{"id":14388,"date":"2022-07-05T14:00:11","date_gmt":"2022-07-05T14:00:11","guid":{"rendered":"https:\/\/firstmemorialfairview.com\/?page_id=14388"},"modified":"2022-09-27T10:16:30","modified_gmt":"2022-09-27T10:16:30","slug":"online-arrangements","status":"publish","type":"page","link":"https:\/\/firstmemorialfairview.com\/fr\/online-arrangements\/","title":{"rendered":"Online Arrangements"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-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-padding-top:50px;--awb-padding-bottom:50px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:10px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:10px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' style='display:none'><div id='gf_12' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Online Arrangement Form Fr<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/fr\/wp-json\/wp\/v2\/pages\/14388#gf_12' data-formid='12' novalidate>\n        <div id='gf_progressbar_wrapper_12' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_12_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_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_12_1\" 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' >Voulez-vous faire des pr\u00e9arrangements fun\u00e9raires ou des arrangements \u00e0 la suite d&#039;un d\u00e9c\u00e8s?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_1'>\n\t\t\t<div class='gchoice gchoice_12_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Pr\u00e9arrangements fun\u00e9raires'  id='choice_12_1_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_1_0' id='label_12_1_0' class='gform-field-label gform-field-label--type-inline'>Pr\u00e9arrangements fun\u00e9raires<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Arrangements fun\u00e9raires apr\u00e8s un d\u00e9c\u00e8s'  id='choice_12_1_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_1_1' id='label_12_1_1' class='gform-field-label gform-field-label--type-inline'>Arrangements fun\u00e9raires apr\u00e8s un d\u00e9c\u00e8s<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_3\" 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' >La personne d\u00e9c\u00e9d\u00e9e avait-elle un testament?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_3'>\n\t\t\t<div class='gchoice gchoice_12_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Oui'  id='choice_12_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_3_0' id='label_12_3_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Non'  id='choice_12_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_3_1' id='label_12_3_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_5\" 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' >En l&#039;absence d&#039;un testament, le plus proche parent a le droit de prendre, de modifier ou d&#039;annuler les arrangements fun\u00e9raires. Vous trouverez ci-dessous une liste, par ordre juridique, des personnes qui peuvent prendre des dispositions pour les fun\u00e9railles. (p. ex. : s&#039;il n&#039;y a pas de conjoint(e) survivant(e), les enfants sont responsables). Si vous remplissez les documents au nom du parent le plus proche, veuillez indiquer ses coordonn\u00e9es dans les sections ci-dessous.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_5'>\n\t\t\t<div class='gchoice gchoice_12_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Ex\u00e9cuteur ou ex\u00e9cutrice'  id='choice_12_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_0' id='label_12_5_0' class='gform-field-label gform-field-label--type-inline'>Ex\u00e9cuteur ou ex\u00e9cutrice<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='\u00c9poux ou \u00e9pouse'  id='choice_12_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_1' id='label_12_5_1' class='gform-field-label gform-field-label--type-inline'>\u00c9poux ou \u00e9pouse<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Enfants'  id='choice_12_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_2' id='label_12_5_2' class='gform-field-label gform-field-label--type-inline'>Enfants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Petits-enfants'  id='choice_12_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_3' id='label_12_5_3' class='gform-field-label gform-field-label--type-inline'>Petits-enfants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Arri\u00e8res-petits-enfants'  id='choice_12_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_4' id='label_12_5_4' class='gform-field-label gform-field-label--type-inline'>Arri\u00e8res-petits-enfants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='P\u00e8re ou m\u00e8re'  id='choice_12_5_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_5' id='label_12_5_5' class='gform-field-label gform-field-label--type-inline'>P\u00e8re ou m\u00e8re<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Fr\u00e8res ou soeurs'  id='choice_12_5_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_6' id='label_12_5_6' class='gform-field-label gform-field-label--type-inline'>Fr\u00e8res ou soeurs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Grand-parents'  id='choice_12_5_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_7' id='label_12_5_7' class='gform-field-label gform-field-label--type-inline'>Grand-parents<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Fr\u00e8re ou soeur'  id='choice_12_5_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_8' id='label_12_5_8' class='gform-field-label gform-field-label--type-inline'>Fr\u00e8re ou soeur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_5_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Autre'  id='choice_12_5_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_5_9' id='label_12_5_9' class='gform-field-label gform-field-label--type-inline'>Autre<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_4\" 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' >\u00cates-vous l&#039;ex\u00e9cuteur ou l&#039;ex\u00e9cutrice testamentaire?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_4'>\n\t\t\t<div class='gchoice gchoice_12_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Ex\u00e9cuteur'  id='choice_12_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_4_0' id='label_12_4_0' class='gform-field-label gform-field-label--type-inline'>Ex\u00e9cuteur<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='Ex\u00e9cutrice'  id='choice_12_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_4_1' id='label_12_4_1' class='gform-field-label gform-field-label--type-inline'>Ex\u00e9cutrice<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_12_77' 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_12_2' class='gform_page' data-js='page-field-id-77' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_8\" 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\"  ><strong>VOS INFORMATIONS<\/strong> <br>En tant que personne autoris\u00e9e \u00e0 effectuer ces arrangements, veuillez remplir les formulaires suivants. Des conseils seront fournis en cours de route pour expliquer certains termes. Si vous avez besoin d'une assistance individuelle \u00e0 tout moment, veuillez nous appeler au (613) 860-2424.<\/div><fieldset id=\"field_12_9\" class=\"gfield gfield--type-name gfield--input-type-name 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' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/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_12_9'>\n                            \n                            <span id='input_12_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.3' id='input_12_9_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_9_3' class='gform-field-label gform-field-label--type-sub '>Votre pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.6' id='input_12_9_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_9_6' class='gform-field-label gform-field-label--type-sub '>Votre nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_10\" 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' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_12_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_12_10_1' value=''    aria-required='true'    \/>\n                                        <label for='input_12_10_1' id='input_12_10_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse de rue<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_12_10_3' value=''    aria-required='true'    \/>\n                                    <label for='input_12_10_3' id='input_12_10_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_10_4_container' >\n                                        <input type='text' name='input_10.4' id='input_12_10_4' value=''      aria-required='true'    \/>\n                                        <label for='input_12_10_4' id='input_12_10_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ \u00c9tat \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_12_10_5' value=''    aria-required='true'    \/>\n                                    <label for='input_12_10_5' id='input_12_10_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal \/ code ZIP<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_12_10_6_container' >\n                                        <select name='input_10.6' id='input_12_10_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctique' >Antarctique<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Aruba' >Aruba<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bonaire, Saint-Eustache et Saba' >Bonaire, Saint-Eustache et Saba<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Chypre' >Chypre<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='Congo' >Congo<\/option><option value='Cor\u00e9e (R\u00e9publique de)' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='Espagne' >Espagne<\/option><option value='Estonie' >Estonie<\/option><option value='Eswatini' >Eswatini<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='F\u00e9d\u00e9ration Russe' >F\u00e9d\u00e9ration Russe<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Grenade' >Grenade<\/option><option value='Groenland' >Groenland<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Guyane' >Guyane<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='G\u00e9orgie du Sud et \u00celes Sandwich du Sud' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Irak' >Irak<\/option><option value='Iran' >Iran<\/option><option value='Irlande' >Irlande<\/option><option value='Islande' >Islande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jersey' >Jersey<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='La Barbade' >La Barbade<\/option><option value='La R\u00e9union' >La R\u00e9union<\/option><option value='Lesotho' >Lesotho<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Mac\u00e9doine du Nord' >Mac\u00e9doine du Nord<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malaisie' >Malaisie<\/option><option value='Malawi' >Malawi<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='Maroc' >Maroc<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='Niu\u00e9' >Niu\u00e9<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Nouvelle-Cal\u00e9donie' >Nouvelle-Cal\u00e9donie<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Oman' >Oman<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Portugal' >Portugal<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='R\u00e9publique Tch\u00e8que' >R\u00e9publique Tch\u00e8que<\/option><option value='R\u00e9publique arabe syrienne' >R\u00e9publique arabe syrienne<\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique d\u00e9mocratique populaire du Laos' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='Sahara occidental' >Sahara occidental<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre et Miquelon' >Saint Pierre et Miquelon<\/option><option value='Saint-Christophe-et-Nevis' >Saint-Christophe-et-Nevis<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Saint-Si\u00e8ge' >Saint-Si\u00e8ge<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Salvador' >Salvador<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Somalie' >Somalie<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan du Sud' >Soudan du Sud<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Suisse' >Suisse<\/option><option value='Suriname' >Suriname<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie (R\u00e9publique-Unie de)' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tchad' >Tchad<\/option><option value='Terres Australes Fran\u00e7aises' >Terres Australes Fran\u00e7aises<\/option><option value='Territoire britannique de l\u2019oc\u00e9an Indien' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinit\u00e9 et Tobago' >Trinit\u00e9 et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Turquie' >Turquie<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ukraine' >Ukraine<\/option><option value='Uruguay' >Uruguay<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis et Futuna' >Wallis et Futuna<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00cele Bouvet' >\u00cele Bouvet<\/option><option value='\u00cele Christmas' >\u00cele Christmas<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='\u00cele Norfolk' >\u00cele Norfolk<\/option><option value='\u00cele de Man' >\u00cele de Man<\/option><option value='\u00celes Cayman' >\u00celes Cayman<\/option><option value='\u00celes Cocos' >\u00celes Cocos<\/option><option value='\u00celes Cook' >\u00celes Cook<\/option><option value='\u00celes Falkland' >\u00celes Falkland<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='\u00celes Heard et McDonald' >\u00celes Heard et McDonald<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='\u00celes Pitcairn' >\u00celes Pitcairn<\/option><option value='\u00celes Salomon' >\u00celes Salomon<\/option><option value='\u00celes Turques et Ca\u00efques' >\u00celes Turques et Ca\u00efques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes de Svalbard et Jan Mayen' >\u00celes de Svalbard et Jan Mayen<\/option><option value='\u00celes mineures am\u00e9ricaines' >\u00celes mineures am\u00e9ricaines<\/option><option value='\u00celes \u00c5land' >\u00celes \u00c5land<\/option><\/select>\n                                        <label for='input_12_10_6' id='input_12_10_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_12_11\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_12_11'>Num\u00e9ro de t\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_12_11' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_12\" class=\"gfield gfield--type-email gfield--input-type-email 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' >Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_12_12_container'>\n                                <span id='input_12_12_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_12' id='input_12_12' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_12_12' class='gform-field-label gform-field-label--type-sub '>Courriel<\/label>\n                                <\/span>\n                                <span id='input_12_12_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_12_2' id='input_12_12_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_12_12_2' class='gform-field-label gform-field-label--type-sub '>Confirmer le courriel<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_12_90\" 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\"  ><strong>INFORMATIONS SUR LE B\u00c9N\u00c9FICIAIRE <\/strong><br>\n\nSi vous avez besoin d'une assistance individuelle \u00e0 tout moment, veuillez nous appeler au (613) 860-2424. <\/div><div id=\"field_12_91\" 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\"  ><strong>Vos informations\u202f:<\/strong><\/div><fieldset id=\"field_12_93\" 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' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/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_12_93'>\n                            \n                            <span id='input_12_93_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_93.3' id='input_12_93_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_93_3' class='gform-field-label gform-field-label--type-sub '>Votre pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_93_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_93.6' id='input_12_93_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_93_6' class='gform-field-label gform-field-label--type-sub '>Votre nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_94\" 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\"  ><strong>Information du b\u00e9n\u00e9ficiaire\u202f:<\/strong><\/div><fieldset id=\"field_12_95\" 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' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/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_12_95'>\n                            \n                            <span id='input_12_95_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_95.3' id='input_12_95_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_95_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_95_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_95.6' id='input_12_95_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_95_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_12_96\" 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' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_12_96' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_96_1_container' >\n                                        <input type='text' name='input_96.1' id='input_12_96_1' value=''    aria-required='true'    \/>\n                                        <label for='input_12_96_1' id='input_12_96_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_96_3_container' >\n                                    <input type='text' name='input_96.3' id='input_12_96_3' value=''    aria-required='true'    \/>\n                                    <label for='input_12_96_3' id='input_12_96_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_96_4_container' >\n                                        <input type='text' name='input_96.4' id='input_12_96_4' value=''      aria-required='true'    \/>\n                                        <label for='input_12_96_4' id='input_12_96_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_96_5_container' >\n                                    <input type='text' name='input_96.5' id='input_12_96_5' value=''    aria-required='true'    \/>\n                                    <label for='input_12_96_5' id='input_12_96_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_96.6' id='input_12_96_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_12_97\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_12_97'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_97' id='input_12_97' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_12_97_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_97_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_97' class='gform_hidden' value='https:\/\/firstmemorialfairview.