{"id":62401,"date":"2026-04-23T12:58:00","date_gmt":"2026-04-23T10:58:00","guid":{"rendered":"https:\/\/www.belug.be\/members\/news\/2023\/06\/brick-mania-antwerpen-2023-niet-leden\/"},"modified":"2026-05-08T13:23:22","modified_gmt":"2026-05-08T11:23:22","slug":"bma-registration-nonmembers","status":"publish","type":"post","link":"https:\/\/www.belug.be\/fr\/members\/news\/2026\/04\/bma-registration-nonmembers\/","title":{"rendered":"Inscription Brick Mania Anvers 2026 (non-membres)"},"content":{"rendered":" \n    <script type=\"text\/javascript\">\n        jQuery(document).ready(function(){\n            \/* apply only to a input with a class of gf_readonly *\/\n\t\t\tjQuery(\".gf_readonly input\").attr(\"readonly\",\"readonly\");\n            \/\/jQuery(\"li.gf_readonly input\").attr(\"readonly\",\"readonly\");\n        });\n    <\/script>\n \n    <script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_89' style='display:none'><div id='gf_89' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><p><strong>Date<\/strong> : 21 et 22 novembre 2026<br><strong>Lieu<\/strong> : Antwerp Expo<br><strong>R\u00e8glement<\/strong> : <a href=\"https:\/\/www.belug.be\/wp-content\/uploads\/2026\/05\/Reglement_BM_Antwerpen_2026_NL.pdf\" target=\"_blank\" style=\"color:blue;\">NL<\/a> | <a href=\"https:\/\/www.belug.be\/wp-content\/uploads\/2026\/05\/Reglement_BM_Antwerpen_2026_FR.pdf\" target=\"_blank\" style=\"color:blue;\">FR<\/a><\/p>\r\n\r\n<p>Pour participer \u00e0 titre d\u2019exposant, de vendeur ou de b\u00e9n\u00e9vole \u00e0 Brick Mania, chaque personne doit s\u2019inscrire s\u00e9par\u00e9ment en utilisant ce formulaire.<\/p><\/p>\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_89' id='gform_89'  action='\/fr\/wp-json\/wp\/v2\/posts\/62401#gf_89' data-formid='89' novalidate>\n        <div id='gf_progressbar_wrapper_89' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>12<\/span><span class='gf_step_page_name'> &#8211; Non-membres<\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_orange' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_orange percentbar_8' style='width:8%;'><span>8%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_89_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_89' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_345\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_345'>Company<\/label><div class='gfield_description' id='gfield_description_89_345'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><div class='ginput_container'><input name='input_345' id='input_89_345' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_89_337\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00cates-vous membre de BeLUG?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_337'>\n\t\t\t<div class='gchoice gchoice_89_337_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_337' type='radio' value='_Membre'  id='choice_89_337_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_337_0' id='label_89_337_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_337_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_337' type='radio' value='_NO'  id='choice_89_337_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_337_1' id='label_89_337_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_338\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Si vous \u00eates membre de BeLUG, vous pourrez vous inscrire via My BeLUG (probablement \u00e0 partir de la mi-ao\u00fbt).<\/p>\n<p>S\u2019il vous pla\u00eet soyez patient.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_89_336' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_2' class='gform_page' data-js='page-field-id-336' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_91\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Identit\u00e9<\/h3><\/div><fieldset id=\"field_89_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_89_1'>\n                            \n                            <span id='input_89_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_89_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                    <input type='text' name='input_1.3' id='input_89_1_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_89_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_89_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                            <input type='text' name='input_1.6' id='input_89_1_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_89_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_4'>Adresse courrier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_89_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_89_343\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_343'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_89_343'>Ne sera utilis\u00e9 que si nous avons besoin de demander quelque chose d\u2019urgent sur votre participation \u00e0 Brick Mania.<\/div><div class='ginput_container ginput_container_phone'><input name='input_343' id='input_89_343' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_89_343\"  \/><\/div><\/div><fieldset id=\"field_89_344\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gform-grid-row' id='input_89_344' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_89_344_3_container' >\n                                    <label for='input_89_344_3' id='input_89_344_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_344.3' id='input_89_344_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_344.4' id='input_89_344_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_89_344_6_container' >\n                                        <label for='input_89_344_6' id='input_89_344_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                        <select name='input_344.6' id='input_89_344_6'   aria-required='true'    ><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='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/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' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/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='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/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 du Nord' >Mac\u00e9doine du Nord<\/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='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/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='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, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/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='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/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 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                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_89_342\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_342'>De quel LEGO User Group \u00eates-vous membre ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_89_342'>Si vous \u00eates membre de BeLUG, connectez-vous \u00e0 My BeLUG et inscrivez-vous l\u00e0-bas.