{"id":13916,"date":"2023-09-28T20:01:51","date_gmt":"2023-09-28T18:01:51","guid":{"rendered":"https:\/\/retina.ch\/?page_id=13916"},"modified":"2023-10-31T12:36:51","modified_gmt":"2023-10-31T11:36:51","slug":"formulaire-de-contact","status":"publish","type":"page","link":"https:\/\/retina.ch\/fr\/contact\/formulaire-de-contact\/","title":{"rendered":"Formulaire de contact"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_26_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_n6vbu22\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Inscription pour une consultation<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"26\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_26\" id=\"frm_hide_fields_26\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"n6vbu22\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_26\" name=\"frm_submit_entry_26\" value=\"b393174179\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/13916\" \/><div id=\"frm_field_881_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Demande<\/h3>\r\n\r\n\r\n<div id=\"frm_field_883_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio frm_other_container\">\r\n    <div  id=\"field_stpmr_label\" class=\"frm_primary_label\">Concerne\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_stpmr_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_883-881-0\">\t\t\t<label  for=\"field_stpmr-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[883][]\" id=\"field_stpmr-0\" value=\"Kontakt Allgemein\"  data-sectionid=\"881\"  data-invmsg=\"Concerne est non valide\"   \/> Contact g\u00e9n\u00e9ral<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_883-881-2\">\t\t\t<label  for=\"field_stpmr-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[883][]\" id=\"field_stpmr-2\" value=\"Beratung\"  data-sectionid=\"881\"  data-invmsg=\"Concerne est non valide\"   \/> Conseil<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_883-881-8\">\t\t\t<label  for=\"field_stpmr-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[883][]\" id=\"field_stpmr-8\" value=\"Spende\"  data-sectionid=\"881\"  data-invmsg=\"Concerne est non valide\"   \/> Donation<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_883-881-1\">\t\t\t<label  for=\"field_stpmr-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[883][]\" id=\"field_stpmr-1\" value=\"Einzahlungsschein bestellen\"  data-sectionid=\"881\"  data-invmsg=\"Concerne est non valide\"   \/> Commander un bulletin de versement<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_883-881-other_7\">\t\t\t<label  for=\"field_stpmr-other_7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[883][other_7]\" id=\"field_stpmr-other_7\" value=\"Anderes\"  data-sectionid=\"881\"  data-invmsg=\"Concerne est non valide\"   \/> Autre<\/label><label for=\"field_stpmr-other_7-otext\" class=\"frm_screen_reader frm_hidden\">Autre<\/label><input type=\"text\" id=\"field_stpmr-other_7-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][883][other_7]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_863_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Inscription pour une consultation<\/h3>\r\n\r\n\r\n<div id=\"frm_field_965_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n\t<label for=\"field_zdvcx\" id=\"field_zdvcx_label\" class=\"frm_primary_label\">Titre\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_zdvcx\" name=\"item_meta[965]\" value=\"\"  data-sectionid=\"863\"  data-invmsg=\"Titre ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_864_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_fk4p94\" class=\"frm_primary_label\">Pr\u00e9nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fk4p94\" name=\"item_meta[864]\" value=\"\"  data-sectionid=\"863\"  placeholder=\"Pr\u00e9nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le pr\u00e9nom n&#039;est pas valide \" tabindex=\"1\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_865_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container \">\r\n    <label for=\"field_sfky4\" class=\"frm_primary_label\">Nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sfky4\" name=\"item_meta[865]\" value=\"\"  data-sectionid=\"863\"  placeholder=\"Nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Name ist ung\u00fcltig\" tabindex=\"2\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_868_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <div  id=\"field_med9l2_label\" class=\"frm_primary_label\">Adresse\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_med9l2_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_868-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_med9l2_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_med9l2_line1\" value=\"\" name=\"item_meta[868][line1]\"  