{"id":16811,"date":"2023-03-01T13:33:14","date_gmt":"2023-03-01T13:33:14","guid":{"rendered":"https:\/\/2024.jugendfilmtage.ch\/?page_id=16811"},"modified":"2024-02-09T10:39:13","modified_gmt":"2024-02-09T09:39:13","slug":"panier","status":"publish","type":"page","link":"https:\/\/jugendfilmtage.ch\/fr\/ticketack\/panier\/","title":{"rendered":"Panier"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">Panier<\/h1>\n\n\n\n<div\n    class=\"tkt-wrapper tkt-checkout\"\n    data-component=\"Checkout\/Checkout\"\n    data-redirect=\"https:\/\/jugendfilmtage.ch\/fr\/ticketack\/paiement\/\"\n    data-redirect-error=\"https:\/\/jugendfilmtage.ch\/fr\/ticketack\/paiement\/\"\n>\n    <div class=\"tkt-checkout-form\">\n        \n<!-- Message for proxypay configuration error -->\n\n<div class=\"tkt-wrapper\">\n  \n      <div class=\"tkt-wrapper tkt-cart\" data-component=\"Cart\/Cart\" data-hide-links=\"finalize,continue\" data-cart-id=\"\">\n    <div data-component=\"Media\/Loading\" data-size-sm data-align-center><\/div>\n<\/div>\n\n<!-- Underscore.js template used by client side -->\n<script type=\"text\/template\" id=\"tkt-cart-table-tpl\">\n    <%\nconst pass     = cart.getPass();\nconst tickets  = cart.getTickets();\nconst articles = cart.getArticles();\n\nconst discounts  = cart.getDiscounts();\nconst fees       = cart.getFees();\nconst nbArticles = pass.length + tickets.length + articles.length;\n%>\n\n<div class=\"tkt-wrapper\">\n        <% if (cart.items.length == 0) { %>\n        <section class=\"tkt-section tkt-light-section tkt-cart-section\">\n            <div class=\"row\">\n                <div class=\"col\">\n                    <h3 class=\"empty-cart-title\">\n                        Votre panier est vide                    <\/h3>\n                <\/div>\n            <\/div>\n        <\/section>\n        <% } else { %>\n    <div class=\"row\">\n                <div class=\"col-12 col-lg-8\">\n            <section class=\"tkt-section tkt-light-section tkt-cart-section h-100\">\n                <div class=\"row\">\n                    <div class=\"col\">\n                        <h3 class=\"tkt-section-title mb-3\">Votre commande<\/h3>\n                        <!-- Table screening -->\n                            <% if (tickets.length) { %>\n                            <table class=\"tkt-cart-table\">\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Tickets<\/th>\n                                        <th scope=\"col\" width=\"100px\">Prix<\/th>\n                                        <th scope=\"col\" width=\"20px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <% _.each(tickets, function(item) { %>\n                                    <tr>\n                                        <td class=\"title-cell\"><%= item.getFormattedTitle() %><\/td>\n                                        <td class=\"price-cell text-right\"><%= item.getFormattedPrice() %><\/td>\n                                        <td class=\"action-cell text-right\">\n                                            <span class=\"tkt-remove-cart-item\" data-item=\"<%= item.id %>\">\n                                                <i class=\"tkt-icon-trash\"><\/i>\n                                            <\/span>\n                                        <\/td>\n                                    <\/tr>\n                                    <% }); %>\n                                <\/tbody>\n                            <\/table>\n                            <% }; %>\n                            <!-- Table articles -->\n                            <% if (articles.length) { %>\n                            <table class=\"tkt-cart-table\">\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Articles<\/th>\n                                        <th scope=\"col\" width=\"100px\"><\/th>\n                                        <th scope=\"col\" width=\"20px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <% _.each(articles, function(item) { %>\n                                    <tr>\n                                        <td class=\"title-cell\"><%= item.getFormattedTitle() %><\/td>\n                                        <td class=\"price-cell text-right\"><%= item.getFormattedPrice() %><\/td>\n                                        <td class=\"action-cell text-right\">\n                                            <span class=\"tkt-remove-cart-item\" data-item=\"<%= item.id %>\">\n                                                <i class=\"tkt-icon-trash\"><\/i>\n                                            <\/span>\n                                        <\/td>\n                                    <\/tr>\n                                    <% }); %>\n                                <\/tbody>\n                            <\/table>\n                            <% }; %>\n                            <!-- Table pass -->\n                            <% if (pass.length) { %>\n                            <table class=\"tkt-cart-table\">\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Abonnements<\/th>\n                                        <th scope=\"col\" width=\"100px\"><\/th>\n                                        <th scope=\"col\" width=\"20px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <% _.each(pass, function(item) { %>\n                                    <tr>\n                                        <td class=\"title-cell\"><%= item.getFormattedTitle() %><\/td>\n                                        <td class=\"price-cell text-right\"><%= item.getFormattedPrice() %><\/td>\n                                        <td class=\"action-cell text-right\">\n                                            <span class=\"tkt-remove-cart-item\" data-item=\"<%= item.id %>\">\n                                                <i class=\"tkt-icon-trash\"><\/i>\n                                            <\/span>\n                                        <\/td>\n                                    <\/tr>\n                                    <% }); %>\n                                <\/tbody>\n                            <\/table>\n                            <% }; %>\n                        <\/div>\n                    <\/div>\n                <\/section>\n            <\/div>\n        \n                     <div class=\"col-12 col-lg-4\">\n                <section class=\"tkt-section tkt-light-section tkt-cart-section h-100\">\n                <div class=\"row\">\n                        <div class=\"col\">\n                            <h3 class=\"tkt-section-title mb-3\">R\u00e9capitulatif<\/h3>\n                            <!-- Table article -->\n                            <table class=\"tkt-cart-table\">\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Commande<\/th>\n                                        <th scope=\"col\" width=\"100px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <tr>\n                                        <td class=\"title-cell\">\n                                            <%= nbArticles %> <%= nbArticles === 1 ? \"produit\" : \"produits\" %>\n                                        <\/td>\n                                        <td class=\"price-cell text-right\"><%= cart.getOrderTotal() %><\/td>\n                                    <\/tr>\n                                <\/tbody>\n                            <\/table>\n                            <!-- Table promo & discount code -->\n                            <% if (discounts.length) { %>\n                            <table class=\"tkt-cart-table\">\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Rabais<\/th>\n                                        <th scope=\"col\" width=\"100px\"><\/th>\n                                        <th scope=\"col\" width=\"20px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <% _.each(discounts, function(item) { %>\n                                    <tr>\n                                        <td class=\"title-cell\"><%= item.getFormattedTitle() %><\/td>\n                                        <td class=\"price-cell text-right\"><%= item.getFormattedPrice() %><\/td>\n                                        <td class=\"action-cell text-right\">\n                                            <span class=\"tkt-remove-cart-item\" data-item=\"<%= item.id %>\">\n                                                <i class=\"tkt-icon-trash\"><\/i>\n                                            <\/span>\n                                        <\/td>\n                                    <\/tr>\n                                    <% }); %>\n                                <\/tbody>\n                            <\/table>\n                            <% }; %>\n                            <!-- Table fees -->\n                            <table class=\"tkt-cart-table\">\n                                <% if (fees.length) { %>\n                                <thead>\n                                    <tr>\n                                        <th scope=\"col\">Frais<\/th>\n                                        <th scope=\"col\" width=\"100px\"><\/th>\n                                    <\/tr>\n                                <\/thead>\n                                <tbody>\n                                    <% _.each(fees, function(item) { %>\n                                    <tr>\n                                        <% if(item.type == \"shipping\" || item.type == \"paymentfee\") { %>\n                                        <td class=\"title-cell\"><%= item.getFormattedTitle() %><\/td>\n                                        <td class=\"price-cell text-right\"><%= item.getFormattedPrice() %><\/td>\n                                        <% } %>\n                                    <\/tr>\n                                    <% }); %>\n                                <\/tbody>\n                                <% }; %>\n                                <tfoot>\n                                    <tr>\n                                        <td colspan=\"2\">\n                                            <span class=\"total-title-cell\">\n                                                Total\u00a0:                                            <\/span>\n                                            <span class=\"total-price-cell\">\n                                                <%= cart.getFormattedTotal() %>\n                                            <\/span>\n                                        <\/td>\n                                    <\/tr>\n                                <\/tfoot>\n                            <\/table>\n                        <\/div>\n                    <\/div>\n\n                    <% if (show_wallet_block) { %>\n                    <hr\/>\n                    <div class=\"row justify-content-md-end\">\n                        <div class=\"col col-12 use-wallet-wrapper\">\n                            <% var wallet_tickets_available = _.filter(wallet_tickets, function(t) { return getMaxWalletAmount(t) > 0; }); %>\n                            <% if (wallet_tickets_available.length > 1) { %>\n                            <div class=\"form-group\">\n                                <label for=\"wallet-ticket-select\">Choisir un billet<\/label>\n                                <select id=\"wallet-ticket-select\" class=\"wallet-ticket-select tkt-input form-control\">\n                                    <% _.each(wallet_tickets, function(t) { %>\n                                    <% if (getMaxWalletAmount(t) > 0) { %>\n                                    <option value=\"<%= t._id %>\" <%= selected_wallet_ticket && selected_wallet_ticket._id === t._id ? 