{"id":54400,"date":"2025-09-03T12:13:33","date_gmt":"2025-09-03T16:13:33","guid":{"rendered":"https:\/\/ssvp.ca\/?page_id=54400"},"modified":"2025-09-03T12:13:33","modified_gmt":"2025-09-03T16:13:33","slug":"demande-certificat-epinglette","status":"publish","type":"page","link":"https:\/\/ssvp.ca\/fr\/demande-certificat-epinglette\/","title":{"rendered":"Demande de certificat et d&rsquo;\u00e9pinglette"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"54400\" class=\"elementor elementor-54400 elementor-54399\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2279117 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2279117\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6cb025a\" data-id=\"6cb025a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dd50143 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dd50143\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d3a2dbb\" data-id=\"d3a2dbb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d75ed8 elementor-widget elementor-widget-heading\" data-id=\"5d75ed8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulaire de demande de certificat et d'\u00e9pinglette<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d0c219 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6d0c219\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee55516\" data-id=\"ee55516\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-704ef8c uael-gf-check-yes uael-gf-button-justify uael-gf-btn-size-md uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-check-default-no elementor-widget elementor-widget-uael-gf-styler\" data-id=\"704ef8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t\t<h3 class=\"uael-gf-form-title\">Application for Certificate (Pins)<\/h3>\n\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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      <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/fr\/wp-json\/wp\/v2\/pages\/54400' data-formid='17' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_17_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations sur le certificat<\/h3><\/div><div id=\"field_17_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>Vous avez besoin de plusieurs certificats ?<\/strong><br\/>\r\nPour demander plusieurs certificats, remplissez les informations dans le mod\u00e8le ici : <br\/>\r\n<u><a href=\"https:\/\/ssvp.ca\/wp-content\/uploads\/2025\/09\/Certificat-et-Epinglette-Modele-v1.4.xlsx\">Mod\u00e8le de demande de certificat et d'\u00e9pinglette<\/a><\/u> et t\u00e9l\u00e9chargez-le dans cette section.<\/div><div id=\"field_17_30\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_30'>T\u00e9l\u00e9charger le mod\u00e8le pour plusieurs certificats<\/label><div class='gfield_description' id='gfield_description_17_30'>Veuillez utiliser uniquement le mod\u00e8le fourni.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_30' id='input_17_30' type='file' class='large' aria-describedby=\"gfield_upload_rules_17_30 gfield_description_17_30\" onchange='javascript:gformValidateFileSize( this, 52428800 );' tabindex='1' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_30'>Taille max. des fichiers\u00a0: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_17_30'><\/div> <\/div><\/div><div id=\"field_17_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_4'>Nom de la conf\u00e9rence ou du conseil<\/label><div class='gfield_description' id='gfield_description_17_4'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_container ginput_container_text'><input name='input_4' id='input_17_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_4\" tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_5'>Ville de la Conf\u00e9rence ou du Conseil<\/label><div class='gfield_description' id='gfield_description_17_5'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_container ginput_container_text'><input name='input_5' id='input_17_5' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_5\" tabindex='3'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<\/legend><div class='gfield_description' id='gfield_description_17_1'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_17_1'>\n                            \n                            <span id='input_17_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_17_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_1.3' id='input_17_1_3' value='' tabindex='5'  aria-required='false'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_17_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_17_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_1.6' id='input_17_1_6' value='' tabindex='7'  aria-required='false'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_17_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Certificat et \u00e9pinglette d\u00e9livr\u00e9s en :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_32'>\n\t\t\t<div class='gchoice gchoice_17_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Anglais'  id='choice_17_32_0' onchange='gformToggleRadioOther( this )'  tabindex='9'  \/>\n\t\t\t\t\t<label for='choice_17_32_0' id='label_17_32_0' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Fran\u00e7ais'  id='choice_17_32_1' onchange='gformToggleRadioOther( this )'  tabindex='10'  \/>\n\t\t\t\t\t<label for='choice_17_32_1' id='label_17_32_1' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Veuillez s\u00e9lectionner