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    {"id":3846,"date":"2019-06-11T20:53:07","date_gmt":"2019-06-12T01:53:07","guid":{"rendered":"https:\/\/uuu.smartstartcanada.ca\/?page_id=3846"},"modified":"2023-05-09T09:18:13","modified_gmt":"2023-05-09T14:18:13","slug":"rendez-vous","status":"publish","type":"page","link":"https:\/\/www.smartstartcanada.ca\/fr\/espace-client\/rendez-vous\/","title":{"rendered":"Rendez-vous"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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\/* ]]> *\/\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_4' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/3846' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_31\" 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_4_31'>Company<\/label><div class='ginput_container'><input name='input_31' id='input_4_31' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_31'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_4_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Veuillez remplir le formulaire suivant pour v\u00e9rifier, planifier ou reporter un rendez-vous.<\/p><\/li><li id=\"field_4_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Type de demande<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_4_1'>\n\t\t\t<li class='gchoice gchoice_4_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='verification'  id='choice_4_1_0'    \/>\n\t\t\t\t<label for='choice_4_1_0' id='label_4_1_0' class='gform-field-label gform-field-label--type-inline'>V\u00e9rifier un rendez-vous<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_1_1'>\n\t\t\t\t<input name='input_1' type='radio' value='schedule'  id='choice_4_1_1'    \/>\n\t\t\t\t<label for='choice_4_1_1' id='label_4_1_1' class='gform-field-label gform-field-label--type-inline'>Planifier un rendez-vous<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_1_2'>\n\t\t\t\t<input name='input_1' type='radio' value='reschedule'  id='choice_4_1_2'    \/>\n\t\t\t\t<label for='choice_4_1_2' id='label_4_1_2' class='gform-field-label gform-field-label--type-inline'>Replanifier un rendez-vous<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_2\" class=\"gfield gfield--type-select gfield--input-type-select gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_2'>Type de rendez-vous (requis)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_4_2' class='medium gfield_select'  aria-describedby=\"gfield_description_4_2\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='calibration' >\u00c9talonnage<\/option><option value='removal' >Suppression<\/option><option value='transfer' >Transfert<\/option><option value='installation' >Installation<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_4_2'><p><strong>Calibrages :<\/strong> selon le d\u00e9lai de gr\u00e2ce, vous pouvez prendre rendez-vous cinq (5) jours avant ou apr\u00e8s la date de verrouillage. Votre date de cadenassage est le jour du mois dans lequel vous avez \u00e9t\u00e9 install\u00e9. Par exemple, si vous avez \u00e9t\u00e9 install\u00e9 le 6, votre date de verrouillage sera toujours le 6, quel que soit le nombre de jours du mois. Votre date de cadenassage ne changera pas si vous recevez un service avant ou apr\u00e8s cette date!<\/p>\r\n<p><strong>D\u00e9m\u00e9nagements :<\/strong> Veuillez noter que, selon le contenu de votre rapport final, votre autorit\u00e9 de surveillance peut prolonger la date de fin de votre programme. <em>Clients du Manitoba, veuillez ne pas effectuer de d\u00e9m\u00e9nagement sans avoir re\u00e7u votre lettre d'avis de d\u00e9m\u00e9nagement de MPI.<\/em><\/p>\r\n<p><strong>Transferts :<\/strong> Veuillez saisir les informations relatives au nouveau v\u00e9hicule dans le champ de remarques \u00e0 la fin de ce formulaire.