'selected' : '' %>>\n                                        <%= getWalletTicketLabel(t) %>\n                                    <\/option>\n                                    <% } %>\n                                    <% }); %>\n                                <\/select>\n                            <\/div>\n                            <% } %>\n                            <h6>\n                                Vous disposez de                                <%= getFormattedAvailableWalletBalance(selected_wallet_ticket) %>\n                                sur votre portefeuille \u00e9lectronique                            <\/h6>\n                            <span>Saisissez ci-dessous le montant que vous souhaitez utiliser<\/span>\n                            <div class=\"input-group mb-2\">\n                                <input type=\"number\" min=\"0\" max=\"<%= max_wallet_amount %>\" step=\"0.01\" class=\"wallet-input form-control\" placeholder=\"15.50\" value=\"<%= max_wallet_amount %>\"\/>\n                                <div class=\"input-group-append\">\n                                    <a href=\"javascript:;\" class=\"wallet-button button active\">\n                                        Utiliser mon portefeuille                                    <\/a>\n                                <\/div>\n                            <\/div>\n                            <div class=\"alert alert-danger wallet-error d-none\"><\/div>\n                            <div class=\"alert alert-success wallet-success d-none\"><\/div>\n                        <\/div>\n                    <\/div>\n                    <% } %>\n\n                    <% if (show_wallet_connect) { %>\n                    <hr\/>\n                    <div class=\"row justify-content-md-end\">\n                        <div class=\"col col-12 use-wallet-connect-wrapper\">\n                            <% if (login_url) { %>\n                            <h6>\n                                Vous disposez d&#039;un portefeuille \u00e9lectronique ?                                <br\/>\n                                <a href=\"<%= login_url %>\" class=\"wallet-connect-link\">Connectez-vous avec votre <span class=\"tkt-ticketid_ticket\">Ticket<\/span><span class=\"tkt-ticketid_id\">ID<\/span><\/a>\n                            <\/h6>\n                            <% } else { %>\n                            <h6>\n                                Vous disposez d&#039;un portefeuille ?                                <br\/>\n                                Connectez-vous avec votre <span class=\"tkt-ticketid_ticket\">Ticket<\/span><span class=\"tkt-ticketid_id\">ID<\/span>                            <\/h6>\n                            <div class=\"ticket_connect\">\n                                <div class=\"row input-pass\">\n                                    <div class=\"col\">\n                                        <input type=\"number\" class=\"tkt-input form-control text-center pass-number-input\" placeholder=\"123456\" maxlength=\"6\" \/>\n                                    <\/div>\n                                    <div class=\"col-auto d-flex align-items-center\">\n                                        <p class=\"minus mb-0\">-<\/p>\n                                    <\/div>\n                                    <div class=\"col\">\n                                        <input type=\"password\" class=\"tkt-input form-control text-center pass-key-input\" placeholder=\"abcdef\" maxlength=\"6\" \/>\n                                    <\/div>\n                                <\/div>\n                                <div class=\"text-center mt-3\">\n                                    <div class=\"alert alert-danger wallet-connect-error d-none\"><\/div>\n                                    <button type=\"button\" class=\"button active wallet-connect-btn\">\n                                        Connexion                                    <\/button>\n                                <\/div>\n                            <\/div>\n                            <% } %>\n                        <\/div>\n                    <\/div>\n                    <% } %>\n\n                                            <hr\/>\n                        <div class=\"row justify-content-md-end\">\n                            <div class=\"col col-12 use-promo-code-wrapper\">\n                                <div class=\"input-group\">\n                                    <input type=\"text\" class=\"promo-code-input form-control\" placeholder=\"Code promo\" \/>\n                                    <div class=\"input-group-append\">\n                                        <a href=\"javascript:;\" class=\"promo-code-button button active\">\n                                            Utiliser                                        <\/a>\n                                    <\/div>\n                                <\/div>\n                                <div class=\"alert alert-danger promo-code-error d-none\"><\/div>\n                                <div class=\"alert alert-success promo-code-success d-none\"><\/div>\n                            <\/div>\n                        <\/div>\n                    \n                    <hr\/>\n                    <div class=\"row justify-content-md-end\">\n                        <% if (!hide_links.includes('finalize')) { %>\n                        <div class=\"col col-12 finish-cart-wrapper\">\n                            <a href=\"<%= checkout_url %>\" class=\"button active\">\n                                Finaliser ma commande                            <\/a>\n                        <\/div>\n                        <% } %>\n                    <\/div>\n\n                    <% if (!hide_links.includes('cancel')) { %>\n                    <div class=\"row\">\n                        <div class=\"col cancel-order-wrapper\">\n                            <div class=\"cancel-order\" >\n                                <a href=\"\" class=\"tkt-reset-cart-btn\">Annuler ma commande<\/a>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    <% } %>\n\n                    <% if (!hide_links.includes('continue')) { %>\n                    <div class=\"row\">\n                        <div class=\"col continue-shopping-wrapper\">\n                            <div class=\"continue-shopping\" >\n                                <a href=\"<%= program_url %>\">Continuer ma visite<\/a>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    <% } %>\n                <\/section>\n            <\/div>\n                    <\/div><!-- end row -->\n    <% } %>\n<\/div>\n<\/script>\n\n  <section class=\"tkt-section tkt-light-section tkt-checkout-section tkt-checkout-user-data-section\"><\/section>\n\n  <section class=\"tkt-section tkt-light-section tkt-checkout-section tkt-checkout-form-section\">\n    <div class=\"row\">\n      <div class=\"col\">\n        <form class=\"checkout-form\">\n                    <fieldset>\n            <h3 class=\"tkt-section-title\">Vos donn\u00e9es de facturation<\/h3>\n            <div class=\"row\">\n              \n              \n                            <div id=\"field-wrapper-firstname\" class=\"field-wrapper col-md-6\" style=\"display: block;\">\n                <div class=\"form-group\">\n                   <label class=\"required\" for=\"firstname\">Pr\u00e9nom<\/label>\n                   <input name=\"user[firstname]\" type=\"text\" class=\"tkt-input form-control data-field\" id=\"firstname\" placeholder=\"Votre pr\u00e9nom\" required \/>\n                <\/div>\n              <\/div>\n              \n                            <div id=\"field-wrapper-lastname\" class=\"field-wrapper col-md-6\" style=\"display: block;\">\n                <div class=\"form-group\">\n                  <label class=\"required\" for=\"lastname\">Nom<\/label>\n                  <input name=\"user[lastname]\" type=\"text\" class=\"tkt-input form-control data-field\" id=\"lastname\" placeholder=\"Votre nom\" required \/>\n                <\/div>\n              <\/div>\n              \n                            <div id=\"field-wrapper-email\" class=\"field-wrapper col-6\" style=\"display: block;\">\n                <div class=\"form-group\">\n                  <label class=\"required\" for=\"email\">Adresse e-mail<\/label>\n                  <input name=\"user[email]\" type=\"email\" class=\"tkt-input form-control data-field\" id=\"email\" placeholder=\"Votre adresse e-mail\" required pattern=\"[^@]+@[^@]+\\.[a-zA-Z]{2,}\" \/>\n                <\/div>\n              <\/div>\n              <div id=\"field-wrapper-email\" class=\"field-wrapper col-6\" style=\"display: block;\">\n                <div class=\"form-group\">\n                  <label class=\"required\" for=\"email\">Confirmation de votre adresse e-mail<\/label>\n                  <input name=\"user[email2]\" type=\"email\" class=\"tkt-input form-control data-field\" id=\"email2\" placeholder=\"Saisissez une seconde fois votre adresse e-mail\" required \/>\n                <\/div>\n              <\/div>\n              \n              \n              \n              \n              \n              \n              \n              \n              \n              \n              \n                              <div class=\"col-md-12 form-group\">\n                  <div class=\"checkbox\">\n                    <label>\n                      <input name=\"user[newsletter]\" value=\"checked\" type=\"checkbox\" class=\"data-field\">\n                      Je d\u00e9sire m&#039;inscrire \u00e0 la newsletter.                    <\/label>\n                  <\/div>\n                <\/div>\n              \n              \n                            <div class=\"col-md-12 form-group\">\n                <div class=\"checkbox\">\n                  <label class=\"required\">\n                    <input name=\"user[conditions]\" value=\"checked\" type=\"checkbox\" required class=\"data-field\">\n                    J'accepte les <a target=\"_blank\" href=\"https:\/\/jugendfilmtage.ch\/fr\/billets\/\">conditions g\u00e9n\u00e9rales de vente<\/a> et la <a target=\"_blank\" href=\"https:\/\/jugendfilmtage.ch\/fr\/politique-de-confidentialite\/\">politique de protection des donn\u00e9es<\/a>                  <\/label>\n                <\/div>\n              <\/div>\n              \n              <div class=\"col-md-12\">\n                  <p id=\"notice-required\" class=\"small\">Tous ces champs sont requis<\/p>\n              <\/div>\n\n            <\/div>\n          <\/fieldset>\n          \n          <div class=\"row mt-2\">\n              <div class=\"col-12\">\n                <div style=\"display: none;\" class=\"text-center alert alert-info info-msg\"><\/div>\n                <div style=\"display: none;\" class=\"text-center alert alert-success success-msg\"><\/div>\n                <div style=\"display: none;\" class=\"text-center alert alert-danger error-msg\"><\/div>\n            <\/div>\n          <\/div>\n\n          <fieldset>\n            <div id=\"submit-section\" class=\"row\">\n              <div class=\"col-md-12 text-right\">\n                \n                                  <button type=\"submit\" class=\"submit-button button proxypay\" data-payment-method=\"PROXYPAY\">\n                    <span class=\"glyphicon glyphicon-credit-card\"><\/span> Visa \/ Mastercard                  <\/button>\n                \n                                  <button type=\"submit\" class=\"submit-button button proxypay\" data-payment-method=\"PROXYPAY_ALT\">\n                    <span class=\"glyphicon glyphicon-credit-card\"><\/span> autres cartes (Twint\/Poste\/etc.)                  <\/button>\n                \n                                  <button type=\"submit\" class=\"submit-button button null_payment\" data-payment-method=\"NULL_PAYMENT\">\n                    <span class=\"glyphicon glyphicon-credit-card\"><\/span> Valider                  <\/button>\n                                <input type=\"hidden\" id=\"payment-method-field\" name=\"payment_method\" class=\"data-field\" \/>\n                <br>\n              <\/div>\n            <\/div>\n          <\/fieldset>\n        <\/form>\n      <\/div>\n    <\/div>\n  <\/section>\n  <\/div>\n\n<!-- Underscore.js templates used by client side -->\n<script type=\"text\/template\" id=\"tkt-checkout-user-data-tpl\">\n    <%\nfunction acceptsField(field) {\n    return requestedFields.includes(field);\n}\n\nfunction needsField(field) {\n    return requiredFields.includes(field);\n}\n\n%>\n<% if (items && items.length  >0) { %>\n<div class=\"tkt-wrapper\">\n    <div class=\"row\">\n        <div class=\"col\">\n            <h3 class=\"tkt-section-title mb-4\">\n                Titulaire            <\/h3>\n        <\/div>\n    <\/div>\n    <form class=\"user-data-form\">\n        <% items.map(function (item, i) { %>\n        <div class=\"user-data-wrapper\">\n            <div class=\"user-data-title\">\n                Ticket <%= i + 1 %> - <%= item.name %>\n            <\/div>\n            <div class=\"user-data-fields\">\n                <div class=\"row\">\n                    <% if (acceptsField('company'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('company') ? 'class=\"required\"' : '' %>>Entreprise<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][company]\" type=\"text\" class=\"form-control\" placeholder=\"Votre entreprise\" value=\"<%= item.getUserData('company') %>\" <%= needsField('company') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('title'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('title') ? 'class=\"required\"' : '' %>>Civilit\u00e9<\/label>\n                                <select name=\"user_data[index-<%= item.index %>][title]\" class=\"form-control\" <%= needsField('title') ? 'required' : '' %>>\n                                    <option value=\"\"><\/option>\n                                    <option value=\"n\/c\">Pas de r\u00e9ponse<\/option><option value=\"mrs\">Madame<\/option><option value=\"miss\">Mademoiselle<\/option><option value=\"mr\">Monsieur<\/option><option value=\"dr\">Docteur<\/option>                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('firstname'))  { %>\n                        <div class=\"col-md-5\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('firstname') ? 'class=\"required\"' : '' %>>Pr\u00e9nom<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][firstname]\" type=\"text\" class=\"form-control\" placeholder=\"Votre pr\u00e9nom\" value=\"<%= item.getUserData('firstname') %>\" <%= needsField('firstname') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('lastname'))  { %>\n                        <div class=\"col-md-6 col-md-offset-1\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('lastname') ? 'class=\"required\"' : '' %>>Nom<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][lastname]\" type=\"text\" class=\"form-control\" placeholder=\"Votre nom\" value=\"<%= item.getUserData('lastname') %>\" <%= needsField('lastname') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('email'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('email') ? 'class=\"required\"' : '' %>>Adresse e-mail<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][email]\" type=\"email\" class=\"form-control\" placeholder=\"Votre adresse e-mail\" value=\"<%= item.getUserData('email') %>\" <%= needsField('email') ? 'required' : '' %>>\n                            <\/div>\n                    <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('address'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('address') ? 'class=\"required\"' : '' %>>Adresse<\/label>\n                                <textarea name=\"user_data[index-<%= item.index %>][address]\" class=\"form-control\" placeholder=\"Votre adresse\" <%= needsField('address') ? 'required' : '' %>><%= item.getUserData('address') %><\/textarea>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('zip'))  { %>\n                        <div class=\"col-md-4\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('zip') ? 'class=\"required\"' : '' %>>Code postal<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][zip]\" type=\"text\" class=\"form-control\" placeholder=\"NPA\" value=\"<%= item.getUserData('zip') %>\" <%= needsField('zip') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('city'))  { %>\n                        <div class=\"<%= acceptsField('zip') ? 'col-md-7 col-md-offset-1' : 'col-md-12' %>\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('city') ? 'class=\"required\"' : '' %>>Ville<\/label>\n                                <input name=\"user_data[index-<%= item.index %>][city]\" type=\"text\" class=\"form-control\" placeholder=\"Ville\" value=\"<%= item.getUserData('city') %>\" <%= needsField('city') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('country'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('country') ? 'class=\"required\"' : '' %>>Pays<\/label>\n                                <select name=\"user_data[index-<%= item.index %>][country]\" class=\"form-control\" <%= needsField('country') ? 'required' :\n         '' %>>\n                                    <option value=\"\"><\/option>\n                                                                                                                                                <option value=\"AF\" <%= tktCountryIso(item.getUserData('country')) === \"AF\" ? 'selected' : '' %>>Afghanistan<\/option>\n                                                                                                            <option value=\"AL\" <%= tktCountryIso(item.getUserData('country')) === \"AL\" ? 'selected' : '' %>>Albanie<\/option>\n                                                                                                            <option value=\"DZ\" <%= tktCountryIso(item.getUserData('country')) === \"DZ\" ? 'selected' : '' %>>Alg\u00e9rie<\/option>\n                                                                                                            <option value=\"AS\" <%= tktCountryIso(item.getUserData('country')) === \"AS\" ? 'selected' : '' %>>Samoa Am\u00e9ricaines<\/option>\n                                                                                                            <option value=\"AD\" <%= tktCountryIso(item.getUserData('country')) === \"AD\" ? 'selected' : '' %>>Andorre<\/option>\n                                                                                                            <option value=\"AO\" <%= tktCountryIso(item.getUserData('country')) === \"AO\" ? 'selected' : '' %>>Angola<\/option>\n                                                                                                            <option value=\"AI\" <%= tktCountryIso(item.getUserData('country')) === \"AI\" ? 'selected' : '' %>>Anguilla<\/option>\n                                                                                                            <option value=\"AQ\" <%= tktCountryIso(item.getUserData('country')) === \"AQ\" ? 'selected' : '' %>>Antarctique<\/option>\n                                                                                                            <option value=\"AG\" <%= tktCountryIso(item.getUserData('country')) === \"AG\" ? 'selected' : '' %>>Antigua-et-barbuda<\/option>\n                                                                                                            <option value=\"AR\" <%= tktCountryIso(item.getUserData('country')) === \"AR\" ? 'selected' : '' %>>Argentine<\/option>\n                                                                                                            <option value=\"AM\" <%= tktCountryIso(item.getUserData('country')) === \"AM\" ? 'selected' : '' %>>Arm\u00e9nie<\/option>\n                                                                                                            <option value=\"AW\" <%= tktCountryIso(item.getUserData('country')) === \"AW\" ? 'selected' : '' %>>Aruba<\/option>\n                                                                                                            <option value=\"AU\" <%= tktCountryIso(item.getUserData('country')) === \"AU\" ? 'selected' : '' %>>Australie<\/option>\n                                                                                                            <option value=\"AT\" <%= tktCountryIso(item.getUserData('country')) === \"AT\" ? 'selected' : '' %>>Autriche<\/option>\n                                                                                                            <option value=\"AZ\" <%= tktCountryIso(item.getUserData('country')) === \"AZ\" ? 'selected' : '' %>>Azerba\u00cfdjan<\/option>\n                                                                                                            <option value=\"BS\" <%= tktCountryIso(item.getUserData('country')) === \"BS\" ? 'selected' : '' %>>Bahamas<\/option>\n                                                                                                            <option value=\"BH\" <%= tktCountryIso(item.getUserData('country')) === \"BH\" ? 'selected' : '' %>>Bahre\u00cfn<\/option>\n                                                                                                            <option value=\"BD\" <%= tktCountryIso(item.getUserData('country')) === \"BD\" ? 'selected' : '' %>>Bangladesh<\/option>\n                                                                                                            <option value=\"BB\" <%= tktCountryIso(item.getUserData('country')) === \"BB\" ? 'selected' : '' %>>Barbade<\/option>\n                                                                                                            <option value=\"BY\" <%= tktCountryIso(item.getUserData('country')) === \"BY\" ? 'selected' : '' %>>B\u00e9larus<\/option>\n                                                                                                            <option value=\"BE\" <%= tktCountryIso(item.getUserData('country')) === \"BE\" ? 