{"id":974,"date":"2023-12-15T15:39:51","date_gmt":"2023-12-15T19:39:51","guid":{"rendered":"https:\/\/ebenac.com\/?page_id=974"},"modified":"2023-12-20T12:49:20","modified_gmt":"2023-12-20T16:49:20","slug":"demande-dachat","status":"publish","type":"page","link":"https:\/\/ebenac.com\/en\/demande-dachat\/","title":{"rendered":"Buy without quote"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background 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-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 40px ) !important;max-width:calc( 100% + 40px ) !important;margin-left: calc(-40px \/ 2 );margin-right: calc(-40px \/ 2 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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_5'  action='\/en\/wp-json\/wp\/v2\/pages\/974#gf_5' data-formid='5' novalidate data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/974#gf_5\"><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Ldk6jgpAAAAALPb3g41FnA9eCeM38tsMG5J3kB7' data-tabindex='0'><input id=\"input_baf6c8a8d9651f63d56494042fa96ab9\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_baf6c8a8d9651f63d56494042fa96ab9\" value=\"\"\/><\/div>\n        <div id='gf_progressbar_wrapper_5' 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_5_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_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_138\" class=\"gfield gfield--type-html gfield--input-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_5_1\" class=\"gfield gfield--type-section gfield--input-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_5_135\" class=\"gfield gfield--type-name gfield--input-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_5_135'>\n                            \n                            <span id='input_5_135_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_135.3' id='input_5_135_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_135_3' class='gform-field-label gform-field-label--type-sub'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_135_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_135.6' id='input_5_135_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_135_6' class='gform-field-label gform-field-label--type-sub'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_134\" class=\"gfield gfield--type-email gfield--input-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_5_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_5_134' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_136\" class=\"gfield gfield--type-phone gfield--input-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_5_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_5_136' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_191\" class=\"gfield gfield--type-address gfield--input-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_5_191' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_191_1_container' >\n                                        <input type='text' name='input_191.1' id='input_5_191_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_191_1' id='input_5_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_5_191_3_container' >\n                                    <input type='text' name='input_191.3' id='input_5_191_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_191_3' id='input_5_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_5_191_4' value='Qu\u00e9bec'\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_5_191_5_container' >\n                                    <input type='text' name='input_191.5' id='input_5_191_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_191_5' id='input_5_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_5_191_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_225\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">D\u00e9tails de facturation :<\/h3><\/div><div id=\"field_5_224\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_224'>\u00c9tablissement ou nom du responsable :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_224' id='input_5_224' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_193\" class=\"gfield gfield--type-email gfield--input-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_5_193'>Billing 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_193' id='input_5_193' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_5_192\" class=\"gfield gfield--type-address gfield--input-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' >Billing address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    <div id='input_5_192_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_5_192_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='191' name='input_192_copy_values_activated'  \/>\n                                        <label for='input_5_192_copy_values_activated' id='input_5_192_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same address as delivery<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_5_192' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_192_1_container' >\n                                        <input type='text' name='input_192.1' id='input_5_192_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_192_1' id='input_5_192_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_5_192_3_container' >\n                                    <input type='text' name='input_192.3' id='input_5_192_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_192_3' id='input_5_192_3_label' class='gform-field-label gform-field-label--type-sub'>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_192.4' id='input_5_192_4' value='Qu\u00e9bec'\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_5_192_5_container' >\n                                    <input type='text' name='input_192.5' id='input_5_192_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_192_5' id='input_5_192_5_label' class='gform-field-label gform-field-label--type-sub'>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_192.6' id='input_5_192_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_4\" class=\"gfield gfield--type-section gfield--input-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_5_137\" class=\"gfield gfield--type-name gfield--input-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_5_137'>\n                            \n                            <span id='input_5_137_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_137.3' id='input_5_137_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_137_3' class='gform-field-label gform-field-label--type-sub'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_137_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_137.6' id='input_5_137_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_137_6' class='gform-field-label gform-field-label--type-sub'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_10\" class=\"gfield gfield--type-text gfield--input-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_5_10'>Person in charge<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_11\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_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_5_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_5_2' class='gform_page' data-js='page-field-id-187' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_12\" class=\"gfield gfield--type-section gfield--input-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_5_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_13'>\n\t\t\t<div class='gchoice gchoice_5_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Chaise \u00c9B\u00c9NAC'  id='choice_5_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_0' id='label_5_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_5_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Banc de toilette'  id='choice_5_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_1' id='label_5_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_5_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_5_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_2' id='label_5_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_5_13_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Lutrin'  id='choice_5_13_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_3' id='label_5_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_5_13_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Plan inclin\u00e9'  id='choice_5_13_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_4' id='label_5_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_5_13_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Pupitre'  id='choice_5_13_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_5' id='label_5_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_5_13_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Table \u00c9B\u00c9NAC'  id='choice_5_13_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_6' id='label_5_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_5_13_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Planche de transfert'  id='choice_5_13_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_7' id='label_5_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_5_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_5_13_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_8' id='label_5_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_5_13_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Autre produit'  