{"id":11376,"date":"2023-07-17T07:26:05","date_gmt":"2023-07-17T07:26:05","guid":{"rendered":"https:\/\/staging.registrarcorp.com\/drugs-certificate-of-u-s-fda-registration\/"},"modified":"2025-03-20T20:45:44","modified_gmt":"2025-03-20T20:45:44","slug":"drugs-certificate-of-u-s-fda-registration","status":"publish","type":"page","link":"https:\/\/staging.registrarcorp.com\/fr\/services\/fda-certificate-registration\/drugs-certificate-of-u-s-fda-registration\/","title":{"rendered":"Certificat d\u2019enregistrement FDA pour les produits pharmaceutiques"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row css=&#8221;.vc_custom_1689588595879{margin-top: 32px !important;}&#8221;][vc_column css=&#8221;.vc_custom_1689339235607{padding-top: 50px !important;padding-right: 50px !important;padding-left: 50px !important;}&#8221;][vc_column_text css=&#8221;&#8221; fnt_family_h2=&#8221;Montserrat&#8221; fnt_size_h2=&#8221;32&#8243;]\n<h1><span style=\"color: #003873;\"><strong>Certificat d\u2019enregistrement FDA pour les produits pharmaceutiques<\/strong><\/span><\/h1>\n<p>Remplissez le formulaire ci-dessous pour recevoir un certificat d\u2019enregistrement de m\u00e9dicament d\u00e9livr\u00e9 par Registrar Corp\u00a0:<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 gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_42' style='display:none'><div id='gf_42' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Formulaire de demande g\u00e9n\u00e9rale<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_42' id='gform_42'  action='\/fr\/wp-json\/wp\/v2\/pages\/11376#gf_42' data-formid='42' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"124\" \/>\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_42' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_42_148\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_148'>X\/Twitter<\/label><div class='gfield_description' id='gfield_description_42_148'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><div class='ginput_container'><input name='input_148' id='input_42_148' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_42_101\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Envoi incomplet<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_101'><li class='gchoice gchoice_42_101_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_101.1' type='checkbox'  value='EnvoyerIncomplet'  id='choice_42_101_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_101_1' id='label_42_101_1' class='gform-field-label gform-field-label--type-inline'>EnvoyerIncomplet<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_146\" class=\"gfield gfield--type-text gfield--width-full gclid_field field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_146'>GCLID<\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_42_146' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_145\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_145'>Page d\u2019accueil<\/label><div class='ginput_container ginput_container_text'><input name='input_145' id='input_42_145' type='text' value='https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages\/11376' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_44\" class=\"gfield gfield--type-select office-route field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_44'>E-mail du bureau international<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_42_44' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_42_45\" class=\"gfield gfield--type-select form-type field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_45'>Type de formulaire<\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_42_45' class='medium gfield_select'     aria-invalid=\"false\" ><option value='par d\u00e9faut' >par d\u00e9faut<\/option><option value='court' >court<\/option><option value='d\u00e9taill\u00e9' >d\u00e9taill\u00e9<\/option><\/select><\/div><\/li><li id=\"field_42_60\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_60'>Type de t\u00e9l\u00e9chargement<\/label><div class='ginput_container ginput_container_select'><select name='input_60' id='input_42_60' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='HARPC vs HACCP' >HARPC vs HACCP<\/option><option value='10\u00a0choses \u00e0 savoir pour les importateurs alimentaires am\u00e9ricains' >10\u00a0choses \u00e0 savoir pour les importateurs alimentaires am\u00e9ricains<\/option><\/select><\/div><\/li><li id=\"field_42_11\" class=\"gfield gfield--type-select inquiry_type gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_11'>Type de demande<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_42_11' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Rapports 3PL\/WDD' >Rapports 3PL\/WDD<\/option><option value='Contact pour les \u00e9v\u00e9nements ind\u00e9sirables' >Contact pour les \u00e9v\u00e9nements ind\u00e9sirables<\/option><option value='\u00c9valuation de' >\u00c9valuation de<\/option><option value='Automated Compliance' >Automated Compliance<\/option><option value='Rapports californiens' >Rapports californiens<\/option><option value='Certificat d\u2019Enregistrement' >Certificat d\u2019Enregistrement<\/option><option value='Additif de couleur' >Additif de couleur<\/option><option value='T\u00e9l\u00e9chargement de contenu' >T\u00e9l\u00e9chargement de contenu<\/option><option value='Assistance en cas de d\u00e9tention' >Assistance en cas de d\u00e9tention<\/option><option value='Assistance DUNS pour Voortman' >Assistance DUNS pour Voortman<\/option><option value='Listes de m\u00e9dicaments' >Listes de m\u00e9dicaments<\/option><option value='eMDR' >eMDR<\/option><option value='Autorisation d\u2019utilisation d\u2019urgence' >Autorisation d\u2019utilisation d\u2019urgence<\/option><option value='Exporter la liste' >Exporter la liste<\/option><option value='Exporter les certificats' >Exporter les certificats<\/option><option value='FCE-SID' >FCE-SID<\/option><option value='Moniteur de conformit\u00e9 FDA' >Moniteur de conformit\u00e9 FDA<\/option><option value='Essai de surveillance de la conformit\u00e9 FDA' >Essai de surveillance de la conformit\u00e9 FDA<\/option><option value='Plan de s\u00e9curit\u00e9 alimentaire HARPC' >Plan de s\u00e9curit\u00e9 alimentaire HARPC<\/option><option value='Essai Facility 360' >Essai Facility 360<\/option><option value='Substances en contact avec les aliments' >Substances en contact avec les aliments<\/option><option value='Plan de d\u00e9fense alimentaire' >Plan de d\u00e9fense alimentaire<\/option><option value='Programme de s\u00e9curit\u00e9 alimentaire \/ Ensemble de cours PCQI' >Programme de s\u00e9curit\u00e9 alimentaire \/ Ensemble de cours PCQI<\/option><option value='FSVP' >FSVP<\/option><option value='Agent FSVP' >Agent FSVP<\/option><option value='R\u00e9glementation mondiale' >R\u00e9glementation mondiale<\/option><option value='Plan HACCP' >Plan HACCP<\/option><option value='Licence Sant\u00e9 Canada' >Licence Sant\u00e9 Canada<\/option><option value='V\u00e9rificateur d\u2019alerte d\u2019importation' >V\u00e9rificateur d\u2019alerte d\u2019importation<\/option><option value='Certification casher' >Certification casher<\/option><option value='Examen de l\u2019\u00e9tiquette' >Examen de l\u2019\u00e9tiquette<\/option><option value='March\u00e9' >March\u00e9<\/option><option value='Master File' >Master File<\/option><option value='Master Manufacturing Record' >Master Manufacturing Record<\/option><option value='Surveiller l\u2019entreprise' >Surveiller l\u2019entreprise<\/option><option value='Arri\u00e9r\u00e9s OMUFA' >Arri\u00e9r\u00e9s OMUFA<\/option><option value='Installation d\u2019externalisation' >Installation d\u2019externalisation<\/option><option value='Programme de partenariat' >Programme de partenariat<\/option><option value='S\u00e9rialisation des m\u00e9dicaments sur ordonnance' >S\u00e9rialisation des m\u00e9dicaments sur ordonnance<\/option><option value='Recommandation sortante' >Recommandation sortante<\/option><option value='ROUGE' >ROUGE<\/option><option value='RegiScore' >RegiScore<\/option><option value='V\u00e9rification de l\u2019importateur de fruits de mer et de jus' >V\u00e9rification de l\u2019importateur de fruits de mer et de jus<\/option><option value='Auto-identification' >Auto-identification<\/option><option value='Enregistrement des \u0153ufs de coquillage' >Enregistrement des \u0153ufs de coquillage<\/option><option value='V\u00e9rification SID' >V\u00e9rification SID<\/option><option value='UDI et GUDID' >UDI et GUDID<\/option><option value='Verify Registration' >Verify Registration<\/option><option value='Test' >Test<\/option><option value='Liste d\u2019attente' >Liste d\u2019attente<\/option><option value='Webinaire' >Webinaire<\/option><\/select><\/div><\/li><li id=\"field_42_15\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_15'>Industrie<\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_42_15' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Food and Beverage' >Food and Beverage<\/option><option value='Compl\u00e9ments alimentaires' >Compl\u00e9ments alimentaires<\/option><option value='Dispositifs m\u00e9dicaux' >Dispositifs m\u00e9dicaux<\/option><option value='Produits pharmaceutiques' >Produits pharmaceutiques<\/option><option value='Cosm\u00e9tiques' >Cosm\u00e9tiques<\/option><option value='Tabac' >Tabac<\/option><option value='ROUGE' >ROUGE<\/option><option value='Produits biologiques' >Produits biologiques<\/option><\/select><\/div><\/li><li id=\"field_42_34\" class=\"gfield gfield--type-text lead_source field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_34'>Source du plomb<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_42_34' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_105\" class=\"gfield gfield--type-text lead_category field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_105'>Cat\u00e9gorie de leads<\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_42_105' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_104\" class=\"gfield gfield--type-text utm_source field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_104'>Source de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_42_104' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_106\" class=\"gfield gfield--type-text utm_term field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_106'>Dur\u00e9e de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_42_106' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_107\" class=\"gfield gfield--type-text utm_medium field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_107'>Moyen de campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_42_107' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_108\" class=\"gfield gfield--type-text utm_campaign field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_108'>Nom de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_42_108' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_109\" class=\"gfield gfield--type-text utm_content field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_109'>Contenu de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_42_109' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_110\" class=\"gfield gfield--type-text matchtype field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_110'>Type de