{"id":46270,"date":"2020-08-18T13:48:54","date_gmt":"2020-08-18T11:48:54","guid":{"rendered":"https:\/\/nightflex.swisslens.ch\/nightflex-new-order-form\/"},"modified":"2024-01-31T13:44:26","modified_gmt":"2024-01-31T12:44:26","slug":"orthok-nightflex-new-order-form","status":"publish","type":"page","link":"https:\/\/nightflex.swisslens.ch\/fr\/","title":{"rendered":"NightFlex Order"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"46270\" class=\"elementor elementor-46270 elementor-46264\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-14eb8e01 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"14eb8e01\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7fe7a3b6\" data-id=\"7fe7a3b6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e5ed007 elementor-widget elementor-widget-wpml-language-switcher\" data-id=\"e5ed007\" data-element_type=\"widget\" data-widget_type=\"wpml-language-switcher.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpml-elementor-ls\">\n<div class=\"wpml-ls-statics-shortcode_actions wpml-ls wpml-ls-legacy-list-horizontal\">\n\t<ul><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-en wpml-ls-first-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/en.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Anglais<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-fr wpml-ls-current-language wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/fr\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/fr.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\">Fran\u00e7ais<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-de wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/de\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/de.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Allemand<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-it wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/it\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/it.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Italien<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-pl wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/pl\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/pl.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Polonais<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-pt-pt wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/pt-pt\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/pt-pt.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Portugais<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-es wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/es\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/es.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Espagnol<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-uk wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/uk\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/uk.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Ukrainien<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-cs wpml-ls-last-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/nightflex.swisslens.ch\/cs\/\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/nightflex.swisslens.ch\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/cs.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-display\">Tch\u00e8que<\/span><\/a>\n\t\t\t<\/li><\/ul>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-590ce052 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"590ce052\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Suivant&quot;,&quot;step_previous_label&quot;:&quot;Pr\\u00e9c\\u00e9dent&quot;,&quot;step_type&quot;:&quot;icon_text&quot;,&quot;step_icon_shape&quot;:&quot;none&quot;,&quot;button_width&quot;:&quot;100&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Formulaire de commande NightFlex\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"46270\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"590ce052\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_fd93f59 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Informations G\u00e9n\u00e9rales\" data-previousButton=\"\" data-nextButton=\"Suivant\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-user-md\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRaison sociale\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Raison sociale\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-code elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-code\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCode client\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[code]\" id=\"form-field-code\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Code client\" required=\"required\" min=\"10000\" max=\"99999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-fittername elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fittername\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNom de l'adaptateur\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[fittername]\" id=\"form-field-fittername\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Nom de l&#039;adaptateur\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-patientref elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-patientref\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR\u00e9f\u00e9rence patient\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[patientref]\" id=\"form-field-patientref\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"R\u00e9f\u00e9rence patient\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-orderno elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-orderno\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tR\u00e9f\u00e9rence de commande\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[orderno]\" id=\"form-field-orderno\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"R\u00e9f\u00e9rence de commande\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_45e5b05 elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Oeil droit\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"far fa-eye\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-right_order elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_order\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVoulez vous commander une lentille droite ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[right_order]\" id=\"form-field-right_order\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes No\">Yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_sphere elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_sphere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSph\u00e8re\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_sphere]\" id=\"form-field-right_sphere\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Sph\u00e8re\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_cyl elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_cyl\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCylindre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_cyl]\" id=\"form-field-right_cyl\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Cylindre\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_axis elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_axis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAxe\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_axis]\" id=\"form-field-right_axis\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Axe\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_add elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_add\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdd\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_add]\" id=\"form-field-right_add\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Add\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_vertex elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_vertex\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDistance Verre-Oeil (mm)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_vertex]\" id=\"form-field-right_vertex\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Distance Verre-Oeil (mm)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_kflat elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_kflat\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_kflat]\" id=\"form-field-right_kflat\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"K plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_eccflat elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_eccflat\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExc plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_eccflat]\" id=\"form-field-right_eccflat\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Exc plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_ksteep elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_ksteep\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK serr\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_ksteep]\" id=\"form-field-right_ksteep\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"K serr\u00e9\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_eccsteep elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_eccsteep\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExc serr\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_eccsteep]\" id=\"form-field-right_eccsteep\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Exc serr\u00e9\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_kaxis elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_kaxis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAxe plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_kaxis]\" id=\"form-field-right_kaxis\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Axe plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_4082db9 elementor-col-100\">\n\t\t\t\t\tSi seules des valeurs moyennes pour l'excentricit\u00e9 sont disponibles, veuillez ins\u00e9rer la m\u00eame valeur dans les deux champs.