'selected' : '' %>>Belgique<\/option>\n                                                                                                            <option value=\"BZ\" <%= tktCountryIso(item.getUserData('country')) === \"BZ\" ? 'selected' : '' %>>Belize<\/option>\n                                                                                                            <option value=\"BJ\" <%= tktCountryIso(item.getUserData('country')) === \"BJ\" ? 'selected' : '' %>>B\u00e9nin<\/option>\n                                                                                                            <option value=\"BM\" <%= tktCountryIso(item.getUserData('country')) === \"BM\" ? 'selected' : '' %>>Bermudes<\/option>\n                                                                                                            <option value=\"BT\" <%= tktCountryIso(item.getUserData('country')) === \"BT\" ? 'selected' : '' %>>Bhoutan<\/option>\n                                                                                                            <option value=\"BO\" <%= tktCountryIso(item.getUserData('country')) === \"BO\" ? 'selected' : '' %>>Bolivie, L&#039;\u00c9tat Plurinational De<\/option>\n                                                                                                            <option value=\"BA\" <%= tktCountryIso(item.getUserData('country')) === \"BA\" ? 'selected' : '' %>>Bosnie-herz\u00e9govine<\/option>\n                                                                                                            <option value=\"BW\" <%= tktCountryIso(item.getUserData('country')) === \"BW\" ? 'selected' : '' %>>Botswana<\/option>\n                                                                                                            <option value=\"BV\" <%= tktCountryIso(item.getUserData('country')) === \"BV\" ? 'selected' : '' %>>Bouvet, \u00cele<\/option>\n                                                                                                            <option value=\"BR\" <%= tktCountryIso(item.getUserData('country')) === \"BR\" ? 'selected' : '' %>>Br\u00e9sil<\/option>\n                                                                                                            <option value=\"IO\" <%= tktCountryIso(item.getUserData('country')) === \"IO\" ? 'selected' : '' %>>Oc\u00e9an Indien, Territoire Britannique De L&#039;<\/option>\n                                                                                                            <option value=\"BN\" <%= tktCountryIso(item.getUserData('country')) === \"BN\" ? 'selected' : '' %>>Brun\u00e9i Darussalam<\/option>\n                                                                                                            <option value=\"BG\" <%= tktCountryIso(item.getUserData('country')) === \"BG\" ? 'selected' : '' %>>Bulgarie<\/option>\n                                                                                                            <option value=\"BF\" <%= tktCountryIso(item.getUserData('country')) === \"BF\" ? 'selected' : '' %>>Burkina Faso<\/option>\n                                                                                                            <option value=\"BI\" <%= tktCountryIso(item.getUserData('country')) === \"BI\" ? 'selected' : '' %>>Burundi<\/option>\n                                                                                                            <option value=\"KH\" <%= tktCountryIso(item.getUserData('country')) === \"KH\" ? 'selected' : '' %>>Cambodge<\/option>\n                                                                                                            <option value=\"CM\" <%= tktCountryIso(item.getUserData('country')) === \"CM\" ? 'selected' : '' %>>Cameroun<\/option>\n                                                                                                            <option value=\"CA\" <%= tktCountryIso(item.getUserData('country')) === \"CA\" ? 'selected' : '' %>>Canada<\/option>\n                                                                                                            <option value=\"CV\" <%= tktCountryIso(item.getUserData('country')) === \"CV\" ? 'selected' : '' %>>Cap-vert<\/option>\n                                                                                                            <option value=\"KY\" <%= tktCountryIso(item.getUserData('country')) === \"KY\" ? 'selected' : '' %>>Ca\u00cfmanes, \u00celes<\/option>\n                                                                                                            <option value=\"CF\" <%= tktCountryIso(item.getUserData('country')) === \"CF\" ? 'selected' : '' %>>Centrafricaine, R\u00e9publique<\/option>\n                                                                                                            <option value=\"TD\" <%= tktCountryIso(item.getUserData('country')) === \"TD\" ? 'selected' : '' %>>Tchad<\/option>\n                                                                                                            <option value=\"CL\" <%= tktCountryIso(item.getUserData('country')) === \"CL\" ? 'selected' : '' %>>Chili<\/option>\n                                                                                                            <option value=\"CN\" <%= tktCountryIso(item.getUserData('country')) === \"CN\" ? 'selected' : '' %>>Chine<\/option>\n                                                                                                            <option value=\"CX\" <%= tktCountryIso(item.getUserData('country')) === \"CX\" ? 'selected' : '' %>>Christmas, \u00cele<\/option>\n                                                                                                            <option value=\"CC\" <%= tktCountryIso(item.getUserData('country')) === \"CC\" ? 'selected' : '' %>>Cocos (keeling), \u00celes<\/option>\n                                                                                                            <option value=\"CO\" <%= tktCountryIso(item.getUserData('country')) === \"CO\" ? 'selected' : '' %>>Colombie<\/option>\n                                                                                                            <option value=\"KM\" <%= tktCountryIso(item.getUserData('country')) === \"KM\" ? 'selected' : '' %>>Comores<\/option>\n                                                                                                                                                <option value=\"CD\" <%= tktCountryIso(item.getUserData('country')) === \"CD\" ? 'selected' : '' %>>Congo, La R\u00e9publique D\u00e9mocratique Du<\/option>\n                                                                                                            <option value=\"CK\" <%= tktCountryIso(item.getUserData('country')) === \"CK\" ? 'selected' : '' %>>Cook, \u00celes<\/option>\n                                                                                                            <option value=\"CR\" <%= tktCountryIso(item.getUserData('country')) === \"CR\" ? 'selected' : '' %>>Costa Rica<\/option>\n                                                                                                            <option value=\"CI\" <%= tktCountryIso(item.getUserData('country')) === \"CI\" ? 'selected' : '' %>>C\u00f4te D&#039;ivoire<\/option>\n                                                                                                            <option value=\"HR\" <%= tktCountryIso(item.getUserData('country')) === \"HR\" ? 'selected' : '' %>>Croatie<\/option>\n                                                                                                            <option value=\"CU\" <%= tktCountryIso(item.getUserData('country')) === \"CU\" ? 'selected' : '' %>>Cuba<\/option>\n                                                                                                            <option value=\"CY\" <%= tktCountryIso(item.getUserData('country')) === \"CY\" ? 'selected' : '' %>>Chypre<\/option>\n                                                                                                            <option value=\"CZ\" <%= tktCountryIso(item.getUserData('country')) === \"CZ\" ? 'selected' : '' %>>Tch\u00e8que, R\u00e9publique<\/option>\n                                                                                                            <option value=\"DK\" <%= tktCountryIso(item.getUserData('country')) === \"DK\" ? 'selected' : '' %>>Danemark<\/option>\n                                                                                                            <option value=\"DJ\" <%= tktCountryIso(item.getUserData('country')) === \"DJ\" ? 'selected' : '' %>>Djibouti<\/option>\n                                                                                                            <option value=\"DM\" <%= tktCountryIso(item.getUserData('country')) === \"DM\" ? 'selected' : '' %>>Dominique<\/option>\n                                                                                                            <option value=\"DO\" <%= tktCountryIso(item.getUserData('country')) === \"DO\" ? 'selected' : '' %>>Dominicaine, R\u00e9publique<\/option>\n                                                                                                            <option value=\"EC\" <%= tktCountryIso(item.getUserData('country')) === \"EC\" ? 'selected' : '' %>>\u00e9quateur<\/option>\n                                                                                                            <option value=\"EG\" <%= tktCountryIso(item.getUserData('country')) === \"EG\" ? 'selected' : '' %>>\u00c9gypte<\/option>\n                                                                                                            <option value=\"SV\" <%= tktCountryIso(item.getUserData('country')) === \"SV\" ? 'selected' : '' %>>El Salvador<\/option>\n                                                                                                            <option value=\"GQ\" <%= tktCountryIso(item.getUserData('country')) === \"GQ\" ? 'selected' : '' %>>Guin\u00e9e \u00e9quatoriale<\/option>\n                                                                                                            <option value=\"ER\" <%= tktCountryIso(item.getUserData('country')) === \"ER\" ? 'selected' : '' %>>\u00c9rythr\u00e9e<\/option>\n                                                                                                            <option value=\"EE\" <%= tktCountryIso(item.getUserData('country')) === \"EE\" ? 'selected' : '' %>>Estonie<\/option>\n                                                                                                            <option value=\"ET\" <%= tktCountryIso(item.getUserData('country')) === \"ET\" ? 'selected' : '' %>>\u00c9thiopie<\/option>\n                                                                                                            <option value=\"FK\" <%= tktCountryIso(item.getUserData('country')) === \"FK\" ? 'selected' : '' %>>Falkland, \u00celes (malvinas)<\/option>\n                                                                                                            <option value=\"FO\" <%= tktCountryIso(item.getUserData('country')) === \"FO\" ? 