{"id":2177,"date":"2025-09-29T07:31:34","date_gmt":"2025-09-29T07:31:34","guid":{"rendered":"https:\/\/www.standardahz.be\/service-apres-vente\/"},"modified":"2025-10-09T12:03:40","modified_gmt":"2025-10-09T12:03:40","slug":"service-apres-vente","status":"publish","type":"page","link":"https:\/\/www.standardahz.be\/fr\/service-apres-vente\/","title":{"rendered":"Service apr\u00e8s-vente"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#000000&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_font_size=\u00a0\u00bb45px\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h1>Service apr\u00e8s-vente<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<nav  aria-label=\"Fil d&#039;Ariane\"><ol class=\"breadcrumb\"><li class=\"breadcrumb-item active\" aria-current=\"page\"><span>Accueil<\/span><\/li><\/ol><\/nav>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Cher client,<\/p>\n<p>Pour toutes vos questions concernant le service apr\u00e8s-vente de votre po\u00eale ou chemin\u00e9e, nous vous prions de remplir le formulaire ci-dessous.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text 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class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/2177' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lf6OuwrAAAAAMStz_LAugpdnsH_AIBYBlFMcJK9' data-tabindex='0'><input id=\"input_a2ea0cb48574cff30850422c088c46fe\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_a2ea0cb48574cff30850422c088c46fe\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_4_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3fdf91d9\" data-field-span=\"12\"><legend id='gfield_label_4_10' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_10'>\n                            \n                            <span id='input_4_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_4_10_3' value=''   aria-required='true'     aria-labelledby=\"input_4_10_3_label gfield_label_4_10\"\/>\n                                                    <label for='input_4_10_3' id='input_4_10_3_label' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.6' id='input_4_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_10_6' id='input_4_10_6_label' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_4_11\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e7f12753\" data-field-span=\"12\"><legend id='gfield_label_4_11' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_4_11' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_11_1_container' >\n                                        <label for='input_4_11_1' id='input_4_11_1_label' class='gform-field-label gform-field-label--type-sub '>Rue + Num\u00e9ro<\/label>\n                                        <input type='text' name='input_11.1' id='input_4_11_1' value=''    aria-required='true'    aria-labelledby=\"input_4_11_1_label gfield_label_4_11\"\/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_11_3_container' >\n                                    <label for='input_4_11_3' id='input_4_11_3_label' class='gform-field-label gform-field-label--type-sub '>Commune<\/label>\n                                    <input type='text' name='input_11.3' id='input_4_11_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_11.4' id='input_4_11_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_4_11_5_container' >\n                                    <label for='input_4_11_5' id='input_4_11_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_11.5' id='input_4_11_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_4_11_6_container' >\n                                        <label for='input_4_11_6' id='input_4_11_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_11.6' id='input_4_11_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='ZA' >Afrique du Sud<\/option><option value='AL' >Albanie<\/option><option value='DZ' >Alg\u00e9rie<\/option><option value='DE' >Allemagne<\/option><option value='AD' >Andorre<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctique<\/option><option value='AG' >Antigua-et-Barbuda<\/option><option value='SA' >Arabie Saoudite<\/option><option value='AR' >Argentine<\/option><option value='AM' >Arm\u00e9nie<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australie<\/option><option value='AT' >Autriche<\/option><option value='AZ' >Azerba\u00efdjan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahre\u00efn<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbade<\/option><option value='BE' selected='selected'>Belgique<\/option><option value='BZ' >Belize<\/option><option value='BJ' >B\u00e9nin<\/option><option value='BM' >Bermudes<\/option><option value='BT' >Bhoutan<\/option><option value='BY' >Bi\u00e9lorussie<\/option><option value='BO' >Bolivie<\/option><option