{"id":13427,"date":"2026-03-30T02:46:42","date_gmt":"2026-03-30T00:46:42","guid":{"rendered":"https:\/\/rsepower.com\/abidjan\/index.php\/inscription-csr-awards\/"},"modified":"2026-04-20T02:10:52","modified_gmt":"2026-04-20T00:10:52","slug":"inscription-csr-awards","status":"publish","type":"page","link":"https:\/\/rsepower.com\/abidjan\/inscription-csr-awards\/","title":{"rendered":"Inscription CSR Awards"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"13427\" class=\"elementor elementor-13427\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29ff8be e-flex e-con-boxed e-con e-parent\" data-id=\"29ff8be\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4bc503b border-radius-section e-flex e-con-boxed e-con e-child\" data-id=\"4bc503b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3ee884b e-con-full e-flex e-con e-child\" data-id=\"3ee884b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b6b092 at-heading-animation at-animation-heading-none elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"5b6b092\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Inscription <span>CSR Awards<\/span><\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1ed51da4 e-flex e-con-boxed e-con e-parent\" data-id=\"1ed51da4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-230e13bc border-radius-section e-flex e-con-boxed e-con e-child\" data-id=\"230e13bc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-34af8762 e-flex e-con-boxed e-con e-child\" data-id=\"34af8762\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4bf42fbe e-con-full e-flex e-con e-child\" data-id=\"4bf42fbe\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75ffbcd elementor-widget elementor-widget-shortcode\" data-id=\"75ffbcd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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      <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/abidjan\/wp-json\/wp\/v2\/pages\/13427' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_2_33\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='CSR Awards' \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">1. Informations g\u00e9n\u00e9rales :<\/h3><\/div><div id=\"field_2_34\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>Nom de l\u2019entreprise<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_34' id='input_2_34' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_39\" class=\"gfield gfield--type-number gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_39'>Ann\u00e9e de cr\u00e9ation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_2_39' type='number' step='any' min='1900' max='2026' value='2026' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_2_39\" \/><div class='gfield_description instruction ' id='gfield_instruction_2_39'>Veuillez saisir un nombre entre <strong>1900<\/strong> et <strong>2026<\/strong>.<\/div><\/div><\/div><div id=\"field_2_44\" class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_44'>Nombre d\u2019employ\u00e9s:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_2_44' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Moins de 50 (TPE\/start-up)' >Moins de 50 (TPE\/start-up)<\/option><option value='Entre 50 et 200 (PME)' >Entre 50 et 200 (PME)<\/option><option value='Plus de 200 (Grande entreprise)' >Plus de 200 (Grande entreprise)<\/option><\/select><\/div><\/div><div id=\"field_2_45\" class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_45'>RSE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_2_45' class='large gfield_select'  aria-describedby=\"gfield_description_2_45\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Oui, document\u00e9e et mise en \u0153uvre' >Oui, document\u00e9e et mise en \u0153uvre<\/option><option value='Non, aucune action RSE pour le moment' >Non, aucune action RSE pour le moment<\/option><option value='Non, aucune action RSE pour le moment' >Non, aucune action RSE pour le moment<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_2_45'>Votre entreprise dispose-t-elle d\u2019une politique RSE formalis\u00e9e ?<\/div><\/div><div id=\"field_2_42\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_42'>Secteur d\u2019activit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_2_42' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Industrie (ex. agroalimentaire, textile, m\u00e9tallurgie, etc.)' >Industrie (ex. agroalimentaire, textile, m\u00e9tallurgie, etc.)<\/option><option value='Services (ex. finance, consulting, tourisme, etc.)' >Services (ex. finance, consulting, tourisme, etc.)<\/option><option value='Commerce (ex. grande distribution, e-commerce, etc.)' >Commerce (ex. grande distribution, e-commerce, etc.)<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_2_43\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_43'>Veuillez pr\u00e9ciser votre Secteur d\u2019activit\u00e9<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_2_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_22\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>Nom &amp; Prenom<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_24\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_24'>Fonction<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_24' id='input_2_24' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible pcafe_sp_field\"  data-field-class=\"pcafe_sp_field\" ><label class='gfield_label gform-field-label' for='input_2_16'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><span class='spf-phone error-msg hide'><\/span><span class='spf-phone valid-msg hide'><\/span><input name='input_16' id='input_2_16' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_25\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_25'>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_25' id='input_2_25' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_10\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">2. Engagement rse ou initiative durable :<\/h3><\/div><fieldset id=\"field_2_46\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quel type d\u2019initiative avez-vous mise en place ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_46'><div class='gchoice gchoice_2_46_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.1' type='checkbox'  value='Environnementale (r\u00e9duction des d\u00e9chets, \u00e9nergies renouvelables, gestion de l\u2019eau, etc.)'  id='choice_2_46_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_1' id='label_2_46_1' class='gform-field-label gform-field-label--type-inline'>Environnementale (r\u00e9duction des d\u00e9chets, \u00e9nergies renouvelables, gestion de l\u2019eau, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_46_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.2' type='checkbox'  value='Sociale (\u00e9galit\u00e9 des chances, inclusion, bien-\u00eatre des employ\u00e9s, etc.)'  id='choice_2_46_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_2' id='label_2_46_2' class='gform-field-label gform-field-label--type-inline'>Sociale (\u00e9galit\u00e9 des chances, inclusion, bien-\u00eatre des employ\u00e9s, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_46_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.3' type='checkbox'  value='Gouvernance (transparence, \u00e9thique, diversit\u00e9 dans le management, etc.)'  id='choice_2_46_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_3' id='label_2_46_3' class='gform-field-label gform-field-label--type-inline'>Gouvernance (transparence, \u00e9thique, diversit\u00e9 dans le management, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_46_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_46.4' type='checkbox'  value='Autre'  id='choice_2_46_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_46_4' id='label_2_46_4' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_26\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_2_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_48\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_48'>Date de lancement de l\u2019initiative<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_48' id='input_2_48' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_2_48_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_48_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_48' class='gform_hidden' value='https:\/\/rsepower.com\/abidjan\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_49\" class=\"gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_49'>Votre initiative est-elle certifi\u00e9e ou labellis\u00e9e ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_49' id='input_2_49' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Oui, pr\u00e9cisez :' >Oui, pr\u00e9cisez :<\/option><option value='Non, mais en cours de certification' >Non, mais en cours de certification<\/option><option value='Non, sans certification pr\u00e9vue' >Non, sans certification pr\u00e9vue<\/option><\/select><\/div><\/div><div id=\"field_2_50\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_50'>Veuillez pr\u00e9ciser :<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_50' id='input_2_50' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_51\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Veuillez d\u00e9crire bri\u00e8vement votre initiative RSE ou de d\u00e9veloppement durable :<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_51' id='input_2_51' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_27\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">3. Pertinence de l\u2019initiative par rapport \u00e0 votre activit\u00e9<\/h3><\/div><div id=\"field_2_52\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_52'>En quoi votre initiative est-elle pertinente pour votre secteur d\u2019activit\u00e9 ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_52' id='input_2_52' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_31\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">4.  Impact et r\u00e9sultats attendus<\/h3><\/div><fieldset id=\"field_2_55\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quels sont les impacts actuels ou attendus de votre initiative ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_55'><div class='gchoice gchoice_2_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='R\u00e9duction des \u00e9missions de CO2'  id='choice_2_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_1' id='label_2_55_1' class='gform-field-label gform-field-label--type-inline'>R\u00e9duction des \u00e9missions de CO2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='Am\u00e9lioration des conditions de travail'  id='choice_2_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_2' id='label_2_55_2' class='gform-field-label gform-field-label--type-inline'>Am\u00e9lioration des conditions de travail<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='Inclusion sociale et diversit\u00e9'  id='choice_2_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_3' id='label_2_55_3' class='gform-field-label gform-field-label--type-inline'>Inclusion sociale et diversit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='D\u00e9veloppement \u00e9conomique local'  id='choice_2_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_4' id='label_2_55_4' class='gform-field-label gform-field-label--type-inline'>D\u00e9veloppement \u00e9conomique local<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.5' type='checkbox'  value='Optimisation des ressources et r\u00e9duction des d\u00e9chets'  id='choice_2_55_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_5' id='label_2_55_5' class='gform-field-label gform-field-label--type-inline'>Optimisation des ressources et r\u00e9duction des d\u00e9chets<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.6' type='checkbox'  value='Gestion durable de l\u2019eau'  id='choice_2_55_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_6' id='label_2_55_6' class='gform-field-label gform-field-label--type-inline'>Gestion durable de l\u2019eau<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_55_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.7' type='checkbox'  value='Autre'  