{"id":42,"date":"2021-03-22T09:58:33","date_gmt":"2021-03-22T13:58:33","guid":{"rendered":"https:\/\/assessments.wfh.org\/index.php\/avis-de-cotisation\/"},"modified":"2025-03-12T13:21:41","modified_gmt":"2025-03-12T17:21:41","slug":"avis-de-cotisation","status":"publish","type":"page","link":"https:\/\/assessments.wfh.org\/fr\/","title":{"rendered":"Cotisation"},"content":{"rendered":"<div class=\"wpforms-container wpforms-stripe\" id=\"wpforms-27\"><form id=\"wpforms-form-27\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"27\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/42\" data-token=\"b2477507aba568a86ce45e6cb934d680\" data-token-time=\"1780093966\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-27-field_50-container\" class=\"wpforms-field wpforms-field-content blue-title\" data-field-id=\"50\"><div id=\"wpforms-27-field_50\" class=\"wpforms-field-medium wpforms-field-row\"><p>Montant de l'avis de cotisation<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-27-field_2-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_2\">Montant d\u00fb (en $ \u00c9.-U.) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-27-field_2\" class=\"wpforms-field-small wpforms-field-required wpforms-payment-user-input wpforms-payment-price\" data-rule-currency=\"[&quot;$&quot;,false]\" data-rule-required-minimum-price=\"0.00\" data-rule-required-positive-number=\"1\" name=\"wpforms[fields][2]\" placeholder=\"$0.00\"><div class=\"wpforms-field-description\">Le montant d\u00fb appara\u00eet sur le relev\u00e9 de compte que vous avez re\u00e7u par courrier \u00e9lectronique. Si vous souhaitez faire un don suppl\u00e9mentaire au Fonds de solidarit\u00e9 de la FMH*, veuillez indiquer le montant de votre don ici.<\/div><\/div><div id=\"wpforms-27-field_47-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_47\">Montant du don suppl\u00e9mentaire (en $ \u00c9.-U.)<\/label><input type=\"text\" id=\"wpforms-27-field_47\" class=\"wpforms-field-small wpforms-payment-user-input wpforms-payment-price\" data-rule-currency=\"[&quot;$&quot;,false]\" data-rule-required-minimum-price=\"0.00\" name=\"wpforms[fields][47]\" placeholder=\"$0.00\"><\/div><div id=\"wpforms-27-field_4-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Total (en $ \u00c9.-U.)<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-27-field_4\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][4]\" value=\"0\"><\/div><div id=\"wpforms-27-field_51-container\" class=\"wpforms-field wpforms-field-content blue-title\" data-field-id=\"51\"><div id=\"wpforms-27-field_51\" class=\"wpforms-field-medium wpforms-field-row\"><p>Fonds de solidarit\u00e9<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-27-field_44-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"44\"><div id=\"wpforms-27-field_44\" class=\"wpforms-field-large wpforms-field-row\"><p><strong><span style=\"color:#808080\"><em>*Qu'est-ce que le Fonds de solidarit\u00e9 ?<\/em><\/span><\/strong> <span style=\"color:#808080\"><em>Le Fonds de solidarit\u00e9 de la FMH garantit que nous avons la capacit\u00e9 de r\u00e9pondre rapidement aux besoins ou d\u00e9fis nouveaux et \u00e9mergents et de soutenir les communaut\u00e9s en crise. Le Fonds de solidarit\u00e9 permet \u00e9galement \u00e0 la FMH de couvrir les cotisations annuelles des ONM confront\u00e9es \u00e0 des difficult\u00e9s financi\u00e8res.<\/em><\/span><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-27-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_17\">Veuillez s\u00e9lectionner <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-27-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required=\"required\"><option value=\"Vers\u00e9e ma remise au fonds de solidarit\u00e9\"  class=\"choice-1 depth-1\"  >Vers\u00e9e ma remise au fonds de solidarit\u00e9<\/option><option value=\"Ne pas vers\u00e9e ma remise au fonds de solidarit\u00e9\"  class=\"choice-2 depth-1\"  >Ne pas vers\u00e9e ma remise au fonds de solidarit\u00e9<\/option><\/select><\/div><div id=\"wpforms-27-field_58-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_58\">Autres commentaires ou informations ?