<\/div><div class='ginput_container ginput_container_text'><input name='input_342' id='input_89_342' type='text' value='' class='large'  aria-describedby=\"gfield_description_89_342\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_116' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_116' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_3' class='gform_page' data-js='page-field-id-116' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_94\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Participation<\/h3><\/div><fieldset id=\"field_89_128\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >S\u2019inscrit en tant que<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_128'>\n\t\t\t<div class='gchoice gchoice_89_128_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='_Participant'  id='choice_89_128_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_128_0' id='label_89_128_0' class='gform-field-label gform-field-label--type-inline'>Participant avec MOC<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_128_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='_VerkoperMetMOC'  id='choice_89_128_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_128_1' id='label_89_128_1' class='gform-field-label gform-field-label--type-inline'>Vendeur avec MOC<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_128_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='_Vendeur'  id='choice_89_128_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_128_2' id='label_89_128_2' class='gform-field-label gform-field-label--type-inline'>Vendeur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_128_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_128' type='radio' value='_Vrijwilliger'  id='choice_89_128_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_128_3' id='label_89_128_3' class='gform-field-label gform-field-label--type-inline'>Volontaire<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_302' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_302' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_4' class='gform_page' data-js='page-field-id-302' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_323\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">MOC<\/h3><\/div><div id=\"field_89_320\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Afin de simplifier et d\u2019am\u00e9liorer notre processus d\u2019inscription, nous faisons d\u00e9sormais la distinction entre une inscription individuelle (avec MOC ou ventes) et une inscription de groupe.  \nPour un groupe, nous attendons 1 coordinateur principal qui d\u00e9termine l\u2019espace n\u00e9cessaire, d\u00e9crit le MOC, \u00e9labore la carte du MOC et est g\u00e9n\u00e9ralement le premier point de contact pour l\u2019ensemble du groupe.  \nCe groupe peut se rapporter \u00e0 un grand groupe de GBC, City, Pirates, Star Wars et ainsi de suite, mais aussi \u00e0 un petit groupe d\u2019amis qui ont construit quelque chose ensemble autour d\u2019un th\u00e8me, ou \u00e0 une famille qui expose ensemble.\nDans le cas d\u2019une inscription individuelle, le membre individuel remplira bien entendu lui-m\u00eame toutes les informations demand\u00e9es.\n<\/div><fieldset id=\"field_89_99\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Je participe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_99'>\n\t\t\t<div class='gchoice gchoice_89_99_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='_MOCIndividuele'  id='choice_89_99_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_99_0' id='label_89_99_0' class='gform-field-label gform-field-label--type-inline'>avec layout individuel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_99_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='_MOCCoordinator'  id='choice_89_99_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_99_1' id='label_89_99_1' class='gform-field-label gform-field-label--type-inline'>avec un layout en tant que coordinateur principal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_99_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='_MOCParticipant'  id='choice_89_99_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_99_2' id='label_89_99_2' class='gform-field-label gform-field-label--type-inline'>avec un layout en tant que participant<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_322\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_322'>Qui est le coordinateur principal de la mise en page (nom et num\u00e9ro de membre) ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_322' id='input_89_322' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_308\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_308'>Objet du layout<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_308' id='input_89_308' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_103\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_103'>D\u00e9crivez tout ce que vous souhaitez pr\u00e9senter.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_103' id='input_89_103' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_89_321\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><B>Nous utilisons des \u00e9l\u00e9ments de podium de 2 m\u00e8tres sur 1 m\u00e8tre pour l\u2019installation des MOC. Merci d\u2019en tenir compte lors de l\u2019enregistrement de tes MOC (surtout pour la profondeur) afin d\u2019\u00e9viter que nous devions commander un \u00e9l\u00e9ment suppl\u00e9mentaire pour quelques centim\u00e8tres. <B><\/div><div id=\"field_89_248\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_248'>Longueur du MOC (en cm)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_248' id='input_89_248' type='text' step='any' min='1' max='1000' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_89_248\" \/><div class='gfield_description instruction ' id='gfield_instruction_89_248'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>1000<\/strong>.<\/div><\/div><\/div><div id=\"field_89_249\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_249'>Largeur du MOC (en cm)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_249' id='input_89_249' type='text' step='any' min='1' max='1000' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_89_249\" \/><div class='gfield_description instruction ' id='gfield_instruction_89_249'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>1000<\/strong>.<\/div><\/div><\/div><div id=\"field_89_309\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_309'>Facultatif : Je souhaite \u00eatre \u00e0 c\u00f4t\u00e9 de la personne suivante :<\/label><div class='ginput_container ginput_container_text'><input name='input_309' id='input_89_309' type='text' value='' class='large'  aria-describedby=\"gfield_description_89_309\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_89_309'>Nous ferons de notre mieux en termes d\u2019am\u00e9nagement de la salle, mais nous ne pouvons pas le garantir.<\/div><\/div><div id=\"field_89_257\" class=\"gfield gfield--type-website gfield--input-type-website field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_257'>Site web (facultatif)<\/label><div class='gfield_description' id='gfield_description_89_257'>Vous pouvez consulter mon MOC sur la page web suivante (par exemple Flickr, Instagram, Facebook, &#8230;)<\/div><div class='ginput_container ginput_container_website'>\n                    <input name='input_257' id='input_89_257' type='url' value='' class='medium'  aria-describedby=\"gfield_description_89_257\"  placeholder='http:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_89_131\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_89_131'>Photo du MOC<\/label><div class='gfield_description' id='gfield_description_89_131'>Veuillez noter que la taille de la photo peut \u00eatre maximale de 5 Mo.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_89_131' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_89_131&quot;,&quot;container&quot;:&quot;gform_multifile_upload_89_131&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_89_131&quot;,&quot;filelist&quot;:&quot;gform_preview_89_131&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.belug.be\\\/fr\\\/?gf_page=1267393ba0288db&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.belug.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.belug.be\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,jpeg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;5242880b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:89,&quot;field_id&quot;:131,&quot;_gform_file_upload_nonce_89_131&quot;:&quot;7c839ab02e&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;3&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_89_131&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_89_131' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_89_131' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_89_131 gfield_description_89_131\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_89_131'>Types de fichiers accept\u00e9s\u00a0: jpg, jpeg, gif, png, pdf, Taille max. des fichiers\u00a0: 5 MB, Max. des fichiers\u00a0: 3.