Prénom 
									
								
									Nom 
									
																	
																														Indicatif 
										
																							33 
																							44 
																							49 
																					 
									
									
										Téléphone 
										
								
								
									Adresse 
									
								
									Complément 
									
								
									Code postal 
									
								
									Ville 
									
																	
										Pays 
										
																																																		 Afghanistan  
																																																				 Åland Islands  
																																																				 Albania  
																																																				 Algeria  
																																																				 American Samoa  
																																																				 Andorra  
																																																				 Angola  
																																																				 Anguilla  
																																																				 Antarctica  
																																																				 Antigua and Barbuda  
																																																				 Argentina  
																																																				 Armenia  
																																																				 Aruba  
																																																				 Australia  
																																																				 Austria  
																																																				 Azerbaijan  
																																																				 Bahamas  
																																																				 Bahrain  
																																																				 Bangladesh  
																																																				 Barbados  
																																																				 Belarus  
																																																				 Belgium  
																																																				 Belize  
																																																				 Benin  
																																																				 Bermuda  
																																																				 Bhutan  
																																																				 Bolivia, Plurinational State of  
																																																				 Bonaire, Sint Eustatius and Saba  
																																																				 Bosnia and Herzegovina  
																																																				 Botswana  
																																																				 Bouvet Island  
																																																				 Brazil  
																																																				 British Indian Ocean Territory  
																																																				 Brunei Darussalam  
																																																				 Bulgaria  
																																																				 Burkina Faso  
																																																				 Burundi  
																																																				 Cambodia  
																																																				 Cameroon  
																																																				 Canada  
																																																				 Cape Verde  
																																																				 Cayman Islands  
																																																				 Central African Republic  
																																																				 Chad  
																																																				 Chile  
																																																				 China  
																																																				 Christmas Island  
																																																				 Cocos (Keeling) Islands  
																																																				 Colombia  
																																																				 Comoros  
																																																				 Congo  
																																																				 Congo, the Democratic Republic of the  
																																																				 Cook Islands  
																																																				 Costa Rica  
																																																				 Côte d'Ivoire  
																																																				 Croatia  
																																																				 Cuba  
																																																				 Cura  
																																																				 Cyprus  
																																																				 Czech Republic  
																																																				 Denmark  
																																																				 Deutschland  
																																																				 Djibouti  
																																																				 Dominica  
																																																				 Dominican Republic  
																																																				 Ecuador  
																																																				 Egypt  
																																																				 El Salvador  
																																																				 Equatorial Guinea  
																																																				 Eritrea  
																																																				 Estonia  
																																																				 Ethiopia  
																																																				 Falkland Islands (Malvinas)  
																																																				 Faroe Islands  
																																																				 Fiji  
																																																				 Finland  
																																																				 France 
																																																				 French Guiana  
																																																				 French Polynesia  
																																																				 French Southern Territories  
																																																				 Gabon  
																																																				 Gambia  
																																																				 Georgia  
																																																				 Ghana  
																																																				 Gibraltar  
																																																				 Greece  
																																																				 Greenland  
																																																				 Grenada  
																																																				 Guadeloupe  
																																																				 Guam  
																																																				 Guatemala  
																																																				 Guernsey  
																																																				 Guinea  
																																																				 Guinea-Bissau  
																																																				 Guyana  
																																																				 Haiti  
																																																				 Heard Island and McDonald Islands  
																																																				 Holy See (Vatican City State)  
																																																				 Honduras  
																																																				 Hong Kong  
																																																				 Hungary  
																																																				 Iceland  
																																																				 India  
																																																				 Indonesia  
																																																				 Iran, Islamic Republic of  
																																																				 Iraq  
																																																				 Ireland  
																																																				 Isle of Man  
																																																				 Israel  
																																																				 Italy  
																																																				 Jamaica  
																																																				 Japan  
																																																				 Jersey  
																																																				 Jordan  
																																																				 Kazakhstan  
																																																				 Kenya  
																																																				 Kiribati  
																																																				 Korea, Democratic People's Republic of  
																																																				 Korea, Republic of  
																																																				 Kuwait  
																																																				 Kyrgyzstan  
																																																				 Lao People's Democratic Republic  
																																																				 Latvia  
																																																				 Lebanon  
																																																				 Lesotho  
