{"id":3628,"date":"2021-07-15T07:47:57","date_gmt":"2021-07-15T05:47:57","guid":{"rendered":"https:\/\/actoplus.be\/contact-2\/"},"modified":"2024-01-17T12:38:03","modified_gmt":"2024-01-17T10:38:03","slug":"contact","status":"publish","type":"page","link":"https:\/\/actoplus.be\/fr\/contact\/","title":{"rendered":"Contact"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3628\" class=\"elementor elementor-3628 elementor-22\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e79dde1 elementor-section-height-min-height elementor-section-full_width elementor-reverse-mobile elementor-section-items-stretch elementor-section-height-default\" data-id=\"e79dde1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-08e5913\" data-id=\"08e5913\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2680e08 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2680e08\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-9a110bb\" data-id=\"9a110bb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bbca5a0 elementor-widget elementor-widget-heading\" data-id=\"bbca5a0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Contact<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-021a0b3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"021a0b3\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c21b93c\" data-id=\"c21b93c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-270d6d8 elementor-widget elementor-widget-text-editor\" data-id=\"270d6d8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Vous avez des questions, des remarques ou vous souhaitez contacter Actoplus ? Dans ce cas, choisissez l\u2019un des formulaires ci-dessous et nous vous recontacterons dans les plus brefs d\u00e9lais. Nous donnons la priorit\u00e9 aux demandes re\u00e7ues par l\u2019interm\u00e9diaire de ces formulaires.  <\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-37c1872\" data-id=\"37c1872\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de6190c elementor-widget elementor-widget-spacer\" data-id=\"de6190c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1aa7254 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1aa7254\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ccbea59\" data-id=\"ccbea59\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26a233b elementor-widget elementor-widget-bdt-accordion\" data-id=\"26a233b\" data-element_type=\"widget\" data-widget_type=\"bdt-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t        <div class=\"bdt-ep-accordion-container\">\n            <div id=\"bdt-ep-accordion-26a233b\" class=\"bdt-ep-accordion bdt-accordion\" data-bdt-accordion=\"{&quot;collapsible&quot;:true,&quot;multiple&quot;:false,&quot;transition&quot;:&quot;ease-in-out&quot;}\" data-settings=\"{&quot;id&quot;:&quot;bdt-ep-accordion-26a233b&quot;,&quot;activeHash&quot;:&quot;no&quot;,&quot;activeScrollspy&quot;:null,&quot;hashTopOffset&quot;:false,&quot;hashScrollspyTime&quot;:false}\">\n                                    <div class=\"bdt-ep-accordion-item\">\n                        <div class=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle bdt-flex-between\" id=\"bdt-ep-accordion-demande-daide-domicile\" data-accordion-index=\"0\" data-title=\"demande-d-aide-domicile\" role=\"heading\">\n\n                                                            <span class=\"bdt-ep-accordion-icon bdt-flex-align-right\" aria-hidden=\"true\">\n\n                                                                            <span class=\"bdt-ep-accordion-icon-closed\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-long-arrow-alt-right\"><\/i>                                        <\/span>\n                                    \n                                                                            <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                Demande d\u2019aide \u00e0 domicile                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' ><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_3' id='gform_3'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_49\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_49'>LinkedIn<\/label><div class='ginput_container'><input name='input_49' id='input_3_49' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_49'>Ce champ n\u2019est utilis\u00e9 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value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' 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>Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_3_45\" class=\"gfield gfield--type-text gfield--width-quarter zonenr gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_45'>Zone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_3_45' type='text' value='' class='medium'   tabindex='53' placeholder='Prefix*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_39\" class=\"gfield gfield--type-text gfield--width-quarter telefoon gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_39'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_3_39' type='text' value='' class='large'   tabindex='54' placeholder='T\u00e9l\u00e9phone*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_38\" class=\"gfield gfield--type-text gfield--width-half plaats gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_38'>Lieu<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_3_38' type='text' value='' class='large'   tabindex='55' placeholder='Lieu*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_37\" class=\"gfield gfield--type-number gfield--width-half postcode gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_37'>Code postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_37' id='input_3_37' type='number' step='any'   value='' class='large' tabindex='56'   placeholder='Code postal*' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_3_34\" class=\"gfield gfield--type-text gfield--width-half straat gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_34'>Rue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_3_34' type='text' value='' class='large'   tabindex='57' placeholder='Rue*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_35\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_35'>Num\u00e9ro de maison<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_3_35' type='text' value='' class='large'   tabindex='58' placeholder='Num\u00e9ro de maison*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_36\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_36'>Bo\u00eete postale<\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_3_36' type='text' value='' class='large'   tabindex='59' placeholder='Bo\u00eete postale'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_23'>Du<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_3_23' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='60'  placeholder='jj\/mm\/aaaa' aria-describedby=\"input_3_23_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_3_23_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_3_23' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_3_22\" class=\"gfield gfield--type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_22'>Num\u00e9ro<\/label><div class='ginput_container ginput_container_number'><input name='input_22' id='input_3_22' type='text' step='any'   value='' class='large' tabindex='61'   placeholder='Nombre d\u2019heures souhait\u00e9'  aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_3_26\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Cr\u00e9neau pr\u00e9f\u00e9r\u00e9<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_26'><div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.1' type='checkbox'  value='Matin'  id='choice_3_26_1' tabindex='62'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>Matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.2' type='checkbox'  value='Apr\u00e8s-midi'  id='choice_3_26_2' tabindex='63'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>Apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_26_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_26.3' type='checkbox'  value='Toute la journ\u00e9e'  id='choice_3_26_3' tabindex='64'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_26_3' id='label_3_26_3' class='gform-field-label gform-field-label--type-inline'>Toute la journ\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_48\" class=\"gfield gfield--type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heure de d\u00e9but souhait\u00e9e<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_3_48'>\n                            <input type='number' name='input_48[]' id='input_3_48_1' value='' tabindex='65' min='0' max='24' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_3_48_1'>Heures<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_48[]' id='input_3_48_2' value='' tabindex='66' min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_3_48_2'>Minutes<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><fieldset id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Fr\u00e9quence<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_10'>\n\t\t\t<div class='gchoice gchoice_3_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Toutes les semaines'  id='choice_3_10_0' onchange='gformToggleRadioOther( this )'  tabindex='68'  \/>\n\t\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>Toutes les semaines<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Tous les quinze jours'  id='choice_3_10_1' onchange='gformToggleRadioOther( this )'  tabindex='69'  \/>\n\t\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>Tous les quinze jours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='gf_other_choice'  id='choice_3_10_2' onchange='gformToggleRadioOther( this )'  tabindex='70'  \/>\n\t\t\t\t\t<label for='choice_3_10_2' id='label_3_10_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_3_10_other' class='gchoice_other_control' name='input_10_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='70' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_27\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quel jour de la semaine vous convient le mieux ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_27'><div class='gchoice gchoice_3_27_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.1' type='checkbox'  value='Lundi'  id='choice_3_27_1' tabindex='71'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_1' id='label_3_27_1' class='gform-field-label gform-field-label--type-inline'>Lundi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_27_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.2' type='checkbox'  value='Mardi'  id='choice_3_27_2' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_2' id='label_3_27_2' class='gform-field-label gform-field-label--type-inline'>Mardi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_27_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.3' type='checkbox'  value='Mercredi'  id='choice_3_27_3' tabindex='73'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_3' id='label_3_27_3' class='gform-field-label gform-field-label--type-inline'>Mercredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_27_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.4' type='checkbox'  value='Jeudi'  id='choice_3_27_4' tabindex='74'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_4' id='label_3_27_4' class='gform-field-label gform-field-label--type-inline'>Jeudi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_27_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.5' type='checkbox'  value='Vendredi'  id='choice_3_27_5' tabindex='75'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_5' id='label_3_27_5' class='gform-field-label gform-field-label--type-inline'>Vendredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_27_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_27.6' type='checkbox'  value='Samedi'  id='choice_3_27_6' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_27_6' id='label_3_27_6' class='gform-field-label