{"id":14,"date":"2023-12-12T18:06:48","date_gmt":"2023-12-12T17:06:48","guid":{"rendered":"https:\/\/www.atoutcom.com\/perinataura\/?page_id=14"},"modified":"2026-02-20T14:45:47","modified_gmt":"2026-02-20T13:45:47","slug":"inscription","status":"publish","type":"page","link":"https:\/\/www.atoutcom.com\/perinataura\/inscription\/","title":{"rendered":"INSCRIPTION"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-text-color\" style=\"color:#763560\">INSCRIPTION<\/h2>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<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 d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_7' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_7'  action='\/perinataura\/wp-json\/wp\/v2\/pages\/14' data-formid='7' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_7_8\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><h2 class=\"gsection_title\">Section \u00c9v\u00e9nement<\/h2><\/li><li id=\"field_7_10\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_10'>Titre<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_7_10' type='text' value='P\u00e9rinat Aura 2026' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_20\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_20'>events_atoutcom<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_7_20' type='text' value='Index' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_14\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_14'>Sp\u00e9cialit\u00e9Evt<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_7_14' type='text' value='P\u00e9rinatalit\u00e9' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_13\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_13'>Organisateur<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_7_13' type='text' value='DEVADAN' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_19\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_19'>AdresseEvt<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_7_19' type='text' value='Centre Culturel et des Congr\u00e8s 3C - Rue Jean Monard' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_11\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_11'>VilleEvt<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_7_11' type='text' value='Aix-les-Bains' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_18\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_18'>CodePostalEvt<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_7_18' type='text' value='73100' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_17\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_17'>PaysEvt<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_7_17' type='text' value='France' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_12\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_12'>DateDebut<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_7_12' type='text' value='25\/06\/2026' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_16\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_16'>DateFin<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_7_16' type='text' value='26\/06\/2026' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_27\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_27'>TVA<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_7_27' type='text' value='10' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_9\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><h2 class=\"gsection_title\">Section participant<\/h2><\/li><li id=\"field_7_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_55'>\n\t\t\t<li class='gchoice gchoice_7_55_0'>\n\t\t\t\t<input name='input_55' type='radio' value='Mme'  id='choice_7_55_0'    \/>\n\t\t\t\t<label for='choice_7_55_0' id='label_7_55_0' class='gform-field-label gform-field-label--type-inline'>Mme<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_55_1'>\n\t\t\t\t<input name='input_55' type='radio' value='M.'  id='choice_7_55_1'    \/>\n\t\t\t\t<label for='choice_7_55_1' id='label_7_55_1' class='gform-field-label gform-field-label--type-inline'>M.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_1'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_7_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_2'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_7_2' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_102\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_102'>Profession<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_7_102' type='text' value='' class='large' maxlength='50'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_26\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_26'>Email Professionnel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_7_26' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_7_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_30'>\u00c9tablissement (Nom ou acronyme du laboratoire ou H\u00f4pital\/Clinique\/Institut)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_7_30' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_4'>Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_7_4' type='text' value='' class='large' maxlength='50' aria-describedby=\"gfield_description_7_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_4'>Ex : 10 Rue Albert Einstein<\/div><\/li><li id=\"field_7_28\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_28'>Compl\u00e9ment