placeholder=\"Rue\" data-placeholder=\"Rue\" data-sectionid=\"863\"  data-invmsg=\"Adresse est non valide\" tabindex=\"5\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_868-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_med9l2_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue 2\u00e8me rang\t<\/label>\n\t\t<input type=\"text\" id=\"field_med9l2_line2\" value=\"\" name=\"item_meta[868][line2]\"  placeholder=\"Rue 2\u00e8me rang\" data-placeholder=\"Rue 2\u00e8me rang\" data-sectionid=\"863\"  data-invmsg=\"Adresse est non valide\" class=\"frm_optional\" tabindex=\"5\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Rue 2\u00e8me rang<\/div><\/div>\n<div id=\"frm_field_868-zip_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_med9l2_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode postal \t<\/label>\n\t\t<input type=\"text\" id=\"field_med9l2_zip\" value=\"\" name=\"item_meta[868][zip]\"  placeholder=\"Code postal \" data-placeholder=\"Code postal \" data-sectionid=\"863\"  data-invmsg=\"Adresse est non valide\" tabindex=\"5\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code postal <\/div><\/div>\n<div id=\"frm_field_868-city_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_med9l2_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tLieu\t<\/label>\n\t\t<input type=\"text\" id=\"field_med9l2_city\" value=\"\" name=\"item_meta[868][city]\"  placeholder=\"Lieu\" data-placeholder=\"Lieu\" data-sectionid=\"863\"  data-invmsg=\"Adresse est non valide\" tabindex=\"5\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Lieu<\/div><\/div>\n<div id=\"frm_field_868-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_med9l2_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPays\t<\/label>\n\t\t\t<select name=\"item_meta[868][country]\" id=\"field_med9l2_country\"  placeholder=\"Pays\" data-placeholder=\"Pays\" data-sectionid=\"863\"  data-invmsg=\"Adresse est non valide\" tabindex=\"5\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\tPays\t\t\t<\/option>\n\t\t\t<option  value=\"Schweiz\">Schweiz<\/option><option  value=\"Lichtenstein\">Lichtenstein<\/option><option  value=\"Deutschland\">Deutschland<\/option><option  value=\"&Ouml;sterreich\">&Ouml;sterreich<\/option><option  value=\"Italien\">Italien<\/option><option  value=\"Frankreich\">Frankreich<\/option><option  value=\"Spanien\">Spanien<\/option><option  value=\"\" selected='selected'> <\/option><option  value=\"Afghanistan\" data-code=\"AF\">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=\"Andore\">Andore<\/option><option  value=\"Angolie\">Angolie<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antartique\">Antartique<\/option><option  value=\"Antigua and Barbuda\" data-code=\"AG\">Antigua and Barbuda<\/option><option  value=\"Arabie Saoudite\">Arabie Saoudite<\/option><option  value=\"Argentine\">Argentine<\/option><option  value=\"Arm\u00e9nie\">Arm\u00e9nie<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australie\">Australie<\/option><option  value=\"Australier\">Australier<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahre\u00efn\">Bahre\u00efn<\/option><option  value=\"Barbade (la)\">Barbade (la)<\/option><option  value=\"Belarus\" data-code=\"BY\">Belarus<\/option><option  value=\"Belgique\">Belgique<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Bengladesh\">Bengladesh<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermude\">Bermude<\/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 et Herzegovie\">Bosnie et Herzegovie<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Br\u00e9sil\">Br\u00e9sil<\/option><option  value=\"Bulgarie\">Bulgarie<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"Cambodge\">Cambodge<\/option><option  value=\"Cameroun\">Cameroun<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Cap vert\">Cap vert<\/option><option  value=\"Chile\" data-code=\"CL\">Chile<\/option><option  value=\"Chine\">Chine<\/option><option  value=\"Chypre\">Chypre<\/option><option  value=\"Cit\u00e9 du Vatican\">Cit\u00e9 du Vatican<\/option><option  value=\"Colombie\">Colombie<\/option><option  value=\"Comores\">Comores<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cor\u00e9e du Nord\">Cor\u00e9e du Nord<\/option><option  value=\"Cor\u00e9e du sud\">Cor\u00e9e du sud<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Croatie\">Croatie<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option  value=\"C\u00f4te d\u2019Ivoire\">C\u00f4te d\u2019Ivoire<\/option><option  value=\"Danemarque\">Danemarque<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominique\">Dominique<\/option><option  value=\"Espagne\">Espagne<\/option><option  