id='choice_5_13_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_13_9' id='label_5_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_5_223\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>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_5_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_5_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_5_3' class='gform_page' data-js='page-field-id-222' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_15'>\n\t\t\t<div class='gchoice gchoice_5_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_5_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_15_0' id='label_5_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_5_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_5_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_15_1' id='label_5_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_5_21\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_21'>\n\t\t\t<div class='gchoice gchoice_5_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_5_21_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_0' id='label_5_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_5_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_5_21_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_1' id='label_5_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_5_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_5_21_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_2' id='label_5_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_5_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_5_21_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_21_3' id='label_5_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_5_18\" class=\"gfield gfield--type-section gfield--input-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_5_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_5_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_16'>\n\t\t\t<div class='gchoice gchoice_5_16_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Avec'  id='choice_5_16_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_0' id='label_5_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_5_16_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_16' type='radio' value='Sans'  id='choice_5_16_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_16_1' id='label_5_16_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_31\" class=\"gfield gfield--type-section gfield--input-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_5_143\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_143'>\n\t\t\t<div class='gchoice gchoice_5_143_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='Avec'  id='choice_5_143_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_143_0' id='label_5_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_5_143_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='Sans'  id='choice_5_143_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_143_1' id='label_5_143_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_26\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_26' type='text' value='16' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_27\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_27' type='text' value='11,5' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_145\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_145'>\n\t\t\t<div class='gchoice gchoice_5_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='1'  id='choice_5_145_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_145_0' id='label_5_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_5_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='2'  id='choice_5_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_145_1' id='label_5_145_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_194\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_194'>\n\t\t\t<div class='gchoice gchoice_5_194_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_194' type='radio' value='1 marche'  id='choice_5_194_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_194_0' id='label_5_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_5_194_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_194' type='radio' value='2 marche'  id='choice_5_194_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_194_1' id='label_5_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_5_29\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_29' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_30\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_17\" class=\"gfield gfield--type-section gfield--input-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_5_33\" class=\"gfield gfield--type-html gfield--input-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_5_34\" class=\"gfield gfield--type-html gfield--input-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_5_35\" class=\"gfield gfield--type-html gfield--input-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_5_36\" class=\"gfield gfield--type-html gfield--input-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_5_195\" class=\"gfield gfield--type-text gfield--input-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_5_195'>Desired dimensions<\/label><div class='ginput_container ginput_container_text'><input name='input_195' id='input_5_195' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_37'>\n\t\t\t<div class='gchoice gchoice_5_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Avec'  id='choice_5_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_0' id='label_5_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_5_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Sans'  id='choice_5_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_37_1' id='label_5_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_5_38\" class=\"gfield gfield--type-html gfield--input-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_5_39\" class=\"gfield gfield--type-section gfield--input-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_5_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_40'>\n\t\t\t<div class='gchoice gchoice_5_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='310'  id='choice_5_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_0' id='label_5_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_5_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='311'  id='choice_5_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_1' id='label_5_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_5_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='893'  id='choice_5_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_2' id='label_5_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_5_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='312'  id='choice_5_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_3' id='label_5_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_5_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='313'  id='choice_5_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_4' id='label_5_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_5_40_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='314'  id='choice_5_40_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_5' id='label_5_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_5_40_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='547'  id='choice_5_40_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_6' id='label_5_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_5_171\" class=\"gfield gfield--type-html gfield--input-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_5_173\" class=\"gfield gfield--type-html gfield--input-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_5_174\" class=\"gfield gfield--type-html gfield--input-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_5_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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_5_41'><div class='gchoice gchoice_5_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_5_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_1' id='label_5_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_5_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_5_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_2' id='label_5_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_5_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_5_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_3' id='label_5_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_5_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_142'>\n\t\t\t<div class='gchoice gchoice_5_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='1 paire'  id='choice_5_142_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_142_0' id='label_5_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_5_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='2 paires'  id='choice_5_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_142_1' id='label_5_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_5_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_43'>\n\t\t\t<div class='gchoice gchoice_5_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_5_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_0' id='label_5_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_5_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Dossier courb\u00e9'  id='choice_5_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_1' id='label_5_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_5_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_5_43_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_2' id='label_5_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_5_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_5_43_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_43_3' id='label_5_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_5_216\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_216'>\n\t\t\t<div