correspondance<\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_42_110' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_102\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_102' id='input_42_102' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_42_137\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Mon entreprise importe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_42_137'>\n\t\t\t<li class='gchoice gchoice_42_137_0'>\n\t\t\t\t<input name='input_137' type='radio' value='Fruits de mer'  id='choice_42_137_0'    \/>\n\t\t\t\t<label for='choice_42_137_0' id='label_42_137_0' class='gform-field-label gform-field-label--type-inline'>Fruits de mer<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_137_1'>\n\t\t\t\t<input name='input_137' type='radio' value='Jus'  id='choice_42_137_1'    \/>\n\t\t\t\t<label for='choice_42_137_1' id='label_42_137_1' class='gform-field-label gform-field-label--type-inline'>Jus<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_31\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Options de d\u00e9tention<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_31'><li class='gchoice gchoice_42_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='J\u2019ai besoin d\u2019aide pour une d\u00e9tention de la FDA am\u00e9ricaine'  id='choice_42_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_31_1' id='label_42_31_1' class='gform-field-label gform-field-label--type-inline'>J\u2019ai besoin d\u2019aide pour une d\u00e9tention de la FDA am\u00e9ricaine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_31_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.2' type='checkbox'  value='J\u2019ai besoin d\u2019aide pour une alerte d\u2019importation de la FDA am\u00e9ricaine'  id='choice_42_31_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_31_2' id='label_42_31_2' class='gform-field-label gform-field-label--type-inline'>J\u2019ai besoin d\u2019aide pour une alerte d\u2019importation de la FDA am\u00e9ricaine<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_55\" class=\"gfield gfield--type-multiselect field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_55'>Je souhaite exporter vers<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Cliquez pour s\u00e9lectionner...' size='7' name='input_55[]' id='input_42_55' class='medium gfield_select'   aria-invalid=\"false\"  ><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbade' >Barbade<\/option><option value='Bi\u00e9lorussie' >Bi\u00e9lorussie<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/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-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='\u00cele de Bouvet' >\u00cele de Bouvet<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Ca\u00efmans' >\u00celes Ca\u00efmans<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo, R\u00e9publique d\u00e9mocratique du' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Congo, R\u00e9publique du' >Congo, R\u00e9publique du<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes Malouines' >\u00celes Malouines<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Guyane fran\u00e7aise' >Guyane fran\u00e7aise<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Territoires du Sud fran\u00e7ais' >Territoires du Sud fran\u00e7ais<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >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='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='\u00cele de Man' >\u00cele de Man<\/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' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizstan' >Kirghizstan<\/option><option value='R\u00e9publique d\u00e9mocratique populaire lao' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Birmanie' >Birmanie<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palaos' >Palaos<\/option><option value='Palestine, \u00c9tat de' >Palestine, \u00c9tat de<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Sainte-H\u00e9l\u00e8ne' >Sainte-H\u00e9l\u00e8ne<\/option><option value='Saint-Christophe-et-Ni\u00e9v\u00e8s' >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/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='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Tome et Principe de Sao' >Tome et Principe de Sao<\/option><option value='Arabie saoudite' >Arabie saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='G\u00e9orgie du Sud' >G\u00e9orgie du Sud<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Surinam' >Surinam<\/option><option value='\u00celes du Spitzberg et de Jan Mayen' >\u00celes du Spitzberg et de Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9-et-Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select><\/div><\/li><li id=\"field_42_57\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class=\"gfield_label\">J\u2019aimerais obtenir de l\u2019aide pour<\/label>\n<div class=\"global_regulation_box\">\n    <div class=\"vc_row global_industry\">\n        <div class=\"vc_col-xs-6\"><input class=\"global_industry_input\" type=\"checkbox\" id=\"global-reg-food\" value=\"Food and Beverages\"><label for=\"global-reg-food\">Aliments et boissons<\/label><\/div>\n        <div class=\"vc_col-xs-6 regulation_type_field_container\"><\/div>\n    <\/div>\n    <div class=\"vc_row global_industry\">\n        <div class=\"vc_col-xs-6\"><input class=\"global_industry_input\" type=\"checkbox\" id=\"global-reg-supplements\" value=\"Dietary Supplements\"><label for=\"global-reg-supplements\">Compl\u00e9ments alimentaires<\/label><\/div>\n        <div class=\"vc_col-xs-6 regulation_type_field_container\"><\/div>\n    <\/div>\n    <div class=\"vc_row global_industry\">\n        <div class=\"vc_col-xs-6\"><input class=\"global_industry_input\" type=\"checkbox\" id=\"global-reg-medical-devices\" value=\"Medical Devices\"><label for=\"global-reg-medical-devices\">Dispositifs m\u00e9dicaux<\/label><\/div>\n        <div class=\"vc_col-xs-6 regulation_type_field_container\"><\/div>\n    <\/div>\n    <div class=\"vc_row global_industry\">\n        <div class=\"vc_col-xs-6\"><input class=\"global_industry_input\" type=\"checkbox\" id=\"global-reg-drugs\" value=\"Drugs\"><label for=\"global-reg-drugs\">Produits pharmaceutiques<\/label><\/div>\n        <div class=\"vc_col-xs-6 regulation_type_field_container\"><\/div>\n    <\/div>\n    <div class=\"vc_row global_industry\">\n        <div class=\"vc_col-xs-6\"><input class=\"global_industry_input\" type=\"checkbox\" id=\"global-reg-cosmetics\" value=\"Cosmetics\"><label for=\"global-reg-cosmetics\">Cosm\u00e9tiques<\/label><\/div>\n        <div class=\"vc_col-xs-6 regulation_type_field_container\"><\/div>\n    <\/div>\n<\/div><\/li><li id=\"field_42_51\" class=\"gfield gfield--type-checkbox gfield--type-choice regulation_types field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019aimerais obtenir de l\u2019aide pour<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_51'><li class='gchoice gchoice_42_51_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.1' type='checkbox'  value='pour les \u00e9tablissements agroalimentaires'  id='choice_42_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_1' id='label_42_51_1' class='gform-field-label gform-field-label--type-inline'>pour les \u00e9tablissements agroalimentaires<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.2' type='checkbox'  value='Agent situ\u00e9 dans la r\u00e9gion'  id='choice_42_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_2' id='label_42_51_2' class='gform-field-label gform-field-label--type-inline'>Agent situ\u00e9 dans la r\u00e9gion<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.3' type='checkbox'  value='Exigences d\u2019\u00e9tiquetage'  id='choice_42_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_3' id='label_42_51_3' class='gform-field-label gform-field-label--type-inline'>Exigences d\u2019\u00e9tiquetage<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.4' type='checkbox'  value='Bonnes pratiques de fabrication'  id='choice_42_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_4' id='label_42_51_4' class='gform-field-label gform-field-label--type-inline'>Bonnes pratiques de fabrication<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.5' type='checkbox'  value='HACCP et HARPC'  id='choice_42_51_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_5' id='label_42_51_5' class='gform-field-label gform-field-label--type-inline'>HACCP et HARPC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.6' type='checkbox'  value='Additifs de couleur'  id='choice_42_51_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_6' id='label_42_51_6' class='gform-field-label gform-field-label--type-inline'>Additifs de couleur<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.7' type='checkbox'  value='Le Reporting des \u00e9v\u00e9nements ind\u00e9sirables'  id='choice_42_51_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_7' id='label_42_51_7' class='gform-field-label gform-field-label--type-inline'>Le Reporting des \u00e9v\u00e9nements ind\u00e9sirables<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.8' type='checkbox'  value='Master File'  id='choice_42_51_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_8' id='label_42_51_8' class='gform-field-label gform-field-label--type-inline'>Master File<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_51_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_51.9' type='checkbox'  value='Autre'  id='choice_42_51_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_51_9' id='label_42_51_9' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_59\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_59'>Sp\u00e9cifier Autre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_42_59' type='text' value='' class='medium'    placeholder='Sp\u00e9cifier Autre' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_58\" class=\"gfield gfield--type-textarea global_regulations_summary field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_58'>R\u00e9sum\u00e9 des r\u00e9glementations<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_42_58' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_42_140\" class=\"gfield gfield--type-multiselect gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_140'>Avec quel type(s) de Master File avez-vous besoin d\u2019aide\u00a0\u00a0?<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Cliquez pour s\u00e9lectionner...' size='7' name='input_140[]' id='input_42_140' class='large gfield_select'   aria-invalid=\"false\"  ><option value='Master Files de produits pharmaceutiques' >Master Files de produits pharmaceutiques<\/option><option value='Fichiers principaux des dispositifs m\u00e9dicaux' >Fichiers principaux des dispositifs m\u00e9dicaux<\/option><option value='Master File v\u00e9t\u00e9rinaires' >Master File v\u00e9t\u00e9rinaires<\/option><\/select><\/div><\/li><li id=\"field_42_141\" class=\"gfield gfield--type-multiselect gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_141'>Dans quels pays souhaitez-vous soumettre votre Master File\u00a0\u00a0?