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_12_98\" 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_12_98'>Lieu de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_12_98' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_99\" 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_12_99'>Num\u00e9ro de t\u00e9l\u00e9phone principal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_99' id='input_12_99' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_100\" 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_12_100'>Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_100' id='input_12_100' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_78' 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_12_78' 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_12_3' class='gform_page' data-js='page-field-id-78' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_13\" 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\"  ><strong>FORMULAIRE D'ENREGISTREMENT DU D\u00c9C\u00c8S POUR LE BUREAU DE L'\u00c9TAT CIVIL<\/strong> <br>Les informations demand\u00e9es ci-dessous nous aident \u00e0 enregistrer le d\u00e9c\u00e8s aupr\u00e8s du Bureau de l'\u00e9tat civil. Ce formulaire vous demande de fournir des informations sur les parents du d\u00e9funt, leurs noms \u00e0 la naissance et leur lieu de naissance, ainsi que des informations sur le d\u00e9funt\/la d\u00e9funte (profession, r\u00e9sidence, etc.).<\/div><fieldset id=\"field_12_14\" 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' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/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_12_14'>\n                            \n                            <span id='input_12_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_12_14_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_14_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_12_14_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_14_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_15\" 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_12_15'>Adresse \u00e0 domicile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_12_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_16\" 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_12_16'>Appartement<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_12_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_17\" 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_12_17'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_12_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_18\" 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_12_18'>Code postal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_12_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_19\" 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' >Quel est le sexe de la personne d\u00e9c\u00e9d\u00e9e?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_19'>\n\t\t\t<div class='gchoice gchoice_12_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Masculin'  id='choice_12_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_0' id='label_12_19_0' class='gform-field-label gform-field-label--type-inline'>Masculin<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='F\u00e9minin'  id='choice_12_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_19_1' id='label_12_19_1' class='gform-field-label gform-field-label--type-inline'>F\u00e9minin<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_21'>Num\u00e9ro de la carte Sant\u00e9<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_12_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_22'>Lieu de naissance<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_12_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_12_23'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_23' id='input_12_23' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_12_23_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_23_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_23' class='gform_hidden' value='https:\/\/firstmemorialfairview.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_12_24\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_12_24'>Date du d\u00e9c\u00e8s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_12_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_12_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_24_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_24' class='gform_hidden' value='https:\/\/firstmemorialfairview.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_79' 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_12_79' 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_12_4' class='gform_page' data-js='page-field-id-79' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_25\" 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\"  ><\/div><div id=\"field_12_179\" 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_12_179'>Type de travail effectu\u00e9 pendant la majeure partie de sa vie<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_179' id='input_12_179' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_180\" 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_12_180'>Type d&#039;entreprise ou d&#039;industrie dans laquelle la personne d\u00e9c\u00e9d\u00e9e a travaill\u00e9 la majeure partie de sa vie professionnelle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_12_180' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_26\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_26'>\u00c9tat civil de la personne d\u00e9c\u00e9d\u00e9e<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_12_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'><\/option><option value='C\u00e9libataire' >C\u00e9libataire<\/option><option value='Mari\u00e9(e)' >Mari\u00e9(e)<\/option><option value='Veuf(ve)' >Veuf(ve)<\/option><option value='Divorc\u00e9(e)' >Divorc\u00e9(e)<\/option><option value='Conjoint(e) de fait' >Conjoint(e) de fait<\/option><option value='Ex-conjoint(e) de fait' >Ex-conjoint(e) de fait<\/option><\/select><\/div><\/div><div id=\"field_12_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_31'>Pr\u00e9nom du conjoint(e)<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_12_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_32'>Nom de jeune fille de la conjointe<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_12_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_27'>Nom du p\u00e8re de la personne d\u00e9c\u00e9d\u00e9e<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_12_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_28'>Ville et province o\u00f9 le p\u00e8re est n\u00e9<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_12_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_29'>Nom de la m\u00e8re de la personne d\u00e9c\u00e9d\u00e9e<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_12_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_30'>Ville et province o\u00f9 la m\u00e8re est n\u00e9e<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_12_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_33\" 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' >Le d\u00e9c\u00e8s est-il survenu au Qu\u00e9bec?