class='gchoice gchoice_5_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_5_216_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_216_0' id='label_5_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_5_216_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_216' type='radio' value='Dossier courb\u00e9'  id='choice_5_216_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_216_1' id='label_5_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_5_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_5_216_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_216_2' id='label_5_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_5_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_5_216_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_216_3' id='label_5_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_5_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_63'>\n\t\t\t<div class='gchoice gchoice_5_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_5_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_0' id='label_5_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_5_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='12 pouces'  id='choice_5_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_1' id='label_5_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_5_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='14 pouces'  id='choice_5_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_2' id='label_5_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_5_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_62'>\n\t\t\t<div class='gchoice gchoice_5_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_5_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_62_0' id='label_5_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_5_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='14 pouces'  id='choice_5_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_62_1' id='label_5_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_5_62_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='16 pouces'  id='choice_5_62_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_62_2' id='label_5_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_5_62_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='18 pouces'  id='choice_5_62_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_62_3' id='label_5_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_5_220\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_220'>\n\t\t\t<div class='gchoice gchoice_5_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_5_220_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_220_0' id='label_5_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_5_220_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_220' type='radio' value='14 pouces'  id='choice_5_220_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_220_1' id='label_5_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_5_219\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_219'>\n\t\t\t<div class='gchoice gchoice_5_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_5_219_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_219_0' id='label_5_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_5_219_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='14 pouces'  id='choice_5_219_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_219_1' id='label_5_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_5_219_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='16 pouces'  id='choice_5_219_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_219_2' id='label_5_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_5_219_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_219' type='radio' value='18 pouces'  id='choice_5_219_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_219_3' id='label_5_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_5_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_54'>\n\t\t\t<div class='gchoice gchoice_5_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Avec'  id='choice_5_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_0' id='label_5_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_5_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Sans'  id='choice_5_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_54_1' id='label_5_54_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_209\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_209'>\n\t\t\t<div class='gchoice gchoice_5_209_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='12 pouces'  id='choice_5_209_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_209_0' id='label_5_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_5_209_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='14 pouces'  id='choice_5_209_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_209_1' id='label_5_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_5_209_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='16 pouces'  id='choice_5_209_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_209_2' id='label_5_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_5_209_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_209' type='radio' value='18 pouces'  id='choice_5_209_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_209_3' id='label_5_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_5_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_56'>\n\t\t\t<div class='gchoice gchoice_5_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Avec'  id='choice_5_56_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_0' id='label_5_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_5_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Sans'  id='choice_5_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_56_1' id='label_5_56_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_197\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_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_5_197'><div class='gchoice gchoice_5_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_5_197_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_197_1' id='label_5_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_5_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_5_197_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_197_2' id='label_5_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_5_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_44'>\n\t\t\t<div class='gchoice gchoice_5_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Avec'  id='choice_5_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_44_0' id='label_5_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_5_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Sans'  id='choice_5_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_44_1' id='label_5_44_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_141\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_141'>\n\t\t\t<div class='gchoice gchoice_5_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_5_141_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_141_0' id='label_5_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_5_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_5_141_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_141_1' id='label_5_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_5_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_48'>\n\t\t\t<div class='gchoice gchoice_5_48_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Avec'  id='choice_5_48_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_0' id='label_5_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_5_48_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_48' type='radio' value='Sans'  id='choice_5_48_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_48_1' id='label_5_48_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_46\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_46'>\n\t\t\t<div class='gchoice gchoice_5_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Avec'  id='choice_5_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_46_0' id='label_5_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_5_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Sans'  id='choice_5_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_46_1' id='label_5_46_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_139\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_139'>\n\t\t\t<div class='gchoice gchoice_5_139_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Avec'  id='choice_5_139_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_139_0' id='label_5_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_5_139_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_139' type='radio' value='Sans'  id='choice_5_139_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_139_1' id='label_5_139_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_217\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_217'>\n\t\t\t<div class='gchoice gchoice_5_217_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_217' type='radio' value='Avec'  id='choice_5_217_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_217_0' id='label_5_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_5_217_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_217' type='radio' value='Sans'  