{"id":14,"date":"2023-10-25T18:53:18","date_gmt":"2023-10-25T18:53:18","guid":{"rendered":"https:\/\/ebenac.com\/?page_id=14"},"modified":"2023-12-20T12:43:44","modified_gmt":"2023-12-20T16:43:44","slug":"soumission","status":"publish","type":"page","link":"https:\/\/ebenac.com\/en\/soumission\/","title":{"rendered":"Make a quotation"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"width:calc( 100% + 40px ) !important;max-width:calc( 100% + 40px ) !important;margin-left: calc(-40px \/ 2 );margin-right: 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   <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_1'  action='\/en\/wp-json\/wp\/v2\/pages\/14#gf_1' data-formid='1' novalidate data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/14#gf_1\"><input id=\"gw_page_progression\" name=\"gw_page_progression\" value=\"1\" type=\"hidden\" \/><input id=\"gpmpn_pages_visited_1\" name=\"gpmpn_pages_visited_1\" value=\"[1]\" type=\"hidden\" \/><input id=\"gpmpn_page_validity_1\" name=\"gpmpn_page_validity_1\" value=\"{&quot;1&quot;:false,&quot;2&quot;:false,&quot;3&quot;:false,&quot;4&quot;:false}\" type=\"hidden\" \/><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Ldk6jgpAAAAALPb3g41FnA9eCeM38tsMG5J3kB7' data-tabindex='0'><input id=\"input_9e4ac593f2b5cde8e633ad1c4ff5c880\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_9e4ac593f2b5cde8e633ad1c4ff5c880\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_label'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_1_1' class='gform_page' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_138\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><script>\n    jQuery(document).ready(function ($) {\n        $('.anti-bascule input[type=checkbox]').click(function () {\n            if ($(this).val() == 'Anti-bascule avant\/arri\u00e8re') {\n                if ($(this).is(':checked')) {\n                    $('.anti-bascule input[type=checkbox][value=\"Anti-bascule avant\"]').prop('disabled', true).prop('checked', false);\n                } else {\n                    $('.anti-bascule input[type=checkbox][value=\"Anti-bascule avant\"]').prop('disabled', false);\n                }\n            }\n        });\n    });\n<\/script><\/div><div id=\"field_1_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations<\/h3><\/div><fieldset id=\"field_1_135\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Applicant's name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_135'>\n                            \n                            <span id='input_1_135_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_135.3' id='input_1_135_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_135_3' class='gform-field-label gform-field-label--type-sub'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_135_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_135.6' id='input_1_135_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_135_6' class='gform-field-label gform-field-label--type-sub'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_134\" class=\"gfield gfield--type-email 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_1_134'>E-mail<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_134' id='input_1_134' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_136\" class=\"gfield gfield--type-phone 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_1_136'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_136' id='input_1_136' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_191\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Delivery address (to estimate delivery costs)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_1_191' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_191_1_container' >\n                                        <input type='text' name='input_191.1' id='input_1_191_1' value=''    aria-required='true'    \/>\n                                        <label for='input_1_191_1' id='input_1_191_1_label' class='gform-field-label gform-field-label--type-sub'>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_191_3_container' >\n                                    <input type='text' name='input_191.3' id='input_1_191_3' value=''    aria-required='true'    \/>\n                                    <label for='input_1_191_3' id='input_1_191_3_label' class='gform-field-label gform-field-label--type-sub'>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_191.4' id='input_1_191_4' value='Qu\u00e9bec'\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_1_191_5_container' >\n                                    <input type='text' name='input_191.5' id='input_1_191_5' value=''    aria-required='true'    \/>\n                                    <label for='input_1_191_5' id='input_1_191_5_label' class='gform-field-label gform-field-label--type-sub'>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_191.6' id='input_1_191_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Details<\/h3><\/div><fieldset id=\"field_1_137\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Child's name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_137'>\n                            \n                            <span id='input_1_137_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_137.3' id='input_1_137_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_1_137_3' class='gform-field-label gform-field-label--type-sub'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_137_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_137.6' id='input_1_137_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_1_137_6' class='gform-field-label gform-field-label--type-sub'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_1_10\" class=\"gfield gfield--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_1_10'>Person in charge<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--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_1_11'>Establishment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_1_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_1_187' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' data-js='page-field-id-187' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Product<\/h3><\/div><fieldset id=\"field_1_13\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col produits image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Category<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_1_13'>\n\t\t\t<div class='gchoice gchoice_1_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Chaise \u00c9B\u00c9NAC'  id='choice_1_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_0' id='label_1_13_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/3-chaises-2-scaled.jpg\" \/>\u00c9B\u00c9NAC chair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Banc de toilette'  id='choice_1_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_1' id='label_1_13_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/banc_toilette_standard_2.jpg\" \/>Toilet bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Banc d&#039;habillage'  id='choice_1_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_2' id='label_1_13_2' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/ebenac-banc-dhabillage-remboure-horizontal.jpg\" \/>Dressing bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Lutrin'  id='choice_1_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_3' id='label_1_13_3' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/lutrin_2.jpg\" \/>Lectern<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Plan inclin\u00e9'  id='choice_1_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_4' id='label_1_13_4' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-plan-incline-6-scaled.jpg\" \/>Inclined reading surface<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Pupitre'  id='choice_1_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_5' id='label_1_13_5' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-bureau-105-3-scaled.jpg\" \/>Desk<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Table \u00c9B\u00c9NAC'  id='choice_1_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_6' id='label_1_13_6' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/table_multi_position_standard_intermediaire_2.jpg\" \/>\u00c9B\u00c9NAC table<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Planche de transfert'  id='choice_1_13_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_7' id='label_1_13_7' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/EBENAC-planche-de-transfert-horizontal.jpg\" \/>Transfer board<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Accessoires pour chaise \u00c9B\u00c9NAC'  id='choice_1_13_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_8' id='label_1_13_8' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-option-chaises-butees-thoraciques-comparatifs-scaled.jpg\" \/>Accessories for \u00c9B\u00c9NAC chair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_13_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Autre produit'  id='choice_1_13_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_13_9' id='label_1_13_9' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/table_langer_sur_roues.jpg\" \/>Other products<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_227\" class=\"gfield gfield--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>Selected product : <span data-gppa-live-merge-tag=\"@{:13:value}\"><\/span><\/h3><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_222' 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='button' id='gform_next_button_1_222' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' data-js='page-field-id-222' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_1_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Toilet bench models<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_1_15'>\n\t\t\t<div class='gchoice gchoice_1_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Banc de toilette standard'  id='choice_1_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_0' id='label_1_15_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/banc_toilette_standard_2.jpg\">Standard toilet bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Banc de toilette hors standard'  id='choice_1_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_15_1' id='label_1_15_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-banc-de-toilette-2-marches-1-scaled.jpg\">Non-standard toilet bench<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Dressing bench models<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_21'>\n\t\t\t<div class='gchoice