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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td style="white-space: nowrap; vertical-align: middle; width: 5%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Fait &agrave; <span style="color: rgb(165, 100, 75); font-style: italic; font-weight: 300;">Signed in</span> :&nbsp;</span></td>
			<td style="width: 70%;">{% textinput_tag name=&quot;d5363ae5&quot; data_label=&quot;Lieu de signature&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Fait &agrave;&quot; maxlength=&quot;70&quot; data_ancien_ids=&quot;26611,45578,3963,13940,13810,6749,45102,7016,8257&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="white-space: nowrap; vertical-align: middle; width: 5%;">&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le <span style="color: rgb(165, 100, 75); font-style: italic; font-weight: 300;">On</span> :</span></td>
			<td style="width: 20%;">{% dateinput_tag name=&quot;5a9f5b99&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de signature&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date&quot; data_ancien_ids=&quot;3987&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
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<p><span style="font-weight:600;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Les parties d&eacute;clarent s&rsquo;obliger &agrave; toutes les conditions des pr&eacute;sentes et de leurs annexes &eacute;ventuelles.&nbsp;</span></span></p>

<p><span style="font-weight:600;"><span style="color: rgb(165, 100, 75); font-family: ITCAvantGardePro; font-size: 12px; font-style: italic;">The parties declare that they are bound by all the terms and conditions of the present contract and any appendices.</span></span></p>

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