getWidgetTemplate('<div id="lema-container" class="lema-container lema-container-vpod-7fa79">     <div class="lema-wrapper">         <div class="lema-content lema-accordion">                                         <div class="lema-overlay lema-overlay-data-protection lema-hidden" data-overlay-name="data-protection" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Protection des données         </div>             <div class="lema-overlay-content">            Les données sont transférées en étant cryptées. VPOD ne sauvegarde aucune de vos données bancaires; vos transactions s\'effectuent directement via RaiseNow, partenaire certifié par le secteur des cartes de paiement (PCI DSS). Nos prestataires de services n\'ont le droit d\'utiliser les informations qu\'aux fins exclusives de l\'exécution de leurs tâches et ils sont astreints à respecter les dispositions suisses relatives à la protection des données.<br/>Vous avez le droit de déduire votre <strong>don de votre revenu imposable</strong>. Les donateurs reçoivent par e-mail une confirmation de don destinée aux autorités fiscales. Les dons sont versés à VPOD.          </div>         </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-loading lema-hidden" data-overlay-name="loading" data-overlay-height="400">                 <div id="@(instanceName)-iframe_wrapper" class="lema-overlay-content lema-overlay-content-loading">      <p>Déclenchement du processus de paiement en cours ...</p>         <img class="lema-loading-spinner" src="https://lema.raisenow.com/widgets/lema/_default/img/ajax-loader.gif" alt="">     </div>         </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-not-compatible-error lema-hidden" data-overlay-name="not-compatible-error" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-content lema-overlay-content-error">         <p></p>     </div>         <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="success">OK</a>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-payment-cancel lema-hidden" data-overlay-name="payment-cancel" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Vous avez interrompu votre action.         </div>             <div class="lema-overlay-content">         <p>Votre don n&#039;a malheureusement pas pu être traité. Vous avez interrompu le paiement.</p>     </div>      <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="success">OK</a>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-payment-error lema-hidden" data-overlay-name="payment-error" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Une erreur s&#039;est produite.         </div>             <div class="lema-overlay-content lema-overlay-content-error">         <p>Une erreur s&#039;est produite pendant le chargement des données de votre don. Vous pouvez joindre nos employés par téléphone sous le numéro +41 (0)44 266 52 52  ou par e-mail sous info@vpod-ssp.ch.</p>         <a href="#" class="lema-show-error-details lema-toggle-trigger" data-target="error-details">Afficher les détails</a>         <div id="@(instanceName)-error-details" data-name="error-details" data-template="ich_error_details" class="lema-hidden">         </div>     </div>         <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="success">OK</a>     </div>     <script id="@(instanceName)-ich_error_details" type="text/html">         <div class="lema-error-details">             <div>Error Code: {{error_code}}</div>             <div>Error Detail: {{error_detail}}</div>             <div>Error Type: {{error_type}}</div>         </div>     </script> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-payment-info-error lema-hidden" data-overlay-name="payment-info-error" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-content lema-overlay-content-error">         <p></p>     </div>         <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="success">OK</a>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-sms-poll lema-hidden" data-overlay-name="sms-poll" data-overlay-height="">                 <div class="lema-overlay-header">             Merci, plus qu&#039;une étape         </div>             <div class="lema-overlay-content lema-overlay-content-sms">         <p><b>Temps résiduel pour la confirmation de votre don:</b></p>          <p>Nous avons bien recu votre communication de don. Vous allez immédiatement recevoir un SMS sous le numéro de téléphone portable indiqué. Veuillez alors immédiatement confirmer votre don par SMS (afin de prévenir tout usage abusif). Ce n&#039;est qu&#039;ainsi que vous faites un don pour nos projets les plus importants. Nous recevrons votre don par le biais de votre facture de téléphone portable.