PRÉNOM :
NOM DE FAMILLE :
ADRESSE :
VILLE
État/Province :
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AL - Alabama
AK - Alaska
AB - Alberta
AS - American Samoa
AZ - Arizona
AR - Arkansas
AE - Armed Forces Africa
AA - Armed Forces Americas
AE - Armed Forces Canada
AE - Armed Forces Europe
AE - Armed Forces Middle East
AP - Armed Forces Pacific
BC - British Columbia
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
DC - District Of Columbia
FM - Federated States Of Micronesia
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MB - Manitoba
MH - Marshall Islands
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NB - New Brunswick
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NL - Newfoundland and Labrador
NC - North Carolina
ND - North Dakota
MP - Northern Mariana Islands
NT - Northwest Territories
NS - Nova Scotia
NU - Nunavut
OH - Ohio
OK - Oklahoma
ON - Ontario
OR - Oregon
PW - Palau
PA - Pennsylvania
PE - Prince Edward Island
PR - Puerto Rico
QC - Quebec
RI - Rhode Island
SK - Saskatchewan
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VI - Virgin Islands
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
YT - Yukon
ZIP/Code postal