id='choice_5_217_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_217_1' id='label_5_217_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_47'>\n\t\t\t<div class='gchoice gchoice_5_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Ceinture 2 points'  id='choice_5_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_0' id='label_5_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_5_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Ceinture 3 points'  id='choice_5_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_1' id='label_5_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_5_47_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Auto (X-small)'  id='choice_5_47_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_2' id='label_5_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_5_47_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Sans'  id='choice_5_47_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_47_3' id='label_5_47_3' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_42'>\n\t\t\t<div class='gchoice gchoice_5_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Avec'  id='choice_5_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_42_0' id='label_5_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_5_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Sans'  id='choice_5_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_42_1' id='label_5_42_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_215\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_215'>\n\t\t\t<div class='gchoice gchoice_5_215_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_215' type='radio' value='Avec'  id='choice_5_215_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_0' id='label_5_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_5_215_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_215' type='radio' value='Sans'  id='choice_5_215_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_215_1' id='label_5_215_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_49'>\n\t\t\t<div class='gchoice gchoice_5_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Avec'  id='choice_5_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_49_0' id='label_5_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_5_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Sans'  id='choice_5_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_49_1' id='label_5_49_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_55'>\n\t\t\t<div class='gchoice gchoice_5_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Avec'  id='choice_5_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_55_0' id='label_5_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_5_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Sans'  id='choice_5_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_55_1' id='label_5_55_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_50'>\n\t\t\t<div class='gchoice gchoice_5_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Avec'  id='choice_5_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_50_0' id='label_5_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_5_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Sans'  id='choice_5_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_50_1' id='label_5_50_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_140\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_140'>\n\t\t\t<div class='gchoice gchoice_5_140_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='Fixe'  id='choice_5_140_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_140_0' id='label_5_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_5_140_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_140' type='radio' value='R\u00e9tractable'  id='choice_5_140_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_140_1' id='label_5_140_1' class='gform-field-label gform-field-label--type-inline'>Retractable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_61\" class=\"gfield gfield--type-html gfield--input-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_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Avec'  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_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_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Sans'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_198\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_198'>\n\t\t\t<div class='gchoice gchoice_5_198_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Avec'  id='choice_5_198_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_198_0' id='label_5_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_5_198_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_198' type='radio' value='Sans'  id='choice_5_198_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_198_1' id='label_5_198_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_53'>\n\t\t\t<div class='gchoice gchoice_5_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Avec'  id='choice_5_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_53_0' id='label_5_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_5_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='Sans'  id='choice_5_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_53_1' id='label_5_53_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_199\" class=\"gfield gfield--type-section gfield--input-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_5_200\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_200'>\n\t\t\t<div class='gchoice gchoice_5_200_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='310'  id='choice_5_200_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_0' id='label_5_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_5_200_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='311'  id='choice_5_200_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_1' id='label_5_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_5_200_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='893'  id='choice_5_200_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_2' id='label_5_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_5_200_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='312'  id='choice_5_200_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_3' id='label_5_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_5_200_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='313'  id='choice_5_200_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_4' id='label_5_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_5_200_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='314'  id='choice_5_200_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_5' id='label_5_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_5_200_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_200' type='radio' value='547'  id='choice_5_200_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_200_6' id='label_5_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_5_201\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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_5_201'><div class='gchoice gchoice_5_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_5_201_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_1' id='label_5_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_5_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_5_201_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_2' id='label_5_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_5_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_5_201_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_3' id='label_5_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_5_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_5_201_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_4' id='label_5_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_5_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_5_201_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_5' id='label_5_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_5_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_5_201_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_6' id='label_5_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_5_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_5_201_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_7' id='label_5_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_5_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_5_201_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_8' id='label_5_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_5_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_5_201_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_9' id='label_5_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_5_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_5_201_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_11' id='label_5_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_5_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_5_201_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_12' id='label_5_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_5_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_5_201_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_13' id='label_5_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_5_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_5_201_