{"id":2886,"date":"2020-09-19T19:24:24","date_gmt":"2020-09-19T17:24:24","guid":{"rendered":"https:\/\/dev.retina.ch\/?page_id=2886"},"modified":"2023-11-16T15:45:41","modified_gmt":"2023-11-16T14:45:41","slug":"adhesion","status":"publish","type":"page","link":"https:\/\/retina.ch\/fr\/organisation\/adhesion\/","title":{"rendered":"Adh\u00e9sion"},"content":{"rendered":"\n<p>Retina Suisse soutient la recherche pour que soit trouv\u00e9e une th\u00e9rapie pour ses membres. En coop\u00e9ration avec 40 autres organisations membres de Retina International, nous encourageons la recherche clinique dans le monde entier. Devenez membre de Retina Suisse et soutenez-nous en versant une cotisation annuelle<strong> <\/strong>de<strong> <code>Fr. 60.00<\/code><\/strong>.<\/p>\n\n\n\n<p>En tant que membre, vous serez inform\u00e9 de l&rsquo;\u00e9tat de la recherche actuelle, des nouveaux moyens auxiliaires, de nos \u00e9v\u00e9nements et de nos groupes de paroles, etc. Vous recevrez notre Retina Journal trois fois par an. Outre les articles scientifiques, vous trouverez \u00e9galement des rapports de patients, des conseils utiles pour la vie de tous les jours et bien d&rsquo;autres choses encore. Vous avez \u00e9galement votre mot \u00e0 dire lors de l&rsquo;assembl\u00e9e g\u00e9n\u00e9rale annuelle.<\/p>\n\n\n\n<p>Connectez-vous en tant que membre au portail priv\u00e9 pour acc\u00e9der \u00e0 des informations plus vastes sur la recherche et pour t\u00e9l\u00e9charger le Retina Journal. <\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_21_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_pbnwe7282b9328e\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">D\u00e9claration d\u2019adh\u00e9sion<\/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=\"21\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_21\" id=\"frm_hide_fields_21\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"pbnwe7282b9328e\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_21\" name=\"frm_submit_entry_21\" value=\"0ed5bcfa62\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2886\" \/><div id=\"frm_field_623_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Adh\u00e9sion<\/h3>\r\n\r\n\r\n<div id=\"frm_field_624_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container vertical_radio\">\r\n    <label for=\"field_f4rp43d97bb2a2e\" class=\"frm_primary_label\">J&rsquo;aimerais adh\u00e9rer \u00e0 Retina Suisse\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_624-623-0\">\t\t\t<label  for=\"field_f4rp43d97bb2a2e-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[624]\" id=\"field_f4rp43d97bb2a2e-0\" value=\"Patient*in\"\n\t\t data-sectionid=\"623\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J&#039;aimerais adh\u00e9rer \u00e0 Retina Suisse est non valide\" tabindex=\"6\"   \/> Patient\/e<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_624-623-1\">\t\t\t<label  for=\"field_f4rp43d97bb2a2e-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[624]\" id=\"field_f4rp43d97bb2a2e-1\" value=\"Eltern\"\n\t\t data-sectionid=\"623\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J&#039;aimerais adh\u00e9rer \u00e0 Retina Suisse est non valide\" tabindex=\"6\"   \/> Parents<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_624-623-3\">\t\t\t<label  for=\"field_f4rp43d97bb2a2e-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[624]\" id=\"field_f4rp43d97bb2a2e-3\" value=\"Familienangeh\u00f6rige, Freunde\"\n\t\t data-sectionid=\"623\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J&#039;aimerais adh\u00e9rer \u00e0 Retina Suisse est non valide\" tabindex=\"6\"   \/> Proches<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_624-623-2\">\t\t\t<label  for=\"field_f4rp43d97bb2a2e-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[624]\" id=\"field_f4rp43d97bb2a2e-2\" value=\"G\u00f6nner*in (ohne Stimmrecht)\"\n\t\t data-sectionid=\"623\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J&#039;aimerais adh\u00e9rer \u00e0 Retina Suisse est non valide\" tabindex=\"6\"   \/> Donateur\/donatrice (sans droit de vote)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_626_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Indications suppl\u00e9mentaires pour les parents<\/h3>\r\n\r\n\r\n<div