{"id":10868,"date":"2022-08-01T19:42:31","date_gmt":"2022-08-01T19:42:31","guid":{"rendered":"https:\/\/cad.ca\/?page_id=10868"},"modified":"2022-08-01T19:42:33","modified_gmt":"2022-08-01T19:42:33","slug":"devenir-membre","status":"publish","type":"page","link":"https:\/\/cad-asc.ca\/fr\/adhesion\/devenir-membre\/","title":{"rendered":"Devenir membre"},"content":{"rendered":"<script type=\"text\/javascript\">var 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class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_22\" ><label class='gfield_label gform-field-label' for='input_2_22'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_2_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_2_2\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_2\" ><label class='gfield_label gform-field-label' for='input_2_2'>Pronom(s) pr\u00e9f\u00e9r\u00e9(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_2_2' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_2\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_2'>il, elle, ils, elles, leur, leurs, soi, iel, ul, ulle, ol, olle, ael, aelle, ille, im, ellui, elleux euxes<\/div><\/div><fieldset id=\"field_2_3\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_3\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_2_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_2_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_2_3_1' id='input_2_3_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_2_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_2_3_3' id='input_2_3_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_3_4_container' >\n                                        <input type='text' name='input_3.4' id='input_2_3_4' value=''      aria-required='true'    \/>\n                                        <label for='input_2_3_4' id='input_2_3_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_2_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_2_3_5' id='input_2_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_2_3_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/fieldset><div id=\"field_2_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_4\" ><label class='gfield_label gform-field-label' for='input_2_4'>E-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_2_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_29\" ><label class='gfield_label gform-field-label' for='input_2_29'>Phone (VRS, Text, TTY or Voice)<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_2_29' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_29\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_2_29'>Example:  \n(613) 519-2944 (Text Only)<\/div><\/div><fieldset id=\"field_2_5\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Admissibilit\u00e9 &#8211; Je suis d&#039;accord avec ce qui suit :<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_5'><div class='gchoice gchoice_2_5_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.1' type='checkbox'  value='J&#039;ai plus de 18 ans'  id='choice_2_5_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_5_1' id='label_2_5_1' class='gform-field-label gform-field-label--type-inline'>J&rsquo;ai plus de 18 ans<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_5_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.2' type='checkbox'  value='J&#039;ai un statut l\u00e9gal au Canada'  id='choice_2_5_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_5_2' id='label_2_5_2' class='gform-field-label gform-field-label--type-inline'>J&rsquo;ai un statut l\u00e9gal au Canada<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_5_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.3' type='checkbox'  value='Je suis Sourd, Devenu sourd, SourdAveugle, ou Mal Entendant'  id='choice_2_5_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_5_3' id='label_2_5_3' class='gform-field-label gform-field-label--type-inline'>Je suis Sourd, Devenu sourd, SourdAveugle, ou Mal Entendant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_5_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_5.4' type='checkbox'  value='Je peux communiquer en ASL ou LSQ'  id='choice_2_5_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_5_4' id='label_2_5_4' class='gform-field-label gform-field-label--type-inline'>Je peux communiquer en ASL ou LSQ<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/fieldset><fieldset id=\"field_2_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Termes<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_2_6'><div class='gchoice gchoice_2_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='J&#039;ai lu et j&#039;accepte mes avantages en tant que membre individuel.'  id='choice_2_6_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_6_1' id='label_2_6_1' class='gform-field-label gform-field-label--type-inline'>J&rsquo;ai lu et j&rsquo;accepte mes avantages en tant que membre individuel.