<\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Cliquez pour s\u00e9lectionner...' size='7' name='input_141[]' id='input_42_141' class='large gfield_select'   aria-invalid=\"false\"  ><option value='\u00c9tats-Unis (FDA am\u00e9ricaine)' >\u00c9tats-Unis (FDA am\u00e9ricaine)<\/option><option value='Canada (Sant\u00e9 Canada)' >Canada (Sant\u00e9 Canada)<\/option><option value='Chine (NMPA)' >Chine (NMPA)<\/option><option value='Australie (TGA)' >Australie (TGA)<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Union europ\u00e9enne' >Union europ\u00e9enne<\/option><option value='Hongrie' >Hongrie<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Oman' >Oman<\/option><option value='Qatar' >Qatar<\/option><option value='Arabie saoudite' >Arabie saoudite<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni (MHRA)' >Royaume-Uni (MHRA)<\/option><\/select><\/div><\/li><li id=\"field_42_142\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_42_143\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3>Fournissez les informations de votre entreprise<\/h3><\/li><li id=\"field_42_99\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' >Type d\u2019\u00e9valuation<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_42_99'>\n\t\t\t<li class='gchoice gchoice_42_99_0'>\n\t\t\t\t<input name='input_99' type='radio' value='\u00c9valuation de l\u2019\u00e9tiquette'  id='choice_42_99_0'    \/>\n\t\t\t\t<label for='choice_42_99_0' id='label_42_99_0' class='gform-field-label gform-field-label--type-inline'>\u00c9valuation de l\u2019\u00e9tiquette<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_99_1'>\n\t\t\t\t<input name='input_99' type='radio' value='\u00c9valuation du plan de s\u00e9curit\u00e9 alimentaire'  id='choice_42_99_1'    \/>\n\t\t\t\t<label for='choice_42_99_1' id='label_42_99_1' class='gform-field-label gform-field-label--type-inline'>\u00c9valuation du plan de s\u00e9curit\u00e9 alimentaire<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_99_2'>\n\t\t\t\t<input name='input_99' type='radio' value='Post BTA'  id='choice_42_99_2'    \/>\n\t\t\t\t<label for='choice_42_99_2' id='label_42_99_2' class='gform-field-label gform-field-label--type-inline'>Post BTA<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_69\" class=\"gfield gfield--type-checkbox gfield--type-choice uploadTypes field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label gfield_label_before_complex' >Dossier \u00e0 \u00e9valuer<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_69'><li class='gchoice gchoice_42_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Plan de s\u00e9curit\u00e9 alimentaire'  id='choice_42_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_69_1' id='label_42_69_1' class='gform-field-label gform-field-label--type-inline'>Plan de s\u00e9curit\u00e9 alimentaire<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='\u00c9tiquettes de produit'  id='choice_42_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_69_2' id='label_42_69_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tiquettes de produit<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_67\" class=\"gfield gfield--type-html gf_left_half text-fs gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div><img decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/12\/hazard-triangle.png\" alt=\"S\u00e9curit\u00e9 alimentaire\"><h4 class=\"section-head\">Votre plan de s\u00e9curit\u00e9 alimentaire est-il conforme \u00e0 la FDA\u00a0\u00a0?<\/h4><\/div>\n<p>La FDA am\u00e9ricaine exige que la plupart des types d\u2019installations alimentaires enregistr\u00e9es mettent en \u0153uvre des plans d\u2019analyse des dangers et de contr\u00f4les pr\u00e9ventifs bas\u00e9s sur les risques (HARPC).  Un plan HARPC doit respecter les normes uniques impos\u00e9es par la FDA am\u00e9ricaine. D\u2019autres syst\u00e8mes de s\u00e9curit\u00e9 alimentaire peuvent ne pas satisfaire compl\u00e8tement aux exigences de la FDA.<\/p><\/li><\/li><li id=\"field_42_135\" class=\"gfield gfield--type-html gf_left_half text-fs gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class=\"header-block\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/12\/hazard-triangle.png\" alt=\"S\u00e9curit\u00e9 alimentaire\"><\/div>\n<p>La FDA am\u00e9ricaine exige que la plupart des types d\u2019installations alimentaires enregistr\u00e9es mettent en \u0153uvre des plans d\u2019analyse des <b>dangers et de contr\u00f4les pr\u00e9ventifs bas\u00e9s sur les risques (HARPC).<\/b>  Un plan HARPC doit respecter les normes uniques impos\u00e9es par la FDA am\u00e9ricaine. <b>D\u2019autres syst\u00e8mes de s\u00e9curit\u00e9 alimentaire peuvent ne pas satisfaire compl\u00e8tement aux exigences de la FDA.<\/b><\/p><\/li><\/li><li id=\"field_42_66\" class=\"gfield gfield--type-html gf_left_half text-label gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div><img decoding=\"async\" src=\"\/wp-content\/uploads\/2020\/01\/deadline.png\" alt=\"Date limite pour l\u2019\u00e9tiquetage des aliments\"><h4 class=\"section-head\">La date limite pour les nouvelles r\u00e8gles d\u2019\u00e9tiquetage de la FDA approche<\/h4><\/div>\n<p>De nombreuses entreprises alimentaires ont moins de <span class=\"label-deadline\">12<\/span> mois pour mettre \u00e0 jour leur \u00e9tiquetage afin de se conformer aux nouvelles r\u00e8gles d\u2019\u00e9tiquetage de la FDA.  Les nouvelles r\u00e8gles comprennent des mises \u00e0 jour du tableau des faits nutritionnels, des tailles de service, des d\u00e9clarations obligatoires, etc.<\/p><\/li><\/li><li id=\"field_42_100\" class=\"gfield gfield--type-html text-label gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><div class=\"header-block\"><div class=\"img-cont\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/2019\/11\/label-icon.png\" alt=\"Date limite pour l\u2019\u00e9tiquetage des aliments\"><\/div><h4 class=\"section-head\">Les erreurs d\u2019\u00e9tiquetage entra\u00eenent plus de 22\u00a0\u00a0% de toutes les d\u00e9tentions aux \u00c9tats-Unis.<\/h4><\/div>\n<div>\n<p>De nombreuses entreprises ne se rendent pas compte que leurs \u00e9tiquettes ne sont pas conformes tant que leurs produits ne sont pas d\u00e9tenus, ce qui peut entra\u00eener des <b>retards<\/b>, des <b>frais de r\u00e9\u00e9tiquetage<\/b>ou la <b>destruction<\/b> des stocks.   \u00c9vitez les probl\u00e8mes <b><\/b> co\u00fbteux au niveau du port.  Demandez aux experts de Registrar Corp d\u2019\u00e9valuer la conformit\u00e9 de vos \u00e9tiquettes \u00e0 la FDA.<\/p><\/div><\/li><li id=\"field_42_63\" class=\"gfield gfield--type-fileupload gf_left_half upload-fs field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_63'>T\u00e9l\u00e9chargez votre plan de s\u00e9curit\u00e9 alimentaire actuel pour une \u00e9valuation gratuite<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_63' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_63&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_63&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_63&quot;,&quot;filelist&quot;:&quot;gform_preview_42_63&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:63},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_63&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_63' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_63' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_63\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_63'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_63'><\/ul> <div id='gform_preview_42_63' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_62\" class=\"gfield gfield--type-fileupload gf_left_half upload-label field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_62'>T\u00e9l\u00e9chargez vos \u00e9tiquettes de produits pour une \u00e9valuation pr\u00e9liminaire gratuite<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_62' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_62&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_62&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_62&quot;,&quot;filelist&quot;:&quot;gform_preview_42_62&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:62},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_62&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_62' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_62' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_62\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_62'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_62'><\/ul> <div id='gform_preview_42_62' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_81\" class=\"gfield gfield--type-radio gfield--type-choice gf_left_half food-verify-field food-verify-reg gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Avez-vous votre num\u00e9ro d\u2019enregistrement et votre code PIN\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_42_81'>\n\t\t\t<li class='gchoice gchoice_42_81_0'>\n\t\t\t\t<input name='input_81' type='radio' value='Oui'  id='choice_42_81_0'    \/>\n\t\t\t\t<label for='choice_42_81_0' id='label_42_81_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_81_1'>\n\t\t\t\t<input name='input_81' type='radio' value='Non'  id='choice_42_81_1'    \/>\n\t\t\t\t<label for='choice_42_81_1' id='label_42_81_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_82\" class=\"gfield gfield--type-radio gfield--type-choice gf_left_half food-verify-field food-verify-furls gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Avez-vous votre nom d\u2019utilisateur et votre mot de passe FURLS\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_42_82'>\n\t\t\t<li class='gchoice gchoice_42_82_0'>\n\t\t\t\t<input name='input_82' type='radio' value='Oui'  id='choice_42_82_0'    \/>\n\t\t\t\t<label for='choice_42_82_0' id='label_42_82_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_82_1'>\n\t\t\t\t<input name='input_82' type='radio' value='Non'  id='choice_42_82_1'    \/>\n\t\t\t\t<label for='choice_42_82_1' id='label_42_82_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_85\" class=\"gfield gfield--type-html food-verify-field gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p><strong>REMARQUE\u00a0\u00a0: Registrar Corp ne peut pas v\u00e9rifier ou r\u00e9cup\u00e9rer votre inscription sans\u00a0\u00a0:<\/strong><\/p>\n<ul><li>Votre num\u00e9ro d\u2019enregistrement et votre code PIN<\/li><li style=\"font-weight:bold;list-style:none !important;\">ou<\/li><li> votre identifiant et mot de passe FURLS.<\/li><\/ul><p>Si vous ne disposez d\u2019aucun ensemble d\u2019informations, nous vous encourageons \u00e0 vous r\u00e9inscrire.