id=\"frm_field_627_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_ctq5v102839de41\" class=\"frm_primary_label\">Nom du fils\/de la fille\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ctq5v102839de41\" name=\"item_meta[627]\" value=\"\"  data-sectionid=\"626\"  placeholder=\"Nom du fils\/de la fille\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"11\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_628_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_72gyd5c2642fdfd\" id=\"field_72gyd5c2642fdfd_label\" class=\"frm_primary_label\">Date de naissance \r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_72gyd5c2642fdfd\" name=\"item_meta[628]\" value=\"\"  data-sectionid=\"626\"  placeholder=\"Date de naissance \" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"12\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_705_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Diagnostic<\/h3>\r\n\r\n\r\n<div id=\"frm_field_707_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio frm_other_container\">\r\n    <div  id=\"field_kp85u_label\" class=\"frm_primary_label\">Diagnostic\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_kp85u_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-0\">\t\t\t<label  for=\"field_kp85u-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-0\" value=\"Altersbedingte Makuladegeneration (AMD)\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> D\u00e9g\u00e9n\u00e9rescence maculaire li\u00e9e \u00e0 l\u2019\u00e2ge (DMLA)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-1\">\t\t\t<label  for=\"field_kp85u-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-1\" value=\"Juvenile Makuladegeneration\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> D\u00e9g\u00e9n\u00e9rescence maculaire juv\u00e9nile<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-2\">\t\t\t<label  for=\"field_kp85u-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-2\" value=\"Retinitis pigmentosa (RP)\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> R\u00e9tinite pigmentaire (RP)<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-3\">\t\t\t<label  for=\"field_kp85u-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-3\" value=\"Usher-Syndrom\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> Syndrome de Usher<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-4\">\t\t\t<label  for=\"field_kp85u-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-4\" value=\"Zapfen-St\u00e4bchen-Dystrophie\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> Dystrophie des c\u00f4nes et des b\u00e2tonnets<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-5\">\t\t\t<label  for=\"field_kp85u-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-5\" value=\"Retinaler Venenverschluss\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> Occlusion veineuse r\u00e9tinienne<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-6\">\t\t\t<label  for=\"field_kp85u-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-6\" value=\"Diabetische Retinopathie\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> R\u00e9tinopathie diab\u00e9tique<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-7\">\t\t\t<label  for=\"field_kp85u-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][]\" id=\"field_kp85u-7\" value=\"Unbekannt\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> inconnu<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_707-705-other_8\">\t\t\t<label  for=\"field_kp85u-other_8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[707][other_8]\" id=\"field_kp85u-other_8\" value=\"Andere\"  data-sectionid=\"705\"  data-invmsg=\"Diagnostic ist ung\u00fcltig\"   \/> autres<\/label><label for=\"field_kp85u-other_8-otext\" class=\"frm_screen_reader frm_hidden\">autres<\/label><input type=\"text\" id=\"field_kp85u-other_8-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][707][other_8]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_638_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Donn\u00e9es personnel<\/h3>\r\n\r\n\r\n<div id=\"frm_field_967_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n\t<label for=\"field_fy9of\" id=\"field_fy9of_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_fy9of\" name=\"item_meta[967]\" value=\"\"  data-sectionid=\"638\"  data-invmsg=\"Titre ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_639_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_pytlj10f6032b97\" class=\"frm_primary_label\">Pr\u00e9nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pytlj10f6032b97\" name=\"item_meta[639]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"Pr\u00e9nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"16\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_640_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_lz7tv30936a0d29\" class=\"frm_primary_label\">Nom\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_lz7tv30936a0d29\" name=\"item_meta[640]\" value=\"\"  data-sectionid=\"430\"  placeholder=\"Nom\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"17\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_641_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_pfd7f24ed6eb38f\" class=\"frm_primary_label\">Date de naissance\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pfd7f24ed6eb38f\" name=\"item_meta[641]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"Date de naissance\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"18\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_642_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_9uils0e4a9831cf\" class=\"frm_primary_label\">Profession\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9uils0e4a9831cf\" name=\"item_meta[642]\" value=\"\"  data-sectionid=\"430\"  placeholder=\"Profession\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"19\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_643_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_986cj11b488356e\" class=\"frm_primary_label\">E-mail\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_986cj11b488356e\" name=\"item_meta[643]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"E-mail\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"E-mail n&#039;est pas valable\" tabindex=\"20\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_644_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_i8upoe8db3b46cc\" class=\"frm_primary_label\">T\u00e9l\u00e9phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_i8upoe8db3b46cc\" name=\"item_meta[644]\" value=\"\"  data-sectionid=\"430\"  placeholder=\"T\u00e9l\u00e9phone\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"21\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_925_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_1gtig\" id=\"field_1gtig_label\" class=\"frm_primary_label\">Strasse Nr. \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1gtig\" name=\"item_meta[925]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"Strasse Nr.\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Strasse Nr.  ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_926_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_wqoua\" id=\"field_wqoua_label\" class=\"frm_primary_label\">PLZ\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_wqoua\" name=\"item_meta[926]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"Code postal \" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"PLZ ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_927_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_inw06\" id=\"field_inw06_label\" class=\"frm_primary_label\">Lieu\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_inw06\" name=\"item_meta[927]\" value=\"\"  data-sectionid=\"638\"  placeholder=\"Lieu\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Lieu ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_928_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_s2wy7\" id=\"field_s2wy7_label\" class=\"frm_primary_label\">Pays\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[928]\" id=\"field_s2wy7\"  data-sectionid=\"638\"  data-frmval=\"Schweiz\" data-invmsg=\"Pays ist ung\u00fcltig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Schweiz\" selected='selected'>Suisse<\/option><option  value=\"Lichtenstein\">Lichtenstein<\/option><option  value=\"Deutschland\">Deutschland<\/option><option  value=\"\u00d6sterreich\">\u00d6sterreich<\/option><option  value=\"Italien\">Italien<\/option><option  value=\"Frankreich\">Frankreich<\/option><option  value=\"Spanien\">Spanien<\/option><option  value=\"\"> <\/option><option  value=\"Afghanistan\">Afghanistan<\/option><option  value=\"Albanien\">Albanien<\/option><option  value=\"Algerien\">Algerien<\/option><option  