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_6_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.2' type='checkbox'  value='En faisant une demande d&#039;adh\u00e9sion individuelle, je reconnais et comprends parfaitement que le conseil d&#039;administration de CAD-ASC peut r\u00e9voquer mon adh\u00e9sion s&#039;il juge que mes actions, commentaires et\/ou comportement ne sont pas conformes \u00e0 la mission, \u00e0 la vision ou aux objectifs de CAD-ASC.'  id='choice_2_6_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_6_2' id='label_2_6_2' class='gform-field-label gform-field-label--type-inline'>En faisant une demande d&rsquo;adh\u00e9sion individuelle, je reconnais et comprends parfaitement que le conseil d&rsquo;administration de CAD-ASC peut r\u00e9voquer mon adh\u00e9sion s&rsquo;il juge que mes actions, commentaires et\/ou comportement ne sont pas conformes \u00e0 la mission, \u00e0 la vision ou aux objectifs de CAD-ASC.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_6_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.3' type='checkbox'  value='Je comprends que mes frais d&#039;adh\u00e9sion ne sont pas remboursables lors d&#039;une telle r\u00e9vocation et que je peux pr\u00e9senter une nouvelle demande d&#039;adh\u00e9sion au cours de l&#039;exercice suivant.'  id='choice_2_6_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_6_3' id='label_2_6_3' class='gform-field-label gform-field-label--type-inline'>Je comprends que mes frais d&rsquo;adh\u00e9sion ne sont pas remboursables lors d&rsquo;une telle r\u00e9vocation et que je peux pr\u00e9senter une nouvelle demande d&rsquo;adh\u00e9sion au cours de l&rsquo;exercice suivant.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_6_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.4' type='checkbox'  value='Je suis conscient que l&#039;adh\u00e9sion individuelle ne donne pas l&#039;autorisation de voter, conform\u00e9ment aux statuts de CAD-ASC.'  id='choice_2_6_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_6_4' id='label_2_6_4' class='gform-field-label gform-field-label--type-inline'>Je suis conscient que l&rsquo;adh\u00e9sion individuelle ne donne pas l&rsquo;autorisation de voter, conform\u00e9ment aux statuts de CAD-ASC.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/fieldset><fieldset id=\"field_2_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_7\" ><legend class='gfield_label gform-field-label' >Frais annuels<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_7'>\n\t\t\t<div class='gchoice gchoice_2_7_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_7' type='radio' value='25 $ (1 an - du 1er avril au 31 mars)'  id='choice_2_7_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_7\"   \/>\n\t\t\t\t\t<label for='choice_2_7_0' id='label_2_7_0' class='gform-field-label gform-field-label--type-inline'>25 $ (1 an &#8211; du 1er avril au 31 mars)<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_7'>* Non \u00e9ligible pour un re\u00e7u officiel d&rsquo;imp\u00f4t<\/div><\/fieldset><\/fieldset><div id=\"field_2_24\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_2_24 gfield_product_2_24 gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_24\" ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_2_24_1'>Frais annuels<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_24.1' value='Frais annuels' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_2_24' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_2_24' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Prix:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_24.2' id='ginput_base_price_2_24' class='gform_hidden' value='$ 25.00 CAD' aria-label='Frais annuels Prix' aria-describedby=\"gfield_description_2_24\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_24.3' value='1' class='ginput_quantity_2_24 gform_hidden' \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_2_24'>(1 an &#8211; du 1er avril au 31 mars)<\/div><\/div><fieldset id=\"field_2_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_2_9\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label' >Faire un don<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_9'>\n\t\t\t<div class='gchoice gchoice_2_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$25'  id='choice_2_9_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_2_9\"   \/>\n\t\t\t\t\t<label for='choice_2_9_0' id='label_2_9_0' class='gform-field-label gform-field-label--type-inline'>$25<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$50'  id='choice_2_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1' class='gform-field-label gform-field-label--type-inline'>$50<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$75'  id='choice_2_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_2' id='label_2_9_2' class='gform-field-label gform-field-label--type-inline'>$75<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$100'  id='choice_2_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_3' id='label_2_9_3' class='gform-field-label gform-field-label--type-inline'>$100<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$250'  id='choice_2_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_4' id='label_2_9_4' class='gform-field-label gform-field-label--type-inline'>$250<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='$500'  id='choice_2_9_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_5' id='label_2_9_5' class='gform-field-label gform-field-label--type-inline'>$500<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='gf_other_choice'  id='choice_2_9_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_6' id='label_2_9_6' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_2_9_other' class='gchoice_other_control' name='input_9_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_2_9'>Un re\u00e7u fiscal est \u00e9mis pour 10 $ ou plus.