<\/p><a class=\"btn btn-red-white\" href=\"https:\/\/www.registrarcorp.com\/fr\/fda-registration-form\/?reg_recovery=true\">R\u00e9inscrivez-vous maintenant<\/a><\/li><\/li><li id=\"field_42_50\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_50'>Num\u00e9ro de routage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_42_50' type='text' value='' class='large'    placeholder='Num\u00e9ro de routage' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_2\" class=\"gfield gfield--type-select office-route-country form-select userCountry gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_2'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_42_2' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>S\u00e9lectionner un pays<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbade' >Barbade<\/option><option value='Bi\u00e9lorussie' >Bi\u00e9lorussie<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/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-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='\u00cele de Bouvet' >\u00cele de Bouvet<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Brunei Darrussalam' >Brunei Darrussalam<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Ca\u00efmans' >\u00celes Ca\u00efmans<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo, R\u00e9publique d\u00e9mocratique du' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Congo, R\u00e9publique du' >Congo, R\u00e9publique du<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes Malouines' >\u00celes Malouines<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Guyane fran\u00e7aise' >Guyane fran\u00e7aise<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Territoires du Sud fran\u00e7ais' >Territoires du Sud fran\u00e7ais<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >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='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='\u00cele de Man' >\u00cele de Man<\/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' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizstan' >Kirghizstan<\/option><option value='R\u00e9publique d\u00e9mocratique populaire lao' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Birmanie' >Birmanie<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palaos' >Palaos<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Sainte-H\u00e9l\u00e8ne' >Sainte-H\u00e9l\u00e8ne<\/option><option value='Saint-Christophe-et-Ni\u00e9v\u00e8s' >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/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='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Tome et Principe de Sao' >Tome et Principe de Sao<\/option><option value='Arabie saoudite' >Arabie saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='G\u00e9orgie du Sud' >G\u00e9orgie du Sud<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Surinam' >Surinam<\/option><option value='\u00celes du Spitzberg et de Jan Mayen' >\u00celes du Spitzberg et de Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9-et-Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Cisjordanie' >Cisjordanie<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select><\/div><\/li><li id=\"field_42_1\" class=\"gfield gfield--type-text form-input gf_left_half userCompany gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_1'>Nom de la soci\u00e9t\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_42_1' type='text' value='' class='large'    placeholder='Nom de la soci\u00e9t\u00e9' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_3\" class=\"gfield gfield--type-text form-input gf_right_half userName gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_3'>Nom du contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_42_3' type='text' value='' class='large'    placeholder='Nom du contact' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_4\" class=\"gfield gfield--type-email form-input gf_left_half userEmail gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_4'>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_42_4' type='email' value='' class='large'   placeholder='E-mail' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_42_5\" class=\"gfield gfield--type-phone form-input gf_right_half userPhone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_5'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_42_5' type='tel' value='' class='large'  placeholder='T\u00e9l\u00e9phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_7\" class=\"gfield gfield--type-text form-input gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_7'>Adresse physique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_42_7' type='text' value='' class='large'    placeholder='Adresse physique' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_8\" class=\"gfield gfield--type-text form-input gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_8'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_42_8' type='text' value='' class='large'    placeholder='Ville' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_9\" class=\"gfield gfield--type-text form-input gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_9'>\u00c9tat\/Province\/R\u00e9gion<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_42_9' type='text' value='' class='large'    placeholder='\u00c9tat\/Province\/R\u00e9gion'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_10\" class=\"gfield gfield--type-text form-input gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_10'>Code postal<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_42_10' type='text' value='' class='large'    placeholder='Code postal'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_144\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_144'>Votre soci\u00e9t\u00e9 a-t-elle son si\u00e8ge social aux \u00c9tats-Unis\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_42_144' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez s\u00e9lectionner<\/option><option value='Oui' >Oui<\/option><option value='Non' >Non<\/option><\/select><\/div><\/li><li id=\"field_42_139\" class=\"gfield gfield--type-select supplier-count field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_139'>Nombre approximatif de fournisseurs<\/label><div class='ginput_container ginput_container_select'><select name='input_139' id='input_42_139' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez s\u00e9lectionner<\/option><option value='1-5' >1-5<\/option><option value='6-25' >6-25<\/option><option value='26-50' >26-50<\/option><option value='51-100' >51-100<\/option><option value='Plus de 100' >Plus de 100<\/option><\/select><\/div><\/li><li id=\"field_42_74\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019ai besoin d\u2019aide pour\u00a0\u00a0:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_74'><li class='gchoice gchoice_42_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='Mises \u00e0 jour r\u00e9glementaires par e-mail'  id='choice_42_74_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_1' id='label_42_74_1' class='gform-field-label gform-field-label--type-inline'>Mises \u00e0 jour r\u00e9glementaires par e-mail<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.2' type='checkbox'  value='Enregistrement d\u2019un nouvel \u00e9tablissement alimentaire de la FDA'  id='choice_42_74_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_2' id='label_42_74_2' class='gform-field-label gform-field-label--type-inline'>Enregistrement d\u2019un nouvel \u00e9tablissement alimentaire de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.3' type='checkbox'  value='Renouveler l\u2019enregistrement des installations alimentaires de la FDA'  id='choice_42_74_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_3' id='label_42_74_3' class='gform-field-label gform-field-label--type-inline'>Renouveler l\u2019enregistrement des installations alimentaires de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.4' type='checkbox'  value='Service des agents am\u00e9ricains pour les communications de la FDA'  id='choice_42_74_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_4' id='label_42_74_4' class='gform-field-label gform-field-label--type-inline'>Service des agents am\u00e9ricains pour les communications de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.5' type='checkbox'  value='Installation 360'  id='choice_42_74_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_5' id='label_42_74_5' class='gform-field-label gform-field-label--type-inline'>Installation 360<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.6' type='checkbox'  value='Avis pr\u00e9alable de la FDA'  id='choice_42_74_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_6' id='label_42_74_6' class='gform-field-label gform-field-label--type-inline'>Avis pr\u00e9alable de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.7' type='checkbox'  value='\u00c9tiquetage et examen des ingr\u00e9dients'  id='choice_42_74_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_7' id='label_42_74_7' class='gform-field-label gform-field-label--type-inline'>\u00c9tiquetage et examen des ingr\u00e9dients<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.8' type='checkbox'  value='R\u00e9glementations FCE-SID'  id='choice_42_74_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_8' id='label_42_74_8' class='gform-field-label gform-field-label--type-inline'>R\u00e9glementations FCE-SID<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.9' type='checkbox'  value='Pr\u00e9paration \u00e0 l\u2019inspection de la FDA'  id='choice_42_74_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_9' id='label_42_74_9' class='gform-field-label gform-field-label--type-inline'>Pr\u00e9paration \u00e0 l\u2019inspection de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.11' type='checkbox'  value='Plan de s\u00e9curit\u00e9 alimentaire HACCP ou HARPC'  id='choice_42_74_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_11' id='label_42_74_11' class='gform-field-label gform-field-label--type-inline'>Plan de s\u00e9curit\u00e9 alimentaire HACCP ou HARPC<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.12' type='checkbox'  value='Plan de d\u00e9fense alimentaire'  id='choice_42_74_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_12' id='label_42_74_12' class='gform-field-label gform-field-label--type-inline'>Plan de d\u00e9fense alimentaire<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.13' type='checkbox'  value='Programme de v\u00e9rification des fournisseurs \u00e9trangers (FSVP)'  id='choice_42_74_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_13' id='label_42_74_13' class='gform-field-label gform-field-label--type-inline'>Programme de v\u00e9rification des fournisseurs \u00e9trangers (FSVP)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.14' type='checkbox'  value='D\u00e9tention\/Assistance DWPE'  id='choice_42_74_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_14' id='label_42_74_14' class='gform-field-label gform-field-label--type-inline'>D\u00e9tention\/Assistance DWPE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.15' type='checkbox'  value='Moniteur de conformit\u00e9 FDA'  id='choice_42_74_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_15' id='label_42_74_15' class='gform-field-label gform-field-label--type-inline'>Moniteur de conformit\u00e9 FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_74_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.16' type='checkbox'  value='Autre'  id='choice_42_74_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_74_16' id='label_42_74_16' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_75\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019ai besoin d\u2019aide pour\u00a0\u00a0:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_75'><li class='gchoice gchoice_42_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='Mises \u00e0 jour r\u00e9glementaires par e-mail'  id='choice_42_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_1' id='label_42_75_1' class='gform-field-label gform-field-label--type-inline'>Mises \u00e0 jour r\u00e9glementaires par e-mail<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.2' type='checkbox'  value='Enregistrement de l\u2019\u00e9tablissement pharmaceutique'  id='choice_42_75_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_2' id='label_42_75_2' class='gform-field-label gform-field-label--type-inline'>Enregistrement de l\u2019\u00e9tablissement pharmaceutique<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.3' type='checkbox'  value='Listes de m\u00e9dicaments'  id='choice_42_75_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_3' id='label_42_75_3' class='gform-field-label