'selected' : '' %>>F\u00e9ro\u00e9, \u00celes<\/option>\n                                                                                                            <option value=\"FJ\" <%= tktCountryIso(item.getUserData('country')) === \"FJ\" ? 'selected' : '' %>>Fidji<\/option>\n                                                                                                            <option value=\"FI\" <%= tktCountryIso(item.getUserData('country')) === \"FI\" ? 'selected' : '' %>>Finlande<\/option>\n                                                                                                            <option value=\"FR\" <%= tktCountryIso(item.getUserData('country')) === \"FR\" ? 'selected' : '' %>>France<\/option>\n                                                                                                            <option value=\"GF\" <%= tktCountryIso(item.getUserData('country')) === \"GF\" ? 'selected' : '' %>>Guyane Fran\u00c7aise<\/option>\n                                                                                                            <option value=\"PF\" <%= tktCountryIso(item.getUserData('country')) === \"PF\" ? 'selected' : '' %>>Polyn\u00e9sie Fran\u00c7aise<\/option>\n                                                                                                            <option value=\"TF\" <%= tktCountryIso(item.getUserData('country')) === \"TF\" ? 'selected' : '' %>>Terres Australes Fran\u00c7aises<\/option>\n                                                                                                            <option value=\"GA\" <%= tktCountryIso(item.getUserData('country')) === \"GA\" ? 'selected' : '' %>>Gabon<\/option>\n                                                                                                            <option value=\"GM\" <%= tktCountryIso(item.getUserData('country')) === \"GM\" ? 'selected' : '' %>>Gambie<\/option>\n                                                                                                            <option value=\"GE\" <%= tktCountryIso(item.getUserData('country')) === \"GE\" ? 'selected' : '' %>>G\u00e9orgie<\/option>\n                                                                                                            <option value=\"DE\" <%= tktCountryIso(item.getUserData('country')) === \"DE\" ? 'selected' : '' %>>Allemagne<\/option>\n                                                                                                            <option value=\"GH\" <%= tktCountryIso(item.getUserData('country')) === \"GH\" ? 'selected' : '' %>>Ghana<\/option>\n                                                                                                            <option value=\"GI\" <%= tktCountryIso(item.getUserData('country')) === \"GI\" ? 'selected' : '' %>>Gibraltar<\/option>\n                                                                                                            <option value=\"GR\" <%= tktCountryIso(item.getUserData('country')) === \"GR\" ? 'selected' : '' %>>Gr\u00e8ce<\/option>\n                                                                                                            <option value=\"GL\" <%= tktCountryIso(item.getUserData('country')) === \"GL\" ? 'selected' : '' %>>Groenland<\/option>\n                                                                                                            <option value=\"GD\" <%= tktCountryIso(item.getUserData('country')) === \"GD\" ? 'selected' : '' %>>Grenade<\/option>\n                                                                                                            <option value=\"GP\" <%= tktCountryIso(item.getUserData('country')) === \"GP\" ? 'selected' : '' %>>Guadeloupe<\/option>\n                                                                                                            <option value=\"GU\" <%= tktCountryIso(item.getUserData('country')) === \"GU\" ? 'selected' : '' %>>Guam<\/option>\n                                                                                                            <option value=\"GT\" <%= tktCountryIso(item.getUserData('country')) === \"GT\" ? 'selected' : '' %>>Guatemala<\/option>\n                                                                                                            <option value=\"GN\" <%= tktCountryIso(item.getUserData('country')) === \"GN\" ? 'selected' : '' %>>Guin\u00e9e<\/option>\n                                                                                                            <option value=\"GW\" <%= tktCountryIso(item.getUserData('country')) === \"GW\" ? 'selected' : '' %>>Guin\u00e9e-bissau<\/option>\n                                                                                                            <option value=\"GY\" <%= tktCountryIso(item.getUserData('country')) === \"GY\" ? 'selected' : '' %>>Guyana<\/option>\n                                                                                                            <option value=\"HT\" <%= tktCountryIso(item.getUserData('country')) === \"HT\" ? 'selected' : '' %>>Ha\u00cfti<\/option>\n                                                                                                            <option value=\"HM\" <%= tktCountryIso(item.getUserData('country')) === \"HM\" ? 'selected' : '' %>>Heard, \u00cele Et Mcdonald, \u00celes<\/option>\n                                                                                                            <option value=\"VA\" <%= tktCountryIso(item.getUserData('country')) === \"VA\" ? 'selected' : '' %>>Saint-si\u00e8ge (\u00c9tat De La Cit\u00e9 Du Vatican)<\/option>\n                                                                                                            <option value=\"HN\" <%= tktCountryIso(item.getUserData('country')) === \"HN\" ? 'selected' : '' %>>Honduras<\/option>\n                                                                                                                                                <option value=\"HU\" <%= tktCountryIso(item.getUserData('country')) === \"HU\" ? 'selected' : '' %>>Hongrie<\/option>\n                                                                                                            <option value=\"IS\" <%= tktCountryIso(item.getUserData('country')) === \"IS\" ? 'selected' : '' %>>Islande<\/option>\n                                                                                                            <option value=\"IN\" <%= tktCountryIso(item.getUserData('country')) === \"IN\" ? 'selected' : '' %>>Inde<\/option>\n                                                                                                            <option value=\"ID\" <%= tktCountryIso(item.getUserData('country')) === \"ID\" ? 'selected' : '' %>>Indon\u00e9sie<\/option>\n                                                                                                            <option value=\"IR\" <%= tktCountryIso(item.getUserData('country')) === \"IR\" ? 'selected' : '' %>>Iran, R\u00e9publique Islamique D&#039;<\/option>\n                                                                                                            <option value=\"IQ\" <%= tktCountryIso(item.getUserData('country')) === \"IQ\" ? 'selected' : '' %>>Irak<\/option>\n                                                                                                            <option value=\"IE\" <%= tktCountryIso(item.getUserData('country')) === \"IE\" ? 'selected' : '' %>>Irlande<\/option>\n                                                                                                            <option value=\"IL\" <%= tktCountryIso(item.getUserData('country')) === \"IL\" ? 'selected' : '' %>>Isra\u00ebl<\/option>\n                                                                                                            <option value=\"IT\" <%= tktCountryIso(item.getUserData('country')) === \"IT\" ? 'selected' : '' %>>Italie<\/option>\n                                                                                                            <option value=\"JM\" <%= tktCountryIso(item.getUserData('country')) === \"JM\" ? 'selected' : '' %>>Jama\u00cfque<\/option>\n                                                                                                            <option value=\"JP\" <%= tktCountryIso(item.getUserData('country')) === \"JP\" ? 'selected' : '' %>>Japon<\/option>\n                                                                                                            <option value=\"JO\" <%= tktCountryIso(item.getUserData('country')) === \"JO\" ? 'selected' : '' %>>Jordanie<\/option>\n                                                                                                            <option value=\"KZ\" <%= tktCountryIso(item.getUserData('country')) === \"KZ\" ? 'selected' : '' %>>Kazakhstan<\/option>\n                                                                                                            <option value=\"KE\" <%= tktCountryIso(item.getUserData('country')) === \"KE\" ? 'selected' : '' %>>Kenya<\/option>\n                                                                                                            <option value=\"KI\" <%= tktCountryIso(item.getUserData('country')) === \"KI\" ? 'selected' : '' %>>Kiribati<\/option>\n                                                                                                            <option value=\"KP\" <%= tktCountryIso(item.getUserData('country')) === \"KP\" ? 'selected' : '' %>>Cor\u00e9e, R\u00e9publique Populaire D\u00e9mocratique De<\/option>\n                                                                                                            <option value=\"KR\" <%= tktCountryIso(item.getUserData('country')) === \"KR\" ? 'selected' : '' %>>Cor\u00e9e, R\u00e9publique De<\/option>\n                                                                                                            <option value=\"KW\" <%= tktCountryIso(item.getUserData('country')) === \"KW\" ? 'selected' : '' %>>Kowe\u00cft<\/option>\n                                                                                                            <option value=\"KG\" <%= tktCountryIso(item.getUserData('country')) === \"KG\" ? 'selected' : '' %>>Kirghizistan<\/option>\n                                                                                                            <option value=\"LA\" <%= tktCountryIso(item.getUserData('country')) === \"LA\" ? 'selected' : '' %>>Lao, R\u00e9publique D\u00e9mocratique Populaire<\/option>\n                                                                                                            <option value=\"LV\" <%= tktCountryIso(item.getUserData('country')) === \"LV\" ? 'selected' : '' %>>Lettonie<\/option>\n                                                                                                            <option value=\"LB\" <%= tktCountryIso(item.getUserData('country')) === \"LB\" ? 'selected' : '' %>>Liban<\/option>\n                                                                                                            <option value=\"LS\" <%= tktCountryIso(item.getUserData('country')) === \"LS\" ? 