<\/p>\r\n<p><strong>Installations:<\/strong> Si vous essayez de planifier une nouvelle installation, veuillez <a class=\"smartweb button green small\" href=\"http:\/\/www.smartstartcanada.ca\/contact-us\/\" title=\"Planifier une installation\">cliquer ici<\/a><br>Sinon, utilisez ce formulaire pour reprogrammer une installation \u00e0 venir.<\/p><\/div><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half 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_4_4'>Pr\u00e9nom (requis)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_4_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'>Deuxi\u00e8me pr\u00e9nom<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_6\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half 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_4_6'>Nom de famille (requis)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Adresse \u00e9lectronique (requis)<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_7' id='input_4_7' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_4_7\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_4_7'><p><strong>Remarque :<\/strong> vous ne pouvez effectuer de demande de rendez-vous que si vous avez une adresse \u00e9lectronique d\u00e9j\u00e0 ajout\u00e9e \u00e0 votre compte. Voir le bouton <a href=\"#addemail\">Ajouter une adresse \u00e9lectronique \u00e0 mon compte<\/a>.<\/p><\/div><\/li><li id=\"field_4_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_left_half 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_4_8'>Date de naissance (requis)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_4_8' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='yyyy-mm-dd' aria-describedby=\"input_4_8_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_8_date_format' class='screen-reader-text'>YYYY dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_8' class='gform_hidden' value='https:\/\/www.smartstartcanada.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_9\" class=\"gfield gfield--type-select gfield--input-type-select shops_list gf_left_half 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_4_9'>Emplacement le plus proche (requis)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_4_9' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>-- Choisir --<\/option><option value='ABAirdrie_0034' >AB, Airdrie - 294 Sierra Spring Dr SE<\/option><option value='ABBarrhead' >AB, Barrhead - 4921 50 Ave<\/option><option value='ABBrooks2' >AB, Brooks - 620 1st Ave E<\/option><option value='ABCalgaryS' >AB, Calgary - 10555 48 St SE<\/option><option value='ABCamrose' >AB, Camrose - 3720 48 Ave<\/option><option value='ABDrumheller' >AB, Drumheller - 801 S Railway Ave<\/option><option value='ABEdmontonS' >AB, Edmonton - 2699 96 St NW<\/option><option value='ABFortMcMurray4' >AB, Fort McMurray - 330 MacKenzie Blvd<\/option><option value='ABGrandePrairie_0029' >AB, Grande Prairie - 10821 78 Ave<\/option><option value='ABHighLevel2' >AB, High Level - 10315 96 St<\/option><option value='ABHighRiver' >AB, High River - 1008 20 St SE<\/option><option value='ABHinton2' >AB, Hinton - 122 Joblin St<\/option><option value='ABLethbridge_0036' >AB, Lethbridge - 3040 Fairway St S<\/option><option value='ABLloydminster2' >AB, Lloydminster - 5702 50 Ave<\/option><option value='ABMedicineHat2' >AB, Medicine Hat - 16 Strachan Ct SE<\/option><option value='ABPeaceRiver2' >AB, Peace River - 9710 94 St<\/option><option value='ABProvost' >AB, Provost - 5019 57 Ave<\/option><option value='ABRedDeer2' >AB, Red Deer County - 172 Clearview Dr<\/option><option value='ABRockyMountainHouse_0031' >AB, Rocky Mountain House - 4504 46 Ave<\/option><option value='ABSherwoodPark' >AB, Sherwood Park - 2899 Broadmoor Blvd<\/option><option value='ABSlaveLake' >AB, Slave Lake - 