gchoice_1_21_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Banc d&#039;habillage petit'  id='choice_1_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_0' id='label_1_21_0' class='gform-field-label gform-field-label--type-inline'>Small dressing bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Banc d&#039;habillage moyen'  id='choice_1_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_1' id='label_1_21_1' class='gform-field-label gform-field-label--type-inline'>Medium dressing bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Banc d&#039;habillage grand'  id='choice_1_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_2' id='label_1_21_2' class='gform-field-label gform-field-label--type-inline'>Large dressing bench<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_21_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_21' type='radio' value='Banc d&#039;habillage hors standard'  id='choice_1_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_21_3' id='label_1_21_3' class='gform-field-label gform-field-label--type-inline'>Non-standard dressing bench<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Options<\/h3><div class='gsection_description' id='gfield_description_1_18'><ul><li>Dimensions: 16 inches long by 11.5 inches wide<\/li>\n<li>Tread height 8 inches<\/li>\n<li>1 hand support: height 24 inches from the ground<\/li><\/ul><\/div><\/div><fieldset id=\"field_1_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Toilet paper holder<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_1_16'>\n\t\t\t<div class='gchoice gchoice_1_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Avec'  id='choice_1_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_0' id='label_1_16_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Sans'  id='choice_1_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_16_1' id='label_1_16_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_31\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Non-standard toilet bench<\/h3><\/div><fieldset id=\"field_1_143\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Toilet paper holder<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_1_143'>\n\t\t\t<div class='gchoice gchoice_1_143_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='Avec'  id='choice_1_143_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_143_0' id='label_1_143_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_143_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='Sans'  id='choice_1_143_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_143_1' id='label_1_143_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_26\" class=\"gfield gfield--type-text gfield--width-full 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_1_26'>Length (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='16' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-text gfield--width-full 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_1_27'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_1_27' type='text' value='11,5' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_145\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Handrail<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_145'>\n\t\t\t<div class='gchoice gchoice_1_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='1'  id='choice_1_145_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_145_0' id='label_1_145_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='2'  id='choice_1_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_145_1' id='label_1_145_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_194\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Number of steps<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_194'>\n\t\t\t<div class='gchoice gchoice_1_194_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_194' type='radio' value='1 marche'  id='choice_1_194_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_194_0' id='label_1_194_0' class='gform-field-label gform-field-label--type-inline'>1 step<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_194_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_194' type='radio' value='2 marche'  id='choice_1_194_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_194_1' id='label_1_194_1' class='gform-field-label gform-field-label--type-inline'>2 steps<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_29\" class=\"gfield gfield--type-text gfield--width-full 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_1_29'>Handrail height from floor (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_1_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_30\" class=\"gfield gfield--type-text gfield--width-full 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_1_30'>Step height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_1_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Dressing benches<\/h3><\/div><div id=\"field_1_33\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Dimensions: 12 inches by 24 inches long<\/p>\n<\/div><div id=\"field_1_34\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Dimensions: 14 inches by 24 inches long<\/p>\n<\/div><div id=\"field_1_35\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Dimensions: 14 inches by 31 inches long<\/p>\n<\/div><div id=\"field_1_36\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Adjustable from 10 to 20 inches<\/p>\n<\/div><div id=\"field_1_195\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_195'>Desired dimensions<\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_1_195' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Upholstery<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_1_37'>\n\t\t\t<div class='gchoice gchoice_1_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Avec'  id='choice_1_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_0' id='label_1_37_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/ebenac-banc-dhabillage-remboure2.jpg\">With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Sans'  id='choice_1_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_1' id='label_1_37_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/ebenac-banc-dhabillage.jpg\">Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_38\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>For all other features, please specify them in the \"Remarks\" section.<\/p>\n<\/div><div id=\"field_1_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9B\u00c9NAC chair<\/h3><\/div><fieldset id=\"field_1_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Chair models<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_1_40'>\n\t\t\t<div class='gchoice gchoice_1_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='310'  id='choice_1_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_0' id='label_1_40_0' class='gform-field-label gform-field-label--type-inline'>Mini 14\/36<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='311'  id='choice_1_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_1' id='label_1_40_1' class='gform-field-label gform-field-label--type-inline'>Mini 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='893'  id='choice_1_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_2' id='label_1_40_2' class='gform-field-label gform-field-label--type-inline'>Mini 19\/48<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='312'  id='choice_1_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_3' id='label_1_40_3' class='gform-field-label gform-field-label--type-inline'>Standard 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='313'  id='choice_1_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_4' id='label_1_40_4' class='gform-field-label gform-field-label--type-inline'>Standard 19\/48<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='314'  id='choice_1_40_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_5' id='label_1_40_5' class='gform-field-label gform-field-label--type-inline'>Intermediate 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_40_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='547'  id='choice_1_40_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_40_6' id='label_1_40_6' class='gform-field-label gform-field-label--type-inline'>Intermediate 19\/48<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_171\" class=\"gfield gfield--type-html gfield--width-quarter chaise-formulaire gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/chaise_mini.jpg\"><\/div><div id=\"field_1_173\" class=\"gfield gfield--type-html gfield--width-quarter chaise-formulaire gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/EBENAC-chaise-standard-vertical.jpg\"><\/div><div id=\"field_1_174\" class=\"gfield gfield--type-html gfield--width-quarter chaise-formulaire gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/EBENAC-chaise-intermediaire-17-43-dossier-long-vertical.jpg\"><\/div><fieldset id=\"field_1_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full anti-bascule gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Anti-tipper<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_1_41'><div class='gchoice gchoice_1_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Anti-bascule avant' checked='checked' id='choice_1_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_41_1' id='label_1_41_1' class='gform-field-label gform-field-label--type-inline'>Front anti-tip (included)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='Anti-bascule lat\u00e9ral'  id='choice_1_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_41_2' id='label_1_41_2' class='gform-field-label gform-field-label--type-inline'>Lateral anti-tilt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Anti-bascule avant\/arri\u00e8re'  id='choice_1_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_41_3' id='label_1_41_3' class='gform-field-label gform-field-label--type-inline'>Anti-tilt front\/rear<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Number of side anti-tippers<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_1_142'>\n\t\t\t<div class='gchoice gchoice_1_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='1 paire'  id='choice_1_142_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_142_0' id='label_1_142_0' class='gform-field-label gform-field-label--type-inline'>1 pair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='2 paires'  id='choice_1_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_142_1' id='label_1_142_1' class='gform-field-label gform-field-label--type-inline'>2 pairs<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Backrest<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_1_43'>\n\t\t\t<div