value=\"Estonie\">Estonie<\/option><option  value=\"Fidji\">Fidji<\/option><option  value=\"Finlande\">Finlande<\/option><option  value=\"France\" data-code=\"FR\">France<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambie\">Gambie<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Grenade\">Grenade<\/option><option  value=\"Groenland\">Groenland<\/option><option  value=\"Gr\u00e8ce\">Gr\u00e8ce<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernesey\">Guernesey<\/option><option  value=\"Guin\u00e9e\">Guin\u00e9e<\/option><option  value=\"Guin\u00e9e Bissau\">Guin\u00e9e Bissau<\/option><option  value=\"Guin\u00e9e \u00c9quatoriale\">Guin\u00e9e \u00c9quatoriale<\/option><option  value=\"Guyane\">Guyane<\/option><option  value=\"Guyane Fran\u00e7aise\">Guyane Fran\u00e7aise<\/option><option  value=\"G\u00e9orgie\">G\u00e9orgie<\/option><option  value=\"G\u00e9orgie du Sud et \u00eeles Sandwich du Sud\">G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hongrie\">Hongrie<\/option><option  value=\"Iles Falkland (Malouines)\">Iles Falkland (Malouines)<\/option><option  value=\"Inde\">Inde<\/option><option  value=\"Indon\u00e9sie\">Indon\u00e9sie<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Iraq\" data-code=\"IQ\">Iraq<\/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\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordanie\">Jordanie<\/option><option  value=\"Kazakhstan\" data-code=\"KZ\">Kazakhstan<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirghizistan\">Kirghizistan<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Koweit\">Koweit<\/option><option  value=\"La R\u00e9union\">La R\u00e9union<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Lettonie\">Lettonie<\/option><option  value=\"Liban\">Liban<\/option><option  value=\"Libye\">Libye<\/option><option  value=\"Lib\u00e9ria\">Lib\u00e9ria<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Lituanie\">Lituanie<\/option><option  value=\"Luxembourg\" data-code=\"LU\">Luxembourg<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Mac\u00e9doine\">Mac\u00e9doine<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malaisie\">Malaisie<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Maldives\" data-code=\"MV\">Maldives<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malte\">Malte<\/option><option  value=\"Maroc\">Maroc<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritanie\">Mauritanie<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexique\">Mexique<\/option><option  value=\"Micron\u00e9sie\">Micron\u00e9sie<\/option><option  value=\"Moldavie\">Moldavie<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongolie\">Mongolie<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Mont\u00e9n\u00e9gro\">Mont\u00e9n\u00e9gro<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibie\">Namibie<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Norv\u00e8ge\">Norv\u00e8ge<\/option><option  value=\"Nouvelle Z\u00e9lande\">Nouvelle Z\u00e9lande<\/option><option  value=\"Nouvelle-Cal\u00e9donie\">Nouvelle-Cal\u00e9donie<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Ouganda\">Ouganda<\/option><option  value=\"Ouzb\u00e9kistan\">Ouzb\u00e9kistan<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papouasie-Nouvelle-Guin\u00e9e\">Papouasie-Nouvelle-Guin\u00e9e<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Pays-bas\">Pays-bas<\/option><option  value=\"Philippines\" data-code=\"PH\">Philippines<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Pologne\">Pologne<\/option><option  value=\"Polyn\u00e9sie Fran\u00e7aise\">Polyn\u00e9sie Fran\u00e7aise<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"P\u00e9rou\">P\u00e9rou<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Roumanie\">Roumanie<\/option><option  value=\"Rouwanda\">Rouwanda<\/option><option  value=\"Royaume-Uni\">Royaume-Uni<\/option><option  value=\"Russie\">Russie<\/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 centrafricaine\">R\u00e9publique centrafricaine<\/option><option  value=\"Sahara occidental\">Sahara occidental<\/option><option  value=\"Saint Barthelemy\" data-code=\"BL\">Saint Barthelemy<\/option><option  value=\"Saint Pierre et Miquelon\">Saint Pierre et Miquelon<\/option><option  value=\"Saint Vincent et les Grenadines\">Saint Vincent et les Grenadines<\/option><option  value=\"Saint-Christophe-et-Ni\u00e9v\u00e8s\">Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option  value=\"Saint-Martin (partie fran\u00e7aise)\">Saint-Martin (partie fran\u00e7aise)<\/option><option  value=\"Saint-Si\u00e8ge\">Saint-Si\u00e8ge<\/option><option  value=\"Sainte-H\u00e9l\u00e8ne, Ascension et Tristan de Cunha\">Sainte-H\u00e9l\u00e8ne, Ascension et Tristan de