gform-field-label--type-inline'>Samedi<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Langues<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_47'><div class='gchoice gchoice_3_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='N\u00e9erlandais'  id='choice_3_47_1' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_1' id='label_3_47_1' class='gform-field-label gform-field-label--type-inline'>N\u00e9erlandais<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Anglais'  id='choice_3_47_2' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_2' id='label_3_47_2' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_47_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.3' type='checkbox'  value='Fran\u00e7ais'  id='choice_3_47_3' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_47_3' id='label_3_47_3' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_14\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >T\u00e2ches souhait\u00e9es*<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_3_14'><div class='gchoice gchoice_3_14_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.1' type='checkbox'  value='Nettoyage'  id='choice_3_14_1' tabindex='80'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_14_1' id='label_3_14_1' class='gform-field-label gform-field-label--type-inline'>Nettoyage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_14_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.2' type='checkbox'  value='Repassage'  id='choice_3_14_2' tabindex='81'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_14_2' id='label_3_14_2' class='gform-field-label gform-field-label--type-inline'>Repassage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_14_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.3' type='checkbox'  value='Courses'  id='choice_3_14_3' tabindex='82'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_14_3' id='label_3_14_3' class='gform-field-label gform-field-label--type-inline'>Courses<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_14_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.4' type='checkbox'  value='Cuisine'  id='choice_3_14_4' tabindex='83'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_14_4' id='label_3_14_4' class='gform-field-label gform-field-label--type-inline'>Cuisine<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous des animaux domestiques ?*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_43'>\n\t\t\t<div class='gchoice gchoice_3_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Oui'  id='choice_3_43_0' onchange='gformToggleRadioOther( this )'  tabindex='84'  \/>\n\t\t\t\t\t<label for='choice_3_43_0' id='label_3_43_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Non'  id='choice_3_43_1' onchange='gformToggleRadioOther( this )'  tabindex='85'  \/>\n\t\t\t\t\t<label for='choice_3_43_1' id='label_3_43_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_3_44\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_44'>Lesquels ?*<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_3_44' type='text' value='' class='large'   tabindex='86'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_40\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nettoyage professionnel ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_40'><div class='gchoice gchoice_3_40_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Oui'  id='choice_3_40_1' tabindex='87'  aria-describedby=\"gfield_description_3_40\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_40_1' id='label_3_40_1' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_3_40'>Le nettoyage de locaux professionnels ne peut pas \u00eatre r\u00e9gl\u00e9 au moyen de titres-services et ne peut \u00eatre demand\u00e9 qu\u2019en combinaison avec le nettoyage de locaux priv\u00e9s.<\/div><\/fieldset><div id=\"field_3_4\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Votre question ou remarque<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_3_4' class='textarea medium' tabindex='88'   placeholder='Votre question ou remarque'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer' tabindex='89' \/> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=&amp;tabindex=49&amp;theme=gravity-theme&amp;styles=[]&amp;hash=5e6e1c06553a1273476d799ed5158c17' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='5cMY5pImSQWtQjhfvry0OPC0zo0\/gd6ani6B\/gPIO1Z2wqIjKm2Uetoij87+yYl5EK0x6jkdZByTiH8JBPGdCCkcOQfknST5xejIwvWKqsUEgMI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='WyJ7XCI0M1wiOltcImY0ZmRiNDFlMzRmYzkxZTRhMjNlOTZkMWRjMTA5MTNjXCIsXCI5MWUxMTFmNWUzMDMzMmY4MWNiNTdhZjkyYzNlYTk0OVwiXX0iLCI1MTRmMjVkMDA3NmEyMzc5MzIyODU4YTE2ZDc4ZDlmZCJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_3' id='gform_target_page_number_3' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_3' id='gform_source_page_number_3' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_3' id='gform_ajax_frame_3' title='Cette iframe contient la logique n\u00e9cessaire pour manipuler Gravity Forms avec Ajax.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 3, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_3').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_3');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_3').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_3').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_3').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_3').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_3').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_3').val();gformInitSpinner( 3, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [3, current_page]);window['gf_submitting_3'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_3').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_3').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [3]);window['gf_submitting_3'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_3').text());}else{jQuery('#gform_3').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"3\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_3\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_3\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_3\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 3, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                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attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n                        <\/div>\n                    <\/div>\n                                    <div class=\"bdt-ep-accordion-item\">\n                        <div class=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle bdt-flex-between\" id=\"bdt-ep-accordion-signaler-une-absence\" data-accordion-index=\"1\" data-title=\"signaler-une-absence\" role=\"heading\">\n\n                                                            <span class=\"bdt-ep-accordion-icon bdt-flex-align-right\" aria-hidden=\"true\">\n\n                                                                            <span class=\"bdt-ep-accordion-icon-closed\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-long-arrow-alt-right\"><\/i>                                        <\/span>\n                                    \n                                                                            <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                Signaler une absence                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' ><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_4' id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_4' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_13\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_13'>URL<\/label><div class='ginput_container'><input name='input_13' id='input_4_13' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_13'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_4_1\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_1'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_4_1' type='text' value='' class='large'   tabindex='49' placeholder='Pr\u00e9nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Nom<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='large'   tabindex='50' placeholder='Nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_3\" class=\"gfield gfield--type-email gfield--width-quarter email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'>Courriel<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_3' id='input_4_3' type='email' value='' class='large' tabindex='51'  placeholder='Courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-select gfield--width-quarter landcode field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Code pays<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_4_12' class='medium gfield_select' tabindex='52'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Code pays<\/option><option value='+32' >Belgi\u00eb +32<\/option><option value='---' >&#8212;<\/option><option value='+93' >Afghanistan +93<\/option><option value='+355' >Albania +355<\/option><option value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' >Belgium +32<\/option><option value='+501' >Belize +501<\/option><option value='+229' >Benin +229<\/option><option value='+1-441' >Bermuda +1-441<\/option><option value='+975' >Bhutan +975<\/option><option value='+591' >Bolivia +591<\/option><option value='+387' >Bosnia &amp; Herzegovina +387<\/option><option value='+267' >Botswana +267<\/option><option value='+55' >Brazil +55<\/option><option value='+1-284' >British Virgin Islands +1-284<\/option><option value='+673' >Brunei Darussalam +673<\/option><option value='+359' >Bulgaria +359<\/option><option value='+226' >Burkina Faso +226<\/option><option value='+257' >Burundi +257<\/option><option value='+855' >Cambodia +855<\/option><option value='+237' >Cameroon +237<\/option><option value='+1' >Canada +1<\/option><option value='+238' >Cape Verde Islands +238<\/option><option value='+1-345' >Cayman Islands +1-345<\/option><option value='+236' >Central African Republic +236<\/option><option value='+235' >Chad +235<\/option><option value='+64' >Chatham Island (New Zealand) +64<\/option><option value='+56' >Chile +56<\/option><option value='+86' >China (PRC) +86<\/option><option value='+61-8' >Christmas Island +61-8<\/option><option value='+61' >Cocos-Keeling Islands +61<\/option><option value='+57' >Colombia +57<\/option><option value='+269' >Comoros +269<\/option><option value='+242' >Congo +242<\/option><option value='+243' >Congo, Dem. Rep. of (former Zaire) +243<\/option><option value='+682' >Cook Islands +682<\/option><option value='+506' >Costa Rica +506<\/option><option value='+225' >C\u00f4te d&#039;Ivoire (Ivory Coast) +225<\/option><option value='+385' >Croatia +385<\/option><option value='+53' >Cuba +53<\/option><option value='+5399' >Cuba (Guantanamo Bay) +5399<\/option><option value='+599' >Cura\u00e7ao +599<\/option><option value='+357' >Cyprus +357<\/option><option value='+420' >Czech Republic +420<\/option><option value='+45' >Denmark +45<\/option><option value='+246' >Diego Garcia +246<\/option><option value='+253' >Djibouti +253<\/option><option value='+1-767' >Dominica +1-767<\/option><option value='+1-809 and +1-829' >Dominican Republic +1-809 and +1-829<\/option><option value='+670' >East Timor +670<\/option><option value='+56' >Easter Island +56<\/option><option value='+593' >Ecuador +593<\/option><option value='+20' >Egypt +20<\/option><option value='+503' >El Salvador +503<\/option><option value='+8812 and +8813' >Ellipso (Mobile Satellite service) +8812 and +8813<\/option><option value='+88213' >EMSAT (Mobile Satellite service) +88213<\/option><option value='+240' >Equatorial Guinea +240<\/option><option value='+291' >Eritrea +291<\/option><option value='+372' >Estonia +372<\/option><option value='+251' >Ethiopia +251<\/option><option value='+500' >Falkland Islands (Malvinas) +500<\/option><option value='+298' >Faroe Islands +298<\/option><option value='+679' >Fiji Islands +679<\/option><option value='+358' >Finland +358<\/option><option value='+33' >France +33<\/option><option value='+596' >French Antilles +596<\/option><option value='+594' >French Guiana +594<\/option><option value='+689' >French Polynesia +689<\/option><option value='+241' >Gabonese Republic +241<\/option><option value='+220' >Gambia +220<\/option><option value='+995' >Georgia +995<\/option><option value='+49' >Germany +49<\/option><option value='+233' >Ghana +233<\/option><option value='+350' >Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_4_10\" class=\"gfield gfield--type-text gfield--width-quarter zonenr field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_10'>Zone<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_4_10' type='text' value='' class='medium'   tabindex='53' placeholder='Pr\u00e9f.'