class='gchoice gchoice_1_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Dossier r\u00e9gulier (inclus)' checked='checked' id='choice_1_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>Regular backrest (included)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Dossier courb\u00e9'  id='choice_1_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>Curved backrest<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Dossier long (+ 4 pouces vers le bas)'  id='choice_1_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_2' id='label_1_43_2' class='gform-field-label gform-field-label--type-inline'>Long backrest (+ 4 inches down)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Dossier avec appui-t\u00eate ajustable sur coulisses'  id='choice_1_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_3' id='label_1_43_3' class='gform-field-label gform-field-label--type-inline'>Backrest with adjustable headrest on slides<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_216\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Backrest<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_1_216'>\n\t\t\t<div class='gchoice gchoice_1_216_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_216' type='radio' value='Dossier r\u00e9gulier (inclus)' checked='checked' id='choice_1_216_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_216_0' id='label_1_216_0' class='gform-field-label gform-field-label--type-inline'>Regular backrest (included)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_216_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_216' type='radio' value='Dossier courb\u00e9'  id='choice_1_216_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_216_1' id='label_1_216_1' class='gform-field-label gform-field-label--type-inline'>Curved backrest<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_216_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_216' type='radio' value='Dossier long (+ 3 pouces vers le haut)'  id='choice_1_216_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_216_2' id='label_1_216_2' class='gform-field-label gform-field-label--type-inline'>Long backrest (+ 3 inches upwards)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_216_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_216' type='radio' value='Dossier avec appui-t\u00eate ajustable sur coulisses'  id='choice_1_216_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_216_3' id='label_1_216_3' class='gform-field-label gform-field-label--type-inline'>Backrest with adjustable headrest on slides<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seat depth<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_1_63'>\n\t\t\t<div class='gchoice gchoice_1_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='10 pouces (inclus)' checked='checked' id='choice_1_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_0' id='label_1_63_0' class='gform-field-label gform-field-label--type-inline'>10-inch (included)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='12 pouces'  id='choice_1_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_1' id='label_1_63_1' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='14 pouces'  id='choice_1_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_63_2' id='label_1_63_2' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seat depth<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_1_62'>\n\t\t\t<div class='gchoice gchoice_1_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='12 pouces (inclus)' checked='checked' id='choice_1_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_0' id='label_1_62_0' class='gform-field-label gform-field-label--type-inline'>12 inches (included)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='14 pouces'  id='choice_1_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_1' id='label_1_62_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='16 pouces'  id='choice_1_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_2' id='label_1_62_2' class='gform-field-label gform-field-label--type-inline'>16 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='18 pouces'  id='choice_1_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_62_3' id='label_1_62_3' class='gform-field-label gform-field-label--type-inline'>18 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_220\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Footrest depth<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_1_220'>\n\t\t\t<div class='gchoice gchoice_1_220_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_220' type='radio' value='12 pouces (inclus)' checked='checked' id='choice_1_220_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_220_0' id='label_1_220_0' class='gform-field-label gform-field-label--type-inline'>12 inches (included)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_220_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_220' type='radio' value='14 pouces'  id='choice_1_220_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_220_1' id='label_1_220_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_219\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Footrest depth<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_1_219'>\n\t\t\t<div class='gchoice gchoice_1_219_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='12 pouces' checked='checked' id='choice_1_219_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_219_0' id='label_1_219_0' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_219_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='14 pouces'  id='choice_1_219_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_219_1' id='label_1_219_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_219_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='16 pouces'  id='choice_1_219_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_219_2' id='label_1_219_2' class='gform-field-label gform-field-label--type-inline'>16 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_219_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='18 pouces'  id='choice_1_219_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_219_3' id='label_1_219_3' class='gform-field-label gform-field-label--type-inline'>18 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Additional board (incl. crossbar)<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_1_54'>\n\t\t\t<div class='gchoice gchoice_1_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Avec'  id='choice_1_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_0' id='label_1_54_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Sans'  id='choice_1_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_209\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Specify board depth<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_1_209'>\n\t\t\t<div class='gchoice gchoice_1_209_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='12 pouces'  id='choice_1_209_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_209_0' id='label_1_209_0' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_209_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='14 pouces'  id='choice_1_209_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_209_1' id='label_1_209_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_209_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='16 pouces'  id='choice_1_209_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_209_2' id='label_1_209_2' class='gform-field-label gform-field-label--type-inline'>16 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_209_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='18 pouces'  id='choice_1_209_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_209_3' id='label_1_209_3' class='gform-field-label gform-field-label--type-inline'>18 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Non-slip varnish<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_1_56'>\n\t\t\t<div class='gchoice gchoice_1_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Avec'  id='choice_1_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_0' id='label_1_56_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Sans'  id='choice_1_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_56_1' id='label_1_56_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_197\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Varnish option<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_1_197'><div class='gchoice gchoice_1_197_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_197.1' type='checkbox'  value='Sur l\u2019appui-pied'  id='choice_1_197_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_197_1' id='label_1_197_1' class='gform-field-label gform-field-label--type-inline'>On the footrest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_197_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_197.2' type='checkbox'  value='Sur l&#039;assise'  id='choice_1_197_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_197_2' id='label_1_197_2' class='gform-field-label gform-field-label--type-inline'>On the seat<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Thoracic support (includes T-shaped cushion)<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_1_44'>\n\t\t\t<div class='gchoice gchoice_1_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Avec'  id='choice_1_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_44_0' id='label_1_44_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Sans'  id='choice_1_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_44_1' id='label_1_44_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_141\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Thoracic support format<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_1_141'>\n\t\t\t<div class='gchoice gchoice_1_141_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='Mini (3 pouces de large par 5 pouces de profondeur)'  id='choice_1_141_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_141_0' id='label_1_141_0' class='gform-field-label gform-field-label--type-inline'>Mini (3 inches wide by 5 inches deep)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_141_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_141' type='radio' value='R\u00e9guli\u00e8re (4 pouces de large par 7 pouces de profondeur)'  id='choice_1_141_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_141_1' id='label_1_141_1' class='gform-field-label gform-field-label--type-inline'>Regular (4 inches wide by 7 inches deep)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Thoracic