</p>          <div class="lema-timer">             <div class="lema-timer-countdown" id="@(instanceName)-timer_countdown">59:59</div>         </div>     </div>         <div class="lema-overlay-footer">         <ul class="lema-linklist">             <li><a href="#" data-action="clear-interval" data-overlay-close="retry">Pas reçu de SMS?</a></li>             <li><a href="#" data-action="clear-interval" data-overlay-close="cancel">Interrompre le don</a></li>         </ul>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-subscription-cancel-confirmation lema-hidden" data-overlay-name="subscription-cancel-confirmation" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Abonnement résilié         </div>             <div class="lema-overlay-content">         Nous vous confirmons que vous avez bien résilié votre abonnement.     </div>      <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="subscription-cancel-success">OK</a>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-subscription-cancel-error lema-hidden" data-overlay-name="subscription-cancel-error" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Erreur lors du traitement de votre abonnement         </div>             <div class="lema-overlay-content lema-overlay-content-error">         Nous n\'avons pas pu résilier votre abonnement.     </div>      <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="subscription-cancel-error">OK</a>     </div> </div><!-- /.lema-overlay -->                             <div class="lema-overlay lema-overlay-subscription-error lema-hidden" data-overlay-name="subscription-error" data-overlay-height="">             <a href="#" class="lema-overlay-close" data-overlay-close="close"></a>                 <div class="lema-overlay-header">             Erreur lors du traitement de votre abonnement         </div>             <div class="lema-overlay-content">         <p>Nous n&#039;avons pas pu trouver votre abonnement.</p>     </div>      <div class="lema-overlay-footer">         <a href="#" class="lema-button lema-button-secondary" data-overlay-close="subscription-error">OK</a>     </div> </div><!-- /.lema-overlay -->                                       <div class="lema-field-templates">     <script id="@(instanceName)-ich_field_text" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">                         <input type="text" id="{{fieldId}}" class="lema-input-text" name="{{fieldName}}" placeholder="{{placeholder}}" value="{{initial}}">         </div>     </script>      <script id="@(instanceName)-ich_field_select" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">                         <select id="{{fieldId}}" name="{{fieldName}}" class="lema-select2-replace" tabindex="-1">                 {{#options}}                     <option value="{{value}}">{{name}}</option>                 {{/options}}             </select>         </div>     </script>      <script id="@(instanceName)-ich_field_select_search" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">                         <select id="{{fieldId}}" name="{{fieldName}}" class="lema-select2-replace-search" tabindex="-1">                 {{#options}}                 <option value="{{value}}">{{name}}</option>                 {{/options}}             </select>         </div>     </script>      <script id="@(instanceName)-ich_field_radio" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">                         {{#options}}                 <input class="getunik-radio" type="radio" id="{{fieldId}}-{{value}}" name="{{fieldName}}" value="{{value}}">                 <label class="lema-radio-label getunik-radio-label" for="{{fieldId}}-{{value}}">{{label}}</label>             {{/options}}         </div>     </script>      <script id="@(instanceName)-ich_field_checkbox" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">               <input type="checkbox" name="{{fieldName}}" id="{{fieldId}}" class="lema-checkbox getunik-checkbox single-checkbox" value="{{value}}">               <label for="{{fieldId}}" class="lema-checkbox-label getunik-checkbox-label">{{label}}</label>         </div>     </script>      <script id="@(instanceName)-ich_field_textarea" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">                         <textarea name="{{fieldName}}" id="{{fieldId}}" class="lema-input-textarea" rows="{{rows}}" placeholder="{{placeholder}}">{{initial}}</textarea>         </div>     </script>      <script id="@(instanceName)-ich_field_date" type="text/html">         <div class="lema-step-row lema-step-row-input-right" data-field-type="tripledate" data-name="{{fieldName}}" data-block-id="{{blockId}}">             <div class="lema-pseudo-label">{{label}}</div>             <input type="text" class="lema-input-text lema-input-text-small lema-day" name="{{fieldName}}_day" placeholder="JJ">             <input type="text" class="lema-input-text