{"id":20460,"date":"2023-10-04T09:08:49","date_gmt":"2023-10-04T13:08:49","guid":{"rendered":"https:\/\/amisdubiodome.ca\/?page_id=20460"},"modified":"2023-11-20T08:47:44","modified_gmt":"2023-11-20T13:47:44","slug":"become-a-member","status":"publish","type":"page","link":"https:\/\/amisdubiodome.ca\/en\/become-a-member\/","title":{"rendered":"New Membership Form EN"},"content":{"rendered":"\r\n<div class=\"msg_text\">Children under five years old don&#8217;t need a membership card to visit the Biodome as it&#8217;s free for them until they reach 5 years of age.<\/div>\r\n\r\n\r\n<div class=\"membership-form\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\t\t\t\t<div id=\"gotrgf_form_container_139\" class='gotrgf_form_container'><div class='gotrgf_form_wrapper'> \n\t\t\t\t\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_139' style='display:none'><div id='gf_139' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">+++ Nouvel abonnement r\u00e9gulier +++<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_139'  action='\/en\/wp-json\/wp\/v2\/pages\/20460#gf_139' data-formid='139' novalidate><div id=\"payments-sdk__contingency-lightbox\"><\/div><div id='gf_page_steps_139' class='gf_page_steps'><div id='gf_step_139_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Select your <br\/>memberships<\/span><\/div><div id='gf_step_139_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Select your <br\/>memberships<\/span><\/div><div id='gf_step_139_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Donation<\/span><\/div><div id='gf_step_139_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Membre <br \/>informations<\/span><\/div><div id='gf_step_139_5' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>Review <br \/>and approval<\/span><\/div><\/div> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_page_139_1' class='gform_page breadcrumbs_sec' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_139' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_139_64\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full text_center gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span> 1.<\/span> \nWho is this gift membership for?<\/h3><\/div><fieldset id=\"field_139_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full subscription_btn field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >1.  A qui s&#039;adresse cet abonnement cadeau ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_139_61'>\n\t\t\t<div class='gchoice gchoice_139_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Pour moi'  id='choice_139_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_61_0' id='label_139_61_0' class='gform-field-label gform-field-label--type-inline'>For me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Un cadeau'  id='choice_139_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_61_1' id='label_139_61_1' class='gform-field-label gform-field-label--type-inline'>it's a gift<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_139_60' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_139_2' class='gform_page Grid_box' data-js='page-field-id-60' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_139_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_139_57\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full subscription_Sec gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><span>2.<\/span> Select your memberships<\/h3><\/div><div id=\"field_139_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full subscription_Sec gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>2.<\/span> Select your gift membership<\/h3>\n<p>The recipient of the gift subscription must present it at the Amis du Biod\u00f4me service counter in order to activate their subscription. Their subscription will begin on the date they present themselves to have their card produced.\n<\/p><\/div><div id=\"field_139_19\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full Adult gfield_price gfield_price_139_19 gfield_product_139_19 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_19_1'><span class=\"gform-field-label gfield_label_product\">Adult &lt;font&gt;Adults 18 years and over&lt;\/font&gt;<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_19'><div class=\"dtitle\">Adult<\/div>\n<div class=\"desc\"> Adults 18 years and older <\/div><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_19.1' value='Adult &lt;font&gt;Adults 18 years and over&lt;\/font&gt;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_19' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_19'>52.00$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_19.2' id='ginput_base_price_139_19' class='gform_hidden' value='52.00$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_19_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_19.3' value='' id='input_139_19_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Adult &lt;font&gt;Adults 18 years and over&lt;\/font&gt;\" aria-describedby=\"ginput_product_price_139_19 gfield_description_139_19\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_33\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full adult_youth gfield_price gfield_price_139_33 gfield_product_139_33 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_33_1'><span class=\"gform-field-label gfield_label_product\">1 adult + 1 child<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_33'><div class=\"dtitle\">1 adult + 1 child<\/div>\n<div class=desc> Adults 18 years and older <br \/> Children aged 5 to 17<\/div><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_33.1' value='1 adult + 1 child' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_33' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_33'>77.50$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_33.2' id='ginput_base_price_139_33' class='gform_hidden' value='77.50$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_33_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_33.3' value='' id='input_139_33_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity 1 adult + 1 child\" aria-describedby=\"ginput_product_price_139_33 gfield_description_139_33\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_34\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full select_passport_radios Family gfield_price gfield_price_139_34 gfield_product_139_34 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_34_1'><span class=\"gform-field-label gfield_label_product\">Famille&lt;font&gt;2 adultes ou une famille de 5&lt;\/font&gt;<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_34'><div class=\"dtitle\">Family<\/div>\n<div class=\"desc\">2 adults or a family of 5<\/div>\n<div class=\"adult_family\">See all options<\/div>\n<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_34.1' value='Famille&lt;font&gt;2 adultes ou une famille de 5&lt;\/font&gt;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_34' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_34'>100.00$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_34.2' id='ginput_base_price_139_34' class='gform_hidden' value='100.00$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_34_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_34.3' value='' id='input_139_34_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Famille&lt;font&gt;2 adultes ou une famille de 5&lt;\/font&gt;\" aria-describedby=\"ginput_product_price_139_34 gfield_description_139_34\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_53\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full select_passport_radios Child gfield_price gfield_price_139_53 gfield_product_139_53 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_53_1'><span class=\"gform-field-label gfield_label_product\">Child &lt;font&gt;Children from 5 to 17 years old &lt;\/font&gt;<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_53'><div class=\"dtitle\">Child<\/div>\n<div class=\"desc\"> Children aged 5 to 17<\/div><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_53.1' value='Child &lt;font&gt;Children from 5 to 17 years old &lt;\/font&gt;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_53' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_53'>25.50$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_53.2' id='ginput_base_price_139_53' class='gform_hidden' value='25.50$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_53_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_53.3' value='' id='input_139_53_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Child &lt;font&gt;Children from 5 to 17 years old &lt;\/font&gt;\" aria-describedby=\"ginput_product_price_139_53 gfield_description_139_53\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_54\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full select_passport_radios StudentQuantity gfield_price gfield_price_139_54 gfield_product_139_54 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_54_1'><span class=\"gform-field-label gfield_label_product\">Student&lt;font&gt;You will need to present a student card as well as an identity card. &lt;\/font&gt;<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_54'><div class=\"dtitle\">Student<\/div>\n<div class=\"desc\">You will need to present a student card and an identity card.\n<\/div><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_54.1' value='Student&lt;font&gt;You will need to present a student card as well as an identity card. &lt;\/font&gt;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_54' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_54'>40.00$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_54.2' id='ginput_base_price_139_54' class='gform_hidden' value='40.00$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_54_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_54.3' value='' id='input_139_54_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Student&lt;font&gt;You will need to present a student card as well as an identity card. &lt;\/font&gt;\" aria-describedby=\"ginput_product_price_139_54 gfield_description_139_54\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_55\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full select_passport_radios Senior gfield_price gfield_price_139_55 gfield_product_139_55 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_55_1'><span class=\"gform-field-label gfield_label_product\">Seniors&lt;font&gt;Adults aged 65 and over&lt;\/font&gt;<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='gfield_description' id='gfield_description_139_55'><div class=\"dtitle\">Elder<\/div>\n<div class=\"desc\"> Adults aged 65 and over<\/div><\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_55.1' value='Seniors&lt;font&gt;Adults aged 65 and over&lt;\/font&gt;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_55' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_55'>50.00$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_55.2' id='ginput_base_price_139_55' class='gform_hidden' value='50.00$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_55_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_55.3' value='' id='input_139_55_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Seniors&lt;font&gt;Adults aged 65 and over&lt;\/font&gt;\" aria-describedby=\"ginput_product_price_139_55 gfield_description_139_55\" \/>\n\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_139_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Return to previous step'  \/> <input type='button' id='gform_next_button_139_51' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_139_3' class='gform_page donate_sec' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_139_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_139_20\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full support-friend-section gfield_price gfield_price_139_20 gfield_product_139_20 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Donation<\/legend><div class='gfield_description' id='gfield_description_139_20'><h3>I Support The Friends Of The Biod\u00f4me !