<\/label><textarea id=\"wpforms-27-field_58\" class=\"wpforms-field-medium\" name=\"wpforms[fields][58]\" ><\/textarea><\/div><div id=\"wpforms-27-field_52-container\" class=\"wpforms-field wpforms-field-content blue-title\" data-field-id=\"52\"><div id=\"wpforms-27-field_52\" class=\"wpforms-field-medium wpforms-field-row\"><p>Informations de facturation<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-27-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-27-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-27-field_0\" class=\"wpforms-field-sublabel after\">Pr\u00e9nom<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-27-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-27-field_0-last\" class=\"wpforms-field-sublabel after\">Nom de famille<\/label><\/div><\/div><\/div><div id=\"wpforms-27-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_19\">Organisation nationale membre <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-27-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-27-field_18-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Adresse <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-27-field_18\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][18][address1]\" required><label for=\"wpforms-27-field_18\" class=\"wpforms-field-sublabel after\">Adresse ligne\u00a01<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-27-field_18-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][18][address2]\" ><label for=\"wpforms-27-field_18-address2\" class=\"wpforms-field-sublabel after\">Adresse ligne 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-27-field_18-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][18][city]\" required><label for=\"wpforms-27-field_18-city\" class=\"wpforms-field-sublabel after\">Ville<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-27-field_18-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][18][state]\" required><label for=\"wpforms-27-field_18-state\" class=\"wpforms-field-sublabel after\">\u00c9tat \/ Province \/ R\u00e9gion<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-27-field_18-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][18][postal]\" required><label for=\"wpforms-27-field_18-postal\" class=\"wpforms-field-sublabel after\">Code postal<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-27-field_18-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][18][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- S\u00e9lectionner\u00a0: country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"ZA\" >Afrique du Sud<\/option><option value=\"AL\" >Albanie<\/option><option value=\"DZ\" >Alg\u00e9rie<\/option><option value=\"DE\" >Allemagne<\/option><option value=\"AD\" >Andorre<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctique<\/option><option value=\"AG\" >Antigua-et-Barbuda<\/option><option value=\"SA\" >Arabie Saoudite<\/option><option value=\"AR\" >Argentine<\/option><option value=\"AM\" >Arm\u00e9nie<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australie<\/option><option value=\"AT\" >Autriche<\/option><option value=\"AZ\" >Azerba\u00efdjan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahre\u00efn<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbade<\/option><option value=\"BE\" >Belgique<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BM\" >Bermudes<\/option><option value=\"BT\" >Bhoutan<\/option><option value=\"BY\" >Bi\u00e9lorussie<\/option><option value=\"BO\" >Bolivie (\u00c9tat plurinational de)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnie-Herz\u00e9govine<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BR\" >Br\u00e9sil<\/option><option value=\"BG\" >Bulgarie<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BJ\" >B\u00e9nin<\/option><option value=\"KH\" >Cambodge<\/option><option value=\"CM\" >Cameroun<\/option><option value=\"CA\" >Canada<\/option><option value=\"CV\" >Cap-Vert<\/option><option value=\"CL\" >Chili<\/option><option value=\"CN\" >Chine<\/option><option value=\"CY\" >Chypre<\/option><option value=\"CO\" >Colombie<\/option><option value=\"KM\" >Comores<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (R\u00e9publique d\u00e9mocratique du)<\/option><option value=\"KR\" >Cor\u00e9e (R\u00e9publique de)<\/option><option value=\"KP\" >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatie<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CI\" >C\u00f4te d\u2019Ivoire<\/option><option value=\"DK\" >Danemark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominique<\/option><option value=\"ES\" >Espagne<\/option><option value=\"EE\" >Estonie<\/option><option value=\"SZ\" >Eswatini (Royaume de)<\/option><option value=\"FJ\" >Fidji<\/option><option value=\"FI\" >Finlande<\/option><option value=\"FR\" >France<\/option><option value=\"RU\" >F\u00e9d\u00e9ration Russe<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambie<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Grenade<\/option><option value=\"GL\" >Groenland<\/option><option value=\"GR\" >Gr\u00e8ce<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernesey<\/option><option value=\"GN\" >Guin\u00e9e<\/option><option value=\"GQ\" >Guin\u00e9e \u00e9quatoriale<\/option><option value=\"GW\" >Guin\u00e9e-Bissau<\/option><option value=\"GF\" >Guyane<\/option><option value=\"GY\" >Guyane<\/option><option value=\"GE\" >G\u00e9orgie<\/option><option value=\"GS\" >G\u00e9orgie du Sud et \u00eeles Sandwich du Sud<\/option><option