gform-field-label--type-inline'>Listes de m\u00e9dicaments<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.4' type='checkbox'  value='Nouvelle certification sans changement de couverture'  id='choice_42_75_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_4' id='label_42_75_4' class='gform-field-label gform-field-label--type-inline'>Nouvelle certification sans changement de couverture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.5' type='checkbox'  value='Contact de l\u2019agent et du d\u00e9clarant aux \u00c9tats-Unis'  id='choice_42_75_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_5' id='label_42_75_5' class='gform-field-label gform-field-label--type-inline'>Contact de l\u2019agent et du d\u00e9clarant aux \u00c9tats-Unis<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.6' type='checkbox'  value='Auto-identification des m\u00e9dicaments g\u00e9n\u00e9riques'  id='choice_42_75_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_6' id='label_42_75_6' class='gform-field-label gform-field-label--type-inline'>Auto-identification des m\u00e9dicaments g\u00e9n\u00e9riques<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.7' type='checkbox'  value='\u00c9tiquetage des m\u00e9dicaments et exigences relatives aux ingr\u00e9dients'  id='choice_42_75_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_7' id='label_42_75_7' class='gform-field-label gform-field-label--type-inline'>\u00c9tiquetage des m\u00e9dicaments et exigences relatives aux ingr\u00e9dients<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.8' type='checkbox'  value='Master Files de produits pharmaceutiques'  id='choice_42_75_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_8' id='label_42_75_8' class='gform-field-label gform-field-label--type-inline'>Master Files de produits pharmaceutiques<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.9' type='checkbox'  value='Exigences eCTD'  id='choice_42_75_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_9' id='label_42_75_9' class='gform-field-label gform-field-label--type-inline'>Exigences eCTD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.11' type='checkbox'  value='D\u00e9tention\/Assistance DWPE'  id='choice_42_75_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_11' id='label_42_75_11' class='gform-field-label gform-field-label--type-inline'>D\u00e9tention\/Assistance DWPE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.12' type='checkbox'  value='Moniteur de conformit\u00e9 FDA'  id='choice_42_75_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_12' id='label_42_75_12' class='gform-field-label gform-field-label--type-inline'>Moniteur de conformit\u00e9 FDA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_75_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.13' type='checkbox'  value='Autre'  id='choice_42_75_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_75_13' id='label_42_75_13' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_76\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019ai besoin d\u2019aide pour\u00a0\u00a0:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_76'><li class='gchoice gchoice_42_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='Mises \u00e0 jour r\u00e9glementaires par e-mail'  id='choice_42_76_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_1' id='label_42_76_1' class='gform-field-label gform-field-label--type-inline'>Mises \u00e0 jour r\u00e9glementaires par e-mail<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='\u00c9tiquetage cosm\u00e9tique et exigences relatives aux ingr\u00e9dients'  id='choice_42_76_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_2' id='label_42_76_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tiquetage cosm\u00e9tique et exigences relatives aux ingr\u00e9dients<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='Rapport sur la s\u00e9curit\u00e9 cosm\u00e9tique en Californie'  id='choice_42_76_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_3' id='label_42_76_3' class='gform-field-label gform-field-label--type-inline'>Rapport sur la s\u00e9curit\u00e9 cosm\u00e9tique en Californie<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.4' type='checkbox'  value='Programme d\u2019enregistrement volontaire des cosm\u00e9tiques (VCRP)'  id='choice_42_76_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_4' id='label_42_76_4' class='gform-field-label gform-field-label--type-inline'>Programme d\u2019enregistrement volontaire des cosm\u00e9tiques (VCRP)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.5' type='checkbox'  value='Additifs de couleur \/ Certification de lot de couleurs'  id='choice_42_76_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_5' id='label_42_76_5' class='gform-field-label gform-field-label--type-inline'>Additifs de couleur \/ Certification de lot de couleurs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.6' type='checkbox'  value='Aide \u00e0 la d\u00e9tention\/alerte \u00e0 l\u2019importation'  id='choice_42_76_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_6' id='label_42_76_6' class='gform-field-label gform-field-label--type-inline'>Aide \u00e0 la d\u00e9tention\/alerte \u00e0 l\u2019importation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_76_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.7' type='checkbox'  value='Autre'  id='choice_42_76_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_76_7' id='label_42_76_7' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_77\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019ai besoin d\u2019aide pour\u00a0\u00a0:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_77'><li class='gchoice gchoice_42_77_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.1' type='checkbox'  value='Mises \u00e0 jour r\u00e9glementaires par e-mail'  id='choice_42_77_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_1' id='label_42_77_1' class='gform-field-label gform-field-label--type-inline'>Mises \u00e0 jour r\u00e9glementaires par e-mail<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.2' type='checkbox'  value='Enregistrement de l\u2019\u00e9tablissement de dispositifs m\u00e9dicaux'  id='choice_42_77_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_2' id='label_42_77_2' class='gform-field-label gform-field-label--type-inline'>Enregistrement de l\u2019\u00e9tablissement de dispositifs m\u00e9dicaux<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.3' type='checkbox'  value='Agent am\u00e9ricain et\/ou correspondant officiel'  id='choice_42_77_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_3' id='label_42_77_3' class='gform-field-label gform-field-label--type-inline'>Agent am\u00e9ricain et\/ou correspondant officiel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.4' type='checkbox'  value='Listes de p\u00e9riph\u00e9riques'  id='choice_42_77_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_4' id='label_42_77_4' class='gform-field-label gform-field-label--type-inline'>Listes de p\u00e9riph\u00e9riques<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.5' type='checkbox'  value='Exigences relatives \u00e0 l\u2019identifiant unique du dispositif (UDI)'  id='choice_42_77_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_5' id='label_42_77_5' class='gform-field-label gform-field-label--type-inline'>Exigences relatives \u00e0 l\u2019identifiant unique du dispositif (UDI)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.6' type='checkbox'  value='Exigences relatives \u00e0 l\u2019\u00e9tiquetage des dispositifs'  id='choice_42_77_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_6' id='label_42_77_6' class='gform-field-label gform-field-label--type-inline'>Exigences relatives \u00e0 l\u2019\u00e9tiquetage des dispositifs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.7' type='checkbox'  value='Reporting \u00e9lectronique des dispositifs m\u00e9dicaux (eMDR)'  id='choice_42_77_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_7' id='label_42_77_7' class='gform-field-label gform-field-label--type-inline'>Reporting \u00e9lectronique des dispositifs m\u00e9dicaux (eMDR)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.8' type='checkbox'  value='Fichiers principaux des dispositifs m\u00e9dicaux (MAF)'  id='choice_42_77_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_8' id='label_42_77_8' class='gform-field-label gform-field-label--type-inline'>Fichiers principaux des dispositifs m\u00e9dicaux (MAF)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.9' type='checkbox'  value='Aide \u00e0 la d\u00e9tention\/alerte \u00e0 l\u2019importation'  id='choice_42_77_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_9' id='label_42_77_9' class='gform-field-label gform-field-label--type-inline'>Aide \u00e0 la d\u00e9tention\/alerte \u00e0 l\u2019importation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_77_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.11' type='checkbox'  value='Autre'  id='choice_42_77_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_77_11' id='label_42_77_11' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_78\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_78'>Sp\u00e9cifier Autre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_42_78' type='text' value='' class='large'    placeholder='Sp\u00e9cifier Autre' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_136\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_136'>Site Web<\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_42_136' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_49\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_49'>Commentaires<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_42_49' class='textarea small'    placeholder='Commentaires'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_42_138\" class=\"gfield gfield--type-text reg-status field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_42_138'>Statut d\u2019enregistrement<\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_42_138' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_16\" class=\"gfield gfield--type-text form-input gf_left_half fda-reg-verify field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_16'>Num\u00e9ro d\u2019enregistrement FDA<\/label><div class='gfield_description' id='gfield_description_42_16'><div class=\"food-text hidden\"><em>(11\u00a0chiffres)<\/em><\/div><\/div><div class='ginput_container ginput_container_text'><input name='input_16' id='input_42_16' type='text' value='' class='large'  aria-describedby=\"gfield_description_42_16\"  placeholder='Num\u00e9ro d\u2019enregistrement FDA'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_86\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_86'>PIN FDA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_42_86'><div class=\"food-text hidden\"><em>(Veuillez indiquer les lettres majuscules)<\/em><\/div>\n<\/div><div class='ginput_container ginput_container_text'><input name='input_86' id='input_42_86' type='text' value='' class='large'  aria-describedby=\"gfield_description_42_86\"  placeholder='PIN FDA' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_83\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_83'>Nom d\u2019utilisateur FURLS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_42_83' type='text' value='' class='large'    placeholder='Nom