<\/h3>\n<div class=\"desc\">\nYour donation contributes to the well-being of animals at the Biod\u00f4me (research, conservation and enrichment programs) and allows our non-profit organization to continue to offer free educational activities.\n<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_139_20'>\n\t\t\t<div class='gchoice gchoice_139_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='&lt;span class=&quot;visibility_hidden_css&quot;&gt;5.00$&lt;\/span&gt;|5'  id='choice_139_20_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_139_20\"   \/>\n\t\t\t\t\t<label for='choice_139_20_0' id='label_139_20_0' class='gform-field-label gform-field-label--type-inline'>5.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='&lt;span class=&quot;visibility_hidden_css&quot;&gt;20.00$&lt;\/span&gt;|20'  id='choice_139_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_20_1' id='label_139_20_1' class='gform-field-label gform-field-label--type-inline'>20.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='&lt;span class=&quot;visibility_hidden_css&quot;&gt;50.00$&lt;\/span&gt;|50'  id='choice_139_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_20_2' id='label_139_20_2' class='gform-field-label gform-field-label--type-inline'>50.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='&lt;span class=&quot;visibility_hidden_css&quot;&gt;100.00$&lt;\/span&gt;|100'  id='choice_139_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_20_3' id='label_139_20_3' class='gform-field-label gform-field-label--type-inline'>100.00$<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_139_78\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full amount-to-donate-wrap gfield_price gfield_price_139_78 gfield_product_139_78 field_sublabel_below gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_78'>Donation<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_78' id='input_139_78' type='text' value='' class='small ginput_amount'  placeholder='Amount'  aria-invalid=\"false\" aria-describedby=\"gfield_description_139_78\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_139_78'>or enter the amount you would like to donate<\/div><\/div><div id=\"field_139_75\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full text_block_sec gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >For all donations exceeding $20, a receipt for tax purposes will be issued and sent by email within the next 72 hours.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_139_52' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Return to previous step'  \/> <input type='button' id='gform_next_button_139_52' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_139_4' class='gform_page Informations_form' data-js='page-field-id-52' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_139_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_139_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">ME section<\/h3><\/div><div id=\"field_139_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>2.<\/span> Primary Member information<\/h3>\n<p>Please enter all the member information below:<\/p><\/div><div id=\"field_139_1050\" class=\"gfield gfield--type-repeater dd_blue_line gf_adult_details_0 gf_details_informations sur le membre principal field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='gfield_repeater_wrapper' data-max_items='1'><fieldset class='gfield_repeater gfield_repeater_container'>\n<legend class='gfield_label gform-field-label'>Informations sur le membre principal<\/legend><div class=\"gfield_repeater_items\"><div class='gfield_repeater_item'><div class='gfield_repeater_cell'><div id=\"field_139_1052\" class=\"gfield gfield_valid gfield--type-text gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_1052-0'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1052[0]' id='input_139_1052-0' type='text' value='' class=''    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><div class='gfield_repeater_cell'><div id=\"field_139_1053\" class=\"gfield gfield_valid gfield--type-text gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_1053-0'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1053[0]' id='input_139_1053-0' type='text' value='' class=''    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><div class='gfield_repeater_cell'><div id=\"field_139_1054\" class=\"gfield gfield_valid gfield--type-email gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_1054-0'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_1054[0]' id='input_139_1054-0' type='email' value='' class=''   placeholder='Enter email' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div><div class='gfield_repeater_cell'><div id=\"field_139_1055\" class=\"gfield gfield_valid gfield--type-phone gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_1055-0'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_1055[0]' id='input_139_1055-0' type='tel' value='' class=''  placeholder='Phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><div class='gfield_repeater_cell'><div id=\"field_139_1056\" class=\"gfield gfield_valid gfield--type-text gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_1056-0'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1056[0]' id='input_139_1056-0' type='text' value='' class=''    placeholder='Postal code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><div class='gfield_repeater_buttons'><button type='button' class='add_repeater_item gform-theme-button gform-theme-button--secondary gform-theme-button--size-sm gfield_icon_disabled add_repeater_item_plus' onclick='gformAddRepeaterItem(this)' onkeypress='gformAddRepeaterItem(this)'>&#43;<\/button><button type='button' class='remove_repeater_item gform-theme-button gform-theme-button--secondary gform-theme-button--size-sm remove_repeater_item_minus' onclick='if(confirm(\"Are you sure you want to remove this item?