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</p> </div> </div> </div> </section> </section> <footer> <div class="inner"> <div class="logo"> <h2> <a href="https://staging-easeeno.grensesnitt.cloud/fr-be"> <?xml version="1.0" encoding="utf-8"?> <svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 602.8 101.7" style="enable-background:new 0 0 602.8 101.7;" xml:space="preserve"> <title>Easee Logo</title> <g> <g> <path d="M208.4,43.9l0.3,3.2c0.1,1.3,0.2,2.6,0.2,3.7c0,21.8-17.7,39.5-39.5,39.5c-21.8,0-39.5-17.7-39.5-39.5 c0-1.2,0.1-2.4,0.2-3.7l0.3-3.2l-11,16l0.1,0.3c4.5,24,25.5,41.4,49.9,41.4c15.3,0,29.9-7,39.5-18.9v14.1h11.3V61.2L208.4,43.9z" /> <path d="M283.2,49.5l0.5,0.2c0.8,0.3,1.5,0.6,2.2,0.8c0.7,0.3,1.5,0.6,2.3,0.9l0.5,0.2c8.8,3.2,26.1,9.1,28,18.6l8.2-9.5 c-6.6-10.6-22.3-16-32.4-19.7l-0.4-0.1c-0.8-0.3-1.6-0.6-2.4-0.9c-0.9-0.3-1.9-0.7-2.8-1c-8.6-3.1-20.3-7.4-20.3-13.4 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Huizingalaan 763a<br /> 1066 VH Amsterdam</a></p> <p>KVK Nr: 77266765</p> </div> </section> </div> <div class="disclaimer"> <p>Easee AS © 2024. 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Envoyez-nous une demande en remplissant le formulaire ci-dessous.</p> </div> </div> <div class="easee-form"> <form action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST"> <input name="captcha_settings" type="hidden" value='{"keyname":"Easee_Grensesnitt_key","fallback":"true","orgId":"00D7a00000053xx","ts":""}'/> <input type="hidden" name="oid" value="00D7a00000053xx"/> <input type="hidden" name="retURL" value="https://easee.com/fr-be/bedankt/"/> <input type="hidden" name="lead_source" value="website"/> <p> <label for="first_name">Prénom *</label> <input id="first_name" maxlength="40" name="first_name" required="required" size="20" type="text"/> </p> <p> <label for="last_name">Nom *</label> <input id="last_name" maxlength="80" name="last_name" required="required" size="20" type="text"/> </p> <p> <label for="email">E-mail *</label> <input id="email" maxlength="80" name="email" required="required" size="20" type="email"/> </p> <p> <label for="mobile">Téléphone mobile *</label> <input id="mobile" maxlength="40" name="mobile" required="required" size="20" type="tel"/> </p> <p> <label for="company">Entreprise *</label> <input id="company" maxlength="40" name="company" required="required" size="20" type="text"/> </p> <p> <label for="industry">Type d’organisation</label> <select id="industry" name="industry" required="required"> <option value="">Non séléctionné</option> <option value="Automotive Manufacturer">Constructeur automobiles</option> <option value="Automotive Sales">Vente automobiles</option> <option value="Construction">Construction</option> <option value="Energy Company">Compagnie d’énergie</option> <option value="Installer">Installateur</option> <option value="Insurance">Assurance</option> <option value="Operator">Opérateur</option> <option value="Public Sector">Secteur public</option> <option value="Wholesaler">Grossiste</option> </select> </p> <p> <label for="country_code">Pays</label> <select id="country_code" name="country_code" required="required"> <option value="">--None--</option> <option value="AL">Albania</option> <option value="AR">Argentina</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="BY">Belarus</option> <option value="BE">Belgium</option> <option value="BA">Bosnia and Herzegovina</option> <option value="BR">Brazil</option> <option value="BG">Bulgaria</option> <option value="CA">Canada</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CO">Colombia</option> <option value="HR">Croatia</option> <option value="CZ">Czechia</option> <option value="DK">Denmark</option> <option value="EG">Egypt</option> <option value="GB">England</option> <option value="EE">Estonia</option> <option value="FO">Faroe Islands (the)</option> <option value="FI">Finland</option> <option value="FR" selected="selected">France</option> <option value="GE">Georgia</option> <option value="DE">Germany</option> <option value="GI">Gibraltar</option> <option value="GR">Greece</option> <option value="GL">Greenland</option> <option value="HU">Hungary</option> <option value="IS">Iceland</option> <option value="IN">India</option> <option value="ID">Indonesia</option> <option value="IE">Ireland</option> <option value="IT">Italy</option> <option value="JP">Japan</option> <option value="KZ">Kazakhstan</option> <option value="LV">Latvia</option> <option value="LI">Liechtenstein</option> <option value="LT">Lithuania</option> <option value="LU">Luxemburg</option> <option value="MK">Republic of North Macedonia</option> <option value="MT">Malta</option> <option value="MX">Mexico</option> <option value="MD">Moldova (the Republic of)</option> <option value="MC">Monaco</option> <option value="ME">Montenegro</option> <option value="NL">Netherlands</option> <option value="NZ">New Zealand</option> <option value="GB">Northern Ireland</option> <option value="NO">Norway</option> <option value="PL">Poland</option> <option value="PT">Portugal</option> <option value="RO">Romania</option> <option value="RU">Russian Federation (the)</option> <option value="SM">San Marino</option> <option value="GB">Scotland</option> <option value="RS">Serbia</option> <option value="SK">Slovakia</option> <option value="SI">Slovenia</option> <option value="ES">Spain</option> <option value="SJ">Svalbard and Jan Mayen</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="TR">Turkey</option> <option value="UA">Ukraine</option> <option value="US">United States</option> <option value="GB">Wales</option> </select> </p> <p> <label for="employees">Nombre d'employés *</label> <input id="employees" name="employees" required="required" size="20" type="number" value=""/> </p> <p> <label for="00N2o000007W7I2">Quelle zone couvrez-vous? *</label> <input id="00N2o000007W7I2" maxlength="40" name="00N2o000007W7I2" required="required" size="20" type="text"/> </p> <p> <label for="00N5E000006ouKm">Combien de robots de charge avez-vous installés au cours des 12 derniers mois? *</label> <input id="00N5E000006ouKm" maxlength="255" name="00N5E000006ouKm" required="required" size="20" type="number"/> </p> <p> <label for="00N2o000008gZnq"> <input id="00N2o000008gZnq" name="00N2o000008gZnq" type="checkbox" value="1" class="buy-from-wholesaler"/> Nous nous approvisionons auprès d’un grossiste </label> </p> <p class="wholesaler-name" style="display: none;"> <label for="00N2o000008gZns">Qui est votre grossiste? *</label> <input id="00N2o000008gZns" maxlength="40" name="00N2o000008gZns" size="20" type="text"/> </p> <p> <label for="00N2o000007W7Hx">Pourquoi voulez-vous être associé à Easee? *</label> <textarea id="00N2o000007W7Hx" name="00N2o000007W7Hx" required="required" rows="6" wrap="soft">