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_11\" class=\"gfield gfield--type-text gfield--width-quarter telefoon field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_11'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_4_11' type='text' value='' class='large'   tabindex='54' placeholder='T\u00e9l\u00e9phone'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description 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aria-hidden=\"true\" class=\"fa-fw fas fa-long-arrow-alt-right\"><\/i>                                        <\/span>\n                                    \n                                                                            <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                Demande de remplacement                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_11' style='display:none'><div id='gf_11' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_11' id='gform_11'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_11' data-formid='11' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_11_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_28'>Facebook<\/label><div class='ginput_container'><input name='input_28' id='input_11_28' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_11_28'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_11_1\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_1'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_11_1' type='text' value='' class='large'   tabindex='49' placeholder='Pr\u00e9nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_13\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_13'>Nom<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_11_13' type='text' value='' class='large'   tabindex='50' placeholder='Nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_3\" class=\"gfield gfield--type-email gfield--width-quarter email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_3'>Courriel<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_3' id='input_11_3' type='email' value='' class='large' tabindex='51'  placeholder='E-mail' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_11_27\" class=\"gfield gfield--type-select gfield--width-quarter landcode field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_27'>Code pays<\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_11_27' class='medium gfield_select' tabindex='52'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Code pays<\/option><option value='+32' >Belgi\u00eb +32<\/option><option value='---' >&#8212;<\/option><option value='+93' >Afghanistan +93<\/option><option value='+355' >Albania +355<\/option><option value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' >Belgium +32<\/option><option value='+501' >Belize +501<\/option><option value='+229' >Benin +229<\/option><option value='+1-441' >Bermuda +1-441<\/option><option value='+975' >Bhutan +975<\/option><option value='+591' >Bolivia +591<\/option><option value='+387' >Bosnia &amp; Herzegovina +387<\/option><option value='+267' >Botswana +267<\/option><option value='+55' >Brazil +55<\/option><option value='+1-284' >British Virgin Islands +1-284<\/option><option value='+673' >Brunei Darussalam +673<\/option><option value='+359' >Bulgaria +359<\/option><option value='+226' >Burkina Faso +226<\/option><option value='+257' >Burundi +257<\/option><option value='+855' >Cambodia +855<\/option><option value='+237' >Cameroon +237<\/option><option value='+1' >Canada +1<\/option><option value='+238' >Cape Verde Islands +238<\/option><option value='+1-345' >Cayman Islands +1-345<\/option><option value='+236' >Central African Republic +236<\/option><option value='+235' >Chad +235<\/option><option value='+64' >Chatham Island (New Zealand) +64<\/option><option value='+56' >Chile +56<\/option><option value='+86' >China (PRC) +86<\/option><option value='+61-8' >Christmas Island +61-8<\/option><option value='+61' >Cocos-Keeling Islands +61<\/option><option value='+57' >Colombia +57<\/option><option value='+269' >Comoros +269<\/option><option value='+242' >Congo +242<\/option><option value='+243' >Congo, Dem. Rep. of (former Zaire) +243<\/option><option value='+682' >Cook Islands +682<\/option><option value='+506' >Costa Rica +506<\/option><option value='+225' >C\u00f4te d&#039;Ivoire (Ivory Coast) +225<\/option><option value='+385' >Croatia +385<\/option><option value='+53' >Cuba +53<\/option><option value='+5399' >Cuba (Guantanamo Bay) +5399<\/option><option value='+599' >Cura\u00e7ao +599<\/option><option value='+357' >Cyprus +357<\/option><option value='+420' >Czech Republic +420<\/option><option value='+45' >Denmark +45<\/option><option value='+246' >Diego Garcia +246<\/option><option value='+253' >Djibouti +253<\/option><option value='+1-767' >Dominica +1-767<\/option><option value='+1-809 and +1-829' >Dominican Republic +1-809 and +1-829<\/option><option value='+670' >East Timor +670<\/option><option value='+56' >Easter Island +56<\/option><option value='+593' >Ecuador +593<\/option><option value='+20' >Egypt +20<\/option><option value='+503' >El Salvador +503<\/option><option value='+8812 and +8813' >Ellipso (Mobile Satellite service) +8812 and +8813<\/option><option value='+88213' >EMSAT (Mobile Satellite service) +88213<\/option><option value='+240' >Equatorial Guinea +240<\/option><option value='+291' >Eritrea +291<\/option><option value='+372' >Estonia +372<\/option><option value='+251' >Ethiopia +251<\/option><option value='+500' >Falkland Islands (Malvinas) +500<\/option><option value='+298' >Faroe Islands +298<\/option><option value='+679' >Fiji Islands +679<\/option><option value='+358' >Finland +358<\/option><option value='+33' >France +33<\/option><option value='+596' >French Antilles +596<\/option><option value='+594' >French Guiana +594<\/option><option value='+689' >French Polynesia +689<\/option><option value='+241' >Gabonese Republic +241<\/option><option value='+220' >Gambia +220<\/option><option value='+995' >Georgia +995<\/option><option value='+49' >Germany +49<\/option><option value='+233' >Ghana +233<\/option><option value='+350' >Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_11_26\" class=\"gfield gfield--type-text gfield--width-quarter zonenr field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_26'>Pr\u00e9f.<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_11_26' type='text' value='' class='medium'   tabindex='53' placeholder='Pr\u00e9f.'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-text gfield--width-quarter telefoon field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_25'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_11_25' type='text' value='' class='large'   tabindex='54' placeholder='T\u00e9l\u00e9phone'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_11_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Permanent\/temporaire<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_7'>\n\t\t\t<div class='gchoice gchoice_11_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Une seule fois'  id='choice_11_7_0' onchange='gformToggleRadioOther( this )'  tabindex='55'  \/>\n\t\t\t\t\t<label for='choice_11_7_0' id='label_11_7_0' class='gform-field-label gform-field-label--type-inline'>Une seule fois<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Une p\u00e9riode plus longue'  id='choice_11_7_1' onchange='gformToggleRadioOther( this )'  tabindex='56'  \/>\n\t\t\t\t\t<label for='choice_11_7_1' id='label_11_7_1' class='gform-field-label gform-field-label--type-inline'>Une p\u00e9riode plus longue<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Permanent'  id='choice_11_7_2' onchange='gformToggleRadioOther( this )'  tabindex='57'  \/>\n\t\t\t\t\t<label for='choice_11_7_2' id='label_11_7_2' class='gform-field-label gform-field-label--type-inline'>Permanent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_14\" class=\"gfield gfield--type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_14'>Nombre d&#039;heures<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_11_14' type='number' step='any'   value='' class='large' tabindex='58'   placeholder='Nombre d&#039;heures'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_11\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_11'>De<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_11_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='59'  placeholder='jj\/mm\/aaaa' aria-describedby=\"input_11_11_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_11_11_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_11_11' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_11_12\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_12'>\u00c0<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_11_12' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='60'  placeholder='jj\/mm\/aaaa' aria-describedby=\"input_11_12_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_11_12_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_11_12' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_11_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Fr\u00e9quence<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_24'>\n\t\t\t<div class='gchoice gchoice_11_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Chaque semaine'  id='choice_11_24_0' onchange='gformToggleRadioOther( this )'  tabindex='61'  \/>\n\t\t\t\t\t<label for='choice_11_24_0' id='label_11_24_0' class='gform-field-label gform-field-label--type-inline'>Chaque semaine<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Tous les 15 jours'  id='choice_11_24_1' onchange='gformToggleRadioOther( this )'  tabindex='62'  \/>\n\t\t\t\t\t<label for='choice_11_24_1' id='label_11_24_1' class='gform-field-label gform-field-label--type-inline'>Tous les 15 jours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='gf_other_choice'  id='choice_11_24_2' onchange='gformToggleRadioOther( this )'  tabindex='63'  \/>\n\t\t\t\t\t<label for='choice_11_24_2' id='label_11_24_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_11_24_other' class='gchoice_other_control' name='input_24_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='63' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quel jour de la semaine convient<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_21'><div class='gchoice gchoice_11_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Lundi'  id='choice_11_21_1' tabindex='64'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_1' id='label_11_21_1' class='gform-field-label gform-field-label--type-inline'>Lundi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Mardi'  id='choice_11_21_2' tabindex='65'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_2' id='label_11_21_2' class='gform-field-label gform-field-label--type-inline'>Mardi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Mercredi'  id='choice_11_21_3' tabindex='66'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_3' id='label_11_21_3' class='gform-field-label gform-field-label--type-inline'>Mercredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Jeudi'  