{"id":96669,"date":"2025-10-20T11:18:54","date_gmt":"2025-10-20T11:18:54","guid":{"rendered":"https:\/\/savariapatientcare.com\/test-get-a-quote-product-form\/"},"modified":"2025-12-31T15:52:45","modified_gmt":"2025-12-31T15:52:45","slug":"test-get-a-quote-product-form","status":"publish","type":"page","link":"https:\/\/savariapatientcare.com\/fr\/test-get-a-quote-product-form\/","title":{"rendered":"Test Get a Quote Product Form"},"content":{"rendered":"\n\n\t<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 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' style='display:none'><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\/96669#gf_4' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdDnGAsAAAAAIuo8eC7PHb8fnYz2uapD7Fm9RJZ' data-tabindex='0'><input id=\"input_1c9cb9763a57953039690a5d3630d98b\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_1c9cb9763a57953039690a5d3630d98b\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_1\" class=\"gfield gfield--type-select gfield--input-type-select 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='input_4_1'><span class='gform-field-label__text'>Comment pouvons-nous vous aider?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_1' id='input_4_1' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Information about Products and Solutions' >Informations sur les produits et solutions<\/option><option value='Clinical Training and Education' >Formation et \u00e9ducation cliniques<\/option><option value='Support Request' >Demande d\u2019assistance<\/option><option value='Preventative Maintenance' >Entretien pr\u00e9ventif<\/option><option value='Architect and Design Support' >Soutien aux architectes et \u00e0 la conception<\/option><\/select><\/div><\/div><div id=\"field_4_3\" class=\"gfield gfield--type-text gfield--input-type-text 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='input_4_3'><span class='gform-field-label__text'>Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_4_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full 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gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_4_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_6'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_4_6' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'><span class='gform-field-label__text'>Pays<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_4_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='United States' >\u00c9tats-Unis<\/option><option value='Canada' >Canada<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albanie<\/option><option value='Algeria' >Alg\u00e9rie<\/option><option value='American Samoa' >Samoa am\u00e9ricaines<\/option><option value='Andorra' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctique<\/option><option value='Antigua and Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentina' >Argentine<\/option><option value='Armenia' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australie<\/option><option value='Austria' >Autriche<\/option><option value='Azerbaijan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Benin' >B\u00e9nin<\/option><option value='Bermuda' >Bermudes<\/option><option value='Bhutan' >Bhoutan<\/option><option value='Bolivia' >Bolivie<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Saint-Eustache et Saba <\/option><option value='Bosnia and Herzegovina' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >\u00cele Bouvet<\/option><option value='Brazil' >Br\u00e9sil<\/option><option value='British Indian Ocean Territory' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cap-Vert<\/option><option value='Cambodia' >Cambodge<\/option><option value='Cameroon' >Cameroun<\/option><option value='Cayman Islands' >\u00celes Cayman<\/option><option value='Central African Republic' >R\u00e9publique centrafricaine<\/option><option value='Chad' >Tchad<\/option><option value='Chile' >Chili<\/option><option value='China' >Chine<\/option><option value='Christmas Island' >\u00cele Christmas<\/option><option value='Cocos Islands' >\u00celes Cocos<\/option><option value='Colombia' >Colombie<\/option><option value='Comoros' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='Cook Islands' >\u00celes Cook<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Chypre<\/option><option value='Czechia' >R\u00e9publique Tch\u00e8que<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Denmark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominique<\/option><option value='Dominican Republic' >R\u00e9publique Dominicaine<\/option><option value='Ecuador' >\u00c9quateur<\/option><option value='Egypt' >\u00c9gypte<\/option><option value='El Salvador' >Salvador<\/option><option value='Equatorial Guinea' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Eritrea' >\u00c9rythr\u00e9e<\/option><option value='Estonia' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >\u00c9thiopie<\/option><option value='Falkland Islands' >\u00celes Falkland<\/option><option value='Faroe Islands' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fiji' >Fidji<\/option><option