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    {"id":3546,"date":"2014-05-03T14:32:31","date_gmt":"2014-05-03T14:32:31","guid":{"rendered":"http:\/\/capic.org\/?page_id=3546"},"modified":"2019-08-01T13:24:06","modified_gmt":"2019-08-01T17:24:06","slug":"formulaire-dadhesion","status":"publish","type":"page","link":"https:\/\/stage.capic.org\/fr\/formulaire-dadhesion\/","title":{"rendered":"Formulaire d&#8217;adh\u00e9sion"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_43' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_43'  action='\/fr\/wp-json\/wp\/v2\/pages\/3546\/'>\n                        <div class='gform_body'><ul id='gform_fields_43' class='gform_fields top_label form_sublabel_below description_above'><li id='field_43_60'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_above gfield_visibility_visible' ><\/li><li id='field_43_46'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_46' >Invoice ID<\/label><div class='ginput_container ginput_container_hidden'><input name='input_46' id='input_43_46' type='hidden' value=''  \/><\/div><\/li><li id='field_43_58'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_58' >No de membre<\/label><div class='ginput_container ginput_container_hidden'><input name='input_58' id='input_43_58' type='hidden' value=''  \/><\/div><\/li><li id='field_43_13'  class='gfield membertype field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_13' >S\u00c9LECTIONNEZ LE TYPE DE MEMBRE<\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_43_13' class='medium gfield_select'    aria-invalid=\"false\"><option value='General' >Agr\u00e9\u00e9<\/option><option value='Associate' >Associ\u00e9<\/option><option value='Student' >\u00c9tudiant<\/option><option value='Retired' >Retrait\u00e9<\/option><option value='Foreign' >\u00c9tranger<\/option><option value='Honorary' >Honoraire<\/option><option value='Instructor' >Professeur<\/option><\/select><\/div><\/li><li id='field_43_36'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label'  >Language pr\u00e9f\u00e9r\u00e9<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_43_36'><li class='gchoice_43_36_0'><input name='input_36' type='radio' value='EN'  id='choice_43_36_0'    \/><label for='choice_43_36_0' id='label_43_36_0'>Anglais<\/label><\/li><li class='gchoice_43_36_1'><input name='input_36' type='radio' value='FR'  id='choice_43_36_1'    \/><label for='choice_43_36_1' id='label_43_36_1'>Fran\u00e7ais<\/label><\/li><\/ul><\/div><\/li><li id='field_43_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Nom<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_43_1'>\n                            \n                            <span id='input_43_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_43_1_3' value='' aria-label='Pr\u00e9nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_43_1_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_43_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_43_1_6' value='' aria-label='Nom'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_43_1_6' >Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_43_29'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Mot de passe<span class='gfield_required'>*<\/span><\/label><div class='gfield_description' id='gfield_description_43_29'>Le mot de passe doit contenir au moins 7 caract\u00e8res.<\/div><div class='ginput_complex ginput_container ginput_container_password' id='input_43_29_container'>\n\t\t\t\t\t\t<span id='input_43_29_1_container' class='ginput_left'>\n\t\t\t\t\t\t\t<input type='password' name='input_29' id='input_43_29'   value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<label for='input_43_29' >Saisir le mot de passe<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_43_29_2_container' class='ginput_right'>\n\t\t\t\t\t\t\t<input type='password' name='input_29_2' id='input_43_29_2'   value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<label for='input_43_29_2' >Confirmer le mot de passe<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/li><li id='field_43_12'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_12' >Nom de companie<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_43_12' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Adresse<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_43_2' >\n                         <span class='ginput_full address_line_1' id='input_43_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_43_2_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_43_2_1' id='input_43_2_1_label' >Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_43_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_43_2_2' value=''   \/>\n                                        <label for='input_43_2_2' id='input_43_2_2_label' >Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_43_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_43_2_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_43_2_3' id='input_43_2_3_label' >Ville<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_43_2_4_container' >\n                                        <select