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_33'>\n\t\t\t<div class='gchoice gchoice_12_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Oui'  id='choice_12_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_33_0' id='label_12_33_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Non'  id='choice_12_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_33_1' id='label_12_33_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_34\" 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\"  >Le gouvernement du Qu\u00e9bec exige les renseignements suivants sur le conjoint\/la conjointe (ou l'ex-conjoint(e) de la personne d\u00e9c\u00e9d\u00e9e). \n\nRenseignements sur le conjoint ou la coinjointe survivant(e) (le cas \u00e9ch\u00e9ant) :<\/div><fieldset id=\"field_12_35\" 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' >Nom<\/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_12_35'>\n                            \n                            <span id='input_12_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.3' id='input_12_35_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_12_35_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.6' id='input_12_35_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_12_35_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille (nom de jeune fille)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_36\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_12_36'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_36' id='input_12_36' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_12_36_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_36_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_36' class='gform_hidden' value='https:\/\/firstmemorialfairview.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_12_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_37'>Lieu de naissance<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_12_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_38\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_12_38'>Date de mariage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_38' id='input_12_38' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_12_38_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_12_38_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_38' class='gform_hidden' value='https:\/\/firstmemorialfairview.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_12_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_39'>Lieu du mariage<\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_12_39' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_41\" 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_12_41'>Num\u00e9ro d&#039;assurance-maladie<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_12_41' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_42\" 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_12_42'>Nom complet du p\u00e8re<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_12_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_43\" 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_12_43'>Nom complet de la m\u00e8re<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_12_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_44\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_44'>Combien p\u00e8se la personne pour laquelle vous faites les arrangements?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_12_44' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Jusqu\u2019\u00e0 200 lbs' >Jusqu\u2019\u00e0 200 lbs<\/option><option value='200 lbs \u00e0 300 lbs' >200 lbs \u00e0 300 lbs<\/option><option value='300 lbs et plus' >300 lbs et plus<\/option><\/select><\/div><\/div><div id=\"field_12_45\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_45'>Lieu du d\u00e9c\u00e8s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_12_45' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='H\u00f4pital' >H\u00f4pital<\/option><option value='R\u00e9sidence pour personnes \u00e2g\u00e9es' >R\u00e9sidence pour personnes \u00e2g\u00e9es<\/option><option value='Maison' >Maison<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_12_48\" 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\"  >La section des arrangements en ligne de notre site Web n'est pas surveill\u00e9e 24 heures sur 24. Si le d\u00e9c\u00e8s est survenu dans une r\u00e9sidence pour personnes \u00e2g\u00e9es ou une maison de soins infirmiers, veuillez nous appeler imm\u00e9diatement au 613-860-2424. (Si vous avez s\u00e9lectionn\u00e9 R\u00e9sidence pour personnes \u00e2g\u00e9es, maison, autre)<\/div><div id=\"field_12_51\" 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_12_51'>Veuillez indiquer le nom de l&#039;\u00e9tablissement ou l&#039;adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_12_51' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_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' >Votre \u00eatre cher se trouve-t-il encore au lieu de d\u00e9c\u00e8s susmentionn\u00e9?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_46'>\n\t\t\t<div class='gchoice gchoice_12_46_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Oui'  id='choice_12_46_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_46_0' id='label_12_46_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_46_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_46' type='radio' value='Non'  id='choice_12_46_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_46_1' id='label_12_46_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_80' 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_12_80' 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_12_5' class='gform_page' data-js='page-field-id-80' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_49\" 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\"  >TRAITEMENT M\u00c9DICAL ET HISTORIQUE DE MALADIE<\/div><fieldset id=\"field_12_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >La personne pour laquelle vous prenez des arrangements a-t-elle un stimulateur cardiaque et\/ou des implants radioactif?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_50'>\n\t\t\t<div class='gchoice gchoice_12_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Oui'  id='choice_12_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_50_0' id='label_12_50_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Non'  id='choice_12_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_50_1' id='label_12_50_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_52\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_52'>Veuillez \u00e9num\u00e9r\u00e9es les proth\u00e8ses.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_52' id='input_12_52' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_81' 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_12_81' 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_12_6' class='gform_page' data-js='page-field-id-81' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_53\" 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\"  >Confirmation de l'identit\u00e9 de votre \u00eatre cher<\/div><fieldset id=\"field_12_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' >Est-ce que vous ou un membre de votre famille imm\u00e9diate souhaitez proc\u00e9der \u00e0 une visite familiale priv\u00e9e de votre \u00eatre cher avant sa cr\u00e9mation? - 595$<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_54'>\n\t\t\t<div class='gchoice gchoice_12_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Oui'  id='choice_12_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_54_0' id='label_12_54_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Non'  id='choice_12_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_54_1' id='label_12_54_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_55\" 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\"  >Moment Priv\u00e9 en Famille. Nous pouvons organiser une rencontre pour un maximum de 10 personnes afin de se recueillir avec votre proche avant la cr\u00e9mation. Nous pouvons habiller votre proche avec les v\u00eatements que vous fournissez et placer les bijoux ou parfums qu'ils portaient habituellement. Nous utiliserons des cosm\u00e9tiques l\u00e9gers pour qu'ils ressemblent autant que possible \u00e0 eux-m\u00eames et nous pr\u00e9parerons une salle confortable dans notre \u00e9tablissement o\u00f9 vous aurez acc\u00e8s pendant une heure pour dire vos derniers adieux ou laisser des lettres, couvertures, animaux en peluche, fleurs, etc. Des frais suppl\u00e9mentaires de 595 $ s'appliquent pour un moment priv\u00e9 en famille.<\/div><div id=\"field_12_184\" 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\"  >Un directeur de fun\u00e9railles communiquera avec vous avant la fin du jour suivant.<\/div><div id=\"field_12_56\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload 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='gform_browse_button_12_56'>Veuillez t\u00e9l\u00e9charger une photo r\u00e9cente.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_12_56' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_12_56&quot;,&quot;container&quot;:&quot;gform_multifile_upload_12_56&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_12_56&quot;,&quot;filelist&quot;:&quot;gform_preview_12_56&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/firstmemorialfairview.com\\\/fr\\\/?gf_page=94fd8aa5b834ef5&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/firstmemorialfairview.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/firstmemorialfairview.