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<!-- Begin Mailchimp Signup Form -->
<link href="//cdn-images.mailchimp.com/embedcode/classic-10_7.css" rel="stylesheet" type="text/css">
<style type="text/css">
#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }
/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.
We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */
</style>
<div id="mc_embed_signup">
<form action="https://mylene-mai.us11.list-manage.com/subscribe/post?u=2f0f0773657b1df0875c89077&amp;id=a561ef24fa" method="post" id="mc-embedded-subscribe-form" name="mc-embedded-subscribe-form" class="validate" target="_blank" novalidate>
<div id="mc_embed_signup_scroll">
<h2>Subscribe</h2>
<div class="indicates-required"><span class="asterisk">*</span> indicates required</div>
<div class="mc-field-group">
<label for="mce-EMAIL">Email Address <span class="asterisk">*</span>
</label>
<input type="email" value="" name="EMAIL" class="required email" id="mce-EMAIL">
</div>
<div class="mc-field-group">
<label for="mce-FNAME">First Name </label>
<input type="text" value="" name="FNAME" class="" id="mce-FNAME">
</div>
<div class="mc-field-group">
<label for="mce-LNAME">Last Name </label>
<input type="text" value="" name="LNAME" class="" id="mce-LNAME">
</div>
<div class="mc-field-group size1of2">
<label for="mce-MMERGE3-month">Untitled </label>
<div class="datefield">
<span class="subfield dayfield"><input class="datepart " type="text" pattern="[0-9]*" value="" placeholder="DD" size="2" maxlength="2" name="MMERGE3[day]" id="mce-MMERGE3-day"></span> /
<span class="subfield monthfield"><input class="datepart " type="text" pattern="[0-9]*" value="" placeholder="MM" size="2" maxlength="2" name="MMERGE3[month]" id="mce-MMERGE3-month"></span> /
<span class="subfield yearfield"><input class="datepart " type="text" pattern="[0-9]*" value="" placeholder="YYYY" size="4" maxlength="4" name="MMERGE3[year]" id="mce-MMERGE3-year"></span>
<span class="small-meta nowrap">( dd / mm / yyyy )</span>
</div>
</div> <div id="mce-responses" class="clear">
<div class="response" id="mce-error-response" style="display:none"></div>
<div class="response" id="mce-success-response" style="display:none"></div>
</div> <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->
<div style="position: absolute; left: -5000px;" aria-hidden="true"><input type="text" name="b_2f0f0773657b1df0875c89077_a561ef24fa" tabindex="-1" value=""></div>
<div class="clear"><input type="submit" value="Subscribe" name="subscribe" id="mc-embedded-subscribe" class="button"></div>
</div>
</form>
</div>
<script type='text/javascript' src='//s3.amazonaws.com/downloads.mailchimp.com/js/mc-validate.js'></script><script type='text/javascript'>(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[3]='MMERGE3';ftypes[3]='date'; /*
* Translated default messages for the $ validation plugin.
* Locale: FR
*/
$.extend($.validator.messages, {
required: "Ce champ est requis.",
remote: "Veuillez remplir ce champ pour continuer.",
email: "Veuillez entrer une adresse email valide.",
url: "Veuillez entrer une URL valide.",
date: "Veuillez entrer une date valide.",
dateISO: "Veuillez entrer une date valide (ISO).",
number: "Veuillez entrer un nombre valide.",
digits: "Veuillez entrer (seulement) une valeur numérique.",
creditcard: "Veuillez entrer un numéro de carte de crédit valide.",
equalTo: "Veuillez entrer une nouvelle fois la même valeur.",
accept: "Veuillez entrer une valeur avec une extension valide.",
maxlength: $.validator.format("Veuillez ne pas entrer plus de {0} caractères."),
minlength: $.validator.format("Veuillez entrer au moins {0} caractères."),
rangelength: $.validator.format("Veuillez entrer entre {0} et {1} caractères."),
range: $.validator.format("Veuillez entrer une valeur entre {0} et {1}."),
max: $.validator.format("Veuillez entrer une valeur inférieure ou égale à {0}."),
min: $.validator.format("Veuillez entrer une valeur supérieure ou égale à {0}.")
});}(jQuery));var $mcj = jQuery.noConflict(true);</script>
<!--End mc_embed_signup-->