<div class="wpcf7 no-js" id="wpcf7-f36040-o1" lang="fr-FR" dir="ltr" data-wpcf7-id="36040">
<div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div>
<form action="/resiliation-abonnement-astorz/?amp=1#wpcf7-f36040-o1" method="post" class="wpcf7-form init" aria-label="Formulaire de contact" novalidate="novalidate" data-status="init">
<fieldset class="hidden-fields-container"><input type="hidden" name="_wpcf7" value="36040" /><input type="hidden" name="_wpcf7_version" value="6.1" /><input type="hidden" name="_wpcf7_locale" value="fr_FR" /><input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f36040-o1" /><input type="hidden" name="_wpcf7_container_post" value="0" /><input type="hidden" name="_wpcf7_posted_data_hash" value="" /><input type="hidden" name="_wpcf7_recaptcha_response" value="" />
</fieldset>
<p><label> Nom<br />
<span class="wpcf7-form-control-wrap" data-name="your-name"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" value="" type="text" name="your-name" /></span> </label>
</p>
<p><label> Email<br />
<span class="wpcf7-form-control-wrap" data-name="your-email"><input size="40" maxlength="400" class="wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email" aria-required="true" aria-invalid="false" value="" type="email" name="your-email" /></span> </label>
</p>
<p><input class="wpcf7-form-control wpcf7-submit has-spinner" type="submit" value="Envoyer" />
</p><div class="wpcf7-response-output" aria-hidden="true"></div>
</form>
</div>