id='choice_11_21_4' tabindex='67'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_4' id='label_11_21_4' class='gform-field-label gform-field-label--type-inline'>Jeudi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='Vendredi'  id='choice_11_21_5' tabindex='68'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_5' id='label_11_21_5' class='gform-field-label gform-field-label--type-inline'>Vendredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_21_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.6' type='checkbox'  value='Samedi'  id='choice_11_21_6' tabindex='69'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_21_6' id='label_11_21_6' class='gform-field-label gform-field-label--type-inline'>Samedi<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >P\u00e9riode pr\u00e9f\u00e9r\u00e9e<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_22'><div class='gchoice gchoice_11_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Le matin'  id='choice_11_22_1' tabindex='70'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_22_1' id='label_11_22_1' class='gform-field-label gform-field-label--type-inline'>Le matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='L&#039;apr\u00e8s-midi'  id='choice_11_22_2' tabindex='71'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_22_2' id='label_11_22_2' class='gform-field-label gform-field-label--type-inline'>L&rsquo;apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Toute la journ\u00e9e'  id='choice_11_22_3' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_22_3' id='label_11_22_3' class='gform-field-label gform-field-label--type-inline'>Toute la journ\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_15\" class=\"gfield gfield--type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Heure de d\u00e9but souhait\u00e9e<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_11_15'>\n                            <input type='number' name='input_15[]' id='input_11_15_1' value='' tabindex='73' min='0' max='24' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_11_15_1'>Heures<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_15[]' id='input_11_15_2' value='' tabindex='74' min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_11_15_2'>Minutes<\/label>\n                        <\/div>\n                        \n                    <\/div><\/fieldset><fieldset id=\"field_11_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Les t\u00e2ches souhait\u00e9es<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_11_23'><div class='gchoice gchoice_11_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Nettoyage'  id='choice_11_23_1' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_23_1' id='label_11_23_1' class='gform-field-label gform-field-label--type-inline'>Nettoyage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Repassage'  id='choice_11_23_2' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_23_2' id='label_11_23_2' class='gform-field-label gform-field-label--type-inline'>Repassage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Courses'  id='choice_11_23_3' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_23_3' id='label_11_23_3' class='gform-field-label gform-field-label--type-inline'>Courses<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_11_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Cuisine'  id='choice_11_23_4' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_11_23_4' id='label_11_23_4' class='gform-field-label gform-field-label--type-inline'>Cuisine<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_4\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_11_4'>Votre question ou remarque<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_11_4' class='textarea medium' tabindex='80'   placeholder='Votre question ou remarque'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_11' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer' tabindex='81' \/> <input type='hidden' name='gform_ajax' value='form_id=11&amp;title=&amp;description=&amp;tabindex=49&amp;theme=gravity-theme&amp;styles=[]&amp;hash=42a6f123910bd1b5ed0b94103dda1a00' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_11' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_11' id='gform_theme_11' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_11' id='gform_style_settings_11' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_11' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='11' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='q08+KmCuHvGTiNkYBs7puQnvRPtKHT26q5m4me5szUHS7ZirWgaqpZJRUtiWAISN44Jg\/htSD6GFg9uao8m4nwfR0vjjrJadNrPtLBQuMPN8YXI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_11' value='WyJ7XCIyNFwiOltcImQ2NGRhN2ZkMzNjNWRlZDY5ZThmZDkxMmMzODY5M2VmXCIsXCI2MzRkODE1NTgwMjg5ZTFjNzczNjYxZGE4MjNhMjNkN1wiXX0iLCJjMTdhMzkzYjE0MzNiOGIxZDAxM2M0YWEyZDAzODg0YyJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_11' id='gform_target_page_number_11' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_11' id='gform_source_page_number_11' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_11' id='gform_ajax_frame_11' title='Cette iframe contient la logique n\u00e9cessaire pour manipuler Gravity Forms avec Ajax.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 11, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_11').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_11');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_11').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_11').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_11').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_11').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_11').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_11').val();gformInitSpinner( 11, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [11, current_page]);window['gf_submitting_11'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_11').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_11').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [11]);window['gf_submitting_11'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_11').text());}else{jQuery('#gform_11').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"11\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_11\" );        if ( gformWrapperDiv ) {            const 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                                              <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                Demande de changement d\u2019horaires                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_10' style='display:none'><div id='gf_10' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_10' id='gform_10'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_10' data-formid='10' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_28'>URL<\/label><div class='ginput_container'><input name='input_28' id='input_10_28' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_10_28'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_10_1\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_1'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_10_1' type='text' value='' class='large'   tabindex='49' placeholder='Pr\u00e9nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_13\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_13'>Nom<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_10_13' type='text' value='' class='large'   tabindex='50' placeholder='Nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_3\" class=\"gfield gfield--type-email gfield--width-quarter email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'>Courriel<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_3' id='input_10_3' type='email' value='' class='large' tabindex='51'  placeholder='Courriel' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_10_27\" class=\"gfield gfield--type-select gfield--width-quarter landcode field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_27'>Code pays<\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_10_27' class='medium gfield_select' tabindex='52'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Code pays<\/option><option value='+32' >Belgi\u00eb +32<\/option><option value='---' >&#8212;<\/option><option value='+93' >Afghanistan +93<\/option><option value='+355' >Albania +355<\/option><option value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' >Belgium +32<\/option><option value='+501' >Belize +501<\/option><option value='+229' >Benin +229<\/option><option value='+1-441' >Bermuda +1-441<\/option><option value='+975' >Bhutan +975<\/option><option value='+591' >Bolivia +591<\/option><option value='+387' >Bosnia &amp; Herzegovina +387<\/option><option value='+267' >Botswana +267<\/option><option value='+55' >Brazil +55<\/option><option value='+1-284' >British Virgin Islands +1-284<\/option><option value='+673' >Brunei Darussalam +673<\/option><option value='+359' >Bulgaria +359<\/option><option value='+226' >Burkina Faso +226<\/option><option value='+257' >Burundi +257<\/option><option value='+855' >Cambodia +855<\/option><option value='+237' >Cameroon +237<\/option><option value='+1' >Canada +1<\/option><option value='+238' >Cape Verde Islands +238<\/option><option value='+1-345' >Cayman Islands +1-345<\/option><option value='+236' >Central African Republic +236<\/option><option value='+235' >Chad +235<\/option><option value='+64' >Chatham Island (New Zealand) +64<\/option><option value='+56' >Chile +56<\/option><option value='+86' >China (PRC) +86<\/option><option value='+61-8' >Christmas Island +61-8<\/option><option value='+61' >Cocos-Keeling Islands +61<\/option><option value='+57' >Colombia +57<\/option><option value='+269' >Comoros +269<\/option><option value='+242' >Congo +242<\/option><option value='+243' >Congo, Dem. Rep. of (former Zaire) +243<\/option><option value='+682' >Cook Islands +682<\/option><option value='+506' >Costa Rica +506<\/option><option value='+225' >C\u00f4te d&#039;Ivoire (Ivory Coast) +225<\/option><option value='+385' >Croatia +385<\/option><option value='+53' >Cuba +53<\/option><option value='+5399' >Cuba (Guantanamo Bay) +5399<\/option><option value='+599' >Cura\u00e7ao +599<\/option><option value='+357' >Cyprus +357<\/option><option value='+420' >Czech Republic +420<\/option><option value='+45' >Denmark +45<\/option><option value='+246' >Diego Garcia +246<\/option><option value='+253' >Djibouti +253<\/option><option value='+1-767' >Dominica +1-767<\/option><option value='+1-809 and +1-829' >Dominican Republic +1-809 and +1-829<\/option><option value='+670' >East Timor +670<\/option><option value='+56' >Easter Island +56<\/option><option value='+593' >Ecuador +593<\/option><option value='+20' >Egypt +20<\/option><option value='+503' >El Salvador +503<\/option><option value='+8812 and +8813' >Ellipso (Mobile Satellite service) +8812 and +8813<\/option><option value='+88213' >EMSAT (Mobile Satellite service) +88213<\/option><option value='+240' >Equatorial Guinea +240<\/option><option value='+291' >Eritrea +291<\/option><option value='+372' >Estonia +372<\/option><option value='+251' >Ethiopia +251<\/option><option value='+500' >Falkland Islands (Malvinas) +500<\/option><option value='+298' >Faroe Islands +298<\/option><option value='+679' >Fiji Islands +679<\/option><option value='+358' >Finland +358<\/option><option value='+33' >France +33<\/option><option value='+596' >French Antilles +596<\/option><option value='+594' >French Guiana +594<\/option><option value='+689' >French Polynesia +689<\/option><option value='+241' >Gabonese Republic +241<\/option><option value='+220' >Gambia +220<\/option><option value='+995' >Georgia +995<\/option><option value='+49' >Germany +49<\/option><option value='+233' >Ghana +233<\/option><option value='+350' >Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_10_26\" class=\"gfield gfield--type-text gfield--width-quarter zonenr field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_26'>Zone<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_10_26' type='text' value='' class='medium'   tabindex='53' placeholder='Pr\u00e9f.'