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_14' id='label_5_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_5_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_5_201_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_15' id='label_5_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_5_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_5_201_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_16' id='label_5_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_5_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_5_201_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_17' id='label_5_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_5_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_5_201_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_18' id='label_5_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_5_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_5_201_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_19' id='label_5_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_5_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_5_201_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_21' id='label_5_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_5_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_5_201_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_22' id='label_5_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_5_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_5_201_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_23' id='label_5_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_5_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_5_201_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_24' id='label_5_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_5_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_5_201_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_25' id='label_5_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_5_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_5_201_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_201_26' id='label_5_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_5_221\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_221'>\n\t\t\t<div class='gchoice gchoice_5_221_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier r\u00e9gulier'  id='choice_5_221_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_221_0' id='label_5_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_5_221_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier courb\u00e9'  id='choice_5_221_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_221_1' id='label_5_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_5_221_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_221' type='radio' value='Dossier long'  id='choice_5_221_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_221_2' id='label_5_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_5_202\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_202'>\n\t\t\t<div class='gchoice gchoice_5_202_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='12 pouces'  id='choice_5_202_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_202_0' id='label_5_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_5_202_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='14 pouces'  id='choice_5_202_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_202_1' id='label_5_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_5_202_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='16 pouces'  id='choice_5_202_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_202_2' id='label_5_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_5_202_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_202' type='radio' value='18 pouces'  id='choice_5_202_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_202_3' id='label_5_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_5_210\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_210'>\n\t\t\t<div class='gchoice gchoice_5_210_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='12 pouces'  id='choice_5_210_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_210_0' id='label_5_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_5_210_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_210' type='radio' value='14 pouces'  id='choice_5_210_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_210_1' id='label_5_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_5_203\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_203'>\n\t\t\t<div class='gchoice gchoice_5_203_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Une'  id='choice_5_203_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_203_0' id='label_5_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_5_203_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_203' type='radio' value='Deux'  id='choice_5_203_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_203_1' id='label_5_203_1' class='gform-field-label gform-field-label--type-inline'>Two<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_204\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_204'>\n\t\t\t<div class='gchoice gchoice_5_204_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='Fixe'  id='choice_5_204_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_204_0' id='label_5_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_5_204_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_204' type='radio' value='R\u00e9tractable'  id='choice_5_204_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_204_1' id='label_5_204_1' class='gform-field-label gform-field-label--type-inline'>Retractable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_208\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_208'>\n\t\t\t<div class='gchoice gchoice_5_208_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_208' type='radio' value='1 paire'  id='choice_5_208_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_208_0' id='label_5_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_5_208_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_208' type='radio' value='2 paires'  id='choice_5_208_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_208_1' id='label_5_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_5_205\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_205'>\n\t\t\t<div class='gchoice gchoice_5_205_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='Mini'  id='choice_5_205_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_205_0' id='label_5_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_5_205_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_205' type='radio' value='R\u00e9gulier'  id='choice_5_205_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_205_1' id='label_5_205_1' class='gform-field-label gform-field-label--type-inline'>Regular<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_206\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_206'>\n\t\t\t<div class='gchoice gchoice_5_206_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='10 pouces'  id='choice_5_206_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_206_0' id='label_5_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_5_206_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='12 pouces'  id='choice_5_206_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_206_1' id='label_5_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_5_206_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='14 pouces'  id='choice_5_206_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_206_2' id='label_5_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_5_206_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='16 pouces'  id='choice_5_206_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_206_3' id='label_5_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_5_206_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_206' type='radio' value='18 pouces'  id='choice_5_206_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_206_4' id='label_5_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_5_207\" class=\"gfield gfield--type-textarea gfield--input-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_5_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_5_207' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_65\" class=\"gfield gfield--type-section gfield--input-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_5_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_66'>\n\t\t\t<div class='gchoice gchoice_5_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Lutrin #1'  id='choice_5_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_0' id='label_5_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_5_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Lutrin #2'  id='choice_5_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_1' id='label_5_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_5_67\" class=\"gfield gfield--type-html gfield--input-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_5_68\" class=\"gfield gfield--type-html gfield--input-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_5_73\" class=\"gfield gfield--type-section gfield--input-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_5_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_70'>\n\t\t\t<div class='gchoice gchoice_5_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_5_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_70_0' id='label_5_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_5_71\" class=\"gfield