value=\"Amerikanisch-Samoa\">Amerikanisch-Samoa<\/option><option  value=\"Amerikanische Jungferninseln\">Amerikanische Jungferninseln<\/option><option  value=\"Andorra\">Andore<\/option><option  value=\"Angola\">Angolie<\/option><option  value=\"Anguilla\">Anguilla<\/option><option  value=\"Antarktika\">Antarktika<\/option><option  value=\"Antigua und Barbuda\">Antigua und Barbuda<\/option><option  value=\"Argentinien\">Argentinien<\/option><option  value=\"Armenien\">Armenien<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Aserbaidschan\">Aserbaidschan<\/option><option  value=\"Australien\">Australien<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahre\u00efn<\/option><option  value=\"Bangladesch\">Bangladesch<\/option><option  value=\"Barbados\">Barbade (la)<\/option><option  value=\"Belgien\">Belgien<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Benin\">Benin<\/option><option  value=\"Bermuda\">Bermude<\/option><option  value=\"Bhutan\">Bhoutan<\/option><option  value=\"Bolivien\">Bolivien<\/option><option  value=\"Bonaire, Sint Eustatius und Saba\">Bonaire, Sint Eustatius und Saba<\/option><option  value=\"Bosnien und Herzegowina\">Bosnien und Herzegowina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvetinsel\">Bouvetinsel<\/option><option  value=\"Brasilien\">Brasilien<\/option><option  value=\"Britische Jungferninseln\">Britische Jungferninseln<\/option><option  value=\"Britisches Territorium im Indischen Ozean\">Britisches Territorium im Indischen Ozean<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgarien\">Bulgarien<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">Chine<\/option><option  value=\"Cookinseln\">Cookinseln<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Cura\u00e7ao\">Cura\u00e7ao<\/option><option  value=\"Deutschland\">Deutschland<\/option><option  value=\"Dominica\">Dominique<\/option><option  value=\"Dominikanische Republik\">Dominikanische Republik<\/option><option  value=\"Dschibuti\">Dschibuti<\/option><option  value=\"D\u00e4nemark\">D\u00e4nemark<\/option><option  value=\"Ecuador\">\u00c9quateur<\/option><option  value=\"El Salvador\">Salvador (le)<\/option><option  value=\"Eritrea\">\u00c9rythr\u00e9e (l\u2019)<\/option><option  value=\"Estland\">Estland<\/option><option  value=\"Eswatini\">Eswatini<\/option><option  value=\"Falklandinseln (Malvinas)\">Falklandinseln (Malvinas)<\/option><option  value=\"Fidschi\">Fidschi<\/option><option  value=\"Finnland\">Finnland<\/option><option  value=\"Frankreich\">Frankreich<\/option><option  value=\"Franz\u00f6sisch-Guayana\">Franz\u00f6sisch-Guayana<\/option><option  value=\"Franz\u00f6sisch-Polynesien\">Franz\u00f6sisch-Polynesien<\/option><option  value=\"Franz\u00f6sische S\u00fcd- und Antarktisgebiete\">Franz\u00f6sische S\u00fcd- und Antarktisgebiete<\/option><option  value=\"F\u00e4r\u00f6er\">F\u00e4r\u00f6er<\/option><option  value=\"Gabun\">Gabun<\/option><option  value=\"Gambia\">Gambie<\/option><option  value=\"Georgien\">Georgien<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Grenada\">Grenade<\/option><option  value=\"Griechenland\">Griechenland<\/option><option  value=\"Gr\u00f6nland\">Gr\u00f6nland<\/option><option  value=\"Guadeloupe\">Guadeloupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernesey<\/option><option  value=\"Guinea\">Guin\u00e9e<\/option><option  value=\"Guinea-Bissau\">Guin\u00e9e Bissau<\/option><option  value=\"Guyana\">Guyane<\/option><option  value=\"Haiti\">Haiti<\/option><option  value=\"Heardinseln und McDonaldinseln\">Heardinseln und McDonaldinseln<\/option><option  value=\"Heiliger Stuhl (Staat Vatikanstadt)\">Heiliger Stuhl (Staat Vatikanstadt)<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hongkong\">Hongkong<\/option><option  value=\"Indien\">Indien<\/option><option  value=\"Indonesien\">Indonesien<\/option><option  value=\"Irak\">Irak<\/option><option  value=\"Iran\">Iran<\/option><option  value=\"Irland\">Irland<\/option><option  value=\"Island\">Island<\/option><option  value=\"Isle of Man\">\u00cele de Man<\/option><option  value=\"Israel\">Isra\u00ebl<\/option><option  value=\"Italien\">Italien<\/option><option  value=\"Jamaika\">Jamaika<\/option><option  value=\"Japan\">Japon<\/option><option  value=\"Jemen\">Jemen<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordanien\">Jordanien<\/option><option  