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;134217728b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:12,&quot;field_id&quot;:56,&quot;_gform_file_upload_nonce_12_56&quot;:&quot;31c85c94cb&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;10&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_12_56&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_12_56' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9posez les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_12_56' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_12_56\"  >S\u00e9lectionnez des fichiers<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_12_56'>Taille max. des fichiers\u00a0: 128 MB, Max. des fichiers\u00a0: 10.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_12_56'><\/ul> <div id='gform_preview_12_56' class='ginput_preview_list'><\/div><\/div><\/div><div id=\"field_12_57\" 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_12_57'>Describe the alternative methods used to confirm identification (Recent photos, scars, tattoos).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_12_57' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_82' 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_12_82' 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_12_7' class='gform_page' data-js='page-field-id-82' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_58\" 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\"  >1. ADDITIONAL SERVICES <br>\nDes services professionnels facultatifs pour les documents, sont disponibles en fonction de vos besoins<\/div><div id=\"field_12_60\" 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\"  ><strong>1. Protection contre la fraude - <\/strong>\u202fLe programme de protection contre la fraude vous offre un meilleur moyen, plus facile, de prot\u00e9ger votre famille contre le vol d'identit\u00e9. Au d\u00e9c\u00e8s d'un \u00eatre cher, nous notifions imm\u00e9diatement en votre nom toutes les agences gouvernementales et d'\u00e9valuation du cr\u00e9dit n\u00e9cessaires. Les proc\u00e9dures de d\u00e9claration diff\u00e8rent d'une agence \u00e0 l'autre, c'est pourquoi nous travaillons directement avec\n\nchacune d'elles pour nous assurer que leurs politiques sont suivies \u00e0 la lettre. Vous pouvez \u00eatre rassur\u00e9 que les bonnes personnes ont \u00e9t\u00e9 notifi\u00e9es de la bonne fa\u00e7on, et que l'identit\u00e9 de votre proche et sa succession sont bien prot\u00e9g\u00e9es contre la fraude.<\/div><fieldset id=\"field_12_61\" 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' >Voulez-vous le service de protection contre la fraude pour un co\u00fbt de 135,00 $?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_61'>\n\t\t\t<div class='gchoice gchoice_12_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Protection contre la fraude : $ 135.00'  id='choice_12_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_61_0' id='label_12_61_0' class='gform-field-label gform-field-label--type-inline'>Protection contre la fraude<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Protection contre la fraude refus\u00e9e'  id='choice_12_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_61_1' id='label_12_61_1' class='gform-field-label gform-field-label--type-inline'>Protection contre la fraude refus\u00e9e<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_62\" 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\"  ><strong>2. Outil de gestion du patrimoine familial -\u202f<\/strong>L'outil de gestion du patrimoine familial est un outil complet, qui simplifie, \u00e9tape par \u00e9tape, les d\u00e9cisions que vous devrez prendre lors du r\u00e8glement de la succession de votre \u00eatre cher. Cet outil offre un acc\u00e8s imm\u00e9diat \u00e0 des professionnels juridiques qui vous feront gagner du temps, informeront les parties concern\u00e9es et maximiseront la valeur de votre succession.<\/div><fieldset id=\"field_12_63\" 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' >Voulez-vous l\u2019outil de gestion du patrimoine familial \u00e0 un co\u00fbt suppl\u00e9mentaire de 295,00 $?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_63'>\n\t\t\t<div class='gchoice gchoice_12_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Outil de gestion du patrimoine : Price $ 295.00'  id='choice_12_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_63_0' id='label_12_63_0' class='gform-field-label gform-field-label--type-inline'>Outil de gestion du patrimoine<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Outil de gestion du patrimoine refus'  id='choice_12_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_63_1' id='label_12_63_1' class='gform-field-label gform-field-label--type-inline'>Outil de gestion du patrimoine refus<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_64\" 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\"  ><strong>3. Plan de services juridiques -\u202f<\/strong>Pour faciliter le processus de r\u00e8glement de la succession d'une personne, nous offrons des consultations t\u00e9l\u00e9phoniques illimit\u00e9es 24 heures sur 24 et 7 jours sur 7 avec notre \u00e9quipe de sp\u00e9cialistes en droit successoral. Les avantages comprennent une adh\u00e9sion de 12 mois apr\u00e8s le d\u00e9c\u00e8s de votre \u00eatre cher, ainsi qu'un soutien juridique pour d'autres domaines de pratique, notamment la famille, l'emploi et l'immobilier r\u00e9sidentiel.<\/div><fieldset id=\"field_12_65\" 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' >Voulez-vous un plan de services juridiques \u00e0 un co\u00fbt suppl\u00e9mentaire de 295,00 $?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_65'>\n\t\t\t<div class='gchoice gchoice_12_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='Plan de services juridiques : Price: $ 295.00'  id='choice_12_65_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_65_0' id='label_12_65_0' class='gform-field-label gform-field-label--type-inline'>Plan de services juridiques<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='Plan de services juridiques refus\u00e9'  id='choice_12_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_65_1' id='label_12_65_1' class='gform-field-label gform-field-label--type-inline'>Plan de services juridiques refus\u00e9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_66\" 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\"  ><strong>4. Num\u00e9risation de l'empreinte digitale pour l'achat futur de produits comm\u00e9moratifs -<\/strong>Num\u00e9risation d'une ou de plusieurs empreintes digitales, de mains et\/ou de pieds de votre \u00eatre cher avant sa disposition finale, \u00e0 utiliser exclusivement \u00e0 des fins de souvenir(s) comm\u00e9moratif(s) et \u00e0 aucune autre fin. Par exemple : Pr\u00e9servez vos souvenirs avec un pendentif rond en argent sterling avec l'empreinte du pouce de l'\u00eatre cher ou avec une cha\u00eene de 18 pouces en argent sterling de style boucle.<\/div><fieldset id=\"field_12_67\" 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' >Voulez-vous que nous num\u00e9risions un \u00e9chantillon d&#039;empreintes digitales sans frais suppl\u00e9mentaires pour l&#039;achat futur de produits comm\u00e9moratifs?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_67'>\n\t\t\t<div class='gchoice gchoice_12_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='Veuillez num\u00e9riser un \u00e9chantillon d&#039;empreintes digitales pour l&#039;achat futur de  produits comm\u00e9moratifs'  id='choice_12_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_67_0' id='label_12_67_0' class='gform-field-label gform-field-label--type-inline'>Veuillez num\u00e9riser un \u00e9chantillon d'empreintes digitales pour l'achat futur de  produits comm\u00e9moratifs<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='\u00c9chantillon d\u2019empreintes refus\u00e9'  id='choice_12_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_67_1' id='label_12_67_1' class='gform-field-label gform-field-label--type-inline'>\u00c9chantillon d\u2019empreintes refus\u00e9<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_83' 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_12_83' 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_12_8' class='gform_page' data-js='page-field-id-83' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_68\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >2. Choisissez un conteneur de cr\u00e9mation<\/div><fieldset id=\"field_12_103\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >CHOOSE A CREMATION CONTAINER<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(N\u00e9cessaire)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_103'><div class='gchoice gchoice_12_103_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.1' type='checkbox'  value='Cremation Tray Price : Included in the No Service Option package'  id='choice_12_103_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_103_1' id='label_12_103_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/06\/IMG_5643.jpg\" alt=\"Cremation Tray &lt;br&gt;Price :Included in the No Service Option package\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Cremation Tray <br>Price :Included in the No Service Option package<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_103_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.2' type='checkbox'  value='Presswood Container Price : $275.00'  id='choice_12_103_2'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_103_2' id='label_12_103_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Presswood.jpg\" alt=\"Presswood Container (Basic Presswood Container with no interior)&lt;br&gt;Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Presswood Container (Basic Presswood Container with no interior)<br>Price : $275.