informations sur l\u2019utilisation des produits M\u00e9dipr\u00e9ma<\/h3> <input type=\"hidden\" data-rules=\"\" data-id=\"section_title_1763118478\" value=\"\" class=\" ur-frontend-field  \" name=\"section_title_1763118478\" id=\"section_title_1763118478\" \/> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"5\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1763113885\" class=\"ur-field-item field-select \" data-ref-id=\"select_1763113885\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"select_1763113885_field\" data-priority=\"\" ><label for=\"select_1763113885\" class=\"ur-label\">Produits M\u00e9dipr\u00e9ma utilis\u00e9s<\/label><select data-rules=\"\" data-id=\"select_1763113885\" name=\"select_1763113885\" id=\"select_1763113885\" class=\"select ur-frontend-field  \" data-label=\"Produits M\u00e9dipr\u00e9ma utilis\u00e9s\" data-default=\"1983\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"3600\" >3600<\/option><option value=\"3552\" >3552<\/option><option value=\"4300\" >4300<\/option><option value=\"4532\" >4532<\/option><option value=\"4351\" >4351<\/option><option value=\"4357\" >4357<\/option><option value=\"1085\" >1085<\/option><option value=\"1091\" >1091<\/option><option value=\"1050\" >1050<\/option><option value=\"1971\" >1971<\/option><option value=\"1972\" >1972<\/option><option value=\"1980\" >1980<\/option><option value=\"5020\" >5020<\/option><option value=\"5122\" >5122<\/option><option value=\"535\" >535<\/option><option value=\"5230\/5231\" >5230\/5231<\/option><option value=\"5044\" >5044<\/option><option value=\"5029\" >5029<\/option><option value=\"5111\" >5111<\/option><option value=\"5101\" >5101<\/option><option value=\"4222\" >4222<\/option><option value=\"1030\" >1030<\/option><option value=\"1020\" >1020<\/option><option value=\"1016\" >1016<\/option><option value=\"3729\" >3729<\/option><option value=\"3701\/3703\/3705\/3707\/3709\/3711\/3713\" >3701\/3703\/3705\/3707\/3709\/3711\/3713<\/option><option value=\"3728\" >3728<\/option><option value=\"3731\" >3731<\/option><option value=\"3159\" >3159<\/option><option value=\"3501\/3502\" >3501\/3502<\/option><option value=\"4165\/4166\/4167\" >4165\/4166\/4167<\/option><option value=\"3658\" >3658<\/option><option value=\"3623\" >3623<\/option><option value=\"3617\" >3617<\/option><option value=\"3041\" >3041<\/option><option value=\"3105\/3106\" >3105\/3106<\/option><option value=\"3702\/3104\/37\/06\/37\/08\/3710\/3712\/3714\" >3702\/3104\/37\/06\/37\/08\/3710\/3712\/3714<\/option><option value=\"1939\" >1939<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\"  selected='selected'>1983<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763114126\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763114126\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763114126_field\" data-priority=\"\" ><label for=\"input_box_1763114126\" class=\"ur-label\">Num\u00e9ro de client (si connu)<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763114126\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763114126\" id=\"input_box_1763114126\" placeholder=\"\"  value=\"\" data-label=\"Num\u00e9ro de client (si connu)\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"4\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1763114146\" class=\"ur-field-item field-select \" data-ref-id=\"select_1763114146\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"select_1763114146_field\" data-priority=\"\" ><label for=\"select_1763114146\" class=\"ur-label\">Souhaitez-vous acc\u00e9der \u00e0 :<\/label><select data-rules=\"\" data-id=\"select_1763114146\" name=\"select_1763114146\" id=\"select_1763114146\" class=\"select ur-frontend-field  \" data-label=\"Souhaitez-vous acc\u00e9der \u00e0 :\" data-default=\"Autres (pr\u00e9cisez)\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"Fiches techniques\" >Fiches techniques<\/option><option value=\"Manuels d\u2019utilisation\" >Manuels d\u2019utilisation<\/option><option value=\"Certificats de conformit\u00e9\" >Certificats de conformit\u00e9<\/option><option value=\"Autres (pr\u00e9cisez)\"  selected='selected'>Autres (pr\u00e9cisez)<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763114255\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763114255\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763114255_field\" data-priority=\"\" ><label for=\"input_box_1763114255\" class=\"ur-label\">Autres (pr\u00e9cisez)<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763114255\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763114255\" id=\"input_box_1763114255\" placeholder=\"\"  