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by filling out the following form

"Firstname" must contain at least 1 character(s)
"Lastname" must contain at least 1 character(s)
The email must be in the format "john.doe@domain.com"
The phone number must be in the following formats: "0612345678" or "555 555 555
"From date" is mandatory
"End date" is mandatory
Front de Neige - Immeuble Galaxie - 73300 Le Corbier
04 79 56 75 85