'selected' : '' %>>Lesotho<\/option>\n                                                                                                            <option value=\"LR\" <%= tktCountryIso(item.getUserData('country')) === \"LR\" ? 'selected' : '' %>>Lib\u00e9ria<\/option>\n                                                                                                            <option value=\"LY\" <%= tktCountryIso(item.getUserData('country')) === \"LY\" ? 'selected' : '' %>>Libyenne, Jamahiriya Arabe<\/option>\n                                                                                                            <option value=\"LI\" <%= tktCountryIso(item.getUserData('country')) === \"LI\" ? 'selected' : '' %>>Liechtenstein<\/option>\n                                                                                                            <option value=\"LT\" <%= tktCountryIso(item.getUserData('country')) === \"LT\" ? 'selected' : '' %>>Lituanie<\/option>\n                                                                                                            <option value=\"LU\" <%= tktCountryIso(item.getUserData('country')) === \"LU\" ? 'selected' : '' %>>Luxembourg<\/option>\n                                                                                                                                                <option value=\"MK\" <%= tktCountryIso(item.getUserData('country')) === \"MK\" ? 'selected' : '' %>>Mac\u00e9doine, L&#039;ex-r\u00e9publique Yougoslave De<\/option>\n                                                                                                            <option value=\"MG\" <%= tktCountryIso(item.getUserData('country')) === \"MG\" ? 'selected' : '' %>>Madagascar<\/option>\n                                                                                                            <option value=\"MW\" <%= tktCountryIso(item.getUserData('country')) === \"MW\" ? 'selected' : '' %>>Malawi<\/option>\n                                                                                                            <option value=\"MY\" <%= tktCountryIso(item.getUserData('country')) === \"MY\" ? 'selected' : '' %>>Malaisie<\/option>\n                                                                                                            <option value=\"MV\" <%= tktCountryIso(item.getUserData('country')) === \"MV\" ? 'selected' : '' %>>Maldives<\/option>\n                                                                                                            <option value=\"ML\" <%= tktCountryIso(item.getUserData('country')) === \"ML\" ? 'selected' : '' %>>Mali<\/option>\n                                                                                                            <option value=\"MT\" <%= tktCountryIso(item.getUserData('country')) === \"MT\" ? 'selected' : '' %>>Malte<\/option>\n                                                                                                            <option value=\"MH\" <%= tktCountryIso(item.getUserData('country')) === \"MH\" ? 'selected' : '' %>>Marshall, \u00celes<\/option>\n                                                                                                            <option value=\"MQ\" <%= tktCountryIso(item.getUserData('country')) === \"MQ\" ? 'selected' : '' %>>Martinique<\/option>\n                                                                                                            <option value=\"MR\" <%= tktCountryIso(item.getUserData('country')) === \"MR\" ? 'selected' : '' %>>Mauritanie<\/option>\n                                                                                                            <option value=\"MU\" <%= tktCountryIso(item.getUserData('country')) === \"MU\" ? 'selected' : '' %>>Maurice<\/option>\n                                                                                                            <option value=\"YT\" <%= tktCountryIso(item.getUserData('country')) === \"YT\" ? 'selected' : '' %>>Mayotte<\/option>\n                                                                                                            <option value=\"MX\" <%= tktCountryIso(item.getUserData('country')) === \"MX\" ? 'selected' : '' %>>Mexique<\/option>\n                                                                                                            <option value=\"FM\" <%= tktCountryIso(item.getUserData('country')) === \"FM\" ? 'selected' : '' %>>Micron\u00e9sie, \u00c9tats F\u00e9d\u00e9r\u00e9s De<\/option>\n                                                                                                            <option value=\"MD\" <%= tktCountryIso(item.getUserData('country')) === \"MD\" ? 'selected' : '' %>>Moldavie, R\u00e9publique De<\/option>\n                                                                                                            <option value=\"MC\" <%= tktCountryIso(item.getUserData('country')) === \"MC\" ? 'selected' : '' %>>Monaco<\/option>\n                                                                                                            <option value=\"MN\" <%= tktCountryIso(item.getUserData('country')) === \"MN\" ? 'selected' : '' %>>Mongolie<\/option>\n                                                                                                            <option value=\"MS\" <%= tktCountryIso(item.getUserData('country')) === \"MS\" ? 'selected' : '' %>>Montserrat<\/option>\n                                                                                                            <option value=\"MA\" <%= tktCountryIso(item.getUserData('country')) === \"MA\" ? 'selected' : '' %>>Maroc<\/option>\n                                                                                                            <option value=\"MZ\" <%= tktCountryIso(item.getUserData('country')) === \"MZ\" ? 'selected' : '' %>>Mozambique<\/option>\n                                                                                                            <option value=\"MM\" <%= tktCountryIso(item.getUserData('country')) === \"MM\" ? 'selected' : '' %>>Myanmar<\/option>\n                                                                                                            <option value=\"NA\" <%= tktCountryIso(item.getUserData('country')) === \"NA\" ? 'selected' : '' %>>Namibie<\/option>\n                                                                                                            <option value=\"NR\" <%= tktCountryIso(item.getUserData('country')) === \"NR\" ? 'selected' : '' %>>Nauru<\/option>\n                                                                                                            <option value=\"NP\" <%= tktCountryIso(item.getUserData('country')) === \"NP\" ? 'selected' : '' %>>N\u00e9pal<\/option>\n                                                                                                            <option value=\"NL\" <%= tktCountryIso(item.getUserData('country')) === \"NL\" ? 'selected' : '' %>>Pays-bas<\/option>\n                                                                                                            <option value=\"AN\" <%= tktCountryIso(item.getUserData('country')) === \"AN\" ? 'selected' : '' %>>Antilles N\u00e9erlandaises<\/option>\n                                                                                                            <option value=\"NC\" <%= tktCountryIso(item.getUserData('country')) === \"NC\" ? 'selected' : '' %>>Nouvelle-cal\u00e9donie<\/option>\n                                                                                                            <option value=\"NZ\" <%= tktCountryIso(item.getUserData('country')) === \"NZ\" ? 'selected' : '' %>>Nouvelle-z\u00e9lande<\/option>\n                                                                                                            <option value=\"NI\" <%= tktCountryIso(item.getUserData('country')) === \"NI\" ? 'selected' : '' %>>Nicaragua<\/option>\n                                                                                                            <option value=\"NE\" <%= tktCountryIso(item.getUserData('country')) === \"NE\" ? 'selected' : '' %>>Niger<\/option>\n                                                                                                            <option value=\"NG\" <%= tktCountryIso(item.getUserData('country')) === \"NG\" ? 'selected' : '' %>>Nig\u00e9ria<\/option>\n                                                                                                            <option value=\"NU\" <%= tktCountryIso(item.getUserData('country')) === \"NU\" ? 'selected' : '' %>>Niu\u00e9<\/option>\n                                                                                                            <option value=\"NF\" <%= tktCountryIso(item.getUserData('country')) === \"NF\" ? 'selected' : '' %>>Norfolk, \u00cele<\/option>\n                                                                                                            <option value=\"MP\" <%= tktCountryIso(item.getUserData('country')) === \"MP\" ? 'selected' : '' %>>Mariannes Du Nord, \u00celes<\/option>\n                                                                                                            <option value=\"NO\" <%= tktCountryIso(item.getUserData('country')) === \"NO\" ? 'selected' : '' %>>Norv\u00e8ge<\/option>\n                                                                                                            <option value=\"OM\" <%= tktCountryIso(item.getUserData('country')) === \"OM\" ? 'selected' : '' %>>Oman<\/option>\n                                                                                                            <option value=\"PK\" <%= tktCountryIso(item.getUserData('country')) === \"PK\" ? 'selected' : '' %>>Pakistan<\/option>\n                                                                                                            <option value=\"PW\" <%= tktCountryIso(item.getUserData('country')) === \"PW\" ? 'selected' : '' %>>Palaos<\/option>\n                                                                                                            <option value=\"PS\" <%= tktCountryIso(item.getUserData('country')) === \"PS\" ? 'selected' : '' %>>Palestinien Occup\u00e9, Territoire<\/option>\n                                                                                                            <option value=\"PA\" <%= tktCountryIso(item.getUserData('country')) === \"PA\" ? 'selected' : '' %>>Panama<\/option>\n                                                                                                            <option value=\"PG\" <%= tktCountryIso(item.getUserData('country')) === \"PG\" ? 'selected' : '' %>>Papouasie-nouvelle-guin\u00e9e<\/option>\n                                                                                                            <option value=\"PY\" <%= tktCountryIso(item.getUserData('country')) === \"PY\" ? 'selected' : '' %>>Paraguay<\/option>\n                                                                                                            <option value=\"PE\" <%= tktCountryIso(item.getUserData('country')) === \"PE\" ? 