value=\"\" data-label=\"Autres (pr\u00e9cisez)\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"6\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"privacy_policy_1763117393\" class=\"ur-field-item field-privacy_policy \" data-ref-id=\"privacy_policy_1763117393\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"privacy_policy_1763117393_field\" data-priority=\"\" ><label class=\"ur-label checkbox\" required=\"required\" data-label=\"Engagement de confidentialit\u00e9\">\n\t\t\t\t\t\t\t<input data-rules=\"\" data-id=\"privacy_policy_1763117393\" required=\"required\" data-label=\"Engagement de confidentialit\u00e9\" data-value=\"\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"privacy_policy_1763117393\" id=\"privacy_policy_1763117393\" value=\"1\"  \/> Engagement de confidentialit\u00e9 <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><span class=\"description\">En soumettant ce formulaire, vous acceptez de ne pas diffuser les documents techniques \u00e0 des tiers sans autorisation pr\u00e9alable de M\u00e9dipr\u00e9ma. \n <a href='https:\/\/www.mediprema.com\/conditions-dutilisation-de-lespace-professionnel\/' target='_blank'>\n        Conditions d\u2019utilisation de l\u2019espace professionnel\n    <\/a><\/span><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button submit\"  conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tEnvoyer la demande\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"en\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"1872\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"\"\/>\n\t\t\t\t<input type=\"hidden\" id=\"ur_frontend_form_nonce\" name=\"ur_frontend_form_nonce\" value=\"11d7a4fd29\" \/>\n\t\t\t\t\t\t\t<\/form>\n\t\t\t\n\t\t<div style=\"clear:both\"><\/div>\n\t<\/div>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"\t<div class='user-registration ur-frontend-form   ' id='user-registration-form-1872'>\n\t\t\t\t\t\t\t\t<form method='post' class='register' data-form-id=\"1872\"\n\t\t\t\tdata-enable-strength-password=\"\" data-minimum-password-strength=\"3\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \"enctype=multipart\/form-data\" data-captcha-enabled=\"\">\n\n\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"7\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"section_title_1763118420\" class=\"ur-field-item field-section_title \" data-ref-id=\"section_title_1763118420\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<h3 id=\"section_title_1763118420\">Informations personnelles<\/h3> <input type=\"hidden\" data-rules=\"\" data-id=\"section_title_1763118420\" value=\"\" class=\" ur-frontend-field  \" name=\"section_title_1763118420\" id=\"section_title_1763118420\" \/> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"0\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_login\" class=\"ur-field-item field-user_login \" data-ref-id=\"user_login\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_login_field\" data-priority=\"\" ><label for=\"user_login\" class=\"ur-label\">Nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_login\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"user_login\" id=\"user_login\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Nom\" data-username-character=\"1\"\/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"last_name\" class=\"ur-field-item field-last_name \" data-ref-id=\"last_name\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"last_name_field\" data-priority=\"\" ><label for=\"last_name\" class=\"ur-label\">Pr\u00e9nom <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"last_name\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"last_name\" id=\"last_name\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Pr\u00e9nom\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"2\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113362\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113362\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"input_box_1763113362_field\" data-priority=\"\" ><label for=\"input_box_1763113362\" class=\"ur-label\">\u00c9tablissement \/ Organisation <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113362\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113362\" id=\"input_box_1763113362\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"\u00c9tablissement \/ Organisation\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113374\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113374\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763113374_field\" data-priority=\"\" ><label