id='choice_2_55_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_55_7' id='label_2_55_7' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_57\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_2_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_56\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quels indicateurs utilisez-vous pour \u00e9valuer l\u2019efficacit\u00e9 de votre initiative ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_56'><div class='gchoice gchoice_2_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Bilan carbone'  id='choice_2_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_1' id='label_2_56_1' class='gform-field-label gform-field-label--type-inline'>Bilan carbone<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='Nombre de b\u00e9n\u00e9ficiaires (employ\u00e9s, communaut\u00e9s, etc.)'  id='choice_2_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_2' id='label_2_56_2' class='gform-field-label gform-field-label--type-inline'>Nombre de b\u00e9n\u00e9ficiaires (employ\u00e9s, communaut\u00e9s, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='\u00c9volution du chiffre d\u2019affaires responsable'  id='choice_2_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_3' id='label_2_56_3' class='gform-field-label gform-field-label--type-inline'>\u00c9volution du chiffre d\u2019affaires responsable<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='Taux de recyclage ou d\u2019\u00e9conomie circulaire'  id='choice_2_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_4' id='label_2_56_4' class='gform-field-label gform-field-label--type-inline'>Taux de recyclage ou d\u2019\u00e9conomie circulaire<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.5' type='checkbox'  value='Niveau de satisfaction des parties prenantes'  id='choice_2_56_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_5' id='label_2_56_5' class='gform-field-label gform-field-label--type-inline'>Niveau de satisfaction des parties prenantes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.6' type='checkbox'  value='R\u00e9duction de la consommation d\u2019eau'  id='choice_2_56_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_6' id='label_2_56_6' class='gform-field-label gform-field-label--type-inline'>R\u00e9duction de la consommation d\u2019eau<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_56_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.7' type='checkbox'  value='Autre'  id='choice_2_56_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_56_7' id='label_2_56_7' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_58\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_58'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_2_58' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Quels sont vos objectifs \u00e0 moyen et long terme ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_59'><div class='gchoice gchoice_2_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='P\u00e9renniser l\u2019initiative'  id='choice_2_59_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_59_1' id='label_2_59_1' class='gform-field-label gform-field-label--type-inline'>P\u00e9renniser l\u2019initiative<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='\u00c9tendre \u00e0 d\u2019autres sites ou filiales'  id='choice_2_59_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_59_2' id='label_2_59_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tendre \u00e0 d\u2019autres sites ou filiales<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_59_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.3' type='checkbox'  value='Inspirer d\u2019autres acteurs \u00e9conomiques'  id='choice_2_59_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_59_3' id='label_2_59_3' class='gform-field-label gform-field-label--type-inline'>Inspirer d\u2019autres acteurs \u00e9conomiques<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_59_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.4' type='checkbox'  value='Obtenir une reconnaissance ou une certification officielle'  id='choice_2_59_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_59_4' id='label_2_59_4' class='gform-field-label gform-field-label--type-inline'>Obtenir une reconnaissance ou une certification officielle<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_59_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.5' type='checkbox'  value='Autre'  id='choice_2_59_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_59_5' id='label_2_59_5' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_60\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_60'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_2_60' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_61\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">5.  Motivation pour la candidature<\/h3><\/div><fieldset id=\"field_2_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Pourquoi souhaitez-vous participer au concours CSR Awards ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_62'><div class='gchoice gchoice_2_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Faire conna\u00eetre mon initiative'  id='choice_2_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_62_1' id='label_2_62_1' class='gform-field-label gform-field-label--type-inline'>Faire conna\u00eetre mon initiative<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='\u00c9changer avec d\u2019autres acteurs engag\u00e9s'  id='choice_2_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_62_2' id='label_2_62_2' class='gform-field-label gform-field-label--type-inline'>\u00c9changer avec d\u2019autres acteurs engag\u00e9s<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Obtenir un retour d\u2019exp\u00e9rience et des conseils'  id='choice_2_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_62_3' id='label_2_62_3' class='gform-field-label gform-field-label--type-inline'>Obtenir un retour d\u2019exp\u00e9rience et des conseils<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Valoriser l\u2019engagement de mon entreprise'  id='choice_2_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_62_4' id='label_2_62_4' class='gform-field-label