{"id":3893,"date":"2022-10-03T10:05:58","date_gmt":"2022-10-03T14:05:58","guid":{"rendered":"https:\/\/www.corroprotec.com\/?page_id=3893"},"modified":"2025-11-03T13:53:20","modified_gmt":"2025-11-03T18:53:20","slug":"enregistrement-garantie","status":"publish","type":"page","link":"https:\/\/www.corroprotec.com\/fr\/enregistrement-garantie\/","title":{"rendered":"Enregistrement de la garantie Corro-Protec"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_12' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Enregistrement de la garantie Corro-Protec<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/fr\/wp-json\/wp\/v2\/pages\/3893' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_12_37\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_37'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container'><input name='input_37' id='input_12_37' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_12_37'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_12_2\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_12_2'>\n                            \n                            <span id='input_12_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_12_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_2_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_12_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_2_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_12_3\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_3'><span class='gform-field-label__text'>Courriel<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_12_3' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_12_4\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_4'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_12_4' type='tel' value='' class='medium'  placeholder='(999) 999-9999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_5\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Adresse<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_12_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_12_5_1' value=''    aria-required='true'    \/>\n                                        <label for='input_12_5_1' id='input_12_5_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_12_5_3' value=''    aria-required='true'    \/>\n                                    <label for='input_12_5_3' id='input_12_5_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_5_4_container' >\n                                        <input type='text' name='input_5.4' id='input_12_5_4' value=''      aria-required='true'    \/>\n                                        <label for='input_12_5_4' id='input_12_5_4_label' class='gform-field-label gform-field-label--type-sub '>\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_12_5_5' value=''    aria-required='true'    \/>\n                                    <label for='input_12_5_5' id='input_12_5_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Code postal<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_12_5_6_container' >\n                                        <select name='input_5.6' id='input_12_5_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='ZA' >Afrique du Sud<\/option><option value='AL' >Albanie<\/option><option value='DZ' >Alg\u00e9rie<\/option><option value='DE' >Allemagne<\/option><option value='AD' >Andorre<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctique<\/option><option value='AG' >Antigua-et-Barbuda<\/option><option value='SA' >Arabie Saoudite<\/option><option value='AR' >Argentine<\/option><option value='AM' >Arm\u00e9nie<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australie<\/option><option value='AT' >Autriche<\/option><option value='AZ' >Azerba\u00efdjan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahre\u00efn<\/option><option value='BD' >Bangladesh<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgique<\/option><option value='BZ' >Belize<\/option><option value='BJ' >B\u00e9nin<\/option><option value='BM' >Bermudes<\/option><option value='BT' >Bhoutan<\/option><option value='BO' >Bolivie<\/option><option value='BQ' >Bonaire, Saint-Eustache et Saba<\/option><option value='BA' >Bosnie-Herz\u00e9govine<\/option><option value='BW' >Botswana<\/option><option value='BR' >Br\u00e9sil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgarie<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodge<\/option><option value='CM' >Cameroun<\/option><option value='CA' selected='selected'>Canada<\/option><option value='CV' >Cap-Vert<\/option><option value='CL' >Chili<\/option><option value='CN' >Chine<\/option><option value='CY' >Chypre<\/option><option value='CO' >Colombie<\/option><option value='KM' >Comores<\/option><option value='CG' >Congo<\/option><option value='KR' >Cor\u00e9e (R\u00e9publique de)<\/option><option value='KP' >Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d\u2019Ivoire<\/option><option value='HR' >Croatie<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='DK' >Danemark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominique<\/option><option value='EG' >\u00c9gypte<\/option><option value='AE' >\u00c9mirats arabes unis<\/option><option value='EC' >\u00c9quateur<\/option><option