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_89_131'><\/ul> <div id='gform_preview_89_131' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_89_288\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Carte MOC<\/h3><div class='gsection_description' id='gfield_description_89_288'>Nous aimerions placer une carte avec quelques informations suppl\u00e9mentaires sur le MOC et le concepteur. Nous fournissons un billet par participant. Ceci est totalement sans engagement.    <\/div><\/div><fieldset id=\"field_89_287\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Vous souhaitez une carte \u00e0 d\u00e9poser au MOC ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_287'>\n\t\t\t<div class='gchoice gchoice_89_287_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='Y'  id='choice_89_287_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_287_0' id='label_89_287_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_287_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_287' type='radio' value='N'  id='choice_89_287_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_287_1' id='label_89_287_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_281\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_281'>Concepteur<\/label><div class='ginput_container ginput_container_text'><input name='input_281' id='input_89_281' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_282\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_282'>Description du MOC<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_282' id='input_89_282' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_89_283\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_283'>Nombre de briques<\/label><div class='ginput_container ginput_container_text'><input name='input_283' id='input_89_283' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_284\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_284'>Temps de construction<\/label><div class='ginput_container ginput_container_text'><input name='input_284' id='input_89_284' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_303' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_303' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_5' class='gform_page' data-js='page-field-id-303' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_324\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vente<\/h3><\/div><div id=\"field_89_325\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Le vendeur est la personne responsable du stand de vente. Les autres membres qui l&rsquo;assistent sont consid\u00e9r\u00e9s comme des aides \u00e0 la vente. <\/div><fieldset id=\"field_89_135\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Je suis un(e)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_135'>\n\t\t\t<div class='gchoice gchoice_89_135_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='_Priv\u00e9'  id='choice_89_135_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_135_0' id='label_89_135_0' class='gform-field-label gform-field-label--type-inline'>Vendeur priv\u00e9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_135_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='_Professionnel'  id='choice_89_135_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_135_1' id='label_89_135_1' class='gform-field-label gform-field-label--type-inline'>Vendeur professionnel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_135_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_135' type='radio' value='_Verkoopshulp'  id='choice_89_135_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_135_2' id='label_89_135_2' class='gform-field-label gform-field-label--type-inline'>Aidant \u00e0 la vente<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_136\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_136'>Num\u00e9ro de TVA<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_89_136' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_332\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_332'>Nom du vendeur et num\u00e9ro de membre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_332' id='input_89_332' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_89_137\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Les frais de stand doivent \u00eatre pay\u00e9s \u00e0 l\u2019avance par virement bancaire. Les prix par table peuvent \u00eatre consult\u00e9s dans le r\u00e8glement de l\u2019\u00e9v\u00e9nement. Le montant d\u00fb sera indiqu\u00e9 dans l\u2019e-mail de confirmation que vous recevrez.  \n<\/div><fieldset id=\"field_89_305\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Nombre de m\u00eatres vendus (professionnel)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_305'>\n\t\t\t<div class='gchoice gchoice_89_305_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='_2M'  id='choice_89_305_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_305_0' id='label_89_305_0' class='gform-field-label gform-field-label--type-inline'>2 m\u00e8tres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_305_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='_4M'  id='choice_89_305_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_305_1' id='label_89_305_1' class='gform-field-label gform-field-label--type-inline'>4 m\u00e8tres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_305_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='_6m'  id='choice_89_305_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_305_2' id='label_89_305_2' class='gform-field-label gform-field-label--type-inline'>6 m\u00e8tres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_305_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='_8M'  id='choice_89_305_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_305_3' id='label_89_305_3' class='gform-field-label gform-field-label--type-inline'>8 m\u00e8tres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_305_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_305' type='radio' value='_10M'  id='choice_89_305_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_305_4' id='label_89_305_4' class='gform-field-label gform-field-label--type-inline'>10 m\u00e8tres<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_306\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Nombre de m\u00e8tres de ventes (priv\u00e9)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_306'>\n\t\t\t<div class='gchoice gchoice_89_306_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_306' type='radio' value='_2M'  id='choice_89_306_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_306_0' id='label_89_306_0' class='gform-field-label gform-field-label--type-inline'>2 m\u00e8tres<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_306_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_306' type='radio' value='_4M'  id='choice_89_306_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_306_1' id='label_89_306_1' class='gform-field-label gform-field-label--type-inline'>4 m\u00e8tres<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_311\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Aide non-b\u00e9lug<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_89_311'><div class='gchoice gchoice_89_311_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_311.1' type='checkbox'  value='_POLSBANDJE'  id='choice_89_311_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_89_311_1' id='label_89_311_1' class='gform-field-label gform-field-label--type-inline'>Un non-membre de BeLUG m\u2019aidera sur mon stand, et je demande 1 bracelet suppl\u00e9mentaire.