{"id":27391,"date":"2021-01-27T09:47:52","date_gmt":"2021-01-27T13:47:52","guid":{"rendered":"https:\/\/jccmontreal.org\/?page_id=27391"},"modified":"2024-02-06T10:45:10","modified_gmt":"2024-02-06T14:45:10","slug":"demande-dautorisation","status":"publish","type":"page","link":"https:\/\/www.jccmontreal.org\/fr\/demande-dautorisation\/","title":{"rendered":"Application Pour Demande de Din Torah"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_text_separator title_level=\u00a0\u00bbh4&Prime; title=\u00a0\u00bbApplication Pour Demande de Din Torah\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#212331&Prime;][vc_empty_space height=\u00a0\u00bb30px\u00a0\u00bb]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f27390-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"27390\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/27391#wpcf7-f27390-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><legend class=\"screen-reader-text\">Hidden fields<\/legend><input type=\"hidden\" name=\"_wpcf7\" value=\"27390\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f27390-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:27390,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Add&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ajouter&quot;}]},{&quot;then_field&quot;:&quot;group2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Add2&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ajouter&quot;}]},{&quot;then_field&quot;:&quot;group3&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Add3&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ajouter&quot;}]},{&quot;then_field&quot;:&quot;group4&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Add4&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ajouter&quot;}]},{&quot;then_field&quot;:&quot;group5&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;Add5&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Ajouter&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"vc_column-inner\">\n   <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col text-title-dates\">\n                    <label>Date:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Ann\u00e9e<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"YDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form select-size\" aria-required=\"true\" aria-invalid=\"false\" name=\"YDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Mois<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"MDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form select-size\" aria-required=\"true\" aria-invalid=\"false\" name=\"MDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Janvier\">Janvier<\/option><option value=\"F\u00e9vrier\">F\u00e9vrier<\/option><option value=\"Mars\">Mars<\/option><option value=\"Avril\">Avril<\/option><option value=\"Mai\">Mai<\/option><option value=\"Juin\">Juin<\/option><option value=\"Juillety\">Juillety<\/option><option value=\"Ao\u00fbt\">Ao\u00fbt<\/option><option value=\"Septembre\">Septembre<\/option><option value=\"Octobre\">Octobre<\/option><option value=\"Novembre\">Novembre<\/option><option value=\"D\u00e9cembre\">D\u00e9cembre<\/option><\/select><\/span>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                    <p class=\"text-dates\">Jour<\/p>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"DDate\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required box-form select-size\" aria-required=\"true\" aria-invalid=\"false\" name=\"DDate\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">            \n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col-stitle\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col-stitle\">\n                    <label><b class=\"text-size\">Plaintiff<\/b><\/label>\n                <\/div>\n                <div class=\"vc_col-md-3\">\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">            \n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone a domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Carte de cr\u00e9dit:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"credit-card\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"credit-card\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Date d\u2019expiration:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"Expiry-Date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"mm\/yyyy\" value=\"\" type=\"text\" name=\"Expiry-Date\" \/><\/span>\n                <\/div>\n            <\/div>            \n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>CCV:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"CCV\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"CCV\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col-stitle2\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col-stitle2\">\n                    <label><b class=\"text-size\">D\u00e9fendeur<\/b><\/label>\n                <\/div>\n                <div class=\"vc_col-md-3 text-col\">\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">            \n        <\/div>\n    <\/div>    \n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n        <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                   <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail2\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n    <\/div>\n    <div><span class=\"wpcf7-form-control-wrap\" data-name=\"Add\"><span class=\"wpcf7-form-control wpcf7-checkbox check-add\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Add[]\" value=\"Ajouter\" \/><span class=\"wpcf7-list-item-label\">Ajouter<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Add[]\" value=\"+ le D\u00e9fendeur\" \/><span class=\"wpcf7-list-item-label\">+ le D\u00e9fendeur<\/span><\/span><\/span><\/span><\/div>\n    <div data-id=\"group1\" data-orig_data_id=\"group1\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"vc_row margin-add-groupe\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n     <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail3\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n        <div><span class=\"wpcf7-form-control-wrap\" data-name=\"Add2\"><span class=\"wpcf7-form-control wpcf7-checkbox check-add\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Add2[]\" value=\"Ajouter\" \/><span class=\"wpcf7-list-item-label\">Ajouter<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Add2[]\" value=\"+ le D\u00e9fendeur\" \/><span class=\"wpcf7-list-item-label\">+ le D\u00e9fendeur<\/span><\/span><\/span><\/span><\/div>\n    <\/div>\n    <\/div>\n<div data-id=\"group2\" data-orig_data_id=\"group2\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"vc_row margin-add-groupe\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n        <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail4\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n        <div><span class=\"wpcf7-form-control-wrap\" data-name=\"Add3\"><span class=\"wpcf7-form-control wpcf7-checkbox check-add\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Add3[]\" value=\"Ajouter\" \/><span class=\"wpcf7-list-item-label\">Ajouter<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Add3[]\" value=\"+ le D\u00e9fendeur\" \/><span class=\"wpcf7-list-item-label\">+ le D\u00e9fendeur<\/span><\/span><\/span><\/span><\/div>\n    <\/div>\n    <\/div>\n    <div