{"id":2214,"date":"2020-09-19T19:21:04","date_gmt":"2020-09-19T17:21:04","guid":{"rendered":"https:\/\/dev.retina.ch\/?page_id=2214"},"modified":"2025-03-12T09:10:07","modified_gmt":"2025-03-12T08:10:07","slug":"commande-de-materiel-dinformation","status":"publish","type":"page","link":"https:\/\/retina.ch\/fr\/services\/commande-de-materiel-dinformation\/","title":{"rendered":"Commande de mat\u00e9riel d\u2019information"},"content":{"rendered":"\n<p>Le diagnostic d\u2019une maladie de la r\u00e9tine est pour les patients et patientes le d\u00e9but d\u2019une p\u00e9riode de confrontation avec la maladie et de ses cons\u00e9quences dans la vie personnelle et professionnelle. L\u2019information ad\u00e9quate va de pair avec un conseil personnalis\u00e9 et est une condition sine qua non pour que les patients puissent d\u00e9cider en toute autonomie des mesures \u00e0 prendre. Retina Suisse met \u00e0 disposition les informations actuelles et bien compr\u00e9hensibles sur les principales pathologies de la r\u00e9tine.<\/p>\n\n\n\n<p>Veuillez me\/nous envoyer s.v.p. le mat\u00e9riel d\u2019information suivant.<br>Pour un envoi \u00e0 l\u2019\u00e9tranger, nous nous permettons de facturer les frais de livraison.<\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_16_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_informationsmaterialbestellung\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Commande de mat\u00e9riel d\u2019information<\/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=\"16\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_16\" id=\"frm_hide_fields_16\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"informationsmaterialbestellung\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_16\" name=\"frm_submit_entry_16\" value=\"44be83f1e4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2214\" \/><div id=\"frm_field_890_container\" class=\"frm_form_field frm_section_heading form-field  sectionbig\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"1\">Informations g\u00e9n\u00e9rales<\/h3>\r\n\r\n\r\n<\/div>\n<div id=\"frm_field_427_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"2\">Information et consultation (d\u00e9pliant)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_428_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_go713\" id=\"field_go713_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_go713\" name=\"item_meta[428]\" value=\"\"  data-sectionid=\"427\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"3\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_429_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_spqqw\" id=\"field_spqqw_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_spqqw\" name=\"item_meta[429]\" value=\"\"  data-sectionid=\"427\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"4\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_430_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_tfjac\" id=\"field_tfjac_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tfjac\" name=\"item_meta[430]\" value=\"\"  data-sectionid=\"427\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"5\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_719_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"10\">Malvoyant(e) \u00e0 cause de d\u00e9g\u00e9n\u00e9rescences de la r\u00e9tine \u2013 Autonomie dans la vie de tous les jours (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_356_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_7ohkr\" id=\"field_7ohkr_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_7ohkr\" name=\"item_meta[356]\" value=\"\"  data-sectionid=\"719\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"11\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_357_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_szvl0\" id=\"field_szvl0_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_szvl0\" name=\"item_meta[357]\" value=\"\"  data-sectionid=\"719\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"12\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_358_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_57f41\" id=\"field_57f41_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_57f41\" name=\"item_meta[358]\" value=\"\"  data-sectionid=\"719\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"13\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_885_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"20\">D\u00e9g\u00e9n\u00e9rescences r\u00e9tiniennes: Une vision diff\u00e9rente (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_886_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_blu8m\" id=\"field_blu8m_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_blu8m\" name=\"item_meta[886]\" value=\"\"  data-sectionid=\"885\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"21\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_887_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_a2ljf\" id=\"field_a2ljf_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_a2ljf\" name=\"item_meta[887]\" value=\"\"  data-sectionid=\"885\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"22\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_888_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_6luqx\" id=\"field_6luqx_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_6luqx\" name=\"item_meta[888]\" value=\"\"  data-sectionid=\"885\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"23\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_894_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"30\">Analyse g\u00e9n\u00e9tique en vue d\u2019un diagnostic et d\u2019une th\u00e9rapie (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_895_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_q3l9k\" id=\"field_q3l9k_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q3l9k\" name=\"item_meta[895]\" value=\"\"  data-sectionid=\"894\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"31\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_896_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_ikuyb\" id=\"field_ikuyb_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ikuyb\" name=\"item_meta[896]\" value=\"\"  data-sectionid=\"894\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"32\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_897_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_ivzex\" id=\"field_ivzex_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ivzex\" name=\"item_meta[897]\" value=\"\"  data-sectionid=\"894\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"33\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_892_container\" class=\"frm_form_field frm_section_heading form-field  sectionbig\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"49\">Maladies<\/h3>\r\n\r\n\r\n<\/div>\n<div id=\"frm_field_340_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small frm12 