{"id":47274,"date":"2023-07-18T15:45:11","date_gmt":"2023-07-18T15:45:11","guid":{"rendered":"https:\/\/staging.registrarcorp.com\/thank-you\/protect-your-company-from-unauthorized-shipments\/"},"modified":"2025-01-07T17:35:58","modified_gmt":"2025-01-07T17:35:58","slug":"protect-your-company-from-unauthorized-shipments","status":"publish","type":"page","link":"https:\/\/staging.registrarcorp.com\/fr\/thank-you\/protect-your-company-from-unauthorized-shipments\/","title":{"rendered":"Prot\u00e9gez votre entreprise contre les exp\u00e9ditions non autoris\u00e9es"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_section full_width=&#8221;stretch_row&#8221; el_id=&#8221;sectionConfirm&#8221; el_class=&#8221;page-text&#8221;][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_column_text css=&#8221;&#8221;]\n<h1 style=\"text-align: center;\">Merci<\/h1>\n<p style=\"text-align: center;\">Votre demande a \u00e9t\u00e9 soumise avec succ\u00e8s.\u00a0 Un conseiller r\u00e9glementaire vous contactera sous peu.<\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; el_id=&#8221;offerBody&#8221; el_class=&#8221;page-text&#8221;][vc_row el_class=&#8221;form-head&#8221;][vc_column][vc_row_inner][vc_column_inner][vc_column_text]\n<h2>Prot\u00e9gez votre entreprise contre les exp\u00e9ditions non autoris\u00e9es<\/h2>\n<p>Les produits que vous vendez en dehors des \u00c9tats-Unis peuvent \u00eatre revendus aux \u00c9tats-Unis \u00e0 votre insu. Si un envoi ne r\u00e9pond pas aux exigences am\u00e9ricaines, vous, <strong>le fabricant (et non l\u2019exp\u00e9diteur) pouvez \u00eatre ajout\u00e9 \u00e0 une alerte d\u2019importation de la FDA am\u00e9ricaine.<\/strong>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row el_class=&#8221;callout-bar&#8221;][vc_column][vc_column_text]Vous pouvez d\u00e9sormais surveiller les envois vers les \u00c9tats-Unis associ\u00e9s \u00e0 votre num\u00e9ro d\u2019enregistrement[\/vc_column_text][\/vc_column][\/vc_row][vc_row el_class=&#8221;product-block&#8221;][vc_column][vc_row_inner el_class=&#8221;product-header&#8221;][vc_column_inner][vc_single_image image=&#8221;44668&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][vc_column_text]\n<h3>Ajouter la surveillance des envois<\/h3>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;price-block&#8221;][vc_column_inner][vc_column_text]\n<h2>195 $ <span class=\"cross-out\">390 $<\/span><\/h2>\n<p><em>(par \u00e9tablissement et par an)<\/em><\/p>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;value-block&#8221;][vc_column_inner][vc_column_text]La surveillance des envois vous permet de surveiller chaque envoi associ\u00e9 \u00e0 votre \u00e9tablissement, offrant ainsi une meilleure protection de votre marque.[\/vc_column_text][vc_raw_html]PHVsPgogICAgPGxpPjxpIGNsYXNzPSJmYXMgZmEtY2hlY2siPjwvaT48ZGl2IGNsYXNzPSJ2YWx1ZS1wcm9wIj5JZGVudGlmaWVyIHJhcGlkZW1lbnQgbGVzIGVudm9pcyBub24gYXV0b3Jpc8OpcyAobWFya2V0aW5nIGdyaXMpPC9kaXY+PC9saT4KICAgIDxsaT48aSBjbGFzcz0iZmFzIGZhLWNoZWNrIj48L2k+PGRpdiBjbGFzcz0idmFsdWUtcHJvcCI+TWluaW1pc2VyIGxlcyBkw6l0ZW50aW9uczwvZGl2PjwvbGk+CiAgICA8bGk+PGkgY2xhc3M9ImZhcyBmYS1jaGVjayI+PC9pPjxkaXYgY2xhc3M9InZhbHVlLXByb3AiPlByb3TDqWdlciBsYSByw6lwdXRhdGlvbiBkZSB2b3RyZSBlbnRyZXByaXNlPC9kaXY+PC9saT4KPC91bD4=[\/vc_raw_html][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;video-container&#8221;][vc_column_inner][vc_column_text]En savoir plus dans cette vid\u00e9o de 2 minutes[\/vc_column_text][vc_single_image image=&#8221;15074&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; onclick=&#8221;custom_link&#8221; link=&#8221;#shipmentVideoModal&#8221;][vc_raw_js]JTNDc2NyaXB0JTNFJTBBalF1ZXJ5JTI4ZG9jdW1lbnQlMjkucmVhZHklMjhmdW5jdGlvbiUyOCUyNCUyOSUyMCU3QiUwQSUyRiUyRiUyMFNUT1AlMjB2aWRlbyUyMHVwb24lMjBtb2RhbCUyMGNsb3NlJTBBJTA5JTI0JTI4JTI3Lm1wYy1tb2RhbF9fY2xvc2UlMjclMjkuY2xpY2slMjhmdW5jdGlvbiUyOCUyOSUyMCU3QiUwQSUwOSUwOXZhciUyMG1vZGFsVmlkZW8lMjAlM0QlMjAlMjQlMjh0aGlzJTI5LmNsb3Nlc3QlMjglMjcubXBjLW1vZGFsJTI3JTI5LmZpbmQlMjglMjcubXBjLW1vZGFsX19jb250ZW50JTIwaWZyYW1lJTI3JTI5JTNCJTBBJTA5JTA5aWYlMjAlMjglMjBtb2RhbFZpZGVvLmxlbmd0aCUyMCUyOSUyMCU3QiUwQSUwOSUwOSUwOSUyRiUyRiUyMHNhdmVzJTIwdGhlJTIwY3VycmVudCUyMGlmcmFtZSUyMHNvdXJjZSUwQSUwOSUwOSUwOXZhciUyMHZpZGVvU3JjJTIwJTNEJTIwbW9kYWxWaWRlby5hdHRyJTI4JTI3c3JjJTI3JTI5JTNCJTBBJTBBJTA5JTA5JTA5JTJGJTJGJTIwUmVtb3ZlJTIwYXV0b3BsYXklMjBmcm9tJTIwdmlkZW8lMjBzcmMlMEElMDklMDklMDl2aWRlb1NyYyUyMCUzRCUyMHZpZGVvU3JjLnJlcGxhY2UlMjglMjclMjZhdXRvcGxheSUzRDElMjclMkMlMjAlMjclMjclMjkucmVwbGFjZSUyOCUyNyUzRmF1dG9wbGF5JTNEMSUyNyUyQyUyMCUyNyUyNyUyOSUzQiUwQSUwQSUwOSUwOSUwOSUyRiUyRiUyMHNldHMlMjB0aGUlMjBzb3VyY2UlMjB0byUyMG5vdGhpbmclMkMlMjBzdG9wcGluZyUyMHRoZSUyMHZpZGVvJTBBJTA5JTA5JTA5bW9kYWxWaWRlby5hdHRyJTI4JTI3c3JjJTI3JTJDJTI3JTI3JTI5JTNCJTIwJTBBJTBBJTA5JTA5JTA5JTJGJTJGJTIwc2V0cyUyMGl0JTIwYmFjayUyMHRvJTIwdGhlJTIwY29ycmVjdCUyMGxpbmslMjBzbyUyMHRoYXQlMjBpdCUyMHJlbG9hZHMlMjBpbW1lZGlhdGVseSUyMG9uJTIwdGhlJTIwbmV4dCUyMHdpbmRvdyUyMG9wZW4lMEElMDklMDklMDltb2RhbFZpZGVvLmF0dHIlMjglMjdzcmMlMjclMkMlMjB2aWRlb1NyYyUyOSUzQiUwQSUwOSUwOSU3RCUwQSUwOSU3RCUyOSUzQiUwQSUwQSUyMCUyMCUyMCUyMCUyMCUyMCUyMCUyMGpRdWVyeSUyOCUyN2ElNUJocmVmJTNEJTIyJTIzc2hpcG1lbnRWaWRlb01vZGFsJTIyJTVEJTI3JTI5Lm9uJTI4JTI3Y2xpY2slMjclMkNmdW5jdGlvbiUyOCUyOSU3QiUwQSUwOSUyMCUyMCUyMCUyMGpRdWVyeSUyOCUyNy53cGJfdmlkZW9fd3JhcHBlciUyMGlmcmFtZSUyNyUyOS5hdHRyJTI4JTIyYWxsb3clMjIlMkMlMjAlMjJhdXRvcGxheSUyMiUyOSUzQiUwQSUwOSUyMCUyMCUyMCUyMGpRdWVyeSUyOCUyNy53cGJfdmlkZW9fd3JhcHBlciUyMGlmcmFtZSUyNyUyOS5hdHRyJTI4JTIyc3JjJTIyJTJDJTIwalF1ZXJ5JTI4JTI3LndwYl92aWRlb193cmFwcGVyJTIwaWZyYW1lJTI3JTI5LmF0dHIlMjglMjJzcmMlMjIlMjklMjAlMkIlMjAlMjclMjZhdXRvcGxheSUzRDElMjclMjklM0IlMEElMjAlMjAlMjAlMjAlMjAlMjAlMjAlMjAlN0QlMjklM0IlMEElN0QlMjklM0IlMEElM0MlMkZzY3JpcHQlM0U=[\/vc_raw_js][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;button-row&#8221;][vc_column_inner]<div data-id=\"mpc_button-256a503abb67878\" class=\"mpc-button mpc-init mpc-transition btn btn-red-white addMonitoring\" ><div class=\"mpc-button__content mpc-effect-type--none mpc-effect-side--none\"><span class=\"mpc-button__title mpc-transition\">Ajouter la surveillance des