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_319\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Aides suppl\u00e9mentaires<\/legend><div class='gfield_description' id='gfield_description_89_319'>Des non-membres du BeLUG viennent m\u2019aider sur mon stand, et je le demande<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_319'>\n\t\t\t<div class='gchoice gchoice_89_319_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_319' type='radio' value='_0_GEEN'  id='choice_89_319_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_89_319\"   \/>\n\t\t\t\t\t<label for='choice_89_319_0' id='label_89_319_0' class='gform-field-label gform-field-label--type-inline'>Pas besoin d\u2019un bracelet suppl\u00e9mentaire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_319_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_319' type='radio' value='_1_POLSBANDJE'  id='choice_89_319_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_319_1' id='label_89_319_1' class='gform-field-label gform-field-label--type-inline'>1 bracelet suppl\u00e9mentaire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_319_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_319' type='radio' value='_2_POLSBANDJE'  id='choice_89_319_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_319_2' id='label_89_319_2' class='gform-field-label gform-field-label--type-inline'>2 bracelets suppl\u00e9mentaires<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_304' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_304' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_6' class='gform_page' data-js='page-field-id-304' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_140\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9lectricit\u00e9<\/h3><\/div><div id=\"field_89_316\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b style=\"color:red;\">Attention!<\/b><br><div style=\"color:red;\">  L\u2019\u00e9lectricit\u00e9 n\u2019est fournie que si elle est n\u00e9cessaire pour le MOC (voir r\u00e9glementation).<\/div>\nDans &lsquo;t Steentje (notre salon des participants !), il sera possible de recharger votre smartphone.<\/div><fieldset id=\"field_89_133\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous besoin d\u2019\u00e9lectricit\u00e9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_133'>\n\t\t\t<div class='gchoice gchoice_89_133_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='_Oui'  id='choice_89_133_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_133_0' id='label_89_133_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_133_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_133' type='radio' value='_Non'  id='choice_89_133_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_133_1' id='label_89_133_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_267\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_267'>Combien d&#039;appareils voulez-vous connecter ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_267' id='input_89_267' type='number' step='any' min='1' max='10' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_89_267\" \/><div class='gfield_description instruction ' id='gfield_instruction_89_267'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>10<\/strong>.<\/div><\/div><\/div><div id=\"field_89_269\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_269'>Consommation totale (Watt) de tous les appareils.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_269' id='input_89_269' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_89_259\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_259'>Que voulez-vous connecter + consommation (Watt) par appareil.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_259' id='input_89_259' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_334' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_334' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_7' class='gform_page' data-js='page-field-id-334' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_7' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_328\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Volontaire<\/h3><\/div><div id=\"field_89_329\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >En tant que b\u00e9n\u00e9vole, vous acceptez d\u2019effectuer les t\u00e2ches qui vous sont confi\u00e9es par les organisateurs de l\u2019\u00e9v\u00e9nement.\n<\/div><fieldset id=\"field_89_167\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Souhaitez-vous \u00e9galement effectuer des t\u00e2ches de b\u00e9n\u00e9volat pendant l&#039;\u00e9v\u00e9nement?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_167'>\n\t\t\t<div class='gchoice gchoice_89_167_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_167' type='radio' value='_Oui'  id='choice_89_167_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_167_0' id='label_89_167_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_167_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_167' type='radio' value='_Non'  id='choice_89_167_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_167_1' id='label_89_167_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_95\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Je suis disponible en tant que b\u00e9n\u00e9vole pendant la fin de semaine<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox gfield_choice--select_all_enabled' id='input_89_95'><div class='gchoice gchoice_89_95_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.1' type='checkbox'  value='ZAVM'  id='choice_89_95_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_89_95_1' id='label_89_95_1' class='gform-field-label gform-field-label--type-inline'>Samedi matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_89_95_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.2' type='checkbox'  value='SAPM'  id='choice_89_95_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_89_95_2' id='label_89_95_2' class='gform-field-label gform-field-label--type-inline'>Samedi apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_89_95_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.3' type='checkbox'  value='ZOVM'  id='choice_89_95_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_89_95_3' id='label_89_95_3' class='gform-field-label gform-field-label--type-inline'>Dimanche matin<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_89_95_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_95.4' type='checkbox'  value='ZONM'  id='choice_89_95_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_89_95_4' id='label_89_95_4' class='gform-field-label gform-field-label--type-inline'>Dimanche apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/div><div class=\"gfield-choice-toggle-all\"><button type=\"button\" id=\"button_95_select_all\" class=\"gfield_choice_all_toggle gform-theme-button--size-sm\" onclick=\"gformToggleCheckboxes( this )\" data-checked=\"0\" data-label-select=\"Tout s\u00e9lectionner\" data-label-deselect=\"Tout d\u00e9s\u00e9lectionner\">Tout s\u00e9lectionner<\/button><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_314\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pr\u00e9paration vendredi<\/legend><div class='gfield_description' id='gfield_description_89_314'>J\u2019aiderai activement \u00e0 la construction vendredi et je serai pr\u00e9sent entre 9 h et 9 h 30 et je continuerai \u00e0 aider jusqu\u2019\u00e0 ce que la salle soit pr\u00eate. <br>Un sandwich et une boisson seront fournis \u00e0 midi.<br>En r\u00e9compense, je re\u00e7ois un bon d\u2019achat LEGO qui peut \u00eatre utilis\u00e9 dans Brick Planet \u00e0 Wetteren.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_89_314'><div class='gchoice gchoice_89_314_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_314.1' type='checkbox'  value='_YES_VR'  id='choice_89_314_1'   aria-describedby=\"gfield_description_89_314\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_89_314_1' id='label_89_314_1' class='gform-field-label gform-field-label--type-inline'>Oui, j\u2019y serai !