le type de certificat que vous demandez :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_38'>\n\t\t\t<div class='gchoice gchoice_17_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat et \u00e9pinglette de reconnaissance des anciens pr\u00e9sidents (10 $ + frais de livraison)'  id='choice_17_38_0' onchange='gformToggleRadioOther( this )'  tabindex='11'  \/>\n\t\t\t\t\t<label for='choice_17_38_0' id='label_17_38_0' class='gform-field-label gform-field-label--type-inline'>Certificat et \u00e9pinglette de reconnaissance des anciens pr\u00e9sidents (10 $ + frais de livraison)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat et \u00e9pinglette de reconnaissance des membres - Ann\u00e9es de service (10 $ + frais de livraison)'  id='choice_17_38_1' onchange='gformToggleRadioOther( this )'  tabindex='12'  \/>\n\t\t\t\t\t<label for='choice_17_38_1' id='label_17_38_1' class='gform-field-label gform-field-label--type-inline'>Certificat et \u00e9pinglette de reconnaissance des membres - Ann\u00e9es de service (10 $ + frais de livraison)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat d&#039;appr\u00e9ciation pour un membre\/b\u00e9n\u00e9vole\/employ\u00e9 (5 $ + frais d&#039;exp\u00e9dition)'  id='choice_17_38_2' onchange='gformToggleRadioOther( this )'  tabindex='13'  \/>\n\t\t\t\t\t<label for='choice_17_38_2' id='label_17_38_2' class='gform-field-label gform-field-label--type-inline'>Certificat d'appr\u00e9ciation pour un membre\/b\u00e9n\u00e9vole\/employ\u00e9 (5 $ + frais d'exp\u00e9dition)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat anniversaire de la conf\u00e9rence\/du conseil (5 $ + frais de livraison)'  id='choice_17_38_3' onchange='gformToggleRadioOther( this )'  tabindex='14'  \/>\n\t\t\t\t\t<label for='choice_17_38_3' id='label_17_38_3' class='gform-field-label gform-field-label--type-inline'>Certificat anniversaire de la conf\u00e9rence\/du conseil (5 $ + frais de livraison)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_25'>Ann\u00e9es de pr\u00e9sidence :<\/label><div class='gfield_description' id='gfield_description_17_25'>Depuis\u00a0:<\/div><div class='ginput_container ginput_container_text'><input name='input_25' id='input_17_25' type='text' value='' class='small'  aria-describedby=\"gfield_description_17_25\" tabindex='15'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_26'>Ann\u00e9es de pr\u00e9sidence :<\/label><div class='gfield_description' id='gfield_description_17_26'>Vers\u00a0:<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_17_26' type='text' value='' class='small'  aria-describedby=\"gfield_description_17_26\" tabindex='16'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_20'>Ann\u00e9e d&#039;adh\u00e9sion initiale :<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_17_20' type='text' value='' class='small'   tabindex='17'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >S\u00e9lectionnez le nombre d&#039;ann\u00e9es :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_34'>\n\t\t\t<div class='gchoice gchoice_17_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='10 ans'  id='choice_17_34_0' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_17_34_0' id='label_17_34_0' class='gform-field-label gform-field-label--type-inline'>10 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='15 ans'  id='choice_17_34_1' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_17_34_1' id='label_17_34_1' class='gform-field-label gform-field-label--type-inline'>15 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='20 ans'  id='choice_17_34_2' onchange='gformToggleRadioOther( this )'  tabindex='20'  \/>\n\t\t\t\t\t<label for='choice_17_34_2' id='label_17_34_2' class='gform-field-label gform-field-label--type-inline'>20 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='25 ans'  id='choice_17_34_3' onchange='gformToggleRadioOther( this )'  tabindex='21'  \/>\n\t\t\t\t\t<label for='choice_17_34_3' id='label_17_34_3' class='gform-field-label gform-field-label--type-inline'>25 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='30 ans'  id='choice_17_34_4' onchange='gformToggleRadioOther( this )'  tabindex='22'  \/>\n\t\t\t\t\t<label for='choice_17_34_4' id='label_17_34_4' class='gform-field-label gform-field-label--type-inline'>30 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='35 ans'  id='choice_17_34_5' onchange='gformToggleRadioOther( this )'  tabindex='23'  \/>\n\t\t\t\t\t<label for='choice_17_34_5' id='label_17_34_5' class='gform-field-label gform-field-label--type-inline'>35 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='40 ans'  id='choice_17_34_6' onchange='gformToggleRadioOther( this )'  tabindex='24'  \/>\n\t\t\t\t\t<label for='choice_17_34_6' id='label_17_34_6' class='gform-field-label gform-field-label--type-inline'>40 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='45 ans'  id='choice_17_34_7' onchange='gformToggleRadioOther( this )'  tabindex='25'  \/>\n\t\t\t\t\t<label for='choice_17_34_7' id='label_17_34_7' class='gform-field-label gform-field-label--type-inline'>45 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='50 ans'  id='choice_17_34_8' onchange='gformToggleRadioOther( this )'  tabindex='26'  \/>\n\t\t\t\t\t<label for='choice_17_34_8' id='label_17_34_8' class='gform-field-label gform-field-label--type-inline'>50 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='55 ans'  id='choice_17_34_9' onchange='gformToggleRadioOther( this )'  tabindex='27'  \/>\n\t\t\t\t\t<label for='choice_17_34_9' id='label_17_34_9' class='gform-field-label gform-field-label--type-inline'>55 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='60 ans'  id='choice_17_34_10' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_17_34_10' id='label_17_34_10' class='gform-field-label gform-field-label--type-inline'>60 ans<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_11'>Date de livraison souhait\u00e9e :<\/label><div class='gfield_description' id='gfield_description_17_11'>Veuillez pr\u00e9voir un d\u00e9lai de traitement de 60 jours.