d&#039;adresse<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_7_28' type='text' value='' class='large' maxlength='50' aria-describedby=\"gfield_description_7_28\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_28'>Ex : B\u00e2timent, Soci\u00e9t\u00e9, \u00c9tage&#8230;<\/div><\/li><li id=\"field_7_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_5'>Code Postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_7_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_6'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_7_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_7\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_7'>Pays<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_7_7' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_15'>T\u00e9l\u00e9phone Professionnel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_7_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_108\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_108'>R\u00e9seau d&#039;affiliation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_7_108' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='AURORE' >AURORE<\/option><option value='RP2S' >RP2S<\/option><option value='RPAI' >RPAI<\/option><option value='ELENA' >ELENA<\/option><option value='RSPA' >RSPA<\/option><option value='Autre' >Autre<\/option><option value='Aucun' >Aucun<\/option><\/select><\/div><\/li><li id=\"field_7_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_109'>Si autre pr\u00e9cisez<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_7_109' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_104\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_104'>R\u00e9seau d&#039;affiliation<\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_7_104' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_77\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_34\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h3> <FONT COLOR=#763560>PARTICIPATION<\/h3><\/FONT><\/li><li id=\"field_7_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Choix des Journ\u00e9es<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_103'>\n\t\t\t<li class='gchoice gchoice_7_103_0'>\n\t\t\t\t<input name='input_103' type='radio' value='Les 2 jours'  id='choice_7_103_0'    \/>\n\t\t\t\t<label for='choice_7_103_0' id='label_7_103_0' class='gform-field-label gform-field-label--type-inline'>Les 2 jours<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_103_1'>\n\t\t\t\t<input name='input_103' type='radio' value='Jeudi 25 Juin 2026'  id='choice_7_103_1'    \/>\n\t\t\t\t<label for='choice_7_103_1' id='label_7_103_1' class='gform-field-label gform-field-label--type-inline'>Jeudi 25 Juin 2026<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_103_2'>\n\t\t\t\t<input name='input_103' type='radio' value='Vendredi 26 Juin 2026'  id='choice_7_103_2'    \/>\n\t\t\t\t<label for='choice_7_103_2' id='label_7_103_2' class='gform-field-label gform-field-label--type-inline'>Vendredi 26 Juin 2026<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_87\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h3> <FONT COLOR=#763560>SESSIONS PARALL\u00c8LES &#8211; VENDREDI MATIN<\/h3><\/FONT>\n<br>S\u00e9lectionnez l&rsquo;atelier auquel vous souhaitez participer<\/li><li id=\"field_7_100\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >SESSION PARALL\u00c8LE &#8211; Vendredi 26 Juin &#8211; 8h30<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_100'>\n\t\t\t<li class='gchoice gchoice_7_100_0'>\n\t\t\t\t<input name='input_100' type='radio' value='Atelier 1 - N\u00e9onatologie : Examen du nouveau-n\u00e9 en situation d\u2019hypoxie p\u00e9rinatale'  id='choice_7_100_0'    \/>\n\t\t\t\t<label for='choice_7_100_0' id='label_7_100_0' class='gform-field-label gform-field-label--type-inline'>Atelier 1 &#8211; N\u00e9onatologie : Examen du nouveau-n\u00e9 en situation d\u2019hypoxie p\u00e9rinatale<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_100_1'>\n\t\t\t\t<input name='input_100' type='radio' value='Atelier 2 - En attente de confirmation'  id='choice_7_100_1'    \/>\n\t\t\t\t<label for='choice_7_100_1' id='label_7_100_1' class='gform-field-label gform-field-label--type-inline'>Atelier 2 &#8211; En attente de confirmation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_100_2'>\n\t\t\t\t<input name='input_100' type='radio' value='Atelier 3 - Biologie : Biochimie F\u0153tale : quand et quoi demander ?'  id='choice_7_100_2'    \/>\n\t\t\t\t<label for='choice_7_100_2' id='label_7_100_2' class='gform-field-label gform-field-label--type-inline'>Atelier 3 &#8211; Biologie : Biochimie F\u0153tale : quand et quoi demander ?<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_100_3'>\n\t\t\t\t<input name='input_100' type='radio' value='Atelier 4 - Psychopathologie : D\u00e9pression du post partum : rep\u00e9rage et prise en charge'  id='choice_7_100_3'    \/>\n\t\t\t\t<label for='choice_7_100_3' id='label_7_100_3' class='gform-field-label gform-field-label--type-inline'>Atelier 4 &#8211; Psychopathologie : D\u00e9pression du post partum : rep\u00e9rage et prise en charge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_99\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><br><\/li><li id=\"field_7_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h3> <FONT COLOR=#763560>TARIFICATION<\/h3><\/FONT><\/li><li id=\"field_7_21\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_7_21 gfield_product_7_21 