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_10_25\" class=\"gfield gfield--type-text gfield--width-quarter telefoon field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_25'>T\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_10_25' type='text' value='' class='large'   tabindex='54' placeholder='T\u00e9l\u00e9phone'  aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Permanent\/temporaire<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_7'>\n\t\t\t<div class='gchoice gchoice_10_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Une seule fois'  id='choice_10_7_0' onchange='gformToggleRadioOther( this )'  tabindex='55'  \/>\n\t\t\t\t\t<label for='choice_10_7_0' id='label_10_7_0' class='gform-field-label gform-field-label--type-inline'>Une seule fois<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_7_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='P\u00e9riode plus longue'  id='choice_10_7_1' onchange='gformToggleRadioOther( this )'  tabindex='56'  \/>\n\t\t\t\t\t<label for='choice_10_7_1' id='label_10_7_1' class='gform-field-label gform-field-label--type-inline'>P\u00e9riode plus longue<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_7_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='Permanent'  id='choice_10_7_2' onchange='gformToggleRadioOther( this )'  tabindex='57'  \/>\n\t\t\t\t\t<label for='choice_10_7_2' id='label_10_7_2' class='gform-field-label gform-field-label--type-inline'>Permanent<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_14\" class=\"gfield gfield--type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_14'>Nombre d&#039;heures<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_10_14' type='number' step='any'   value='' class='large' tabindex='58'   placeholder='Nombre d&#039;heures'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_10_11\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_11'>De<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_10_11' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='59'  placeholder='jj\/mm\/aaaa' aria-describedby=\"input_10_11_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_10_11_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_10_11' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_10_12\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_12'>\u00e0<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_12' id='input_10_12' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='60'  placeholder='jj\/mm\/aaaa' aria-describedby=\"input_10_12_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_10_12_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_10_12' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_10_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Fr\u00e9quence<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_10_24'>\n\t\t\t<div class='gchoice gchoice_10_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Chaque semaine'  id='choice_10_24_0' onchange='gformToggleRadioOther( this )'  tabindex='61'  \/>\n\t\t\t\t\t<label for='choice_10_24_0' id='label_10_24_0' class='gform-field-label gform-field-label--type-inline'>Chaque semaine<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Tous les quinze jours'  id='choice_10_24_1' onchange='gformToggleRadioOther( this )'  tabindex='62'  \/>\n\t\t\t\t\t<label for='choice_10_24_1' id='label_10_24_1' class='gform-field-label gform-field-label--type-inline'>Tous les quinze jours<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_10_24_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='gf_other_choice'  id='choice_10_24_2' onchange='gformToggleRadioOther( this )'  tabindex='63'  \/>\n\t\t\t\t\t<label for='choice_10_24_2' id='label_10_24_2' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_10_24_other' class='gchoice_other_control' name='input_24_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier' tabindex='63' disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quel jour de la semaine vous convient le mieux ?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_21'><div class='gchoice gchoice_10_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='Lundi'  id='choice_10_21_1' tabindex='64'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_1' id='label_10_21_1' class='gform-field-label gform-field-label--type-inline'>Lundi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Mardi'  id='choice_10_21_2' tabindex='65'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_2' id='label_10_21_2' class='gform-field-label gform-field-label--type-inline'>Mardi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Mercredi'  id='choice_10_21_3' tabindex='66'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_3' id='label_10_21_3' class='gform-field-label gform-field-label--type-inline'>Mercredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Jeudi'  id='choice_10_21_4' tabindex='67'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_4' id='label_10_21_4' class='gform-field-label gform-field-label--type-inline'>Jeudi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_21_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.5' type='checkbox'  value='Vendredi'  id='choice_10_21_5' tabindex='68'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_5' id='label_10_21_5' class='gform-field-label gform-field-label--type-inline'>Vendredi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_21_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.6' type='checkbox'  value='Samedi'  id='choice_10_21_6' tabindex='69'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_21_6' id='label_10_21_6' class='gform-field-label gform-field-label--type-inline'>Samedi<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_22\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Cr\u00e9neau pr\u00e9f\u00e9r\u00e9<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_22'><div class='gchoice gchoice_10_22_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.1' type='checkbox'  value='Matin'  id='choice_10_22_1' tabindex='70'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_1' id='label_10_22_1' class='gform-field-label gform-field-label--type-inline'>Matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.2' type='checkbox'  value='Apr\u00e8s-midi'  id='choice_10_22_2' tabindex='71'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_2' id='label_10_22_2' class='gform-field-label gform-field-label--type-inline'>Apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_22_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_22.3' type='checkbox'  value='Toute la journ\u00e9e'  id='choice_10_22_3' tabindex='72'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_22_3' id='label_10_22_3' class='gform-field-label gform-field-label--type-inline'>Toute la journ\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_10_15\" class=\"gfield gfield--type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >De<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_10_15'>\n                            <input type='number' name='input_15[]' id='input_10_15_1' value='' tabindex='73' min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_10_15_1'>Heures<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_15[]' id='input_10_15_2' value='' tabindex='74' min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_10_15_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_15[]' id='input_10_15_3' tabindex='75' >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_10_15_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><fieldset id=\"field_10_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >T\u00e2ches souhait\u00e9es*<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_23'><div class='gchoice gchoice_10_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Nettoyage'  id='choice_10_23_1' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_23_1' id='label_10_23_1' class='gform-field-label gform-field-label--type-inline'>Nettoyage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Repassage'  id='choice_10_23_2' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_23_2' id='label_10_23_2' class='gform-field-label gform-field-label--type-inline'>Repassage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Courses'  id='choice_10_23_3' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_23_3' id='label_10_23_3' class='gform-field-label gform-field-label--type-inline'>Courses<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_10_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Cuisine'  id='choice_10_23_4' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_23_4' id='label_10_23_4' class='gform-field-label gform-field-label--type-inline'>Cuisine<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_4\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_4'>Votre question ou remarque<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_10_4' class='textarea medium' tabindex='80'   placeholder='Votre question ou remarque'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer' tabindex='81' \/> <input type='hidden' name='gform_ajax' value='form_id=10&amp;title=&amp;description=&amp;tabindex=49&amp;theme=gravity-theme&amp;styles=[]&amp;hash=e809903faad55d92775c238fca2dd97f' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='yBBej4nL\/8lRX8mNBkTkP59q6mfT+3t32V+pLq4mNIc6akslzp9Vn\/AwAJVUyj0jwDqES4vrYfOyqXjVGYhzXnN6fXotKdq5Ns12w\/ZBz8IiwJY=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' value='WyJ7XCIyNFwiOltcImQ2NGRhN2ZkMzNjNWRlZDY5ZThmZDkxMmMzODY5M2VmXCIsXCJiODU3MzVlZjM1YTg0YWQzNTJjODhkODAzYTYyMDM0MlwiXX0iLCIxZmYxZDQ3Y2NjZGVjMzdmNzhmNDI1ODQ0ZDI1ODIwZSJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_10' id='gform_target_page_number_10' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_10' id='gform_source_page_number_10' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_10' id='gform_ajax_frame_10' title='Cette iframe contient la logique n\u00e9cessaire pour manipuler Gravity Forms avec Ajax.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 10, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_10').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_10');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_10').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_10').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_10').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_10').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_10').