lema-input-text-small lema-month" name="{{fieldName}}_month" placeholder="MM">             <input type="text" class="lema-input-text lema-input-text-small lema-year" name="{{fieldName}}_year" placeholder="AAAA">         </div>     </script>      <script id="@(instanceName)-ich_field_htmltext" type="text/html">         <div class="lema-step-row" data-block-id="{{blockId}}">             <div>{{{initial}}}</div>         </div>     </script> </div>                          <script id="@(instanceName)-customer-address-form-dach-benelux" type="text/html">     <div class="address-form">         <div class="lema-step-row" data-block-id="customer_street">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_street" class="lema-input-text field-stored_customer_street" name="stored_customer_street" placeholder="Rue" style="width: 74%; float: left;">                 <input type="text" id="@(instanceName)-stored_customer_street_number" class="lema-input-text" name="stored_customer_street_number" placeholder="N°" style="width: 24%; float: right;">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_street2">                         <input type="text" id="@(instanceName)-stored_customer_street2" class="lema-input-text" name="stored_customer_street2" placeholder="Complément Rue">         </div>          <div class="lema-step-row lema-hidden" data-block-id="customer_pobox">                         <input type="text" id="@(instanceName)-stored_customer_pobox" class="lema-input-text" name="stored_customer_pobox" placeholder="Case postale">         </div>          <div class="lema-step-row" data-block-id="customer_city">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_city" class="lema-input-text field-stored_customer_city" name="stored_customer_city" placeholder="Localité">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_zip_code">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_zip_code" class="lema-input-text field-stored_customer_zip_code" name="stored_customer_zip_code" placeholder="NPA">             </div>         </div> </script>  <script id="@(instanceName)-customer-address-form-province" type="text/html">     <div class="address-form">         <div class="lema-step-row" data-block-id="customer_street">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_street" class="lema-input-text field-stored_customer_street" name="stored_customer_street" placeholder="Rue">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_street2">                         <input type="text" id="@(instanceName)-stored_customer_street2" class="lema-input-text" name="stored_customer_street2" placeholder="Complément Rue">         </div>          <div class="lema-step-row" data-block-id="customer_zip_code">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_zip_code" class="lema-input-text field-stored_customer_zip_code" name="stored_customer_zip_code" placeholder="NPA">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_city">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_city" class="lema-input-text" name="stored_customer_city" placeholder="Localité">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_province">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_province" class="lema-input-text" name="stored_customer_province" placeholder="">             </div>         </div> </script>                                          <div class="lema-page lema-page-cancel-subscription lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header">         <span class="lema-step-header-text lema-step-header-text-no-padding">Annuler l&#039;abonnement de paiement</span>     </div>     <div class="lema-step-content">          <div class="lema-step-row">              <p><span>Cliquez sur le lien ci-dessous pour annuler votre abonnement de paiement.</span></p>          </div>          <div class="lema-step-row">             <a href="#" class="lema-button lema-button-small" id="@(instanceName)-cancel-subscription-button">Annuler</a>         </div>         <div class="lema-step-row">             <a class="lema-link" href="#" id="@(instanceName)-show-subscription-info-from-cancel">Retour au sommaire</a>         </div>      </div><!-- /.lema-step-content --> </div>  </div><!-- /.lema-page -->                             <div class="lema-page lema-page-edit-subscription lema-hidden">              <div class="lema-step lema-step-subscription-info lema-shown" id="@(instanceName)-subscription-info">             <div class="lema-step-header">                 <span class="lema-step-header-text lema-step-header-text-no-padding">Vos données actuelles</span>             </div>             <div class="lema-step-content">                  <span class="lema-subscription-info-container"></span>              </div><!