envois<\/span><\/div><div class=\"mpc-button__background mpc-transition mpc-effect-type--fade mpc-effect-side--in\"><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\n<h3 class=\"skip-link\" style=\"text-align: center;\"><a href=\"https:\/\/staging.registrarcorp.com\/fr\/about-us\/partners\/attachment\/registration-2\/\">Ignorer &gt;&gt;<\/a><\/h3>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<div id=\"mpc-modal-47274-0\" class=\"mpc-modal-overlay\" data-id=\"mpc_modal-766a503abb67902\" data-position=\"middle-center\" data-frequency=\"onclick\" data-target-id=\"shipmentVideoModal\"><div class=\"mpc-modal mpc-init video-modal\"><div class=\"mpc-modal__close\"><div data-id=\"mpc_icon-296a503abb6795b\" class=\"mpc-icon mpc-init mpc-transition mpc-effect-none mpc-icon-hover \"><div class=\"mpc-icon-wrap\"><i class=\"mpc-icon-part mpc-regular mpc-transition  fa fa-times\"><\/i><i class=\"mpc-icon-part mpc-hover mpc-transition  fa fa-times\"><\/i><\/div><\/div><\/div><div class=\"mpc-modal__content\">[vc_row_inner][vc_column_inner][vc_video link=&#8221;https:\/\/vimeo.com\/446875086&#8243; align=&#8221;center&#8221;][\/vc_column_inner][\/vc_row_inner]<\/div><\/div><\/div><div class=\"mpc-modal-waypoint mpc-waypoint\" data-id=\"mpc-modal-47274-0\"><\/div>[\/vc_column][\/vc_row][\/vc_section][vc_section el_id=&#8221;sectionForm&#8221; el_class=&#8221;hidden&#8221;][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_column_text]\n<h2 class=\"form-header\">Activer la surveillance des envois<\/h2>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_column_text css=&#8221;&#8221;]<script>\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 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         <h3 class=\"gform_title\">Paiement g\u00e9n\u00e9ral<\/h3>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_43' id='gform_43' class='general-checkout-form' action='\/fr\/wp-json\/wp\/v2\/pages\/47274#gf_43' data-formid='43' novalidate><input id=partial_entry_id_43 class=\"partial_entry_id\" type=hidden name=\"partial_entry_id\" value=\"pending\" data-form_id=\"43\"\/>\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=\"246\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div><div id='gf_page_steps_43' class='gf_page_steps'><div id='gf_step_43_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Informations sur la soci\u00e9t\u00e9<\/span><\/div><div id='gf_step_43_2' class='gf_step gf_step_last gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Informations de paiement<\/span><\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_43_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_43' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_43_93\" 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_43_93'>Page d\u2019accueil<\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_43_93' type='text' value='https:\/\/staging.registrarcorp.com\/fr\/wp-json\/wp\/v2\/pages\/47274' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_103\" 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_43_103'>GCLID<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_43_103' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_87\" class=\"gfield gfield--type-text 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_43_87'>Num\u00e9ro de client<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_43_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_2\" 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_43_2'><li class='gchoice gchoice_43_2_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.1' type='checkbox'  value='EnvoyerIncomplet'  id='choice_43_2_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_2_1' id='label_43_2_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_43_1\" 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_43_1'>E-mail du bureau international<\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_43_1' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><\/select><\/div><\/li><li id=\"field_43_3\" class=\"gfield gfield--type-select product_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_43_3'>Type de produit<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_43_3' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Assistance DUNS' >Assistance DUNS<\/option><option value='Inspection simul\u00e9e' >Inspection simul\u00e9e<\/option><option value='Installation 360' >Installation 360<\/option><option value='Moniteur de conformit\u00e9 FDA' >Moniteur de conformit\u00e9 FDA<\/option><option value='Inspection FSVP' >Inspection FSVP<\/option><option value='Service d\u2019administration de formules pour nourrissons' >Service d\u2019administration de formules pour nourrissons<\/option><option value='Plan de rappel' >Plan de rappel<\/option><option value='Surveillance des envois' >Surveillance des envois<\/option><option value='Guide d\u2019eau pour bouteille d\u2019\u00e9tat' >Guide d\u2019eau pour bouteille d\u2019\u00e9tat<\/option><option value='Guide d\u2019\u00e9tiquetage du vin' >Guide d\u2019\u00e9tiquetage du vin<\/option><option value='Gestion des agents\/inscriptions aux \u00c9tats-Unis' >Gestion des agents\/inscriptions aux \u00c9tats-Unis<\/option><\/select><\/div><\/li><li id=\"field_43_4\" class=\"gfield gfield--type-text product_name 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_43_4'>Nom du produit<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_43_4' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_5\" 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_43_5'>Source du plomb<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_43_5' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_54\" 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_43_54'>Cat\u00e9gorie de leads<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_43_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_55\" 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_43_55'>Source de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_43_55' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_56\" 