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_10').val();gformInitSpinner( 10, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [10, current_page]);window['gf_submitting_10'] = false;}else if(!is_redirect){var confirmation_content = 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<\/div>\n                    <\/div>\n                                    <div class=\"bdt-ep-accordion-item\">\n                        <div class=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle bdt-flex-between\" id=\"bdt-ep-accordion-dclaration-de-sinistre\" data-accordion-index=\"4\" data-title=\"d-claration-de-sinistre\" role=\"heading\">\n\n                                                            <span class=\"bdt-ep-accordion-icon bdt-flex-align-right\" aria-hidden=\"true\">\n\n                                                                            <span class=\"bdt-ep-accordion-icon-closed\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-long-arrow-alt-right\"><\/i>                                        <\/span>\n                                    \n                                                                            <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                D\u00e9claration de sinistre                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_6' ><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_6' id='gform_6'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_6' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_26\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_26'>Email<\/label><div class='ginput_container'><input name='input_26' id='input_6_26' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_26'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_6_1\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='large'   tabindex='49' placeholder='Pr\u00e9nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_6_13' type='text' value='' class='large'   tabindex='50' placeholder='Nom*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_3\" class=\"gfield gfield--type-email gfield--width-quarter email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_3'>Courriel<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_3' id='input_6_3' type='email' value='' class='large' tabindex='51'  placeholder='Courriel*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_6_24\" class=\"gfield gfield--type-select gfield--width-quarter landcode gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_24'>Code pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_6_24' class='medium gfield_select' tabindex='52'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Code pays*<\/option><option value='+32' >Belgi\u00eb +32<\/option><option value='---' >&#8212;<\/option><option value='+93' >Afghanistan +93<\/option><option value='+355' >Albania +355<\/option><option value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' >Belgium +32<\/option><option value='+501' >Belize +501<\/option><option value='+229' >Benin +229<\/option><option value='+1-441' >Bermuda +1-441<\/option><option value='+975' >Bhutan +975<\/option><option value='+591' >Bolivia +591<\/option><option value='+387' >Bosnia &amp; Herzegovina +387<\/option><option value='+267' >Botswana +267<\/option><option value='+55' >Brazil +55<\/option><option value='+1-284' >British Virgin Islands +1-284<\/option><option value='+673' >Brunei Darussalam +673<\/option><option value='+359' >Bulgaria +359<\/option><option value='+226' >Burkina Faso +226<\/option><option value='+257' >Burundi +257<\/option><option value='+855' >Cambodia +855<\/option><option value='+237' >Cameroon +237<\/option><option value='+1' >Canada +1<\/option><option value='+238' >Cape Verde Islands +238<\/option><option value='+1-345' >Cayman Islands +1-345<\/option><option value='+236' >Central African Republic +236<\/option><option value='+235' >Chad +235<\/option><option value='+64' >Chatham Island (New Zealand) +64<\/option><option value='+56' >Chile +56<\/option><option value='+86' >China (PRC) +86<\/option><option value='+61-8' >Christmas Island +61-8<\/option><option value='+61' >Cocos-Keeling Islands +61<\/option><option value='+57' >Colombia +57<\/option><option value='+269' >Comoros +269<\/option><option value='+242' >Congo +242<\/option><option value='+243' >Congo, Dem. Rep. of (former Zaire) +243<\/option><option value='+682' >Cook Islands +682<\/option><option value='+506' >Costa Rica +506<\/option><option value='+225' >C\u00f4te d&#039;Ivoire (Ivory Coast) +225<\/option><option value='+385' >Croatia +385<\/option><option value='+53' >Cuba +53<\/option><option value='+5399' >Cuba (Guantanamo Bay) +5399<\/option><option value='+599' >Cura\u00e7ao +599<\/option><option value='+357' >Cyprus +357<\/option><option value='+420' >Czech Republic +420<\/option><option value='+45' >Denmark +45<\/option><option value='+246' >Diego Garcia +246<\/option><option value='+253' >Djibouti +253<\/option><option value='+1-767' >Dominica +1-767<\/option><option value='+1-809 and +1-829' >Dominican Republic +1-809 and +1-829<\/option><option value='+670' >East Timor +670<\/option><option value='+56' >Easter Island +56<\/option><option value='+593' >Ecuador +593<\/option><option value='+20' >Egypt +20<\/option><option value='+503' >El Salvador +503<\/option><option value='+8812 and +8813' >Ellipso (Mobile Satellite service) +8812 and +8813<\/option><option value='+88213' >EMSAT (Mobile Satellite service) +88213<\/option><option value='+240' >Equatorial Guinea +240<\/option><option value='+291' >Eritrea +291<\/option><option value='+372' >Estonia +372<\/option><option value='+251' >Ethiopia +251<\/option><option value='+500' >Falkland Islands (Malvinas) +500<\/option><option value='+298' >Faroe Islands +298<\/option><option value='+679' >Fiji Islands +679<\/option><option value='+358' >Finland +358<\/option><option value='+33' >France +33<\/option><option value='+596' >French Antilles +596<\/option><option value='+594' >French Guiana +594<\/option><option value='+689' >French Polynesia +689<\/option><option value='+241' >Gabonese Republic +241<\/option><option value='+220' >Gambia +220<\/option><option value='+995' >Georgia +995<\/option><option value='+49' >Germany +49<\/option><option value='+233' >Ghana +233<\/option><option value='+350' >Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_6_23\" class=\"gfield gfield--type-text gfield--width-quarter zonenr gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_23'>Pref.*<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='text' value='' class='medium'   tabindex='53' placeholder='Pref.*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_22\" class=\"gfield gfield--type-text gfield--width-quarter telefoon gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_22'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_6_22' type='text' value='' class='large'   tabindex='54' placeholder='T\u00e9l\u00e9phone*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_18\" class=\"gfield gfield--type-text gfield--width-half plaats gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>Localit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_6_18' type='text' value='' class='large'   tabindex='55' placeholder='Localit\u00e9*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_17\" class=\"gfield gfield--type-number gfield--width-half postcode gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'>Code postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_6_17' type='text' step='any'   value='' class='large' tabindex='56'   placeholder='Code postal*' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_6_14\" class=\"gfield gfield--type-text gfield--width-half straat gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_14'>Rue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_6_14' type='text' value='' class='large'   tabindex='57' placeholder='Rue*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-text gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>Num\u00e9ro<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_6_15' type='text' value='' class='large'   tabindex='58' placeholder='Num\u00e9ro*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_16\" class=\"gfield gfield--type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_16'>Bo\u00eete<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_6_16' type='text' value='' class='large'   tabindex='59' placeholder='Bo\u00eete'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_7\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'>Num\u00e9ro d\u2019utilisateur (Sodexo)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='large'   tabindex='60' placeholder='Num\u00e9ro d\u2019utilisateur (Sodexo)*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_8\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Num\u00e9ro de compte<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='large'   tabindex='61' placeholder='Num\u00e9ro de compte*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>Date du sinistre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_6_9' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='62'  placeholder='Date du sinistre*' aria-describedby=\"input_6_9_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_9_date_format' class='screen-reader-text'>JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_9' class='gform_hidden' value='https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_6_4\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Description des d\u00e9g\u00e2ts<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_6_4' class='textarea medium' tabindex='63'   placeholder='Description des d\u00e9g\u00e2ts*' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_6_11'>Photos des d\u00e9g\u00e2ts<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_6_11' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_6_11&quot;,&quot;container&quot;:&quot;gform_multifile_upload_6_11&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_6_11&quot;,&quot;filelist&quot;:&quot;gform_preview_6_11&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/fr\\\/?gf_page=f23f8c5c8332cd7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;268435456b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:6,&quot;field_id&quot;:11,&quot;_gform_file_upload_nonce_6_11&quot;:&quot;35542717b4&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_6_11&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_6_11' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_6_11' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_6_11\" tabindex='64' >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_11'>Taille max. des fichiers\u00a0: 256 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_6_11'><\/ul> <div id='gform_preview_6_11' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_6_25\" class=\"gfield gfield--type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_6_25'>Offre\/devis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_6_25' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_6_25&quot;,&quot;container&quot;:&quot;gform_multifile_upload_6_25&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_6_25&quot;,&quot;filelist&quot;:&quot;gform_preview_6_25&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/fr\\\/?gf_page=f23f8c5c8332cd7&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/actoplus.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;268435456b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:6,&quot;field_id&quot;:25,&quot;_gform_file_upload_nonce_6_25&quot;:&quot;94d5c3ddee&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_6_25&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_6_25' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_6_25' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_6_25\" tabindex='65' >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_25'>Taille max. des fichiers\u00a0: 256 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_6_25'><\/ul> <div id='gform_preview_6_25' class='ginput_preview_list'><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer' tabindex='66' \/> <input type='hidden' name='gform_ajax' value='form_id=6&amp;title=&amp;description=&amp;tabindex=49&amp;theme=gravity-theme&amp;styles=[]&amp;hash=47f890c8af3a77bf50314652dd94685f' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_6' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_6' id='gform_theme_6' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_6' id='gform_style_settings_6' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='xzskOGILmB7v6lIAhKpTDW1VIQCkwvlvlbz\/hqNHrAOWKjIywgJeKjEaYgffuUHfKFnqj33CUs+0kmwWgs9xhzOzzMF49MrpBB3E5vgBakePdv4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsImUxOTZhYzJkNzRmNWYyYjcxMzQzNDExN2ViZTU5NTExIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_6' value='' \/>\n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_6' id='gform_ajax_frame_6' title='Cette iframe contient la logique n\u00e9cessaire pour manipuler Gravity Forms avec Ajax.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_6').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/actoplus.be\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_6').