Cunha<\/option><option  value=\"Salvador (le)\">Salvador (le)<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sante Lucie\">Sante Lucie<\/option><option  value=\"Sao Tome and Principe\" data-code=\"ST\">Sao Tome and Principe<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Serbie\">Serbie<\/option><option  value=\"Seychelles\" data-code=\"SC\">Seychelles<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapour\">Singapour<\/option><option  value=\"Sint Maarten (partie hollandaise)\">Sint Maarten (partie hollandaise)<\/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\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Suisse\">Suisse<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Su\u00e8de\">Su\u00e8de<\/option><option  value=\"Svalbard et Jan Mayen\">Svalbard et Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Syrie\">Syrie<\/option><option  value=\"Tadjikistan\">Tadjikistan<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tanzanie\">Tanzanie<\/option><option  value=\"Tchad\">Tchad<\/option><option  value=\"Terres Australes Fran\u00e7aises\">Terres Australes Fran\u00e7aises<\/option><option  value=\"Territoires britanniques de l\u2019oc\u00e9an Indien\">Territoires britanniques de l\u2019oc\u00e9an Indien<\/option><option  value=\"Tha\u00eflande\">Tha\u00eflande<\/option><option  value=\"Timor oriental\">Timor oriental<\/option><option  value=\"Timor-Oriental\">Timor-Oriental<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tok\u00e9laou\">Tok\u00e9laou<\/option><option  value=\"Tonga\" data-code=\"TO\">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\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Ukraine\" data-code=\"UA\">Ukraine<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"V\u00e9n\u00e9zu\u00e9la\">V\u00e9n\u00e9zu\u00e9la<\/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\" data-code=\"ZW\">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 (l\u2019)\">\u00c9rythr\u00e9e (l\u2019)<\/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 Ca\u00efmans\">\u00celes Ca\u00efmans<\/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-MacDonald\">\u00celes Heard-et-MacDonald<\/option><option  value=\"\u00celes Mariannes du Nord\">\u00celes Mariannes du Nord<\/option><option  value=\"\u00celes Marshall\">\u00celes Marshall<\/option><option  value=\"\u00celes Salomon\">\u00celes Salomon<\/option><option  value=\"\u00celes Samoa Am\u00e9ricaines\">\u00celes Samoa Am\u00e9ricaines<\/option><option  value=\"\u00celes Turques et Ca\u00efques\">\u00celes Turques et Ca\u00efques<\/option><option  value=\"\u00celes Vierges britanniques\">\u00celes Vierges britanniques<\/option><option  value=\"\u00celes Vierges des \u00c9tats-Unis\">\u00celes Vierges des \u00c9tats-Unis<\/option><option  value=\"\u00celes mineures am\u00e9ricaines\">\u00celes mineures am\u00e9ricaines<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Pays<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_869_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_q3i494\" class=\"frm_primary_label\">T\u00e9l\u00e9phone\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q3i494\" name=\"item_meta[869]\" value=\"\"  data-sectionid=\"863\"  placeholder=\"T\u00e9l\u00e9phone\" data-invmsg=\"Telefon P ist ung\u00fcltig\" tabindex=\"6\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_870_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container margbottom\">\r\n    <label for=\"field_8o3pe4\" class=\"frm_primary_label\">E-mail\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_8o3pe4\" name=\"item_meta[870]\" value=\"\"  data-sectionid=\"863\"  placeholder=\"E-mail\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"L&#039;email n&#039;est pas valide \" tabindex=\"7\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_872_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Prise de contact<\/h3>\r\n\r\n\r\n<div id=\"frm_field_873_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">Prise de contact par\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_873-872-0\">\t\t\t<label  for=\"field_auqb82-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[873][]\" id=\"field_auqb82-0\" value=\"Telefon\"  data-sectionid=\"872\"  data-invmsg=\"Prise de contact par ist ung\u00fcltig\" tabindex=\"8\"   \/> T\u00e9l\u00e9phone<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_873-872-2\">\t\t\t<label  for=\"field_auqb82-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[873][]\" id=\"field_auqb82-2\" value=\"E-Mail\"  data-sectionid=\"872\"  data-invmsg=\"Prise de contact par ist ung\u00fcltig\" tabindex=\"8\"   \/> E-mail<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_875_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">Jour