frm_first\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"50\">La d\u00e9g\u00e9n\u00e9rescence maculaire li\u00e9e \u00e0 l&rsquo;\u00e2ge &#8211; DMLA (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_341_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_yf1to\" id=\"field_yf1to_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yf1to\" name=\"item_meta[341]\" value=\"\"  data-sectionid=\"340\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"51\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_342_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_iuswk\" id=\"field_iuswk_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_iuswk\" name=\"item_meta[342]\" value=\"\"  data-sectionid=\"340\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"52\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_343_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_84g5u\" id=\"field_84g5u_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_84g5u\" name=\"item_meta[343]\" value=\"\"  data-sectionid=\"340\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"53\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_345_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"60\">Test de la grille d&rsquo;Amsler (bloc de 25 exemplaires)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_346_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_fabh\" id=\"field_fabh_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fabh\" name=\"item_meta[346]\" value=\"\"  data-sectionid=\"345\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"61\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_347_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_53jik\" id=\"field_53jik_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_53jik\" name=\"item_meta[347]\" value=\"\"  data-sectionid=\"345\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"62\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_348_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_q1772\" id=\"field_q1772_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_q1772\" name=\"item_meta[348]\" value=\"\"  data-sectionid=\"345\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"63\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_350_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"70\">Test de la grille d\u2019Amsler (un exemplaire)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_351_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_8x8ui\" id=\"field_8x8ui_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8x8ui\" name=\"item_meta[351]\" value=\"\"  data-sectionid=\"350\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"71\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_352_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_s6xut\" id=\"field_s6xut_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_s6xut\" name=\"item_meta[352]\" value=\"\"  data-sectionid=\"350\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"72\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_353_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_8xtsa\" id=\"field_8xtsa_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8xtsa\" name=\"item_meta[353]\" value=\"\"  data-sectionid=\"350\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"73\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_951_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\"tabindex=\"75\">Glaucome (brochure) &#8211; pr\u00e9commande<\/h3>\r\n\r\n\r\n<div id=\"frm_field_952_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_gdl4r\" id=\"field_gdl4r_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gdl4r\" name=\"item_meta[952]\" value=\"\"  data-sectionid=\"951\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"76\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_953_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_2kek5\" id=\"field_2kek5_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2kek5\" name=\"item_meta[953]\" value=\"\"  data-sectionid=\"951\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"77\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_954_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_fhevu\" id=\"field_fhevu_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fhevu\" name=\"item_meta[954]\" value=\"\"  data-sectionid=\"951\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"78\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_923_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\"tabindex=\"80\">Myopie (Brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_900_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_mca84\" id=\"field_mca84_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mca84\" name=\"item_meta[900]\" value=\"\"  data-sectionid=\"923\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"81\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_901_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_69hzp\" id=\"field_69hzp_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_69hzp\" name=\"item_meta[901]\" value=\"\"  data-sectionid=\"923\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"82\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_902_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_nldjg\" id=\"field_nldjg_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nldjg\" name=\"item_meta[902]\" value=\"\"  data-sectionid=\"923\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"83\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_335_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"90\">D\u00e9collement de la r\u00e9tine (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_337_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_bd5zt\" id=\"field_bd5zt_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bd5zt\" name=\"item_meta[337]\" value=\"\"  data-sectionid=\"335\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=91\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_338_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_bdxo3\" id=\"field_bdxo3_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bdxo3\" name=\"item_meta[338]\" value=\"\"  data-sectionid=\"335\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"92\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_339_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_fwj4j\" id=\"field_fwj4j_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fwj4j\" name=\"item_meta[339]\" value=\"\"  data-sectionid=\"335\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"93\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_417_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"100\">Le diab\u00e8te et la r\u00e9tine (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_418_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_9l9pf\" id=\"field_9l9pf_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9l9pf\" name=\"item_meta[418]\" value=\"\"  