value=\"HT\" >Ha\u00efti<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hongrie<\/option><option value=\"IN\" >Inde<\/option><option value=\"ID\" >Indon\u00e9sie<\/option><option value=\"IQ\" >Irak<\/option><option value=\"IR\" >Iran (R\u00e9publique islamique d\u2019)<\/option><option value=\"IE\" >Irlande (R\u00e9publique d\u2019)<\/option><option value=\"IS\" >Islande<\/option><option value=\"IL\" >Isra\u00ebl<\/option><option value=\"IT\" >Italie<\/option><option value=\"JM\" >Jama\u00efque<\/option><option value=\"JP\" >Japon<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordanie<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KG\" >Kirghizistan<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kowe\u00eft<\/option><option value=\"RE\" >La R\u00e9union<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LV\" >Lettonie<\/option><option value=\"LB\" >Liban<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libye<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituanie<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Mac\u00e9doine du Nord (R\u00e9publique de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malaisie<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malte<\/option><option value=\"MA\" >Maroc<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritanie<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexique<\/option><option value=\"FM\" >Micron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)<\/option><option value=\"MD\" >Moldova (R\u00e9publique de)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolie<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"ME\" >Mont\u00e9n\u00e9gro<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibie<\/option><option value=\"NR\" >Nauru<\/option><option value=\"BN\" >Negara Brunei Darussalam<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nig\u00e9ria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Norv\u00e8ge<\/option><option value=\"NC\" >Nouvelle-Cal\u00e9donie<\/option><option value=\"NZ\" >Nouvelle-Z\u00e9lande<\/option><option value=\"NP\" >N\u00e9pal<\/option><option value=\"OM\" >Oman<\/option><option value=\"UG\" >Ouganda<\/option><option value=\"UZ\" >Ouzb\u00e9kistan<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (\u00c9tat de)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pays-Bas<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PL\" >Pologne<\/option><option value=\"PF\" >Polyn\u00e9sie fran\u00e7aise<\/option><option value=\"PR\" >Porto Rico<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PE\" >P\u00e9rou<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Roumanie<\/option><option value=\"GB\" >Royaume-Uni de Grande-Bretagne et d\u2019Irlande du Nord<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"SY\" >R\u00e9publique arabe syrienne<\/option><option value=\"CF\" >R\u00e9publique centrafricaine<\/option><option value=\"DO\" >R\u00e9publique dominicaine<\/option><option value=\"LA\" >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value=\"CZ\" >R\u00e9publique tch\u00e8que<\/option><option value=\"EH\" >Sahara occidental<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"PM\" >Saint Pierre et Miquelon<\/option><option value=\"KN\" >Saint-Christophe-et-Nevis<\/option><option value=\"SM\" >Saint-Marin<\/option><option value=\"MF\" >Saint-Martin (partie fran\u00e7aise)<\/option><option value=\"VC\" >Saint-Vincent-et-les Grenadines<\/option><option value=\"SH\" >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value=\"LC\" >Sainte-Lucie<\/option><option value=\"SV\" >Salvador<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa am\u00e9ricaines<\/option><option value=\"ST\" >Sao Tom\u00e9 et Principe<\/option><option value=\"RS\" >Serbie<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapour<\/option><option value=\"SX\" >Sint Maarten (partie hollandaise)<\/option><option value=\"SK\" >Slovaquie<\/option><option value=\"SI\" >Slov\u00e9nie<\/option><option value=\"SO\" >Somalie<\/option><option value=\"SD\" >Soudan<\/option><option value=\"SS\" >Soudan du Sud<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"CH\" >Suisse<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SE\" >Su\u00e8de<\/option><option value=\"SN\" >S\u00e9n\u00e9gal<\/option><option value=\"TJ\" >Tadjikistan<\/option><option value=\"TW\" >Taiwan, R\u00e9publique de Chine<\/option><option value=\"TZ\" >Tanzanie (R\u00e9publique-Unie de)<\/option><option value=\"TD\" >Tchad<\/option><option value=\"TF\" >Terres Australes Fran\u00e7aises<\/option><option value=\"IO\" >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value=\"TH\" >Tha\u00eflande<\/option><option value=\"TL\" >Timor oriental<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinit\u00e9 et Tobago<\/option><option