name='input_2.4' id='input_43_2_4'     aria-required=\"true\"><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_43_2_4' id='input_43_2_4_label' >Province<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_43_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_43_2_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_43_2_5' id='input_43_2_5_label' >Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_43_2_6' value='Canada'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_43_73'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_43_73' >\n                         <span class='ginput_full address_line_1' id='input_43_73_1_container' >\n                                        <input type='text' name='input_73.1' id='input_43_73_1' value=''    \/>\n                                        <label for='input_43_73_1' id='input_43_73_1_label' >Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_43_73_2_container' >\n                                        <input type='text' name='input_73.2' id='input_43_73_2' value=''   \/>\n                                        <label for='input_43_73_2' id='input_43_73_2_label' >Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_43_73_3_container' >\n                                    <input type='text' name='input_73.3' id='input_43_73_3' value=''    \/>\n                                    <label for='input_43_73_3' id='input_43_73_3_label' >Ville<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_43_73_4_container' >\n                                        <input type='text' name='input_73.4' id='input_43_73_4' value=''      \/>\n                                        <label for='input_43_73_4' id='input_43_73_4_label' >\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_43_73_5_container' >\n                                    <input type='text' name='input_73.5' id='input_43_73_5' value=''    \/>\n                                    <label for='input_43_73_5' id='input_43_73_5_label' >ZIP \/ Code postal<\/label>\n                                <\/span><span class='ginput_right address_country' id='input_43_73_6_container' >\n                                        <select name='input_73.6' id='input_43_73_6'   ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba ' >Bonaire, Saint-Eustache et Saba <\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini (Swaziland)' >Eswatini (Swaziland)<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte H\u00e9l\u00e8ne' >Sainte H\u00e9l\u00e8ne<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Syrie' >Syrie<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de G\u00e9orgie du Sud' >\u00cele de G\u00e9orgie du Sud<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_43_73_6' id='input_43_73_6_label' >Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_43_11'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_11' >T\u00e9l\u00e9phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_43_11' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_43_61'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_61' >Chapitre<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_43_61' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Courriel<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_43_3_container'>\n                                <span id='input_43_3_1_container' class='ginput_left'>\n                                    <input class='' type='email' name='input_3' id='input_43_3' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_43_3' >Saisissez un e-mail<\/label>\n                                <\/span>\n                                <span id='input_43_3_2_container' class='ginput_right'>\n                                    <input class='' type='email' name='input_3_2' id='input_43_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"\/>\n                                    <label for='input_43_3_2' >Confirmez l\u2019e-mail<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_43_4'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_4' >Site Web<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_4' id='input_43_4' type='url' value='' class='medium'      aria-invalid=\"false\"\/>\n                <\/div><\/li><li id='field_43_70'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_70' >Instagram URL<\/label><div class='gfield_description' id='gfield_description_43_70'>Please insert the full address, including https:\/\/<\/div><div class='ginput_container ginput_container_text'><input name='input_70' id='input_43_70' type='text' value='' class='medium'  aria-describedby=\"gfield_description_43_70\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_71'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_71' >LinkedIn URL<\/label><div class='gfield_description' id='gfield_description_43_71'>Please insert the full address, including https:\/\/<\/div><div class='ginput_container ginput_container_text'><input name='input_71' id='input_43_71' type='text' value='' class='medium'  aria-describedby=\"gfield_description_43_71\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_72'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_72' >Facebook