data-sectionid=\"417\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"101\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_419_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_1vbrd\" id=\"field_1vbrd_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1vbrd\" name=\"item_meta[419]\" value=\"\"  data-sectionid=\"417\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"102\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_420_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_bhm1d\" id=\"field_bhm1d_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_bhm1d\" name=\"item_meta[420]\" value=\"\"  data-sectionid=\"417\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"103\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_945_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"120\">Occlusion veineuse r\u00e9tinienne (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_946_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_fdfe7\" id=\"field_fdfe7_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_fdfe7\" name=\"item_meta[946]\" value=\"\"  data-sectionid=\"945\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"121\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_947_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_pk9ny\" id=\"field_pk9ny_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pk9ny\" name=\"item_meta[947]\" value=\"\"  data-sectionid=\"945\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"122\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_948_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_oqaul\" id=\"field_oqaul_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_oqaul\" name=\"item_meta[948]\" value=\"\"  data-sectionid=\"945\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"123\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_387_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"135\">R\u00e9tinite pigmentaire &#8211; RP (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_388_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_a9vfa\" id=\"field_a9vfa_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_a9vfa\" name=\"item_meta[388]\" value=\"\"  data-sectionid=\"387\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"136\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_389_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_unbum\" id=\"field_unbum_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unbum\" name=\"item_meta[389]\" value=\"\"  data-sectionid=\"387\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"137\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_390_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_a7rbp\" id=\"field_a7rbp_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_a7rbp\" name=\"item_meta[390]\" value=\"\"  data-sectionid=\"387\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"138  \" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_402_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"150\">Le syndrome de Usher (brochure)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_403_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_ppmep\" id=\"field_ppmep_label\" class=\"frm_primary_label\">DE\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ppmep\" name=\"item_meta[403]\" value=\"\"  data-sectionid=\"402\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"151\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_404_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_emf6j\" id=\"field_emf6j_label\" class=\"frm_primary_label\">FR\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_emf6j\" name=\"item_meta[404]\" value=\"\"  data-sectionid=\"402\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Zahl ist ung\u00fcltig\" tabindex=\"152\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_405_container\" class=\"frm_form_field form-field  frm_left_container frm_third\">\r\n    <label for=\"field_xvqri\" id=\"field_xvqri_label\" class=\"frm_primary_label\">IT\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_xvqri\" name=\"item_meta[405]\" value=\"\"  data-sectionid=\"402\"  placeholder=\"Quantit\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"153\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_909_container\" class=\"frm_form_field frm_section_heading form-field  sectionbig\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"159\">Feuilles d&rsquo;information<\/h3>\r\n\r\n\r\n<\/div>\n<div id=\"frm_field_392_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"161\">RP: Diagnostic RP \u2013 et alors ?<\/h3>\r\n\r\n\r\n<div id=\"frm_field_911_container\" class=\"frm_form_field  frm4 frm_first frm_html_container form-field\" tabindex=\"162\">\n<div class=\"lbl\">DE<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-d.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-d.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_912_container\" class=\"frm_form_field  frm4 frm6 frm_html_container form-field\" tabindex=\"163\">\n<div class=\"lbl\">FR<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-f.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-f.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_913_container\" class=\"frm_form_field  frm4 frm4 frm_html_container form-field\" tabindex=\"164\">\n<div class=\"lbl\">IT<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-i.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/diagnose-rp-i.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_397_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"170\">RP: Lettre ouverte aux parents d&rsquo;un enfant atteint de RP<\/h3>\r\n\r\n\r\n<div id=\"frm_field_915_container\" class=\"frm_form_field  frm4 frm_first frm_html_container form-field\" tabindex=\"171\">\n<div class=\"lbl\">DE<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-d.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-d.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_914_container\" class=\"frm_form_field  frm4 frm6 frm_html_container form-field\" tabindex=\"172\">\n<div class=\"lbl\">FR<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-f.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-f.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_916_container\" class=\"frm_form_field  frm4 frm4 frm_html_container form-field\" tabindex=\"173\">\n<div class=\"lbl\">IT<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-i.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/rp-offener-brief-i.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_407_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"180\">Le Syndrome de Usher: informations et conseils<\/h3>\r\n\r\n\r\n<div id=\"frm_field_919_container\" class=\"frm_form_field  frm4 frm_first frm_html_container form-field\" tabindex=\"181\">\n<div class=\"lbl\">DE<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-d.