value=\"TN\" >Tunisie<\/option><option value=\"TM\" >Turkm\u00e9nistan<\/option><option value=\"TR\" >Turquie<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (R\u00e9publique bolivarienne du)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis et Futuna<\/option><option value=\"YE\" >Y\u00e9men<\/option><option value=\"ZM\" >Zambie<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"EG\" >\u00c9gypte<\/option><option value=\"AE\" >\u00c9mirats arabes unis<\/option><option value=\"EC\" >\u00c9quateur<\/option><option value=\"ER\" >\u00c9rythr\u00e9e<\/option><option value=\"VA\" >\u00c9tat de la cit\u00e9 du Vatican<\/option><option value=\"US\" >\u00c9tats-Unis d\u2019Am\u00e9rique<\/option><option value=\"ET\" >\u00c9thiopie<\/option><option value=\"BV\" >\u00cele Bouvet<\/option><option value=\"CX\" >\u00cele Christmas<\/option><option value=\"MU\" >\u00cele Maurice<\/option><option value=\"NF\" >\u00cele Norfolk<\/option><option value=\"IM\" >\u00cele de Man<\/option><option value=\"KY\" >\u00celes Ca\u00efmans<\/option><option value=\"CC\" >\u00celes Cocos (Keeling)<\/option><option value=\"CK\" >\u00celes Cook<\/option><option value=\"FK\" >\u00celes Falkland (Malvinas)<\/option><option value=\"FO\" >\u00celes F\u00e9ro\u00e9<\/option><option value=\"HM\" >\u00celes Heard et McDonald<\/option><option value=\"MP\" >\u00celes Mariannes du Nord<\/option><option value=\"MH\" >\u00celes Marshall<\/option><option value=\"PN\" >\u00celes Pitcairn<\/option><option value=\"SB\" >\u00celes Salomon<\/option><option value=\"TC\" >\u00celes Turques et Ca\u00efques<\/option><option value=\"VI\" >\u00celes Vierges (Am\u00e9ricaines)<\/option><option value=\"VG\" >\u00celes Vierges (Britanniques)<\/option><option value=\"SJ\" >\u00celes de Svalbard et Jan Mayen<\/option><option value=\"UM\" >\u00celes mineures am\u00e9ricaines<\/option><option value=\"AX\" >\u00celes \u00c5land<\/option><\/select><label for=\"wpforms-27-field_18-country\" class=\"wpforms-field-sublabel after\">Pays<\/label><\/div><\/div><\/div><div id=\"wpforms-27-field_20-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_20\">T\u00e9l\u00e9phone<\/label><input type=\"tel\" id=\"wpforms-27-field_20\" class=\"wpforms-field-medium\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][20]\" aria-label=\"T\u00e9l\u00e9phone\" ><\/div><div id=\"wpforms-27-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-27-field_1\">Courriel <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-27-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-27-field_53-container\" class=\"wpforms-field wpforms-field-content blue-title\" data-field-id=\"53\"><div id=\"wpforms-27-field_53\" class=\"wpforms-field-medium wpforms-field-row\"><p>Informations sur la carte de cr\u00e9dit<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-27-field_15-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"15\"><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-number\"><div id=\"wpforms-27-field_15\" class=\"wpforms-field-stripe-credit-card-cardnumber wpforms-field-required\" data-required=\"required\"><!-- a Stripe Element will be inserted here. --><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-27]\" disabled style=\"display: none;\"><label  class=\"wpforms-field-sublabel after\">Carte<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-name\"><input type=\"text\" id=\"wpforms-27-field_15-cardname\" class=\"wpforms-field-stripe-credit-card-cardname wpforms-field-required\" name=\"wpforms[stripe-credit-card-cardname]\" required><label for=\"wpforms-27-field_15-cardname\" class=\"wpforms-field-sublabel after\">Nom sur la carte<\/label><\/div><\/div><\/div><div id=\"wpforms-27-field_54-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"54\"><label class=\"wpforms-field-label\">Montant d\u00e9bit\u00e9 de votre carte de cr\u00e9dit (en $ \u00c9.-U.)<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-27-field_54\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][54]\" value=\"0\"><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"27\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/pages\/42\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-27\" class=\"wpforms-submit\" data-alt-text=\"Envoi en cours...\" data-submit-text=\"Soumettre\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre<\/button><img decoding=\"async\" src=\"https:\/\/assessments.wfh.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/comments?post=42"}],"version-history":[{"count":3,"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/pages\/42\/revisions"}],"predecessor-version":[{"id":259,"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/pages\/42\/revisions\/259"}],"wp:attachment":[{"href":"https:\/\/assessments.wfh.org\/fr\/wp-json\/wp\/v2\/media?parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}