value=\"Kaimaninseln\">Kaimaninseln<\/option><option  value=\"Kambodscha\">Kambodscha<\/option><option  value=\"Kamerun\">Kamerun<\/option><option  value=\"Kanada\">Kanada<\/option><option  value=\"Kap Verde\">Kap Verde<\/option><option  value=\"Kasachstan\">Kasachstan<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirgisistan\">Kirgisistan<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kleinere abgelegene Inseln der Vereinigten Staaten\">Kleinere abgelegene Inseln der Vereinigten Staaten<\/option><option  value=\"Kokosinseln (Keelinginseln)\">Kokosinseln (Keelinginseln)<\/option><option  value=\"Kolumbien\">Kolumbien<\/option><option  value=\"Komoren\">Komoren<\/option><option  value=\"Kongo\">Kongo<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kroatien\">Kroatien<\/option><option  value=\"Kuba\">Kuba<\/option><option  value=\"Kuwait\">Koweit<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Lettland\">Lettland<\/option><option  value=\"Libanon\">Libanon<\/option><option  value=\"Liberia\">Lib\u00e9ria<\/option><option  value=\"Libyen\">Libyen<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Litauen\">Litauen<\/option><option  value=\"Luxemburg\">Luxemburg<\/option><option  value=\"Macau\">Macau<\/option><option  value=\"Madagaskar\">Madagaskar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malaisie<\/option><option  value=\"Malediven\">Malediven<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malte<\/option><option  value=\"Marokko\">Marokko<\/option><option  value=\"Marshallinseln\">Marshallinseln<\/option><option  value=\"Martinique\">Martinique<\/option><option  value=\"Mauretanien\">Mauretanien<\/option><option  value=\"Mauritius\">\u00cele Maurice<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexiko\">Mexiko<\/option><option  value=\"Mikronesien\">Mikronesien<\/option><option  value=\"Moldawien\">Moldawien<\/option><option  value=\"Monaco\">Monaco<\/option><option  value=\"Mongolei\">Mongolei<\/option><option  value=\"Montenegro\">Mont\u00e9n\u00e9gro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Mosambik\">Mosambik<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibie<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Neukaledonien\">Neukaledonien<\/option><option  value=\"Neuseeland\">Neuseeland<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niederlande\">Niederlande<\/option><option  value=\"Niger\">Niger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Nordkorea\">Nordkorea<\/option><option  value=\"Nordmazedonien\">Nordmazedonien<\/option><option  value=\"Norfolk Island\">\u00cele Norfolk<\/option><option  value=\"Norwegen\">Norwegen<\/option><option  value=\"N\u00f6rdliche Marianen\">N\u00f6rdliche Marianen<\/option><option  value=\"Oman\">Oman<\/option><option  value=\"Osttimor\">Osttimor<\/option><option  value=\"Osttimor\">Osttimor<\/option><option  value=\"Pakistan\">Pakistan<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Pal\u00e4stina\">Pal\u00e4stina<\/option><option  value=\"Panama\">Panama<\/option><option  value=\"Papua-Neuguinea\">Papua-Neuguinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">P\u00e9rou<\/option><option  value=\"Philippinen\">Philippinen<\/option><option  value=\"Pitcairninseln\">Pitcairninseln<\/option><option  value=\"Polen\">Polen<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Rum\u00e4nien\">Rum\u00e4nien<\/option><option  value=\"Russland\">Russland<\/option><option  value=\"R\u00e9union\">R\u00e9union<\/option><option  value=\"Saint Martin (Franz\u00f6sisches \u00dcberseegebiet)\">Saint Martin (Franz\u00f6sisches \u00dcberseegebiet)<\/option><option  value=\"Saint Martin (niederl\u00e4ndischer Teil)\">Saint Martin (niederl\u00e4ndischer Teil)<\/option><option  value=\"Saint-Barth\u00e9lemy\">Saint-Barth\u00e9lemy<\/option><option  value=\"Saint-Pierre und Miquelon\">Saint-Pierre und Miquelon<\/option><option  value=\"Salomonen\">Salomonen<\/option><option  value=\"Sambia\">Sambia<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sankt Helena, Ascension und Tristan da Cunha\">Sankt Helena, Ascension und Tristan da Cunha<\/option><option  value=\"Saudi-Arabien\">Saudi-Arabien<\/option><option  value=\"Schweden\">Schweden<\/option><option  value=\"Schweiz\" selected='selected'>Suisse<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbien\">Serbien<\/option><option  