gfield--type-html gfield--input-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_5_74\" class=\"gfield gfield--type-section gfield--input-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_5_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_72'>\n\t\t\t<div class='gchoice gchoice_5_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='102'  id='choice_5_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_0' id='label_5_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\">102<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='103'  id='choice_5_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_1' id='label_5_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\">103<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='104'  id='choice_5_72_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_2' id='label_5_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\">104<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='105'  id='choice_5_72_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_3' id='label_5_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\">105<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='106'  id='choice_5_72_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_4' id='label_5_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\">106<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='107'  id='choice_5_72_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_5' id='label_5_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\">107<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_72_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='108'  id='choice_5_72_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_72_6' id='label_5_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\">108<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_89\" class=\"gfield gfield--type-section gfield--input-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_5_89'>Possible variations 10 inches from a minimum of 22 inches from the ground<\/div><\/div><div id=\"field_5_90\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_90' type='text' value='17' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_96\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_96' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_100\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_100' type='text' value='25' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_101\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_101' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_91\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_91' type='text' value='27' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_97\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_97' type='text' value='34' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_152\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_152' type='text' value='35' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_102\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_102' type='text' value='34' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_103\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_103' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_93\" class=\"gfield gfield--type-section gfield--input-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_5_92\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_92' type='text' value='42' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_98\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_98' type='text' value='35' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_104\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_104' type='text' value='46' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_105\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_105' type='text' value='28' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_106\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_106' type='text' value='40' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_107\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_107' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_94\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_94' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_154\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_154' type='text' value='24' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_109\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_109' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_156\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_156' type='text' value='20' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_110\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_110' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_95\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_95' type='text' value='23' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_99\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_99' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_151\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_151' type='text' value='30' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_153\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_153' type='text' value='22' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_111\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_111' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_113\" class=\"gfield gfield--type-section gfield--input-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_5_149\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><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_5_150\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >3-section cabinets open on top.<\/div><div id=\"field_5_114\" class=\"gfield gfield--type-text gfield--input-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_5_114'>Interior dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_114' id='input_5_114' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_115\" class=\"gfield gfield--type-text gfield--input-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_5_115'>Outside dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_5_115' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_148\" class=\"gfield gfield--type-text gfield--input-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_5_148'>Outside dimensions (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_5_148' type='text' value='' class='large'  aria-describedby=\"gfield_description_5_148\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_148'>13 inches wide by 12 inches deep. If other preference, please detail.<\/div><\/div><fieldset id=\"field_5_116\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_116'>\n\t\t\t<div class='gchoice gchoice_5_116_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_116' type='radio' value='\u00e0 sa droite'  id='choice_5_116_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_116_0' id='label_5_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_5_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_5_116_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_116_1' id='label_5_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_5_117\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_117'>\n\t\t\t<div class='gchoice gchoice_5_117_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='Avec' checked='checked' id='choice_5_117_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_117_0' id='label_5_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_5_117_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_117' type='radio' value='Sans'  id='choice_5_117_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_117_1' id='label_5_117_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_118\" class=\"gfield gfield--type-section gfield--input-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_5_162\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><ul><li>Locker open on top.<\/li><li>Interior dimensions 12 deep x 6 wide.<\/li><\/ul>\n<\/div><div id=\"field_5_119\" class=\"gfield gfield--type-text gfield--input-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_5_119'>Height (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_5_119' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_157\" class=\"gfield gfield--type-text gfield--input-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_5_157'>Height (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_5_157' type='text' value='6' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_120\" class=\"gfield gfield--type-text gfield--input-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_5_120'>Width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_120' id='input_5_120' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_159\" class=\"gfield gfield--type-text gfield--input-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_5_159'>Width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_5_159' type='text' value='12' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_121\" class=\"gfield gfield--type-text gfield--input-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_5_121'>Depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_121' id='input_5_121' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_160\" class=\"gfield gfield--type-text gfield--input-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_5_160'>Depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_160' id='input_5_160' type='text' value='12' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_161\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_161'>\n\t\t\t<div