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_43_56'>Dur\u00e9e de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_43_56' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_57\" 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_43_57'>Moyen de campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_43_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_58\" 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_43_58'>Nom de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_43_58' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_59\" 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_43_59'>Contenu de la campagne<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_43_59' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_60\" 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_43_60'>Type de correspondance<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_43_60' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_53\" 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_53' id='input_43_53' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/li><li id=\"field_43_12\" class=\"gfield gfield--type-multiselect state-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_43_12'>S\u00e9lectionnez les \u00e9tats pour lesquels vous souhaitez acheter des guides<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Cliquez pour s\u00e9lectionner...' size='7' name='input_12[]' id='input_43_12' class='medium gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='Californie' >Californie<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District de Columbia' >District de Columbia<\/option><option value='Floride' >Floride<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Hawa\u00ef' >Hawa\u00ef<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiane' >Louisiane<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='Nouveau-Mexique' >Nouveau-Mexique<\/option><option value='New York' >New York<\/option><option value='Caroline du Nord' >Caroline du Nord<\/option><option value='Dakota du Nord' >Dakota du Nord<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvanie' >Pennsylvanie<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='Caroline du Sud' >Caroline du Sud<\/option><option value='Dakota du Sud' >Dakota du Sud<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginie' >Virginie<\/option><option value='Washington' >Washington<\/option><option value='Virginie-Occidentale' >Virginie-Occidentale<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><\/select><\/div><\/li><li id=\"field_43_13\" class=\"gfield gfield--type-checkbox gfield--type-choice inspection-notice 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' >Avis d\u2019inspection<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_13'><li class='gchoice gchoice_43_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Mon \u00e9tablissement a re\u00e7u un avis d\u2019inspection de la FDA'  id='choice_43_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_13_1' id='label_43_13_1' class='gform-field-label gform-field-label--type-inline'>Mon \u00e9tablissement a re\u00e7u un avis d\u2019inspection de la FDA<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_61\" class=\"gfield gfield--type-radio gfield--type-choice hidden 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' >Je voudrais commander<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_43_61'>\n\t\t\t<li class='gchoice gchoice_43_61_0'>\n\t\t\t\t<input name='input_61' type='radio' value='Une inspection simul\u00e9e de la FDA sur site'  id='choice_43_61_0'    \/>\n\t\t\t\t<label for='choice_43_61_0' id='label_43_61_0' class='gform-field-label gform-field-label--type-inline'>Une inspection simul\u00e9e de la FDA sur site<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_43_61_1'>\n\t\t\t\t<input name='input_61' type='radio' value='Une simulation virtuelle d\u2019inspection de la FDA' checked='checked' id='choice_43_61_1'    \/>\n\t\t\t\t<label for='choice_43_61_1' id='label_43_61_1' class='gform-field-label gform-field-label--type-inline'>Une simulation virtuelle d\u2019inspection de la FDA<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_88\" class=\"gfield gfield--type-text userRegistration 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_43_88'>Num\u00e9ro d\u2019enregistrement<\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_43_88' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_14\" class=\"gfield gfield--type-select country-select office-route-country 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_43_14'>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_14' id='input_43_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>S\u00e9lectionnez votre 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='Kirghizistan' >Kirghizistan<\/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='Leotho' >Leotho<\/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_43_15\" class=\"gfield gfield--type-text 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_43_15'>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_15' id='input_43_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_16\" class=\"gfield gfield--type-text gf_left_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_43_16'>Nom de la personne \u00e0 contacter<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_43_16' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_17\" class=\"gfield gfield--type-email 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_43_17'>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_17' id='input_43_17' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_43_18\" class=\"gfield gfield--type-text gf_left_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_43_18'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_43_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_19\" class=\"gfield gfield--type-text gf_left_half userAddress 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_43_19'>Adresse de