URL<\/label><div class='gfield_description' id='gfield_description_43_72'>Please insert the full address, including https:\/\/<\/div><div class='ginput_container ginput_container_text'><input name='input_72' id='input_43_72' type='text' value='' class='medium'  aria-describedby=\"gfield_description_43_72\"    aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_31'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_31' >\u00c9cole ou universit\u00e9<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_43_31' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_68'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_68' >Student ID<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_43_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_69'  class='gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_69' >Date de graduation<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_69' id='input_43_69' type='text' value='' class='datepicker medium dmy datepicker_no_icon'    aria-describedby='input_43_69_date_format' \/>\n                            <span id='input_43_69_date_format' class='screen-reader-text'>Format de date :JJ slash MM slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_43_69' class='gform_hidden' value='https:\/\/stage.capic.org\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_43_32'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_32' >T\u00e9l\u00e9chargement de la carte d&#039;\u00e9tudiant<\/label><div class='gfield_description' id='gfield_description_43_32'><p>Les formats suivants sont accept\u00e9s<br \/>\r\npdf, jpg, png<\/p>\r\n<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_32' id='input_43_32' type='file' class='medium' aria-describedby='validation_message_43_32 live_validation_message_43_32 extensions_message_43_32' onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span id='extensions_message_43_32' class='screen-reader-text'>Types de fichiers accept\u00e9s : pdf, jpg, png, gif, doc, txt.<\/span><div class='validation_message' id='live_validation_message_43_32'><\/div><\/div><\/li><li id='field_43_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Profession<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_43_6'><li class='gchoice_43_6_0'><input name='input_6' type='radio' value='Photographe'  id='choice_43_6_0'    \/><label for='choice_43_6_0' id='label_43_6_0'>Photographe<\/label><\/li><li class='gchoice_43_6_1'><input name='input_6' type='radio' value='Illustrateur'  id='choice_43_6_1'    \/><label for='choice_43_6_1' id='label_43_6_1'>Illustrator<\/label><\/li><li class='gchoice_43_6_2'><input name='input_6' type='radio' value='gf_other_choice'  id='choice_43_6_2'   onfocus=\"jQuery(this).next('input').focus();\" \/><input id='input_43_6_other' name='input_6_other' type='text' value='Autre' aria-label='Autre' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Autre\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Autre\"); }'   \/><\/li><\/ul><\/div><\/li><li id='field_43_30'  class='gfield field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_30' >Image du profil<\/label><div class='gfield_description' id='gfield_description_43_30'>Can be submitted later while completing your profile after activation.  <\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_30' id='input_43_30' type='file' class='medium' aria-describedby='validation_message_43_30 live_validation_message_43_30 extensions_message_43_30' onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span id='extensions_message_43_30' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpeg, jpg, png, gif.<\/span><div class='validation_message' id='live_validation_message_43_30'><\/div><\/div><\/li><li id='field_43_15'  class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible' ><h5><strong>Conditions<\/strong><\/h5>\n<ul>\n  <li>I am an active professional photographer or illustrator with at least two (2) years of professional  experience.\n  <\/li>\n  <li>Self-employed applicants must attach blank samples of their business forms, (e.g., Quote, Invoice,  Terms & Conditions, and Other Contracts). Employed applicants are required to list employer's name  and place of business. \n  <\/li>\n <li>I should provide a Web address in order to access my portfolio <\/li>\n  <li>I will complete a Member Survey form upon acceptance.  <\/li>\n  <li>I am of good moral character and agree to abide to the <a href=\"http:\/\/stagecapic.saintonge.com\/?p=9#cethic\" target=\"_blank\">principles and ethics<\/a> of CAPIC. <\/li>\n<\/ul><\/li><li id='field_43_16'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><h5><strong>Conditions<\/strong><\/h5>\n<ul>\n  <li>I am currently in or am actively pursuing a full-time career in photography or illustration. Employed applicants are required to list employer\u2019s name and place of business.  \n  <\/li>\n  <li>I have graduated from a CAPIC-approved post-secondary Photography or Illustration program \nwithin the past 2 years. \n  <\/li>\n <li>Self-employed applicants must attach blank samples of their business forms, (e.g., Quote, Invoice,  Terms & Conditions, and Other Contracts). Employed applicants are required to list employer's name  and place of business. \n  <\/li>\n <li>I should provide a Web address in order to access my portfolio <\/li>\n  <li>I am of good moral character and agree to abide to the <a href=\"http:\/\/stagecapic.saintonge.com\/?p=9#cethic\" target=\"_blank\">principles and ethics<\/a> of CAPIC. <\/li>\n\n<\/ul><\/li><li id='field_43_17'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><h5><strong>Conditions<\/strong><\/h5>\r\n<ul>\r\n<li>Je poursuis activement une carri\u00e8re \u00e0 temps plein dans le domaine de la photographie ou de l'illustration\r\n  <\/li>\r\n<li>J'ai bonne r\u00e9putation et je consens \u00e0 me soumettre aux <a href=\"http:\/\/capic.org\/?p=666#cethic\" target=\"_blank\">principes et \u00e0 l'\u00e9thique<\/a> de la CAPIC. <\/li>\r\n<\/ul>\r\n<\/li><li id='field_43_18'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><h5><strong>Conditions<\/strong><\/h5>\r\n<ul>\r\n<li>Je suis g\u00e9n\u00e9ralement occup\u00e9 ou fais carri\u00e8re \u00e0 plein temps en photographie ou en illustration. Les employ\u00e9s salari\u00e9s sont pri\u00e9s d'indiquer le nom et l'adresse commerciale de leur employeur\r\n  <\/li>\r\n<li>Je suis dipl\u00f4m\u00e9 depuis moins deux (2) ans d'un programme d'\u00e9tudes post-secondaire en photographie ou illustration approuv\u00e9 par la CAPIC.\r\n  <\/li>\r\n<li>Je dois fournir une adresse Web afin de visualiser mon portfolio <\/li>\r\n<li>J'ai bonne r\u00e9putation et je consens \u00e0 me soumettre aux <a href=\"http:\/\/capic.org\/?p=666#cethic\" target=\"_blank\">principes et \u00e0 l'\u00e9thique<\/a> de la CAPIC. <\/li>\r\n<\/ul>\r\n<\/li><li id='field_43_19'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_19' >T\u00e9l\u00e9chargez les documents requis<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_19' id='input_43_19' type='file' class='medium' aria-describedby='validation_message_43_19 live_validation_message_43_19 extensions_message_43_19' onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span id='extensions_message_43_19' class='screen-reader-text'>Types de fichiers accept\u00e9s : pdf, jpg, png, gif, doc, txt.<\/span><div class='validation_message' id='live_validation_message_43_19'><\/div><\/div><div class='gfield_description' id='gfield_description_43_19'><p>Les formats suivants sont accept\u00e9s<br \/>\r\npdf, jpg, png, gif, doc, txt<\/p>\r\n<\/div><\/li><li id='field_43_10'  class='gfield hidelabel field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Agreement - General membership<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_10'><li class='gchoice_43_10_1'>\n\t\t\t\t\t\t\t\t<input name='input_10.1' type='checkbox'  value='j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.'  id='choice_43_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_10_1' id='label_43_10_1'>j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_43_21'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Agreement - Assistant membership<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_21'><li class='gchoice_43_21_1'>\n\t\t\t\t\t\t\t\t<input name='input_21.1' type='checkbox'  value='j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.'  id='choice_43_21_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_21_1' id='label_43_21_1'>j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_43_23'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Entente \u2013 Membre associ\u00e9<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_43_23'><li class='gchoice_43_23_1'>\n\t\t\t\t\t\t\t\t<input name='input_23.1' type='checkbox'  value='j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.'  id='choice_43_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_43_23_1' id='label_43_23_1'>j\u2019atteste de la v\u00e9racit\u00e9 des renseignements susmentionn\u00e9s ou annex\u00e9s. Je comprends que tous renseignements inexacts ou erron\u00e9s entra\u00eeneront la nullit\u00e9 de cette demande.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_43_26'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Consentez-vous \u00e0 recevoir des communications par courriel de notre part concernant l\u2019adh\u00e9sion, les nouvelles de l\u2019association et de l\u2019industrie, les possibilit\u00e9s de PP et les organisations partenaires?