Prénom*

Nom de famille*

Email*

Je suis un...* Professionnel Non-professionnel

Travaillant dans...* Chocolatier Industriel Boulangerie industrielle Glacier Industriel Industrial Dairy Restauration rapide Restaurant sans chef pâtissier Restaurant avec chef pâtissier Hôtel 4 et 5 étoiles Complexe hôtelier Voyage et Loisirs Café Pâtisserie fine Chocolaterie Boulangerie Pâtisserie Artisan Chocolatier Artisan Glacier Homebaking

Type d'entreprise* Fabricant industriel Distributeur ou Revendeur Foodservice Chefs et Artisans Média

Entreprise*

Nombre de boutiques* 1 2 à 4 5 ou plus

Nombre d'employés* 1-10 10-50 50-100 100-500 500-1000 >1000

Volume de Chocolat Estimé par an <0.25mT 0.25-1mT 1.1-10mT 11-100mT 101-500mT >500mT

Rôle* Boulanger Chef Patissier Chef Chocolatier Chef à Domicile Traiteur Chef de Cuisine Glacier Directeur / Propriétaire Achat R&D Ventes Marketing Développement des affaires Operations Journaliste / Blogger Etudiant Professeur Amateur

Pays* United States of America Canada Afghanistan Aland 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 Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands 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 (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark 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 Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and Mcdonald Islands Honduras Hong Kong, SAR China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Lao PDR Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao, SAR China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea (Republic of) 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 of Great Britain and Northern Ireland United States of America United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands, US Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe

State* Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Province* Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon

Langue* Français Albanian Arabic Bosnian Bulgarian Catalan Chinese Croatian Czech Danish Dutch English Faroese Finnish French German Greek Icelandic Italian Japanese Korean Macedonian Norwegian Polish Portuguese Romanian Russian Serbian Slovenian Spanish Swedish Turkish Ukrainian Hungarian Slovak

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