d\u2019utilisateur FURLS' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_84\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_84'>Mot de passe FURLS<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_42_84' type='text' value='' class='large'    placeholder='Mot de passe FURLS' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_18\" class=\"gfield gfield--type-text form-input gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_18'>Num\u00e9ro de propri\u00e9taire\/op\u00e9rateur du dispositif m\u00e9dical<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_42_18' type='text' value='' class='medium'    placeholder='Num\u00e9ro de propri\u00e9taire\/op\u00e9rateur du dispositif m\u00e9dical'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_19\" class=\"gfield gfield--type-text form-input gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_19'>Num\u00e9ro DUNS<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_42_19' type='text' value='' class='medium'    placeholder='Num\u00e9ro DUNS'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_21\" class=\"gfield gfield--type-text form-input gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_21'>Identifiant de l\u2019\u00e9tablissement<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_42_21' type='text' value='' class='medium'    placeholder='Identifiant de l\u2019\u00e9tablissement'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_87\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_87'>Code de l\u2019\u00e9tiqueteuse<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_42_87' type='text' value='' class='large'    placeholder='Code de l\u2019\u00e9tiqueteuse'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_92\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Informations sur la conformit\u00e9<\/h2><\/li><li id=\"field_42_93\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_93'>Num\u00e9ro d\u2019enregistrement FDA<\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_42_93' type='text' value='' class='large'    placeholder='Num\u00e9ro d\u2019enregistrement FDA'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_94\" class=\"gfield gfield--type-text gf_right_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_94'>PIN FDA<\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_42_94' type='text' value='' class='large'    placeholder='PIN FDA'  aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_95\" class=\"gfield gfield--type-list gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >R\u00e9pertorier les produits que vous souhaitez exp\u00e9dier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_95_col1' class='gfield_list_col_odd' \/><col id='gfield_list_95_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_95_cell1' ><input aria-invalid='false' aria-required=\"true\"  aria-label='R\u00e9pertorier les produits que vous souhaitez exp\u00e9dier, Ligne 1' data-aria-label-template='R\u00e9pertorier les produits que vous souhaitez exp\u00e9dier, Ligne {0}' type='text' name='input_95[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Ajouter une nouvelle ligne\"><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Supprimer cette ligne\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_42_98\" class=\"gfield gfield--type-html gf_left_half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >&nbsp;<\/li><li id=\"field_42_96\" class=\"gfield gfield--type-fileupload gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_96'>T\u00e9l\u00e9charger les \u00e9tiquettes pour les produits r\u00e9pertori\u00e9s ci-dessus<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_96' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_96&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_96&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_96&quot;,&quot;filelist&quot;:&quot;gform_preview_42_96&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:96},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_96&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_96' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_96' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_96\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_96'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_96'><\/ul> <div id='gform_preview_42_96' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_97\" class=\"gfield gfield--type-fileupload gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_97'>T\u00e9l\u00e9charger le plan de s\u00e9curit\u00e9 alimentaire<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_97' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_97&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_97&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_97&quot;,&quot;filelist&quot;:&quot;gform_preview_42_97&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:97},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_97&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_97' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_97' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_97\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_97'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_97'><\/ul> <div id='gform_preview_42_97' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_23\" class=\"gfield gfield--type-text form-input gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_23'>Num\u00e9ro d\u2019enregistrement FCE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_42_23' type='text' value='' class='medium'    placeholder='Num\u00e9ro d\u2019enregistrement FCE' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_24\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Num\u00e9ros SID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_24_col1' class='gfield_list_col_odd' \/><col id='gfield_list_24_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_24_cell1' ><input aria-invalid='false' aria-required=\"true\"  aria-label='Num\u00e9ros SID, Ligne 1' data-aria-label-template='Num\u00e9ros SID, Ligne {0}' type='text' name='input_24[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 20)' onkeypress='gformAddListItem(this, 20)'><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Ajouter une nouvelle ligne\"><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 20)' onkeypress='gformDeleteListItem(this, 20)' style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Supprimer cette ligne\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_42_46\" class=\"gfield gfield--type-fileupload file-upload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_46'>T\u00e9l\u00e9charger l\u2019\u00e9tiquette de votre produit<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_46' id='input_42_46' type='file' class='medium' aria-describedby=\"gfield_upload_rules_42_46\" onchange='javascript:gformValidateFileSize( this, 15728640 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_46'>Taille max. des fichiers\u00a0: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_42_46'><\/div> <\/div><\/li><li id=\"field_42_48\" class=\"gfield gfield--type-fileupload file-upload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_48'>T\u00e9l\u00e9chargez votre plan de s\u00e9curit\u00e9 alimentaire<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_48' id='input_42_48' type='file' class='medium' aria-describedby=\"gfield_upload_rules_42_48\" onchange='javascript:gformValidateFileSize( this, 15728640 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_48'>Taille max. des fichiers\u00a0: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_42_48'><\/div> <\/div><\/li><li id=\"field_42_13\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_13'>T\u00e9l\u00e9charger l\u2019\u00e9tiquette de votre produit<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_13' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_13&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_13&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_13&quot;,&quot;filelist&quot;:&quot;gform_preview_42_13&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:13},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;10&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_42_13&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_13' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_13' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_13\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_13'>Taille max. des fichiers\u00a0: 15 MB, Max. des fichiers\u00a0: 10.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_13'><\/ul> <div id='gform_preview_42_13' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_26\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_26'>T\u00e9l\u00e9chargez votre plan de s\u00e9curit\u00e9 alimentaire<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_26' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_26&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_26&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_26&quot;,&quot;filelist&quot;:&quot;gform_preview_42_26&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:26},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_26&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_26' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_26' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_26\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_26'>Taille max. des fichiers\u00a0: 15 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_26'><\/ul> <div id='gform_preview_42_26' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_27\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_27'>T\u00e9l\u00e9charger votre plan HACCP<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_27' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_27&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_27&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_27&quot;,&quot;filelist&quot;:&quot;gform_preview_42_27&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:27},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_27&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_27' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_27' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_27\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_27'>Taille max. des fichiers\u00a0: 15 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_27'><\/ul> <div id='gform_preview_42_27' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_30\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_30'>T\u00e9l\u00e9charger l\u2019avis d\u2019action de la d\u00e9tention<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_30' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_30&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_30&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_30&quot;,&quot;filelist&quot;:&quot;gform_preview_42_30&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:30},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_30&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_30' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_30' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_30\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_30'>Taille max. des fichiers\u00a0: 15 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_30'><\/ul> <div id='gform_preview_42_30' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_61\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_61'>T\u00e9l\u00e9charger