<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_315\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >D\u00e9montage dimanche<\/legend><div class='gfield_description' id='gfield_description_89_315'>J\u2019aiderai activement au d\u00e9montage le dimanche soir &#8211; apr\u00e8s le d\u00e9montage de mon stand &#8211; et je continuerai \u00e0 aider jusqu\u2019\u00e0 21 heures. <br>Apr\u00e8s 21 h, une collation et une boisson seront fournies.<br>En r\u00e9compense, je re\u00e7ois un bon d\u2019achat LEGO qui peut \u00eatre utilis\u00e9 dans Brick Planet \u00e0 Wetteren.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_89_315'><div class='gchoice gchoice_89_315_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_315.1' type='checkbox'  value='_YES_VR'  id='choice_89_315_1'   aria-describedby=\"gfield_description_89_315\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_89_315_1' id='label_89_315_1' class='gform-field-label gform-field-label--type-inline'>Oui, j\u2019y serai !<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_333' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_333' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_8' class='gform_page' data-js='page-field-id-333' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_8' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_327\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Parking<\/h3><\/div><fieldset id=\"field_89_292\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous besoin d\u2019un ticket de stationnement ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_89_292'>Les membres BeLUG \u00e0 partir de 18 ans peuvent demander une carte de stationnement gratuite.<br>Le vendredi apr\u00e8s-midi et le dimanche soir, vous pouvez entrer gratuitement dans le parking. <br>Le ticket de parking n\u2019est utilis\u00e9 que pendant les heures d\u2019ouverture de Brick Mania.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_292'>\n\t\t\t<div class='gchoice gchoice_89_292_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_292' type='radio' value='_PARKING'  id='choice_89_292_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_89_292\"   \/>\n\t\t\t\t\t<label for='choice_89_292_0' id='label_89_292_0' class='gform-field-label gform-field-label--type-inline'>Oui (une carte gratuite)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_292_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_292' type='radio' value='_NO'  id='choice_89_292_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_292_1' id='label_89_292_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_317\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-eleven-twelfths gfield_price gfield_price_89_318 gfield_quantity gfield_quantity_89_318 field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_317'>Nombre suppl\u00e9mentaire de tickets de stationnement<\/label><div class='gfield_description' id='gfield_description_89_317'>Les membres de BeLUG \u00e2g\u00e9s de 18 ans et plus peuvent commander des tickets de parking suppl\u00e9mentaires, mais vous devrez bien s\u00fbr les payer vous-m\u00eame.\n(15 \u20ac par ticket de parking).<\/div><div class='ginput_container ginput_container_number'><input name='input_317' id='input_89_317' type='number' step='any' min='0' max='5' value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_89_317 gfield_description_89_317\" \/><div class='gfield_description instruction ' id='gfield_instruction_89_317'>Veuillez saisir un nombre entre <strong>0<\/strong> et <strong>5<\/strong>.<\/div><\/div><\/div><div id=\"field_89_318\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_89_318 gfield_product_89_318 gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_318_1'>Ticket de parking suppl\u00e9mentaire<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_318.1' value='Ticket de parking suppl\u00e9mentaire' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_318' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_318'>15,00 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_318.2' id='ginput_base_price_89_318' class='gform_hidden ginput_calculated_price' value='15,00 \u20ac'\/>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_331' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_331' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_9' class='gform_page' data-js='page-field-id-331' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_9' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_113\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Sandwichs<\/h3><div class='gsection_description' id='gfield_description_89_113'>Chaque participant se voit offrir 1 sandwich gratuit chaque jour ; si plus d&rsquo;un sandwich est command\u00e9, il sera factur\u00e9e 4,5 EUR (\u00e0 r\u00e9gler d&rsquo;avance avec le repas)<\/div><\/div><div id=\"field_89_149\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Samedi<\/h3><\/div><div id=\"field_89_260\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_260 gfield_product_89_260 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_260_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au fromage avec crudit\u00e9 (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_260.1' value='Sandwich au fromage avec crudit\u00e9 (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_260' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_260'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_260.2' id='ginput_base_price_89_260' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_260_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_260.3' value='' id='input_89_260_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au fromage avec crudit\u00e9 (samedi)\" aria-describedby=\"ginput_product_price_89_260\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_236\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_236 gfield_product_89_236 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_236_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au fromage (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_236.1' value='Sandwich au fromage (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_236' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_236'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_236.2' id='ginput_base_price_89_236' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_236_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_236.3' value='' id='input_89_236_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au fromage (samedi)\" aria-describedby=\"ginput_product_price_89_236\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_261\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_261 gfield_product_89_261 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_261_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au jambon avec crudit\u00e9 (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_261.1' value='Sandwich au jambon avec crudit\u00e9 (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_261' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_261'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_261.2' id='ginput_base_price_89_261' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_261_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_261.3' value='' id='input_89_261_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au jambon avec crudit\u00e9 (samedi)\" aria-describedby=\"ginput_product_price_89_261\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_238\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_238 gfield_product_89_238 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_238_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au jambon (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_238.1' value='Sandwich au jambon (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_238' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_238'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_238.2' id='ginput_base_price_89_238' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_238_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_238.3' value='' id='input_89_238_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au