value='BQ' >Bonaire, Saint-Eustache et Saba<\/option><option value='BA' >Bosnie-Herz\u00e9govine<\/option><option value='BW' >Botswana<\/option><option value='BR' >Br\u00e9sil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarie<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodge<\/option><option value='CM' >Cameroun<\/option><option value='CA' >Canada<\/option><option value='CL' >Chili<\/option><option value='CN' >Chine<\/option><option value='CY' >Chypre<\/option><option value='CO' >Colombie<\/option><option value='KM' >Comores<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='KR' >Cor\u00e9e, R\u00e9publique de<\/option><option value='KP' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatie<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >Danemark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominique<\/option><option value='EG' >\u00c9gypte<\/option><option value='SV' >El Salvador<\/option><option value='AE' >\u00c9mirats arabes unis<\/option><option value='EC' >\u00c9quateur<\/option><option value='ER' >\u00c9rythr\u00e9e<\/option><option value='ES' >Espagne<\/option><option value='EE' >Estonie<\/option><option value='SZ' >Eswatini<\/option><option value='US' >\u00c9tats-Unis<\/option><option value='ET' >\u00c9thiopie<\/option><option value='RU' >F\u00e9d\u00e9ration de Russie<\/option><option value='FJ' >Fidji<\/option><option value='FI' >Finlande<\/option><option value='FR' >France<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambie<\/option><option value='GE' >G\u00e9orgie<\/option><option value='GS' >G\u00e9orgie du Sud-et-les \u00celes Sandwich du Sud<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Gr\u00e8ce<\/option><option value='GD' >Grenade<\/option><option value='GL' >Groenland<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernesey<\/option><option value='GN' >Guin\u00e9e<\/option><option value='GQ' >Guin\u00e9e \u00e9quatoriale<\/option><option value='GW' >Guin\u00e9e-Bissau<\/option><option value='GY' >Guyana<\/option><option value='GF' >Guyane<\/option><option value='HT' >Ha\u00efti<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hongrie<\/option><option value='BV' >\u00cele Bouvet<\/option><option value='CX' >\u00cele Christmas<\/option><option value='IM' >\u00cele de Man<\/option><option value='NF' >\u00cele Norfolk<\/option><option value='AX' >\u00celes \u00c5land<\/option><option value='KY' >\u00celes Ca\u00efmans<\/option><option value='CC' >\u00celes Cocos<\/option><option value='CK' >\u00celes Cook<\/option><option value='SJ' >\u00celes de Svalbard et Jan Mayen<\/option><option value='FK' >\u00celes Falkland<\/option><option value='FO' >\u00celes F\u00e9ro\u00e9<\/option><option value='HM' >\u00celes Heard-et-MacDonald<\/option><option value='MP' >\u00celes Mariannes du Nord<\/option><option value='MH' >\u00celes Marshall<\/option><option value='UM' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='SB' >\u00celes Salomon<\/option><option value='TC' >\u00celes Turks-et-Ca\u00efcos<\/option><option value='VI' >\u00celes Vierges am\u00e9ricaines<\/option><option value='VG' >\u00celes Vierges britanniques<\/option><option value='IN' >Inde<\/option><option value='ID' >Indon\u00e9sie<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irlande<\/option><option value='IS' >Islande<\/option><option value='IL' >Isra\u00ebl<\/option><option value='IT' >Italie<\/option><option value='JM' >Jama\u00efque<\/option><option value='JP' >Japon<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanie<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KG' >Kirghizistan<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kowe\u00eft<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettonie<\/option><option value='LB' >Liban<\/option><option value='LR' >Lib\u00e9ria<\/option><option value='LY' >Libye<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lituanie<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MK' >Mac\u00e9doine du Nord<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malaisie<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malte<\/option><option value='MA' >Maroc<\/option><option value='MQ' >Martinique<\/option><option value='MU' >Maurice<\/option><option value='MR' >Mauritanie<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexique<\/option><option value='FM' >Micron\u00e9sie<\/option><option value='MD' >Moldavie<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolie<\/option><option value='ME' >Mont\u00e9n\u00e9gro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibie<\/option><option value='NR' >Nauru<\/option><option value='NP' >N\u00e9pal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nig\u00e9ria<\/option><option value='NU' >Niue<\/option><option value='NO' >Norv\u00e8ge<\/option><option