<\/div><div class='ginput_container ginput_container_text'><input name='input_11' id='input_17_11' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_11\" tabindex='29'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_13'>Commentaires ou instructions sp\u00e9ciales :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_17_13' class='textarea small' tabindex='30'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations de paiement<\/h3><\/div><fieldset id=\"field_17_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Informations relatives au paiement :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_37'>\n\t\t\t<div class='gchoice gchoice_17_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='D\u00e9j\u00e0 pay\u00e9 via la boutique en ligne'  id='choice_17_37_0' onchange='gformToggleRadioOther( this )'  tabindex='31'  \/>\n\t\t\t\t\t<label for='choice_17_37_0' id='label_17_37_0' class='gform-field-label gform-field-label--type-inline'>D\u00e9j\u00e0 pay\u00e9 via la boutique en ligne<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Veuillez envoyer la facture par courriel'  id='choice_17_37_1' onchange='gformToggleRadioOther( this )'  tabindex='32'  \/>\n\t\t\t\t\t<label for='choice_17_37_1' id='label_17_37_1' class='gform-field-label gform-field-label--type-inline'>Veuillez envoyer la facture par courriel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='gf_other_choice'  id='choice_17_37_2' onchange='gformToggleRadioOther( this )'  tabindex='33'  \/>\n\t\t\t\t\t<label for='choice_17_37_2' id='label_17_37_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_17_37_other' class='gchoice_other_control' name='input_37_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='33' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations relatives \u00e0 la livraison \/ facture<\/h3><\/div><div id=\"field_17_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_15'>Nom et ville de la conf\u00e9rence ou du conseil :<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_17_15' type='text' value='' class='large'   tabindex='34'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_16\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_17_16'>\n                            \n                            <span id='input_17_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_17_16_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_16.3' id='input_17_16_3' value='' tabindex='36'  aria-required='false'     \/>\n                                                <\/span>\n                            \n                            <span id='input_17_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_17_16_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_16.6' id='input_17_16_6' value='' tabindex='38'  aria-required='false'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_17_17\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_17_17' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_17_1_container' >\n                                        <label for='input_17_17_1' id='input_17_17_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_17.1' id='input_17_17_1' value='' tabindex='40'   aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_17_17_2_container' >\n                                        <label for='input_17_17_2' id='input_17_17_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                        <input type='text' name='input_17.2' id='input_17_17_2' value='' tabindex='41'    aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_17_3_container' >\n                                    <label for='input_17_17_3' id='input_17_17_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_17.3' id='input_17_17_3' value='' tabindex='42'   aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_17_17_4_container' >\n                                        <label for='input_17_17_4' id='input_17_17_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                        <input type='text' name='input_17.4' id='input_17_17_4' value='' tabindex='44'     aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_17_17_5_container' >\n                                    <label for='input_17_17_5' id='input_17_17_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_17.5' id='input_17_17_5' value='' tabindex='45'   aria-required='false'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_17_17_6_container' >\n                                        <label for='input_17_17_6' id='input_17_17_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_17.6' id='input_17_17_6' tabindex='46'  aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option> <\/select>\n                        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);\n<\/script>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-c7342ba e-flex e-con-boxed e-con e-parent\" data-id=\"c7342ba\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0793edb uael-gf-check-yes uael-gf-btn-size-md elementor-widget__width-initial uael-gf-ajax-true uael-gf-style-box uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-check-default-no uael-gf-button-left elementor-widget elementor-widget-uael-gf-styler\" data-id=\"0793edb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"uael-gf-styler.