'selected' : '' %>>P\u00e9rou<\/option>\n                                                                                                            <option value=\"PH\" <%= tktCountryIso(item.getUserData('country')) === \"PH\" ? 'selected' : '' %>>Philippines<\/option>\n                                                                                                                                                <option value=\"PL\" <%= tktCountryIso(item.getUserData('country')) === \"PL\" ? 'selected' : '' %>>Pologne<\/option>\n                                                                                                            <option value=\"PT\" <%= tktCountryIso(item.getUserData('country')) === \"PT\" ? 'selected' : '' %>>Portugal<\/option>\n                                                                                                            <option value=\"PR\" <%= tktCountryIso(item.getUserData('country')) === \"PR\" ? 'selected' : '' %>>Porto Rico<\/option>\n                                                                                                            <option value=\"QA\" <%= tktCountryIso(item.getUserData('country')) === \"QA\" ? 'selected' : '' %>>Qatar<\/option>\n                                                                                                            <option value=\"RE\" <%= tktCountryIso(item.getUserData('country')) === \"RE\" ? 'selected' : '' %>>R\u00e9union<\/option>\n                                                                                                            <option value=\"RO\" <%= tktCountryIso(item.getUserData('country')) === \"RO\" ? 'selected' : '' %>>Roumanie<\/option>\n                                                                                                            <option value=\"RU\" <%= tktCountryIso(item.getUserData('country')) === \"RU\" ? 'selected' : '' %>>Russie, F\u00e9d\u00e9ration De<\/option>\n                                                                                                            <option value=\"RW\" <%= tktCountryIso(item.getUserData('country')) === \"RW\" ? 'selected' : '' %>>Rwanda<\/option>\n                                                                                                                                                <option value=\"KN\" <%= tktCountryIso(item.getUserData('country')) === \"KN\" ? 'selected' : '' %>>Saint-kitts-et-nevis<\/option>\n                                                                                                            <option value=\"LC\" <%= tktCountryIso(item.getUserData('country')) === \"LC\" ? 'selected' : '' %>>Sainte-lucie<\/option>\n                                                                                                            <option value=\"PM\" <%= tktCountryIso(item.getUserData('country')) === \"PM\" ? 'selected' : '' %>>Saint-pierre-et-miquelon<\/option>\n                                                                                                            <option value=\"VC\" <%= tktCountryIso(item.getUserData('country')) === \"VC\" ? 'selected' : '' %>>Saint-vincent-et-les Grenadines<\/option>\n                                                                                                            <option value=\"WS\" <%= tktCountryIso(item.getUserData('country')) === \"WS\" ? 'selected' : '' %>>Samoa<\/option>\n                                                                                                            <option value=\"SM\" <%= tktCountryIso(item.getUserData('country')) === \"SM\" ? 'selected' : '' %>>Saint-marin<\/option>\n                                                                                                            <option value=\"ST\" <%= tktCountryIso(item.getUserData('country')) === \"ST\" ? 'selected' : '' %>>Sao Tom\u00e9-et-principe<\/option>\n                                                                                                            <option value=\"SA\" <%= tktCountryIso(item.getUserData('country')) === \"SA\" ? 'selected' : '' %>>Arabie Saoudite<\/option>\n                                                                                                            <option value=\"SN\" <%= tktCountryIso(item.getUserData('country')) === \"SN\" ? 'selected' : '' %>>S\u00e9n\u00e9gal<\/option>\n                                                                                                            <option value=\"RS\" <%= tktCountryIso(item.getUserData('country')) === \"RS\" ? 'selected' : '' %>>Serbie et Mont\u00e9n\u00e9gro<\/option>\n                                                                                                            <option value=\"SC\" <%= tktCountryIso(item.getUserData('country')) === \"SC\" ? 'selected' : '' %>>Seychelles<\/option>\n                                                                                                            <option value=\"SL\" <%= tktCountryIso(item.getUserData('country')) === \"SL\" ? 'selected' : '' %>>Sierra Leone<\/option>\n                                                                                                            <option value=\"SG\" <%= tktCountryIso(item.getUserData('country')) === \"SG\" ? 'selected' : '' %>>Singapour<\/option>\n                                                                                                            <option value=\"SK\" <%= tktCountryIso(item.getUserData('country')) === \"SK\" ? 'selected' : '' %>>Slovaquie<\/option>\n                                                                                                            <option value=\"SI\" <%= tktCountryIso(item.getUserData('country')) === \"SI\" ? 'selected' : '' %>>Slov\u00e9nie<\/option>\n                                                                                                            <option value=\"SB\" <%= tktCountryIso(item.getUserData('country')) === \"SB\" ? 'selected' : '' %>>Salomon, \u00celes<\/option>\n                                                                                                            <option value=\"SO\" <%= tktCountryIso(item.getUserData('country')) === \"SO\" ? 'selected' : '' %>>Somalie<\/option>\n                                                                                                            <option value=\"ZA\" <%= tktCountryIso(item.getUserData('country')) === \"ZA\" ? 'selected' : '' %>>Afrique Du Sud<\/option>\n                                                                                                            <option value=\"GS\" <%= tktCountryIso(item.getUserData('country')) === \"GS\" ? 'selected' : '' %>>G\u00e9orgie Du Sud Et Les \u00celes Sandwich Du Sud<\/option>\n                                                                                                            <option value=\"ES\" <%= tktCountryIso(item.getUserData('country')) === \"ES\" ? 'selected' : '' %>>Espagne<\/option>\n                                                                                                            <option value=\"LK\" <%= tktCountryIso(item.getUserData('country')) === \"LK\" ? 'selected' : '' %>>Sri Lanka<\/option>\n                                                                                                            <option value=\"SD\" <%= tktCountryIso(item.getUserData('country')) === \"SD\" ? 'selected' : '' %>>Soudan<\/option>\n                                                                                                            <option value=\"SR\" <%= tktCountryIso(item.getUserData('country')) === \"SR\" ? 'selected' : '' %>>Suriname<\/option>\n                                                                                                            <option value=\"SJ\" <%= tktCountryIso(item.getUserData('country')) === \"SJ\" ? 'selected' : '' %>>Svalbard Et \u00cele Jan Mayen<\/option>\n                                                                                                            <option value=\"SZ\" <%= tktCountryIso(item.getUserData('country')) === \"SZ\" ? 'selected' : '' %>>Swaziland<\/option>\n                                                                                                            <option value=\"SE\" <%= tktCountryIso(item.getUserData('country')) === \"SE\" ? 'selected' : '' %>>Su\u00e8de<\/option>\n                                                                                                            <option value=\"CH\" <%= tktCountryIso(item.getUserData('country')) === \"CH\" ? 'selected' : '' %>>Suisse<\/option>\n                                                                                                            <option value=\"SY\" <%= tktCountryIso(item.getUserData('country')) === \"SY\" ? 'selected' : '' %>>Syrienne, R\u00e9publique Arabe<\/option>\n                                                                                                            <option value=\"TW\" <%= tktCountryIso(item.getUserData('country')) === \"TW\" ? 'selected' : '' %>>Ta\u00cfwan, Province De Chine<\/option>\n                                                                                                            <option value=\"TJ\" <%= tktCountryIso(item.getUserData('country')) === \"TJ\" ? 'selected' : '' %>>Tadjikistan<\/option>\n                                                                                                            <option value=\"TZ\" <%= tktCountryIso(item.getUserData('country')) === \"TZ\" ? 'selected' : '' %>>Tanzanie, R\u00e9publique-unie De<\/option>\n                                                                                                            <option value=\"TH\" <%= tktCountryIso(item.getUserData('country')) === \"TH\" ? 'selected' : '' %>>Tha\u00cflande<\/option>\n                                                                                                            <option value=\"TL\" <%= tktCountryIso(item.getUserData('country')) === \"TL\" ? 'selected' : '' %>>Timor-leste<\/option>\n                                                                                                            <option value=\"TG\" <%= tktCountryIso(item.getUserData('country')) === \"TG\" ? 'selected' : '' %>>Togo<\/option>\n                                                                                                            <option value=\"TK\" <%= tktCountryIso(item.getUserData('country')) === \"TK\" ? 'selected' : '' %>>Tokelau<\/option>\n                                                                                                            <option value=\"TO\" <%= tktCountryIso(item.getUserData('country')) === \"TO\" ? 'selected' : '' %>>Tonga<\/option>\n                                                                                                            <option value=\"TT\" <%= tktCountryIso(item.getUserData('country')) === \"TT\" ? 'selected' : '' %>>Trinit\u00e9-et-tobago<\/option>\n                                                                                                            <option value=\"TN\" <%= tktCountryIso(item.getUserData('country')) === \"TN\" ? 'selected' : '' %>>Tunisie<\/option>\n                                                                                                            <option value=\"TR\" <%= tktCountryIso(item.getUserData('country')) === \"TR\" ? 