{"id":268,"date":"2019-09-19T16:59:50","date_gmt":"2019-09-19T20:59:50","guid":{"rendered":"https:\/\/tvc22.ca\/?page_id=268"},"modified":"2024-12-05T15:13:25","modified_gmt":"2024-12-05T20:13:25","slug":"member-form","status":"publish","type":"page","link":"https:\/\/tvc22.ca\/en\/member-form\/","title":{"rendered":"Membership Application Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of 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class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/en\/wp-json\/wp\/v2\/pages\/268#gf_4' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lc-aggjAAAAACRmfTX95-Fm65R2ueMzMr4gm2bG' data-tabindex='0'><input id=\"input_35be03f21148cf7daf00d9edcddf7231\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_35be03f21148cf7daf00d9edcddf7231\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_4_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom \/ Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_1'>\n                            \n                            <span id='input_4_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom \/ First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_4_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_1_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille \/ Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_18'>Compagnie \/ Company<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse \/ Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_4_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_4_2_1' id='input_4_2_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse de la rue \/ Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_4_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_2_2' id='input_4_2_2_label' class='gform-field-label gform-field-label--type-sub '>2e Ligne adresse \/ 2nd Address Line<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_4_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_4_2_3' id='input_4_2_3_label' class='gform-field-label gform-field-label--type-sub '>Ville \/ City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_2_4_container' >\n                                        <select name='input_2.4' id='input_4_2_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' selected='selected'>Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_4_2_4' id='input_4_2_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_4_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_4_2_5' id='input_4_2_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_4_2_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_4_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'>T\u00e9l\u00e9phone \/ Telephone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_4_3' type='tel' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_4'>Courriel \/ E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_4_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_4_4\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_4_4'>En inscrivant votre courriel vous consentez \u00e0 votre inscription \u00e0 notre infolettre. Gardez-vous informer au sujet de ce qui se passe avec t\u00e9l\u00e9vision communautaire.<\/div><\/div><fieldset id=\"field_4_5\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_4_5 gfield_product_4_5 gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Adh\u00e9sion demand\u00e9e \/ Requested Membership:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_5'>\n\t\t\t<div class='gchoice gchoice_4_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Individuel - Niveau 1 (20 $) \/ Level 1 - Individual ($20)|20'  id='choice_4_5_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_4_5\"   \/>\n\t\t\t\t\t<label for='choice_4_5_0' id='label_4_5_0' class='gform-field-label gform-field-label--type-inline'>Individuel &#8211; Niveau 1 (20 $) \/ Level 1 &#8211; Individual ($20)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Individuel - Niveau 2 (50 $) \/ Level 2 - Individual ($50)|50'  id='choice_4_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_5_1' id='label_4_5_1' class='gform-field-label gform-field-label--type-inline'>Individuel &#8211; Niveau 2 (50 $) \/ Level 2 &#8211; Individual ($50)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Individuel - Niveau 3 (100 $) \/ Level 3 - Individual ($100)|100'  id='choice_4_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_5_2' id='label_4_5_2' class='gform-field-label gform-field-label--type-inline'>Individuel &#8211; Niveau 3 (100 $) \/ Level 3 &#8211; Individual ($100)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Plan d&#039;affaires - Civique (250 $) \/ Business - Civic ($250)|250'  id='choice_4_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_5_3' id='label_4_5_3' class='gform-field-label gform-field-label--type-inline'>Plan d&#8217;affaires &#8211; Civique (250 $) \/ Business &#8211; Civic ($250)<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_4_5'>Veuillez contacter info@tvc22.ca pour conna\u00eetre les prix des forfaits personnalis\u00e9s. \/ Contact info@tvc22.ca for pricing on custom packages.<\/div><\/fieldset><fieldset id=\"field_4_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mode de paiement \/ Method of payment:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_6'>\n\t\t\t<div class='gchoice gchoice_4_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Virement \u00e9lectronique \/ E-Transfer (info@tvc22.ca)'  id='choice_4_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_6_0' id='label_4_6_0' class='gform-field-label gform-field-label--type-inline'>Virement \u00e9lectronique \/ E-Transfer (info@tvc22.ca)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Argent comptant \/ Cash'  id='choice_4_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_6_1' id='label_4_6_1' class='gform-field-label gform-field-label--type-inline'>Argent comptant \/ Cash<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Ch\u00e8que \/ Cheque'  id='choice_4_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_6_2' id='label_4_6_2' class='gform-field-label gform-field-label--type-inline'>Ch\u00e8que \/ Cheque<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='PayPal'  id='choice_4_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_6_3' id='label_4_6_3' class='gform-field-label gform-field-label--type-inline'>PayPal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Etes-vous d\u00e9j\u00e0 un membre? \/ Are you currently a member?