{"id":4088,"date":"2025-10-16T14:06:05","date_gmt":"2025-10-16T18:06:05","guid":{"rendered":"https:\/\/cwpca.worryfreeweb.ca\/?page_id=4088"},"modified":"2026-02-04T17:02:16","modified_gmt":"2026-02-04T22:02:16","slug":"paiement","status":"publish","type":"page","link":"https:\/\/www.canadianpallets.com\/fr\/paiement\/","title":{"rendered":"Paiement"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"4088\" class=\"elementor elementor-4088 elementor-792\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-afaa0b9 e-flex e-con-boxed e-con e-parent\" data-id=\"afaa0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75dfb70 uael-gf-ajax-yes uael-gf-style-underline uael-gf-check-yes uael-gf-input-size-sm uael-gf-enable-classes-no uael-gf-check-default-no uael-gf-button-left uael-gf-btn-size-sm 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id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/4088#gf_5' data-formid='5' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lf364wUAAAAAOeDmGLmrccha2pefUc8eEyNU23h' data-tabindex='1'><input id=\"input_baf6c8a8d9651f63d56494042fa96ab9\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_baf6c8a8d9651f63d56494042fa96ab9\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_5_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vos informations<\/h3><\/div><div id=\"field_5_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Compagnie<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='large'   tabindex='2'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/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_5_3'>\n                            \n                            <span id='input_5_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_5_3_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_3.3' id='input_5_3_3' value='' tabindex='4'  aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_5_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_5_3_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_3.6' id='input_5_3_6' value='' tabindex='6'  aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_5_4' type='email' value='' class='large' tabindex='8'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_5\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Emplacement de votre installation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_5_5' class='large gfield_select' tabindex='9'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Veuillez s\u00e9lectionner une option<\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele-du-Prince-\u00c9douard' >\u00cele-du-Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><option value='Autre (\u00c9tats-Unis)' >Autre (\u00c9tats-Unis)<\/option><\/select><\/div><\/div><div id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Facture #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='large'   tabindex='10'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_8\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Paiement<\/h3><\/div><fieldset id=\"field_5_9\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gf_list_2col_vertical gfield--width-full gfield_price gfield_price_5_9 gfield_product_5_9 gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Certification<span class=\"gfield_required\"><span 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traitement thermique - 2450 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Client existant ajoutant un s\u00e9choir - 1650 $|1650'  id='choice_5_9_6' onchange='gformToggleRadioOther( this )'  tabindex='17'  \/>\n\t\t\t\t\t<label for='choice_5_9_6' id='label_5_9_6' class='gform-field-label gform-field-label--type-inline'>Client existant ajoutant un s\u00e9choir - 1650 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='NOUVEAU client (\u00c9tablissement de production) Probation - 6 inspections (1 an) - 4250 $|4250'  id='choice_5_9_7' onchange='gformToggleRadioOther( this )'  tabindex='18'  \/>\n\t\t\t\t\t<label for='choice_5_9_7' id='label_5_9_7' class='gform-field-label gform-field-label--type-inline'>NOUVEAU client (\u00c9tablissement de production) Probation - 6 inspections (1 an) - 4250 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='NOUVEAU client (\u00e9tablissement de traitement thermique) Probation - 12 inspections (3 ans) - 8150 $|8150'  id='choice_5_9_8' onchange='gformToggleRadioOther( this )'  tabindex='19'  \/>\n\t\t\t\t\t<label for='choice_5_9_8' id='label_5_9_8' class='gform-field-label gform-field-label--type-inline'>NOUVEAU client (\u00e9tablissement de traitement thermique) Probation - 12 inspections (3 ans) - 8150 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Frais de r\u00e9inspection - 950 $|950'  id='choice_5_9_9' onchange='gformToggleRadioOther( this )'  tabindex='20'  \/>\n\t\t\t\t\t<label for='choice_5_9_9' id='label_5_9_9' class='gform-field-label gform-field-label--type-inline'>Frais de r\u00e9inspection - 950 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Inspections ad hoc - 850 $|850'  id='choice_5_9_10' onchange='gformToggleRadioOther( this )'  tabindex='21'  \/>\n\t\t\t\t\t<label for='choice_5_9_10' id='label_5_9_10' class='gform-field-label gform-field-label--type-inline'>Inspections ad hoc - 850 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_11'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='R\u00e9int\u00e9gration \u00e0 la suite d&#039;une suspension - 175 $|175'  id='choice_5_9_11' onchange='gformToggleRadioOther( this )'  tabindex='22'  \/>\n\t\t\t\t\t<label for='choice_5_9_11' id='label_5_9_11' class='gform-field-label gform-field-label--type-inline'>R\u00e9int\u00e9gration \u00e0 la suite d'une suspension - 175 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_9_12'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='\u00c9chec \u00e0 r\u00e9soudre une non-conformit\u00e9 majeure dans un d\u00e9lai de 10 jours - 500 $|500'  id='choice_5_9_12' onchange='gformToggleRadioOther( this )'  tabindex='23'  \/>\n\t\t\t\t\t<label for='choice_5_9_12' id='label_5_9_12' class='gform-field-label gform-field-label--type-inline'>\u00c9chec \u00e0 r\u00e9soudre une non-conformit\u00e9 majeure dans un d\u00e9lai de 10 jours - 500 $<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_10\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_5_10 gfield_product_5_10 gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Adh\u00e9sion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_10'>\n\t\t\t<div class='gchoice gchoice_5_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Aucun|0'  id='choice_5_10_0' onchange='gformToggleRadioOther( this )'  tabindex='24'  \/>\n\t\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>Aucun<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Manufacturier -  705 $|705'  id='choice_5_10_1' onchange='gformToggleRadioOther( this )'  tabindex='25'  \/>\n\t\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>Manufacturier -  705 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Associ\u00e9\/Fournisseur -  635 $|635'  id='choice_5_10_2' onchange='gformToggleRadioOther( this )'  tabindex='26'  \/>\n\t\t\t\t\t<label for='choice_5_10_2' id='label_5_10_2' class='gform-field-label gform-field-label--type-inline'>Associ\u00e9\/Fournisseur -  635 $<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Affili\u00e9 -  480 $|480'  id='choice_5_10_3' onchange='gformToggleRadioOther( this )'  tabindex='27'  \/>\n\t\t\t\t\t<label for='choice_5_10_3' id='label_5_10_3' class='gform-field-label gform-field-label--type-inline'>Affili\u00e9 -  480 $<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_11\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_5_11 gfield_product_5_11 field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Frais de l\u2019ACIA<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_11'>\n\t\t\t<div class='gchoice gchoice_5_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Frais