{{ "NOMENTREPRISE"|translate }}

{{ "LAST_NAME"|translate }} *

{{ "FIRST_NAME"|translate }} *

{{ "STR_FRM_GENDER"|translate }} *

{{ "EMAIL"|translate }} *

{{ "PHONE"|translate }}

{{ "SUJET"|translate }} * -- {% if data.subjects is defined and data.subjects is valuableArray %} {% for subject in data.subjects %} {% set subjectFallback = subject.data['data_1_' ~ regGet('taalcodeid')] ?? subject.data['data_1'] %} {% set subjectByLanguage = subject.data['data_1_' ~ regGet('taalcodeid') ~ '_' ~ regGet('read_countrycodeid')] ?? subjectFallback%} {{ subjectByLanguage}} {% endfor %} {% endif %}

{{ "STR_CMP_CAMPAGNE"|translate }} -- {% for campaign in data.campaigns %} {% if campaign is iterable %} {{ readFunnel(campaign, 97) }} {% endif %} {% endfor %}

{{ "MESSAGE"|translate }}

{{ "CAPTCHA_LABEL"|translate }} *

{{ "STR_BTN_VERZENDEN"|translate }}