class='gchoice gchoice_5_161_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Avec' checked='checked' id='choice_5_161_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_161_0' id='label_5_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_5_161_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_161' type='radio' value='Sans'  id='choice_5_161_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_161_1' id='label_5_161_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_122\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_122'>\n\t\t\t<div class='gchoice gchoice_5_122_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='Devant'  id='choice_5_122_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_122_0' id='label_5_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_5_122_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='\u00c0 sa droite'  id='choice_5_122_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_122_1' id='label_5_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_5_122_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='\u00c0 sa gauche'  id='choice_5_122_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_122_2' id='label_5_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_5_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_123'>\n\t\t\t<div class='gchoice gchoice_5_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='1'  id='choice_5_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_123_0' id='label_5_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_5_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='2'  id='choice_5_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_123_1' id='label_5_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_5_123_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='Aucun' checked='checked' id='choice_5_123_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_123_2' id='label_5_123_2' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_146\" class=\"gfield gfield--type-section gfield--input-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_5_155\" class=\"gfield gfield--type-html gfield--input-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_5_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_124'>\n\t\t\t<div class='gchoice gchoice_5_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Avec'  id='choice_5_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_124_0' id='label_5_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_5_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Sans' checked='checked' id='choice_5_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_124_1' id='label_5_124_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_125'>\n\t\t\t<div class='gchoice gchoice_5_125_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Avec'  id='choice_5_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_125_0' id='label_5_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_5_125_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Sans' checked='checked' id='choice_5_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_125_1' id='label_5_125_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_126\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_126'>\n\t\t\t<div class='gchoice gchoice_5_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='Avec'  id='choice_5_126_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_126_0' id='label_5_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_5_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='Sans' checked='checked' id='choice_5_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_126_1' id='label_5_126_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_130'>\n\t\t\t<div class='gchoice gchoice_5_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Avec'  id='choice_5_130_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_130_0' id='label_5_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_5_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Sans' checked='checked' id='choice_5_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_130_1' id='label_5_130_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_131'>\n\t\t\t<div class='gchoice gchoice_5_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='R\u00e9tractable'  id='choice_5_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_131_0' id='label_5_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_5_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Rabattable'  id='choice_5_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_131_1' id='label_5_131_1' class='gform-field-label gform-field-label--type-inline'>Collapsible<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_132\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_132'>\n\t\t\t<div class='gchoice gchoice_5_132_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='Gauche'  id='choice_5_132_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_132_0' id='label_5_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_5_132_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_132' type='radio' value='Droite'  id='choice_5_132_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_132_1' id='label_5_132_1' class='gform-field-label gform-field-label--type-inline'>Right<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_133\" class=\"gfield gfield--type-text gfield--input-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_5_133'>Dimensions souhait\u00e9e de la tablette (pouces)<\/label><div class='ginput_container ginput_container_text'><input name='input_133' id='input_5_133' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_127\" class=\"gfield gfield--type-section gfield--input-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_5_128\" class=\"gfield gfield--type-text gfield--input-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_5_128'>Desired width (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_5_128' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_129\" class=\"gfield gfield--type-text gfield--input-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_5_129'>Desired depth (inches)<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_5_129' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_75\" class=\"gfield gfield--type-section gfield--input-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_5_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_81'>\n\t\t\t<div class='gchoice gchoice_5_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_5_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_81_0' id='label_5_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\">\u00c9B\u00c9NAC standard table<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_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_5_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_81_1' id='label_5_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\">\u00c9B\u00c9NAC intermediate table<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_82\" class=\"gfield gfield--type-html gfield--input-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_5_83\" class=\"gfield gfield--type-html gfield--input-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_5_84\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_84'>\n\t\t\t<div class='gchoice gchoice_5_84_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Avec'  id='choice_5_84_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_84_0' id='label_5_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_5_84_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_84' type='radio' value='Sans' checked='checked' id='choice_5_84_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_84_1' id='label_5_84_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_163'>\n\t\t\t<div class='gchoice gchoice_5_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='Avec'  id='choice_5_163_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_163_0' id='label_5_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_5_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='Sans'  id='choice_5_163_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_163_1' id='label_5_163_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_85\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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_5_85'>\n\t\t\t<div class='gchoice gchoice_5_85_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Avec'  id='choice_5_85_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_85_0' id='label_5_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_5_85_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_85' type='radio' value='Sans' checked='checked' id='choice_5_85_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_85_1' id='label_5_85_1' class='gform-field-label gform-field-label--type-inline'>Without<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_86\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_86' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_87\" class=\"gfield gfield--type-text gfield--input-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_5_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_5_87' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_76\" class=\"gfield gfield--type-section gfield--input-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_5_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_5_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_5_188' 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