jambon (samedi)\" aria-describedby=\"ginput_product_price_89_238\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_271\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_271 gfield_product_89_271 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_271_1'><span class=\"gform-field-label gfield_label_product\">Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_271.1' value='Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_271' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_271'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_271.2' id='ginput_base_price_89_271' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_271_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_271.3' value='' id='input_89_271_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (samedi)\" aria-describedby=\"ginput_product_price_89_271\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_270\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_270 gfield_product_89_270 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_270_1'><span class=\"gform-field-label gfield_label_product\">Sandwich pr\u00e9par\u00e9 (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_270.1' value='Sandwich pr\u00e9par\u00e9 (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_270' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_270'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_270.2' id='ginput_base_price_89_270' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_270_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_270.3' value='' id='input_89_270_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich pr\u00e9par\u00e9 (samedi)\" aria-describedby=\"ginput_product_price_89_270\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_262\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_262 gfield_product_89_262 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_262_1'><span class=\"gform-field-label gfield_label_product\">Sandwich am\u00e9ricain martino (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_262.1' value='Sandwich am\u00e9ricain martino (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_262' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_262'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_262.2' id='ginput_base_price_89_262' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_262_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_262.3' value='' id='input_89_262_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich am\u00e9ricain martino (samedi)\" aria-describedby=\"ginput_product_price_89_262\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_240\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_240 gfield_product_89_240 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_240_1'><span class=\"gform-field-label gfield_label_product\">Sandwich poulet curry (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_240.1' value='Sandwich poulet curry (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_240' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_240'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_240.2' id='ginput_base_price_89_240' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_240_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_240.3' value='' id='input_89_240_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich poulet curry (samedi)\" aria-describedby=\"ginput_product_price_89_240\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_263\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_89_263 gfield_product_89_263 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_263_1'><span class=\"gform-field-label gfield_label_product\">Sandwich v\u00e9g\u00e9talien (samedi)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_263.1' value='Sandwich v\u00e9g\u00e9talien (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_263' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_263'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_263.2' id='ginput_base_price_89_263' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_263_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_263.3' value='' id='input_89_263_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich v\u00e9g\u00e9talien (samedi)\" aria-describedby=\"ginput_product_price_89_263\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_237\" class=\"gfield gfield--type-product gfield--input-type-calculation invisible gfield_price gfield_price_89_237 gfield_product_89_237 gfield_contains_required gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_237_1'>Le premier sandwich par jour est gratuit (samedi)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_237.1' value='Le premier sandwich par jour est gratuit (samedi)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_237' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_237'>0,00 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_237.2' id='ginput_base_price_89_237' class='gform_hidden ginput_calculated_price' value='0,00 \u20ac'\/>\n\t\t\t\t\t<input type='hidden' name='input_237.3' value='1' class='ginput_quantity_89_237 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_150\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dimanche<\/h3><\/div><div id=\"field_89_246\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_246 gfield_product_89_246 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_246_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au fromage avec crudit\u00e9 (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_246.1' value='Sandwich au fromage avec crudit\u00e9 (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_246' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_246'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_246.2' id='ginput_base_price_89_246' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_246_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_246.3' value='' id='input_89_246_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au fromage avec crudit\u00e9 (dimanche)\" aria-describedby=\"ginput_product_price_89_246\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_242\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_242 gfield_product_89_242 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_242_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au fromage (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_242.1' value='Sandwich au fromage (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_242' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_242'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_242.2' id='ginput_base_price_89_242' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_242_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_242.3' value='' id='input_89_242_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au fromage (dimanche)\" aria-describedby=\"ginput_product_price_89_242\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_247\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_247 gfield_product_89_247 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_247_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au jambon avec crudit\u00e9 (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_247.1' value='Sandwich au jambon avec crudit\u00e9 (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_247' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_247'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_247.2' id='ginput_base_price_89_247' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_247_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_247.3' value='' id='input_89_247_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au jambon avec crudit\u00e9 (dimanche)\" aria-describedby=\"ginput_product_price_89_247\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_245\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_245 gfield_product_89_245 