value=\"Seychellen\">Seychellen<\/option><option  value=\"Sierra Leone\">Sierra Leone<\/option><option  value=\"Simbabwe\">Simbabwe<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Slowakei\">Slowakei<\/option><option  value=\"Slowenien\">Slowenien<\/option><option  value=\"Somalia\">Somalie<\/option><option  value=\"Spanien\">Spanien<\/option><option  value=\"Spitzbergen und Jan Mayen\">Spitzbergen und Jan Mayen<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"St. Kitts und Nevis\">St. Kitts und Nevis<\/option><option  value=\"St. Lucia\">St. Lucia<\/option><option  value=\"St. Vincent und die Grenadinen\">St. Vincent und die Grenadinen<\/option><option  value=\"Sudan\">Soudan<\/option><option  value=\"Suriname\">Surinam<\/option><option  value=\"Syrien\">Syrien<\/option><option  value=\"S\u00e3o Tom\u00e9 und Pr\u00edncipe\">S\u00e3o Tom\u00e9 und Pr\u00edncipe<\/option><option  value=\"S\u00fcdafrika\">S\u00fcdafrika<\/option><option  value=\"S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln\">S\u00fcdgeorgien und die S\u00fcdlichen Sandwichinseln<\/option><option  value=\"S\u00fcdkorea\">S\u00fcdkorea<\/option><option  value=\"S\u00fcdsudan\">S\u00fcdsudan<\/option><option  value=\"Tadschikistan\">Tadschikistan<\/option><option  value=\"Taiwan\">Taiwan<\/option><option  value=\"Tansania\">Tansania<\/option><option  value=\"Thailand\">Tha\u00eflande<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tok\u00e9laou<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad und Tobago\">Trinidad und Tobago<\/option><option  value=\"Tschad\">Tschad<\/option><option  value=\"Tschechien\">Tschechien<\/option><option  value=\"Tunesien\">Tunesien<\/option><option  value=\"Turkmenistan\">Turkm\u00e9nistan<\/option><option  value=\"Turks- und Caicos-Inseln\">Turks- und Caicos-Inseln<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"T\u00fcrkei\">T\u00fcrkei<\/option><option  value=\"Uganda\">Ouganda<\/option><option  value=\"Ukraine\">Ukraine<\/option><option  value=\"Ungarn\">Ungarn<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Usbekistan\">Usbekistan<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatikanstadt\">Vatikanstadt<\/option><option  value=\"Venezuela\">V\u00e9n\u00e9zu\u00e9la<\/option><option  value=\"Vereinigte Arabische Emirate\">Vereinigte Arabische Emirate<\/option><option  value=\"Vereinigte Staaten von Amerika\">Vereinigte Staaten von Amerika<\/option><option  value=\"Vereinigtes K\u00f6nigreich\">Vereinigtes K\u00f6nigreich<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Wallis und Futuna\">Wallis und Futuna<\/option><option  value=\"Weihnachtsinsel\">Weihnachtsinsel<\/option><option  value=\"Wei\u00dfrussland\">Wei\u00dfrussland<\/option><option  value=\"Westsahara\">Westsahara<\/option><option  value=\"Zentralafrikanische Republik\">Zentralafrikanische Republik<\/option><option  value=\"Zypern\">Zypern<\/option><option  value=\"\u00c4gypten\">\u00c4gypten<\/option><option  value=\"\u00c4quatorialguinea\">\u00c4quatorialguinea<\/option><option  value=\"\u00c4thiopien\">\u00c4thiopien<\/option><option  value=\"\u00c5landinseln\">\u00c5landinseln<\/option><option  value=\"\u00d6sterreich\">\u00d6sterreich<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_652_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Frais d&rsquo;adh\u00e9sion<\/h3>\r\n\r\n\r\n<div id=\"frm_field_655_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"field_ypdnddfef5319f3\" id=\"field_ypdnddfef5319f3_label\" class=\"frm_primary_label\">Frais annuels\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <p class=\"frm_total_formatted\" data-prepend=\"\" data-append=\"\"><\/p><div class=\"frm_with_box frm_hidden\"><input  type=\"text\" id=\"field_ypdnddfef5319f3\" name=\"item_meta[655]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"652\"  data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"31\" aria-invalid=\"false\"   \/><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_656_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container vertical_radio\">\r\n    <label for=\"field_4ddqef846f0c363\" class=\"frm_primary_label\">Paiement\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_656-652-1\">\t\t\t<label  