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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'>Phone<\/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 Avenue East<\/option><option value='ABCalgaryS' >AB, Calgary - 113, 10555 48 St SE<\/option><option value='ABCamrose' >AB, Camrose - 3720 48 Avenue<\/option><option value='ABDrumheller' >AB, Drumheller - 801 S Railway Ave<\/option><option value='ABEdmontonS' >AB, Edmonton - 2699 96 Street NW<\/option><option value='ABFortMcMurray4' >AB, Fort McMurray - 330 MacKenzie Blvd<\/option><option value='ABGrandePrairie_0029' >AB, Grande Prairie - #96 10821 78 Avenue<\/option><option value='ABHinton2' >AB, HINTON - 122 Joblin Street<\/option><option value='ABHighLevel2' >AB, High Level - 10315 96 St<\/option><option value='ABHighRiver' >AB, High River - 1008 20 ST SE<\/option><option value='ABLloydminster2' >AB, LLOYDMINSTER - 5702 50 Avenue<\/option><option value='ABLethbridge_0036' >AB, Lethbridge - 3040 Fairway St. S<\/option><option value='ABMedicineHat2' >AB, Medicine Hat - 16 Strachan CRT S.E.<\/option><option value='ABPeaceRiver2' >AB, PEACE RIVER - 9710 94 Street<\/option><option value='ABProvost' >AB, Provost - 5019 ,57TH AVE<\/option><option value='ABRedDeer2' >AB, Red Deer County - 108-172 Clearview Drive<\/option><option value='ABRockyMountainHouse_0031' >AB, Rocky Mountain House - 4504 46 AVE<\/option><option value='ABStPaul_0032' >AB, ST PAUL - 5010 40A Street<\/option><option value='ABSherwoodPark' >AB, Sherwood Park - Unit 120 2899 Broadmoor Blvd.<\/option><option value='ABSlaveLake' >AB, Slave Lake - 621 Main Street NE<\/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 - Unit 112 663 Sumas Way<\/option><option value='BCAbbotsford3' >BC, Abbotsford - 2602 Mount Lehman Rd<\/option><option value='BCCampbellRiver' >BC, Campbell River - 250 Dogwood St Unit 108<\/option><option value='BCCastlegar' >BC, Castlegar - 1965 Columbia Ave., Unit #200<\/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<\/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 - 103 5769 Production Way<\/option><option value='BCNanaimo' >BC, Nanaimo - 102 1875 Boxwood Road<\/option><option value='BCNewWestminster_0149' >BC, New Westminster - Unit 26 816 Boyd Street<\/option><option value='BCNorthVancouver' >BC, North Vancouver - 150 Pemberton Ave. N<\/option><option value='BCPenticton' >BC, Penticton - 2601 Skaha Lake Road Unit 101<\/option><option value='BCCoquitlam2' >BC, Port Coquitlam - 1600 A Kingsway Avenue<\/option><option value='BCPrinceGeorge' >BC, Prince George - 2591A Vance Road<\/option><option value='BCPrinceRupert' >BC, Prince Rupert - 601 3rd Ave W<\/option><option value='BCQuesnel' >BC, Quesnel - 855 Rita Road<\/option><option value='BCRichmond_0158' >BC, Richmond - UNIT 8 11711 No 5 ROAD<\/option><option value='BCSalmonArm_0141' >BC, SALMON ARM - 500 2800 10ave SW<\/option><option value='BCSechelt_0193' >BC, SECHELT - 5520 Sechelt Inlet Cres Unit 102<\/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 Avenue<\/option><option value='BCVernon' >BC, Vernon - 3107 48th Ave Unit 200<\/option><option value='BCVictoria' >BC, Victoria - Unit 103 977 Langford Pkwy<\/option><option value='BCWestKelowna' >BC, Westbank - 2180 Elk Rd Unit 200<\/option><option value='BCWhistler' >BC, Whistler - 1330 Alpha Lake Road<\/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 North<\/option><option value='MBDauphin' >MB, Dauphin - 55 Keays Street<\/option><option value='MBFlinFlon' >MB, Flin Flon - MB-10 