value='NC' >Nouvelle-Cal\u00e9donie<\/option><option value='NZ' >Nouvelle-Z\u00e9lande<\/option><option value='OM' >Oman<\/option><option value='UG' >Ouganda<\/option><option value='UZ' >Ouzb\u00e9kistan<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palaos<\/option><option value='PS' >Palestine, \u00c9tat de<\/option><option value='PA' >Panama<\/option><option value='PG' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='PY' >Paraguay<\/option><option value='NL' >Pays-Bas<\/option><option value='PE' >P\u00e9rou<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Pologne<\/option><option value='PF' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='PR' >Porto Rico<\/option><option value='PT' >Portugal<\/option><option value='QA' >Qatar<\/option><option value='SY' >R\u00e9publique arabe syrienne<\/option><option value='CF' >R\u00e9publique centrafricaine<\/option><option value='LA' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='DO' >R\u00e9publique Dominicaine<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Roumanie<\/option><option value='GB' >Royaume-Uni<\/option><option value='RW' >Rwanda<\/option><option value='EH' >Sahara occidental<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='KN' >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value='SM' >Saint-Marin<\/option><option value='SX' >Saint-Martin<\/option><option value='MF' >Saint-Martin<\/option><option value='PM' >Saint-Pierre-et-Miquelon<\/option><option value='VA' >Saint-Si\u00e8ge<\/option><option value='VC' >Saint-Vincent-et-les-Grenadines<\/option><option value='SH' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='LC' >Sainte-Lucie<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa am\u00e9ricaines<\/option><option value='ST' >Sao Tom\u00e9-et-Principe<\/option><option value='SN' >S\u00e9n\u00e9gal<\/option><option value='RS' >Serbie<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapour<\/option><option value='SK' >Slovaquie<\/option><option value='SI' >Slov\u00e9nie<\/option><option value='SO' >Somalie<\/option><option value='SD' >Soudan<\/option><option value='SS' >Soudan du Sud<\/option><option value='LK' >Sri Lanka<\/option><option value='SE' >Su\u00e8de<\/option><option value='CH' >Suisse<\/option><option value='SR' >Suriname<\/option><option value='TJ' >Tadjikistan<\/option><option value='TW' >Ta\u00efwan<\/option><option value='TZ' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='TD' >Tchad<\/option><option value='CZ' >Tch\u00e9quie<\/option><option value='TF' >Terres australes fran\u00e7aises<\/option><option value='IO' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='TH' >Tha\u00eflande<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinit\u00e9 et Tobago<\/option><option value='TN' >Tunisie<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkm\u00e9nistan<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ukraine<\/option><option value='UY' >Uruguay<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vi\u00eat Nam<\/option><option value='WF' >Wallis-et-Futuna<\/option><option value='YE' >Y\u00e9men<\/option><option value='ZM' >Zambie<\/option><option value='ZW' >Zimbabwe<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_4_23\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ef47be2f\" data-field-span=\"12\"><label id='gfield_label_4_23' class='gfield_label gform-field-label' for='input_4_23'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_4_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_4_24\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3d713e54\" data-field-span=\"12\"><label id='gfield_label_4_24' class='gfield_label gform-field-label' for='input_4_24'><span class='gform-field-label__text'>E-mail<\/span><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_24' id='input_4_24' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_4_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"59a26a43\" data-field-span=\"12\"><legend id='gfield_label_4_12' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Je souhaite<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_12'><div class='gchoice gchoice_4_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Commander des pi\u00e8ces d\u00e9tach\u00e9es'  id='choice_4_12_1'    aria-labelledby=\"label_4_12_1 gfield_label_4_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_1' id='label_4_12_1' class='gform-field-label gform-field-label--type-inline'>Commander des pi\u00e8ces d\u00e9tach\u00e9es<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Une r\u00e9paration \/ intervention'  id='choice_4_12_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_2' id='label_4_12_2' class='gform-field-label gform-field-label--type-inline'>Une r\u00e9paration \/ intervention<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Un entretien du foyer au gaz'  id='choice_4_12_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_3' id='label_4_12_3' class='gform-field-label gform-field-label--type-inline'>Un entretien du foyer au gaz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Faire ramoner ma chemin\u00e9e'  id='choice_4_12_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_4' id='label_4_12_4' class='gform-field-label gform-field-label--type-inline'>Faire ramoner ma chemin\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd43b0d0\" data-field-span=\"6\"><label id='gfield_label_4_25' class='gfield_label gform-field-label' for='input_4_25'><span class='gform-field-label__text'>Marque<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_4_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='ABC' >ABC<\/option><option value='Autre' >Autre<\/option><option value='Contura' >Contura<\/option><option value='Donbar' >Donbar<\/option><option value='Faber' >Faber<\/option><option value='Focus' >Focus<\/option><option value='Hand\u00f6l' >Hand\u00f6l<\/option><option value='Hwam' >Hwam<\/option><option value='Ifire' >Ifire<\/option><option value='Jide' >Jide<\/option><option value='Kalfire' >Kalfire<\/option><option value='M-Design' >M-Design<\/option><option value='Morso' >Morso<\/option><option value='Rais' >Rais<\/option><option value='Stuv' >Stuv<\/option><\/select><\/div><\/div><div id=\"field_4_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd43b0d0\" data-field-span=\"6\"><label id='gfield_label_4_26' class='gfield_label gform-field-label' for='input_4_26'><span class='gform-field-label__text'>Combustible<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_4_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='Bio-\u00e9thanol' >Bio-\u00e9thanol<\/option><option value='\u00c9lectrique' >\u00c9lectrique<\/option><option value='Gaz' >Gaz<\/option><option value='Bois' >Bois<\/option><option value='Granul\u00e9s' >Granul\u00e9s<\/option><option value='Charbon' >Charbon<\/option><\/select><\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0749ee1d\" data-field-span=\"12\"><label id='gfield_label_4_18' class='gfield_label gform-field-label' for='input_4_18'><span class='gform-field-label__text'>Ann\u00e9e d&#039;achat<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_4_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='&lt;  2000' >&lt;  2000<\/option><option value='Entre 2000 et 2013' >Entre 2000 et 2013<\/option><option value='&gt;  2013' >&gt;  2013<\/option><\/select><\/div><\/div><div id=\"field_4_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"14253fb4\" data-field-span=\"12\"><label id='gfield_label_4_27' class='gfield_label gform-field-label' for='input_4_27'><span class='gform-field-label__text'>Achet\u00e9 chez<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_4_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='Standard AHZ' >Standard AHZ<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_4_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7994a619\" data-field-span=\"12\"><label id='gfield_label_4_19' class='gfield_label gform-field-label' for='input_4_19'><span class='gform-field-label__text'>Description du probl\u00e8me<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_4_19' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_4_20\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7e01be26\" data-field-span=\"12\"><label id='gfield_label_4_20' class='gfield_label gform-field-label' for='input_4_20'><span class='gform-field-label__text'>Facture d&#039;achat<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_20' id='input_4_20' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_20\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_20'>Taille max. de fichier : 10 MB .<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_20'><\/div> <\/div><\/div><fieldset id=\"field_4_22\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d7f401ba\" data-field-span=\"12\"><legend id='gfield_label_4_22' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Accord conditions g\u00e9n\u00e9rales<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_22.1' id='input_4_22_1' type='checkbox' value='1'   aria-labelledby=\"input_4_22_1_label gfield_label_4_22\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_4_22_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_4_22_1' ><span class='gform-field-label__text'>J'accepte les <a href=\"https:\/\/www.standardahz.be\/fr\/politique-de-confidentialite\/\">conditions g\u00e9n\u00e9rales<\/a><\/span><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_22.2' value='J&#039;accepte les &lt;a href=&quot;https:\/\/www.standardahz.be\/fr\/politique-de-confidentialite\/&quot;&gt;conditions g\u00e9n\u00e9rales&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_22.