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_hvid elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_hvid\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDHIV\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_hvid]\" id=\"form-field-right_hvid\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"DHIV\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-right_pupil elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_pupil\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiam\u00e8tre pupillaire\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[right_pupil]\" id=\"form-field-right_pupil\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Diam\u00e8tre pupillaire\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-right_variant elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_variant\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[right_variant]\" id=\"form-field-right_variant\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Myopie\">Myopie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Relax\">Relax<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hypermetropie\">Hypermetropie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Myopie et presbytie\">Myopie et presbytie<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-right_design elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_design\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tG\u00e9om\u00e9trie posterieure\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[right_design]\" id=\"form-field-right_design\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Choix SwissLens\">Choix SwissLens<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sph\u00e9rique\">Sph\u00e9rique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"P\u00e9riph\u00e9rie torique\">P\u00e9riph\u00e9rie torique<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-right_material elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-right_material\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMat\u00e9riau\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[right_material]\" id=\"form-field-right_material\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Rouge\">Optimum Infinite Rouge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Bleu\">Optimum Infinite Bleu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Vert\">Optimum Infinite Vert<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Bleu\">Boston XO Bleu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Vert\">Boston XO Vert<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Rouge\">Boston XO Rouge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Violet\">Boston XO Violet<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_acca3bb elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Oeil gauche\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fas fa-eye\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-left_order elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_order\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tVoulez vous commander une lentille gauche ?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[left_order]\" id=\"form-field-left_order\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Yes No\">Yes<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_sphere elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_sphere\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSph\u00e8re\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_sphere]\" id=\"form-field-left_sphere\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Sph\u00e8re\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_cyl elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_cyl\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCylindre\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_cyl]\" id=\"form-field-left_cyl\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Cylindre\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_axis elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_axis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAxe\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_axis]\" id=\"form-field-left_axis\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Axe\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_add elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_add\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdd\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_add]\" id=\"form-field-left_add\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Add\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_vertex elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_vertex\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDistance Verre-Oeil (mm)\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_vertex]\" id=\"form-field-left_vertex\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Distance Verre-Oeil (mm)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_kflat elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_kflat\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_kflat]\" id=\"form-field-left_kflat\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"K plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_eccflat elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_eccflat\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExc plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_eccflat]\" id=\"form-field-left_eccflat\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Exc plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_ksteep elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_ksteep\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tK serr\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_ksteep]\" id=\"form-field-left_ksteep\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"K serr\u00e9\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_eccsteep elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_eccsteep\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tExc serr\u00e9\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_eccsteep]\" id=\"form-field-left_eccsteep\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Exc serr\u00e9\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_kaxis elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_kaxis\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAxe plat\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_kaxis]\" id=\"form-field-left_kaxis\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Axe plat\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f3a4504 elementor-col-100\">\n\t\t\t\t\tSi seules des valeurs moyennes pour l'excentricit\u00e9 sont disponibles, veuillez ins\u00e9rer la m\u00eame valeur dans les deux champs.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_hvid elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_hvid\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDHIV\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_hvid]\" id=\"form-field-left_hvid\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"DHIV\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-left_pupil elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_pupil\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDiam\u00e8tre pupillaire\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[left_pupil]\" id=\"form-field-left_pupil\" class=\"elementor-field elementor-size-xs  elementor-field-textual\" placeholder=\"Diam\u00e8tre pupillaire\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-left_variant elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_variant\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[left_variant]\" id=\"form-field-left_variant\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Myopie\">Myopie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Relax\">Relax<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Hypermetropie\">Hypermetropie<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Myopie et presbytie\">Myopie et presbytie<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-left_design elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_design\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tG\u00e9om\u00e9trie posterieure\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[left_design]\" id=\"form-field-left_design\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Choix SwissLens\">Choix SwissLens<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sph\u00e9rique\">Sph\u00e9rique<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"P\u00e9riph\u00e9rie torique\">P\u00e9riph\u00e9rie torique<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-left_material elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-left_material\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMat\u00e9riau\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[left_material]\" id=\"form-field-left_material\" class=\"elementor-field-textual elementor-size-xs\">\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Bleu\">Optimum Infinite Bleu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Rouge\">Optimum Infinite Rouge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Optimum Infinite Vert\">Optimum Infinite Vert<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Bleu\">Boston XO Bleu<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Vert\">Boston XO Vert<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Rouge\">Boston XO Rouge<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Boston XO Violet\">Boston XO Violet<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-step elementor-field-group elementor-column elementor-field-group-field_f76b65d elementor-col-100\">\n\t\t\t\t\t\t\t<div class=\"e-field-step elementor-hidden\" data-label=\"Information finale\" data-previousButton=\"\" data-nextButton=\"\" data-iconUrl=\"\" data-iconLibrary=\"fab fa-rocketchat\" data-icon=\"\" ><\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-return elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-return\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOptions de retour\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[return]\" id=\"form-field-return\" class=\"elementor-field-textual elementor-size-xs\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Classic + (avec retours)\">Classic + (avec retours)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Simple (sans retour)\">Simple (sans retour)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-priority elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-priority\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCommande urgente\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[priority]\" id=\"form-field-priority\" class=\"elementor-field-textual elementor-size-xs\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">Non<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Urgent\">Urgent<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-comment elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-comment\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCommentaire\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-xs\" name=\"form_fields[comment]\" id=\"form-field-comment\" rows=\"4\" placeholder=\"Commentaire\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-upload_files elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-upload_files\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAjouter fichiers\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[upload_files][]\" id=\"form-field-upload_files\" class=\"elementor-field elementor-size-xs  elementor-upload-field\" multiple=\"multiple\" data-maxsize=\"100\" data-maxsize-message=\"Ce fichier d\u00e9passe la taille maximale autoris\u00e9e.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e231e37]\" id=\"form-field-field_e231e37\" class=\"elementor-field elementor-size-xs \" style=\"display:none !important;\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Envoyer<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>English French German Italian Polish Portuguese Spanish Russian Ukrainian Czech Dutch<\/p>\n","protected":false},"author":2,"featured_media":31786,"parent":0,"menu_order":204,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-46270","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/pages\/46270","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/comments?post=46270"}],"version-history":[{"count":2,"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/pages\/46270\/revisions"}],"predecessor-version":[{"id":78345,"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/pages\/46270\/revisions\/78345"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/media\/31786"}],"wp:attachment":[{"href":"https:\/\/nightflex.swisslens.ch\/fr\/wp-json\/wp\/v2\/media?parent=46270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}