-- /.lema-step-content -->         </div>          <div class="lema-step lema-step-update-subscription-form lema-hidden" id="@(instanceName)-update-subscription-form">             <div class="lema-step-header">                 <span class="lema-step-header-text lema-step-header-text-no-padding">Traiter les données</span>             </div>             <div class="lema-step-content">                  <div class="lema-step-row">                     <form id="@(instanceName)-form-renew-subscription" method="POST" action="">                         <input type="hidden" name="stored_customer_firstname">                         <input type="hidden" name="stored_customer_lastname">                         <input type="hidden" name="stored_customer_email">                         <!-- required parameters --> <input type="hidden" name="currency" value="chf"/> <input type="hidden" name="language" value="fr"/> <input type="hidden" name="reqtype" value="CAA"/> <input type="hidden" name="payment_method" value="" /> <input type="hidden" name="recurring" value="" /> <input type="hidden" name="recurring_interval" value="" /> <input type="hidden" name="immediate_execution" value="true" /> <input type="hidden" name="recurring_interval_name" value="" /> <input type="hidden" name="epayment_finalstatus_timeout" value="" /> <input type="hidden" name="no_dd_validation" value="true" /> <input type="hidden" name="meta_recurring" value="" /> <input type="hidden" name="es_message" value="" /> <input type="hidden" name="amount" value="" /> <input type="hidden" name="css_url" value="" />  <input type="hidden" name="return_parameters" value="true" />  <input type="hidden" name="stored_rnw_product_name" value="lema" /> <input type="hidden" name="stored_rnw_product_version" value="1.25.0" /> <input type="hidden" name="stored_rnw_source_url" value="" />  <input type="hidden" name="stored_campaign_id" value="" /> <input type="hidden" name="stored_campaign_subid" value="" />  <input type="hidden" name="subscription_token" /> <input type="hidden" name="stored_rnw_purpose_text" /> <input type="hidden" name="stored_rnw_hide_address_fields" value="false" /> <input type="hidden" name="stored_translated_recurring_interval" />                          <div data-meta-method="cc" class="lema-payment-item">                                   <div class="lema-step-row lema-card-icons lema-step-row-cc-icons">         <div data-card-type="vis" class="lema-cc-icon lema-hidden lema-cc-icon-visa"></div>         <div data-card-type="cb" class="lema-cc-icon lema-hidden lema-cc-icon-cb"></div>         <div data-card-type="amx" class="lema-cc-icon lema-hidden lema-cc-icon-amx"></div>         <div data-card-type="eca" class="lema-cc-icon lema-hidden lema-cc-icon-master"></div>         <div data-card-type="din" class="lema-cc-icon lema-hidden lema-cc-icon-diners"></div>         <div data-card-type="jcb" class="lema-cc-icon lema-hidden lema-cc-icon-jcb"></div>     </div>     <div id="lema-cardno-container" class="lema-step-row">                 <input id="@(instanceName)-cardno" type="text" class="lema-input-text" name="cardno" placeholder="Numéro de carte">     </div>     <div class="lema-step-row lema-step-row-input-right">         <div class="lema-expire-wrapper">             <div class="lema-pseudo-label">Valide jusqu&#039;au:</div>             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-expm" name="expm" placeholder="MM">             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-expy" name="expy" placeholder="AA">         </div>         <div class="lema-cvc-wrapper">             <div class="lema-pseudo-label">CVV:</div>             <div class="lema-cvc-popup">                 <a href="#" tabIndex="-1" class="lema-info-icon lema-popup-open"></a>                 <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      <p>Ce sont les 3 ou 4 derniers chiffres dans le champ de signature au dos de votre carte.                          </div>     <div class="lema-popup-edge"></div> </div>             </div>             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-cvv" name="cvv" placeholder="">         </div>     </div>        <div class="lema-step-row">         <a href="#" tabIndex="-1" class="lema-info-icon lema-popup-open">Remarque concernant le paiement par carte de crédit</a>         <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      <strong>Sécurité:</strong><br/>Toutes les informations échangées pour le don comportant une carte de crédit sont encodées par SSL. Ces données ne peuvent être ni établies, ni interceptées, ni utilisées par des tiers. Elles ne sont pas non plus enregistrées dans notre système de données. <br/><br/><strong>Remarque:</strong><br/>Votre don est encaissé par l’association FairGive à titre fiduciaire, puis transféré directement et en toute sécurité à VPOD.                                                   <div class="lema-popup-images">                                             <img src="https://lema.raisenow.com/widgets/lema/_default/img/visa_verified.png" />                                             <img src="https://lema.raisenow.com/widgets/lema/_default/img/mastercard_secure.png" />                                     </div>                          </div>     <div class="lema-popup-edge"></div> </div>     </div>                         </div>                     </form>                 </div>                  <div class="lema-step-row">                     <h3></h3>                     <p>                                              </p>                     <a href=""><img src="https://lema.raisenow.com/widgets/lema/_default/img/mastercard_secure.png" alt=""></a>                     <a href=""><img src="https://lema.raisenow.com/widgets/lema/_default/img/visa_verified.png" alt=""></a>                 </div>                  <div class="lema-step-row">                     <a href="#" class="lema-button lema-button-small" id="@(instanceName)-renew-subscription">Valider la carte de crédit</a>                 </div>                 <div class="lema-step-row">                     <a class="lema-link" href="#" id="@(instanceName)-show-subscription-info">Retour au sommaire</a>                 </div>              </div><!-- /.lema-step-content -->         </div>      <script id="@(instanceName)-ich_subscription_info" type="text/html">         <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Vos coordonnées</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-edit-subscription-contact-information">                 <span id="@(instanceName)-subscription-stored_customer_firstname">{{customer.stored_customer_firstname}}</span>&nbsp;<span id="@(instanceName)-subscription-stored_customer_lastname">{{customer.stored_customer_lastname}}</span><br/>                 <span id="@(instanceName)-subscription-stored_customer_email">{{customer.stored_customer_email}}</span>             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->          <hr />          <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Abonnement</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-edit-subscription-contact-subscription">                 État: <span id="@(instanceName)-subscription-status">{{status}}</span><br/>                 <span id="@(instanceName)-subscription-stored_rnw_purpose_text">{{stored_rnw_purpose_text}}<br/>                 <span id="@(instanceName)-subscription-amount">{{amount}}</span>, <span id="@(instanceName)-subscription-interval">{{interval}} chargé</span><br/>                 <a class="lema-link" href="#" id="@(instanceName)-cancel-subscription">mettre un terme à votre abonnement</a>             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->          <hr />          <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Moyen de paiement:</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-edit-subscription-contact-payment-method">                 <span id="@(instanceName)-subscription-payment_method">{{payment_method}}</span>, <span id="@(instanceName)-subscription-masked_cc">{{masked_cc}}</span><br/>                 Valide jusqu&#039;au: <span id="@(instanceName)-subscription-expiry-date">{{expiry_date}}</span><br/>                 <a href="#" class="lema-link" id="@(instanceName)-show-update-subscription-form">Enregistrer une nouvelle carte de crédit</a>             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->     </script>            </div><!-- /.lema-page -->                             <div class="lema-page lema-page-error-subscription lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header">         <span class="lema-step-header-text lema-step-header-text-no-padding">Erreur lors du traitement de votre abonnement</span>     </div>     <div class="lema-step-content">          <div class="lema-step-row">             <p><span>Il n\'est pas possible de trouver votre abonnement de paiement.</span></p>         </div>          <!-- <div class="lema-step-row">             <a href="#" class="lema-button lema-button-small" id="@(instanceName)-subscription-back-button">Retour au formulaire de don</a>         </div>-->      </div><!-- /.lema-step-content --> </div>  </div><!-- /.lema-page -->                             <div class="lema-page lema-page-form lema-hidden">                <div class="lema-errors">             <!--<label for="cardno" class="lema-error-label">Bitte geben Sie eine gültige Kreditkartennummer ein, das ist ein eganz lange Fehlermeldung. </label>             <label for="cardno" class="lema-error-label">Fehlermeldung Nummer Zwei!