<\/div><\/fieldset><\/fieldset><div id=\"field_2_25\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_2_ gfield_total gfield_total_2_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_2_25\" ><label class='gfield_label gform-field-label' for='input_2_25'>Totale<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_25' id='input_2_25' value='$ 0.00 CAD' class='gform-text-input-reset ginput_total ginput_total_2' \/>\n\t\t\t\t\t\t<\/div><\/div><fieldset id=\"field_2_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_11\" ><legend class='gfield_label gform-field-label' >M\u00e9thode de paiement<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_11'>\n\t\t\t<div class='gchoice gchoice_2_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Ch\u00e8que ou mandat-poste (n&#039;envoyez pas d&#039;argent comptant par la poste)'  id='choice_2_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_0' id='label_2_11_0' class='gform-field-label gform-field-label--type-inline'>Ch\u00e8que ou mandat-poste (n&rsquo;envoyez pas d&rsquo;argent comptant par la poste)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Paypal or Debit or Credit Card'  id='choice_2_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_11_1' id='label_2_11_1' class='gform-field-label gform-field-label--type-inline'>Paypal or Debit or Credit Card<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/fieldset><div id=\"field_2_20\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_20\" ><label class='gfield_label gform-field-label' for='input_2_20'>Courriel de transfert \u00e9lectronique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_20' id='input_2_20' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_19\" ><h3 class=\"gsection_title\">Rien d&#039;autre?<\/h3><\/div><div id=\"field_2_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_12\" ><label class='gfield_label gform-field-label' for='input_2_12'>Avez-vous autre chose \u00e0 nous dire ?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_2_12' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_23\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gform_ppcp_custom_card_fields\"  data-field-class=\"gform_ppcp_custom_card_fields\" data-js-reload=\"field_2_23\" ><legend class='gfield_label gfield_label_before_complex gform-field-label' for='input_2_23_1' >M\u00e9thode de paiement<\/legend><div class='ginput_container ginput_container_select gform_ppcp_payment_method' style=\"display:none;\"><select name='input_23.6' id='input_2_23' class='medium gfield_select' ><option value='PayPal Checkout' >PayPal Checkout<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_custom_card_fields gform-grid-row' id='input_2_23' style=\"display:none;\"><span class='ginput_full gform-grid-col' id='input_2_23_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_2_23_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <span id='input_2_23_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                    <label for='input_2_23_1' id='input_2_23_1_label'  class='gform-field-label gform-field-label--type-sub'>Num\u00e9ro de carte<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_2_23_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_2_23_2_cardinfo_left'>\n                                                <span id='input_2_23_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                                <label for='input_2_23_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_2_23_2_cardinfo_right'>\n                                                <span id='input_2_23_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_2_23_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_2_23_5_container'>\n                                            <input type='text' name='input_23.5' id='input_2_23_5' value=''  \/>\n                                            <label for='input_2_23_5' id='input_2_23_5_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/fieldset><div id=\"field_2_21\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_21\" ><strong>Voulez-vous faire un don ?<\/strong> <p>Vous pouvez le faire sur notre <a href=\"https:\/\/cad.ca\/fr\/manieres-de-donner\/faire-un-don-a-titre-personnel\/\" target=\" _blank\">Faire un don ponctuel<\/a>.<\/p><\/div><div id=\"field_2_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_2_26\" ><script>\njQuery(document).on( 'keypress', '.gform_wrapper', function (e) {\n    var code = e.keyCode || e.which;\n    if ( code == 13 && ! jQuery( e.target ).is( 'textarea,input[type=\"submit\"],input[type=\"button\"]' ) ) {\n        e.preventDefault();\n        return false;\n    }\n} );\n<\/script><\/div><\/div><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' value='Soumettre'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); }' \/><div id=\"gform_ppcp_smart_payment_buttons_2\" class=\"medium 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