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"uael-gf-style uael-gf-check-style elementor-clickable\">\n\t\t<h3 class=\"uael-gf-form-title\">Application for Certificate (Pins)<\/h3>\n\t\t\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_17' style='display:none'><style>#gform_wrapper_17[data-form-index=\"0\"].gform-theme,[data-parent-form=\"17_0\"]{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_17'  action='\/fr\/wp-json\/wp\/v2\/pages\/54400' data-formid='17' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_17' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_17_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations sur le certificat<\/h3><\/div><div id=\"field_17_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><strong>Vous avez besoin de plusieurs certificats ?<\/strong><br\/>\r\nPour demander plusieurs certificats, remplissez les informations dans le mod\u00e8le ici : <br\/>\r\n<u><a href=\"https:\/\/ssvp.ca\/wp-content\/uploads\/2025\/09\/Certificat-et-Epinglette-Modele-v1.4.xlsx\">Mod\u00e8le de demande de certificat et d'\u00e9pinglette<\/a><\/u> et t\u00e9l\u00e9chargez-le dans cette section.<\/div><div id=\"field_17_30\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_30'>T\u00e9l\u00e9charger le mod\u00e8le pour plusieurs certificats<\/label><div class='gfield_description' id='gfield_description_17_30'>Veuillez utiliser uniquement le mod\u00e8le fourni.<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='52428800' \/><input name='input_30' id='input_17_30' type='file' class='large' aria-describedby=\"gfield_upload_rules_17_30 gfield_description_17_30\" onchange='javascript:gformValidateFileSize( this, 52428800 );' tabindex='1' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_17_30'>Taille max. des fichiers\u00a0: 50 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_17_30'><\/div> <\/div><\/div><div id=\"field_17_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_4'>Nom de la conf\u00e9rence ou du conseil<\/label><div class='gfield_description' id='gfield_description_17_4'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_container ginput_container_text'><input name='input_4' id='input_17_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_4\" tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_5'>Ville de la Conf\u00e9rence ou du Conseil<\/label><div class='gfield_description' id='gfield_description_17_5'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_container ginput_container_text'><input name='input_5' id='input_17_5' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_5\" tabindex='3'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<\/legend><div class='gfield_description' id='gfield_description_17_1'>(tel qu\u2019il doit appara\u00eetre sur le certificat)<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_17_1'>\n                            \n                            <span id='input_17_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_17_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_1.3' id='input_17_1_3' value='' tabindex='5'  aria-required='false'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_17_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_17_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_1.6' id='input_17_1_6' value='' tabindex='7'  aria-required='false'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_17_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Certificat et \u00e9pinglette d\u00e9livr\u00e9s en :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_32'>\n\t\t\t<div class='gchoice gchoice_17_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Anglais'  id='choice_17_32_0' onchange='gformToggleRadioOther( this )'  tabindex='9'  \/>\n\t\t\t\t\t<label for='choice_17_32_0' id='label_17_32_0' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Fran\u00e7ais'  id='choice_17_32_1' onchange='gformToggleRadioOther( this )'  tabindex='10'  \/>\n\t\t\t\t\t<label for='choice_17_32_1' id='label_17_32_1' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_17_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Veuillez s\u00e9lectionner le type de certificat que vous demandez :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_38'>\n\t\t\t<div class='gchoice gchoice_17_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat et \u00e9pinglette de reconnaissance des anciens pr\u00e9sidents (10 $ + frais de livraison)'  id='choice_17_38_0' onchange='gformToggleRadioOther( this )'  tabindex='11'  \/>\n\t\t\t\t\t<label for='choice_17_38_0' id='label_17_38_0' class='gform-field-label gform-field-label--type-inline'>Certificat et \u00e9pinglette de reconnaissance des anciens pr\u00e9sidents (10 $ + frais de livraison)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat et \u00e9pinglette de reconnaissance des membres - Ann\u00e9es de service (10 $ + frais de livraison)'  id='choice_17_38_1' onchange='gformToggleRadioOther( this )'  tabindex='12'  \/>\n\t\t\t\t\t<label for='choice_17_38_1' id='label_17_38_1' class='gform-field-label gform-field-label--type-inline'>Certificat et \u00e9pinglette de reconnaissance des membres - Ann\u00e9es de service (10 $ + frais de livraison)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat d&#039;appr\u00e9ciation pour un membre\/b\u00e9n\u00e9vole\/employ\u00e9 (5 $ + frais d&#039;exp\u00e9dition)'  id='choice_17_38_2' onchange='gformToggleRadioOther( this )'  tabindex='13'  \/>\n\t\t\t\t\t<label for='choice_17_38_2' id='label_17_38_2' class='gform-field-label gform-field-label--type-inline'>Certificat d'appr\u00e9ciation pour un membre\/b\u00e9n\u00e9vole\/employ\u00e9 (5 $ + frais d'exp\u00e9dition)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Certificat anniversaire de la conf\u00e9rence\/du conseil (5 $ + frais de livraison)'  id='choice_17_38_3' onchange='gformToggleRadioOther( this )'  tabindex='14'  \/>\n\t\t\t\t\t<label for='choice_17_38_3' id='label_17_38_3' class='gform-field-label gform-field-label--type-inline'>Certificat anniversaire de la conf\u00e9rence\/du conseil (5 $ + frais de livraison)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_25'>Ann\u00e9es de pr\u00e9sidence :<\/label><div class='gfield_description' id='gfield_description_17_25'>Depuis\u00a0:<\/div><div class='ginput_container ginput_container_text'><input name='input_25' id='input_17_25' type='text' value='' class='small'  aria-describedby=\"gfield_description_17_25\" tabindex='15'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_26'>Ann\u00e9es de pr\u00e9sidence :<\/label><div class='gfield_description' id='gfield_description_17_26'>Vers\u00a0:<\/div><div class='ginput_container ginput_container_text'><input name='input_26' id='input_17_26' type='text' value='' class='small'  aria-describedby=\"gfield_description_17_26\" tabindex='16'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_20'>Ann\u00e9e d&#039;adh\u00e9sion initiale :<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_17_20' type='text' value='' class='small'   tabindex='17'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >S\u00e9lectionnez le nombre d&#039;ann\u00e9es :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_34'>\n\t\t\t<div class='gchoice gchoice_17_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='10 ans'  id='choice_17_34_0' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_17_34_0' id='label_17_34_0' class='gform-field-label gform-field-label--type-inline'>10 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='15 ans'  id='choice_17_34_1' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_17_34_1' id='label_17_34_1' class='gform-field-label gform-field-label--type-inline'>15 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='20 ans'  id='choice_17_34_2' onchange='gformToggleRadioOther( this )'  tabindex='20'  \/>\n\t\t\t\t\t<label for='choice_17_34_2' id='label_17_34_2' class='gform-field-label gform-field-label--type-inline'>20 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='25 ans'  id='choice_17_34_3' onchange='gformToggleRadioOther( this )'  tabindex='21'  \/>\n\t\t\t\t\t<label for='choice_17_34_3' id='label_17_34_3' class='gform-field-label gform-field-label--type-inline'>25 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='30 ans'  id='choice_17_34_4' onchange='gformToggleRadioOther( this )'  tabindex='22'  \/>\n\t\t\t\t\t<label for='choice_17_34_4' id='label_17_34_4' class='gform-field-label gform-field-label--type-inline'>30 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='35 ans'  id='choice_17_34_5' onchange='gformToggleRadioOther( this )'  tabindex='23'  \/>\n\t\t\t\t\t<label for='choice_17_34_5' id='label_17_34_5' class='gform-field-label gform-field-label--type-inline'>35 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='40 ans'  id='choice_17_34_6' onchange='gformToggleRadioOther( this )'  tabindex='24'  \/>\n\t\t\t\t\t<label for='choice_17_34_6' id='label_17_34_6' class='gform-field-label gform-field-label--type-inline'>40 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='45 ans'  id='choice_17_34_7' onchange='gformToggleRadioOther( this )'  tabindex='25'  \/>\n\t\t\t\t\t<label for='choice_17_34_7' id='label_17_34_7' class='gform-field-label gform-field-label--type-inline'>45 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='50 ans'  id='choice_17_34_8' onchange='gformToggleRadioOther( this )'  tabindex='26'  \/>\n\t\t\t\t\t<label for='choice_17_34_8' id='label_17_34_8' class='gform-field-label gform-field-label--type-inline'>50 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='55 ans'  id='choice_17_34_9' onchange='gformToggleRadioOther( this )'  tabindex='27'  \/>\n\t\t\t\t\t<label for='choice_17_34_9' id='label_17_34_9' class='gform-field-label gform-field-label--type-inline'>55 ans<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_34_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='60 ans'  id='choice_17_34_10' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_17_34_10' id='label_17_34_10' class='gform-field-label gform-field-label--type-inline'>60 ans<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_11'>Date de livraison souhait\u00e9e :<\/label><div class='gfield_description' id='gfield_description_17_11'>Veuillez pr\u00e9voir un d\u00e9lai de traitement de 60 jours.