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class='gform-body gform_body'><ul id='gform_fields_17' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_17_1\" class=\"gfield gfield--type-name gfield--input-type-name gf_left_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 gfield_label_before_complex' >Nom ou pseudonyme (votre nom complet est n\u00e9cessaire pour d\u00e9livrer le certificat de don)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_17_1'>\n                            \n                            <span id='input_17_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_17_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_17_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_17_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_17_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_17_1_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_17_2\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_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_17_2'>N\u00b0 d&#039;identification fiscale (NIF ou CIF) (n\u00e9cessaire pour d\u00e9livrer le certificat de don et b\u00e9n\u00e9ficier d&#039;avantages fiscaux)<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_17_2' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_12\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_12'>Adresse postale compl\u00e8te (n\u00e9cessaire pour d\u00e9livrer le certificat de don)<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_17_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_3\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_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_17_3'>Adresse e-mail (n\u00e9cessaire pour d\u00e9livrer le certificat de don ou pour vous contacter)<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_17_3' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_17_4\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_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_17_4'>T\u00e9l\u00e9phone (n\u00e9cessaire pour d\u00e9livrer le certificat de don ou pour vous contacter)<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_17_4' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_7\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_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_17_7'>Montant du don<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_17_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_11\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_17_11'>Destination du don<\/label><div class='gfield_description' id='gfield_description_17_11'>Si vous souhaitez que votre contribution soit destin\u00e9e \u00e0 un projet ou \u00e0 une activit\u00e9 pr\u00e9cise de FSC, indiquez-le ici :<\/div><div class='ginput_container ginput_container_text'><input name='input_11' id='input_17_11' type='text' value='' class='medium'  aria-describedby=\"gfield_description_17_11\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_17_14\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consentement<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_14.1' id='input_17_14_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_17_14\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_17_14_1' >J'ai lu et j'accepte la <a href=\"https:\/\/www.fsyc.org\/fr\/politique-de-confidentialite\/\" target=\"_blank\" class=\"cursor-init\">politique de confidentialit\u00e9<\/a><\/label><input type='hidden' name='input_14.2' value='J&#039;ai lu et j&#039;accepte la &lt;a href=&quot;https:\/\/www.fsyc.org\/fr\/politique-de-confidentialite\/&quot; target=&quot;_blank&quot; class=&quot;cursor-init&quot;&gt;politique de confidentialit\u00e9&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_14.3' value='27' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_17_14' tabindex='0'>INFORMATIONS DE BASE SUR LA PROTECTION DES DONN\u00c9ES :<br \/>\nResponsable du traitement : FUNDACI\u00d3N SALUD Y COMUNIDAD<br \/>\nFinalit\u00e9 du traitement : traiter les demandes envoy\u00e9es.<br \/>\nBase juridique : int\u00e9r\u00eat l\u00e9gitime et consentement de la personne concern\u00e9e.<br \/>\nConservation des donn\u00e9es : les donn\u00e9es seront conserv\u00e9es tant qu'il existe un int\u00e9r\u00eat mutuel ou pendant le temps n\u00e9cessaire pour respecter les obligations l\u00e9gales.<br \/>\nDestinataires : prestataires de services ou collaborateurs.<br \/>\nDroits : droit de retirer son consentement \u00e0 tout moment. Droit d'acc\u00e8s, de rectification, de portabilit\u00e9 et de suppression de vos donn\u00e9es, et de limitation ou d'opposition \u00e0 leur traitement. 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