et heure \r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-0\">\t\t\t<label  for=\"field_cdhxq2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-0\" value=\"Unter der Woche\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> Au cours de la semaine<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-1\">\t\t\t<label  for=\"field_cdhxq2-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-1\" value=\"Wochenende\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> Weekend<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-2\">\t\t\t<label  for=\"field_cdhxq2-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-2\" value=\"Morgens\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> Le matin<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-3\">\t\t\t<label  for=\"field_cdhxq2-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-3\" value=\"Mittags\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> A l&rsquo;heure du d\u00e9jeuner<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-4\">\t\t\t<label  for=\"field_cdhxq2-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-4\" value=\"Nachmittags\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> Dans l&rsquo;apr\u00e8s-midi<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_875-872-5\">\t\t\t<label  for=\"field_cdhxq2-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[875][]\" id=\"field_cdhxq2-5\" value=\"Abends\"  data-sectionid=\"872\"  data-invmsg=\"Jour et heure  ist ung\u00fcltig\" tabindex=\"9\"   \/> Le soir<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_876_container\" class=\"frm_form_field form-field  frm_left_container margtop\">\r\n    <label for=\"field_x6auv4\" class=\"frm_primary_label\">Remarques\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[876]\" id=\"field_x6auv4\" rows=\"5\"  placeholder=\"Remarques \" data-invmsg=\"Bemerkungen ist ung\u00fcltig\" tabindex=\"10\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_877_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">Newsletter\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_877-0\">\t\t\t<label  for=\"field_jyro14-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[877][]\" id=\"field_jyro14-0\" value=\"Newsletter Anmelden\"  data-invmsg=\"Newsletter ist ung\u00fcltig\" tabindex=\"11\"   \/> Inscription \u00e0 la newsletter<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_878_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container vertical_radio\">\r\n    <label for=\"field_urzhe2\" class=\"frm_primary_label\">J\u2019ai pris connaissance de la protection des donn\u00e9es\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_878-0\">\t\t\t<label  for=\"field_urzhe2-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[878][]\" id=\"field_urzhe2-0\" value=\"Alle Informationen werden streng vertraulich behandelt und sicher \u00fcbermittelt. Bitte beachten Sie auch unsere &lt;a href=&quot;https:\/\/retina.ch\/datenschutzerklaerung\/&quot;&gt;Datenschutzbestimmungen&lt;\/a&gt;.\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J\u2019ai pris connaissance de la protection des donn\u00e9es ist ung\u00fcltig\" tabindex=\"12\"   aria-required=\"true\"  \/> Toutes les informations seront gard\u00e9es strictement confidentielles et transmises en toute s\u00e9curit\u00e9. Veuillez \u00e9galement prendre note de notre <a href=\"https:\/\/retina.ch\/fr\/protection-des-donnees\/\">r\u00e8glement sur la protection des donn\u00e9es<\/a>. <\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n\t\t<input  type=\"hidden\" name=\"item_meta[879]\" id=\"field_oex9l2\" value=\"fr\"  data-frmval=\"fr\"   \/>\n\t\t<div id=\"frm_field_880_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_hklbn2_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_hklbn2\" class=\"frm-g-recaptcha\" data-sitekey=\"6Lcl3ssqAAAAAGA7D5dtsehN8NMTN6Uov3vqF23L\" data-size=\"invisible\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_960_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\" tabindex=\"14\">Envoyer la demande<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_1010_container\">\n\t\t\t<label for=\"field_t0hpl\" >\n\t\t\t\tSi vous \u00eates un humain, ne remplissez pas ce champ.\t\t\t<\/label>\n\t\t\t<input  id=\"field_t0hpl\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[1010]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"rf6TVoS9T7Lb2kpTWGmLGcehiDQbshkk7wlSQeccoqnAXxZIiaD+T6mfX0Cyr2WV\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":932,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-13916","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire de contact &#8226; 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