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_84' 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_12_84' 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_12_9' class='gform_page' data-js='page-field-id-84' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_69\" 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. CHOIX D\u2019URNES<br>\nLes cendres seront retourn\u00e9es dans une urne temporaire sans frais suppl\u00e9mentaires. Les urnes de cr\u00e9mation contiennent approximativement 200 \u00e0 220\u202fpouces\u202fcubes de cendres. Ces urnes sont consid\u00e9r\u00e9es comme \u00e9tant de taille normale. Disponible en diff\u00e9rentes formes, mat\u00e9riaux et couleurs, la s\u00e9lection d'une urne de cr\u00e9mation est un choix personnel et individuel.<\/div><fieldset id=\"field_12_104\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_3 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >CHOICE OF URNS<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_104'><div class='gchoice gchoice_12_104_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.1' type='checkbox'  value='Family Provided Urn : Price: $200 handling fee to transfer cremated remains'  id='choice_12_104_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_1' id='label_12_104_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><\/span><span class=\"pcafe_imgp_text\">Family Provided Urn : Price: $200 handling fee to transfer cremated remains<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.2' type='checkbox'  value='LEATHER CYLINDER : Price: $ 195.00'  id='choice_12_104_2'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_2' id='label_12_104_2' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/LEATHER-CYLINDER.jpg\" alt=\"LEATHER CYLINDER : Price: $ 195.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">LEATHER CYLINDER : Price: $ 195.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.3' type='checkbox'  value='NATURAL BOX : Price: $ 200.00'  id='choice_12_104_3'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_3' id='label_12_104_3' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/NATURAL-BOX.jpg\" alt=\"NATURAL BOX : Price: $ 200.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">NATURAL BOX : Price: $ 200.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.4' type='checkbox'  value='Pludra Biodegradable Black Vase : Price: $ 200.00'  id='choice_12_104_4'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_4' id='label_12_104_4' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Pludra-Biodegradable-black-vase.png\" alt=\"Pludra Biodegradable Black Vase : Price: $ 200.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Pludra Biodegradable Black Vase : Price: $ 200.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.5' type='checkbox'  value='Pludra Biodegradable White Vase : Price: $ 200.00'  id='choice_12_104_5'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_5' id='label_12_104_5' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Pludra-Biodegradable-white-vase.png\" alt=\"Pludra Biodegradable White Vase : Price: $ 200.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Pludra Biodegradable White Vase : Price: $ 200.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.6' type='checkbox'  value='Bamboo Shades of Blue : Price: $ 205.00'  id='choice_12_104_6'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_6' id='label_12_104_6' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Bamboo-shades-of-blue.png\" alt=\"Bamboo Shades of Blue : Price: $ 205.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Bamboo Shades of Blue : Price: $ 205.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.7' type='checkbox'  value='Bamboo Shades of Brown : Price: $ 205.00'  id='choice_12_104_7'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_7' id='label_12_104_7' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Bamboo-shades-of-brown.png\" alt=\"Bamboo Shades of Brown : Price: $ 205.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Bamboo Shades of Brown : Price: $ 205.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.8' type='checkbox'  value='MDF Magnolia \u2013 Oak : Price: $ 225.00'  id='choice_12_104_8'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_8' id='label_12_104_8' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/MDF-Magnolia-Oak.png\" alt=\"MDF Magnolia \u2013 Oak : Price: $ 225.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MDF Magnolia \u2013 Oak : Price: $ 225.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.9' type='checkbox'  value='MDF Blue \u2013 Chocolate : Price: $ 245.00'  id='choice_12_104_9'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_9' id='label_12_104_9' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/MDF-Blue-Chocolate.png\" alt=\"MDF Blue \u2013 Chocolate : Price: $ 245.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MDF Blue \u2013 Chocolate : Price: $ 245.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.11' type='checkbox'  value='Copper : Price: $ 255.00'  id='choice_12_104_11'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_11' id='label_12_104_11' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Copper.png\" alt=\"Copper : Price: $ 255.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Copper : Price: $ 255.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.12' type='checkbox'  value='Black Marble with Silver Rose : Price: $ 275.00'  id='choice_12_104_12'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_12' id='label_12_104_12' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/Black-marble-with-silver-rose.png\" alt=\"Black Marble with Silver Rose : Price: $ 275.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">Black Marble with Silver Rose : Price: $ 275.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.13' type='checkbox'  value='White Marble with Black Rose : Price: $ 275.00'  id='choice_12_104_13'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_13' id='label_12_104_13' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2024\/07\/White-marble-with-black-rose.png\" alt=\"White Marble with Black Rose : Price: $ 275.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">White Marble with Black Rose : Price: $ 275.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.14' type='checkbox'  value='MOONLIGHT BLUE VASE : Price: $ 460.00'  id='choice_12_104_14'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_14' id='label_12_104_14' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/MOONLIGHT-BLUE-VASE.jpg\" alt=\"MOONLIGHT BLUE VASE : Price: $ 460.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MOONLIGHT BLUE VASE : Price: $ 460.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.15' type='checkbox'  value='DOVE VASE : Price: $ 495.00'  id='choice_12_104_15'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_15' id='label_12_104_15' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/DOVE-VASE.jpg\" alt=\"DOVE VASE : Price: $ 495.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">DOVE VASE : Price: $ 495.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.16' type='checkbox'  value='SAND RECTANGLE : Price: $ 510.00'  id='choice_12_104_16'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_16' id='label_12_104_16' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/SAND-RECTANGLE.jpg\" alt=\"SAND RECTANGLE : Price: $ 510.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">SAND RECTANGLE : Price: $ 510.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.17' type='checkbox'  value='OMEGA VASE : Price: $ 545.00'  id='choice_12_104_17'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_17' id='label_12_104_17' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Omega-vase495.jpg\" alt=\"OMEGA VASE : Price: $ 545.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">OMEGA VASE : Price: $ 545.