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_13'>\n\t\t\t<div class='gchoice gchoice_4_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Oui \/ Yes'  id='choice_4_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_13_0' id='label_4_13_0' class='gform-field-label gform-field-label--type-inline'>Oui \/ Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Non \/ No'  id='choice_4_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'>Non \/ No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_9'>Pourquoi voulez-vous devenir \/ \u00eates-vous membre de TVC22 ? \/ Why do you want to become \/ are you a TVC22 member?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_4_9' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quel type d\u2019\u00e9mission aimez-vous regarder en g\u00e9n\u00e9ral ? (s\u00e9lectionnez toutes les r\u00e9ponses qui s\u2019appliquent) \/ What type of show do you like to watch in general? (select all that apply)<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_10'><div class='gchoice gchoice_4_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Actualit\u00e9 \/ Actuality'  id='choice_4_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_10_1' id='label_4_10_1' class='gform-field-label gform-field-label--type-inline'>Actualit\u00e9 \/ Actuality<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Sports'  id='choice_4_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_10_2' id='label_4_10_2' class='gform-field-label gform-field-label--type-inline'>Sports<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Cuisine'  id='choice_4_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_10_3' id='label_4_10_3' class='gform-field-label gform-field-label--type-inline'>Cuisine<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Divertissement \/ Entertainment'  id='choice_4_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_10_4' id='label_4_10_4' class='gform-field-label gform-field-label--type-inline'>Divertissement \/ Entertainment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_10_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.5' type='checkbox'  value='Autres \/ Others'  id='choice_4_10_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_10_5' id='label_4_10_5' class='gform-field-label gform-field-label--type-inline'>Autres \/ Others<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Sur quelle plateforme regardez-vous TVC22 (s\u00e9lectionnez toutes les r\u00e9ponses qui s\u2019appliquent) ? \/ On which platform do you watch TVC22 (select all that apply)?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_11'><div class='gchoice gchoice_4_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='Videotron\/MaTV'  id='choice_4_11_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_11_1' id='label_4_11_1' class='gform-field-label gform-field-label--type-inline'>Videotron\/MaTV<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_11_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.2' type='checkbox'  value='YouTube'  id='choice_4_11_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_11_2' id='label_4_11_2' class='gform-field-label gform-field-label--type-inline'>YouTube<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_11_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.3' type='checkbox'  value='Facebook'  id='choice_4_11_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_11_3' id='label_4_11_3' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_11_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.4' type='checkbox'  value='X (Twitter)'  id='choice_4_11_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_11_4' id='label_4_11_4' class='gform-field-label gform-field-label--type-inline'>X (Twitter)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_11_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.5' type='checkbox'  value='Instagram'  id='choice_4_11_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_11_5' id='label_4_11_5' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_19'>Commentaires \/ Comments:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_4_19' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_12\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentement<\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_4_12' tabindex='0'>Je certifie que toutes les informations sont exactes. Je reconnais que je suis l\u2019unique d\u00e9tenteur de cette carte. Je m\u2019engage, par la pr\u00e9sente, \u00e0 payer le montant d\u00fb affilier avec le plan de membre que j\u2019ai choisi dans un d\u00e9lai maximal de 2 semaines apr\u00e8s l\u2019envoi de ce formulaire.<\/div><div class='ginput_container ginput_container_consent'><input name='input_12.1' id='input_4_12_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_4_12\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_12_1' >J&#8217;accepte<\/label><input type='hidden' name='input_12.2' value='J&#039;accepte' class='gform_hidden' \/><input type='hidden' name='input_12.3' value='2' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_4_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Paiement<\/h3><\/div><div id=\"field_4_16\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_4_ gfield_total gfield_total_4_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_4_16'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_16' id='input_4_16' value='$ 0.00 CAD' class='gform-text-input-reset ginput_total ginput_total_4' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Soumettre'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='0\/CkvoTUgo5xW8S0BSAJXknAp+ehKU3eIPdtkr2H9NyBDvxN5p5LHhb0xDwWY5sVIa8Lxp4oULAeBMonp2fM6\/ur84E6jV5Yu4WwvE8nKs+yclA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJ7XCIxMi4xXCI6XCIzY2E4MDEyZDJmN2QwODA2ZWQ2MDU3YjRmODA5YTA4NFwiLFwiMTIuMlwiOlwiZTM2ZjUyMWMwMTdmODU4ZjljNmM4MjdkMmJjMjczMThcIixcIjEyLjNcIjpcIjRmZDczZTkyNjVlNThjYTgxMDU1NWM5YmZhZTM5NTQ5XCJ9IiwiNzY2ZmE4YzY1NWQ1NDUyNzJiMzRiYzQxMWJlNzQ0YmMiXQ==' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/tvc22.ca\/extras\/gravityforms\/images\/spinner.svg', false );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_4').offset().top - 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