vos MMR<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_61' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_61&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_61&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_61&quot;,&quot;filelist&quot;:&quot;gform_preview_42_61&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;15728640b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:61},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_61&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_61' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_61' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_61\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_61'>Taille max. des fichiers\u00a0: 15 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_61'><\/ul> <div id='gform_preview_42_61' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_91\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >J\u2019aimerais obtenir de l\u2019aide pour<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_91'><li class='gchoice gchoice_42_91_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.1' type='checkbox'  value='Exigences en mati\u00e8re d\u2019exportation de listes'  id='choice_42_91_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_91_1' id='label_42_91_1' class='gform-field-label gform-field-label--type-inline'>Exigences en mati\u00e8re d\u2019exportation de listes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_91_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.2' type='checkbox'  value='Exporter les certificats'  id='choice_42_91_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_91_2' id='label_42_91_2' class='gform-field-label gform-field-label--type-inline'>Exporter les certificats<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_29\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Quels produits aimeriez-vous obtenir de l\u2019aide\u00a0\u00a0?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_29'><li class='gchoice gchoice_42_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Exportations de produits laitiers vers le Chili, la Chine ou l\u2019UE'  id='choice_42_29_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_29_1' id='label_42_29_1' class='gform-field-label gform-field-label--type-inline'>Exportations de produits laitiers vers le Chili, la Chine ou l\u2019UE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='Exportations de collag\u00e8ne et de g\u00e9latine vers l\u2019UE'  id='choice_42_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_29_2' id='label_42_29_2' class='gform-field-label gform-field-label--type-inline'>Exportations de collag\u00e8ne et de g\u00e9latine vers l\u2019UE<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='Exportations de fruits de mer vers l\u2019UE ou la Chine'  id='choice_42_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_29_3' id='label_42_29_3' class='gform-field-label gform-field-label--type-inline'>Exportations de fruits de mer vers l\u2019UE ou la Chine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_29_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.4' type='checkbox'  value='Exportations de lait maternis\u00e9 vers la Chine'  id='choice_42_29_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_29_4' id='label_42_29_4' class='gform-field-label gform-field-label--type-inline'>Exportations de lait maternis\u00e9 vers la Chine<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_90\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >De quel type de certificat d\u2019exportation avez-vous besoin\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_42_90'><li class='gchoice gchoice_42_90_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.1' type='checkbox'  value='Certificat au gouvernement \u00e9tranger -Nourriture'  id='choice_42_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_1' id='label_42_90_1' class='gform-field-label gform-field-label--type-inline'>Certificat au gouvernement \u00e9tranger -Nourriture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_90_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.2' type='checkbox'  value='Certificat de vente gratuite -Suppl\u00e9ments alimentaires'  id='choice_42_90_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_2' id='label_42_90_2' class='gform-field-label gform-field-label--type-inline'>Certificat de vente gratuite -Suppl\u00e9ments alimentaires<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_90_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.3' type='checkbox'  value='Certificat au gouvernement \u00e9tranger -Dispositifs m\u00e9dicaux'  id='choice_42_90_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_3' id='label_42_90_3' class='gform-field-label gform-field-label--type-inline'>Certificat au gouvernement \u00e9tranger -Dispositifs m\u00e9dicaux<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_90_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.4' type='checkbox'  value='Certificat d\u2019un produit pharmaceutique'  id='choice_42_90_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_4' id='label_42_90_4' class='gform-field-label gform-field-label--type-inline'>Certificat d\u2019un produit pharmaceutique<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_90_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.5' type='checkbox'  value='Certificat d\u2019un produit cosm\u00e9tique'  id='choice_42_90_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_5' id='label_42_90_5' class='gform-field-label gform-field-label--type-inline'>Certificat d\u2019un produit cosm\u00e9tique<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_42_90_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.6' type='checkbox'  value='Certificats de sant\u00e9 -Collag\u00e8ne et g\u00e9latine export\u00e9s vers l\u2019UE'  id='choice_42_90_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_42_90_6' id='label_42_90_6' class='gform-field-label gform-field-label--type-inline'>Certificats de sant\u00e9 -Collag\u00e8ne et g\u00e9latine export\u00e9s vers l\u2019UE<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_112\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Quelle proposition d\u00e9crit le mieux votre appareil\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_42_112'>\n\t\t\t<li class='gchoice gchoice_42_112_0'>\n\t\t\t\t<input name='input_112' type='radio' value='Le fabricant d\u00e9tient au moins une approbation du NIOSH pour un masque filtrant fabriqu\u00e9 conform\u00e9ment aux normes d\u2019autorisation applicables dans d\u2019autres pays'  id='choice_42_112_0'    \/>\n\t\t\t\t<label for='choice_42_112_0' id='label_42_112_0' class='gform-field-label gform-field-label--type-inline'>Le fabricant d\u00e9tient au moins un <span class=\"tip-line\">NIOSH<span class=\"tool-tip\">qui utilise des normes tr\u00e8s \u00e9lev\u00e9es pour tester et approuver les masques respiratoires pour des utilisations professionnelles. Les masques respiratoires jetables approuv\u00e9s par le NIOSH portent le nom du fabricant, la r\u00e9f\u00e9rence (P\/N), la protection fournie par le filtre (par ex., N-95) et \u00ab\u00a0NIOSH\u00a0\u00bb. Ces informations sont imprim\u00e9es sur le masque, le couvercle de la valve d\u2019expiration ou les sangles de t\u00eate.<\/span><\/span> Approbation pour un masque respiratoire filtrant fabriqu\u00e9 conform\u00e9ment aux normes d\u2019autorisation applicables dans d\u2019autres pays<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_112_1'>\n\t\t\t\t<input name='input_112' type='radio' value='Le dispositif dispose d\u2019une autorisation r\u00e9glementaire dans une juridiction autre que la Chine'  id='choice_42_112_1'    \/>\n\t\t\t\t<label for='choice_42_112_1' id='label_42_112_1' class='gform-field-label gform-field-label--type-inline'>Le dispositif dispose d\u2019une autorisation r\u00e9glementaire dans une juridiction autre que la Chine<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_112_2'>\n\t\t\t\t<input name='input_112' type='radio' value='Le dispositif d\u00e9montre des performances acceptables par rapport aux normes applicables document\u00e9es par des rapports d\u2019un laboratoire de test ind\u00e9pendant reconnu'  id='choice_42_112_2'    \/>\n\t\t\t\t<label for='choice_42_112_2' id='label_42_112_2' class='gform-field-label gform-field-label--type-inline'>Le dispositif d\u00e9montre des performances acceptables par rapport aux normes applicables document\u00e9es par des rapports d\u2019un laboratoire de test ind\u00e9pendant reconnu<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_42_112_3'>\n\t\t\t\t<input name='input_112' type='radio' value='Le dispositif figure sur la liste des alternatives de respirateurs des Centres pour le contr\u00f4le et la pr\u00e9vention des maladies (Centers for Disease Control and Prevention, CDC) pendant la pand\u00e9mie de COVID-19.'  id='choice_42_112_3'    \/>\n\t\t\t\t<label for='choice_42_112_3' id='label_42_112_3' class='gform-field-label gform-field-label--type-inline'>Le dispositif figure sur la liste des alternatives de respirateurs des Centres pour le contr\u00f4le et la pr\u00e9vention des maladies (Centers for Disease Control and Prevention, CDC) pendant la pand\u00e9mie de COVID-19.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_42_134\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><hr><\/li><li id=\"field_42_117\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Respirateurs approuv\u00e9s par le NIOSH<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_42_117'>Fournissez les informations suivantes pour chacun de vos appareils respiratoires approuv\u00e9s par le NIOSH<\/div><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_117_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_117_col_2' class='gfield_list_col_even' \/><col id='gfield_list_117_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_117_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Nom du fabricant<\/th><th scope=\"col\">Num\u00e9ro de mod\u00e8le<\/th><th scope=\"col\">Num\u00e9ro d\u2019approbation NIOSH<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_117_cell1' data-label='Nom du fabricant'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_42_117\" aria-label='Nom du fabricant, Ligne 1' data-aria-label-template='Nom du fabricant, Ligne {0}' type='text' name='input_117[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_117_cell2' data-label='Num\u00e9ro de mod\u00e8le'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_42_117\" aria-label='Num\u00e9ro de mod\u00e8le, Ligne 1' data-aria-label-template='Num\u00e9ro de mod\u00e8le, Ligne {0}' type='text' name='input_117[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_117_cell3' data-label='Num\u00e9ro d\u2019approbation NIOSH'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_42_117\" aria-label='Num\u00e9ro d\u2019approbation NIOSH, Ligne 1' data-aria-label-template='Num\u00e9ro d\u2019approbation NIOSH, Ligne {0}' type='text' name='input_117[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Ajouter une nouvelle ligne\"><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Supprimer cette ligne' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Supprimer cette ligne\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_42_128\" class=\"gfield gfield--type-html