621 Main St NW<\/option><option value='ABStPaul_0032' >AB, St Paul - 5010 40A St<\/option><option value='ABwhitecourt_0038' >AB, Whitecourt - 3748 Kepler St<\/option><option value='BC100MileHouse' >BC, 100 Mile House - 918 Alpine Ave<\/option><option value='BCAbbotsford_0139' >BC, ABBOTSFORD - 663 Sumas Way<\/option><option value='BCAbbotsford3' >BC, Abbotsford - 2602 Mount Lehman Rd<\/option><option value='BCCampbellRiver' >BC, Campbell River - 250 Dogwood St<\/option><option value='BCCastlegar' >BC, Castlegar - 1965 Columbia Ave<\/option><option value='BCChilliwack' >BC, Chilliwack - 7677 Prest Road<\/option><option value='BCCourtenay' >BC, Courtenay - 2967 Kilpatrick Ave<\/option><option value='BCCranbrook_0181' >BC, Cranbrook - 915 Cranbrook St N<\/option><option value='BCFortNelson2' >BC, Fort Nelson - 4444 50th Ave N<\/option><option value='BCFortStJohn_0145' >BC, Fort St. John - 7920 Alaska Rd N<\/option><option value='BCKamloops' >BC, Kamloops - 745 Notre Dame Dr<\/option><option value='BCKelowna' >BC, Kelowna - 1881 Harvey Ave<\/option><option value='BCLangley_0161' >BC, Langley - 5769 Production Way<\/option><option value='BCNanaimo' >BC, Nanaimo - 1875 Boxwood Rd<\/option><option value='BCNewWestminster_0149' >BC, New Westminster - 816 Boyd St<\/option><option value='BCNorthVancouver' >BC, North Vancouver - 150 Pemberton Ave<\/option><option value='BCPenticton' >BC, Penticton - 2601 Skaha Lake Rd<\/option><option value='BCCoquitlam2' >BC, Port Coquitlam - 1600 Kingsway Ave<\/option><option value='BCPrinceGeorge' >BC, Prince George - 2591A Vance Rd<\/option><option value='BCPrinceRupert' >BC, Prince Rupert - 601 3 Ave W<\/option><option value='BCQuesnel' >BC, Quesnel - 855 Rita Rd<\/option><option value='BCRichmond_0158' >BC, Richmond - 11711 No 5 Rd<\/option><option value='BCSalmonArm_0141' >BC, SALMON ARM - 2800 10 Ave SW<\/option><option value='BCSechelt_0193' >BC, SECHELT - 5520 Sechelt Inlet Cres<\/option><option value='BCSurrey_0186' >BC, Surrey - 8062 King George Blvd<\/option><option value='BCTrail_0147' >BC, TRAIL - 1235 Bay Ave<\/option><option value='BCTerrace2' >BC, Terrace - 4716 Keith Ave<\/option><option value='BCVernon' >BC, Vernon - 3107 48th Ave<\/option><option value='BCVictoria' >BC, Victoria - 977 Langford Pkwy<\/option><option value='BCWestKelowna' >BC, Westbank - 2180 Elk Rd<\/option><option value='BCWhistler' >BC, Whistler - 1330 Alpha Lake Rd<\/option><option value='BCWilliamsLake' >BC, Williams Lake - 1148 Broadway Ave S<\/option><option value='MBBlumenort' >MB, Blumenort - 9 Centre Ave<\/option><option value='MBBrandon' >MB, Brandon - 121 17th St N<\/option><option value='MBDauphin' >MB, Dauphin - 55 Keays St<\/option><option value='MBFlinFlon' >MB, Flin Flon - MB-10 Alt<\/option><option value='MBSwanRiver' >MB, Swan River - 1701 Main St E<\/option><option value='MBThompson_0163' >MB, Thompson - 145 Hayes Rd<\/option><option value='MBWinkler' >MB, Winkler - 545 Cargill Rd<\/option><option value='MBWinnipegNorth' >MB, Winnipeg - 1200 Fife St<\/option><option value='MBWinnipeg_0206' >MB, Winnipeg - 1510 Regent Ave W<\/option><option value='NTYellowknife_0191' >NT, YELLOWKNIFE - 49 Kam Lake Rd<\/option><option value='ONBarrie_0192' >ON, BARRIE - 25 Hart Dr<\/option><option value='ONBrampton' >ON, Brampton - 6A Tilbury Ct 1<\/option><option value='ONBrantford_0168' >ON, Brantford - 537 West St<\/option><option value='ONBrockville_0188' >ON, Brockville - 1185 California Ave<\/option><option value='ONBurlington_0142' >ON, Burlington - 4235 Fairview St<\/option><option value='ONChathamkent' >ON, Chatham - 630 Grand Ave E<\/option><option value='ONNorthyork' >ON, Concord - 582 Rivermede Rd<\/option><option value='ONCornwall' >ON, Cornwall - 645 Cumberland St<\/option><option