</label>             <label for="cardno" class="lema-error-label">Noch eine weitere</label>-->         </div>          <form id="@(instanceName)-form" class="lema-full-form" method="POST" action="" accept-charset="UTF-8">              <!-- required parameters --> <input type="hidden" name="currency" value="chf"/> <input type="hidden" name="language" value="fr"/> <input type="hidden" name="reqtype" value="CAA"/> <input type="hidden" name="payment_method" value="" /> <input type="hidden" name="recurring" value="" /> <input type="hidden" name="recurring_interval" value="" /> <input type="hidden" name="immediate_execution" value="true" /> <input type="hidden" name="recurring_interval_name" value="" /> <input type="hidden" name="epayment_finalstatus_timeout" value="" /> <input type="hidden" name="no_dd_validation" value="true" /> <input type="hidden" name="meta_recurring" value="" /> <input type="hidden" name="es_message" value="" /> <input type="hidden" name="amount" value="" /> <input type="hidden" name="css_url" value="" />  <input type="hidden" name="return_parameters" value="true" />  <input type="hidden" name="stored_rnw_product_name" value="lema" /> <input type="hidden" name="stored_rnw_product_version" value="1.25.0" /> <input type="hidden" name="stored_rnw_source_url" value="" />  <input type="hidden" name="stored_campaign_id" value="" /> <input type="hidden" name="stored_campaign_subid" value="" />  <input type="hidden" name="subscription_token" /> <input type="hidden" name="stored_rnw_purpose_text" /> <input type="hidden" name="stored_rnw_hide_address_fields" value="false" /> <input type="hidden" name="stored_translated_recurring_interval" />                              <input type="hidden" name="sid" value="488">                 <input type="hidden" name="keyword" value="GETUDEV">                                          <div><div class="lema-step lema-step-amount lema-shown">         <div class="lema-step-header">         <span class="lema-step-header-text">Montant</span>         <div class="lema-step-number"><span class="lema-step-number-text">1</span></div>     </div>             <div class="lema-step-content">                              <div class="lema-step-row" data-block-id="recurring_interval_selector">             <input type="radio" class="getunik-radio rnw-ignore" name="donation-type" id="@(instanceName)-donation-type-1" value="onetime" />             <label class="lema-radio-label getunik-radio-label" for="@(instanceName)-donation-type-1">                 une seule fois             </label>                               <input type="radio" class="getunik-radio rnw-ignore" name="donation-type" id="@(instanceName)-donation-type-2" value="recurring" />             <label class="lema-radio-label lema-radio-label-interval getunik-radio-label" for="@(instanceName)-donation-type-2">                         <label style="margin-left:0px;" class="lema-radio-label lema-radio-label-interval getunik-radio-label" for="@(instanceName)-donation-type-2">                     <select name="interval-selector" class="lema-select2-replace lema-select2-replace-interval">                                                                             <option data-interval-name="default" value="" >régulièrement</option>                                                     <option data-interval-name="weekly" value="weekly" >hebdomadaire</option>                                                     <option data-interval-name="monthly" value="monthly" >mensuel</option>                                                     <option data-interval-name="quarterly" value="quarterly" >trimestriel</option>                                                     <option data-interval-name="semestral" value="semestral" >semestriel</option>                                                     <option data-interval-name="yearly" value="yearly" >annuel</option>                                             </select>                 </label>             </label>         </div>           <div class="lema-step-row lema-step-row-amounts">                 <div data-block-id="amount-container" data-template="ich_field_amount" data-name="amounts"/>          <div data-block-id="custom-amount-container" data-template="ich_field_custom_amount" data-name="custom-amount"/>          <script id="@(instanceName)-ich_field_amount" type="text/html">             <div class="lema-amount-box">                  <input type="radio" class="rnw-ignore lema-hidden" name="predefined-amount" id="{{fieldId}}" value="{{amount}}" />                  <span class="lema-amount-box-currency">{{currencyIsoCode}}</span>                 <span class="lema-amount-box-amount">{{text}}</span>             </div>         </script>          <script id="@(instanceName)-ich_field_custom_amount" type="text/html">             <div class="lema-amount-box lema-amount-box-custom">                  <input type="radio" class="rnw-ignore lema-hidden" name="predefined-amount" id="@(instanceName)-amount-custom-selector" value="" />                  <input type="text" class="lema-input-text lema-input-text-small lema-amount-box-custom-input rnw-ignore" name="customamount" id="@(instanceName)-amount-custom" value="" />                  <span class="lema-amount-box-currency">{{currencyIsoCode}}</span>                 <span class="lema-amount-box-amount">....