value='ER' >\u00c9rythr\u00e9e<\/option><option value='ES' >Espagne<\/option><option value='EE' >Estonie<\/option><option value='SZ' >Eswatini<\/option><option value='PS' >\u00c9tat palestinien<\/option><option value='US' >\u00c9tats-Unis<\/option><option value='ET' >\u00c9thiopie<\/option><option value='RU' >F\u00e9d\u00e9ration Russe<\/option><option value='FJ' >Fidji<\/option><option value='FI' >Finlande<\/option><option value='FR' >France<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambie<\/option><option value='GE' >G\u00e9orgie<\/option><option value='GS' >G\u00e9orgie du Sud et \u00celes Sandwich du Sud<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Gr\u00e8ce<\/option><option value='GD' >Grenade<\/option><option value='GL' >Groenland<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guin\u00e9e<\/option><option value='GQ' >Guin\u00e9e \u00e9quatoriale<\/option><option value='GW' >Guin\u00e9e-Bissau<\/option><option value='GF' >Guyane<\/option><option value='GY' >Guyane<\/option><option value='HT' >Ha\u00efti<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hongrie<\/option><option value='BV' >\u00cele Bouvet<\/option><option value='CX' >\u00cele Christmas<\/option><option value='IM' >\u00cele de Man<\/option><option value='MU' >\u00cele Maurice<\/option><option value='NF' >\u00cele Norfolk<\/option><option value='AX' >\u00celes \u00c5land<\/option><option value='KY' >\u00celes Cayman<\/option><option value='CC' >\u00celes Cocos<\/option><option value='CK' >\u00celes Cook<\/option><option value='SJ' >\u00celes de Svalbard et Jan Mayen<\/option><option value='FK' >\u00celes Falkland<\/option><option value='FO' >\u00celes F\u00e9ro\u00e9<\/option><option value='HM' >\u00celes Heard et McDonald<\/option><option value='MP' >\u00celes Mariannes du Nord<\/option><option value='MH' >\u00celes Marshall<\/option><option value='UM' >\u00celes mineures am\u00e9ricaines<\/option><option value='PN' >\u00celes Pitcairn<\/option><option value='SB' >\u00celes Salomon<\/option><option value='TC' >\u00celes Turques et Ca\u00efques<\/option><option value='VI' >\u00celes Vierges am\u00e9ricaines<\/option><option value='VG' >\u00celes Vierges britanniques<\/option><option value='IN' >Inde<\/option><option value='ID' >Indon\u00e9sie<\/option><option value='IQ' >Irak<\/option><option value='IR' >Iran<\/option><option value='IE' >Irlande<\/option><option value='IS' >Islande<\/option><option value='IL' >Isra\u00ebl<\/option><option value='IT' >Italie<\/option><option value='JM' >Jama\u00efque<\/option><option value='JP' >Japon<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordanie<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KG' >Kirghizistan<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kowe\u00eft<\/option><option value='BB' >La Barbade<\/option><option value='RE' >La R\u00e9union<\/option><option value='LS' >Lesotho<\/option><option value='LV' >Lettonie<\/option><option value='LB' >Liban<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libye<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lituanie<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MK' >Mac\u00e9doine du Nord<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malaisie<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malte<\/option><option value='MA' >Maroc<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritanie<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexique<\/option><option value='FM' >Micron\u00e9sie<\/option><option value='MD' >Moldavie<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolie<\/option><option value='ME' >Mont\u00e9n\u00e9gro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibie<\/option><option value='NR' >Nauru<\/option><option value='NP' >N\u00e9pal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nig\u00e9ria<\/option><option value='NU' >Niu\u00e9<\/option><option value='NO' >Norv\u00e8ge<\/option><option value='NC' >Nouvelle-Cal\u00e9donie<\/option><option value='NZ' >Nouvelle-Z\u00e9lande<\/option><option value='OM' >Oman<\/option><option value='UG' >Ouganda<\/option><option value='UZ' >Ouzb\u00e9kistan<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PA' >Panama<\/option><option value='PG' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='PY' >Paraguay<\/option><option value='NL' >Pays-Bas<\/option><option value='PE' >P\u00e9rou<\/option><option value='PH' >Philippines<\/option><option value='PL' >Pologne<\/option><option value='PF' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='PR' >Porto Rico<\/option><option value='PT' >Portugal<\/option><option value='QA' >Qatar<\/option><option value='SY' >R\u00e9publique arabe syrienne<\/option><option value='CF' >R\u00e9publique centrafricaine<\/option><option value='CD' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='LA' >R\u00e9publique d\u00e9mocratique populaire du Laos<\/option><option value='DO' >R\u00e9publique Dominicaine<\/option><option value='CZ' >R\u00e9publique Tch\u00e8que<\/option><option value='RO' >Roumanie<\/option><option value='GB' >Royaume-Uni<\/option><option value='RW' >Rwanda<\/option><option value='EH' >Sahara occidental<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre et Miquelon<\/option><option value='KN' >Saint-Christophe-et-Nevis<\/option><option value='SM' >Saint-Marin<\/option><option value='VA' >Saint-Si\u00e8ge<\/option><option value='VC' >Saint-Vincent-et-les Grenadines<\/option><option value='SH' >Sainte-H\u00e9l\u00e8ne, Ascension et Tristan da Cunha<\/option><option value='LC' >Sainte-Lucie<\/option><option value='SV' >Salvador<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa am\u00e9ricaines<\/option><option value='ST' >Sao Tom\u00e9 et Principe<\/option><option value='SN' >S\u00e9n\u00e9gal<\/option><option value='RS' >Serbie<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapour<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovaquie<\/option><option value='SI' >Slov\u00e9nie<\/option><option value='SO' >Somalie<\/option><option value='SD' >Soudan<\/option><option value='SS' >Soudan du Sud<\/option><option value='LK' >Sri Lanka<\/option><option value='SE' >Su\u00e8de<\/option><option value='CH' >Suisse<\/option><option value='SR' >Suriname<\/option><option value='TJ' >Tadjikistan<\/option><option value='TW' >Ta\u00efwan<\/option><option value='TZ' >Tanzanie (R\u00e9publique-Unie de)<\/option><option value='TD' >Tchad<\/option><option value='TF' >Terres Australes Fran\u00e7aises<\/option><option value='IO' >Territoire britannique de l\u2019oc\u00e9an Indien<\/option><option value='TH' >Tha\u00eflande<\/option><option value='TL' >Timor oriental<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinit\u00e9 et Tobago<\/option><option value='TN' >Tunisie<\/option><option value='TM' >Turkm\u00e9nistan<\/option><option value='TR' >Turquie<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ukraine<\/option><option value='UY' >Uruguay<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis et Futuna<\/option><option value='YE' >Y\u00e9men<\/option><option value='ZM' >Zambie<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_5_6' id='input_12_5_6_label' class='gform-field-label gform-field-label--type-sub '>Pays<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_1\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_1'><span class='gform-field-label__text'>Date d&#039;achat<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='jj\/mm\/aaaa'\n\t\t\t\t\tid='input_12_1'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_1'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_12_1' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_12_1' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_12_1' aria-label='Date d'achat: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_12_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Qui a install\u00e9 l&#039;anode?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_9'>\n\t\t\t<li class='gchoice gchoice_12_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Moi-m\u00eame'  id='choice_12_9_0'    \/>\n\t\t\t\t<label for='choice_12_9_0' id='label_12_9_0' class='gform-field-label gform-field-label--type-inline'>Moi-m\u00eame<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='Un professionnel'  id='choice_12_9_1'    \/>\n\t\t\t\t<label for='choice_12_9_1' id='label_12_9_1' class='gform-field-label gform-field-label--type-inline'>Un professionnel<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_12_9'>La m\u00e9thode d&rsquo;installation n&rsquo;a aucune incidence sur la garantie de l&rsquo;anode.<\/div><\/li><li id=\"field_12_24\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_24'><span class='gform-field-label__text'>Quel mod\u00e8le avez-vous achet\u00e9 ?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_12_24' class='large gfield_select'     aria-invalid=\"false\" ><option value='Residential model' >Mod\u00e8le r\u00e9sidentiel<\/option><option value='RV model' >Mod\u00e8le de VR<\/option><option value='Both, RV and residential models' >Mod\u00e8les VR et r\u00e9sidentiels<\/option><\/select><\/div><\/li><li id=\"field_12_33\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_33'><span class='gform-field-label__text'>Quel est le num\u00e9ro de s\u00e9rie de l&#039;anode?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_12_33' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_33\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_33'>Le num\u00e9ro de s\u00e9rie se trouve sur la partie vissable en acier inoxydable de l&rsquo;anode. Fournir le num\u00e9ro de s\u00e9rie nous aide \u00e0 offrir un support plus efficace, mais vous pouvez enregistrer votre garantie m\u00eame sans le num\u00e9ro de s\u00e9rie.<\/div><\/li><li id=\"field_12_19\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_19'><span class='gform-field-label__text'>O\u00f9 avez-vous achet\u00e9 l&#039;anode Corro-Protec?