value='Finland' >Finlande<\/option><option value='France' >France<\/option><option value='French Guiana' >Guyane<\/option><option value='French Polynesia' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='French Southern Territories' >Terres Australes Fran\u00e7aises<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambie<\/option><option value='Georgia' >G\u00e9orgie<\/option><option value='Germany' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Gr\u00e8ce<\/option><option value='Greenland' >Groenland<\/option><option value='Grenada' >Grenade<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernesey<\/option><option value='Guinea' >Guin\u00e9e<\/option><option value='Guinea-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Ha\u00efti<\/option><option value='Heard Island and McDonald Islands' >\u00celes Heard et McDonald<\/option><option value='Holy See' >Saint-Si\u00e8ge<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hongrie<\/option><option value='Iceland' >Islande<\/option><option value='India' >Inde<\/option><option value='Indonesia' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Irak<\/option><option value='Ireland' >Irlande<\/option><option value='Isle of Man' >\u00cele de Man<\/option><option value='Israel' >Isra\u00ebl<\/option><option value='Italy' >Italie<\/option><option value='Jamaica' >Jama\u00efque<\/option><option value='Japan' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Korea, Republic of' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Kuwait' >Kowe\u00eft<\/option><option value='Kyrgyzstan' >Kirghizistan<\/option><option value='Lao People&#039;s Democratic Republic' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Latvia' >Lettonie<\/option><option value='Lebanon' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malte<\/option><option value='Marshall Islands' >\u00celes Marshall<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritanie<\/option><option value='Mauritius' >\u00cele Maurice<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexique<\/option><option value='Micronesia' >Micron\u00e9sie<\/option><option value='Moldova' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolie<\/option><option value='Montenegro' >Mont\u00e9n\u00e9gro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >N\u00e9pal<\/option><option value='Netherlands' >Pays-Bas<\/option><option value='New Caledonia' >Nouvelle-Cal\u00e9donie<\/option><option value='New Zealand' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nig\u00e9ria<\/option><option value='Niue' >Niu\u00e9<\/option><option value='Norfolk Island' >\u00cele Norfolk<\/option><option value='North Macedonia' >Mac\u00e9doine du Nord<\/option><option value='Northern Mariana Islands' >\u00celes Mariannes du Nord<\/option><option value='Norway' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palaos<\/option><option value='Palestine, State of' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >\u00celes Pitcairn<\/option><option value='Poland' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Roumanie<\/option><option value='Russian Federation' >F\u00e9d\u00e9ration Russe<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >La R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint Lucia' >Sainte-Lucie<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >Saint-Marin<\/option><option value='Sao Tome and Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Saudi Arabia' >Arabie Saoudite<\/option><option value='Senegal' >S\u00e9n\u00e9gal<\/option><option value='Serbia' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovaquie<\/option><option value='Slovenia' >Slov\u00e9nie<\/option><option value='Solomon Islands' >\u00celes Salomon<\/option><option value='Somalia' >Somalie<\/option><option value='South Africa' >Afrique du Sud<\/option><option value='South Georgia and the South Sandwich Islands' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='South Sudan' >Soudan du Sud<\/option><option value='Spain' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Soudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='Sweden' >Su\u00e8de<\/option><option value='Switzerland' >Suisse<\/option><option value='Syria Arab Republic' >R\u00e9publique arabe syrienne<\/option><option value='Taiwan' >Ta\u00efwan<\/option><option value='Tajikistan' >Tadjikistan<\/option><option value='Tanzania, the United Republic of' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Thailand' >Tha\u00eflande<\/option><option value='Timor-Leste' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisia' >Tunisie<\/option><option value='Turkmenistan' >Turkm\u00e9nistan<\/option><option value='Turks and Caicos Islands' >\u00celes Turques et Ca\u00efques<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >Turquie<\/option><option value='US Minor Outlying Islands' >\u00celes mineures am\u00e9ricaines<\/option><option value='Uganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >\u00c9mirats arabes unis<\/option><option value='United Kingdom' >Royaume-Uni<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Vietnam<\/option><option value='Virgin Islands, British' >\u00celes Vierges britanniques<\/option><option value='Virgin Islands, U.S.' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Wallis and Futuna' >Wallis et Futuna<\/option><option value='Western Sahara' >Sahara occidental<\/option><option value='Yemen' >Y\u00e9men<\/option><option value='Zambia' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00celes \u00c5land<\/option><\/select><\/div><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text 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='input_4_14'><span class='gform-field-label__text'>Code Postal<\/span><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_4_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_8'><span class='gform-field-label__text'>Type d\u2019\u00e9tablissement<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_4_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Long-term Care' >Soins de longue dur\u00e9e<\/option><option value='Acute Care' >Soins de courte dur\u00e9e<\/option><option value='Home Care' >Soins \u00e0 domicile<\/option><\/select><\/div><\/div><div id=\"field_4_9\" class=\"gfield gfield--type-text gfield--input-type-text 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='input_4_9'><span class='gform-field-label__text'>Institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_4_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_10\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_10'><span class='gform-field-label__text'>Titre<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_4_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Administrator' >Administrateur<\/option><option value='Architect \/ Planner' >Architecte \/ Urbaniste<\/option><option value='Assistant \/ Coordinator' >Assistant\/Coordonnateur<\/option><option value='Clinician' >Clinicienne<\/option><option value='C-Suite \/ Board of Directors \/ VP' >Direction g\u00e9n\u00e9rale \/ Conseil d&#039;administration \/ Vice-pr\u00e9sident<\/option><option value='Dealer' >Revendeur<\/option><option value='Director' >Directeur<\/option><option value='Engineer' >Ing\u00e9nieur<\/option><option value='Ergonomist' >Ergonome<\/option><option value='Manager' >Gestionnaire<\/option><option value='Nurse' >Infirmi\u00e8re<\/option><option value='Nurse \u2013 Head of Department' >Infirmi\u00e8re \u2013 Chef de service<\/option><option value='Nurse \u2013 WOCN \/ TVN \/ ET' >Infirmi\u00e8re \u2013 WOCN \/ TVN \/ ET<\/option><option value='Nursing Director \/ Chief Nurse' >Directrice des soins infirmiers \/ Infirmi\u00e8re en chef<\/option><option value='Other' >Autre<\/option><option value='Owner' >Propri\u00e9taire<\/option><option value='Procurement' >Approvisionnement<\/option><option value='Specialist' >Sp\u00e9cialiste<\/option><option value='Therapist' >Th\u00e9rapeute<\/option><option value='Trainer' >Entra\u00eeneur<\/option><\/select><\/div><\/div><div id=\"field_4_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_11'><span class='gform-field-label__text'>Int\u00e9r\u00eat pour le produit<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_4_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Bath Lifts' >Ascenseurs de bain<\/option><option value='Bath Tubs' >Baignoires<\/option><option value='Beds' >Lits<\/option><option value='Ceiling Lifts' >\u00c9l\u00e9vateurs de plafond<\/option><option value='Commodes' >Toilettes<\/option><option value='Floor Lifts' >Ascenseurs d&#039;\u00e9tage<\/option><option value='Furniture' >Meuble<\/option><option value='Manual Transfer Aids' >Aides au transfert manuel<\/option><option value='Shower Chairs' >Chaises de douche<\/option><option value='Slings' >\u00c9lingues<\/option><option value='Ceiling Track System' >Syst\u00e8me de rails de plafond<\/option><option value='Therapeutic Surfaces' >Surfaces th\u00e9rapeutiques<\/option><option value='Seating &amp; Positioners' >Si\u00e8ges et positionneurs<\/option><option value='Mattresses' >Matelas<\/option><option value='Transfers' >Transferts<\/option><\/select><\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'><span class='gform-field-label__text'>Commentaires<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_4_12' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_4_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consentement<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_13'><div class='gchoice gchoice_4_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='I accept to receive different Savaria communications'  id='choice_4_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'>J\u2019accepte de recevoir diff\u00e9rentes communications de Savaria<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_19\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_19' id='input_4_19' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_4_17\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_17' id='input_4_17' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' 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