de l&#039;ACIA : 479,78 $|479.78'  id='choice_5_11_0' onchange='gformToggleRadioOther( this )'  tabindex='28'  \/>\n\t\t\t\t\t<label for='choice_5_11_0' id='label_5_11_0' class='gform-field-label gform-field-label--type-inline'>Frais de l'ACIA : 479,78 $<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_15\" class=\"gfield gfield--type-subtotal gfield--input-type-subtotal gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'>Sous total<\/label>\n            <div class='ginput_container'>\n                <span class='ginput_subtotal ginput_product_price ginput_subtotal_5_15'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_15' id='input_5_15' class='gform_hidden ginput_subtotal_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='0' data-amounttype='flat'\n                    data-productstype='all' data-products='[]' \/>\n            <\/div><\/div><div id=\"field_5_14\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_14'>5%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_14'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_14' id='input_5_14' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='5' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_20\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_20'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_20'>11%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_20'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_20' id='input_5_20' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='11' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_16\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_16'>12%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_16'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_16' id='input_5_16' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='12' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_17'>13%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_17'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_17' id='input_5_17' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='13' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_18\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_18'>14%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_18'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_18' id='input_5_18' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='14' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_19\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_19'>14.975%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_19'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_19' id='input_5_19' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='14.975' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_21\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_21'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_21'>15%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_21'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_21' id='input_5_21' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='15' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_22\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-quarter field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_22'>Taxe<\/label><div class='gfield_description' id='gfield_description_5_22'>0%<\/div>\n            <div class='ginput_container'>\n                <span class='ginput_tax ginput_product_price ginput_tax_5_22'\n                \tstyle=''>0.00  $<\/span>\n                <input type='hidden' name='input_22' id='input_5_22' class='gform_hidden ginput_tax_input' \n                    onchange='jQuery( this ).prev( \"span\" ).text( gformFormatMoney( this.value, true ) );' \n                    data-amount='0' data-amounttype='percent'\n                    data-productstype='exclude' data-products='[\"11\"]' \/>\n            <\/div><\/div><div id=\"field_5_12\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_5_ gfield_total gfield_total_5_ field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_5_12'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_12' id='input_5_12' value='0.00  $' class='gform-text-input-reset ginput_total ginput_total_5' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_5_23\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Carte de cr\u00e9dit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_5_23'><span class='ginput_full gform-grid-col' id='input_5_23_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_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_5_23_supported_creditcards'>Cartes bancaires prises en charge\u00a0: American Express, MasterCard, Visa<\/span><\/div>\n                                    <label for='input_5_23_1' id='input_5_23_1_label' class='gform-field-label gform-field-label--type-sub '>Num\u00e9ro de carte<\/label>\n                                    <input type='text'  id='input_5_23_1' value='' tabindex='29'  onchange='gformMatchCard(\"input_5_23_1\");' onkeyup='gformMatchCard(\"input_5_23_1\");' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='true'  \/>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_5_23_2_container'>\n                                            <fieldset class='ginput_cardinfo_left gform-grid-col' id='input_5_23_2_cardinfo_left'>\n                                            <legend class='gform-field-label gform-field-label--type-sub '>Date d&#039;expiration<\/legend>\n                                                <span class='ginput_card_expiration_container ginput_card_field gform-grid-row'>\n                                                   <span class='ginput_card_expiration_month_container gform-grid-col'>\n                                                       <label for='input_5_23_2_month' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mois<\/label>\n                                                       <select  id='input_5_23_2_month' tabindex='30'  class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\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                                                   <\/span>\n                                                   <span class='ginput_card_expiration_year_container gform-grid-col'>\n                                                       <label for='input_5_23_2_year' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Ann\u00e9e<\/label>\n                                                       <select  id='input_5_23_2_year' tabindex='31'  class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\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                                                   <\/span>\n                                                <\/span>\n                                            <\/fieldset><span class='ginput_cardinfo_right gform-grid-col' id='input_5_23_2_cardinfo_right'>\n                                                <label for='input_5_23_3' class='gform-field-label gform-field-label--type-sub '>Code de s\u00e9curit\u00e9<\/label>\n                                                <input type='text'  id='input_5_23_3' tabindex='32'  class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Seuls les chiffres sont autoris\u00e9s'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_5_23_5_container'>\n                                            <label for='input_5_23_5' id='input_5_23_5_label' class='gform-field-label gform-field-label--type-sub '>Nom du titulaire de la carte<\/label>\n                                            <input type='text' name='input_23.5' id='input_5_23_5' value='' tabindex='33'   aria-required='false'  \/>\n                                        <\/span> <\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Soumettre le paiement' tabindex='34' \/> <input type='hidden' name='gform_ajax' 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