Belt<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_1_48'>\n\t\t\t<div class='gchoice gchoice_1_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Avec'  id='choice_1_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_48_0' id='label_1_48_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Sans'  id='choice_1_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_48_1' id='label_1_48_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Armrests<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_1_46'>\n\t\t\t<div class='gchoice gchoice_1_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Avec'  id='choice_1_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_46_0' id='label_1_46_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Sans'  id='choice_1_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_46_1' id='label_1_46_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_139\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Armrest-mounted cabaret table with rim (+ 3\" down on backrest)<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_1_139'>\n\t\t\t<div class='gchoice gchoice_1_139_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Avec'  id='choice_1_139_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_139_0' id='label_1_139_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_139_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Sans'  id='choice_1_139_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_139_1' id='label_1_139_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_217\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Cabaret table on armrest with rim<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_1_217'>\n\t\t\t<div class='gchoice gchoice_1_217_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_217' type='radio' value='Avec'  id='choice_1_217_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_217_0' id='label_1_217_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_217_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_217' type='radio' value='Sans'  id='choice_1_217_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_217_1' id='label_1_217_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Belt<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_1_47'>\n\t\t\t<div class='gchoice gchoice_1_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Ceinture 2 points'  id='choice_1_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_47_0' id='label_1_47_0' class='gform-field-label gform-field-label--type-inline'>2-point belt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Ceinture 3 points'  id='choice_1_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_47_1' id='label_1_47_1' class='gform-field-label gform-field-label--type-inline'>3-point belt<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Auto (X-small)'  id='choice_1_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_47_2' id='label_1_47_2' class='gform-field-label gform-field-label--type-inline'>Auto (X-small)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_47_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Sans'  id='choice_1_47_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_47_3' id='label_1_47_3' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Transport wheels<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_1_42'>\n\t\t\t<div class='gchoice gchoice_1_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Avec'  id='choice_1_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_0' id='label_1_42_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Sans'  id='choice_1_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_42_1' id='label_1_42_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_215\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Roulettes de transport sur le c\u00f4t\u00e9<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_1_215'>\n\t\t\t<div class='gchoice gchoice_1_215_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_215' type='radio' value='Avec'  id='choice_1_215_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_215_0' id='label_1_215_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_215_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_215' type='radio' value='Sans'  id='choice_1_215_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_215_1' id='label_1_215_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Pelvic support<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_1_49'>\n\t\t\t<div class='gchoice gchoice_1_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Avec'  id='choice_1_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_0' id='label_1_49_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Sans'  id='choice_1_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Reinforced fasteners<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_1_55'>\n\t\t\t<div class='gchoice gchoice_1_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Avec'  id='choice_1_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Sans'  id='choice_1_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Abduction block<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_1_50'>\n\t\t\t<div class='gchoice gchoice_1_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Avec'  id='choice_1_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_50_0' id='label_1_50_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Sans'  id='choice_1_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_50_1' id='label_1_50_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Abduction block option<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_1_140'>\n\t\t\t<div class='gchoice gchoice_1_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Fixe'  id='choice_1_140_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_140_0' id='label_1_140_0' class='gform-field-label gform-field-label--type-inline'>Fixed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='R\u00e9tractable'  id='choice_1_140_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_140_1' id='label_1_140_1' class='gform-field-label gform-field-label--type-inline'>Retractable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_61\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>*Long backrest strongly recommended<\/p><\/div><fieldset id=\"field_1_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Back cushion<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_1_52'>\n\t\t\t<div class='gchoice gchoice_1_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Avec'  id='choice_1_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_52_0' id='label_1_52_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Sans'  id='choice_1_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_52_1' id='label_1_52_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_198\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seat cushion<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_1_198'>\n\t\t\t<div class='gchoice gchoice_1_198_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Avec'  id='choice_1_198_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_198_0' id='label_1_198_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_198_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Sans'  id='choice_1_198_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_198_1' id='label_1_198_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Adjustment handles<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_1_53'>\n\t\t\t<div class='gchoice gchoice_1_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Avec'  id='choice_1_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_0' id='label_1_53_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Sans'  id='choice_1_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_53_1' id='label_1_53_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_199\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Chair accessory \u00c9B\u00c9NAC<\/h3><\/div><fieldset id=\"field_1_200\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Chair model<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_1_200'>\n\t\t\t<div class='gchoice gchoice_1_200_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='310'  id='choice_1_200_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_0' id='label_1_200_0' class='gform-field-label gform-field-label--type-inline'>Mini 14\/36<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='311'  id='choice_1_200_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_1' id='label_1_200_1' class='gform-field-label gform-field-label--type-inline'>Mini 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='893'  id='choice_1_200_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_2' id='label_1_200_2' class='gform-field-label gform-field-label--type-inline'>Mini 19\/48<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='312'  id='choice_1_200_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_3' id='label_1_200_3' class='gform-field-label gform-field-label--type-inline'>Standard 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='313'  id='choice_1_200_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_4' id='label_1_200_4' class='gform-field-label gform-field-label--type-inline'>Standard 19\/48<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='314'  id='choice_1_200_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_5' id='label_1_200_5' class='gform-field-label gform-field-label--type-inline'>Intermediate 17\/43<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_200_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='547'  id='choice_1_200_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_200_6' id='label_1_200_6' class='gform-field-label gform-field-label--type-inline'>Intermediate 19\/48<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_201\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Accessories<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_1_201'><div class='gchoice gchoice_1_201_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.1' type='checkbox'  value='Planche suppl\u00e9mentaires'  id='choice_1_201_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_1' id='label_1_201_1' class='gform-field-label gform-field-label--type-inline'>Additional boards<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.2' type='checkbox'  value='Barre transversale'  id='choice_1_201_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_2' id='label_1_201_2' class='gform-field-label gform-field-label--type-inline'>Crossbar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.3' type='checkbox'  