facturation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_43_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_20\" class=\"gfield gfield--type-text gf_left_half userCity 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_43_20'>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_20' id='input_43_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_21\" 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_43_21'>\u00c9tat\/Province\/R\u00e9gion<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_43_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_22\" class=\"gfield gfield--type-text gf_left_half userPostalCode field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_22'>Code postal<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_43_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_46\" 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_43_46'>Num\u00e9ro d\u2019enregistrement FDA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_43_46' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_82\" class=\"gfield gfield--type-number supplierCount 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_43_82'>Combien de fournisseurs avez-vous\u00a0\u00a0?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_43_82' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_43_23\" 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\"  ><div class=\"form-button-container hidden\">\n<button class=\"form-button form-next\">Suivant<\/button>\n<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_43_102' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Suivant'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_43_2' class='gform_page' data-js='page-field-id-102' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_43_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_43_25\" class=\"gfield gfield--type-section gsection amountDue field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Montant d\u00fb<\/h2><\/li><li id=\"field_43_43\" 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\"  ><div class=\"checkout-line\">\n    <div class=\"vc_row checkout-header\">\n        <div class=\"vc_col-xs-12\"><b>Montant d\u00fb<\/b><\/div>\n    <\/div>\n    <div class=\"checkout-summary\"><\/div>\n    <div class=\"vc_row checkout-total\">\n        <div class=\"vc_col-xs-8\"><b>Total<\/b><\/div>\n        <div class=\"vc_col-xs-4 line-total\"><\/div>\n    <\/div>\n<\/div><\/li><li id=\"field_43_68\" 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\"  ><div class=\"billTo\">\n    <h4>Facturer \u00e0\u00a0\u00a0:<\/h4>\n    <div class=\"billTo-UserCompany\"><\/div>\n    <div class=\"billTo-UserName\"><\/div>\n    <div class=\"billTo-UserAddress\"><\/div>\n    <div class=\"billTo-UserCity\"><\/div>\n    <div class=\"billTo-UserCountry\"><\/div>\n    <div class=\"billTo-UserPostalCode\"><\/div>\n<\/div><\/li><li id=\"field_43_27\" class=\"gfield gfield--type-product gfield--input-type-singleproduct product-water-guide gfield_price gfield_price_43_27 gfield_product_43_27 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' for='input_43_27_1'><span class=\"gform-field-label gfield_label_product\">Guide de l\u2019\u00c9tat sur l\u2019eau en bouteille<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_27.1' value='Guide de l\u2019\u00c9tat sur l\u2019eau en bouteille' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_43_27'>$695.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_27.2' id='ginput_base_price_43_27' class='gform_hidden' value='$695.00'\/>\n\t\t\t\t\t <label for='ginput_quantity_43_27_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_27.3' value='' id='input_43_27_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Guide de l\u2019\u00c9tat sur l\u2019eau en bouteille\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_29\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_29 gfield_product_43_29 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' for='input_43_29_1'>Guide d\u2019\u00e9tiquetage du vin<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_29.1' value='Guide d\u2019\u00e9tiquetage du vin' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_29' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_29.2' id='ginput_base_price_43_29' value='$195.00' aria-label='Guide d\u2019\u00e9tiquetage du vin Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_29.3' value='1' class='ginput_quantity_43_29 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_31\" class=\"gfield gfield--type-radio gfield--type-choice countryGroup 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' >Groupe de pays<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_43_31'>\n\t\t\t<li class='gchoice gchoice_43_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='groupeA'  id='choice_43_31_0'    \/>\n\t\t\t\t<label for='choice_43_31_0' id='label_43_31_0' class='gform-field-label gform-field-label--type-inline'>groupeA<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_43_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='groupeB'  id='choice_43_31_1'    \/>\n\t\t\t\t<label for='choice_43_31_1' id='label_43_31_1' class='gform-field-label gform-field-label--type-inline'>groupeB<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_43_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='groupeC' checked='checked' id='choice_43_31_2'    \/>\n\t\t\t\t<label for='choice_43_31_2' id='label_43_31_2' class='gform-field-label gform-field-label--type-inline'>groupeC<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_32\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_32 gfield_product_43_32 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' for='input_43_32_1'>Audit \u00e0 Blanc FDA<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_32.1' value='Audit \u00e0 Blanc FDA' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_32' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_32.2' id='ginput_base_price_43_32' value='$6,995.00' aria-label='Audit \u00e0 Blanc FDA Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_32.3' value='1' class='ginput_quantity_43_32 