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_6\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 6, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n                        <\/div>\n                    <\/div>\n                                    <div class=\"bdt-ep-accordion-item\">\n                        <div class=\"bdt-ep-accordion-title bdt-accordion-title bdt-flex bdt-flex-middle bdt-flex-between\" id=\"bdt-ep-accordion-envoyer-un-message\" data-accordion-index=\"5\" data-title=\"envoyer-un-message\" role=\"heading\">\n\n                                                            <span class=\"bdt-ep-accordion-icon bdt-flex-align-right\" aria-hidden=\"true\">\n\n                                                                            <span class=\"bdt-ep-accordion-icon-closed\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-long-arrow-alt-right\"><\/i>                                        <\/span>\n                                    \n                                                                            <span class=\"bdt-ep-accordion-icon-opened\">\n                                            <i aria-hidden=\"true\" class=\"fa-fw fas fa-minus\"><\/i>                                        <\/span>\n                                    \n                                <\/span>\n                            \n                            <span class=\"bdt-ep-title-text bdt-flex bdt-flex-middle\">\n\n                                                                Envoyer un message                            <\/span>\n\n                        <\/div>\n                        <div class=\"bdt-ep-accordion-content bdt-accordion-content\">\n                            \n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' ><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_2' id='gform_2'  action='\/fr\/wp-json\/wp\/v2\/pages\/3628#gf_2' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_12\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'>Name<\/label><div class='ginput_container'><input name='input_12' id='input_2_12' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_12'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_2_1\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_1'>Pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='large'   tabindex='49' placeholder='Pr\u00e9nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Nom<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_2_7' type='text' value='' class='large'   tabindex='50' placeholder='Nom'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_3\" class=\"gfield gfield--type-email gfield--width-quarter email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'>Courriel<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_3' id='input_2_3' type='email' value='' class='large' tabindex='51'  placeholder='Courriel*' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_11\" class=\"gfield gfield--type-select gfield--width-quarter landcode field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Code pays<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_2_11' class='medium gfield_select' tabindex='52'    aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Code pays<\/option><option value='+32' >Belgi\u00eb +32<\/option><option value='---' >&#8212;<\/option><option value='+93' >Afghanistan +93<\/option><option value='+355' >Albania +355<\/option><option value='+213' >Algeria +213<\/option><option value='+1-684' >American Samoa +1-684<\/option><option value='+376' >Andorra +376<\/option><option value='+244' >Angola +244<\/option><option value='+1-264' >Anguilla +1-264<\/option><option value='+672' >Antarctica +672<\/option><option value='+1-268' >Antigua +1-268<\/option><option value='+54' >Argentina +54<\/option><option value='+374' >Armenia +374<\/option><option value='+297' >Aruba +297<\/option><option value='+247' >Ascension +247<\/option><option value='+61' >Australia +61<\/option><option value='+672' >Australian External Territories +672<\/option><option value='+43' >Austria +43<\/option><option value='+994' >Azerbaijan +994<\/option><option value='+1-242' >Bahamas +1-242<\/option><option value='+973' >Bahrain +973<\/option><option value='+880' >Bangladesh +880<\/option><option value='+1-246' >Barbados +1-246<\/option><option value='+1-268' >Barbuda +1-268<\/option><option value='+375' >Belarus +375<\/option><option value='+32' >Belgium +32<\/option><option value='+501' >Belize +501<\/option><option value='+229' >Benin +229<\/option><option value='+1-441' >Bermuda +1-441<\/option><option value='+975' >Bhutan +975<\/option><option value='+591' >Bolivia +591<\/option><option value='+387' >Bosnia &amp; Herzegovina +387<\/option><option value='+267' >Botswana +267<\/option><option value='+55' >Brazil +55<\/option><option value='+1-284' >British Virgin Islands +1-284<\/option><option value='+673' >Brunei Darussalam +673<\/option><option value='+359' >Bulgaria +359<\/option><option value='+226' >Burkina Faso +226<\/option><option value='+257' >Burundi +257<\/option><option value='+855' >Cambodia +855<\/option><option value='+237' >Cameroon +237<\/option><option value='+1' >Canada +1<\/option><option value='+238' >Cape Verde Islands +238<\/option><option value='+1-345' >Cayman Islands +1-345<\/option><option value='+236' >Central African Republic +236<\/option><option value='+235' >Chad +235<\/option><option value='+64' >Chatham Island (New Zealand) +64<\/option><option value='+56' >Chile +56<\/option><option value='+86' >China (PRC) +86<\/option><option value='+61-8' >Christmas Island +61-8<\/option><option value='+61' >Cocos-Keeling Islands +61<\/option><option value='+57' >Colombia +57<\/option><option value='+269' >Comoros +269<\/option><option value='+242' >Congo +242<\/option><option value='+243' >Congo, Dem. Rep. of (former Zaire) +243<\/option><option value='+682' >Cook Islands +682<\/option><option value='+506' >Costa Rica +506<\/option><option value='+225' >C\u00f4te d&#039;Ivoire (Ivory Coast) +225<\/option><option value='+385' >Croatia +385<\/option><option value='+53' >Cuba +53<\/option><option value='+5399' >Cuba (Guantanamo Bay) +5399<\/option><option value='+599' >Cura\u00e7ao +599<\/option><option value='+357' >Cyprus +357<\/option><option value='+420' >Czech Republic +420<\/option><option value='+45' >Denmark +45<\/option><option value='+246' >Diego Garcia +246<\/option><option value='+253' >Djibouti +253<\/option><option value='+1-767' >Dominica +1-767<\/option><option value='+1-809 and +1-829' >Dominican Republic +1-809 and +1-829<\/option><option value='+670' >East Timor +670<\/option><option value='+56' >Easter Island +56<\/option><option value='+593' >Ecuador +593<\/option><option value='+20' >Egypt +20<\/option><option value='+503' >El Salvador +503<\/option><option value='+8812 and +8813' >Ellipso (Mobile Satellite service) +8812 and +8813<\/option><option value='+88213' >EMSAT (Mobile Satellite service) +88213<\/option><option value='+240' >Equatorial Guinea +240<\/option><option value='+291' >Eritrea +291<\/option><option value='+372' >Estonia +372<\/option><option value='+251' >Ethiopia +251<\/option><option value='+500' >Falkland Islands (Malvinas) +500<\/option><option value='+298' >Faroe Islands +298<\/option><option value='+679' >Fiji Islands +679<\/option><option value='+358' >Finland +358<\/option><option value='+33' >France +33<\/option><option value='+596' >French Antilles +596<\/option><option value='+594' >French Guiana +594<\/option><option value='+689' >French Polynesia +689<\/option><option value='+241' >Gabonese Republic +241<\/option><option value='+220' >Gambia +220<\/option><option value='+995' >Georgia +995<\/option><option value='+49' >Germany +49<\/option><option value='+233' >Ghana +233<\/option><option value='+350' >Gibraltar +350<\/option><option value='+881' >Global Mobile Satellite System (GMSS) +881<\/option><option value='+8810 and +8811' >ICO Global +8810 and +8811<\/option><option value='+8813' >Ellipso 8812 +8813<\/option><option value='+8817' >Iridium 8816 +8817<\/option><option value='Globalstar 8818 and 8819' >Globalstar 8818 and 8819<\/option><option value='+8818 and +8819' >Globalstar (Mobile Satellite Service) +8818 and +8819<\/option><option value='+30' >Greece +30<\/option><option value='+299' >Greenland +299<\/option><option value='+1-473' >Grenada +1-473<\/option><option value='+590' >Guadeloupe +590<\/option><option value='+1-671' >Guam +1-671<\/option><option value='+5399' >Guantanamo Bay +5399<\/option><option value='+502' >Guatemala +502<\/option><option value='+245' >Guinea-Bissau +245<\/option><option value='+224' >Guinea +224<\/option><option value='+592' >Guyana +592<\/option><option value='+509' >Haiti +509<\/option><option value='+504' >Honduras +504<\/option><option value='+852' >Hong Kong +852<\/option><option value='+36' >Hungary +36<\/option><option value='+8810 and +8811' >ICO Global (Mobile Satellite Service) +8810 and +8811<\/option><option value='+354' >Iceland +354<\/option><option value='+91' >India +91<\/option><option value='+62' >Indonesia +62<\/option><option value='+871' >Inmarsat (Atlantic Ocean &#8211; East) +871<\/option><option value='+874' >Inmarsat (Atlantic Ocean &#8211; West) +874<\/option><option value='+873' >Inmarsat (Indian Ocean) +873<\/option><option value='+872' >Inmarsat (Pacific Ocean) +872<\/option><option value='+870' >Inmarsat SNAC +870<\/option><option value='+800' >International Freephone Service +800<\/option><option value='+808' >International Shared Cost Service (ISCS) +808<\/option><option value='+98' >Iran +98<\/option><option value='+964' >Iraq +964<\/option><option value='+353' >Ireland +353<\/option><option value='+8816 and +8817' >Iridium (Mobile Satellite service) +8816 and +8817<\/option><option value='+972' >Israel +972<\/option><option value='+39' >Italy +39<\/option><option value='+225' >Ivory Coast +225<\/option><option value='+1-876' >Jamaica +1-876<\/option><option value='+81' >Japan +81<\/option><option value='+962' >Jordan +962<\/option><option value='+7' >Kazakhstan +7<\/option><option value='+254' >Kenya +254<\/option><option value='+686' >Kiribati +686<\/option><option value='+850' >Korea (North) +850<\/option><option value='+82' >Korea (South) +82<\/option><option value='+965' >Kuwait +965<\/option><option value='+996' >Kyrgyz Republic +996<\/option><option value='+856' >Laos +856<\/option><option value='+371' >Latvia +371<\/option><option value='+961' >Lebanon +961<\/option><option value='+266' >Lesotho +266<\/option><option value='+231' >Liberia +231<\/option><option value='+218' >Libya +218<\/option><option value='+423' >Liechtenstein +423<\/option><option value='+370' >Lithuania +370<\/option><option value='+352' >Luxembourg +352<\/option><option value='+853' >Macao +853<\/option><option value='+389' >Macedonia (Former Yugoslav Rep of.) +389<\/option><option value='+261' >Madagascar +261<\/option><option value='+265' >Malawi +265<\/option><option value='+60' >Malaysia +60<\/option><option value='+960' >Maldives +960<\/option><option value='+223' >Mali Republic +223<\/option><option value='+356' >Malta +356<\/option><option value='+692' >Marshall Islands +692<\/option><option value='+596' >Martinique +596<\/option><option value='+222' >Mauritania +222<\/option><option value='+230' >Mauritius +230<\/option><option value='+269' >Mayotte Island +269<\/option><option value='+52' >Mexico +52<\/option><option value='+691' >Micronesia (Federal States of) +691<\/option><option value='+1-808' >Midway Island +1-808<\/option><option value='+373' >Moldova +373<\/option><option value='+377' >Monaco +377<\/option><option value='+976' >Mongolia +976<\/option><option value='+382' >Montenegro +382<\/option><option value='+1-664' >Montserrat +1-664<\/option><option value='+212' >Morocco +212<\/option><option value='+258' >Mozambique +258<\/option><option value='+95' >Myanmar +95<\/option><option