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_245_1'><span class=\"gform-field-label gfield_label_product\">Sandwich au jambon (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_245.1' value='Sandwich au jambon (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_245' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_245'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_245.2' id='ginput_base_price_89_245' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_245_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_245.3' value='' id='input_89_245_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich au jambon (dimanche)\" aria-describedby=\"ginput_product_price_89_245\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_273\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_273 gfield_product_89_273 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_273_1'><span class=\"gform-field-label gfield_label_product\">Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_273.1' value='Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_273' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_273'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_273.2' id='ginput_base_price_89_273' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_273_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_273.3' value='' id='input_89_273_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich pr\u00e9par\u00e9 avec crudit\u00e9 (dimanche)\" aria-describedby=\"ginput_product_price_89_273\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_272\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_272 gfield_product_89_272 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_272_1'><span class=\"gform-field-label gfield_label_product\">Sandwich pr\u00e9par\u00e9 (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_272.1' value='Sandwich pr\u00e9par\u00e9 (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_272' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_272'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_272.2' id='ginput_base_price_89_272' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_272_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_272.3' value='' id='input_89_272_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich pr\u00e9par\u00e9 (dimanche)\" aria-describedby=\"ginput_product_price_89_272\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_264\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_264 gfield_product_89_264 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_264_1'><span class=\"gform-field-label gfield_label_product\">Sandwich poulet au curry (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_264.1' value='Sandwich poulet au curry (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_264' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_264'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_264.2' id='ginput_base_price_89_264' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_264_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_264.3' value='' id='input_89_264_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich poulet au curry (dimanche)\" aria-describedby=\"ginput_product_price_89_264\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_268\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_89_268 gfield_product_89_268 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_268_1'><span class=\"gform-field-label gfield_label_product\">Sandwich am\u00e9ricain classique (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_268.1' value='Sandwich am\u00e9ricain classique (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_268' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_268'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_268.2' id='ginput_base_price_89_268' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_268_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_268.3' value='' id='input_89_268_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich am\u00e9ricain classique (dimanche)\" aria-describedby=\"ginput_product_price_89_268\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_265\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_89_265 gfield_product_89_265 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_265_1'><span class=\"gform-field-label gfield_label_product\">Sandwich v\u00e9g\u00e9talien (dimanche)<\/span> <span class=\"screen-reader-text\">Quantit\u00e9<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_265.1' value='Sandwich v\u00e9g\u00e9talien (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_265' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_265'>4,50 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_265.2' id='ginput_base_price_89_265' class='gform_hidden' value='4,50 &#8364;'\/>\n\t\t\t\t\t <label for='ginput_quantity_89_265_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantit\u00e9<\/label> <input type='number' name='input_265.3' value='' id='input_89_265_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantit\u00e9 Sandwich v\u00e9g\u00e9talien (dimanche)\" aria-describedby=\"ginput_product_price_89_265\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_89_243\" class=\"gfield gfield--type-product gfield--input-type-calculation invisible gfield_price gfield_price_89_243 gfield_product_89_243 gfield_contains_required gfield_calculation field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_89_243_1'>Le premier sandwich par jour est gratuit (dimanche)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_243.1' value='Le premier sandwich par jour est gratuit (dimanche)' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_89_243' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_89_243'>0,00 &#8364;<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_243.2' id='ginput_base_price_89_243' class='gform_hidden ginput_calculated_price' value='0,00 \u20ac'\/>\n\t\t\t\t\t<input type='hidden' name='input_243.3' value='1' class='ginput_quantity_89_243 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_161' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_161' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_10' class='gform_page' data-js='page-field-id-161' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_10' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_169\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Activit\u00e9 en soir\u00e9e<\/h3><div class='gsection_description' id='gfield_description_89_169'>Nous organisons \u00e9galement une activit\u00e9 en soir\u00e9e, bien s\u00fbr avec de la bonne nourriture et le plaisir n\u00e9cessaire. Nous publierons les d\u00e9tails \u00e0 ce sujet plus tard, une fois que nous aurons plus de d\u00e9tails nous-m\u00eames. Pour l\u2019instant, nous aimerions savoir si vous \u00eates int\u00e9ress\u00e9 \u00e0 participer (cette inscription \u00e0 l\u2019activit\u00e9 du soir n\u2019est pas encore d\u00e9finitive).<\/div><\/div><fieldset id=\"field_89_144\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Je participe \u00e0 l\u2019activit\u00e9 du soir<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_144'>\n\t\t\t<div class='gchoice gchoice_89_144_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='_Oui'  id='choice_89_144_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_144_0' id='label_89_144_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_144_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='_Non'  id='choice_89_144_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_144_1' id='label_89_144_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_89_286\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_286'>Avec combien de personnes souhaitez-vous participer ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_286' id='input_89_286' type='number' step='any' min='1' max='10' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_89_286\" \/><div class='gfield_description instruction ' id='gfield_instruction_89_286'>Veuillez saisir un nombre entre <strong>1<\/strong> et <strong>10<\/strong>.