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='osuWxrGqxbT+8FeAQIHOXZ8ml0TW3biUbujagZIvr+Zspgu+0yG3WzfnDxOu06Kq2EIek6oVgwhnSrNdVeLyZz3kLnSe286KRnG5j\/27P3FwC98=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Service apr\u00e8s-vente<nav  aria-label=\"Fil d&#039;Ariane\"><ol class=\"breadcrumb\"><li class=\"breadcrumb-item active\" aria-current=\"page\"><span>Accueil<\/span><\/li><\/ol><\/nav>Cher client, Pour toutes vos questions concernant le service apr\u00e8s-vente de votre po\u00eale ou chemin\u00e9e, nous vous prions de remplir le formulaire ci-dessous.\n                <div class='gf_browser_gecko gform_wrapper gform-theme gform-theme--foundation gform-theme--framework gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_4' ><style>#gform_wrapper_4[data-form-index=\"0\"].gform-theme{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #204ce5;--gf-color-in-ctrl-primary-rgb: 32, 76, 229;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #001AB3;--gf-color-in-ctrl-primary-lighter: #527EFF;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg width='640' height='640' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/2177' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lf6OuwrAAAAAMStz_LAugpdnsH_AIBYBlFMcJK9' data-tabindex='0'><input id=\"input_a2ea0cb48574cff30850422c088c46fe\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_a2ea0cb48574cff30850422c088c46fe\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><fieldset id=\"field_4_10\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3fdf91d9\" data-field-span=\"12\"><legend id='gfield_label_4_10' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_10'>\n                            \n                            <span id='input_4_10_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.3' id='input_4_10_3' value=''   aria-required='true'     aria-labelledby=\"input_4_10_3_label gfield_label_4_10\"\/>\n                                                    <label for='input_4_10_3' id='input_4_10_3_label' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_10_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_10.6' id='input_4_10_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_4_10_6' id='input_4_10_6_label' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_4_11\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e7f12753\" data-field-span=\"12\"><legend id='gfield_label_4_11' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_4_11' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_11_1_container' >\n                                        <label for='input_4_11_1' id='input_4_11_1_label' class='gform-field-label gform-field-label--type-sub '>Rue + Num\u00e9ro<\/label>\n                                        <input type='text' name='input_11.1' id='input_4_11_1' value=''    aria-required='true'    aria-labelledby=\"input_4_11_1_label gfield_label_4_11\"\/>\n                                   <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_11_3_container' >\n                                    <label for='input_4_11_3' id='input_4_11_3_label' class='gform-field-label gform-field-label--type-sub '>Commune<\/label>\n                                    <input type='text' name='input_11.3' id='input_4_11_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_11.4' id='input_4_11_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_4_11_5_container' >\n                                    <label for='input_4_11_5' id='input_4_11_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_11.5' id='input_4_11_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_4_11_6_container' >\n                                        <label for='input_4_11_6' id='input_4_11_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_11.6' id='input_4_11_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='ZA' >Afrique du Sud<\/option><option value='AL' >Albanie<\/option><option value='DZ' >Alg\u00e9rie<\/option><option value='DE' >Allemagne<\/option><option value='AD' >Andorre<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctique<\/option><option value='AG' >Antigua-et-Barbuda<\/option><option value='SA' >Arabie Saoudite<\/option><option value='AR' >Argentine<\/option><option value='AM' >Arm\u00e9nie<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australie<\/option><option value='AT' >Autriche<\/option><option value='AZ' >Azerba\u00efdjan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahre\u00efn<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbade<\/option><option value='BE' selected='selected'>Belgique<\/option><option value='BZ' >Belize<\/option><option