for=\"field_4ddqef846f0c363-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[656]\" id=\"field_4ddqef846f0c363-1\" value=\"Rechnung per E-Mail\"\n\t\t data-sectionid=\"652\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"Paiement ist ung\u00fcltig\" tabindex=\"32\"   \/> Facture par e-mail <\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_656-652-2\">\t\t\t<label  for=\"field_4ddqef846f0c363-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[656]\" id=\"field_4ddqef846f0c363-2\" value=\"Rechnung per Post\"\n\t\t data-sectionid=\"652\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"Paiement ist ung\u00fcltig\" tabindex=\"32\"   \/> Facture par la poste<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_634_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Documentation<\/h3>\r\n\r\n\r\n<div id=\"frm_field_636_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container vertical_radio\">\r\n    <label for=\"field_wd4pmf3072eec5c\" class=\"frm_primary_label\">Information \/ Documentation \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_636-634-0\">\t\t\t<label  for=\"field_wd4pmf3072eec5c-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[636][]\" id=\"field_wd4pmf3072eec5c-0\" value=\"Per Email\"  data-sectionid=\"634\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"Information \/ Documentation  ist ung\u00fcltig\" tabindex=\"36\"   aria-required=\"true\"  \/> Par Email<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_636-634-1\">\t\t\t<label  for=\"field_wd4pmf3072eec5c-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[636][]\" id=\"field_wd4pmf3072eec5c-1\" value=\"Auf Papier\"  data-sectionid=\"634\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"Information \/ Documentation  ist ung\u00fcltig\" tabindex=\"36\"   \/> Papier<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_646_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio\">\r\n    <div  id=\"field_orarh0b1f3a7027_label\" class=\"frm_primary_label\">Newsletter\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_orarh0b1f3a7027_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_646-638-0\">\t\t\t<label  for=\"field_orarh0b1f3a7027-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[646][]\" id=\"field_orarh0b1f3a7027-0\" value=\"Newsletter anmelden\"  data-sectionid=\"638\"  data-invmsg=\"Newsletter ist ung\u00fcltig\" tabindex=\"37\"   \/> Inscription \u00e0 la newsletter<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_648_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left frm_section_spacing\">Utilisateurs du site web<\/h3>\r\n\r\n\r\n<div id=\"frm_field_621_container\" class=\"frm_form_field form-field  frm_left_container vertical_radio\">\r\n    <div  id=\"field_907svdab5af7f08_label\" class=\"frm_primary_label\">Utilisateurs du site web\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_907svdab5af7f08_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_621-648-0\">\t\t\t<label  for=\"field_907svdab5af7f08-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[621]\" id=\"field_907svdab5af7f08-0\" value=\"Website Benutzer Anmelden\"\n\t\t data-sectionid=\"648\"  data-invmsg=\"Utilisateurs du site web ist ung\u00fcltig\" tabindex=\"40\"   \/> Login d&rsquo;utilisateur du site web<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_621-648-1\">\t\t\t<label  for=\"field_907svdab5af7f08-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[621]\" id=\"field_907svdab5af7f08-1\" value=\"Ich habe bereits einen Website Benutzer\"\n\t\t data-sectionid=\"648\"  data-invmsg=\"Utilisateurs du site web ist ung\u00fcltig\" tabindex=\"40\"   \/> J&rsquo;ai d\u00e9j\u00e0 un utilisateur du site web<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_621-648-2\">\t\t\t<label  for=\"field_907svdab5af7f08-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[621]\" id=\"field_907svdab5af7f08-2\" value=\"Ich verzichte auf einen Website Benutzer\"\n\t\t data-sectionid=\"648\"  data-invmsg=\"Utilisateurs du site web ist ung\u00fcltig\" tabindex=\"40\"   \/> Je renonce \u00e0 un utilisateur du site web<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_649_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_pfngad055df17d5\" id=\"field_pfngad055df17d5_label\" class=\"frm_primary_label\">Nom d&rsquo;utilisateur\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_pfngad055df17d5\" name=\"item_meta[649]\" value=\"\"  data-sectionid=\"648\"  placeholder=\"Nom de l&#039;utilisateur\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"41\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_650_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label for=\"field_qwze6c165e75cf6\" id=\"field_qwze6c165e75cf6_label\" class=\"frm_primary_label\">Mot de passe\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"password\" id=\"field_qwze6c165e75cf6\" name=\"item_meta[650]\" value=\"\"  data-sectionid=\"648\"  placeholder=\"Mot de passe\" data-reqmsg=\"Ce champ doit \u00eatre rempli.