</span>             </div>         </script>      </div>     </div><!-- /.lema-step-content -->     </div><!-- /.lema-step --> </div>                             <div><div class="lema-step lema-step-payment-method lema-shown">         <div class="lema-step-header">         <span class="lema-step-header-text">Mode de paiement</span>         <div class="lema-step-number"><span class="lema-step-number-text">2</span></div>     </div>             <div class="lema-step-content">             <div class="lema-step-row">                   <div class="lema-accordion-container" data-name="payment_method">          <div class="lema-choose-payment-method"></div>                  <div class="lema-accordion-item">             <div class="lema-accordion-header" data-target="#@(instanceName)-payment_accordion_item_twi">                 <div class="lema-accordion-item-title">                     TWINT                 </div><!-- /.-accordion-item-title -->                 <div class="lema-accordion-item-icons">                                                                                                         <div class="lema-pm-icon lema-pm-icon-twi"></div>                                                                                         </div><!-- /.-accordion-item-icons -->             </div><!-- /.-accordion-header -->                              <div id="@(instanceName)-payment_accordion_item_twi" data-meta-method="twi" class="lema-payment-item lema-payment-accordion-item lema-accordion-content lema-hidden">                                                  <div class="lema-step-row lema-step-row-text">         <p>Pour le paiement avec TWINT, il vous faut l’application pré-installée iOS ou Android de TWINT sur votre smartphone. Pour effectuer le paiement, il suffit de scanner le code QR ou de saisir manuellement le numéro à 5 chiffres dans l’application TWINT.</p>     </div>      <div class="lema-step-row">         <a href="" class="lema-info-icon lema-popup-open">Remarque concernant le paiement par TWINT</a>         <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      <strong>Remarque:</strong><br/>Votre don est encaissé par l’association FairGive à titre fiduciaire, puis transféré directement et en toute sécurité à VPOD.                                                   <div class="lema-popup-images">                                             <img src="https://lema.raisenow.com/widgets/lema/1234567890/img/twint.png" />                                     </div>                          </div>     <div class="lema-popup-edge"></div> </div>     </div>                                     </div>                     </div><!-- /.-accordion-item -->                 <div class="lema-accordion-item">             <div class="lema-accordion-header" data-target="#@(instanceName)-payment_accordion_item_cc">                 <div class="lema-accordion-item-title">                     Carte de crédit                 </div><!-- /.-accordion-item-title -->                 <div class="lema-accordion-item-icons">                                             <div data-card-type="vis" class="lema-cc-icon lema-hidden lema-cc-icon-visa"></div>                         <div data-card-type="cb" class="lema-cc-icon lema-hidden lema-cc-icon-cb"></div>                         <div data-card-type="amx" class="lema-cc-icon lema-hidden lema-cc-icon-amx"></div>                         <div data-card-type="eca" class="lema-cc-icon lema-hidden lema-cc-icon-master"></div>                         <div data-card-type="din" class="lema-cc-icon lema-hidden lema-cc-icon-diners"></div>                         <div data-card-type="jcb" class="lema-cc-icon lema-hidden lema-cc-icon-jcb"></div>                                     </div><!-- /.-accordion-item-icons -->             </div><!-- /.