value='+264' >Namibia +264<\/option><option value='+674' >Nauru +674<\/option><option value='+977' >Nepal +977<\/option><option value='+31' >Netherlands +31<\/option><option value='+599' >Netherlands Antilles +599<\/option><option value='+1-869' >Nevis +1-869<\/option><option value='+687' >New Caledonia +687<\/option><option value='+64' >New Zealand +64<\/option><option value='+505' >Nicaragua +505<\/option><option value='+227' >Niger +227<\/option><option value='+234' >Nigeria +234<\/option><option value='+683' >Niue +683<\/option><option value='+672' >Norfolk Island +672<\/option><option value='+1-670' >Northern Marianas Islands (Saipan, Rota &amp; Tinian) +1-670<\/option><option value='+47' >Norway +47<\/option><option value='+968' >Oman +968<\/option><option value='+92' >Pakistan +92<\/option><option value='+680' >Palau +680<\/option><option value='+970' >Palestinian Settlements +970<\/option><option value='+507' >Panama +507<\/option><option value='+675' >Papua New Guinea +675<\/option><option value='+595' >Paraguay +595<\/option><option value='+51' >Peru +51<\/option><option value='+63' >Philippines +63<\/option><option value='+48' >Poland +48<\/option><option value='+351' >Portugal +351<\/option><option value='+1-787 or +1-939' >Puerto Rico +1-787 or +1-939<\/option><option value='+974' >Qatar +974<\/option><option value='+262' >R\u00e9union Island +262<\/option><option value='+40' >Romania +40<\/option><option value='+7' >Russia +7<\/option><option value='+250' >Rwandese Republic +250<\/option><option value='+290' >St. Helena +290<\/option><option value='+1-869' >St. Kitts\/Nevis +1-869<\/option><option value='+1-758' >St. Lucia +1-758<\/option><option value='+508' >St. Pierre &amp; Miquelon +508<\/option><option value='+1-784' >St. Vincent &amp; Grenadines +1-784<\/option><option value='+685' >Samoa +685<\/option><option value='+378' >San Marino +378<\/option><option value='+239' >S\u00e3o Tom\u00e9 and Principe +239<\/option><option value='+966' >Saudi Arabia +966<\/option><option value='+221' >Senegal +221<\/option><option value='+381' >Serbia +381<\/option><option value='+248' >Seychelles Republic +248<\/option><option value='+232' >Sierra Leone +232<\/option><option value='+65' >Singapore +65<\/option><option value='+421' >Slovak Republic +421<\/option><option value='+386' >Slovenia +386<\/option><option value='+677' >Solomon Islands +677<\/option><option value='+252' >Somali Democratic Republic +252<\/option><option value='+27' >South Africa +27<\/option><option value='+34' >Spain +34<\/option><option value='+94' >Sri Lanka +94<\/option><option value='+249' >Sudan +249<\/option><option value='+597' >Suriname +597<\/option><option value='+268' >Swaziland +268<\/option><option value='+46' >Sweden +46<\/option><option value='+41' >Switzerland +41<\/option><option value='+963' >Syria +963<\/option><option value='+886' >Taiwan +886<\/option><option value='+992' >Tajikistan +992<\/option><option value='+255' >Tanzania +255<\/option><option value='+66' >Thailand +66<\/option><option value='+88216' >Thuraya (Mobile Satellite service) +88216<\/option><option value='+670' >Timor Leste +670<\/option><option value='+228' >Togolese Republic +228<\/option><option value='+690' >Tokelau +690<\/option><option value='+676' >Tonga Islands +676<\/option><option value='+1-868' >Trinidad &amp; Tobago +1-868<\/option><option value='+216' >Tunisia +216<\/option><option value='+90' >Turkey +90<\/option><option value='+993' >Turkmenistan +993<\/option><option value='+1-649' >Turks and Caicos Islands +1-649<\/option><option value='+688' >Tuvalu +688<\/option><option value='+256' >Uganda +256<\/option><option value='+380' >Ukraine +380<\/option><option value='+971' >United Arab Emirates +971<\/option><option value='+44' >United Kingdom +44<\/option><option value='+1' >United States of America +1<\/option><option value='+1-340' >US Virgin Islands +1-340<\/option><option value='+878' >Universal Personal Telecommunications (UPT) +878<\/option><option value='+598' >Uruguay +598<\/option><option value='+998' >Uzbekistan +998<\/option><option value='+678' >Vanuatu +678<\/option><option value='+39 and +379' >Vatican City +39 and +379<\/option><option value='+58' >Venezuela +58<\/option><option value='+84' >Vietnam +84<\/option><option value='+808' >Wake Island +808<\/option><option value='+681' >Wallis and Futuna Islands +681<\/option><option value='+967' >Yemen +967<\/option><option value='+260' >Zambia +260<\/option><option value='+255' >Zanzibar +255<\/option><option value='+263' >Zimbabwe +263<\/option><\/select><\/div><\/div><div id=\"field_2_9\" class=\"gfield gfield--type-text gfield--width-quarter zonenr field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label 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class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t\t\t<div style=\"opacity:0\" class=\"bdt-advanced-map\">\n\t\t\t<div class=\"bdt-grid-wrap\">\n\t\t\t\t<div class=\"bdt-advanced-map-wrapper\">\n\t\t\t\t\t<div class=\"bdt-advanced-gmap\" id=\"bdt-advanced-gmap-2772d4c-58\" data-map_markers=\"[{&quot;lat&quot;:51.20531297491861,&quot;lng&quot;:4.41072306942433,&quot;title&quot;:&quot;ACTOPLUS&quot;,&quot;place&quot;:&quot;Bangladesh&quot;,&quot;icon&quot;:&quot;&quot;,&quot;content&quot;:&quot;&lt;strong&gt;ACTOPLUS &lt;\\\/strong&gt;,&lt;br&gt;Mechelsesteenweg 151,&lt;br&gt;2018 Antwerpen&quot;,&quot;phone&quot;:&quot;+880123456789&quot;,&quot;website&quot;:&quot;https:\\\/\\\/bdthemes.com&quot;,&quot;image&quot;:&quot;&quot;}]\" data-map_style=\"[ { &quot;featureType&quot;: &quot;administrative&quot;, &quot;elementType&quot;: &quot;labels.text.fill&quot;, &quot;stylers&quot;: [ { &quot;color&quot;: &quot;#444444&quot; } ] }, { &quot;featureType&quot;: &quot;landscape&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;color&quot;: &quot;#f2f2f2&quot; } ] }, { &quot;featureType&quot;: &quot;poi&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;visibility&quot;: &quot;off&quot; } ] }, { &quot;featureType&quot;: &quot;road&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;saturation&quot;: -100 }, { &quot;lightness&quot;: 45 } ] }, { &quot;featureType&quot;: &quot;road.highway&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;visibility&quot;: &quot;simplified&quot; } ] }, { &quot;featureType&quot;: &quot;road.arterial&quot;, &quot;elementType&quot;: &quot;labels.icon&quot;, &quot;stylers&quot;: [ { &quot;visibility&quot;: &quot;off&quot; } ] }, { &quot;featureType&quot;: &quot;transit&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;visibility&quot;: &quot;off&quot; } ] }, { &quot;featureType&quot;: &quot;water&quot;, &quot;elementType&quot;: &quot;all&quot;, &quot;stylers&quot;: [ { &quot;color&quot;: &quot;#558c99&quot; }, { &quot;visibility&quot;: &quot;on&quot; } ] } ]\" data-map_settings=\"{&quot;el&quot;:&quot;#bdt-advanced-gmap-2772d4c-58&quot;,&quot;lat&quot;:&quot;51.20531297491861&quot;,&quot;lng&quot;:&quot;4.41072306942433&quot;,&quot;zoomControl&quot;:true,&quot;zoom&quot;:15,&quot;streetViewControl&quot;:true,&quot;mapTypeControl&quot;:true}\" data-map_geocode=\"false\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-67ccda5 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"67ccda5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-c0a9948\" data-id=\"c0a9948\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-9a2d140\" data-id=\"9a2d140\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bab7aa6 elementor-widget elementor-widget-text-editor\" data-id=\"bab7aa6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Veuillez nous contacter via les boutons ci-dessus<\/strong><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-379dd8e elementor-align-center elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"379dd8e\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/goo.gl\/maps\/xzaCYXFLofg4incXA\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-map-marker-alt\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Mechelsesteenweg 151<br> 2018 Anvers<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+32(3)345%2000%2000\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-alt\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">+32(3)345 00 00<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50439ef elementor-widget elementor-widget-text-editor\" data-id=\"50439ef\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>TVA BE 0808.404.631<br \/>Num\u00e9ro d\u2019agr\u00e9ment 03659<br \/>Num\u00e9ro ONSS BE 183.900.359<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-259f668\" data-id=\"259f668\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Contact Vous avez des questions, des remarques ou vous souhaitez contacter Actoplus ? Dans ce cas, choisissez l\u2019un des formulaires ci-dessous et nous vous recontacterons dans les plus brefs d\u00e9lais. Nous donnons la priorit\u00e9 aux demandes re\u00e7ues par l\u2019interm\u00e9diaire de ces formulaires. Demande d\u2019aide \u00e0 domicile &quot;*&quot; geeft vereiste velden aan Pr\u00e9nom* Nom* Courriel* Code [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contact - Actoplus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/actoplus.be\/fr\/contact\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contact - Actoplus\" \/>\n<meta property=\"og:description\" content=\"Contact Vous avez des questions, des remarques ou vous souhaitez contacter Actoplus ? Dans ce cas, choisissez l\u2019un des formulaires ci-dessous et nous vous recontacterons dans les plus brefs d\u00e9lais. Nous donnons la priorit\u00e9 aux demandes re\u00e7ues par l\u2019interm\u00e9diaire de ces formulaires. Demande d\u2019aide \u00e0 domicile &quot;*&quot; geeft vereiste velden aan Pr\u00e9nom* Nom* Courriel* Code [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/actoplus.be\/fr\/contact\/\" \/>\n<meta property=\"og:site_name\" content=\"Actoplus\" \/>\n<meta property=\"article:modified_time\" content=\"2024-01-17T10:38:03+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"17 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/actoplus.be\/fr\/contact\/\",\"url\":\"https:\/\/actoplus.be\/fr\/contact\/\",\"name\":\"Contact - Actoplus\",\"isPartOf\":{\"@id\":\"https:\/\/actoplus.be\/fr\/#website\"},\"datePublished\":\"2021-07-15T05:47:57+00:00\",\"dateModified\":\"2024-01-17T10:38:03+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/actoplus.be\/fr\/contact\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/actoplus.be\/fr\/contact\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/actoplus.be\/fr\/contact\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/actoplus.be\/fr\/accueil\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Contact\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/actoplus.be\/fr\/#website\",\"url\":\"https:\/\/actoplus.be\/fr\/\",\"name\":\"Actoplus\",\"description\":\"Home services\",\"publisher\":{\"@id\":\"https:\/\/actoplus.be\/fr\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/actoplus.be\/fr\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/actoplus.be\/fr\/#organization\",\"name\":\"Actoplus\",\"url\":\"https:\/\/actoplus.be\/fr\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/actoplus.be\/fr\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/actoplus.be\/wp-content\/uploads\/2021\/07\/ActoLogo-zonder-achtergrond.svg\",\"contentUrl\":\"https:\/\/actoplus.be\/wp-content\/uploads\/2021\/07\/ActoLogo-zonder-achtergrond.svg\",\"caption\":\"Actoplus\"},\"image\":{\"@id\":\"https:\/\/actoplus.be\/fr\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Contact - Actoplus","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/actoplus.be\/fr\/contact\/","og_locale":"fr_FR","og_type":"article","og_title":"Contact - Actoplus","og_description":"Contact Vous avez des questions, des remarques ou vous souhaitez contacter Actoplus ? 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