																																																				 Liberia  
																																																				 Libya  
																																																				 Liechtenstein  
																																																				 Lithuania  
																																																				 Luxembourg  
																																																				 Macao  
																																																				 Macedonia, the Former Yugoslav Republic of  
																																																				 Madagascar  
																																																				 Malawi  
																																																				 Malaysia  
																																																				 Maldives  
																																																				 Mali  
																																																				 Malta  
																																																				 Marshall Islands  
																																																				 Martinique  
																																																				 Mauritania  
																																																				 Mauritius  
																																																				 Mayotte  
																																																				 Mexico  
																																																				 Micronesia, Federated States of  
																																																				 Moldova, Republic of  
																																																				 Monaco  
																																																				 Mongolia  
																																																				 Montenegro  
																																																				 Montserrat  
																																																				 Morocco  
																																																				 Mozambique  
																																																				 Myanmar  
																																																				 Namibia  
																																																				 Nauru  
																																																				 Nepal  
																																																				 Netherlands  
																																																				 New Caledonia  
																																																				 New Zealand  
																																																				 Nicaragua  
																																																				 Niger  
																																																				 Nigeria  
																																																				 Niue  
																																																				 Norfolk Island  
																																																				 Northern Mariana Islands  
																																																				 Norway  
																																																				 Oman  
																																																				 Pakistan  
																																																				 Palau  
																																																				 Palestine, State of  
																																																				 Panama  
																																																				 Papua New Guinea  
																																																				 Paraguay  
																																																				 Peru  
																																																				 Philippines  
																																																				 Pitcairn  
																																																				 Poland  
																																																				 Portugal  
																																																				 Puerto Rico  
																																																				 Qatar  
																																																				 Réunion  
																																																				 Romania  
																																																				 Russian Federation  
																																																				 Rwanda  
																																																				 Saint Barthélemy  
																																																				 Saint Helena, Ascension and Tristan da Cunha  
																																																				 Saint Kitts and Nevis  
																																																				 Saint Lucia  
																																																				 Saint Martin (French part)  
																																																				 Saint Pierre and Miquelon  
																																																				 Saint Vincent and the Grenadines  
																																																				 Samoa  
																																																				 San Marino  
																																																				 Sao Tome and Principe  
																																																				 Saudi Arabia  
																																																				 Senegal  
																																																				 Serbia  
																																																				 Seychelles  
																																																				 Sierra Leone  
																																																				 Singapore  
																																																				 Sint Maarten (Dutch part)  
																																																				 Slovakia  
																																																				 Slovenia  
																																																				 Solomon Islands  
																																																				 Somalia  
																																																				 South Africa  
																																																				 South Georgia and the South Sandwich Islands  
																																																				 South Sudan  
																																																				 Spain  
																																																				 Sri Lanka  
																																																				 Sudan  
																																																				 Suriname  
																																																				 Svalbard and Jan Mayen  
																																																				 Swaziland  
																																																				 Sweden  
																																																				 Switzerland  
																																																				 Syrian Arab Republic  
																																																				 Taiwan, Province of China  
																																																				 Tajikistan  
																																																				 Tanzania, United Republic of  
																																																				 Thailand  
																																																				 Timor-Leste  
																																																				 Togo  
																																																				 Tokelau  
																																																				 Tonga  
																																																				 Trinidad and Tobago  
																																																				 Tunisia  
																																																				 Turkey  
																																																				 Turkmenistan  
																																																				 Turks and Caicos Islands  
																																																				 Tuvalu  
																																																				 Uganda  
																																																				 Ukraine  
																																																				 United Arab Emirates  
																																																				 United Kingdom  
																																																				 United States  
																																																				 United States Minor Outlying Islands  
																																																				 Uruguay  
																																																				 Uzbekistan  
																																																				 Vanuatu  
																																																				 Venezuela, Bolivarian Republic of  
																																																				 Viet Nam  
																																																				 Virgin Islands, British  
																																																				 Virgin Islands, U.S.  
																																																				 Wallis and Futuna  
																																																				 Western Sahara  
																																																				 Yemen  
																																																				 Zambia  
																																																				 Zimbabwe  
																																														 
									
								
																	
										État/Région 
										
											 État/Région  
																					 
									
								
								
									
										
										
																															
												Vos amis pourront participer au cadeau jusqu'à la veille de cette date