value='Anti-bascule avant'  id='choice_1_201_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_3' id='label_1_201_3' class='gform-field-label gform-field-label--type-inline'>Front anti-tip<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.4' type='checkbox'  value='Anti-bascule avant-arri\u00e8re'  id='choice_1_201_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_4' id='label_1_201_4' class='gform-field-label gform-field-label--type-inline'>Front-rear anti-tilt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.5' type='checkbox'  value='Anti-bascule lat\u00e9ral'  id='choice_1_201_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_5' id='label_1_201_5' class='gform-field-label gform-field-label--type-inline'>Lateral anti-tilt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.6' type='checkbox'  value='Dossier'  id='choice_1_201_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_6' id='label_1_201_6' class='gform-field-label gform-field-label--type-inline'>Backrest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.7' type='checkbox'  value='Table cabaret avec bouton ressort et appuis-bras'  id='choice_1_201_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_7' id='label_1_201_7' class='gform-field-label gform-field-label--type-inline'>Cabaret table with spring button and armrests<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.8' type='checkbox'  value='Verni anti-d\u00e9rapant'  id='choice_1_201_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_8' id='label_1_201_8' class='gform-field-label gform-field-label--type-inline'>Non-slip varnish<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.9' type='checkbox'  value='Appuis-bras'  id='choice_1_201_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_9' id='label_1_201_9' class='gform-field-label gform-field-label--type-inline'>Armrests<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.11' type='checkbox'  value='But\u00e9es thoraciques'  id='choice_1_201_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_11' id='label_1_201_11' class='gform-field-label gform-field-label--type-inline'>Thoracic support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.12' type='checkbox'  value='Ceinture thoracique'  id='choice_1_201_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_12' id='label_1_201_12' class='gform-field-label gform-field-label--type-inline'>Thoracic belt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.13' type='checkbox'  value='Ceinture 2 points'  id='choice_1_201_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_13' id='label_1_201_13' class='gform-field-label gform-field-label--type-inline'>2-point belt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.14' type='checkbox'  value='Ceinture 3 points'  id='choice_1_201_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_14' id='label_1_201_14' class='gform-field-label gform-field-label--type-inline'>3-point belt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.15' type='checkbox'  value='Ceinture d\u2019auto'  id='choice_1_201_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_15' id='label_1_201_15' class='gform-field-label gform-field-label--type-inline'>Car belt<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.16' type='checkbox'  value='Roulettes de transport arri\u00e8re'  id='choice_1_201_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_16' id='label_1_201_16' class='gform-field-label gform-field-label--type-inline'>Rear transport wheels<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.17' type='checkbox'  value='Roulettes de transport lat\u00e9rales'  id='choice_1_201_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_17' id='label_1_201_17' class='gform-field-label gform-field-label--type-inline'>Side transport wheels<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.18' type='checkbox'  value='But\u00e9es pelviennes'  id='choice_1_201_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_18' id='label_1_201_18' class='gform-field-label gform-field-label--type-inline'>Pelvic support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.19' type='checkbox'  value='Fixations renforc\u00e9es'  id='choice_1_201_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_19' id='label_1_201_19' class='gform-field-label gform-field-label--type-inline'>Reinforced fasteners<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.21' type='checkbox'  value='Bloc d\u2019abduction'  id='choice_1_201_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_21' id='label_1_201_21' class='gform-field-label gform-field-label--type-inline'>Abduction block<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.22' type='checkbox'  value='Coussins dossier r\u00e9gulier'  id='choice_1_201_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_22' id='label_1_201_22' class='gform-field-label gform-field-label--type-inline'>Regular backrest cushions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.23' type='checkbox'  value='Coussins dossier long'  id='choice_1_201_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_23' id='label_1_201_23' class='gform-field-label gform-field-label--type-inline'>Long backrest cushions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.24' type='checkbox'  value='Coussins assise'  id='choice_1_201_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_24' id='label_1_201_24' class='gform-field-label gform-field-label--type-inline'>Seat cushions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.25' type='checkbox'  value='Poign\u00e9e d\u2019ajustement (4)'  id='choice_1_201_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_25' id='label_1_201_25' class='gform-field-label gform-field-label--type-inline'>Adjustment handle (4)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_201_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_201.26' type='checkbox'  value='Autre'  id='choice_1_201_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_26' id='label_1_201_26' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_221\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Backrest model<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_1_221'>\n\t\t\t<div class='gchoice gchoice_1_221_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier r\u00e9gulier'  id='choice_1_221_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_221_0' id='label_1_221_0' class='gform-field-label gform-field-label--type-inline'>Regular backrest<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_221_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier courb\u00e9'  id='choice_1_221_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_221_1' id='label_1_221_1' class='gform-field-label gform-field-label--type-inline'>Curved backrest<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_221_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier long'  id='choice_1_221_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_221_2' id='label_1_221_2' class='gform-field-label gform-field-label--type-inline'>Long backrest<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_202\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Board depth<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_1_202'>\n\t\t\t<div class='gchoice gchoice_1_202_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='12 pouces'  id='choice_1_202_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_202_0' id='label_1_202_0' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_202_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='14 pouces'  id='choice_1_202_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_202_1' id='label_1_202_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_202_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='16 pouces'  id='choice_1_202_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_202_2' id='label_1_202_2' class='gform-field-label gform-field-label--type-inline'>16 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_202_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='18 pouces'  id='choice_1_202_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_202_3' id='label_1_202_3' class='gform-field-label gform-field-label--type-inline'>18 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_210\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Board depth<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_1_210'>\n\t\t\t<div class='gchoice gchoice_1_210_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='12 pouces'  id='choice_1_210_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_210_0' id='label_1_210_0' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_210_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='14 pouces'  id='choice_1_210_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_210_1' id='label_1_210_1' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_203\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Quantity of crossbar<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_1_203'>\n\t\t\t<div class='gchoice gchoice_1_203_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Une'  id='choice_1_203_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_203_0' id='label_1_203_0' class='gform-field-label gform-field-label--type-inline'>One<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_203_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Deux'  id='choice_1_203_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_203_1' id='label_1_203_1' class='gform-field-label gform-field-label--type-inline'>Two<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_204\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Type of abduction block<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_1_204'>\n\t\t\t<div class='gchoice gchoice_1_204_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='Fixe'  id='choice_1_204_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_204_0' id='label_1_204_0' class='gform-field-label gform-field-label--type-inline'>Fixed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_204_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='R\u00e9tractable'  id='choice_1_204_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_204_1' id='label_1_204_1' class='gform-field-label gform-field-label--type-inline'>Retractable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_208\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Quantity of side anti-tip<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_1_208'>\n\t\t\t<div class='gchoice gchoice_1_208_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_208' type='radio' value='1 paire'  