\")){gformDeleteRepeaterItem(this)};' onkeypress='gformDeleteRepeaterItem(this)' style='visibility:hidden;'>&#45;<\/button><\/div><\/div><\/div><\/fieldset><\/div><\/div><div id=\"field_139_103\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full hiddenzeroheight gfield_price gfield_price_139_103 gfield_product_139_103 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_139_103_1'><span class=\"gform-field-label gfield_label_product\">Additional child<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_103.1' value='Additional child' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_139_103' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_139_103'>25.50$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_103.2' id='ginput_base_price_139_103' class='gform_hidden' value='25.50$'\/>\n\t\t\t\t\t <label for='ginput_quantity_139_103_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_103.3' value='' id='input_139_103_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Additional child\" aria-describedby=\"ginput_product_price_139_103\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_139_100\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>4. <\/span> Select your card delivery method ? <span> * <\/span>\n<\/h3>\n<p>\nSelect if you would like to have an virtual card or a physical card.\n<\/p><\/div><fieldset id=\"field_139_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_139_67'>\n\t\t\t<div class='gchoice gchoice_139_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='Virtual'  id='choice_139_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_67_0' id='label_139_67_0' class='gform-field-label gform-field-label--type-inline'>Virtual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_139_101\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>4.<\/span>  How did you hear about the les Amis du Biod\u00f4me? <span> *<\/span>\n\n<\/h3>\n<p>\nSelect one of the following:\n<\/p><\/div><fieldset id=\"field_139_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_139_68'>\n\t\t\t<div class='gchoice gchoice_139_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='At the Biod\u00f4me'  id='choice_139_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_68_0' id='label_139_68_0' class='gform-field-label gform-field-label--type-inline'>At the Biod\u00f4me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Facebook'  id='choice_139_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_68_1' id='label_139_68_1' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_68_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Instagram'  id='choice_139_68_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_68_2' id='label_139_68_2' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_68_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Word of mouth'  id='choice_139_68_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_68_3' id='label_139_68_3' class='gform-field-label gform-field-label--type-inline'>Word of mouth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_68_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='Other'  id='choice_139_68_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_68_4' id='label_139_68_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_139_102\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>5.<\/span>  I become a member to benefit from  : <span>*<\/span>\n<\/h3>\n<p>\nYou can select multiple response\n<\/p><\/div><fieldset id=\"field_139_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_139_69'><div class='gchoice gchoice_139_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Free access to the Biod\u00f4me (or Space for Life Institutions)'  id='choice_139_69_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_139_69_1' id='label_139_69_1' class='gform-field-label gform-field-label--type-inline'>Free access to the Biod\u00f4me (or Space for Life Institutions)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_139_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='Free activities for members'  id='choice_139_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_139_69_2' id='label_139_69_2' class='gform-field-label gform-field-label--type-inline'>Free activities for members<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_139_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='Discounts at Space for Life Day Camps'  id='choice_139_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_139_69_3' id='label_139_69_3' class='gform-field-label gform-field-label--type-inline'>Discounts at Space for Life Day Camps<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_139_69_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='Discounts at the Espace pour la vie boutique and restaurants'  id='choice_139_69_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_139_69_4' id='label_139_69_4' class='gform-field-label gform-field-label--type-inline'>Discounts at the Espace pour la vie boutique and restaurants<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_139_80\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Gift section<\/h3><\/div><div id=\"field_139_81\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>2.