for=\"input_box_1763113374\" class=\"ur-label\">Fonction<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113374\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113374\" id=\"input_box_1763113374\" placeholder=\"\"  value=\"\" data-label=\"Fonction\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"3\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"user_email\" class=\"ur-field-item field-user_email \" data-ref-id=\"user_email\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"user_email_field\" data-priority=\"\" ><label for=\"user_email\" class=\"ur-label\">Adresse e-mail professionnelle <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"user_email\" type=\"email\" class=\"input-text  without_icon input-email ur-frontend-field  \" name=\"user_email\" id=\"user_email\" placeholder=\"\"  value=\"\" required=\"required\" data-label=\"Adresse e-mail professionnelle\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763113779\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763113779\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763113779_field\" data-priority=\"\" ><label for=\"input_box_1763113779\" class=\"ur-label\">T\u00e9l\u00e9phone<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763113779\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763113779\" id=\"input_box_1763113779\" placeholder=\"\"  value=\"\" data-label=\"T\u00e9l\u00e9phone\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"8\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"section_title_1763118478\" class=\"ur-field-item field-section_title \" data-ref-id=\"section_title_1763118478\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<h3 id=\"section_title_1763118478\">Informations sur l\u2019utilisation des produits M\u00e9dipr\u00e9ma<\/h3> <input type=\"hidden\" data-rules=\"\" data-id=\"section_title_1763118478\" value=\"\" class=\" ur-frontend-field  \" name=\"section_title_1763118478\" id=\"section_title_1763118478\" \/> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"5\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1763113885\" class=\"ur-field-item field-select \" data-ref-id=\"select_1763113885\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"select_1763113885_field\" data-priority=\"\" ><label for=\"select_1763113885\" class=\"ur-label\">Produits M\u00e9dipr\u00e9ma utilis\u00e9s<\/label><select data-rules=\"\" data-id=\"select_1763113885\" name=\"select_1763113885\" id=\"select_1763113885\" class=\"select ur-frontend-field  \" data-label=\"Produits M\u00e9dipr\u00e9ma utilis\u00e9s\" data-default=\"1983\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"3600\" >3600<\/option><option value=\"3552\" >3552<\/option><option value=\"4300\" >4300<\/option><option value=\"4532\" >4532<\/option><option value=\"4351\" >4351<\/option><option value=\"4357\" >4357<\/option><option value=\"1085\" >1085<\/option><option value=\"1091\" >1091<\/option><option value=\"1050\" >1050<\/option><option value=\"1971\" >1971<\/option><option value=\"1972\" >1972<\/option><option value=\"1980\" >1980<\/option><option value=\"5020\" >5020<\/option><option value=\"5122\" >5122<\/option><option value=\"535\" >535<\/option><option value=\"5230\/5231\" >5230\/5231<\/option><option value=\"5044\" >5044<\/option><option value=\"5029\" >5029<\/option><option value=\"5111\" >5111<\/option><option value=\"5101\" >5101<\/option><option value=\"4222\" >4222<\/option><option value=\"1030\" >1030<\/option><option value=\"1020\" >1020<\/option><option value=\"1016\" >1016<\/option><option value=\"3729\" >3729<\/option><option value=\"3701\/3703\/3705\/3707\/3709\/3711\/3713\" >3701\/3703\/3705\/3707\/3709\/3711\/3713<\/option><option value=\"3728\" >3728<\/option><option value=\"3731\" >3731<\/option><option value=\"3159\" >3159<\/option><option value=\"3501\/3502\" >3501\/3502<\/option><option value=\"4165\/4166\/4167\" >4165\/4166\/4167<\/option><option value=\"3658\" >3658<\/option><option value=\"3623\" >3623<\/option><option value=\"3617\" >3617<\/option><option value=\"3041\" >3041<\/option><option value=\"3105\/3106\" >3105\/3106<\/option><option value=\"3702\/3104\/37\/06\/37\/08\/3710\/3712\/3714\" >3702\/3104\/37\/06\/37\/08\/3710\/3712\/3714<\/option><option value=\"1939\" >1939<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\"  selected='selected'>1983<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763114126\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763114126\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763114126_field\" data-priority=\"\" ><label