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_43_26'><li class='gchoice_43_26_0'><input name='input_26' type='radio' value='Oui'  id='choice_43_26_0'    \/><label for='choice_43_26_0' id='label_43_26_0'>Oui<\/label><\/li><li class='gchoice_43_26_1'><input name='input_26' type='radio' value='No'  id='choice_43_26_1'    \/><label for='choice_43_26_1' id='label_43_26_1'>Non<\/label><\/li><\/ul><\/div><\/li><li id='field_43_28'  class='gfield gform_hidden field_sublabel_below field_description_above gfield_visibility_visible' ><input name='input_28' id='input_43_28' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='30\/04\/2026' \/><\/li><li id='field_43_33'  class='gfield gform_hidden field_sublabel_below field_description_above gfield_visibility_visible' ><input name='input_33' id='input_43_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/li><li id='field_43_50'  class='gfield gfield_price gfield_price_43_50 gfield_product_43_50 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_43_50_1' >Co\u00fbts de l&#039;adh\u00e9sion<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_50.1' value='Co\u00fbts de l&#039;adh\u00e9sion' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Prix:<\/span> <span class='ginput_product_price' id='input_43_50'>$ 0.00 CAD<\/span>\n\t\t\t\t\t<input type='hidden' name='input_50.2' id='ginput_base_price_43_50' class='gform_hidden' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_50.3' value='1' class='ginput_quantity_43_50 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_43_50'>Plus taxes applicables<\/div><\/li><li id='field_43_62'  class='gfield gfield_price gfield_price_43_62 gfield_product_43_62 gfield_calculation field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_62_1' >GST 5%<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_62.1' value='GST 5%' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Prix:<\/span> <span class='ginput_product_price' id='input_43_62'>$ 0.00 CAD<\/span>\n\t\t\t\t\t<input type='hidden' name='input_62.2' id='ginput_base_price_43_62' class='gform_hidden' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_62.3' value='1' class='ginput_quantity_43_62 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id='field_43_63'  class='gfield gfield_price gfield_price_43_63 gfield_product_43_63 gfield_calculation field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_63_1' >HST 15%<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_63.1' value='HST 15%' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Prix:<\/span> <span class='ginput_product_price' id='input_43_63'>$ 0.00 CAD<\/span>\n\t\t\t\t\t<input type='hidden' name='input_63.2' id='ginput_base_price_43_63' class='gform_hidden' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_63.3' value='1' class='ginput_quantity_43_63 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id='field_43_64'  class='gfield gfield_price gfield_price_43_64 gfield_product_43_64 gfield_calculation field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_64_1' >HST 13%<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_64.1' value='HST 13%' class='gform_hidden' \/>\n\t\t\t\t\t<span class='ginput_product_price_label'>Prix:<\/span> <span class='ginput_product_price' id='input_43_64'>$ 0.00 CAD<\/span>\n\t\t\t\t\t<input type='hidden' name='input_64.2' id='ginput_base_price_43_64' class='gform_hidden' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_64.3' value='1' class='ginput_quantity_43_64 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id='field_43_65'  class='gfield gfield_price gfield_price_43_ gfield_total gfield_total_43_ field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_65' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t<span class='ginput_total ginput_total_43' aria-live='polite'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t<input type='hidden' name='input_65' id='input_43_65' class='gform_hidden'\/>\n\t\t\t\t\t<\/div><\/li><li id='field_43_45'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_45' >Post invoice title<\/label><div class='ginput_container ginput_container_post_title'>\n\t\t\t\t\t<input name='input_45' id='input_43_45' type='text' value='' class='medium'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/li><li id='field_43_47'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_47' >Post invoice member name<\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_43_47' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_67'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_67' >Post invoice language<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_43_67' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_48'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_48' >Post member email<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_43_48' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_49'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_49' >Post membership fee<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_43_49' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_66'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_66' >Post taxes<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_43_66' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_57'  class='gfield field_sublabel_below field_description_above gfield_visibility_hidden' ><label class='gfield_label' for='input_43_57' >Post membership level<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_43_57' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_43_74'  class='gfield gform_validation_container field_sublabel_below field_description_above gfield_visibility_visible' ><label class='gfield_label' for='input_43_74' 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