Alt<\/option><option value='MBSwanRiver' >MB, Swan River - 1701 Main Street<\/option><option value='MBThompson_0163' >MB, THOMPSON - 145 Hayes Road<\/option><option value='MBWinnipeg_0206' >MB, WINNIPEG - 1510 Regent Ave. W<\/option><option value='MBWinkler' >MB, Winkler - 545 Cargill Road<\/option><option value='MBWinnipegNorth' >MB, Winnipeg - 1200 Fife Street<\/option><option value='NTYellowknife_0191' >NT, YELLOWKNIFE - 49 Kam Lake Rd<\/option><option value='ONBarrie_0192' >ON, BARRIE - 25 Hart Dr Unit 3<\/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 - Unit 1 630 Grand Ave East<\/option><option value='ONNorthyork' >ON, Concord - 582 Rivermede Rd<\/option><option value='ONCornwall' >ON, Cornwall - 645 Cumberland St<\/option><option value='ONEtobicoke' >ON, Etobicoke - Unit 36 24 Steinway Blvd<\/option><option value='ONGravenhurst' >ON, Gravenhurst - 451 Bethune DR N<\/option><option value='ONGuelph_0185' >ON, Guelph - 170 Curtis Drive<\/option><option value='ONKingston' >ON, Kingston - 1093 John Counter Blvd<\/option><option value='ONKitchener' >ON, Kitchener - 30 Manitou Dr. Unit E<\/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 Drive Unit #1D<\/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 - 10 - 35 Robb Blvd<\/option><option value='ONOwenSound_0169' >ON, Owen Sound - 202296 Highway 21 unit 5<\/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 Road, Unit 7<\/option><option value='ONSaultstmarie_0166' >ON, SAULT STE. MARIE - 237 Bruce St<\/option><option value='ONStThomas_0156' >ON, St Thomas - 930 Talbot Street<\/option><option value='ONTimmins' >ON, Timmins - 407 Wilson<\/option><option value='ONVanier' >ON, Vanier - 279 McArthur Avenue<\/option><option value='ONWelland_0148' >ON, Welland - 871 Niagara St<\/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 Av. 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='QCBrossard_0214' >QC, BROSSARD - 3755 rue Isabelle, suite 101<\/option><option value='QCBaie-Comeau' >QC, Baie-comeau - 930 Rue Comtois<\/option><option value='QCBlainville' >QC, Blainville - 1444-A Boulevard Cur\u00e9-Labelle<\/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 Boulevard Hamel Est<\/option><option value='QCCowansville' >QC, Cowansville - 360 rue Rivi\u00e8re<\/option><option value='QCDolbeau' >QC, Dolbeau-mistassini - 283 8e Avenue<\/option><option value='QCDrummondville' >QC, Drummondville - 1250 Boulevard Lemire<\/option><option value='QCGatineau4' >QC, GATINEAU - 1827 MALONEY EST UNIT\u00c9 5<\/option><option value='QCGaspe' >QC, Gaspe - 164 Boulevard de Gasp\u00e9<\/option><option value='QCGatineau2' >QC, Gatineau - 471 Boul. St-Rene Est<\/option><option value='QCGranby' >QC, Granby - 1160 Rue Principale<\/option><option value='QCGrandRemous_0207' >QC, Grand-remous - 1159 trans canada highway<\/option><option value='QCHavreStPierre' >QC, Havre-saint-pierre - 1232 Boulevard de l&#039;escale<\/option><option value='QCLourdes-de-Joliette' >QC, Joliette - 1105 rue Ernest Harnois Porte 130<\/option><option value='QCJonquiere' >QC, Jonquiere - 3320 Boulevard St-Francois<\/option><option value='QCL&#039;etang' >QC, L&#039;etang-du-nord - 62 chemin Chiasson<\/option><option value='QCVaudreuil-Dorion' >QC, L&#039;ile-perrot - 410 Grand Boulevard<\/option><option value='QCLa-Malbaie' >QC, La Malbaie - 1950 Boulevard de Comport\u00e9<\/option><option value='QCLa-Tuque_0187' >QC, La Tuque - 1200 Boulevard Ducharme<\/option><option value='QCLasalle' >QC, Lasalle - 1870 Avenue Dollard<\/option><option