value='BJ' >B\u00e9nin<\/option><option value='BM' >Bermudes<\/option><option value='BT' >Bhoutan<\/option><option value='BY' >Bi\u00e9lorussie<\/option><option value='BO' >Bolivie<\/option><option value='BQ' >Bonaire, Saint-Eustache et Saba<\/option><option value='BA' >Bosnie-Herz\u00e9govine<\/option><option value='BW' >Botswana<\/option><option value='BR' >Br\u00e9sil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarie<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodge<\/option><option value='CM' >Cameroun<\/option><option value='CA' >Canada<\/option><option value='CL' >Chili<\/option><option value='CN' >Chine<\/option><option value='CY' >Chypre<\/option><option value='CO' >Colombie<\/option><option value='KM' >Comores<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, R\u00e9publique d\u00e9mocratique du<\/option><option value='KR' >Cor\u00e9e, R\u00e9publique de<\/option><option value='KP' >Cor\u00e9e, R\u00e9publique populaire d\u00e9mocratique de<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatie<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >Danemark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominique<\/option><option value='EG' >\u00c9gypte<\/option><option value='SV' >El Salvador<\/option><option value='AE' >\u00c9mirats arabes unis<\/option><option value='EC' >\u00c9quateur<\/option><option value='ER' >\u00c9rythr\u00e9e<\/option><option value='ES' >Espagne<\/option><option value='EE' >Estonie<\/option><option value='SZ' >Eswatini<\/option><option value='US' >\u00c9tats-Unis<\/option><option value='ET' >\u00c9thiopie<\/option><option value='RU' >F\u00e9d\u00e9ration de Russie<\/option><option value='FJ' >Fidji<\/option><option value='FI' >Finlande<\/option><option value='FR' >France<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambie<\/option><option value='GE' >G\u00e9orgie<\/option><option value='GS' >G\u00e9orgie du Sud-et-les \u00celes Sandwich du Sud<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Gr\u00e8ce<\/option><option value='GD' >Grenade<\/option><option value='GL' >Groenland<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernesey<\/option><option value='GN' >Guin\u00e9e<\/option><option value='GQ' >Guin\u00e9e \u00e9quatoriale<\/option><option value='GW' >Guin\u00e9e-Bissau<\/option><option value='GY' >Guyana<\/option><option value='GF' >Guyane<\/option><option value='HT' >Ha\u00efti<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hongrie<\/option><option value='BV' >\u00cele Bouvet<\/option><option value='CX' >\u00cele Christmas<\/option><option value='IM' >\u00cele de Man<\/option><option value='NF' >\u00cele Norfolk<\/option><option value='AX' >\u00celes \u00c5land<\/option><option value='KY' >\u00celes Ca\u00efmans<\/option><option value='CC' >\u00celes Cocos<\/option><option value='CK' >\u00celes Cook<\/option><option value='SJ' >\u00celes de Svalbard et Jan Mayen<\/option><option value='FK' >\u00celes Falkland<\/option><option value='FO' >\u00celes F\u00e9ro\u00e9<\/option><option value='HM' >\u00celes Heard-et-MacDonald<\/option><option value='MP' >\u00celes Mariannes du Nord<\/option><option value='MH' >\u00celes Marshall<\/option><option value='UM' >\u00celes mineures \u00e9loign\u00e9es des \u00c9tats-Unis<\/option><option value='SB' >\u00celes Salomon<\/option><option value='TC' >\u00celes Turks-et-Ca\u00efcos<\/option><option value='VI' >\u00celes Vierges am\u00e9ricaines<\/option><option value='VG' >\u00celes Vierges britanniques<\/option><option value='IN' >Inde<\/option><option value='ID' >Indon\u00e9sie<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irlande<\/option><option value='IS' >Islande<\/option><option value='IL' >Isra\u00ebl<\/option><option value='IT' >Italie<\/option><option value='JM' >Jama\u00efque<\/option><option value='JP' >Japon<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanie<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KG' >Kirghizistan<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kowe\u00eft<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettonie<\/option><option value='LB' >Liban<\/option><option value='LR' >Lib\u00e9ria<\/option><option value='LY' >Libye<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lituanie<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MK' >Mac\u00e9doine du Nord<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malaisie<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malte<\/option><option value='MA' >Maroc<\/option><option value='MQ' >Martinique<\/option><option value='MU' >Maurice<\/option><option value='MR' >Mauritanie<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexique<\/option><option value='FM' >Micron\u00e9sie<\/option><option value='MD' >Moldavie<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolie<\/option><option