gform-field-label--type-inline'>Valoriser l\u2019engagement de mon entreprise<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Autre :'  id='choice_2_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_62_5' id='label_2_62_5' class='gform-field-label gform-field-label--type-inline'>Autre :<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_64\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_64'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_2_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_63\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Qu\u2019attendez-vous de cet \u00e9v\u00e9nement ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_63'><div class='gchoice gchoice_2_63_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.1' type='checkbox'  value='Gagner en visibilit\u00e9'  id='choice_2_63_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_63_1' id='label_2_63_1' class='gform-field-label gform-field-label--type-inline'>Gagner en visibilit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_63_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.2' type='checkbox'  value='Partager des bonnes pratiques et exp\u00e9riences'  id='choice_2_63_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_63_2' id='label_2_63_2' class='gform-field-label gform-field-label--type-inline'>Partager des bonnes pratiques et exp\u00e9riences<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_63_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.3' type='checkbox'  value='D\u00e9velopper des partenariats'  id='choice_2_63_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_63_3' id='label_2_63_3' class='gform-field-label gform-field-label--type-inline'>D\u00e9velopper des partenariats<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_63_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.4' type='checkbox'  value='Identifier de nouvelles opportunit\u00e9s d\u2019innovation durable'  id='choice_2_63_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_63_4' id='label_2_63_4' class='gform-field-label gform-field-label--type-inline'>Identifier de nouvelles opportunit\u00e9s d\u2019innovation durable<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_63_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_63.5' type='checkbox'  value='Autre :'  id='choice_2_63_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_63_5' id='label_2_63_5' class='gform-field-label gform-field-label--type-inline'>Autre :<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_65\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_65'>Veuillez pr\u00e9ciser :<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_2_65' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_67\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_67'>En quoi votre initiative peut-elle inspirer d\u2019autres entreprises ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_67' id='input_2_67' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_71\" class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">6.  Documents \u00e0 joindre (si disponibles)<\/h3><\/div><div id=\"field_2_72\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_2_72'>Quels documents souhaitez-vous partager ?<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_2_72' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_2_72&quot;,&quot;container&quot;:&quot;gform_multifile_upload_2_72&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_2_72&quot;,&quot;filelist&quot;:&quot;gform_preview_2_72&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/rsepower.com\\\/abidjan\\\/?gf_page=441f234e3a538f9&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/rsepower.com\\\/abidjan\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/rsepower.com\\\/abidjan\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;52428800b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:2,&quot;field_id&quot;:72,&quot;_gform_file_upload_nonce_2_72&quot;:&quot;a6bd2db0a8&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;5&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_2_72&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_2_72' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_2_72' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_2_72 gfield_description_2_72\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_72'>Taille max. des fichiers\u00a0: 50 MB, Max. des fichiers\u00a0: 5.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_2_72'><\/ul> <div id='gform_preview_2_72' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_2_72'> Rapport ou pr\u00e9sentation d\u00e9taill\u00e9e de l\u2019initiative,\n \u00c9tudes d\u2019impact ou t\u00e9moignages,\n Supports de communication (brochures, vid\u00e9os, articles\u2026),\n Photos illustrant l\u2019initiative.<\/div><\/div><fieldset id=\"field_2_74\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Engagement du candidat<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_74'><div class='gchoice gchoice_2_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='Je certifie l\u2019exactitude des informations fournies dans ce dossier et accepte les conditions de participation au concours CSR Awards.'  id='choice_2_74_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_74_1' id='label_2_74_1' class='gform-field-label gform-field-label--type-inline'>Je certifie l\u2019exactitude des informations fournies dans ce dossier et accepte les conditions de participation au concours CSR Awards.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_75\" class=\"gfield gfield--type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_75'>CAPTCHA<\/label><div id='input_2_75' class='ginput_container ginput_recaptcha' data-sitekey='6LfvibQsAAAAALNV3MhDtlC12gK8I86ububliit0'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Inscription'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='X8RqbiUoW5djR+xDjjpZfPx6cD4aCop1QmqPwGi+qk+cV1R1EHVpQZvuxLl\/oF0EnnJx6ozopCFTDzulOfqWs8TkKuoaIe6Rb3a5Lx6uQzOh7f4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' 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