<\/div><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_160' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_160' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_11' class='gform_page' data-js='page-field-id-160' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_11' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_275\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">T-shirt<\/h3><div class='gsection_description' id='gfield_description_89_275'>BeLUG offre un t-shirt gratuit \u00e0 chaque participant \u00e0 Brick Mania au cours de l\u2019ann\u00e9e.  \nVous pouvez le r\u00e9cup\u00e9rer lors de Brick Mania Antwerp au stand de planche.  <\/div><\/div><fieldset id=\"field_89_276\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_276'>\n\t\t\t<div class='gchoice gchoice_89_276_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='_TShirt_Dames'  id='choice_89_276_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_276_0' id='label_89_276_0' class='gform-field-label gform-field-label--type-inline'>Je choisis la version femme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_276_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='_TShirt_Heren'  id='choice_89_276_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_276_1' id='label_89_276_1' class='gform-field-label gform-field-label--type-inline'>Je choisis la version homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_276_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_276' type='radio' value='_TShirt_none'  id='choice_89_276_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_276_2' id='label_89_276_2' class='gform-field-label gform-field-label--type-inline'>Je ne veux pas de t-shirt<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_277\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Taille femme<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_277'>\n\t\t\t<div class='gchoice gchoice_89_277_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='S'  id='choice_89_277_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_277_0' id='label_89_277_0' class='gform-field-label gform-field-label--type-inline'>S<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_277_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='M'  id='choice_89_277_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_277_1' id='label_89_277_1' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_277_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='L'  id='choice_89_277_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_277_2' id='label_89_277_2' class='gform-field-label gform-field-label--type-inline'>L<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_277_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_277' type='radio' value='XL'  id='choice_89_277_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_277_3' id='label_89_277_3' class='gform-field-label gform-field-label--type-inline'>XL<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_89_278\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Taille homme<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_89_278'>\n\t\t\t<div class='gchoice gchoice_89_278_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='S'  id='choice_89_278_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_0' id='label_89_278_0' class='gform-field-label gform-field-label--type-inline'>S<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_278_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='M'  id='choice_89_278_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_1' id='label_89_278_1' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_278_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='L'  id='choice_89_278_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_2' id='label_89_278_2' class='gform-field-label gform-field-label--type-inline'>L<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_278_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='XL'  id='choice_89_278_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_3' id='label_89_278_3' class='gform-field-label gform-field-label--type-inline'>XL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_278_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='XXL'  id='choice_89_278_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_4' id='label_89_278_4' class='gform-field-label gform-field-label--type-inline'>XXL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_89_278_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_278' type='radio' value='3XL'  id='choice_89_278_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_89_278_5' id='label_89_278_5' class='gform-field-label gform-field-label--type-inline'>3XL<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_89_274' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='button' id='gform_next_button_89_274' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_89_12' class='gform_page' data-js='page-field-id-274' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_89_12' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_89_122\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Co\u00fbt total<\/h3><div class='gsection_description' id='gfield_description_89_122'>Le co\u00fbt total ne comprend que le prix des sandwichs. Si des frais de stand sont dus, cela sera indiqu\u00e9 dans l\u2019e-mail de confirmation que vous recevrez plus tard.<br>Si l\u2019activit\u00e9 du soir peut avoir lieu, cela sera communiqu\u00e9 plus tard et tous les frais associ\u00e9s seront r\u00e9gl\u00e9s plus tard.<\/div><\/div><div id=\"field_89_234\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_89_ gfield_total gfield_total_89_ field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_89_234'>Total<\/label><div class='gfield_description' id='gfield_description_89_234'>Je transf\u00e8re le montant d\u00fb \u00e0<br>IBAN : BE83 7805 9302 9115<br>BIC : GKCCBEBB<br>Communication : NOM + NUM\u00c9RO DE MEMBRE + BM Anvers<\/div><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_234' id='input_89_234' value='0,00 &#8364;' class='gform-text-input-reset ginput_total ginput_total_89' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_89_96\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_89_96'>Commentaires<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_96' id='input_89_96' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_89_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >R\u00e8glement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_89_13'><a href=\"https:\/\/www.belug.be\/wp-content\/uploads\/2026\/05\/Reglement_BM_Antwerpen_2026_NL.pdf\" target=\"_blank\" style=\"color:blue;\">NL<\/a> | <a href=\"https:\/\/www.belug.be\/wp-content\/uploads\/2026\/05\/Reglement_BM_Antwerpen_2026_FR.pdf\" target=\"_blank\" style=\"color:blue;\">FR<\/a><\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_89_13'><div class='gchoice gchoice_89_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='_R\u00e9glementation'  id='choice_89_13_1'   aria-describedby=\"gfield_description_89_13\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_89_13_1' id='label_89_13_1' class='gform-field-label gform-field-label--type-inline'>Je suis d\u2019accord avec les r\u00e8gles de cet \u00e9v\u00e9nement.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_89' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dent'  \/> <input type='submit' id='gform_submit_button_89' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Envoyer'  \/> <input type='hidden' name='gform_ajax' value='form_id=89&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=gravity-theme&amp;styles={&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}&amp;hash=9f89ddbe9b0b38e8301104abd597f91f' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_89' value='iframe' \/>\n            <input 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