id='choice_1_208_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_208_0' id='label_1_208_0' class='gform-field-label gform-field-label--type-inline'>1 pair<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_208_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_208' type='radio' value='2 paires'  id='choice_1_208_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_208_1' id='label_1_208_1' class='gform-field-label gform-field-label--type-inline'>2 pairs<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_205\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Thoracic support type<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_1_205'>\n\t\t\t<div class='gchoice gchoice_1_205_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='Mini'  id='choice_1_205_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_205_0' id='label_1_205_0' class='gform-field-label gform-field-label--type-inline'>Mini<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_205_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='R\u00e9gulier'  id='choice_1_205_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_205_1' id='label_1_205_1' class='gform-field-label gform-field-label--type-inline'>Regular<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_206\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Seat cushion depth<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_1_206'>\n\t\t\t<div class='gchoice gchoice_1_206_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='10 pouces'  id='choice_1_206_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_206_0' id='label_1_206_0' class='gform-field-label gform-field-label--type-inline'>10 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_206_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='12 pouces'  id='choice_1_206_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_206_1' id='label_1_206_1' class='gform-field-label gform-field-label--type-inline'>12 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_206_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='14 pouces'  id='choice_1_206_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_206_2' id='label_1_206_2' class='gform-field-label gform-field-label--type-inline'>14 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_206_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='16 pouces'  id='choice_1_206_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_206_3' id='label_1_206_3' class='gform-field-label gform-field-label--type-inline'>16 inches<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_206_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='18 pouces'  id='choice_1_206_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_206_4' id='label_1_206_4' class='gform-field-label gform-field-label--type-inline'>18 inches<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_207\" class=\"gfield gfield--type-textarea gfield--width-full 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_1_207'>Describe your needs<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_207' id='input_1_207' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_65\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Lecterns<\/h3><\/div><fieldset id=\"field_1_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Lectern models<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_1_66'>\n\t\t\t<div class='gchoice gchoice_1_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Lutrin #1'  id='choice_1_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_0' id='label_1_66_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-lutrin-13-scaled.jpg\">Lectern #1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Lutrin #2'  id='choice_1_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_66_1' id='label_1_66_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-lutrin-13-scaled.jpg\">Lectern #2<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_67\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n<li>Dimensions: 18 inches wide by 13 inches high<\/li>\n<li>Removable book-rest<\/li>\n<li>5 lever\/support mechanism anchors<\/li>\n<li>For all other sizes or options, please specify them in the \"Remarks\" section.\n(e.g. magnetic top, non-slip surface, other dimensions...)<\/li>\n<\/ul><\/div><div id=\"field_1_68\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n<li>Dimensions: 18 inches wide by 16 inches high<\/li>\n<li>Removable book-rest<\/li>\n<li>9 lever\/support mechanism anchors<\/li>\n<li>Document retaining clamp<\/li>\n<li>For all other sizes or options, please specify them in the \"Remarks\" section.\n(e.g. magnetic top, non-slip surface, other dimensions, etc.).<\/li>\n<\/ul><\/div><div id=\"field_1_73\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Inclined reading surfaces<\/h3><\/div><fieldset id=\"field_1_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Models of inclined reading surface<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_1_70'>\n\t\t\t<div class='gchoice gchoice_1_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Plan inclin\u00e9 de base' checked='checked' id='choice_1_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_70_0' id='label_1_70_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-plan-incline-5-scaled.jpg\">Basic inclined reading surface<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_71\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n\t<li>Dimensions: 15 inches high by 13 inches wide<\/li>\n\t<li>20-degree tilt<\/li>\n\t<li>6\" metal clamps<\/li>\n\t<li>For all other sizes or options, please specify them in the \"Remarks\" section. (e.g. other dimensions, non-slip surface, etc.).<\/li>\n<\/ul><\/div><div id=\"field_1_74\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Desk<\/h3><\/div><fieldset id=\"field_1_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Desk models<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_1_72'>\n\t\t\t<div class='gchoice gchoice_1_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='102'  id='choice_1_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_0' id='label_1_72_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/12\/EBENAC-bureau-102.jpg\"><br>102<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='103'  id='choice_1_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_1' id='label_1_72_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/petit_bureau_103_1-1.jpg\"><br>103<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='104'  id='choice_1_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_2' id='label_1_72_2' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-bureau-104-4-scaled.jpg\"><br>104<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='105'  id='choice_1_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_3' id='label_1_72_3' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/EBENAC-bureau-105-3-scaled.jpg\"><br>105<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='106'  id='choice_1_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_4' id='label_1_72_4' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/bureau_106_2.jpg\"><br>106<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='107'  id='choice_1_72_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_5' id='label_1_72_5' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/bureau_107_2.jpg\"><br>107<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_72_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='108'  id='choice_1_72_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_72_6' id='label_1_72_6' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/11\/bureau-108-10-scaled.jpg\"><br>108<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_89\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Adjustable legs<\/h3><div class='gsection_description' id='gfield_description_1_89'>Possible variations 10 inches from a minimum of 22 inches from the ground<\/div><\/div><div id=\"field_1_90\" class=\"gfield gfield--type-text gfield--width-full 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_1_90'>Minimum height (inches)<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_1_90' type='text' value='17' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_96\" class=\"gfield gfield--type-text gfield--width-full 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_1_96'>Minimum height (inches)<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_1_96' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_100\" class=\"gfield gfield--type-text gfield--width-full 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_1_100'>Minimum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_1_100' type='text' value='25' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_101\" class=\"gfield gfield--type-text gfield--width-full 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_1_101'>Minimum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_1_101' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_91\" class=\"gfield gfield--type-text gfield--width-full 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_1_91'>Maximum height (inches)<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_1_91' type='text' value='27' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_97\" class=\"gfield gfield--type-text gfield--width-full 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_1_97'>Maximum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_97' id='input_1_97' type='text' value='34' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_152\" class=\"gfield gfield--type-text gfield--width-full 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_1_152'>Maximum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_152' id='input_1_152' type='text' value='35' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_102\" class=\"gfield gfield--type-text gfield--width-full 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_1_102'>Maximum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_1_102' type='text' value='34' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_103\" class=\"gfield gfield--type-text gfield--width-full 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_1_103'>Maximum height (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_1_103' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_93\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Total dimensions (or surface area) of desk<\/h3><\/div><div id=\"field_1_92\" class=\"gfield gfield--type-text gfield--width-full 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_1_92'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_1_92' type='text' value='42' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_98\" class=\"gfield