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="eyJpdiI6IlZIcENkREpadDUrNGRUVVlYSmZzUkxtdkJoeVJ5aGU0a1ErUFd5dkVyQ0E9IiwidmFsdWUiOiJtUFR6T3RYT1NkZzJvU1ZEd3ZHcVwvVmhZemNKeG9leWtpQXFmWCs4OVFIcz0iLCJtYWMiOiIwMjQ0MjUyZWM5ZjU5MGU2OWMzNGIwYTY4ODllYWNhMmUzNTk2NTVhNDg0OTBlMjM3M2FlMDRhZjg5ZDYwZTk2In0="><input type="hidden" name="webform_id" value="11954"><style> .inf-main_2f27b6982571a90f13daebeb47fb53b9{ background-color:#f5f5f5; padding:25px 20px; margin:25px auto; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-content { margin-top:13px;} .inf-main_2f27b6982571a90f13daebeb47fb53b9 h4, .inf-main_2f27b6982571a90f13daebeb47fb53b9 span, .inf-main_2f27b6982571a90f13daebeb47fb53b9 label, .inf-main_2f27b6982571a90f13daebeb47fb53b9 input, .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-submit, .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-success p a { color:#555555; font-size:14px; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 h4{ font-size:18px; margin:0px 0px 13px 0px; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 h4, .inf-main_2f27b6982571a90f13daebeb47fb53b9 label{ font-weight:bold; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input { margin-bottom:7px; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 label { display:block;} .inf-main_2f27b6982571a90f13daebeb47fb53b9 input{ height:35px; color:#999999; border: 1px solid #E9E9E9; border:none; padding-left:7px; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input.inf-error label, .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input.inf-error span.inf-message{ color: #cc0033; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input.inf-error input{ border: 1px solid #cc0033; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input input { width:100%;} .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-input.inf-error span.inf-message { display: block; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-submit { text-align:right;} .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-submit input{ background-color:#777777; color:#ffffff; border:none; font-weight: normal; height:auto; padding:7px; } .inf-main_2f27b6982571a90f13daebeb47fb53b9 .inf-submit input.disabled{ opacity: 0.4; } .inf-btn { color: rgb(85, 85, 85); border: medium none; font-weight: normal; height: auto; padding: 7px; display: inline-block; background-color: white; box-shadow: 0px 1px 1px rgba(0, 0, 0, 0.24); border-radius: 2px; line-height: 1em; } .inf-rgpd { margin:25px 0px 15px 0px; color:#555555; } </style> <div class="inf-main_2f27b6982571a90f13daebeb47fb53b9"> <h4>Newsletter MNA</h4> <span>S’inscrire à la Newsletter MNA - 4 parutions par année</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[3]" data-inf-meta = "3" data-inf-error = "Merci de renseigner une chaine de caractère" required="required" 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" required="required" placeholder="Prénom" > </div> <div class="inf-input inf-input-text"> <input type="text" name="inf[40112]" data-inf-meta = "40112" data-inf-error = "Merci de renseigner une chaine de caractère" placeholder="Fonction" > </div> <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[40113]" data-inf-meta = "40113" data-inf-error = "Merci de renseigner une chaine de caractère" placeholder="Institution" > </div> <div class="inf-input inf-input-text"> <input type="text" name="inf[40114]" data-inf-meta = "40114" data-inf-error = "Merci de renseigner une chaine de caractère" placeholder="Ville/Canton" > </div> <div class="inf-rgpd"></div> <div class="inf-submit"> <input type="submit" name="" value="Valider"> </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=1648646547");document.getElementsByTagName("head")[0].appendChild(script_tag);