<\/div><div class='ginput_container ginput_container_text'><input name='input_11' id='input_17_11' type='text' value='' class='large'  aria-describedby=\"gfield_description_17_11\" tabindex='29'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_17_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_13'>Commentaires ou instructions sp\u00e9ciales :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_17_13' class='textarea small' tabindex='30'     aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_17_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations de paiement<\/h3><\/div><fieldset id=\"field_17_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Informations relatives au paiement :<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_17_37'>\n\t\t\t<div class='gchoice gchoice_17_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='D\u00e9j\u00e0 pay\u00e9 via la boutique en ligne'  id='choice_17_37_0' onchange='gformToggleRadioOther( this )'  tabindex='31'  \/>\n\t\t\t\t\t<label for='choice_17_37_0' id='label_17_37_0' class='gform-field-label gform-field-label--type-inline'>D\u00e9j\u00e0 pay\u00e9 via la boutique en ligne<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Veuillez envoyer la facture par courriel'  id='choice_17_37_1' onchange='gformToggleRadioOther( this )'  tabindex='32'  \/>\n\t\t\t\t\t<label for='choice_17_37_1' id='label_17_37_1' class='gform-field-label gform-field-label--type-inline'>Veuillez envoyer la facture par courriel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_17_37_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='gf_other_choice'  id='choice_17_37_2' onchange='gformToggleRadioOther( this )'  tabindex='33'  \/>\n\t\t\t\t\t<label for='choice_17_37_2' id='label_17_37_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_17_37_other' class='gchoice_other_control' name='input_37_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='33' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_17_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations relatives \u00e0 la livraison \/ facture<\/h3><\/div><div id=\"field_17_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_15'>Nom et ville de la conf\u00e9rence ou du conseil :<\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_17_15' type='text' value='' class='large'   tabindex='34'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_17_16\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_17_16'>\n                            \n                            <span id='input_17_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_17_16_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_16.3' id='input_17_16_3' value='' tabindex='36'  aria-required='false'     \/>\n                                                <\/span>\n                            \n                            <span id='input_17_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_17_16_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_16.6' id='input_17_16_6' value='' tabindex='38'  aria-required='false'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_17_17\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_17_17' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_17_17_1_container' >\n                                        <label for='input_17_17_1' id='input_17_17_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                        <input type='text' name='input_17.1' id='input_17_17_1' value='' tabindex='40'   aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_17_17_2_container' >\n                                        <label for='input_17_17_2' id='input_17_17_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                        <input type='text' name='input_17.2' id='input_17_17_2' value='' tabindex='41'    aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_17_17_3_container' >\n                                    <label for='input_17_17_3' id='input_17_17_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_17.3' id='input_17_17_3' value='' tabindex='42'   aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_17_17_4_container' >\n                                        <label for='input_17_17_4' id='input_17_17_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                        <input type='text' name='input_17.4' id='input_17_17_4' value='' tabindex='44'     aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_17_17_5_container' >\n                                    <label for='input_17_17_5' id='input_17_17_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_17.5' id='input_17_17_5' value='' tabindex='45'   aria-required='false'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_17_17_6_container' >\n                                        <label for='input_17_17_6' id='input_17_17_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_17.6' id='input_17_17_6' tabindex='46'  aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' 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>Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_17_14\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Courriel<\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_17_14_container'>\n                                <span id='input_17_14_1_container' 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