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<font size="3" face="Calibri" color="#FFFFFF">Pour calculer <br>
votre cotisation,<br>
remplissez ce formulaire.<br>
C&#39;est gratuit et <br>
sans engagement.</font></td>
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<font face="Verdana" size="2" color="#FFFFFF">Votre Code Postal</font></b></td>
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<font face="Verdana" size="2" color="#FFFFFF">Votre Nom</font></b></td>
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<font face="Verdana" size="2" color="#FFFFFF">Votre Email</font></b></td>
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<font face="Arial" color="#FFFFFF">
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<input name="requiredmail" size="19" dir="ltr" style="font-family: Verdana; "></b></font></td>
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<td colspan="3" height="7" bgcolor="#3DB2D9" width="228">
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<font size="2" color="#FFFFFF"><b>
Votre N° de Tél.</b></font></td>
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<font face="Arial" color="#FFFFFF">
<b>
<input name="requiredtel" size="19" dir="ltr" style="font-family: Verdana; "></b></font></td>
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<td height="5" bgcolor="#3DB2D9" colspan="3" width="228"></td>
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<p align="center"><b>
<font face="Verdana" size="2" color="#FFFFFF">Votre<br>
âge</font></b></td>
<td width="68" height="28" bgcolor="#3DB2D9">
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<b>
<font face="Verdana" style="font-size: 9pt" color="#FFFFFF">Age <br>
conjoint(e)</font></b></td>
<td width="93" height="28" bgcolor="#3DB2D9">
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<b>
<font face="Verdana" size="2" color="#FFFFFF">Nbre<br>
Enfant</font></b></td>
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<td width="67" height="25" bgcolor="#3DB2D9">
<p align="center">

<font color="#FFFFFF">
<input name="AgeMr" size="1" style="font-family: Verdana; "></font></td>
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<i>
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<input name="AgeMme" size="1" style="font-family: Verdana; "></font></i></td>
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<span style="vertical-align: text-bottom">
<i>
<font face="Arial" color="#FFFFFF">
<input name="Age1" size="1" <i style="font-family: Verdana; "></font></i></span></b></td>
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<td width="67" height="13" bgcolor="#3DB2D9">
<p align="center"><font size="1" color="#FFFFFF">ans</font></td>
<td width="68" height="13" bgcolor="#3DB2D9">
<p align="center"><font size="1" color="#FFFFFF">ans</font></td>
<td width="93" height="13" bgcolor="#3DB2D9">
<p align="center">
<font size="1" color="#FFFFFF">à charge</font></td>
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<tr>
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<button type="submit" style="background-color:#FF9900; font-family:Calibri; width:199; height:37; ">
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<b><font style="font-size: 14pt" color="#FFFFFF">Votre devis
immédiat.</font></b>
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<font size="5" style="font-weight: 700" color="#FFFFFF" face="Calibri">
Résumé
de nos garanties</font></td>
<td width="25" height="41" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF" bgcolor="#E9E9E9">
<b><font size="6">1</font></b></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF" bgcolor="#CCCCCC">
<b><font size="6">2</font></b></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF" bgcolor="#808080">
<b><font size="6" color="#FFFFFF">3</font></b></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF" bgcolor="#808080">
<b><font size="6" color="#FFFFFF">4</font></b></td>
</tr>
<tr>
<td height="34" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF" colspan="9" width="798">
<p align="center"><b><font color="#FF0000" face="Calibri">Pour voir le détail
complet, remplissez le mini-formulaire.</font></b></td>
</tr>
<tr>
<td width="455" height="24" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Hospitalisations</font></td>
<td width="25" height="24" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
<font face="Calibri">
100 %</font></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">
200 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">
300 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">
400 %</font></td>
</tr>
<tr>
<td width="455" height="22" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Consultations, visites et soins courants</font></td>
<td width="25" height="22" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
<font face="Calibri">100 %</font></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">150 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">200 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">250 %</font></td>
</tr>
<tr>
<td width="455" height="21" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Prothèses dentaires</font></td>
<td width="25" height="21" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