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_33\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_33 gfield_product_43_33 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' for='input_43_33_1'>Audit \u00e0 Blanc FDA<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_33.1' value='Audit \u00e0 Blanc FDA' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_33' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_33.2' id='ginput_base_price_43_33' value='$5,995.00' aria-label='Audit \u00e0 Blanc FDA Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_33.3' value='1' class='ginput_quantity_43_33 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_34\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_34 gfield_product_43_34 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' for='input_43_34_1'>Audit \u00e0 Blanc FDA<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_34.1' value='Audit \u00e0 Blanc FDA' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_34' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_34.2' id='ginput_base_price_43_34' value='$4,995.00' aria-label='Audit \u00e0 Blanc FDA Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_34.3' value='1' class='ginput_quantity_43_34 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_62\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_62 gfield_product_43_62 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' for='input_43_62_1'>Inspection FDA simul\u00e9e virtuelle<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_62.1' value='Inspection FDA simul\u00e9e virtuelle' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_62' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_62.2' id='ginput_base_price_43_62' value='$3,995.00' aria-label='Inspection FDA simul\u00e9e virtuelle Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_62.3' value='1' class='ginput_quantity_43_62 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_64\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_64 gfield_product_43_64 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' for='input_43_64_1'>Inspection FSVP simul\u00e9e<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_64.1' value='Inspection FSVP simul\u00e9e' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_64' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_64.2' id='ginput_base_price_43_64' value='$4,995.00' aria-label='Inspection FSVP simul\u00e9e Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_64.3' value='1' class='ginput_quantity_43_64 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_65\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_65 gfield_product_43_65 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' for='input_43_65_1'>Inspection FSVP simul\u00e9e<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_65.1' value='Inspection FSVP simul\u00e9e' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_65' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_65.2' id='ginput_base_price_43_65' value='$2,995.00' aria-label='Inspection FSVP simul\u00e9e Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_65.3' value='1' class='ginput_quantity_43_65 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_36\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_36 gfield_product_43_36 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' for='input_43_36_1'>Plan de rappel<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_36.1' value='Plan de rappel' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_36' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_36.2' id='ginput_base_price_43_36' value='$395.00' aria-label='Plan de rappel Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_36.3' value='1' class='ginput_quantity_43_36 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_67\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_67 gfield_product_43_67 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' for='input_43_67_1'>Surveillance des envois<\/label><div class='gfield_description' id='gfield_description_43_67'>(Valable jusqu\u2019au 31\u00a0d\u00e9cembre <span class=\"service-year\">&nbsp;<\/span>)<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_67.1' value='Surveillance des envois' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_67' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_67.2' id='ginput_base_price_43_67' value='$195.00' aria-label='Surveillance des envois Prix' aria-describedby=\"gfield_description_43_67\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_67.3' value='1' class='ginput_quantity_43_67 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_45\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_45 gfield_product_43_45 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' for='input_43_45_1'>Assistance DUNS<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_45.1' value='Assistance DUNS' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_45' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_45.2' id='ginput_base_price_43_45' value='$195.00' aria-label='Assistance DUNS Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_45.3' value='1' class='ginput_quantity_43_45 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_48\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_48 gfield_product_43_48 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' for='input_43_48_1'>Agent am\u00e9ricain pour les communications de la FDA<\/label><div class='gfield_description' id='gfield_description_43_48'>(Valable jusqu\u2019au 31\u00a0d\u00e9cembre <span class=\"service-year\">&nbsp;<\/span>)<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_48.1' value='Agent am\u00e9ricain pour les communications de la FDA' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_48' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_48.2' id='ginput_base_price_43_48' value='$795.00' aria-label='Agent am\u00e9ricain pour les communications de la FDA