<\/span> Your Information<\/h3>\n<p>Please enter all your information below:<\/p><\/div><div id=\"field_139_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_83'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_139_83' type='text' value='' class='large'    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_84'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_139_84' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_85\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_85'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_139_85' type='text' value='' class='large'    placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_86'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_139_86' type='text' value='' class='large'    placeholder='phone' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_87\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_87'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_139_87' type='text' value='' class='large'    placeholder='Postal code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_88\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>3.<\/span> Choose the delivery method for your gift subscription<\/h3>\n<p class=\"text_blue\">Your gift subscription will be produced within 5 business days following receipt of your purchase. Thank you for your understanding.<\/p><\/div><fieldset id=\"field_139_89\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >gift address selection<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_139_89'>\n\t\t\t<div class='gchoice gchoice_139_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='By mail'  id='choice_139_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_89_0' id='label_139_89_0' class='gform-field-label gform-field-label--type-inline'>By mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_139_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='At the Friends of the Biod\u00f4me counter'  id='choice_139_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_139_89_1' id='label_139_89_1' class='gform-field-label gform-field-label--type-inline'>At the Friends of the Biod\u00f4me counter<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_139_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_90'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_139_90' type='text' value='' class='large'    placeholder='First name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_91\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_91'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_139_91' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_92\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Address Details First Name<\/h3><\/div><div id=\"field_139_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_93'>Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_139_93' type='text' value='' class='large'    placeholder='Adresse' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_94'>Apartment number<\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_139_94' type='text' value='' class='large'    placeholder='Apartment number'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_95'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_139_95' type='text' value='' class='large'    placeholder='Province' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_96'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_139_96' type='text' value='' class='large'    placeholder='Postal code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_139_97\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Address Details - Au comptoir des Amis du Biod\u00f4me<\/h3><\/div><div id=\"field_139_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>You can collect your physical card at our counter:<\/p>\n\n<p class=\"blue_text\"><a href=\"#\">\nLes Amis du Biod\u00f4me<br>\n4777, avenue Pierre-de Coubertin<br>\nMontr\u00e9al (Qu\u00e9bec) H1V 1B3 <br>\n<\/a><\/p>\n<p>T\u00e9l : <a href=\"tel:+514 868-3098\">514 868-3098<\/a><\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_139_70' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Return to previous step'  \/> <input type='button' id='gform_next_button_139_70' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_139_5' class='gform_page review-and-approval' data-js='page-field-id-70' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_139_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_139_99\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Review and Approval -  section<\/h3><\/div><div id=\"field_139_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">  <span>3.<\/span>  Review and approval<\/h3>\n<p>Please review your information before going to the payment.<\/p><\/div><div id=\"field_139_73\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full review-and-approval_blog gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >{##MEMBERSHIP_SUMMARY_DETAILS##}<\/div><fieldset id=\"field_139_29\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_29.1' id='input_139_29_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_139_29_1' >I confirm that I have read the <a href=\"\/wp-content\/uploads\/2021\/12\/Politique-protection-de-la-vie-privee_SABM.pdf\">Privacy Policy<\/a> and I accept its terms.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_29.2' value='I confirm that I have read the &lt;a href=&quot;\/wp-content\/uploads\/2021\/12\/Politique-protection-de-la-vie-privee_SABM.pdf&quot;&gt;Privacy Policy&lt;\/a&gt; and I accept its terms.' class='gform_hidden' \/><input type='hidden' name='input_29.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_139_18\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_18.1' id='input_139_18_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_139_18_1' >I accept that my personal information is collected by the Friends of the Biodome for internal management purposes, compilation of statistics and communications.