====== Mise à Jour de l'information - Client ======
Dans le but de mettre à jour notre logiciel de répartition et notre système de comptabilité, nous aimerions que vous répondiez aux questions ci-dessous. Cela nous permettra d’avoir à l’avenir vos informations précises et actuelles.

<form>
Action script emailcsv.php

Labels :fr:labels:logistique:forms:complete-client-information

Thanks "Merci de confirmer vos information"

Hidden to "=account@alblogistique.com"
Hidden from "=no-reply@alblogistique.com"
Hidden subject "=@FORMPAGE_!!PAGE@"
Hidden showFieldSet "=0"
Hidden filename "=@FORMPAGE_FILE@"
Hidden append "=1"
Hidden namespace "=fr:logistique:forms"
Hidden debug "=0"

Fieldset "Information sur l'Entreprise"
Textbox CompanyName
Textbox CompanyLegalName
Textbox Industry
Textbox Website
Email Email
Textbox Address
Textbox City
Textbox State
Textbox ZipCode
Select Country "Canada|United States|Afghanistan|Albania|Algeria|Andorra|Angola|Antigua and Barbuda|Argentina|Armenia|Australia|Austria|Azerbaijan|Bahamas|Bahrain|Bangladesh|Barbados|Belarus|Belgium|Belize|Benin|Bhutan|Bolivia|Bosnia and Herzegovina|Botswana|Brazil|Brunei|Bulgaria|Burkina Faso|Burundi|Cambodia|Cameroon|Cape Verde|Central African Republic|Chad|Chile|China|Colombia|Comoros|Congo, Democratic Republic of the|Congo, Republic of the|Costa Rica|Côte d'Ivoire|Croatia|Cuba|Cyprus|Czech Republic|Denmark|Djibouti|Dominica|Dominican Republic|East Timor (Timor-Leste)|Ecuador|Egypt|El Salvador|Equatorial Guinea|Eritrea|Estonia|Eswatini|Ethiopia|Fiji|Finland|France|Gabon|Gambia, The|Georgia|Germany|Ghana|Greece|Grenada|Guatemala|Guinea|Guinea-Bissau|Guyana|Haiti|Honduras|Hungary|Iceland|India|Indonesia|Iran|Iraq|Ireland|Israel|Italy|Jamaica|Japan|Jordan|Kazakhstan|Kenya|Kiribati|Korea, North|Korea, South|Kosovo|Kuwait|Kyrgyzstan|Laos|Latvia|Lebanon|Lesotho|Liberia|Libya|Liechtenstein|Lithuania|Luxembourg|Madagascar|Malawi|Malaysia|Maldives|Mali|Malta|Marshall Islands|Mauritania|Mauritius|Mexico|Micronesia, Federated States of|Moldova|Monaco|Mongolia|Montenegro|Morocco|Mozambique|Myanmar (Burma)|Namibia|Nauru|Nepal|Netherlands|New Zealand|Nicaragua|Niger|Nigeria|North Macedonia (formerly Macedonia)|Norway|Oman|Pakistan|Palau|Panama|Papua New Guinea|Paraguay|Peru|Philippines|Poland|Portugal|Qatar|Romania|Russia|Rwanda|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Samoa|San Marino|Sao Tome and Principe|Saudi Arabia|Senegal|Serbia|Seychelles|Sierra Leone|Singapore|Slovakia|Slovenia|Solomon Islands|Somalia|South Africa|South Sudan|Spain|Sri Lanka|Sudan|Suriname|Sweden|Switzerland|Syria|Taiwan|Tajikistan|Tanzania|Thailand|Togo|Tonga|Trinidad and Tobago|Tunisia|Turkey|Turkmenistan|Tuvalu|Uganda|Ukraine|United Arab Emirates|United Kingdom|Uruguay|Uzbekistan|Vanuatu|Vatican City|Venezuela|Vietnam|Yemen|Zambia|Zimbabwe"
Textbox Phone
Textbox TollFree
Textbox Fax
Select Language "Français|Anglais"
Select Timezone "America/Adak (-10:00 / -09:00)|America/Anchorage (-09:00 / -08:00)|America/Anguilla (-04:00)|America/Antigua (-04:00)|America/Araguaina (-03:00)|America/Argentina/Buenos_Aires (-03:00)|America/Argentina/Catamarca (-03:00)|America/Argentina/ComodRivadavia (-03:00)|America/Argentina/Cordoba (-03:00)|America/Argentina/Jujuy (-03:00)|America/Argentina/La_Rioja (-03:00)|America/Argentina/Mendoza (-03:00)|America/Argentina/Rio_Gallegos (-03:00)|America/Argentina/Salta (-03:00)|America/Argentina/San_Juan (-03:00)|America/Argentina/San_Luis (-03:00)|America/Argentina/Tucuman (-03:00)|America/Argentina/Ushuaia (-03:00)|America/Aruba (-04:00)|America/Asuncion (-04:00 / -03:00)|America/Atikokan (-05:00)|America/Atka (-10:00 / -09:00)|America/Bahia (-03:00)|America/Bahia_Banderas (-06:00 / -05:00)|America/Barbados (-04:00)|America/Belem (-03:00)|America/Belize (-06:00)|America/Blanc-Sablon (-04:00)|America/Boa_Vista (-04:00)|America/Bogota (-05:00)|America/Boise (-07:00 / -06:00)|America/Buenos_Aires (-03:00)|America/Cambridge_Bay (-07:00 / -06:00)|America/Campo_Grande (-04:00)|America/Cancun (-05:00)|America/Caracas (-04:00)|America/Catamarca (-03:00)|America/Cayenne (-03:00)|America/Cayman (-05:00)|America/Chicago (-06:00 / -05:00)|America/Chihuahua (-07:00 / -06:00)|America/Coral_Harbour (-05:00)|America/Cordoba (-03:00)|America/Costa_Rica (-06:00)|America/Creston (-07:00)|America/Cuiaba (-04:00)|America/Curacao (-04:00)|America/Danmarkshavn (+00:00)|America/Dawson (-07:00)|America/Dawson_Creek (-07:00)|America/Denver (-07:00 / -06:00)|America/Detroit (-05:00 / -04:00)|America/Dominica (-04:00)|America/Edmonton (-07:00 / -06:00)|America/Eirunepe (-05:00)|America/El_Salvador (-06:00)|America/Ensenada (-08:00 / -07:00)|America/Fortaleza (-03:00)|America/Fort_Nelson (-07:00)|America/Fort_Wayne (-05:00 / -04:00)|America/Glace_Bay (-04:00 / -03:00)|America/Godthab (-03:00 / -02:00)|America/Goose_Bay (-04:00 / -03:00)|America/Grand_Turk (-05:00 / 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Fieldset "Taxes"
Textbox TaxesID
Select TaxesCountry "Canada|United States|Afghanistan|Albania|Algeria|Andorra|Angola|Antigua and Barbuda|Argentina|Armenia|Australia|Austria|Azerbaijan|Bahamas|Bahrain|Bangladesh|Barbados|Belarus|Belgium|Belize|Benin|Bhutan|Bolivia|Bosnia and Herzegovina|Botswana|Brazil|Brunei|Bulgaria|Burkina Faso|Burundi|Cambodia|Cameroon|Cape Verde|Central African Republic|Chad|Chile|China|Colombia|Comoros|Congo, Democratic Republic of the|Congo, Republic of the|Costa Rica|Côte d'Ivoire|Croatia|Cuba|Cyprus|Czech Republic|Denmark|Djibouti|Dominica|Dominican Republic|East Timor (Timor-Leste)|Ecuador|Egypt|El Salvador|Equatorial Guinea|Eritrea|Estonia|Eswatini|Ethiopia|Fiji|Finland|France|Gabon|Gambia, The|Georgia|Germany|Ghana|Greece|Grenada|Guatemala|Guinea|Guinea-Bissau|Guyana|Haiti|Honduras|Hungary|Iceland|India|Indonesia|Iran|Iraq|Ireland|Israel|Italy|Jamaica|Japan|Jordan|Kazakhstan|Kenya|Kiribati|Korea, North|Korea, South|Kosovo|Kuwait|Kyrgyzstan|Laos|Latvia|Lebanon|Lesotho|Liberia|Libya|Liechtenstein|Lithuania|Luxembourg|Madagascar|Malawi|Malaysia|Maldives|Mali|Malta|Marshall Islands|Mauritania|Mauritius|Mexico|Micronesia, Federated States of|Moldova|Monaco|Mongolia|Montenegro|Morocco|Mozambique|Myanmar (Burma)|Namibia|Nauru|Nepal|Netherlands|New Zealand|Nicaragua|Niger|Nigeria|North Macedonia (formerly Macedonia)|Norway|Oman|Pakistan|Palau|Panama|Papua New Guinea|Paraguay|Peru|Philippines|Poland|Portugal|Qatar|Romania|Russia|Rwanda|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Samoa|San Marino|Sao Tome and Principe|Saudi Arabia|Senegal|Serbia|Seychelles|Sierra Leone|Singapore|Slovakia|Slovenia|Solomon Islands|Somalia|South Africa|South Sudan|Spain|Sri Lanka|Sudan|Suriname|Sweden|Switzerland|Syria|Taiwan|Tajikistan|Tanzania|Thailand|Togo|Tonga|Trinidad and Tobago|Tunisia|Turkey|Turkmenistan|Tuvalu|Uganda|Ukraine|United Arab Emirates|United Kingdom|Uruguay|Uzbekistan|Vanuatu|Vatican City|Venezuela|Vietnam|Yemen|Zambia|Zimbabwe"