info-header gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class=\"section-header\">Veuillez fournir les informations suivantes sur votre appareil<\/label><\/li><li id=\"field_42_118\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_118'>Nom du fabricant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_118' id='input_42_118' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_119\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_119'>Adresse du fabricant<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_42_119' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_120\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_120'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_42_120' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_121\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_121'>\u00c9tat\/Province\/R\u00e9gion<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_42_121' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_122\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_122'>Code postal<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_42_122' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_123\" class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_123'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_123' id='input_42_123' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>S\u00e9lectionner un pays<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbade' >Barbade<\/option><option value='Bi\u00e9lorussie' >Bi\u00e9lorussie<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/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-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='\u00cele de Bouvet' >\u00cele de Bouvet<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Darussalam Brunei' >Darussalam Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Ca\u00efmans' >\u00celes Ca\u00efmans<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' selected='selected'>Chine<\/option><option value='\u00cele de No\u00ebl' >\u00cele de No\u00ebl<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo, R\u00e9publique d\u00e9mocratique du' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='Congo, R\u00e9publique du' >Congo, R\u00e9publique du<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='El Salvador' >El Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes Malouines' >\u00celes Malouines<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Guyane fran\u00e7aise' >Guyane fran\u00e7aise<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Territoires du Sud fran\u00e7ais' >Territoires du Sud fran\u00e7ais<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >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='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='\u00cele de Man' >\u00cele de Man<\/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' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizstan' >Kirghizstan<\/option><option value='R\u00e9publique d\u00e9mocratique populaire lao' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Birmanie' >Birmanie<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niue' >Niue<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palaos' >Palaos<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint-Barth\u00e9lemy' >Saint-Barth\u00e9lemy<\/option><option value='Sainte-H\u00e9l\u00e8ne' >Sainte-H\u00e9l\u00e8ne<\/option><option value='Saint-Christophe-et-Ni\u00e9v\u00e8s' >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/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='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Tome et Principe de Sao' >Tome et Principe de Sao<\/option><option value='Arabie saoudite' >Arabie saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='G\u00e9orgie du Sud' >G\u00e9orgie du Sud<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Surinam' >Surinam<\/option><option value='\u00celes du Spitzberg et de Jan Mayen' >\u00celes du Spitzberg et de Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9-et-Tobago' >Trinit\u00e9-et-Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='\u00celes Turques-et-Ca\u00efques' >\u00celes Turques-et-Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select><\/div><\/li><li id=\"field_42_125\" class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_125'>Num\u00e9ro de mod\u00e8le du dispositif<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_125' id='input_42_125' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_124\" class=\"gfield gfield--type-text gf_left_half field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_124'>Combien de respirateurs pr\u00e9voyez-vous d\u2019envoyer aux \u00c9tats-Unis\u00a0\u00a0?<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_42_124' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_126\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_126'>T\u00e9l\u00e9charger l\u2019\u00e9tiquette de votre produit<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_126' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_126&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_126&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_126&quot;,&quot;filelist&quot;:&quot;gform_preview_42_126&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:126},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_126&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_126' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_126' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_126\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_126'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_126'><\/ul> <div id='gform_preview_42_126' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_129\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_129'>T\u00e9l\u00e9charger un document\/certificat d\u2019autorisation de mise sur le march\u00e9<\/label><div class='gfield_description' id='gfield_description_42_129'>\u00c9mis par une autre autorit\u00e9 r\u00e9glementaire ou un organisme d\u2019\u00e9valuation de la conformit\u00e9.  Inclure le num\u00e9ro d\u2019autorisation et le nom de l\u2019organisme d\u2019\u00e9valuation (le cas \u00e9ch\u00e9ant)<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_129' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_129&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_129&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_129&quot;,&quot;filelist&quot;:&quot;gform_preview_42_129&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:129},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_129&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_129' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_129' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_129 gfield_description_42_129\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_129'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_129'><\/ul> <div id='gform_preview_42_129' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_130\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_130'>Nom de l\u2019organisme de test<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_42_130' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_42_131\" class=\"gfield gfield--type-fileupload gf_left_half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_131'>T\u00e9l\u00e9charger le certificat de conformit\u00e9 aux normes applicables<\/label><div class='gfield_description' id='gfield_description_42_131'>&nbsp;<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_131' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_131&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_131&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_131&quot;,&quot;filelist&quot;:&quot;gform_preview_42_131&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:131},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_131&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_131' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_131' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_131 gfield_description_42_131\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_131'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_131'><\/ul> <div id='gform_preview_42_131' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_132\" class=\"gfield gfield--type-fileupload gf_left_half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_42_132'>T\u00e9l\u00e9charger le rapport de test<\/label><div class='gfield_description' id='gfield_description_42_132'>Le rapport doit d\u00e9montrer que les normes de performance applicables ont \u00e9t\u00e9 respect\u00e9es<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_42_132' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_42_132&quot;,&quot;container&quot;:&quot;gform_multifile_upload_42_132&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_42_132&quot;,&quot;filelist&quot;:&quot;gform_preview_42_132&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/fr\\\/?gf_page=d54b1d2899867e7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/staging.registrarcorp.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:42,&quot;field_id&quot;:132},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_42_132&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_42_132' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_42_132' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_42_132 gfield_description_42_132\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_42_132'>Taille max. des fichiers\u00a0: 50 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_42_132'><\/ul> <div id='gform_preview_42_132' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_42_147\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_42_147'>CAPTCHA<\/label><div id='input_42_147' class='ginput_container ginput_recaptcha' data-sitekey='6Ldkgj4nAAAAAM71SBOouD5Zfhl9vcYMVV-dZh2r'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_42_70\" class=\"gfield gfield--type-html custom-submit-button gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"form-button-container\">\n<button type=\"button\" class=\"btn btn-blue-white form-button form-submit\">Soumettre<\/button>\n<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_42' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Soumettre'  \/> <input type='hidden' name='gform_ajax' 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css=&#8221;&#8221; fnt_family_h2=&#8221;Montserrat&#8221; fnt_size_h2=&#8221;32&#8243;] Certificat d\u2019enregistrement FDA pour les produits pharmaceutiques Remplissez le formulaire ci-dessous pour recevoir un certificat d\u2019enregistrement de m\u00e9dicament d\u00e9livr\u00e9 par Registrar Corp\u00a0:[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":12815,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page-sidebar-none.php","meta":{"_acf_changed":false,"content-type":"","footnotes":""},"class_list":["post-11376","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages\/11376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/comments?post=11376"}],"version-history":[{"count":0,"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages\/11376\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages\/12815"}],"wp:attachment":[{"href":"https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/media?parent=11376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}