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<span style="font-size: 52px; letter-spacing: 3px;">VOLONTAIRE</span>
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<span style="font-size: 36px; letter-spacing: 3px;">DEVENIR VOLONTAIRE</span>
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<label class="shogun-form-label">PRÉNOM</label> <input id="input-s-f239d6a9-2842-46da-81af-1c31a08e2efd" class="shogun-form-box-field shogun-form-text-input-field" name="PRÉNOM" placeholder="" type="text" required="true">
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<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<label class="shogun-form-label">NOM</label> <input id="input-s-e3974659-3f14-4f3f-bf1c-9ccbb361d7a6" class="shogun-form-box-field shogun-form-text-input-field" name="NOM" placeholder="" type="text" required="true">
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<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<label class="shogun-form-label">ANNÉE DE NAISSANCE</label> <input id="input-s-4964bd6f-b625-4f84-9016-9465d1e84182" class="shogun-form-box-field shogun-form-text-input-field" name="ANNÉE DE NAISSANCE" placeholder="" type="text" required="true">
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<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<input id="form-checkbox-button-2-s-36ea515e-4c1b-4545-bdd6-5cbdc44d1a5d" class="shogun-form-box-field" name="COMMENT VOUS IDENTIFIEZ-VOUS?" type="checkbox" value="Homme" required="true"> <label for="form-checkbox-button-2-s-36ea515e-4c1b-4545-bdd6-5cbdc44d1a5d"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Homme</span> </label>
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<input id="form-checkbox-button-3-s-36ea515e-4c1b-4545-bdd6-5cbdc44d1a5d" class="shogun-form-box-field" name="COMMENT VOUS IDENTIFIEZ-VOUS?" type="checkbox" value="Je préfère ne pas répondre" required="true"> <label for="form-checkbox-button-3-s-36ea515e-4c1b-4545-bdd6-5cbdc44d1a5d"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Je préfère ne pas répondre</span> </label>
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<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<label class="shogun-form-label">COURRIEL</label> <input id="input-s-9ce9d180-d139-4a9a-ba1b-97330ad4b365" class="shogun-form-box-field shogun-form-text-input-field" name="COURRIEL" placeholder="" type="text" required="true">
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<label class="shogun-form-label">LANGUE AVEC LAQUELLE VOUS ÊTES LE PLUS CONFORTABLE?</label>
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<input id="form-checkbox-button-1-s-82fd61a0-b436-4669-990b-3b213d1ad49f" class="shogun-form-box-field" name="LANGUE AVEC LAQUELLE VOUS ÊTES LE PLUS CONFORTABLE?" type="checkbox" value="Français" required="true"> <label for="form-checkbox-button-1-s-82fd61a0-b436-4669-990b-3b213d1ad49f"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Français</span> </label>
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<input id="form-checkbox-button-2-s-82fd61a0-b436-4669-990b-3b213d1ad49f" class="shogun-form-box-field" name="LANGUE AVEC LAQUELLE VOUS ÊTES LE PLUS CONFORTABLE?" type="checkbox" value="Anglais" required="true"> <label for="form-checkbox-button-2-s-82fd61a0-b436-4669-990b-3b213d1ad49f"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Anglais</span> </label>
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<div class="shogun-form-field-error-msg">
<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<div id="s-18638521-e239-400d-8845-9dafee61174e" class="shg-c ">
<div class="shogun-form-check-box" data-field-type="checkbox">
<label class="shogun-form-label">CONNAISSEZ-VOUS LES PRODUITS G.M.COLLIN?</label>
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<input id="form-checkbox-button-1-s-18638521-e239-400d-8845-9dafee61174e" class="shogun-form-box-field" name="CONNAISSEZ-VOUS LES PRODUITS G.M.COLLIN?" type="checkbox" value="Oui" required="true"> <label for="form-checkbox-button-1-s-18638521-e239-400d-8845-9dafee61174e"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Oui</span> </label>
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<div class="shogun-form-checkbox-input-wrapper">
<input id="form-checkbox-button-2-s-18638521-e239-400d-8845-9dafee61174e" class="shogun-form-box-field" name="CONNAISSEZ-VOUS LES PRODUITS G.M.COLLIN?" type="checkbox" value="Non" required="true"> <label for="form-checkbox-button-2-s-18638521-e239-400d-8845-9dafee61174e"> <span class="shogun-form-checkbox-outer"> <span class="shogun-form-checkbox-inner"></span> </span> <span class="shogun-form-checkbox-input-value">Non</span> </label>
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<div class="shogun-form-field-error-msg">
<svg viewbox="0 0 26 26" width="16px" height="16px"> <path d="M13 1c6.627 0 12 5.373 12 12s-5.373 12-12 12S1 19.627 1 13 6.373 1 13 1zm0 1.5C7.201 2.5 2.5 7.201 2.5 13S7.201 23.5 13 23.5 23.5 18.799 23.5 13 18.799 2.5 13 2.5zm0 14.25l.123.007a1.125 1.125 0 11-.246 0L13 16.75zM13 5.5a.75.75 0 01.743.648l.007.102v8.25a.75.75 0 01-1.493.102l-.007-.102V6.25A.75.75 0 0113 5.5z" fill="currentColor" fillrule="nonzero"></path> </svg> Value is required
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<div id="s-607979ee-5c5d-4ae9-8124-51b0967e09e0-btn-wrapper" class="shg-c shg-btn-wrapper shg-align-center">
<button id="s-607979ee-5c5d-4ae9-8124-51b0967e09e0" class="shg-btn shg-cse shogun-form-box-submit" type="submit"> SOUMETTRE </button>
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<svg width="16" height="16" viewbox="-1 -1 26 26" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M18.48 6.45a1.25 1.25 0 0 0-1.747.264l-5.924 8.04-3.767-3.014a1.251 1.251 0 0 0-1.563 1.953l4.783 3.826a1.263 1.263 0 0 0 1.787-.235l6.7-9.087a1.25 1.25 0 0 0-.269-1.748z" fill="currentColor"></path> <path fill-rule="evenodd" clip-rule="evenodd" d="M0 12C0 5.373 5.373 0 12 0c6.625.007 11.993 5.375 12 12 0 6.627-5.373 12-12 12S0 18.627 0 12zm2 0c0 5.523 4.477 10 10 10 5.52-.006 9.994-4.48 10-10 0-5.523-4.477-10-10-10S2 6.477 2 12z" fill="currentColor"></path> </svg> Merci!
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