value='ONEtobicoke' >ON, Etobicoke - 24 Steinway Blvd<\/option><option value='ONGravenhurst' >ON, Gravenhurst - 451 Bethune Dr N<\/option><option value='ONGuelph_0185' >ON, Guelph - 170 Curtis Dr<\/option><option value='ONKingston' >ON, Kingston - 1093 John Counter Blvd<\/option><option value='ONKitchener' >ON, Kitchener - 30 Manitou Dr<\/option><option value='ONLondon' >ON, London - 663 Wellington Rd<\/option><option value='ONOttawa_0183' >ON, NEPEAN - 17 Grenfell Crescent<\/option><option value='ONNewmarket' >ON, Newmarket - 220 Pony Dr<\/option><option value='ONNorthBay_0182' >ON, North Bay - 123 Delaware Ave<\/option><option value='ONOrillia_0160' >ON, ORILLIA - 103 Dufferin St<\/option><option value='ONOrangeville_0162' >ON, Orangeville - 35 Robb Blvd<\/option><option value='ONOwenSound_0169' >ON, Owen Sound - 202296 Hwy 21<\/option><option value='ONPetawawa2' >ON, Petawawa - 2827 Petawawa Blvd<\/option><option value='ONPeterborough_0184' >ON, Peterborough - 671 Erskine Ave<\/option><option value='ONPickering' >ON, Pickering - 963 Brock Rd<\/option><option value='ONSaultstmarie_0166' >ON, SAULT STE. MARIE - 237 Bruce St<\/option><option value='ONScarborough_0189' >ON, Scarborough - 300 Nantucket Blvd<\/option><option value='ONStThomas_0156' >ON, St Thomas - 930 Talbot St<\/option><option value='ONTimmins' >ON, Timmins - 407 Wilson Ave<\/option><option value='ONVanier' >ON, Vanier - 279 McArthur Ave<\/option><option value='ONWoodstock_0180' >ON, Woodstock - 68 Main St<\/option><option value='QCActon-Vale' >QC, Acton Vale - 1124 Rue Boulay<\/option><option value='QCAlma_0211' >QC, Alma - 300 Ave du Pont S<\/option><option value='QCAmos' >QC, Amos - 91 Rue Principale Sud<\/option><option value='QCBeaumont_0218' >QC, BEAUMONT - 285 Rte du Fleuve<\/option><option value='QCBaie-Comeau' >QC, Baie-comeau - 930 Rue Comtois<\/option><option value='QCBlainville' >QC, Blainville - 1444 Bd Cur\u00e9-Labelle<\/option><option value='QCBrossard_0214' >QC, Brossard - 3755 Rue Isabelle<\/option><option value='QCBrownsburg' >QC, Brownsburg-chatham - 260 Rue des \u00c9rables<\/option><option value='QCCap-St-Ignace_0186' >QC, Cap-Saint-Ignace - 24 Rue du Coll\u00e8ge<\/option><option value='QCChibougamau_0202' >QC, Chibougamau - 960 Bd Hamel E<\/option><option value='QCCowansville' >QC, Cowansville - 360 Rue de la Rivi\u00e8re<\/option><option value='QCDolbeau' >QC, Dolbeau-Mistassini - 283 8e Ave<\/option><option value='QCDrummondville' >QC, Drummondville - 1250 Bd Lemire<\/option><option value='QCGaspe' >QC, Gaspe - 164 Rue de Gasp\u00e9<\/option><option value='QCGatineau2' >QC, Gatineau - 471 Bd Saint-Ren\u00e9 E<\/option><option value='QCGatineau4' >QC, Gatineau - 1827 Boulevard Maloney E<\/option><option value='QCGranby' >QC, Granby - 1160 Rue Principale<\/option><option value='QCGrandRemous_0207' >QC, Grand-remous - 1159 Trans-Canada Hwy<\/option><option value='QCHavreStPierre' >QC, Havre-Saint-Pierre - 1232 Bd de l&#039;Escale<\/option><option value='QCLourdes-de-Joliette' >QC, Joliette - 1105 Rue Ernest Harnois<\/option><option value='QCJonquiere' >QC, Jonquiere - 3320 Bd St Fran\u00e7ois<\/option><option value='QCVaudreuil-Dorion' >QC, L&#039;ile-perrot - 410 Grand Boulevard<\/option><option value='QCL&#039;etang' >QC, L&#039;\u00c9tang-du-Nord - 62 Chem Chiasson<\/option><option value='QCLa-Malbaie' >QC, La Malbaie - 1950 Bd de Comport\u00e9<\/option><option value='QCLa-Tuque_0187' >QC, La Tuque - 1200 Bd Ducharme<\/option><option value='QCLasalle' >QC, Lasalle - 1870 Dollard Ave<\/option><option value='QCPont-Viau' >QC, Laval - 20 Bd Cartier O<\/option><option value='QCLevis2' >QC, Levis - 4505 Bd Guillaume-Couture<\/option><option value='QCLongueuil' >QC, Longueuil - 2425 Chem de Chambly<\/option><option value='QCMaria_0179' >QC, Maria - 600 