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.18' type='checkbox'  value='CHERRY CHEST : Price: $595.00'  id='choice_12_104_18'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_18' id='label_12_104_18' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/CHERRY-CHEST.jpg\" alt=\"CHERRY CHEST : Price: 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">CHERRY CHEST : Price: $595.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.19' type='checkbox'  value='MOTHER OF PEARL ELITE : Price: $ 595.00'  id='choice_12_104_19'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_19' id='label_12_104_19' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/MOTHER-OF-PEARL-ELITE.jpg\" alt=\"MOTHER OF PEARL ELITE : Price: $ 595.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MOTHER OF PEARL ELITE : Price: $ 595.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.21' type='checkbox'  value='LIVING URN : Price: $ 595.00'  id='choice_12_104_21'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_21' id='label_12_104_21' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/urn-1.jpg\" alt=\"LIVING URN: Price: $ 595.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">LIVING URN: Price: $ 595.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.22' type='checkbox'  value='MOMENTS AZALEA URN AND FRAME KEEPSAKE : Price: $ 690.00'  id='choice_12_104_22'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_22' id='label_12_104_22' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/MOMENTS-AZALEA-URN-AND-FRAME-KEEPSAKE.jpg\" alt=\"MOMENTS AZALEA URN AND FRAME KEEPSAKE : Price: $ 690.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MOMENTS AZALEA URN AND FRAME KEEPSAKE : Price: $ 690.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.23' type='checkbox'  value='LAUREL MIDNIGHT : Price: $ 795.00'  id='choice_12_104_23'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_23' id='label_12_104_23' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Laurel-midnight-795.jpg\" alt=\"LAUREL MIDNIGHT : Price: $ 795.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">LAUREL MIDNIGHT : Price: $ 795.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.24' type='checkbox'  value='LAUREL WHITE PEARL : Price: $ 795.00'  id='choice_12_104_24'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_24' id='label_12_104_24' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Laurel-white-pearl-795.jpg\" alt=\"LAUREL WHITE PEARL : Price: $ 795.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">LAUREL WHITE PEARL : Price: $ 795.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.25' type='checkbox'  value='BOIS SILVER MAPLE : Price: $ 895.00'  id='choice_12_104_25'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_25' id='label_12_104_25' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Bois-silver-maple.jpg\" alt=\"BOIS SILVER MAPLE : Price: $ 895.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">BOIS SILVER MAPLE : Price: $ 895.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.26' type='checkbox'  value='SERENITY TREE : Price: $ 895.00'  id='choice_12_104_26'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_26' id='label_12_104_26' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/serenity-tree-595.jpg\" alt=\"SERENITY TREE : Price: $ 895.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">SERENITY TREE : Price: $ 895.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_12_104_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.27' type='checkbox'  value='SERENITY PLAIN : Price: $ 895.00'  id='choice_12_104_27'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_104_27' id='label_12_104_27' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Serenity-plain.jpg\" alt=\"SERENITY PLAIN : Price: $ 895.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">SERENITY PLAIN : Price: $ 895.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_85' 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_12_85' 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_12_10' class='gform_page' data-js='page-field-id-85' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_70\" 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\"  >4. CHOIX DE SOUVENIRS<br>\nNous offrons \u00e9galement une s\u00e9lection d'autres urnes et de souvenirs. Les urnes \u00e0 souvenir sont con\u00e7ues pour contenir une petite partie des cendres. Dans certains cas, vous pouvez acheter plusieurs urnes \u00e0 souvenir pour les membres de la famille qui souhaitent conserver une partie de la totalit\u00e9 des cendres tout en dispersant ou en excluant le reste des cendres.<\/div><fieldset id=\"field_12_145\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >MOONLIGHT HEART KEEPSAKE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_145'><div class='gchoice gchoice_12_145_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.1' type='checkbox'  value='MOONLIGHT HEART KEEPSAKE : Price : $125.00'  id='choice_12_145_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_145_1' id='label_12_145_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/MOONLIGHT-HEART.jpg\" alt=\"MOONLIGHT HEART KEEPSAKE : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MOONLIGHT HEART KEEPSAKE : Price : $125.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_146\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_146'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Moonlight Hearth Keepsake?<\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_12_146' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' selected='selected'>Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_147\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_147'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_147' id='input_12_147' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_147\" \/><\/div><div class='gfield_description' id='gfield_description_12_147'>Additional memories in the moonlight\n<\/div><\/div><fieldset id=\"field_12_148\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >DOVE MINI KEEPSAKE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_148'><div class='gchoice gchoice_12_148_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_148.1' type='checkbox'  value='DOVE MINI KEEPSAKE : Price : $125.00'  id='choice_12_148_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_148_1' id='label_12_148_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/DOVE-MINI-KEEPSAKE.jpg\" alt=\"DOVE MINI KEEPSAKE : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">DOVE MINI KEEPSAKE : Price : $125.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_149\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_149'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Dove Mini Keepsake?<\/label><div class='ginput_container ginput_container_select'><select name='input_149' id='input_12_149' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' selected='selected'>Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_150\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_150'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_150' id='input_12_150' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_150\" \/><\/div><div class='gfield_description' id='gfield_description_12_150'>Extra Dove Mini Souvenirs\n<\/div><\/div><fieldset id=\"field_12_151\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >LAUREL WHITE PEARL KEEPSAKE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_151'><div class='gchoice gchoice_12_151_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_151.1' type='checkbox'  value='LAUREL WHITE PEARL KEEPSAKE : Price : $145.00'  id='choice_12_151_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_151_1' id='label_12_151_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Laurel-white-pearl-keepsake-145.jpg\" alt=\"LAUREL WHITE PEARL KEEPSAKE : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">LAUREL WHITE PEARL KEEPSAKE : Price : $145.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_152\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_152'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Laurel White Pearl Keepsake?<\/label><div class='ginput_container ginput_container_select'><select name='input_152' id='input_12_152' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_153\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_153'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_153' id='input_12_153' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_153\" \/><\/div><div class='gfield_description' id='gfield_description_12_153'>Mini souvenirs extra-gland\n<\/div><\/div><fieldset id=\"field_12_157\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >STAR BRIGHT MINI KEEPSAKE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_157'><div class='gchoice gchoice_12_157_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_157.1' type='checkbox'  value='STAR BRIGHT MINI KEEPSAKE : Price : $155.00'  id='choice_12_157_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_157_1' id='label_12_157_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Star-bright-mini-keepsake145.jpg\" alt=\"STAR BRIGHT MINI KEEPSAKE : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">STAR BRIGHT MINI KEEPSAKE : Price : $155.