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_12_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Amazon' >Amazon<\/option><option value='Corro-Protec website' >Corro-Protec &#8211; Notre site web<\/option><option value='Retailer' >D\u00e9taillant (plomberie ou traitement d&#039;eau)<\/option><option value='eBay' >eBay<\/option><option value='Home Depot' >Home Depot<\/option><option value='Lowes' >Lowe&#039;s<\/option><option value='Rona' >Rona<\/option><option value='SupplyHouse' >SupplyHouse<\/option><option value='Walmart' >Walmart<\/option><option value='Other' >Autre<\/option><\/select><\/div><\/li><li id=\"field_12_29\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_29'><span class='gform-field-label__text'>Num\u00e9ro de commande Amazon<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_12_29' type='text' value='' class='large'  aria-describedby=\"gfield_description_12_29\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_29'>Pour r\u00e9f\u00e9rence, veuillez indiquer le num\u00e9ro de commande : 111-1111111-1111111<\/div><\/li><li id=\"field_12_21\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_21'><span class='gform-field-label__text'>Veuillez pr\u00e9ciser o\u00f9 vous avez achet\u00e9 votre Corro-Protec<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_12_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_18\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_18'><span class='gform-field-label__text'>Pourquoi avez-vous achet\u00e9 l&#039;anode Corro-Protec?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_12_18' class='large gfield_select'     aria-invalid=\"false\" ><option value='R\u00e9soudre les probl\u00e8mes d&#039;odeur' >R\u00e9soudre les probl\u00e8mes d&#039;odeur<\/option><option value='Prot\u00e9ger mon r\u00e9servoir d&#039;eau chaude contre la corrosion' >Prot\u00e9ger mon r\u00e9servoir d&#039;eau chaude contre la corrosion<\/option><option value='R\u00e9duire l&#039;accumulation de calcaire' >R\u00e9duire l&#039;accumulation de calcaire<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/li><li id=\"field_12_20\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_20'><span class='gform-field-label__text'>Svp sp\u00e9cifiez la raison pour laquelle vous avez achet\u00e9 l&#039;anode Corro-Protec<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_12_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_34\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_34'><span class='gform-field-label__text'>Source d&#039;eau<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_12_34' class='large gfield_select'     aria-invalid=\"false\" ><option value='Eau de ville' >Eau de ville<\/option><option value='Eau de puits' >Eau de puits<\/option><\/select><\/div><\/li><li id=\"field_12_35\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_35'><span class='gform-field-label__text'>Type de traitement de l&#039;eau<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_12_35' class='large gfield_select'     aria-invalid=\"false\" ><option value='Adoucisseur d&#039;eau' >Adoucisseur d&#039;eau<\/option><option value='Syst\u00e8me de filtration' >Syst\u00e8me de filtration<\/option><option value='Adoucisseur et syst\u00e8me de filtration' >Adoucisseur et syst\u00e8me de filtration<\/option><option value='Aucun des choix ci-dessus' >Aucun des choix ci-dessus<\/option><\/select><\/div><\/li><li id=\"field_12_16\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>O\u00f9 avez vous entendu parler de nous?<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_16'><li class='gchoice gchoice_12_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Amazon \/ Ebay'  id='choice_12_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_16_1' id='label_12_16_1' class='gform-field-label gform-field-label--type-inline'>Amazon \/ Ebay<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='Moteur de recherche'  id='choice_12_16_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_16_2' id='label_12_16_2' class='gform-field-label gform-field-label--type-inline'>Moteur de recherche<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='R\u00e9seaux sociaux'  id='choice_12_16_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_16_3' id='label_12_16_3' class='gform-field-label gform-field-label--type-inline'>R\u00e9seaux sociaux<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='D\u00e9taillant'  id='choice_12_16_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_16_4' id='label_12_16_4' class='gform-field-label gform-field-label--type-inline'>D\u00e9taillant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_16_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.5' type='checkbox'  value='Bouche \u00e0 oreille'  id='choice_12_16_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_16_5' id='label_12_16_5' class='gform-field-label gform-field-label--type-inline'>Bouche \u00e0 oreille<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_10\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_10'><span class='gform-field-label__text'>Avez-vous des commentaires concernant l&#039;achat ou l&#039;installation de l&#039;anode CORRO-PROTEC?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_12_10' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_12_27\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_27'><span class='gform-field-label__text'>Comment \u00e9valuez-vous le syst\u00e8me Corro-Protec ?