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-d.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_917_container\" class=\"frm_form_field  frm4 frm6 frm_html_container form-field\" tabindex=\"182\">\n<div class=\"lbl\">FR<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-f.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-f.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_918_container\" class=\"frm_form_field  frm4 frm4 frm_html_container form-field\" tabindex=\"183\">\n<div class=\"lbl\">IT<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-i.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-grundregeln-i.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_412_container\" class=\"frm_form_field frm_section_heading form-field  frm_title_small\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"190\">Le Syndrome de Usher: Avoir une bonne vue a une importance vitale pour un enfant handicap\u00e9 de l&rsquo;ou\u00efe! <\/h3>\r\n\r\n\r\n<div id=\"frm_field_922_container\" class=\"frm_form_field  frm4 frm_first frm_html_container form-field\" tabindex=\"191\">\n<div class=\"lbl\">DE<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-d.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-d.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_920_container\" class=\"frm_form_field  frm4 frm6 frm_html_container form-field\" tabindex=\"192\">\n<div class=\"lbl\">FR<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-f.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-f.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<div id=\"frm_field_921_container\" class=\"frm_form_field  frm4 frm4 frm_html_container form-field\" tabindex=\"193\">\n<div class=\"lbl\">IT<\/div>\n<div class=\"inputlink\"><a href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-i.pdf\" target=\"_blank\" rel=\"noopener\" data-mce-href=\"https:\/\/retina.ch\/wp-content\/uploads\/2024\/04\/usher-gute-sicht-i.pdf\">Download PDF<\/a><\/div>\n<\/div>\n<\/div>\n<div id=\"frm_field_457_container\" class=\"frm_form_field frm_section_heading form-field  sectionbig sectionborder\">\r\n<h3 class=\"frm_pos_left frm_section_spacing\" tabindex=\"230\">Donn\u00e9es personnelles<\/h3>\r\n\r\n\r\n<div id=\"frm_field_964_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n\t<label for=\"field_2zwq3\" id=\"field_2zwq3_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_2zwq3\" name=\"item_meta[964]\" value=\"\"  data-sectionid=\"457\"  data-invmsg=\"Titre ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_459_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_8j1gr\" id=\"field_8j1gr_label\" class=\"frm_primary_label\" >Pr\u00e9nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8j1gr\" name=\"item_meta[459]\" value=\"\"  data-sectionid=\"457\"  placeholder=\"Pr\u00e9nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"231\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_460_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_tkwgm\" id=\"field_tkwgm_label\" class=\"frm_primary_label\">Nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tkwgm\" name=\"item_meta[460]\" value=\"\"  data-sectionid=\"457\"  placeholder=\"Nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"232\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_462_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_juwc5\" id=\"field_juwc5_label\" class=\"frm_primary_label\">Soci\u00e9t\u00e9\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_juwc5\" name=\"item_meta[462]\" value=\"\"  data-sectionid=\"457\"  placeholder=\"Soci\u00e9t\u00e9\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"233\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_461_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <div  id=\"field_ssf42_label\" class=\"frm_primary_label\">Adresse \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_ssf42_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAdresse <\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_461-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ssf42_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue\t<\/label>\n\t\t<input type=\"text\" id=\"field_ssf42_line1\" value=\"\" name=\"item_meta[461][line1]\"  placeholder=\"Rue\" data-placeholder=\"Rue\" data-sectionid=\"457\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Adresse  est non valide\" tabindex=\"234\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Rue<\/div><\/div>\n<div id=\"frm_field_461-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ssf42_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tRue 2\u00e8me rang\t<\/label>\n\t\t<input type=\"text\" id=\"field_ssf42_line2\" value=\"\" name=\"item_meta[461][line2]\"  placeholder=\"Rue 2\u00e8me ligne \" data-placeholder=\"Rue 2\u00e8me ligne \" data-sectionid=\"457\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Adresse  est non valide\" class=\"frm_optional\" tabindex=\"234\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Rue 2\u00e8me rang<\/div><\/div>\n<div id=\"frm_field_461-zip_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_ssf42_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tCode postal \t<\/label>\n\t\t<input type=\"text\" id=\"field_ssf42_zip\" value=\"\" name=\"item_meta[461][zip]\"  placeholder=\"Code postal\" data-placeholder=\"Code postal\" data-sectionid=\"457\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Adresse  est non valide\" tabindex=\"234\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Code postal <\/div><\/div>\n<div id=\"frm_field_461-city_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_ssf42_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tLieu\t<\/label>\n\t\t<input type=\"text\" id=\"field_ssf42_city\" value=\"\" name=\"item_meta[461][city]\"  placeholder=\"Lieu\" data-placeholder=\"Lieu\" data-sectionid=\"457\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Adresse  est non valide\" tabindex=\"234\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Lieu<\/div><\/div>\n<div id=\"frm_field_461-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_ssf42_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tPays\t<\/label>\n\t\t\t<select name=\"item_meta[461][country]\" id=\"field_ssf42_country\"  placeholder=\"Pays\" data-placeholder=\"Pays\" data-sectionid=\"457\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Adresse  est non valide\" tabindex=\"234\" 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_463_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_50eqb\" id=\"field_50eqb_label\" class=\"frm_primary_label\">E-mail\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_50eqb\" name=\"item_meta[463]\" value=\"\"  data-sectionid=\"457\"  placeholder=\"E-mail\" data-invmsg=\"L&#039;email n&#039;est pas valide \" tabindex=\"235\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div 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