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_158\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_158'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Star Bright Mini Keepsake?<\/label><div class='ginput_container ginput_container_select'><select name='input_158' id='input_12_158' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_159\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_159'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_159' id='input_12_159' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_159\" \/><\/div><div class='gfield_description' id='gfield_description_12_159'>Mini Star Bright Memories\n<\/div><\/div><fieldset id=\"field_12_160\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >MIDNIGHT PEWTER HEART<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_160'><div class='gchoice gchoice_12_160_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_160.1' type='checkbox'  value='MIDNIGHT PEWTER HEART : Price : $155.00'  id='choice_12_160_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_160_1' id='label_12_160_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Midnight-pewter-125.jpg\" alt=\"MIDNIGHT PEWTER HEART : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">MIDNIGHT PEWTER HEART : Price : $155.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_161\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_161'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Midnight Pewter Heart?<\/label><div class='ginput_container ginput_container_select'><select name='input_161' id='input_12_161' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_162\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_162'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_162' id='input_12_162' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_162\" \/><\/div><div class='gfield_description' id='gfield_description_12_162'>Extra Midnight Pewter Heart Memories\n<\/div><\/div><fieldset id=\"field_12_163\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full products_checkboxes_col_2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\"  data-field-class=\"init_pcafe_imgp pcafe_theme_basic pcafe_imgp_col_lg_6 pcafe_imgp_col_md_4 pcafe_imgp_col_sm_2\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >NIRVANA ADIEU KEEPSAKE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_12_163'><div class='gchoice gchoice_12_163_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_163.1' type='checkbox'  value='NIRVANA ADIEU KEEPSAKE : Price : $125.00'  id='choice_12_163_1'   \/>\n\t\t\t\t\t\t\t\t<label  for='choice_12_163_1' id='label_12_163_1' class='gform-field-label gform-field-label--type-inline' ><span class=\"pcafe_imgp_wrap\"><img decoding=\"async\" src=\"https:\/\/firstmemorialfairview.com\/wp-content\/uploads\/2022\/09\/Nirvana-adieu-keepsake125.jpg\" alt=\"NIRVANA ADIEU KEEPSAKE : Price : 5.00\" class=\"image_picker_image\" \/><\/span><span class=\"pcafe_imgp_text\">NIRVANA ADIEU KEEPSAKE : Price : $125.00<\/span><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_164\" class=\"gfield gfield--type-select gfield--input-type-select 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_12_164'>Souhaitez-vous des souvenirs suppl\u00e9mentaires pour Nirvana Adieu Keepsake?<\/label><div class='ginput_container ginput_container_select'><select name='input_164' id='input_12_164' class='large gfield_select'     aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_12_165\" class=\"gfield gfield--type-number gfield--input-type-number 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_12_165'>Combien en voudrais-tu ?<\/label><div class='ginput_container ginput_container_number'><input name='input_165' id='input_12_165' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_165\" \/><\/div><div class='gfield_description' id='gfield_description_12_165'>Extra Nirvana Adieu Keepsake Memories\n<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_86' 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_12_86' 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_12_11' class='gform_page' data-js='page-field-id-86' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Apr\u00e8s la cr\u00e9mation<\/strong> \n <br>\nUne fois la cr\u00e9mation termin\u00e9e, vous avez la possibilit\u00e9 de vous faire retourner les cendres, les certificats de d\u00e9c\u00e8s et les autres documents n\u00e9cessaires par la poste, par livraison \u00e0 domicile ou en venant les chercher \u00e0 notre bureau.<\/div><fieldset id=\"field_12_72\" 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' >Comment d\u00e9sirez-vous que les cendres vous soit retourn\u00e9es?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_72'>\n\t\t\t<div class='gchoice gchoice_12_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Ramasser les cendres au salon fun\u00e9raire.'  id='choice_12_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_72_0' id='label_12_72_0' class='gform-field-label gform-field-label--type-inline'>Ramasser les cendres au salon fun\u00e9raire.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Retour par courrier recommand\u00e9 (Co\u00fbt estim\u00e9 \u00e0 100 $, peut varier en fonction du poids)'  id='choice_12_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_72_1' id='label_12_72_1' class='gform-field-label gform-field-label--type-inline'>Retour par courrier recommand\u00e9 (Co\u00fbt estim\u00e9 \u00e0 100 $, peut varier en fonction du poids)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_87' 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_12_87' 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_12_12' class='gform_page' data-js='page-field-id-87' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_73\" 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\"  ><strong>OPTION SANS SERVICES FUN\u00c9RAIRES<\/strong><br>\nLes services suivants sont inclus dans le prix de 1820.10 $ de notre option sans services fun\u00e9raires :<br>\n<strong>Services professionnels et personnels 70,00 $<\/strong>  <br>\nConsultation professionnelle en ligne comprenant, sans s'y limiter, des conseils d'experts sur les options qui r\u00e9pondent \u00e0 vos besoins. Nos services comprennent \u00e9galement une notice n\u00e9crologique en ligne sur notre site Web, sans frais suppl\u00e9mentaires.<br>\n<strong>Enregistrement et documentation 35,00 $<\/strong>  <br>\nRemplir et d\u00e9poser tous les documents n\u00e9cessaires \u00e0 l'ex\u00e9cution des services et fournitures demand\u00e9s, y compris, mais permis d'inhumation, le certificat du coroner pour la cr\u00e9mation et la remise des preuves de d\u00e9c\u00e8s pour les certificats de d\u00e9c\u00e8s<br>\n<strong>Entreposage de la d\u00e9funte\/du d\u00e9funt 35,00 $<\/strong><br>\n<strong>Transfert de la d\u00e9funte\/du d\u00e9funt du lieu de d\u00e9c\u00e8s au salon fun\u00e9raire (dans un rayon de 50 kilom\u00e8tres) 595,00$<\/strong> <br>\nLa distance suppl\u00e9mentaire sera factur\u00e9e \u00e0 2,00 $ le kilom\u00e8tre.<br>\n<strong>Cr\u00e9mation dans nos locaux $ 645.00<\/strong><br>\n<strong>Conteneur de cr\u00e9mation : 90,00 $<\/strong><br>\n<strong>TVH sur les services et produits ci-dessus 191,10$<\/strong><br>\n<strong>D\u00e9bours \u2013 Enregistrement municipal 54$<\/strong><br>\n<strong>D\u00e9bours \u2013 Frais du coroner 75,00$<\/strong><br>\n<strong>D\u00e9bours \u2013 Frais de l\u2019Office ontarien des services fun\u00e9raires 30,00$<\/strong><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_12_89' 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_12_89' 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_12_13' class='gform_page' data-js='page-field-id-89' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_12_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_88\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Veuillez prendre un moment pour revoir vos arrangements.\n<\/strong> \n <br>\nCe total ne comprend pas la taxe de vente harmonis\u00e9e (TVH) et elle sera appliqu\u00e9e au total des services et des produits. Une copie de votre facture vous sera envoy\u00e9e par courriel, avec le solde total d\u00fb, avant d'accepter le paiement.\n\n<div class=\"arrangements_div\"><\/div><\/div><div id=\"field_12_183\" 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_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.\"><\/i><span>Ce champ est masqu\u00e9 lorsque l\u2018on voit le formulaire.<\/span><\/div><label class='gfield_label gform-field-label' for='input_12_183'>No Option Service<\/label><div class='ginput_container ginput_container_text'><input name='input_183' id='input_12_183' type='text' value='No Option Services : Price $1820.10' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_178\" class=\"gfield 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