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Tarifs inscription 1 Journ\u00e9e<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_21'>\n\t\t\t<li class='gchoice gchoice_7_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='Professions m\u00e9dicales (M\u00e9decins, Pharmaciens &amp; Sages-Femmes) - 80 \u20ac|80'  id='choice_7_21_0'    \/>\n\t\t\t\t<label for='choice_7_21_0' id='label_7_21_0' class='gform-field-label gform-field-label--type-inline'>Professions m\u00e9dicales (M\u00e9decins, Pharmaciens &amp; Sages-Femmes) &#8211; 80 \u20ac<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Autres professions en p\u00e9rinatalit\u00e9 - 70 \u20ac|70'  id='choice_7_21_1'    \/>\n\t\t\t\t<label for='choice_7_21_1' id='label_7_21_1' class='gform-field-label gform-field-label--type-inline'>Autres professions en p\u00e9rinatalit\u00e9 &#8211; 70 \u20ac<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='\u00c9tudiants &amp; internes* - 35 \u20ac|35'  id='choice_7_21_2'    \/>\n\t\t\t\t<label for='choice_7_21_2' id='label_7_21_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tudiants &amp; internes* &#8211; 35 \u20ac<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_7_21'>*Sur justificatif<\/div><\/li><li id=\"field_7_72\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_7_72 gfield_product_7_72 field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Tarifs inscription 2 Jours<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_72'>\n\t\t\t<li class='gchoice gchoice_7_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='Professions m\u00e9dicales (M\u00e9decins, Pharmaciens &amp; Sages-Femmes) - 150 \u20ac|150'  id='choice_7_72_0'    \/>\n\t\t\t\t<label for='choice_7_72_0' id='label_7_72_0' class='gform-field-label gform-field-label--type-inline'>Professions m\u00e9dicales (M\u00e9decins, Pharmaciens &amp; Sages-Femmes) &#8211; 150 \u20ac<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='Autres professions en p\u00e9rinatalit\u00e9 - 90 \u20ac|90'  id='choice_7_72_1'    \/>\n\t\t\t\t<label for='choice_7_72_1' id='label_7_72_1' class='gform-field-label gform-field-label--type-inline'>Autres professions en p\u00e9rinatalit\u00e9 &#8211; 90 \u20ac<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_72_2'>\n\t\t\t\t<input name='input_72' type='radio' value='\u00c9tudiants &amp; internes* - 35 \u20ac|35'  id='choice_7_72_2'    \/>\n\t\t\t\t<label for='choice_7_72_2' id='label_7_72_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tudiants &amp; internes* &#8211; 35 \u20ac<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_7_72'>*Sur justificatif<\/div><\/li><li id=\"field_7_29\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_29'>Justificatif Tarif R\u00e9duit<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='65536000' \/><input name='input_29' id='input_7_29' type='file' class='medium' aria-describedby=\"gfield_upload_rules_7_29\" onchange='javascript:gformValidateFileSize( this, 65536000 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_29'>Taille max. des fichiers\u00a0: 63 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_7_29'><\/div> <\/div><\/li><li id=\"field_7_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' >Type d&#039;inscription<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_32'>\n\t\t\t<li class='gchoice gchoice_7_32_0'>\n\t\t\t\t<input name='input_32' type='radio' value='Inscription Individuelle'  id='choice_7_32_0'    \/>\n\t\t\t\t<label for='choice_7_32_0' id='label_7_32_0' class='gform-field-label gform-field-label--type-inline'>Inscription Individuelle<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_32_1'>\n\t\t\t\t<input name='input_32' type='radio' value='Prise en Charge - Convention'  id='choice_7_32_1'    \/>\n\t\t\t\t<label for='choice_7_32_1' id='label_7_32_1' class='gform-field-label gform-field-label--type-inline'>Prise en Charge &#8211; Convention<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_60\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_7_60'>N\u00b0 RPPS* \/ ADELI<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_7_60' type='text' value='' class='medium'  aria-describedby=\"gfield_description_7_60\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_7_60'>*S\u00e9rie de 11 chiffres commen\u00e7ant obligatoirement par \u00ab\u00a010\u00a0\u00bb<\/div><\/li><li id=\"field_7_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' >Statut<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_63'>\n\t\t\t<li class='gchoice gchoice_7_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Lib\u00e9ral'  id='choice_7_63_0'    \/>\n\t\t\t\t<label for='choice_7_63_0' id='label_7_63_0' class='gform-field-label gform-field-label--type-inline'>Lib\u00e9ral<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='Salari\u00e9 \u00e0 plus de 50%'  id='choice_7_63_1'    \/>\n\t\t\t\t<label for='choice_7_63_1' id='label_7_63_1' class='gform-field-label gform-field-label--type-inline'>Salari\u00e9 \u00e0 plus de 50%<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_43\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_78\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h3> <FONT COLOR=#763560>SYMPOSIUM D\u00c9JEUNER<\/h3><\/FONT>\n<br>JEUDI 25 JUIN &#8211; 13h15 \u00e0 14h30\n<br>Une lunch box sera remise aux participants<\/li><li id=\"field_7_107\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Je souhaite participer au Symposium d\u00e9jeuner