value='ME' >Mont\u00e9n\u00e9gro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibie<\/option><option value='NR' >Nauru<\/option><option value='NP' >N\u00e9pal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nig\u00e9ria<\/option><option value='NU' >Niue<\/option><option value='NO' >Norv\u00e8ge<\/option><option value='NC' >Nouvelle-Cal\u00e9donie<\/option><option value='NZ' >Nouvelle-Z\u00e9lande<\/option><option value='OM' >Oman<\/option><option value='UG' >Ouganda<\/option><option value='UZ' >Ouzb\u00e9kistan<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palaos<\/option><option value='PS' >Palestine, \u00c9tat de<\/option><option value='PA' >Panama<\/option><option value='PG' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='PY' >Paraguay<\/option><option value='NL' >Pays-Bas<\/option><option value='PE' >P\u00e9rou<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Pologne<\/option><option value='PF' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='PR' >Porto Rico<\/option><option value='PT' >Portugal<\/option><option value='QA' >Qatar<\/option><option value='SY' >R\u00e9publique arabe syrienne<\/option><option value='CF' >R\u00e9publique centrafricaine<\/option><option value='LA' >R\u00e9publique d\u00e9mocratique populaire lao<\/option><option value='DO' >R\u00e9publique Dominicaine<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Roumanie<\/option><option value='GB' >Royaume-Uni<\/option><option value='RW' >Rwanda<\/option><option value='EH' >Sahara occidental<\/option><option value='BL' >Saint-Barth\u00e9lemy<\/option><option value='KN' >Saint-Christophe-et-Ni\u00e9v\u00e8s<\/option><option value='SM' >Saint-Marin<\/option><option value='SX' >Saint-Martin<\/option><option value='MF' >Saint-Martin<\/option><option value='PM' >Saint-Pierre-et-Miquelon<\/option><option value='VA' >Saint-Si\u00e8ge<\/option><option value='VC' >Saint-Vincent-et-les-Grenadines<\/option><option value='SH' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='LC' >Sainte-Lucie<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa am\u00e9ricaines<\/option><option value='ST' >Sao Tom\u00e9-et-Principe<\/option><option value='SN' >S\u00e9n\u00e9gal<\/option><option value='RS' >Serbie<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapour<\/option><option value='SK' >Slovaquie<\/option><option value='SI' >Slov\u00e9nie<\/option><option value='SO' >Somalie<\/option><option value='SD' >Soudan<\/option><option value='SS' >Soudan du Sud<\/option><option value='LK' >Sri Lanka<\/option><option value='SE' >Su\u00e8de<\/option><option value='CH' >Suisse<\/option><option value='SR' >Suriname<\/option><option value='TJ' >Tadjikistan<\/option><option value='TW' >Ta\u00efwan<\/option><option value='TZ' >Tanzanie, R\u00e9publique-Unie de<\/option><option value='TD' >Tchad<\/option><option value='CZ' >Tch\u00e9quie<\/option><option value='TF' >Terres australes fran\u00e7aises<\/option><option value='IO' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='TH' >Tha\u00eflande<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinit\u00e9 et Tobago<\/option><option value='TN' >Tunisie<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkm\u00e9nistan<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ukraine<\/option><option value='UY' >Uruguay<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vi\u00eat Nam<\/option><option value='WF' >Wallis-et-Futuna<\/option><option value='YE' >Y\u00e9men<\/option><option value='ZM' >Zambie<\/option><option value='ZW' >Zimbabwe<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_4_23\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ef47be2f\" data-field-span=\"12\"><label id='gfield_label_4_23' class='gfield_label gform-field-label' for='input_4_23'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_4_23' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_4_24\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3d713e54\" data-field-span=\"12\"><label id='gfield_label_4_24' class='gfield_label gform-field-label' for='input_4_24'><span class='gform-field-label__text'>E-mail<\/span><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_24' id='input_4_24' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_4_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"59a26a43\" data-field-span=\"12\"><legend id='gfield_label_4_12' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Je souhaite<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_12'><div class='gchoice gchoice_4_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Commander des pi\u00e8ces d\u00e9tach\u00e9es'  id='choice_4_12_1'    aria-labelledby=\"label_4_12_1 gfield_label_4_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_1' id='label_4_12_1' class='gform-field-label