for=\"input_box_1763114126\" class=\"ur-label\">Num\u00e9ro de client (si connu)<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763114126\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763114126\" id=\"input_box_1763114126\" placeholder=\"\"  value=\"\" data-label=\"Num\u00e9ro de client (si connu)\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"4\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"select_1763114146\" class=\"ur-field-item field-select \" data-ref-id=\"select_1763114146\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"select_1763114146_field\" data-priority=\"\" ><label for=\"select_1763114146\" class=\"ur-label\">Souhaitez-vous acc\u00e9der \u00e0 :<\/label><select data-rules=\"\" data-id=\"select_1763114146\" name=\"select_1763114146\" id=\"select_1763114146\" class=\"select ur-frontend-field  \" data-label=\"Souhaitez-vous acc\u00e9der \u00e0 :\" data-default=\"Autres (pr\u00e9cisez)\" data-allow_clear=\"true\" data-placeholder=\"\">\n\t\t\t\t\t\t\t<option value=\"Fiches techniques\" >Fiches techniques<\/option><option value=\"Manuels d\u2019utilisation\" >Manuels d\u2019utilisation<\/option><option value=\"Certificats de conformit\u00e9\" >Certificats de conformit\u00e9<\/option><option value=\"Autres (pr\u00e9cisez)\"  selected='selected'>Autres (pr\u00e9cisez)<\/option>\n\t\t\t\t\t\t<\/select><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-2\"\n\t\t\t\t\t\t\tstyle=\"width:48%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"input_box_1763114255\" class=\"ur-field-item field-text \" data-ref-id=\"input_box_1763114255\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\"Please provide a valid value for this field.\">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row \" id=\"input_box_1763114255_field\" data-priority=\"\" ><label for=\"input_box_1763114255\" class=\"ur-label\">Autres (pr\u00e9cisez)<\/label> <span class=\"input-wrapper\"> <input  data-rules=\"\" data-id=\"input_box_1763114255\" type=\"text\" class=\"input-text  without_icon input-text ur-frontend-field  \" name=\"input_box_1763114255\" id=\"input_box_1763114255\" placeholder=\"\"  value=\"\" data-label=\"Autres (pr\u00e9cisez)\" \/> <\/span> <\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"ur-form-row\" data-row-id=\"6\">\t\t\t\t\t\t<div class=\"ur-form-grid ur-grid-1\"\n\t\t\t\t\t\t\tstyle=\"width:99%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div  data-field-id=\"privacy_policy_1763117393\" class=\"ur-field-item field-privacy_policy \" data-ref-id=\"privacy_policy_1763117393\" data-field-pattern-enabled=\"0\" data-field-pattern-value=\" \" data-field-pattern-message=\" \">\n\t\t\t\t\t\t\t\t\t<div class=\"form-row validate-required\" id=\"privacy_policy_1763117393_field\" data-priority=\"\" ><label class=\"ur-label checkbox\" required=\"required\" data-label=\"Engagement de confidentialit\u00e9\">\n\t\t\t\t\t\t\t<input data-rules=\"\" data-id=\"privacy_policy_1763117393\" required=\"required\" data-label=\"Engagement de confidentialit\u00e9\" data-value=\"\" type=\"checkbox\" class=\"input-checkbox ur-frontend-field \" name=\"privacy_policy_1763117393\" id=\"privacy_policy_1763117393\" value=\"1\"  \/> Engagement de confidentialit\u00e9 <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><span class=\"description\">En soumettant ce formulaire, vous acceptez de ne pas diffuser les documents techniques \u00e0 des tiers sans autorisation pr\u00e9alable de M\u00e9dipr\u00e9ma. \n <a href='https:\/\/www.mediprema.com\/conditions-dutilisation-de-lespace-professionnel\/' target='_blank'>\n        Conditions d\u2019utilisation de l\u2019espace professionnel\n    <\/a><\/span><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ur-button-container \" >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<button type=\"submit\" class=\"btn button ur-submit-button submit\"  conditional_rules=\"&quot;&quot;\">\n\t\t\t\t\t\t\t\t<span><\/span>\n\t\t\t\t\t\t\t\tEnvoyer la demande\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t<input type=\"hidden\" name=\"ur-registration-language\" value=\"en\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-user-form-id\" value=\"1872\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"ur-redirect-url\" value=\"\"\/>\n\t\t\t\t<input type=\"hidden\" id=\"ur_frontend_form_nonce\" name=\"ur_frontend_form_nonce\" value=\"11d7a4fd29\" \/>\n\t\t\t\t\t\t\t<\/form>\n\t\t\t\n\t\t<div 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