'selected' : '' %>>Turquie<\/option>\n                                                                                                            <option value=\"TM\" <%= tktCountryIso(item.getUserData('country')) === \"TM\" ? 'selected' : '' %>>Turkm\u00e9nistan<\/option>\n                                                                                                            <option value=\"TC\" <%= tktCountryIso(item.getUserData('country')) === \"TC\" ? 'selected' : '' %>>Turks Et Ca\u00cfques, \u00celes<\/option>\n                                                                                                            <option value=\"TV\" <%= tktCountryIso(item.getUserData('country')) === \"TV\" ? 'selected' : '' %>>Tuvalu<\/option>\n                                                                                                            <option value=\"UG\" <%= tktCountryIso(item.getUserData('country')) === \"UG\" ? 'selected' : '' %>>Ouganda<\/option>\n                                                                                                            <option value=\"UA\" <%= tktCountryIso(item.getUserData('country')) === \"UA\" ? 'selected' : '' %>>Ukraine<\/option>\n                                                                                                            <option value=\"AE\" <%= tktCountryIso(item.getUserData('country')) === \"AE\" ? 'selected' : '' %>>\u00e9mirats Arabes Unis<\/option>\n                                                                                                            <option value=\"GB\" <%= tktCountryIso(item.getUserData('country')) === \"GB\" ? 'selected' : '' %>>Royaume-uni<\/option>\n                                                                                                            <option value=\"US\" <%= tktCountryIso(item.getUserData('country')) === \"US\" ? 'selected' : '' %>>\u00c9tats-unis<\/option>\n                                                                                                            <option value=\"UM\" <%= tktCountryIso(item.getUserData('country')) === \"UM\" ? 'selected' : '' %>>\u00celes Mineures \u00e9loign\u00e9es Des \u00c9tats-unis<\/option>\n                                                                                                            <option value=\"UY\" <%= tktCountryIso(item.getUserData('country')) === \"UY\" ? 'selected' : '' %>>Uruguay<\/option>\n                                                                                                            <option value=\"UZ\" <%= tktCountryIso(item.getUserData('country')) === \"UZ\" ? 'selected' : '' %>>Ouzb\u00e9kistan<\/option>\n                                                                                                            <option value=\"VU\" <%= tktCountryIso(item.getUserData('country')) === \"VU\" ? 'selected' : '' %>>Vanuatu<\/option>\n                                                                                                            <option value=\"VE\" <%= tktCountryIso(item.getUserData('country')) === \"VE\" ? 'selected' : '' %>>Venezuela, R\u00e9publique Bolivarienne Du<\/option>\n                                                                                                            <option value=\"VN\" <%= tktCountryIso(item.getUserData('country')) === \"VN\" ? 'selected' : '' %>>Vi\u00eat-Nam<\/option>\n                                                                                                            <option value=\"VG\" <%= tktCountryIso(item.getUserData('country')) === \"VG\" ? 'selected' : '' %>>\u00celes Vierges Britanniques<\/option>\n                                                                                                            <option value=\"VI\" <%= tktCountryIso(item.getUserData('country')) === \"VI\" ? 'selected' : '' %>>\u00celes Vierges Des \u00c9tats-unis<\/option>\n                                                                                                            <option value=\"WF\" <%= tktCountryIso(item.getUserData('country')) === \"WF\" ? 'selected' : '' %>>Wallis Et Futuna<\/option>\n                                                                                                            <option value=\"EH\" <%= tktCountryIso(item.getUserData('country')) === \"EH\" ? 'selected' : '' %>>Sahara Occidental<\/option>\n                                                                                                            <option value=\"YE\" <%= tktCountryIso(item.getUserData('country')) === \"YE\" ? 'selected' : '' %>>Y\u00e9men<\/option>\n                                                                                                            <option value=\"ZM\" <%= tktCountryIso(item.getUserData('country')) === \"ZM\" ? 'selected' : '' %>>Zambie<\/option>\n                                                                                                            <option value=\"ZW\" <%= tktCountryIso(item.getUserData('country')) === \"ZW\" ? 'selected' : '' %>>Zimbabwe<\/option>\n                                                                                                            <option value=\"XK\" <%= tktCountryIso(item.getUserData('country')) === \"XK\" ? 'selected' : '' %>>Kosovo<\/option>\n                                                                                                            <option value=\"RS\" <%= tktCountryIso(item.getUserData('country')) === \"RS\" ? 'selected' : '' %>>Serbie<\/option>\n                                                                                                            <option value=\"CD\" <%= tktCountryIso(item.getUserData('country')) === \"CD\" ? 'selected' : '' %>>Za\u00efre<\/option>\n                                                                                                            <option value=\"YU\" <%= tktCountryIso(item.getUserData('country')) === \"YU\" ? 'selected' : '' %>>Yougoslavie<\/option>\n                                                                    <\/select>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('phone'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('phone') ? 'class=\"required\"' : '' %>>T\u00e9l\u00e9phone<\/label>\n                                <input class=\"form-control\" type=\"tel\" pattern=\"^((\\+\\d{1,3}(-| )?\\(?\\d\\)?(-| )?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-| )?(\\d{3,4})(-| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\" placeholder=\"Votre num\u00e9ro, sans espace\" value=\"<%= item.getUserData('phone') %>\" name=\"user_data[index-<%= item.index %>][phone]\" <%= needsField('phone') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('cellphone'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('cellphone') ? 'class=\"required\"' : '' %>>T\u00e9l\u00e9phone portable<\/label>\n                                <input class=\"form-control\" type=\"tel\" pattern=\"^((\\+\\d{1,3}(-| )?\\(?\\d\\)?(-| )?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-| )?(\\d{3,4})(-| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\" placeholder=\"Votre num\u00e9ro, sans espace\" value=\"<%= item.getUserData('cellphone') %>\" name=\"user_data[index-<%= item.index %>][cellphone]\" <%= needsField('cellphone') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('age'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('age') ? 'class=\"required\"' : '' %>>\u00c2ge<\/label>\n                                <select name=\"user_data[index-<%= item.index %>][age]\" class=\"form-control\" <%= needsField('age') ? 'required' : '' %>>\n                                    <option value=\"\"><\/option>\n                                    <option value=\"Pas de r\u00e9ponse\">Pas de r\u00e9ponse<\/option><option value=\"&lt; 5\">&lt; 5<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><option value=\"32\">32<\/option><option value=\"33\">33<\/option><option value=\"34\">34<\/option><option value=\"35\">35<\/option><option value=\"36\">36<\/option><option value=\"37\">37<\/option><option value=\"38\">38<\/option><option value=\"39\">39<\/option><option value=\"40\">40<\/option><option value=\"41\">41<\/option><option value=\"42\">42<\/option><option value=\"43\">43<\/option><option value=\"44\">44<\/option><option value=\"45\">45<\/option><option value=\"46\">46<\/option><option value=\"47\">47<\/option><option value=\"48\">48<\/option><option value=\"49\">49<\/option><option value=\"50\">50<\/option><option value=\"51\">51<\/option><option value=\"52\">52<\/option><option value=\"53\">53<\/option><option value=\"54\">54<\/option><option value=\"55\">55<\/option><option value=\"56\">56<\/option><option value=\"57\">57<\/option><option value=\"58\">58<\/option><option value=\"59\">59<\/option><option value=\"60\">60<\/option><option value=\"61\">61<\/option><option value=\"62\">62<\/option><option value=\"63\">63<\/option><option value=\"64\">64<\/option><option value=\"65\">65<\/option><option value=\"66\">66<\/option><option value=\"67\">67<\/option><option value=\"68\">68<\/option><option value=\"69\">69<\/option><option value=\"70\">70<\/option><option value=\"71\">71<\/option><option value=\"72\">72<\/option><option value=\"73\">73<\/option><option value=\"74\">74<\/option><option value=\"75\">75<\/option><option value=\"76\">76<\/option><option value=\"77\">77<\/option><option value=\"78\">78<\/option><option value=\"79\">79<\/option><option value=\"80\">80<\/option><option value=\"&gt; 80\">&gt; 80<\/option>                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('birthdate'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('birthdate') ? 'class=\"required\"' : '' %>>Date de naissance<\/label>\n                                <input class=\"form-control tkt-input\" type=\"text\" name=\"user_data[index-<%= item.index %>][birthdate]\" data-component=\"Form\/Calendar\" data-date-format=\"d.m.Y\" data-default-date=\"<%= item.getUserData('birthdate') || '' %>\" <%= needsField('birthdate') ? 'required' : '' %>>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('sex'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('sex') ? 'class=\"required\"' : '' %>>Genre<\/label>\n                                <select name=\"user_data[index-<%= item.index %>][sex]\" class=\"form-control\" <%= needsField('sex') ? 'required' : '' %>>\n                                    <option value=\"\"><\/option>\n                                    <option value=\"n\/c\">Pas de r\u00e9ponse<\/option><option value=\"f\">F\u00e9minin<\/option><option value=\"m\">Masculin<\/option><option value=\"o\">Autre<\/option>                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <% } %>\n\n                    <% if (acceptsField('comment'))  { %>\n                        <div class=\"col-md-12\">\n                            <div class=\"form-group\">\n                                <label <%= needsField('comment') ? 'class=\"required\"' : '' %>>Commentaires<\/label>\n                                <textarea name=\"user_data[index-<%= item.index %>][comment]\" class=\"form-control\" <%= needsField('comment') ? 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