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_12_27' class='large gfield_select'     aria-invalid=\"false\" ><option value='Bien' >Bien<\/option><option value='Neutre' >Neutre<\/option><option value='Mal' >Mal<\/option><\/select><\/div><\/li><li id=\"field_12_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Protection contre la corrosion du r\u00e9servoir interne<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_32'><li class='gchoice gchoice_12_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='Je reconnais que la fonction principale de Corro-Protec est de prot\u00e9ger le r\u00e9servoir interne contre la corrosion. Il ne couvre pas l&#039;usure et la d\u00e9gradation d&#039;autres composants du chauffe-eau tels que les \u00e9l\u00e9ments chauffants, les joints, les vannes de vidange, les soupapes de d\u00e9charge de pression, et plus encore.'  id='choice_12_32_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_32_1' id='label_12_32_1' class='gform-field-label gform-field-label--type-inline'>Je reconnais que la fonction principale de Corro-Protec est de prot\u00e9ger le r\u00e9servoir interne contre la corrosion. Il ne couvre pas l&rsquo;usure et la d\u00e9gradation d&rsquo;autres composants du chauffe-eau tels que les \u00e9l\u00e9ments chauffants, les joints, les vannes de vidange, les soupapes de d\u00e9charge de pression, et plus encore.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_31\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Con\u00e7u pour pr\u00e9venir les dommages futurs<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_31'><li class='gchoice gchoice_12_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Je comprends que Corro-Protec est con\u00e7u pour pr\u00e9venir les dommages internes futurs dus \u00e0 la corrosion. Il n&#039;est pas destin\u00e9 \u00e0 r\u00e9parer les dommages pr\u00e9existants dans les chauffe-eau plus anciens. L&#039;installation dans un r\u00e9servoir plus ancien ne r\u00e9parera pas les dommages d\u00e9j\u00e0 subis.'  id='choice_12_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_31_1' id='label_12_31_1' class='gform-field-label gform-field-label--type-inline'>Je comprends que Corro-Protec est con\u00e7u pour pr\u00e9venir les dommages internes futurs dus \u00e0 la corrosion. Il n&rsquo;est pas destin\u00e9 \u00e0 r\u00e9parer les dommages pr\u00e9existants dans les chauffe-eau plus anciens. L&rsquo;installation dans un r\u00e9servoir plus ancien ne r\u00e9parera pas les dommages d\u00e9j\u00e0 subis.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_30\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Pr\u00e9venir les odeurs dans l&#039;eau chaude<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_30'><li class='gchoice gchoice_12_30_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_30.1' type='checkbox'  value='Je comprends que bien que Corro-Protec \u00e9limine efficacement les odeurs dans l&#039;eau chaude, il ne traite pas les odeurs dans l&#039;eau froide. \u00c9tant donn\u00e9 que les propri\u00e9t\u00e9s de l&#039;eau peuvent changer, il y a une chance que les odeurs reviennent \u00e0 la fois dans l&#039;eau chaude et froide. Corro-Protec s&#039;engage \u00e0 r\u00e9soudre les probl\u00e8mes d&#039;odeurs dans l&#039;eau chaude dans le cadre de notre contr\u00f4le, mais nous ne pouvons pas influencer les facteurs externes affectant la qualit\u00e9 de l&#039;eau.'  id='choice_12_30_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_30_1' id='label_12_30_1' class='gform-field-label gform-field-label--type-inline'>Je comprends que bien que Corro-Protec \u00e9limine efficacement les odeurs dans l&rsquo;eau chaude, il ne traite pas les odeurs dans l&rsquo;eau froide. \u00c9tant donn\u00e9 que les propri\u00e9t\u00e9s de l&rsquo;eau peuvent changer, il y a une chance que les odeurs reviennent \u00e0 la fois dans l&rsquo;eau chaude et froide. Corro-Protec s&rsquo;engage \u00e0 r\u00e9soudre les probl\u00e8mes d&rsquo;odeurs dans l&rsquo;eau chaude dans le cadre de notre contr\u00f4le, mais nous ne pouvons pas influencer les facteurs externes affectant la qualit\u00e9 de l&rsquo;eau.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Termes de Service<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_11'><li class='gchoice gchoice_12_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='J&#039;accepte les termes de service.'  id='choice_12_11_1'   aria-describedby=\"gfield_description_12_11\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_12_11_1' id='label_12_11_1' class='gform-field-label gform-field-label--type-inline'>J&rsquo;accepte les termes de service.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_12_11'>https:\/\/www.corroprotec.com\/fr\/termes-et-conditions\/<\/div><\/li><li id=\"field_12_36\" class=\"gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_36' id='input_12_36' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='fr_CA' \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_12' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer le formulaire de garantie<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_12' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_12' id='gform_theme_12' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_12' id='gform_style_settings_12' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='12' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' 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