SANOFI<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_107'>\n\t\t\t<li class='gchoice gchoice_7_107_0'>\n\t\t\t\t<input name='input_107' type='radio' value='Oui'  id='choice_7_107_0'    \/>\n\t\t\t\t<label for='choice_7_107_0' id='label_7_107_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_107_1'>\n\t\t\t\t<input name='input_107' type='radio' value='Non'  id='choice_7_107_1'    \/>\n\t\t\t\t<label for='choice_7_107_1' id='label_7_107_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_106\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_105\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br>\n<h3> <FONT COLOR=#763560>SOIR\u00c9E DU CONGR\u00c8S<\/h3><\/FONT>\n<br>\n<br>La Plage d\u2019Aix &#8211; Restaurant  <\/li><li id=\"field_7_80\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_7_80 gfield_product_7_80 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Je souhaite participer \u00e0 la Soir\u00e9e du Congr\u00e8s &#8211; Jeudi 25 Juin 2026<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_80'>\n\t\t\t<li class='gchoice gchoice_7_80_0'>\n\t\t\t\t<input name='input_80' type='radio' value='Oui - 40 \u20ac|40'  id='choice_7_80_0'    \/>\n\t\t\t\t<label for='choice_7_80_0' id='label_7_80_0' class='gform-field-label gform-field-label--type-inline'>Oui &#8211; 40 \u20ac<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_80_1'>\n\t\t\t\t<input name='input_80' type='radio' value='Non|0'  id='choice_7_80_1'    \/>\n\t\t\t\t<label for='choice_7_80_1' id='label_7_80_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_79\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_93\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >R\u00e9gime alimentaire particulier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_93'>\n\t\t\t<li class='gchoice gchoice_7_93_0'>\n\t\t\t\t<input name='input_93' type='radio' value='Aucun'  id='choice_7_93_0'    \/>\n\t\t\t\t<label for='choice_7_93_0' id='label_7_93_0' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_93_1'>\n\t\t\t\t<input name='input_93' type='radio' value='V\u00e9g\u00e9tarien'  id='choice_7_93_1'    \/>\n\t\t\t\t<label for='choice_7_93_1' id='label_7_93_1' class='gform-field-label gform-field-label--type-inline'>V\u00e9g\u00e9tarien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_93_2'>\n\t\t\t\t<input name='input_93' type='radio' value='Sans porc'  id='choice_7_93_2'    \/>\n\t\t\t\t<label for='choice_7_93_2' id='label_7_93_2' class='gform-field-label gform-field-label--type-inline'>Sans porc<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_93_3'>\n\t\t\t\t<input name='input_93' type='radio' value='Allergies'  id='choice_7_93_3'    \/>\n\t\t\t\t<label for='choice_7_93_3' id='label_7_93_3' class='gform-field-label gform-field-label--type-inline'>Allergies<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_95\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_7_95'>Pr\u00e9cisez vos allergies<\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_7_95' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_7_94\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br><\/li><li id=\"field_7_22\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_7_ gfield_total gfield_total_7_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_7_22'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_7'>0,00 &#8364;<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_22' id='input_7_22' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_7_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Mode de Paiement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_7_23'>\n\t\t\t<li class='gchoice gchoice_7_23_0'>\n\t\t\t\t<input name='input_23' type='radio' value='Virement Bancaire'  id='choice_7_23_0'    \/>\n\t\t\t\t<label for='choice_7_23_0' id='label_7_23_0' class='gform-field-label gform-field-label--type-inline'>Virement Bancaire<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_23_1'>\n\t\t\t\t<input name='input_23' type='radio' value='Ch\u00e8que'  id='choice_7_23_1'    \/>\n\t\t\t\t<label for='choice_7_23_1' id='label_7_23_1' class='gform-field-label gform-field-label--type-inline'>Ch\u00e8que<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_23_2'>\n\t\t\t\t<input name='input_23' type='radio' value='Paiement par CB (1,9% Frais bancaires)'  id='choice_7_23_2'    \/>\n\t\t\t\t<label for='choice_7_23_2' id='label_7_23_2' class='gform-field-label gform-field-label--type-inline'>Paiement par CB (1,9% Frais bancaires)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_7_23_3'>\n\t\t\t\t<input name='input_23' type='radio' value='Bon de commande ou Convention'  id='choice_7_23_3'    \/>\n\t\t\t\t<label for='choice_7_23_3' id='label_7_23_3' class='gform-field-label gform-field-label--type-inline'>Bon de commande ou Convention<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_7_66\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br> Pour un virement bancaire : <br>\nMerci de renseigner l&rsquo;intitul\u00e9 du congr\u00e8s ainsi que votre Nom comme ceci : P\u00c9RINAT&rsquo;AURA &#8211; Nom  dans le libell\u00e9 de votre virement bancaire.<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_7' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Valider'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_7' id='gform_theme_7' value='legacy' \/>\n            <input type='hidden' 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