Prix' aria-describedby=\"gfield_description_43_48\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_48.3' value='1' class='ginput_quantity_43_48 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_49\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_43_49 gfield_product_43_49 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' for='input_43_49_1'>Service de gestion des inscriptions et d\u00e9livrance de certificat<\/label><div class='gfield_description' id='gfield_description_43_49'>(Valable jusqu\u2019au 31\u00a0d\u00e9cembre <span class=\"service-year\">&nbsp;<\/span>)<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_49.1' value='Service de gestion des inscriptions et d\u00e9livrance de certificat' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_49' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_49.2' id='ginput_base_price_43_49' value='$195.00' aria-label='Service de gestion des inscriptions et d\u00e9livrance de certificat Prix' aria-describedby=\"gfield_description_43_49\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_49.3' value='1' class='ginput_quantity_43_49 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_70\" class=\"gfield gfield--type-product gfield--input-type-singleproduct monitor-prod gfield_price gfield_price_43_70 gfield_product_43_70 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' for='input_43_70_1'>Installation 360<\/label><div class='gfield_description' id='gfield_description_43_70'>(valable jusqu\u2019au <span class=\"service-date\"><\/span>)<br>\ncomprend la conformit\u00e9 FDA et la surveillance des exp\u00e9ditions<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_70.1' value='Installation 360' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_70' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_70.2' id='ginput_base_price_43_70' value='$390.00' aria-label='Installation 360 Prix' aria-describedby=\"gfield_description_43_70\" \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_70.3' value='1' class='ginput_quantity_43_70 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_83\" 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\"  ><p class=\"monitor-description\"><i class=\"fas fa-info-circle\"><\/i> En fonction de vos <strong class=\"supplierCountText\"><\/strong> fournisseurs sp\u00e9cifi\u00e9s, Registrar Corp recommande un bloc de <strong class=\"blockSizeText\"><\/strong>.  Cette valeur peut \u00eatre modifi\u00e9e ci-dessous.<\/p><\/li><li id=\"field_43_74\" class=\"gfield gfield--type-product gfield--input-type-select monitor-prod gfield_price gfield_price_43_74 gfield_product_43_74 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_74'>Moniteur de conformit\u00e9 FDA<\/label><div class='gfield_description' id='gfield_description_43_74'>(valable jusqu\u2019au <span class=\"service-date\"><\/span>)<\/div><div class='ginput_container ginput_container_select'><select name='input_74' id='input_43_74' class='medium gfield_select'  aria-describedby=\"gfield_description_43_74\"   aria-invalid=\"false\" ><option value='Bloc de 5\u00a0fournisseurs|1595' >Bloc de 5\u00a0fournisseurs (696 $)<\/option><option value='Bloc de 10\u00a0fournisseurs|2395' >Bloc de 10\u00a0fournisseurs (1 320\u00a0USD)<\/option><option value='Bloc de 25\u00a0fournisseurs|4795' >Bloc de 25\u00a0fournisseurs (3 180\u00a0USD)<\/option><option value='Bloc de 50\u00a0fournisseurs|7795' >Bloc de 50\u00a0fournisseurs (6 192\u00a0USD)<\/option><\/select><\/div><\/li><li id=\"field_43_80\" class=\"gfield gfield--type-product gfield--input-type-select monitor-prod gfield_price gfield_price_43_80 gfield_product_43_80 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_43_80'>Surveillance de la conformit\u00e9 FDA avec gestion des documents<\/label><div class='gfield_description' id='gfield_description_43_80'>(valable jusqu\u2019au <span class=\"service-date\"><\/span>)<\/div><div class='ginput_container ginput_container_select'><select name='input_80' id='input_43_80' class='medium gfield_select'  aria-describedby=\"gfield_description_43_80\"   aria-invalid=\"false\" ><option value='Bloc de 5\u00a0fournisseurs|990' >Bloc de 5\u00a0fournisseurs (990 $)<\/option><option value='Bloc de 10\u00a0fournisseurs|1908' >Bloc de 10\u00a0fournisseurs (1 908\u00a0USD)<\/option><option value='Bloc de 15\u00a0fournisseurs|2826' >Bloc de 15\u00a0fournisseurs (2 826\u00a0USD)<\/option><option value='Bloc de 25\u00a0fournisseurs|4650' >Bloc de 25\u00a0fournisseurs (4 650\u00a0USD)<\/option><option value='Bloc de 50\u00a0fournisseurs|9132' >Bloc de 50\u00a0fournisseurs (9 132 $)<\/option><option value='Bloc de 100\u00a0fournisseurs|18000' >Bloc de 100\u00a0fournisseurs (18 000\u00a0USD)<\/option><\/select><\/div><\/li><li id=\"field_43_81\" class=\"gfield gfield--type-checkbox gfield--type-choice dms-check 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' >Ajouter la gestion des documents<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_81'><li class='gchoice gchoice_43_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Ajouter un syst\u00e8me de gestion des documents'  id='choice_43_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_81_1' id='label_43_81_1' class='gform-field-label gform-field-label--type-inline'>Ajouter un syst\u00e8me de gestion des documents<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_86\" class=\"gfield gfield--type-text serviceDate 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_43_86'>Date de validit\u00e9<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_43_86' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_99\" class=\"gfield gfield--type-html gfield--width-full 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=\"recommended-docs\">\n<p>Registrar Corp recommande de disposer des documents suivants pour cette soumission\u00a0\u00a0:<\/p>\n<p>Pour le produit\u00a0\u00a0:<\/p>\n<ul>\n<li>Nom du produit, nombre et taille des r\u00e9cipients de vente au d\u00e9tail, num\u00e9ros de lot, codes d\u2019identification du produit, num\u00e9ro d\u2019IFN (si pr\u00e9alablement notifi\u00e9 \u00e0 la FDA)<\/li>\n<li>Pays dans lesquels elle est actuellement commercialis\u00e9e et dur\u00e9e<\/li>\n<li>Quantit\u00e9 destin\u00e9e \u00e0 \u00eatre introduite sur le march\u00e9 am\u00e9ricain (en poids).