document.write('<form method="post" action="//newsletter.infomaniak.com/external/submit" class="inf-form" target="_blank"><input type="email" name="email" style="display:none" /><input type="hidden" name="key" value="eyJpdiI6InRJdmQ4azZtMzg5aE96VnJQcFFVWjBsS2RjeGFxS1VKaVFtOHI2ZUEzZDQ9IiwidmFsdWUiOiJcL2ZEZFp5MXdXRlwvR2RUcmtDVUozVzhGRkdxN2x0d1kyYW5uWjdMcjRNdDA9IiwibWFjIjoiZDRkNDBiMjJkMDcyNmExNzA3ZjFkODhlMmU0ZTc2YTdlZGVlZGUzMDk1ZTcyMGUzNzZjMGVlMGNhZGUwMWNhYyJ9"><input type="hidden" name="webform_id" value="17136"><style> .inf-main_9bbebcea7798629dd977598d42980e84{ background-color:#008BA0; padding:25px 20px; margin:25px auto; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-content { margin-top:13px;} .inf-main_9bbebcea7798629dd977598d42980e84 h4, .inf-main_9bbebcea7798629dd977598d42980e84 span, .inf-main_9bbebcea7798629dd977598d42980e84 label, .inf-main_9bbebcea7798629dd977598d42980e84 input, .inf-main_9bbebcea7798629dd977598d42980e84 .inf-submit, .inf-main_9bbebcea7798629dd977598d42980e84 .inf-success p a { color:#ffffff; font-size:14px; } .inf-main_9bbebcea7798629dd977598d42980e84 h4{ font-size:18px; margin:0px 0px 13px 0px; } .inf-main_9bbebcea7798629dd977598d42980e84 h4, .inf-main_9bbebcea7798629dd977598d42980e84 label{ font-weight:bold; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input { margin-bottom:7px; } .inf-main_9bbebcea7798629dd977598d42980e84 label { display:block;} .inf-main_9bbebcea7798629dd977598d42980e84 input{ height:35px; color:#999999; border: 1px solid #E9E9E9; padding-left:7px; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input.inf-error label, .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input.inf-error span.inf-message{ color: #cc0033; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input.inf-error input{ border: 1px solid #cc0033; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input input { width:100%;} .inf-main_9bbebcea7798629dd977598d42980e84 .inf-input.inf-error span.inf-message { display: block; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-submit { text-align:right;} .inf-main_9bbebcea7798629dd977598d42980e84 .inf-submit input{ background-color:#005F6C; color:#ffffff; border:none; font-weight: normal; height:auto; padding:7px; } .inf-main_9bbebcea7798629dd977598d42980e84 .inf-submit input.disabled{ opacity: 0.4; } .inf-rgpd { margin:25px 0px 15px 0px; color:#ffffff; } </style> <div class="inf-main_9bbebcea7798629dd977598d42980e84"> <h4>Inscription aux newslettres des AmiEs de la Syncope</h4> <span></span> <div class="inf-success" style="display:none"> <h4>Votre inscription a été enregistrée avec succès !</h4> <p> <a href="#" class="inf-btn">&laquo;</a> </p> </div> <div class="inf-content"> <div class="inf-input inf-input-text"> <input type="text" name="inf[1]" data-inf-meta = "1" data-inf-error = "Merci de renseigner une adresse email" required="required" placeholder="Email" > </div> <div class="inf-input inf-input-text"> <input type="text" name="inf[3]" data-inf-meta = "3" data-inf-error = "Merci de renseigner une chaine de caractère" placeholder="Nom" > </div> <div class="inf-input inf-input-text"> <input type="text" name="inf[2]" data-inf-meta = "2" data-inf-error = "Merci de renseigner une chaine de caractère" placeholder="Prénom" > </div> <div class="inf-rgpd">Votre adresse de messagerie est uniquement utilisée pour vous envoyer nos lettres d\'information de nos prochaines Assemblées Générales. Si vous voulez nous soutenir en tant que membre veuillez également remplir le formulaire suivant : https://forms.gle/aY6CACismf8vTfAaA</div> <div class="inf-submit"> <input type="submit" name="" value="S\'inscrire"> </div> </div> </div> </form>');var script_tag = document.createElement('script');script_tag.setAttribute("type","text/javascript");script_tag.setAttribute("src", "//newsletter.infomaniak.com/webforms/index.js?v=1714893771");document.getElementsByTagName("head")[0].appendChild(script_tag);