\" aria-required=\"true\" data-invmsg=\"Le texte n&#039;est pas valide\" tabindex=\"42\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_660_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_left\">La protection des donn\u00e9es<\/h3>\r\n<div id=\"frm_desc_field_pt0t1fb4e278ed3\" class=\"frm_description frm_section_spacing\">Retina Suisse traite toutes les informations avec le plus grand soin et la plus grande attention. Aucune information n&rsquo;est transmise \u00e0 des tiers. Le formulaire est transmis avec SSL. <\/div>\r\n\r\n<div id=\"frm_field_661_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container vertical_radio\">\r\n    <label for=\"field_nj3yr5d21c564f0\" 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_661-660-0\">\t\t\t<label  for=\"field_nj3yr5d21c564f0-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[661][]\" id=\"field_nj3yr5d21c564f0-0\" value=\"Bitte beachten Sie unsere &lt;a href=&quot;https:\/\/retina.ch\/kontakt\/datenschutz\/&quot;&gt;Datenschutzbestimmungen&lt;\/a&gt;. Alle Informationen werden streng vertraulich behandelt und sicher \u00fcbermittelt.\"  data-sectionid=\"660\"  data-reqmsg=\"Ce champ doit \u00eatre rempli.\" data-invmsg=\"J\u2019ai pris connaissance de la protection des donn\u00e9es ist ung\u00fcltig\" tabindex=\"45\"   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>. \r\n<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n\t\t<input  type=\"hidden\" name=\"item_meta[664]\" id=\"field_hr2vg53fa5fc180\" value=\"fr\"  data-frmval=\"fr\"   \/>\n\t\t<div id=\"frm_field_665_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_wpn936034781908_label\" class=\"frm_primary_label\">\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_wpn936034781908\" class=\"frm-g-recaptcha\" data-sitekey=\"6Lcl3ssqAAAAAGA7D5dtsehN8NMTN6Uov3vqF23L\" data-size=\"invisible\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[666]\" id=\"field_3bjsb7df82f00a2\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_932_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=\"100\">Envoyer<\/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_zb722\" >\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_zb722\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[1010]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input type=\"hidden\" name=\"frm_register[email]\" value=\"643\"\/>\n<input type=\"hidden\" name=\"frm_register[username]\" value=\"649\"\/>\n<input type=\"hidden\" name=\"frm_register[password]\" value=\"650\"\/>\n<input type=\"hidden\" name=\"frm_register[subsite_title]\" value=\"username\"\/>\n<input type=\"hidden\" name=\"frm_register[subsite_domain]\" value=\"blog_title\"\/>\n<input name=\"frm_state\" type=\"hidden\" value=\"rf6TVoS9T7Lb2kpTWGmLGQSh3b7hk+Sy2fUb3FpLSTMZwvqjHL\/EOu98Ukfc\/xue\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Retina Suisse soutient la recherche pour que soit trouv\u00e9e une th\u00e9rapie pour ses membres. En coop\u00e9ration avec 40 autres organisations membres de Retina International, nous encourageons la recherche clinique dans le monde entier. Devenez membre de Retina Suisse et soutenez-nous en versant une cotisation annuelle de Fr. 60.00. En tant que membre, vous serez inform\u00e9 &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2632,"menu_order":10,"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-2886","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>Adh\u00e9sion &#8226; Retina Suisse<\/title>\n<meta name=\"description\" content=\"adhesion\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/retina.ch\/fr\/organisation\/adhesion\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adh\u00e9sion &#8226; 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