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_18.2' value='I accept that my personal information is collected by the Friends of the Biodome for internal management purposes, compilation of statistics and communications.' class='gform_hidden' \/><input type='hidden' name='input_18.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_139_107\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_107.1' id='input_139_107_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_139_107_1' >J'accepte que mes informations personnelles soient partag\u00e9es avec Espace pour la vie pour uniques fins de cr\u00e9ation et de gestion interne de mon abonnement.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_107.2' value='J&#039;accepte que mes informations personnelles soient partag\u00e9es avec Espace pour la vie pour uniques fins de cr\u00e9ation et de gestion interne de mon abonnement.' class='gform_hidden' \/><input type='hidden' name='input_107.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_139_104\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 4<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_104.1' id='input_139_104_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_139_104_1' >I agree to receive communications from the Friends of the Biodome (you can unsubscribe at any time by clicking on the link at the bottom of each newsletter)<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_104.2' value='I agree to receive communications from the Friends of the Biodome (you can unsubscribe at any time by clicking on the link at the bottom of each newsletter)' class='gform_hidden' \/><input type='hidden' name='input_104.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_139_23\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full hidden gfield_price gfield_price_139_ gfield_total gfield_total_139_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_139_23'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_23' id='input_139_23' value='0.00$' class='gform-text-input-reset ginput_total ginput_total_139' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_139_106\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full visibility_hidden_css field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_139_106'>Primary Member E-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_106' id='input_139_106' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_139_21\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gform_ppcp_custom_card_fields\"  data-field-class=\"gform_ppcp_custom_card_fields\" ><legend class='gfield_label gfield_label_before_complex gform-field-label' for='input_139_21_1' >Paypal checkout button<\/legend><div class='ginput_container ginput_container_select gform_ppcp_payment_method' style=\"display:none;\"><select name='input_21.6' id='input_21_6' class='medium gfield_select' ><option value='PayPal Checkout' selected='selected'>PayPal Checkout<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_custom_card_fields gform-grid-row' id='input_139_21' style=\"display:none;\"><span class='ginput_full gform-grid-col' id='input_139_21_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_139_21_supported_creditcards'>Supported Credit Cards: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <span id='input_139_21_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                    <label for='input_139_21_1' id='input_139_21_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_139_21_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_139_21_2_cardinfo_left'>\n                                                <span id='input_139_21_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                                <label for='input_139_21_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_139_21_2_cardinfo_right'>\n                                                <span id='input_139_21_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_139_21_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                             <\/span>\n                                        <\/span> <\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_139' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_139' class='gform_button button gform-button--width-full' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/><div id=\"gform_ppcp_smart_payment_buttons_139\" class=\"small gform_ppcp_smart_payment_buttons\"><\/div> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_139' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_139' id='gform_theme_139' 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src=\"https:\/\/amisdubiodome.ca\/wp-content\/themes\/amisdubiodome\/images\/family-1.svg\" alt=\"\" \/><\/div>\n<div class=\"pop_middle\">2 adultes + 1 enfant<\/div>\n<div class=\"pop_last\">\u00a0<\/div>\n<\/div>\n<div class=\"pop_box\">\n<div class=\"pop_img\"><img decoding=\"async\" src=\"https:\/\/amisdubiodome.ca\/wp-content\/themes\/amisdubiodome\/images\/family-2.svg\" alt=\"\" \/><\/div>\n<div class=\"pop_middle\">2 adultes + 2 enfants<\/div>\n<div class=\"pop_last\">\u00a0<\/div>\n<\/div>\n<div class=\"pop_box\">\n<div class=\"pop_img\"><img decoding=\"async\" src=\"https:\/\/amisdubiodome.ca\/wp-content\/themes\/amisdubiodome\/images\/family-2.svg\" alt=\"\" \/><\/div>\n<div class=\"pop_middle\">2 adultes + 3 enfants<\/div>\n<div class=\"pop_last\">\u00a0<\/div>\n<\/div>\n<div class=\"pop_box\">\n<div class=\"pop_img\"><img decoding=\"async\" src=\"https:\/\/amisdubiodome.ca\/wp-content\/themes\/amisdubiodome\/images\/family-3.svg\" alt=\"\" \/><\/div>\n<div 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