Fieldset "Contact Principal"
Static MainContactInfo
Textbox MainContactFullname
Textbox MainContactTitle
Textbox MainContactPhone
Textbox MainContactMobile
Textbox MainContactEmail

Fieldset "Contact pour le Ramassage et la Livraison"
Textbox DeliveryAndPickupFullname !
Textbox DeliveryAndPickupTitle !
Textbox DeliveryAndPickupPhone !
Textbox DeliveryAndPickupMobile !
Textbox DeliveryAndPickupEmail !

Fieldset "Contact pour la Facturation"
Textbox BillingFullname
Textbox BillingTitle
Textbox BillingPhone
Textbox BillingMobile
Textbox BillingEmailInvoice
Textbox BillingEmailStatement

Fieldset "Exigences d'Expédition"
Static ShippingRequirementsTagLine
YesNo ShippingRequirementsTailgate
YesNo ShippingRequirementsInsideDelivery
YesNo ShippingRequirementsBTrain
YesNo ShippingRequirementsDoubleDeck
YesNo ShippingRequirementsDropDeck
YesNo ShippingRequirementsDryVan
YesNo ShippingRequirementsFlatBed
YesNo ShippingRequirementsJigger
YesNo ShippingRequirementsReefer
YesNo ShippingRequirementsRolltite
YesNo ShippingRequirementsStepDeck
YesNo ShippingRequirementsStraightBody
YesNo ShippingRequirementsWhiteGloveService

Fieldset "Rendez-Vous"
YesNo AppointmentRequired

Fieldset "Heure d'Ouverture de l'Entrepôt"
Select OpenHoursMondayFrom "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursMondayTo "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursTuesdayFrom "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursTuesdayTo "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursWednesdayFrom "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursWednesdayTo "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursThursdayFrom "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursThursdayTo "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursFridayFrom "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"
Select OpenHoursFridayTo "Closed|00:00|01:00|02:00|03:00|04:00|05:00|06:00|07:00|08:00|09:00|10:00|11:00|12:00|13:00|14:00|15:00|16:00|17:00|18:00|19:00|20:00|21:00|22:00|23:00"

Fieldset "Accessibilité"
YesNo AccessibilityHighwayTrucks
YesNo AccessibilityCityTrucks
YesNo AccessibilityDock
YesNo AccessibilityNoTouch
YesNo AccessibilityTailgate

Fieldset "Informations sur les Courtiers en Douane"
Select CustomsBrokerImport "ALB Custom Trade|H.Kennedy|W2C|Cole|Livingston|Eurofret|Autre|Aucun"
Select CustomsBrokerExport "A.N.Deringer|BCB INTL|Agility|CH Robinson|Livingston|Autre|Aucun"

Fieldset "Spécifier le Nom du Courtier d'Importation" CustomsBrokerImport "Autre"
Textbox CustomsBrokerImportOther !

Fieldset "Spécifier le Nom du Courtier Exportation" CustomsBrokerExport "Autre"
Textbox CustomsBrokerExportOther !

Fieldset "Rapports d'Opération"
Email OperationReportEmail

                                                                                                                                                    Submit Submit
</form>