gform-field-label--type-inline'>Commander des pi\u00e8ces d\u00e9tach\u00e9es<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Une r\u00e9paration \/ intervention'  id='choice_4_12_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_2' id='label_4_12_2' class='gform-field-label gform-field-label--type-inline'>Une r\u00e9paration \/ intervention<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Un entretien du foyer au gaz'  id='choice_4_12_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_3' id='label_4_12_3' class='gform-field-label gform-field-label--type-inline'>Un entretien du foyer au gaz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_4_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Faire ramoner ma chemin\u00e9e'  id='choice_4_12_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_12_4' id='label_4_12_4' class='gform-field-label gform-field-label--type-inline'>Faire ramoner ma chemin\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd43b0d0\" data-field-span=\"6\"><label id='gfield_label_4_25' class='gfield_label gform-field-label' for='input_4_25'><span class='gform-field-label__text'>Marque<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_4_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='ABC' >ABC<\/option><option value='Autre' >Autre<\/option><option value='Contura' >Contura<\/option><option value='Donbar' >Donbar<\/option><option value='Faber' >Faber<\/option><option value='Focus' >Focus<\/option><option value='Hand\u00f6l' >Hand\u00f6l<\/option><option value='Hwam' >Hwam<\/option><option value='Ifire' >Ifire<\/option><option value='Jide' >Jide<\/option><option value='Kalfire' >Kalfire<\/option><option value='M-Design' >M-Design<\/option><option value='Morso' >Morso<\/option><option value='Rais' >Rais<\/option><option value='Stuv' >Stuv<\/option><\/select><\/div><\/div><div id=\"field_4_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd43b0d0\" data-field-span=\"6\"><label id='gfield_label_4_26' class='gfield_label gform-field-label' for='input_4_26'><span class='gform-field-label__text'>Combustible<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_4_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='Bio-\u00e9thanol' >Bio-\u00e9thanol<\/option><option value='\u00c9lectrique' >\u00c9lectrique<\/option><option value='Gaz' >Gaz<\/option><option value='Bois' >Bois<\/option><option value='Granul\u00e9s' >Granul\u00e9s<\/option><option value='Charbon' >Charbon<\/option><\/select><\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0749ee1d\" data-field-span=\"12\"><label id='gfield_label_4_18' class='gfield_label gform-field-label' for='input_4_18'><span class='gform-field-label__text'>Ann\u00e9e d&#039;achat<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_4_18' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='&lt;  2000' >&lt;  2000<\/option><option value='Entre 2000 et 2013' >Entre 2000 et 2013<\/option><option value='&gt;  2013' >&gt;  2013<\/option><\/select><\/div><\/div><div id=\"field_4_27\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"14253fb4\" data-field-span=\"12\"><label id='gfield_label_4_27' class='gfield_label gform-field-label' for='input_4_27'><span class='gform-field-label__text'>Achet\u00e9 chez<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_4_27' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>- S\u00e9lectionner -<\/option><option value='Standard AHZ' >Standard AHZ<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_4_19\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7994a619\" data-field-span=\"12\"><label id='gfield_label_4_19' class='gfield_label gform-field-label' for='input_4_19'><span class='gform-field-label__text'>Description du probl\u00e8me<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_4_19' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_4_20\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7e01be26\" data-field-span=\"12\"><label id='gfield_label_4_20' class='gfield_label gform-field-label' for='input_4_20'><span class='gform-field-label__text'>Facture d&#039;achat<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_20' id='input_4_20' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_20\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_20'>Taille max. de fichier : 10 MB .<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_20'><\/div> <\/div><\/div><fieldset id=\"field_4_22\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d7f401ba\" data-field-span=\"12\"><legend id='gfield_label_4_22' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Accord conditions g\u00e9n\u00e9rales<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_22.1' 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