<\/li>\n<li>&ldquo;Utiliser la date de p\u00e9remption&rdquo; si dans l\u2019inventaire actuel. S\u2019il n\u2019est pas dans l\u2019inventaire actuel, la date \u00e0 laquelle vous pr\u00e9voyez de l\u2019introduire dans le commerce am\u00e9ricain. Indiquez s\u2019il s\u2019agira d\u2019un envoi unique ou de plusieurs envois.<\/li>\n<li>Nom et emplacement des installations de fabrication<\/li>\n<li>Plan de distribution jusqu\u2019au niveau de la vente au d\u00e9tail, si disponible<\/li>\n<li>Formulation quantitative compl\u00e8te, liste de tous les ingr\u00e9dients, quantit\u00e9 de chaque ingr\u00e9dient par quantit\u00e9 absolue (comme mg\/kg ou g\/l)<\/li>\n<li>Copie de l\u2019\u00e9tiquette du produit<\/li>\n<li>Description de l\u2019emballage du produit<\/li>\n<li>R\u00e9sum\u00e9 des r\u00e9sultats des tests du produit fini pour le lot le plus r\u00e9cent dans chaque \u00e9tablissement\u00a0\u00a0:\n<ul>\n<li>Niveau de chaque nutriment requis par 21\u00a0CFR 107.100<\/li>\n<li>Niveau de tout autre nutriment ajout\u00e9 par le fabricant en unit\u00e9s pour 100\u00a0kcal<\/li>\n<li>Explication de tout \u00e9cart pour une formule sp\u00e9cialis\u00e9e qui peut ne pas r\u00e9pondre \u00e0 toutes les exigences, mais qui est appropri\u00e9 pour la prise en charge alimentaire d\u2019une maladie ou d\u2019un trouble sp\u00e9cifique<\/li>\n<\/ul>\n<\/li>\n<li>Pour la formule en poudre, un r\u00e9sum\u00e9 des r\u00e9sultats des tests du produit fini pour le lot le plus r\u00e9cent dans chaque \u00e9tablissement\u00a0\u00a0:\n<ul>\n<li>Pour <em>Cronobacter <\/em>\u00a0\u00a0: 30 \u00e9chantillons, chaque \u00e9chantillon \u00e9tant de 10\u00a0grammes<\/li>\n<li>Pour <em>Salmonella <\/em>\u00a0\u00a0: 60 \u00e9chantillons, chaque \u00e9chantillon \u00e9tant de 25\u00a0grammes<\/li>\n<li>Description de la m\u00e9thode de test utilis\u00e9e et copie de la m\u00e9thode (par ex. certificat de<br \/> analyse avec les informations r\u00e9pertori\u00e9es dans 21\u00a0CFR 117.165(b)(2) d\u2019un laboratoire qualifi\u00e9)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour chaque site de fabrication\u00a0\u00a0:<\/p>\n<ul>\n<li>Certification des BPF actuelles \u00e9tablies, con\u00e7ue pour pr\u00e9venir l\u2019adult\u00e9ration, y compris les proc\u00e9dures de contr\u00f4le qualit\u00e9 et les contr\u00f4les en cours de fabrication, et les tests requis en vertu des BPFa<\/li>\n<li>Diagramme sch\u00e9matique (c.-\u00e0-d. diagramme de flux de processus) avec les temps et temp\u00e9ratures de traitement, descriptif \u00e9crit qui comprend un r\u00e9sum\u00e9 du flux de processus, des conditions de chauffage et de traitement, et des points de contr\u00f4le critiques<\/li>\n<li>Num\u00e9ro d\u2019enregistrement du site alimentaire de la FDA<\/li>\n<li>Si l\u2019\u00e9tablissement n\u2019a pas re\u00e7u d\u2019inspection de la FDA\u00a0\u00a0:\n<ul>\n<li>Date de la derni\u00e8re inspection par l\u2019autorit\u00e9 gouvernementale comp\u00e9tente, ou<\/li>\n<li>Audit de tiers men\u00e9 par un auditeur qualifi\u00e9 pour le compte de l\u2019autorit\u00e9 gouvernementale<\/li>\n<li>R\u00e9sum\u00e9 des constatations, normes\/r\u00e9glementations par rapport auxquelles l\u2019inspection a \u00e9t\u00e9 effectu\u00e9e, et toutes les mesures prises par le fabricant en r\u00e9ponse<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/li><li id=\"field_43_100\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full 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' >Accus\u00e9 de r\u00e9ception<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_43_100'><li class='gchoice gchoice_43_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='Je reconnais \u00eatre en mesure de fournir les documents \u00e9num\u00e9r\u00e9s ci-dessus pour mon lait maternis\u00e9'  id='choice_43_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_100_1' id='label_43_100_1' class='gform-field-label gform-field-label--type-inline'>Je reconnais \u00eatre en mesure de fournir les documents \u00e9num\u00e9r\u00e9s ci-dessus pour mon lait maternis\u00e9<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_94\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_43_94 gfield_product_43_94 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' for='input_43_94_1'>Examen administratif (non remboursable)<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_94.1' value='Examen administratif (non remboursable)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_94' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_94.2' id='ginput_base_price_43_94' value='$995.00' aria-label='Examen administratif (non remboursable) Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_94.3' value='1' class='ginput_quantity_43_94 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_96\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_43_96 gfield_product_43_96 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' for='input_43_96_1'>Compilation et soumission de la documentation des laits maternis\u00e9s \u00e0 la FDA am\u00e9ricaine<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_96.1' value='Compilation et soumission de la documentation des laits maternis\u00e9s \u00e0 la FDA am\u00e9ricaine' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_43_96' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_96.2' id='ginput_base_price_43_96' value='$6,000.00' aria-label='Compilation et soumission de la documentation des laits maternis\u00e9s \u00e0 la FDA am\u00e9ricaine Prix'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_96.3' value='1' class='ginput_quantity_43_96 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_43_38\" class=\"gfield gfield--type-total gfield_price gfield_price_43_ gfield_total gfield_total_43_ field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_43_38'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_43'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_38' id='input_43_38' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_43_39\" class=\"gfield gfield--type-coupon field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gf_coupon_code_43'>Code promotionnel<\/label><div class='ginput_container' id='gf_coupons_container_43'><div class='ginput_container_coupon'><input id='gf_coupon_code_43' class='gf_coupon_code' onkeyup='DisableApplyButton(43);' onchange='DisableApplyButton(43);' onpaste='setTimeout(function(){DisableApplyButton(43);}, 50);' type='text'    \/><input type='button' disabled='disabled' onclick='ApplyCouponCode(43);' value='Appliquer' id='gf_coupon_button' class='button'  \/> <img style='display:none;' id='gf_coupon_spinner' src='https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityformscoupons\/images\/spinner.gif' alt='veuillez patienter&hellip;'\/><\/div><div id='gf_coupon_info'><\/div><input type='hidden' id='gf_coupon_codes_43' name='input_39' value=''  \/><input type='hidden' id='gf_total_no_discount_43'\/><input type='hidden' id='gf_coupons_43' name='gf_coupons_43' value='' \/><\/div><\/li><li id=\"field_43_40\" class=\"gfield gfield--type-creditcard ccard 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' for='input_43_40_1'>Carte de cr\u00e9dit<\/label><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_43_40'><span class='ginput_full gform-grid-col' id='input_43_40_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_43_40_supported_creditcards'>Cartes bancaires prises en charge\u00a0: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_40.1' id='input_43_40_1' value=''   onchange='gformMatchCard(\"input_43_40_1\");' onkeyup='gformMatchCard(\"input_43_40_1\");' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='false'  \/>\n                                    <label for='input_43_40_1' id='input_43_40_1_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro de carte<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_43_40_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_43_40_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select name='input_40.2[]' id='input_43_40_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='false'  >\n                                                           <option value=''>Mois<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select name='input_40.2[]' id='input_43_40_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='false'  >\n                                                           <option value=''>Ann\u00e9e<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_43_40_2_month' class='gform-field-label gform-field-label--type-sub '>Date d\u2019expiration<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_43_40_2_cardinfo_right'>\n                                                <input type='text' name='input_40.3' id='input_43_40_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='false'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_43_40_3' class='gform-field-label gform-field-label--type-sub '>Code de s\u00e9curit\u00e9 (CVC)<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_43_40_5_container'>\n                                            <input type='text' name='input_40.5' id='input_43_40_5' value=''    aria-required='false'  \/>\n                                            <label for='input_43_40_5' id='input_43_40_5_label' class='gform-field-label gform-field-label--type-sub '>Nom du titulaire de la carte<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_43_52\" 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' >Accord<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_52'><li class='gchoice gchoice_43_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='J\u2019affirme que la FDA peut inspecter cet \u00e9tablissement comme l\u2019exige la loi. J\u2019ai lu et j\u2019accepte les conditions g\u00e9n\u00e9rales de Registrar Corp.'  id='choice_43_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_52_1' id='label_43_52_1' class='gform-field-label gform-field-label--type-inline'><span class=\"gfield_required\">*<\/span> J\u2019affirme que la FDA peut inspecter cet \u00e9tablissement comme l\u2019exige la loi. J\u2019ai lu et j\u2019accepte les <a href=\"#\" class=\"agreement-button\"> &amp; Conditions g\u00e9n\u00e9rales de Registrar Corp.<\/a><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_43_89\" 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_43_89'>Nom de la personne autoris\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_43_89' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_90\" 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_43_90'>Titre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_43_90' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_43_92\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_43_92'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_92' id='input_43_92' type='text' value='07\/10\/2026' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_43_92_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_43_92_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_43_92' class='gform_hidden' value='https:\/\/staging.registrarcorp.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_43_104\" 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_43_104'>CAPTCHA<\/label><div id='input_43_104' class='ginput_container ginput_recaptcha' data-sitekey='6Ldkgj4nAAAAAM71SBOouD5Zfhl9vcYMVV-dZh2r'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_43_42\" 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\"  ><div class=\"form-button-container hidden\">\n<button class=\"form-button form-previous\">Pr\u00e9c\u00e9dent<\/button>\n<button class=\"form-button form-submit\">Soumettre<\/button>\n<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_43' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='submit' id='gform_submit_button_43' class='gform_button 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