{"id":530,"date":"2022-10-27T08:02:22","date_gmt":"2022-10-27T08:02:22","guid":{"rendered":"https:\/\/fcvda.ch\/?page_id=530"},"modified":"2025-05-02T11:35:11","modified_gmt":"2025-05-02T10:35:11","slug":"diplome-commande","status":"publish","type":"page","link":"https:\/\/fcvda.ch\/?page_id=530","title":{"rendered":"F\u00e9d\u00e9 Dipl\u00f4me &#8211; Commande"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"530\" class=\"elementor elementor-530\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5121c29d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5121c29d\" data-element_type=\"section\" data-e-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-ca354fe\" data-id=\"ca354fe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d576fcd elementor-widget elementor-widget-text-editor\" data-id=\"5d576fcd\" data-element_type=\"widget\" data-e-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\t\t\n<div id=\"wp-block-themeisle-blocks-advanced-columns-e6eaa55f\" class=\"wp-block-themeisle-blocks-advanced-columns has-0-columns has-desktop-undefined-layout has-tablet-equal-layout has-mobile-equal-layout has-vertical-unset\"><div class=\"wp-block-themeisle-blocks-advanced-columns-overlay\"><\/div><div class=\"innerblocks-wrap\"><\/div><\/div>\n\t\t\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<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2669999 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2669999\" data-element_type=\"section\" data-e-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-0e8e376\" data-id=\"0e8e376\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0de8937 elementor-widget elementor-widget-heading\" data-id=\"0de8937\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Dipl\u00f4me - Commande<\/h2>\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<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-86ac724 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"86ac724\" data-element_type=\"section\" data-e-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-41459ad\" data-id=\"41459ad\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3c711d elementor-widget elementor-widget-wpforms\" data-id=\"c3c711d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-523\"><form id=\"wpforms-form-523\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"523\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F530\" data-token=\"cea64c4bab71b54b8c3ab2408adfa405\" data-token-time=\"1787811011\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-523-field_24-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_24\">Commande pass\u00e9e pour : <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-523-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Merci d&#039;indiquer un choix<\/option><option value=\"Accordia - Yverdon-les-Bains\"  class=\"choice-5 depth-1\"  >Accordia - Yverdon-les-Bains<\/option><option value=\"Akordiono - Blonay\"  class=\"choice-6 depth-1\"  >Akordiono - Blonay<\/option><option value=\"Aurore - Yverdon-les-Bains\"  class=\"choice-7 depth-1\"  >Aurore - Yverdon-les-Bains<\/option><option value=\"L&#039;Aurore - Saint-Prex\"  class=\"choice-9 depth-1\"  >L'Aurore - Saint-Prex<\/option><option value=\"L&#039;Echo du L\u00e9man - Nyon\"  class=\"choice-10 depth-1\"  >L'Echo du L\u00e9man - Nyon<\/option><option value=\"L&#039;Echo du L\u00e9man - Renens\"  class=\"choice-11 depth-1\"  >L'Echo du L\u00e9man - Renens<\/option><option value=\"L&#039;Hirondelle - Prilly\"  class=\"choice-12 depth-1\"  >L'Hirondelle - Prilly<\/option><option value=\"L&#039;OAL - Orchestre des Accord\u00e9onistes de Lausanne\"  class=\"choice-13 depth-1\"  >L'OAL - Orchestre des Accord\u00e9onistes de Lausanne<\/option><option value=\"Le Bouvreuil - Villars-le-Terroir\"  class=\"choice-14 depth-1\"  >Le Bouvreuil - Villars-le-Terroir<\/option><option value=\"Les Boutons d&#039;Or - Bex\"  class=\"choice-15 depth-1\"  >Les Boutons d'Or - Bex<\/option><option value=\"Les Coquelicots - La Sarraz\"  class=\"choice-16 depth-1\"  >Les Coquelicots - La Sarraz<\/option><option value=\"Les Gais Matelots - Lutry\"  class=\"choice-17 depth-1\"  >Les Gais Matelots - Lutry<\/option><option value=\"Les Gais Pinsons - Payerne\"  class=\"choice-18 depth-1\"  >Les Gais Pinsons - Payerne<\/option><option value=\"Les Jeunes Aiglons - Aigle\"  class=\"choice-19 depth-1\"  >Les Jeunes Aiglons - Aigle<\/option><option value=\"Les Ondins - Orbe\"  class=\"choice-20 depth-1\"  >Les Ondins - Orbe<\/option><option value=\"Les Rossignols - Forel (Lavaux)\"  class=\"choice-21 depth-1\"  >Les Rossignols - Forel (Lavaux)<\/option><option value=\"Les Sittelles - Oron-la-Ville\"  class=\"choice-22 depth-1\"  >Les Sittelles - Oron-la-Ville<\/option><option value=\"Orcade - Renens\"  class=\"choice-23 depth-1\"  >Orcade - Renens<\/option><option value=\"Perle du Jura - Longirod\"  class=\"choice-24 depth-1\"  >Perle du Jura - Longirod<\/option><option value=\"Skataco - Lausanne\"  class=\"choice-25 depth-1\"  >Skataco - Lausanne<\/option><\/select><\/div><div id=\"wpforms-523-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_36\">Pour le : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-523-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><div class=\"wpforms-field-description\">Merci d'indiquer la date de la remise des dipl\u00f4mes.<\/div><\/div><div id=\"wpforms-523-field_25-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Personne de contact <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_25\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][25][first]\" required><label for=\"wpforms-523-field_25\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_25-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][25][last]\" required><label for=\"wpforms-523-field_25-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_6-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"6\"><input type=\"email\" id=\"wpforms-523-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">E-mail<\/div><\/div><div id=\"wpforms-523-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_20\">Adresse postale en cas d&#039;envoi des dipl\u00f4mes. Merci d&#039;indiquer : Pr\u00e9nom NOM, rue, NPA Lieu. <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-523-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" required><\/textarea><div class=\"wpforms-field-description\">En principe, les dipl\u00f4mes FCVdA sont apport\u00e9s par la ou le repr\u00e9sentant qui vient \u00e0 la soir\u00e9e.<\/div><\/div><div id=\"wpforms-523-field_21-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Jubilaire 1 <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_21\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][21][first]\" required><label for=\"wpforms-523-field_21\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_21-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][21][last]\" required><label for=\"wpforms-523-field_21-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_3\">Dipl\u00f4me d\u00e9sir\u00e9 (1) <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-523-field_3\" class=\"wpforms-field-small wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"1\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"5 ans (FCVdA)\"  class=\"choice-4 depth-1\"  >5 ans (FCVdA)<\/option><option value=\"10 ans (FCVdA)\"  class=\"choice-16 depth-1\"  >10 ans (FCVdA)<\/option><option value=\"15 ans (FCVdA)\"  class=\"choice-5 depth-1\"  >15 ans (FCVdA)<\/option><option value=\"20 ans (FCVdA)\"  class=\"choice-6 depth-1\"  >20 ans (FCVdA)<\/option><option value=\"25 ans (FCVdA)\"  class=\"choice-7 depth-1\"  >25 ans (FCVdA)<\/option><option value=\"30 ans (FCVdA)\"  class=\"choice-8 depth-1\"  >30 ans (FCVdA)<\/option><option value=\"40 ans (FCVdA)\"  class=\"choice-9 depth-1\"  >40 ans (FCVdA)<\/option><option value=\"50 ans (FCVdA)\"  class=\"choice-10 depth-1\"  >50 ans (FCVdA)<\/option><option value=\"60 ans (FCVdA)\"  class=\"choice-11 depth-1\"  >60 ans (FCVdA)<\/option><option value=\"65 ans (FCVdA)\"  class=\"choice-13 depth-1\"  >65 ans (FCVdA)<\/option><option value=\"70 ans (FCVdA)\"  class=\"choice-12 depth-1\"  >70 ans (FCVdA)<\/option><option value=\"75 ans (FCVdA)\"  class=\"choice-14 depth-1\"  >75 ans (FCVdA)<\/option><option value=\"80 ans (FCVdA)\"  class=\"choice-15 depth-1\"  >80 ans (FCVdA)<\/option><\/select><\/div><div id=\"wpforms-523-field_22-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Jubilaire 2<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_22\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][22][first]\" ><label for=\"wpforms-523-field_22\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_22-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][22][last]\" ><label for=\"wpforms-523-field_22-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_40-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_40\">Dipl\u00f4me d\u00e9sir\u00e9 (2)<\/label><select id=\"wpforms-523-field_40\" class=\"wpforms-field-small choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"1\" name=\"wpforms[fields][40]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"5 ans (FCVdA)\"  class=\"choice-16 depth-1\"  >5 ans (FCVdA)<\/option><option value=\"10 ans (FCVdA)\"  class=\"choice-4 depth-1\"  >10 ans (FCVdA)<\/option><option value=\"15 ans (FCVdA)\"  class=\"choice-5 depth-1\"  >15 ans (FCVdA)<\/option><option value=\"20 ans (FCVdA)\"  class=\"choice-6 depth-1\"  >20 ans (FCVdA)<\/option><option value=\"25 ans (FCVdA)\"  class=\"choice-7 depth-1\"  >25 ans (FCVdA)<\/option><option value=\"30 ans (FCVdA)\"  class=\"choice-8 depth-1\"  >30 ans (FCVdA)<\/option><option value=\"40 ans (FCVdA)\"  class=\"choice-9 depth-1\"  >40 ans (FCVdA)<\/option><option value=\"50 ans (FCVdA)\"  class=\"choice-10 depth-1\"  >50 ans (FCVdA)<\/option><option value=\"60 ans (FCVdA)\"  class=\"choice-11 depth-1\"  >60 ans (FCVdA)<\/option><option value=\"65 ans (FCVdA)\"  class=\"choice-13 depth-1\"  >65 ans (FCVdA)<\/option><option value=\"70 ans (FCVdA)\"  class=\"choice-12 depth-1\"  >70 ans (FCVdA)<\/option><option value=\"75 ans (FCVdA)\"  class=\"choice-14 depth-1\"  >75 ans (FCVdA)<\/option><option value=\"80 ans (FCVdA)\"  class=\"choice-15 depth-1\"  >80 ans (FCVdA)<\/option><\/select><\/div><div id=\"wpforms-523-field_27-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Jubilaire 3<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_27\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][27][first]\" ><label for=\"wpforms-523-field_27\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_27-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][27][last]\" ><label for=\"wpforms-523-field_27-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_41-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_41\">Dipl\u00f4me d\u00e9sir\u00e9 (3)<\/label><select id=\"wpforms-523-field_41\" class=\"wpforms-field-small choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"1\" name=\"wpforms[fields][41]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"5 ans (FCVdA)\"  class=\"choice-16 depth-1\"  >5 ans (FCVdA)<\/option><option value=\"10 ans (FCVdA)\"  class=\"choice-4 depth-1\"  >10 ans (FCVdA)<\/option><option value=\"15 ans (FCVdA)\"  class=\"choice-5 depth-1\"  >15 ans (FCVdA)<\/option><option value=\"20 ans (FCVdA)\"  class=\"choice-6 depth-1\"  >20 ans (FCVdA)<\/option><option value=\"25 ans (FCVdA)\"  class=\"choice-7 depth-1\"  >25 ans (FCVdA)<\/option><option value=\"30 ans (FCVdA)\"  class=\"choice-8 depth-1\"  >30 ans (FCVdA)<\/option><option value=\"40 ans (FCVdA)\"  class=\"choice-9 depth-1\"  >40 ans (FCVdA)<\/option><option value=\"50 ans (FCVdA)\"  class=\"choice-10 depth-1\"  >50 ans (FCVdA)<\/option><option value=\"60 ans (FCVdA)\"  class=\"choice-11 depth-1\"  >60 ans (FCVdA)<\/option><option value=\"65 ans (FCVdA)\"  class=\"choice-13 depth-1\"  >65 ans (FCVdA)<\/option><option value=\"70 ans (FCVdA)\"  class=\"choice-12 depth-1\"  >70 ans (FCVdA)<\/option><option value=\"75 ans (FCVdA)\"  class=\"choice-14 depth-1\"  >75 ans (FCVdA)<\/option><option value=\"80 ans (FCVdA)\"  class=\"choice-15 depth-1\"  >80 ans (FCVdA)<\/option><\/select><\/div><div id=\"wpforms-523-field_29-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Jubilaire 4<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_29\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][29][first]\" ><label for=\"wpforms-523-field_29\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_29-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][29][last]\" ><label