Bd Perron<\/option><option value='QCMatane_0199' >QC, Matane - 1075 Ave du Phare O<\/option><option value='QCMcmasterville_0217' >QC, McMasterville - 201 Chemin Yvon L&#039;heureux<\/option><option value='QCMt-Laurier' >QC, Mont-Laurier - 1212 Bd Dr Albiny Paquette<\/option><option value='QCMt-Tremblant' >QC, Mont-tremblant - 354 Rue Magloire Gosselin<\/option><option value='QCHochelaga_0213' >QC, Montreal - 4955 Rue Hochelaga<\/option><option value='QCLac-Megantic' >QC, Nantes - 2737 Rue Laval<\/option><option value='QCPapineauville' >QC, Papineauville - 205 Rue Henri Bourassa<\/option><option value='QCPierrefonds' >QC, Pierrefonds - 14301 Pierrefonds Blvd<\/option><option value='QCMontreal2' >QC, Pointe-Aux-Trembles - 12255 Rue Sherbrooke E<\/option><option value='QCBeauport' >QC, Quebec - 265 Rue Seigneuriale<\/option><option value='QCQuebec5' >QC, Quebec - 13044 Boulevard Henri-Bourassa<\/option><option value='QCQuebec7' >QC, Quebec - 1798 Rte de l&#039;A\u00e9roport<\/option><option value='QCQuebec_0209' >QC, Quebec - 850 Pierre-Bertrand Blvd<\/option><option value='QCRimouski' >QC, Rimouski - 55 Boulevard Ste-Anne<\/option><option value='QCRiviere-du-Loup2' >QC, Riviere-du-loup - 269 Rue Temiscouata<\/option><option value='QCRouyn-Noranda_0203' >QC, Rouyn-Noranda - 2846 Ave Lariviere<\/option><option value='QCSt-Constant' >QC, Saint-Constant - 92 Rue St Pierre<\/option><option value='QCSt-Eustache' >QC, Saint-Eustache - 461 Bd Arthur-Sauv\u00e9<\/option><option value='QCSt-Felicien' >QC, Saint-Felicien - 995 Bd Hamel<\/option><option value='QCSt-Georges_0183' >QC, Saint-Georges - 1245 42e Rue N<\/option><option value='QCSt-Jean-sur-Richelieu_0180' >QC, Saint-Jean-Sur-Richelieu - 925 Rue Pierre-Caisse<\/option><option value='QCSt-Hyacinthe' >QC, Saint-hyacinthe - 2995 Rue Dessaulles<\/option><option value='QCSt-Jerome' >QC, Saint-jerome - 964 Rue Labelle<\/option><option value='QCLangelier' >QC, Saint-leonard - 7226 Blvd Langelier<\/option><option value='QCSt-Malachie' >QC, Saint-malachie - 1204 Route Henderson<\/option><option value='QCSt-Raymond-de-Portneuf' >QC, Saint-raymond - 599 C\u00f4te-Joyeuse<\/option><option value='QCSte-Foy_0185' >QC, Sainte-Foy - 2866 Chem St-Louis<\/option><option value='QCSte-Julie' >QC, Sainte-Julie - 1400 Rue Principale<\/option><option value='QCSte-Marie-de-Beauce' >QC, Sainte-Marie - 1029 Bd Vachon N<\/option><option value='QCValleyfield' >QC, Salaberry-de-Valleyfield - 1765 Bd Monseigneur-Langlois<\/option><option value='QCSept-Iles_0201' >QC, Sept-Iles - 540 Ave Perreault<\/option><option value='QCShawinigan_0215' >QC, Shawinigan - 10023 Bd des H\u00eatres<\/option><option value='QCSherbrooke3' >QC, Sherbrooke - 1685 Rue Denault<\/option><option value='QCSherbrooke_0205' >QC, Sherbrooke - 4545 Boul Bourque<\/option><option value='QCSorel-Tracy_0210' >QC, Sorel-Tracy - 235 Rue du Roi<\/option><option value='QCCap-de-la-Madeleine2' >QC, TROIS-RIVIERES - 709 Rue du Marthelinois<\/option><option value='QCTerrebonne2' >QC, Terrebonne - 2130 Mt\u00e9e Gagnon<\/option><option value='QCThetford-Mines' >QC, Thetford Mines - 970 Bd Frontenac O<\/option><option value='QCTrois-Rivieres2' >QC, Trois-rivieres - 5250 Boulevard Jean-XXIII<\/option><option value='QCVal D&#039;Or_0216' >QC, Val-d&#039;Or - 1270 3e Ave<\/option><option value='QCVictoriaville' >QC, Victoriaville - 1010 Bd Jutras E<\/option><option value='SKBuffalowNarrows_0195' >SK, Buffalo Narrows - Thompson Ave<\/option><option value='SKDavidson' >SK, Davidson - 1204 Railway St<\/option><option value='SKKerrobert' >SK, Kerrobert - 545 Railway Ave<\/option><option value='SKLafleche' >SK, Lafl\u00e8che - 415 SK-13<\/option><option value='SKMidale' >SK, MIDALE - NE16-5-11-W2nd Highway 606<\/option><option value='SKMooseJaw' >SK, Moose