<font face="Calibri">100 %</font></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">200 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">300 %</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">400 %</font></td>
</tr>
<tr>
<td width="455" height="25" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Lunettes et lentilles médicalement prescrites</font></td>
<td width="25" height="25" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
<font face="Calibri">100 €</font></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">250 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">500 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">700 €</font></td>
</tr>
<tr>
<td width="455" height="20" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Forfait optique non consommé après 3 ans</font></td>
<td width="25" height="20" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
<font face="Calibri">200 €</font></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">500 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">700 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">1000 €</font></td>
</tr>
<tr>
<td height="20" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF" width="455">
<p align="left" style="margin-top: 0; margin-bottom: 0">
<font face="Calibri">Orthodontie enfant TO90</font></td>
<td width="25" height="20" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">
&nbsp;</td>
<td width="23" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">1548 €</font></td>
<td width="16" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">2.322 €</font></td>
<td width="16" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">3.096 €</font></td>
</tr>
<tr>
<td width="455" height="16" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">implants dentaires
non remboursés &quot;sécu&quot;</font></td>
<td width="25" height="16" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF"></td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">500 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">750 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">1.000 €</font></td>
</tr>
<tr>
<td width="455" height="21" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">Médecines douces  </font></td>
<td width="25" height="21" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="69" align="center" style="padding:0; border:1px solid #FFFFFF; " bordercolor="#FFFFFF" bordercolorlight="#FFFFFF" bordercolordark="#FFFFFF">&nbsp;</td>
<td width="23" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">&nbsp;</td>
<td width="63" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">100 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="68" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">100 €</font></td>
<td width="16" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF"></td>
<td width="67" align="center" style="border: 1px solid #FFFFFF" bordercolor="#FFFFFF">
<font face="Calibri">100 €</font></td>
</tr>
</table>
</center>
</div>
</td>
</tr>
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<td height="9" width="945" bgcolor="#32B8E6"></td>
</tr>
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<td height="290" width="945" bgcolor="#FFFFFF">
<p style="margin:10 50; line-height: 150%" align="left">
<font face="Calibri" size="4"><br>
Le Groupement des Mutuelles Communales et Municipales
<br>
rassemble les mutuelles de proximité qui vous ressemblent.<br>
Profitez de 4 mois gratuits 
et d&#39;une cotisation à partir de 7,50 euro/mois.</font><p style="margin:10 50; line-height: 150%" align="left">
<font face="Calibri" size="4">Depuis
plusieurs années déjà, le mouvement de création de mutuelles
communes regroupant <br>
une ou plusieurs villes et villages connaît un essor permanent.
</font>
<p style="margin:10 50; line-height: 150%" align="left">
<font face="Calibri" size="4">Le Groupement des Mutuelles Communales et Municipales (G.M.C.M)
se fixe pour objectif ambitieux de regrouper les mutuelles
communales ou municipales
qui proposent à leurs concitoyens ainsi qu&#39;à tous ceux qui le désirent,
car ils sont
attachés à un territoire et à sa vie économique et sociale,
de bénéficier d&#39;une mutuelle au meilleur rapport
qualité/prix
en privilégiant le maintien et la proximité notamment des prestataires de soins (hôpitaux et cliniques, spécialistes et généralistes, chirurgiens-dentistes,
ophtalmologistes et opticiens, sans oublier les auxiliaires médicaux (kinésithérapeutes et infirmières).<br>
<br>
Pour cela, fort des nombreux sympathisants qui soutiennent cette action, nous négocierons des accords préférentiels
pour nos adhérents qui permettront de bénéficier notamment d&#39;un
tiers payant élargi ou de réductions sur certaines prestations (optique par exemple) tout en nous appuyant sur des organisations
professionnelles reconnues, tant sur le plan
national
que pour leur expérience et savoir-faire.</font></td>
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<p align="center"><img border="0" src="80logofmcm.jpg" width="80" height="80"></td>
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<td height="4" width="945" bgcolor="#FFFFFF">
<font color="#000000" face="Calibri" size="4"><p style="margin:20; line-height: 150%" align="center" dir="ltr">
G.M.C.M. - campagne d&#39;information promotionnelle  2018. </font></td>
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