for=\"wpforms-523-field_29-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_42-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_42\">Dipl\u00f4me d\u00e9sir\u00e9 (4)<\/label><select id=\"wpforms-523-field_42\" class=\"wpforms-field-small choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"1\" name=\"wpforms[fields][42]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"5 ans (FCVdA)\"  class=\"choice-16 depth-1\"  >5 ans (FCVdA)<\/option><option value=\"10 ans (FCVdA)\"  class=\"choice-4 depth-1\"  >10 ans (FCVdA)<\/option><option value=\"15 ans (FCVdA)\"  class=\"choice-5 depth-1\"  >15 ans (FCVdA)<\/option><option value=\"20 ans (FCVdA)\"  class=\"choice-6 depth-1\"  >20 ans (FCVdA)<\/option><option value=\"25 ans (FCVdA)\"  class=\"choice-7 depth-1\"  >25 ans (FCVdA)<\/option><option value=\"30 ans (FCVdA)\"  class=\"choice-8 depth-1\"  >30 ans (FCVdA)<\/option><option value=\"40 ans (FCVdA)\"  class=\"choice-9 depth-1\"  >40 ans (FCVdA)<\/option><option value=\"50 ans (FCVdA)\"  class=\"choice-10 depth-1\"  >50 ans (FCVdA)<\/option><option value=\"60 ans (FCVdA)\"  class=\"choice-11 depth-1\"  >60 ans (FCVdA)<\/option><option value=\"65 ans (FCVdA)\"  class=\"choice-13 depth-1\"  >65 ans (FCVdA)<\/option><option value=\"70 ans (FCVdA)\"  class=\"choice-12 depth-1\"  >70 ans (FCVdA)<\/option><option value=\"75 ans (FCVdA)\"  class=\"choice-14 depth-1\"  >75 ans (FCVdA)<\/option><option value=\"80 ans (FCVdA)\"  class=\"choice-15 depth-1\"  >80 ans (FCVdA)<\/option><\/select><\/div><div id=\"wpforms-523-field_31-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Jubilaire 5<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_31\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][31][first]\" ><label for=\"wpforms-523-field_31\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-523-field_31-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][31][last]\" ><label for=\"wpforms-523-field_31-last\" class=\"wpforms-field-sublabel after\">Nom<\/label><\/div><\/div><\/div><div id=\"wpforms-523-field_43-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_43\">Dipl\u00f4me d\u00e9sir\u00e9 (5)<\/label><select id=\"wpforms-523-field_43\" class=\"wpforms-field-small choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-small\" data-search-enabled=\"1\" name=\"wpforms[fields][43]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"5 ans (FCVdA)\"  class=\"choice-16 depth-1\"  >5 ans (FCVdA)<\/option><option value=\"10 ans (FCVdA)\"  class=\"choice-4 depth-1\"  >10 ans (FCVdA)<\/option><option value=\"15 ans (FCVdA)\"  class=\"choice-5 depth-1\"  >15 ans (FCVdA)<\/option><option value=\"20 ans (FCVdA)\"  class=\"choice-6 depth-1\"  >20 ans (FCVdA)<\/option><option value=\"25 ans (FCVdA)\"  class=\"choice-7 depth-1\"  >25 ans (FCVdA)<\/option><option value=\"30 ans (FCVdA)\"  class=\"choice-8 depth-1\"  >30 ans (FCVdA)<\/option><option value=\"40 ans (FCVdA)\"  class=\"choice-9 depth-1\"  >40 ans (FCVdA)<\/option><option value=\"50 ans (FCVdA)\"  class=\"choice-10 depth-1\"  >50 ans (FCVdA)<\/option><option value=\"60 ans (FCVdA)\"  class=\"choice-11 depth-1\"  >60 ans (FCVdA)<\/option><option value=\"65 ans (FCVdA)\"  class=\"choice-13 depth-1\"  >65 ans (FCVdA)<\/option><option value=\"70 ans (FCVdA)\"  class=\"choice-12 depth-1\"  >70 ans (FCVdA)<\/option><option value=\"75 ans (FCVdA)\"  class=\"choice-14 depth-1\"  >75 ans (FCVdA)<\/option><option value=\"80 ans (FCVdA)\"  class=\"choice-15 depth-1\"  >80 ans (FCVdA)<\/option><\/select><\/div><div id=\"wpforms-523-field_33-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-523-field_33\">Remarque<\/label><textarea id=\"wpforms-523-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/textarea><div class=\"wpforms-field-description\">Si vous souhaitez commander davantage de dipl\u00f4mes, ajouter les jubilaires suppl\u00e9mentaires dans l'espace \"Remarque\".<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6Ld13sciAAAAAHdTa54ZG8Msd6ydkrwLv9NUMkeJ\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" 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