Jaw - 365 River St W<\/option><option value='SKMoosomin' >SK, Moosomin - 1102 Park Ave<\/option><option value='SKNipawin2' >SK, Nipawin - 103 W Spruce Ave<\/option><option value='SKNorthBattleford' >SK, North Battleford - 1731 100 St<\/option><option value='SKPrinceAlbert' >SK, Prince Albert - 463 15 St E<\/option><option value='SKReginaCorp' >SK, Regina - 156 1 Ave E<\/option><option value='SKSaskatoonN_0164' >SK, Saskatoon - 2731 Faithfull Ave<\/option><option value='SKSaskatoonS_0165' >SK, Saskatoon - 3020 Meadows Pkwy<\/option><option value='SKSpiritwood' >SK, Spiritwood - 451 4th St E<\/option><option value='SKSwiftCurrent' >SK, Swift Current - 127 8 Ave NW<\/option><option value='SKWatson' >SK, Watson - NW-21-38-17 West of the 2nd<\/option><option value='SKYorkton_0194' >SK, Yorkton - 465 Broadway St E<\/option><option value='YTWhitehorse_0177' >YT, Whitehorse - 118 Galena Rd<\/option><\/select><\/div><\/li><li id=\"field_4_21\" class=\"gfield gfield--type-text gfield--input-type-text 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_4_21'>Vehicle Year, Make &amp; Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_4_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_22\" class=\"gfield gfield--type-text gfield--input-type-text 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_4_22'>Vehicle Identification Number (VIN)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-text gfield--input-type-text 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_4_23'>License Plate Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_4_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_30\" class=\"gfield gfield--type-post_title gfield--input-type-post_title 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_4_30'>Previous Vehicle Year, Make, &amp; Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_post_title'>\n\t\t\t\t\t<input name='input_30' id='input_4_30' type='text' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_4_10\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_left_half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_10'>Date de pr\u00e9f\u00e9rence<\/label><div class='gfield_description' id='gfield_description_4_10'><p>Veuillez fournir un minimum de 2 jours \u00e0 compter de la date actuelle. Tous les magasins ne sont pas ouverts le Samedi ou le Dimanche, alors appelez le centre d\u2019appels si c`est  votre pr\u00e9f\u00e9rence.<\/p><\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_4_10' type='text' value='' class='datepicker gform-datepicker ymd_dash datepicker_no_icon gdatepicker-no-icon'   placeholder='yyyy-mm-dd' aria-describedby=\"input_4_10_date_format gfield_description_4_10\" aria-invalid=\"false\" \/>\n                            <span id='input_4_10_date_format' class='screen-reader-text'>YYYY dash MM dash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_10' class='gform_hidden' value='https:\/\/www.smartstartcanada.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_inline 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gform-field-label--type-inline'>Apr\u00e8s-midi<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gf_left_half field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Notes compl\u00e9mentaires<\/label><div class='gfield_description' id='gfield_description_4_12'><p>Si vous planifiez un transfert de v\u00e9hicule, saisissez ici le num\u00e9ro d'identification du v\u00e9hicule (VIN) \/ num\u00e9ro de plaque \/ marque \/ mod\u00e8le \/ ann\u00e9e \/ couleur ainsi que le v\u00e9hicule d'origine de l'appareil.<\/p><\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_4_12' class='textarea medium'  aria-describedby=\"gfield_description_4_12\"    aria-invalid=\"false\"   rows='10' 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