value='QCPont-Viau' >QC, Laval - 20 Boulevard Cartier Ouest<\/option><option value='QCLevis2' >QC, Levis - 4505 Boulevad Guillaume-Couture<\/option><option value='QCLongueuil' >QC, Longueuil - 2425 Chemin de Chambly<\/option><option value='QCMaria_0179' >QC, MARIA - 600, boul. Perron<\/option><option value='QCHochelaga_0213' >QC, MONTREAL - 4955 rue Hochelaga<\/option><option value='QCMatane_0199' >QC, Matane - 1075 rue du Phare O<\/option><option value='QCMcmasterville_0217' >QC, Mcmasterville - 201 Boul. Yvon L&#039;heureux S<\/option><option value='QCMt-Laurier' >QC, Mont-laurier - 1212 Boulevard Dr. Albiny-Paquette<\/option><option value='QCMt-Tremblant' >QC, Mont-tremblant - 354 Rue Magloire Gosselin<\/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 Boulevard Pierrefonds<\/option><option value='QCMontreal2' >QC, Pointe-aux-trembles - 12255 Rue Sherbrooke Est<\/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 #380<\/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 av Lariviere<\/option><option value='QCSt-Georges_0183' >QC, SAINT-GEORGES - 1245 42\u00e8me Rue Nord<\/option><option value='QCSt-Jean-sur-Richelieu_0180' >QC, SAINT-JEAN-SUR-RICHELIEU - 925 rue Pierre-Caisse<\/option><option value='QCSept-Iles_0201' >QC, SEPT-ILES - 540 avenue Perreault<\/option><option value='QCShawinigan_0215' >QC, SHAWINIGAN - 10023 Bd des H\u00eatres, porte 8<\/option><option value='QCSt-Constant' >QC, Saint-constant - 92 Rue Saint-Pierre<\/option><option value='QCSt-Eustache' >QC, Saint-eustache - 461 Boulevard Arthur-Sauv\u00e9<\/option><option value='QCSt-Felicien' >QC, Saint-felicien - 995 Boulevard Hamel<\/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 chemin St-Louis<\/option><option value='QCSte-Julie' >QC, Sainte-julie - 1400 Rue Principale, local 201<\/option><option value='QCSte-Marie-de-Beauce' >QC, Sainte-marie - 1029 Boulevard Vachon Nord<\/option><option value='QCValleyfield' >QC, Salaberry-de-valleyfield - 1765 Boulevard Monseigneur-Langlois<\/option><option value='QCSherbrooke3' >QC, Sherbrooke - 1685 Rue Denault<\/option><option value='QCSherbrooke_0205' >QC, Sherbrooke - 4545 Boulevard 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 mont\u00e9e Gagnon<\/option><option value='QCThetford-Mines' >QC, Thetford Mines - 970 Boulevard Frontenac Ouest<\/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 3 ieme avenue<\/option><option value='QCVictoriaville' >QC, Victoriaville - 1010 Boulevard Jutras Est<\/option><option value='SKBuffalowNarrows_0195' >SK, BUFFALO NARROWS - 521 Petit Pl<\/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 - SK-13<\/option><option value='SKMidale' >SK, MIDALE - NE16-5-11-W2nd Highway 606<\/option><option value='SKMooseJaw' >SK, Moose Jaw - 365 River Street West, Unit 133<\/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 100th Street<\/option><option value='SKPrinceAlbert' >SK, PRINCE ALBERT - 463D 15th Street East<\/option><option value='SKReginaCorp' >SK, Regina - 4X1, 156 1 Ave E<\/option><option value='SKSaskatoonN_0164' >SK, Saskatoon - 2731 Faithfull Ave<\/option><option value='SKSaskatoonS_0165' >SK, Saskatoon - 3020 Meadows Pkwy Unit 10<\/option><option value='SKSpiritwood' >SK, Spiritwood - 451 4th St E<\/option><option value='SKSwiftCurrent' >SK, Swift Current - 127 8 Avenue North West<\/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 - 118A Galena Road<\/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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