Jeu concours vin Carrefour Market

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                            <h3 class='gform_title'>Jeu concours vin</h3>
                            <span class='gform_description'>Remplissez le formulaire pour vous inscrire</span>
                        </div><div id='gf_page_steps_5' class='gf_page_steps'><div id='gf_step_5_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1</span> <span class='gf_step_label'></span></div><div id='gf_step_5_2' class='gf_step gf_step_last gf_step_next gf_step_pending'><span class='gf_step_number'>2</span> <span class='gf_step_label'></span></div><div class='gf_step_clear'></div></div>
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                                    <div class='gform_page_fields'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id='field_5_16'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_16' >Quel est votre vin préféré ?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_5_16' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_17' >Votre consommation de vin est ?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_5_17' class='medium gfield_select'   aria-required="true" aria-invalid="false"><option value='quotidienne' >quotidienne</option><option value='hebdomadaire' >hebdomadaire</option><option value='mensuelle' >mensuelle</option></select></div></li><li id='field_5_18'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_18' >Quel est votre budget vin mensuel ?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_5_18' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_19'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_19' >Quel est votre budget maximum pour une bouteille de vin ?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_24'  class='gfield gf_list_2col field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Quels sont les critères les plus importants lorsque vous achetez votre vin ?</label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_24'><li class='gchoice_5_24_1'>
								<input name='input_24.1' type='checkbox'  value='le prix'  id='choice_5_24_1'   />
								<label for='choice_5_24_1' id='label_5_24_1'>le prix</label>
							</li><li class='gchoice_5_24_2'>
								<input name='input_24.2' type='checkbox'  value='le conseil'  id='choice_5_24_2'   />
								<label for='choice_5_24_2' id='label_5_24_2'>le conseil</label>
							</li><li class='gchoice_5_24_3'>
								<input name='input_24.3' type='checkbox'  value='la médaille'  id='choice_5_24_3'   />
								<label for='choice_5_24_3' id='label_5_24_3'>la médaille</label>
							</li><li class='gchoice_5_24_4'>
								<input name='input_24.4' type='checkbox'  value='l'année'  id='choice_5_24_4'   />
								<label for='choice_5_24_4' id='label_5_24_4'>l'année</label>
							</li><li class='gchoice_5_24_5'>
								<input name='input_24.5' type='checkbox'  value='l'appellation'  id='choice_5_24_5'   />
								<label for='choice_5_24_5' id='label_5_24_5'>l'appellation</label>
							</li></ul></div></li><li id='field_5_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_3' >Etes-vous satisfait(e) de notre choix en vin ?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_21'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_21' >Citez des vins que vous souhaiteriez voir dans notre supermarché</label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='medium'      aria-invalid="false" /></div></li><li id='field_5_22'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_22' >Dans quel autre magasin achetez-vous votre vin ?</label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='medium'      aria-invalid="false" /></div></li></ul>
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                        <ul id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_5_10'  class='gfield gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Civilité<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_10'><li class='gchoice_5_10_0'><input name='input_10' type='radio' value='Madame'  id='choice_5_10_0'    /><label for='choice_5_10_0' id='label_5_10_0'>Madame</label></li><li class='gchoice_5_10_1'><input name='input_10' type='radio' value='Mademoiselle'  id='choice_5_10_1'    /><label for='choice_5_10_1' id='label_5_10_1'>Mademoiselle</label></li><li class='gchoice_5_10_2'><input name='input_10' type='radio' value='Monsieur'  id='choice_5_10_2'    /><label for='choice_5_10_2' id='label_5_10_2'>Monsieur</label></li></ul></div></li><li id='field_5_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_2' >Prénom<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_5_2' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_25'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_25' >Nom</label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_5_25' type='text' value='' class='medium'      aria-invalid="false" /></div></li><li id='field_5_29'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_29' >Téléphone<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_5_29' type='text' value='' class='medium'     aria-required="true" aria-invalid="false" /></div></li><li id='field_5_26'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_26' >E-mail<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_email'>
                            <input name='input_26' id='input_5_26' type='text' value='' class='medium'    aria-required="true" aria-invalid="false" />
                        </div></li><li id='field_5_30'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_30' >Code Postal<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_5_30' type='text'    value='' class='medium'     aria-required="true" aria-invalid="false" /><div class='instruction '>Veuillez saisir un nombre entre <strong>97300</strong> et <strong>97390</strong>.</div></div></li><li id='field_5_31'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_31' >Année de naissance<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_5_31' type='text'    value='' class='medium'     aria-required="true" aria-invalid="false" /><div class='instruction '>Veuillez saisir un nombre entre <strong>1940</strong> et <strong>2000</strong>.</div></div></li><li id='field_5_12'  class='gfield gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Souhaitez recevoir les actualités de Carrefour Market Rémire montjoly<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_12'><li class='gchoice_5_12_0'><input name='input_12' type='radio' value='par sms'  id='choice_5_12_0'    /><label for='choice_5_12_0' id='label_5_12_0'>par sms</label></li><li class='gchoice_5_12_1'><input name='input_12' type='radio' value='par email'  id='choice_5_12_1'    /><label for='choice_5_12_1' id='label_5_12_1'>par email</label></li><li class='gchoice_5_12_2'><input name='input_12' type='radio' value='ne pas recevoir'  id='choice_5_12_2'    /><label for='choice_5_12_2' id='label_5_12_2'>ne pas recevoir</label></li></ul></div></li><li id='field_5_14'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Règlement</h2></li><li id='field_5_11'  class='gfield gf_list_2col gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >J'accepte le règlement du jeu<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_11'><li class='gchoice_5_11_0'><input name='input_11' type='radio' value='Oui'  id='choice_5_11_0'    /><label for='choice_5_11_0' id='label_5_11_0'>Oui</label></li><li class='gchoice_5_11_1'><input name='input_11' type='radio' value='Non'  id='choice_5_11_1'    /><label for='choice_5_11_1' id='label_5_11_1'>Non</label></li></ul></div></li><li id='field_5_13'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><font size="1">Consultez le <a href="https://waltacom.fr/wp-content/uploads/2018/09/Reg_SCI_legrandbeauregard_jeu_borne_vin.pdf">règlement</a></font></li>
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Jeu concours vin Carrefour Market

Jeu concours vin

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