data-id=\"group3\" data-orig_data_id=\"group3\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"vc_row margin-add-groupe\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail5\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n        <div><span class=\"wpcf7-form-control-wrap\" data-name=\"Add4\"><span class=\"wpcf7-form-control wpcf7-checkbox check-add\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Add4[]\" value=\"Ajouter\" \/><span class=\"wpcf7-list-item-label\">Ajouter<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Add4[]\" value=\"+ le D\u00e9fendeur\" \/><span class=\"wpcf7-list-item-label\">+ le D\u00e9fendeur<\/span><\/span><\/span><\/span><\/div>\n    <\/div>\n    <\/div>\n    <div data-id=\"group4\" data-orig_data_id=\"group4\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"vc_row margin-add-groupe\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n        <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail6\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n        <div><span class=\"wpcf7-form-control-wrap\" data-name=\"Add5\"><span class=\"wpcf7-form-control wpcf7-checkbox check-add\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"Add5[]\" value=\"Ajouter\" \/><span class=\"wpcf7-list-item-label\">Ajouter<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"Add5[]\" value=\"+ le D\u00e9fendeur\" \/><span class=\"wpcf7-list-item-label\">+ le D\u00e9fendeur<\/span><\/span><\/span><\/span><\/div>\n    <\/div>\n    <\/div>\n    <div data-id=\"group5\" data-orig_data_id=\"group5\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <div class=\"vc_row margin-add-groupe\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-name7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Nom de l\u2019entreprise:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"company-name7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"text\" name=\"company-name7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Adresse:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-address7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Ville:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"your-city7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n        <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Province\/\u00c9tat:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"state-province7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state-province7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Code postale:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>T\u00e9l\u00e9phone \u00e0 domicile:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"home-phone7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"home-phone7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>T\u00e9l\u00e9phone d\u2019affaires:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"business-phone7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"business-phone7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Cellulaire:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"cell-phone7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel box-form box-form-numbers\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"___-___-____\" value=\"\" type=\"tel\" name=\"cell-phone7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col\">\n                    <label>Fax:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"fax7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel box-form\" aria-invalid=\"false\" placeholder=\"(optionnel)\" value=\"\" type=\"tel\" name=\"fax7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <div class=\"space-box\"><\/div>\n    <div class=\"vc_row\">\n        <div class=\"vc_col-md-6 space-col\">\n            <div class=\"row\">\n                <div class=\"vc_col-md-3 text-col2\">\n                    <label>Courriel:<\/label>\n                <\/div>\n                <div class=\"vc_col-md-9\">\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"e-mail7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email box-form\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"e-mail7\" \/><\/span>\n                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"vc_col-md-6 space-col\">\n        <\/div>\n    <\/div>\n    <\/div>\n<\/div>\n<div class=\"sec-2\">\n    <label>Veuillez d\u00e9crire la nature de la r\u00e9clamation:<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"nature-claim\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"nature-claim\"><\/textarea><\/span>\n    <label>Quel est le montant de la r\u00e9clamation?<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"amount-claim\"><textarea cols=\"40\" rows=\"1\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"amount-claim\"><\/textarea><\/span>\n    <label>Cette demande a-t-elle d\u00e9j\u00e0 \u00e9t\u00e9 renvoy\u00e9e pour m\u00e9diation \u00e0 un rabbin ou adress\u00e9e \u00e0 un tribunal civil ou \u00e0 Beth Din? Si c\u2019est le cas, veuillez fournir un bref historique<\/label>\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"desc-claim\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required box-form\" aria-required=\"true\" aria-invalid=\"false\" name=\"desc-claim\"><\/textarea><\/span>\n\n<p>Il y a des frais administratifs de 250$ pour que le Beth Din traitement de votre demande. Au moment o\u00f9 l\u2019audience est pr\u00e9vue, d\u2019autres accusations sont applicables. Chaque partie doit payer 400 $ par session de deux heures. Les heures suppl\u00e9mentaires seront factur\u00e9es \u00e0 250 $ l\u2019heure. Dans des circonstances particuli\u00e8res (p. ex. certains litiges complexes), des frais suppl\u00e9mentaires peuvent \u00eatre appliqu\u00e9s. Veuillez envoyer le formulaire rempli \u00e0: <a href=\"mailto:office@bethdin.ca\">office@bethdin.ca<\/a><\/p>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner btnform2\" type=\"submit\" value=\"ENVOYER\" \/>\n<\/div><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[vc_column_text]<\/p>\n<p class=\"p\">TRIBUNAL RABBINIQUE RABBINICAL COURT OF GREATER MONTREAL<br \/>\n6819 Decarie, Montreal, Quebec H3W 3E4 Tel: (514) 739-6363 Fax: (514) 739-7024<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=\u00a0\u00bb10px\u00a0\u00bb][vc_raw_js]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[\/vc_raw_js][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_text_separator title_level=\u00a0\u00bbh4&Prime; title=\u00a0\u00bbApplication Pour Demande de Din Torah\u00a0\u00bb color=\u00a0\u00bbcustom\u00a0\u00bb accent_color=\u00a0\u00bb#212331&Prime;][vc_empty_space height=\u00a0\u00bb30px\u00a0\u00bb][vc_column_text] TRIBUNAL RABBINIQUE RABBINICAL COURT OF GREATER MONTREAL 6819 Decarie,&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-27391","page","type-page","status-publish"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/pages\/27391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/comments?post=27391"}],"version-history":[{"count":8,"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/pages\/27391\/revisions"}],"predecessor-version":[{"id":31948,"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/pages\/27391\/revisions\/31948"}],"wp:attachment":[{"href":"https:\/\/www.jccmontreal.org\/fr\/wp-json\/wp\/v2\/media?parent=27391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}