gfield--type-text gfield--width-full 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_1_98'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_1_98' type='text' value='35' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_104\" class=\"gfield gfield--type-text gfield--width-full 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_1_104'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_1_104' type='text' value='46' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_105\" class=\"gfield gfield--type-text gfield--width-full 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_1_105'>Center module width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_1_105' type='text' value='28' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_106\" class=\"gfield gfield--type-text gfield--width-full 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_1_106'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_1_106' type='text' value='40' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_107\" class=\"gfield gfield--type-text gfield--width-full 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_1_107'>Width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_107' id='input_1_107' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_94\" class=\"gfield gfield--type-text gfield--width-full 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_1_94'>Depth (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_1_94' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_154\" class=\"gfield gfield--type-text gfield--width-full 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_1_154'>Center module width (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_154' id='input_1_154' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_109\" class=\"gfield gfield--type-text gfield--width-full 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_1_109'>Depth (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_109' id='input_1_109' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_156\" class=\"gfield gfield--type-text gfield--width-full 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_1_156'>Depth (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_1_156' type='text' value='20' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_110\" class=\"gfield gfield--type-text gfield--width-full 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_1_110'>Depth (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_1_110' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_95\" class=\"gfield gfield--type-text gfield--width-full 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_1_95'>Necessary clearance for lower limbs (inches)<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_1_95' type='text' value='23' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_99\" class=\"gfield gfield--type-text gfield--width-full 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_1_99'>Necessary clearance for lower limbs (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_1_99' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_151\" class=\"gfield gfield--type-text gfield--width-full 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_1_151'>Necessary clearance for lower limbs (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_1_151' type='text' value='30' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_153\" class=\"gfield gfield--type-text gfield--width-full 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_1_153'>Required clearance from central module (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_1_153' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_111\" class=\"gfield gfield--type-text gfield--width-full 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_1_111'>Necessary clearance for lower limbs (inches)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_1_111' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_113\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Cabinet<\/h3><\/div><div id=\"field_1_149\" class=\"gfield gfield--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\"  ><ul><li>Open front cabinets.<\/li><li>Interior dimensions: 12 inches high, x 12 inches deep x 5 inches wide.<\/li><li>Exterior dimensions: 13 inches high x 23 inches deep x 6 inches wide.<\/li><\/ul><\/div><div id=\"field_1_150\" class=\"gfield gfield--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\"  >3-section cabinets open on top.<\/div><div id=\"field_1_114\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_114'>Interior dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_1_114' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_115\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_115'>Outside dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_1_115' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_148\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_148'>Outside dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_1_148' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_148\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_148'>13 inches wide by 12 inches deep. If other preference, please detail.<\/div><\/div><fieldset id=\"field_1_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Specify location in relation to child<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_1_116'>\n\t\t\t<div class='gchoice gchoice_1_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='\u00e0 sa droite'  id='choice_1_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_0' id='label_1_116_0' class='gform-field-label gform-field-label--type-inline'>to his right<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_116_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='\u00e0 sa gauche' checked='checked' id='choice_1_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_116_1' id='label_1_116_1' class='gform-field-label gform-field-label--type-inline'>to his left<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_117\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Separators<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_1_117'>\n\t\t\t<div class='gchoice gchoice_1_117_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='Avec' checked='checked' id='choice_1_117_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_0' id='label_1_117_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_117_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='Sans'  id='choice_1_117_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_117_1' id='label_1_117_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_118\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Drawer dimensions<\/h3><\/div><div id=\"field_1_162\" class=\"gfield gfield--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\"  ><ul><li>Locker open on top.<\/li><li>Interior dimensions 12 deep x 6 wide.<\/li><\/ul>\n<\/div><div id=\"field_1_119\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_119'>Height (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_1_119' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_157\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_157'>Height (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_1_157' type='text' value='6' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_120\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_120'>Width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_1_120' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_159\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_159'>Width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_1_159' type='text' value='12' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_121\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_121'>Depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_1_121' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_160\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_160'>Depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_1_160' type='text' value='12' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_161\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Separators<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_1_161'>\n\t\t\t<div class='gchoice gchoice_1_161_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Avec' checked='checked' id='choice_1_161_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_161_0' id='label_1_161_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_161_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Sans'  id='choice_1_161_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_161_1' id='label_1_161_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_122\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Specify location in relation to child<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_122'>\n\t\t\t<div class='gchoice gchoice_1_122_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='Devant'  id='choice_1_122_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_122_0' id='label_1_122_0' class='gform-field-label gform-field-label--type-inline'>In front<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_122_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='\u00c0 sa droite'  id='choice_1_122_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_122_1' id='label_1_122_1' class='gform-field-label gform-field-label--type-inline'>To his right<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_122_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='\u00c0 sa gauche'  id='choice_1_122_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_122_2' id='label_1_122_2' class='gform-field-label gform-field-label--type-inline'>To his left<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Number of drawers desired<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_1_123'>\n\t\t\t<div class='gchoice gchoice_1_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='1'  id='choice_1_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_123_0' id='label_1_123_0' class='gform-field-label gform-field-label--type-inline'>1<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='2'  id='choice_1_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_123_1' id='label_1_123_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_123_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='Aucun' checked='checked' id='choice_1_123_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_123_2' id='label_1_123_2' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_146\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Desk options<\/h3><\/div><div id=\"field_1_155\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n<li>Dividers in pull-out drawers (At the front of the drawer, 5 inches from left to right across the width).<\/li>\n<li>Pull-out drawers, full extension (6\" wide x 24\" deep x 8\" high).<\/li>\n<li>Tablet dimensions 10 inches x 24 inches<\/li>\n<\/ul><\/div><fieldset id=\"field_1_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Tilting top<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_1_124'>\n\t\t\t<div class='gchoice gchoice_1_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Avec'  id='choice_1_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_124_0' id='label_1_124_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Sans' checked='checked' id='choice_1_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_124_1' id='label_1_124_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Magnetic top<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_1_125'>\n\t\t\t<div class='gchoice gchoice_1_125_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Avec'  id='choice_1_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_125_0' id='label_1_125_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_125_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Sans' checked='checked' id='choice_1_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_125_1' id='label_1_125_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_126\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Groove<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_1_126'>\n\t\t\t<div class='gchoice gchoice_1_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='Avec'  id='choice_1_126_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_126_0' id='label_1_126_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='Sans' checked='checked' id='choice_1_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_126_1' id='label_1_126_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Computer keyboard shelf<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_1_130'>\n\t\t\t<div class='gchoice gchoice_1_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Avec'  id='choice_1_130_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_130_0' id='label_1_130_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Sans' checked='checked' id='choice_1_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_130_1' id='label_1_130_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Retractable or collapsible shelf<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_131'>\n\t\t\t<div class='gchoice gchoice_1_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='R\u00e9tractable'  id='choice_1_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_131_0' id='label_1_131_0' class='gform-field-label gform-field-label--type-inline'>Retractable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Rabattable'  id='choice_1_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_131_1' id='label_1_131_1' class='gform-field-label gform-field-label--type-inline'>Collapsible<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_132\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Right or left of the child<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_132'>\n\t\t\t<div class='gchoice gchoice_1_132_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='Gauche'  id='choice_1_132_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_132_0' id='label_1_132_0' class='gform-field-label gform-field-label--type-inline'>Left<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_132_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='Droite'  id='choice_1_132_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_132_1' id='label_1_132_1' class='gform-field-label gform-field-label--type-inline'>Right<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_133\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_133'>Dimensions souhait\u00e9e de la tablette (pouces)<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_1_133' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_127\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Inlay width and depth<\/h3><\/div><div id=\"field_1_128\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_128'>Desired width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_1_128' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_129\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_129'>Desired depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_1_129' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_75\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9B\u00c9NAC table<\/h3><\/div><fieldset id=\"field_1_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col image-card gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00c9B\u00c9NAC table models<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_1_81'>\n\t\t\t<div class='gchoice gchoice_1_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Table \u00c9B\u00c9NAC standard'  id='choice_1_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_0' id='label_1_81_0' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/table_multi_position_standard_intermediaire_2.jpg\"><br>\u00c9B\u00c9NAC standard table<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Table \u00c9B\u00c9NAC interm\u00e9diaire'  id='choice_1_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_1' id='label_1_81_1' class='gform-field-label gform-field-label--type-inline'><img decoding=\"async\" width=\"500\" src=\"https:\/\/ebenac.com\/wp-content\/uploads\/2023\/10\/table_multi_position_standard_intermediaire_2.jpg\"><br>\u00c9B\u00c9NAC intermediate table<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_82\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n\t<li>Dimensions: 19 inches deep by 24.5 inches wide<\/li>\n\t<li>Height-adjustable from 8.5 to 19 inches <\/li>\n\t<li>4 handles for quick adjustments<\/li>\n\t<li>Overall height 21.5 inches <\/li>\n<\/ul><\/div><div id=\"field_1_83\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul>\n\t<li>Dimensions: 24 inches deep by 25 inches wide<\/li>\n\t<li>Height-adjustable from 15 to 33 inches<\/li>\n\t<li>4 handles for quick adjustments<\/li>\n\t<li>Overall height 35 inches<\/li>\n<\/ul><\/div><fieldset id=\"field_1_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Tilting top<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_1_84'>\n\t\t\t<div class='gchoice gchoice_1_84_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Avec'  id='choice_1_84_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_0' id='label_1_84_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_84_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Sans' checked='checked' id='choice_1_84_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_84_1' id='label_1_84_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Magnetic top<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_1_163'>\n\t\t\t<div class='gchoice gchoice_1_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='Avec'  id='choice_1_163_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_163_0' id='label_1_163_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='Sans'  id='choice_1_163_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_163_1' id='label_1_163_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Groove<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_1_85'>\n\t\t\t<div class='gchoice gchoice_1_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Avec'  id='choice_1_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_0' id='label_1_85_0' class='gform-field-label gform-field-label--type-inline'>With<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Sans' checked='checked' id='choice_1_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_85_1' id='label_1_85_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_86\" class=\"gfield gfield--type-text gfield--width-full 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_1_86'>Width of the desired groove<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_1_86' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_87\" class=\"gfield gfield--type-text gfield--width-full 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_1_87'>Desired depth of groove<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_1_87' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other products<\/h3><div class='gsection_description' id='gfield_description_1_76'>Changing tables, staircases or any other customized product. \n\nPlease specify your order in the remarks field.<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_1_188' 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='button' id='gform_next_button_1_188' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' data-js='page-field-id-188' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_1_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_79\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Comments<\/h3><\/div><div id=\"field_1_78\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_1_78'>File(s)<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_78' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_78&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_78&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_78&quot;,&quot;filelist&quot;:&quot;gform_preview_1_78&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/ebenac.com\\\/?gf_page=1b9c4cb061442a2&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/ebenac.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/ebenac.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;16777216b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:78},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_78&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_78' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_1_78' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_1_78\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_78'>Max. file size: 16 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_1_78'><\/ul> <div id='gform_preview_1_78' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_1_80\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_80'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_80' id='input_1_80' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' 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_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Send'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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