-accordion-header -->                              <div id="@(instanceName)-payment_accordion_item_cc" data-meta-method="cc" class="lema-payment-item lema-payment-accordion-item lema-accordion-content lema-hidden">                                                   <div class="lema-step-row lema-card-icons lema-step-row-cc-icons">         <div data-card-type="vis" class="lema-cc-icon lema-hidden lema-cc-icon-visa"></div>         <div data-card-type="cb" class="lema-cc-icon lema-hidden lema-cc-icon-cb"></div>         <div data-card-type="amx" class="lema-cc-icon lema-hidden lema-cc-icon-amx"></div>         <div data-card-type="eca" class="lema-cc-icon lema-hidden lema-cc-icon-master"></div>         <div data-card-type="din" class="lema-cc-icon lema-hidden lema-cc-icon-diners"></div>         <div data-card-type="jcb" class="lema-cc-icon lema-hidden lema-cc-icon-jcb"></div>     </div>     <div id="lema-cardno-container" class="lema-step-row">                 <input id="@(instanceName)-cardno" type="text" class="lema-input-text" name="cardno" placeholder="Numéro de carte">     </div>     <div class="lema-step-row lema-step-row-input-right">         <div class="lema-expire-wrapper">             <div class="lema-pseudo-label">Valide jusqu&#039;au:</div>             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-expm" name="expm" placeholder="MM">             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-expy" name="expy" placeholder="AA">         </div>         <div class="lema-cvc-wrapper">             <div class="lema-pseudo-label">CVV:</div>             <div class="lema-cvc-popup">                 <a href="#" tabIndex="-1" class="lema-info-icon lema-popup-open"></a>                 <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      <p>Ce sont les 3 ou 4 derniers chiffres dans le champ de signature au dos de votre carte.                          </div>     <div class="lema-popup-edge"></div> </div>             </div>             <input type="text" class="lema-input-text lema-input-text-small" id="@(instanceName)-cvv" name="cvv" placeholder="">         </div>     </div>        <div class="lema-step-row">         <a href="#" tabIndex="-1" class="lema-info-icon lema-popup-open">Remarque concernant le paiement par carte de crédit</a>         <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      <strong>Sécurité:</strong><br/>Toutes les informations échangées pour le don comportant une carte de crédit sont encodées par SSL. Ces données ne peuvent être ni établies, ni interceptées, ni utilisées par des tiers. Elles ne sont pas non plus enregistrées dans notre système de données. <br/><br/><strong>Remarque:</strong><br/>Votre don est encaissé par l’association FairGive à titre fiduciaire, puis transféré directement et en toute sécurité à VPOD.                                                   <div class="lema-popup-images">                                             <img src="https://lema.raisenow.com/widgets/lema/_default/img/visa_verified.png" />                                             <img src="https://lema.raisenow.com/widgets/lema/_default/img/mastercard_secure.png" />                                     </div>                          </div>     <div class="lema-popup-edge"></div> </div>     </div>                                     </div>                     </div><!-- /.-accordion-item -->                 <div class="lema-accordion-item">             <div class="lema-accordion-header" data-target="#@(instanceName)-payment_accordion_item_pf">                 <div class="lema-accordion-item-title">                     PostFinance                 </div><!-- /.-accordion-item-title -->                 <div class="lema-accordion-item-icons">                                                                                                         <div class="lema-pm-icon lema-pm-icon-pfc"></div>                                                             <div class="lema-pm-icon lema-pm-icon-pef"></div>                                                                                         </div><!-- /.-accordion-item-icons -->             </div><!-- /.-accordion-header -->                              <div id="@(instanceName)-payment_accordion_item_pf" data-meta-method="pf" class="lema-payment-item lema-payment-accordion-item lema-accordion-content lema-hidden">                                               <div class="lema-step-row lema-line-light-bottom" data-payment-method="pfc">     <div data-card-type="pfc" class="lema-pf-icon lema-pf-icon-pfc"></div>      <input type="radio" class="lema-amount rnw-ignore getunik-radio" name="postfinance_sub" value="pfc" id="@(instanceName)-postfinance_card" checked="checked">     <label for="@(instanceName)-postfinance_card" class="lema-radio-label getunik-radio-label">         PostFinance Card     </label> </div>  <div class="lema-step-row lema-line-light-bottom" data-payment-method="pef">     <div data-card-type="pef" class="lema-pf-icon lema-pf-icon-pef"></div>      <input type="radio" class="lema-amount rnw-ignore getunik-radio" name="postfinance_sub" value="pef" id="@(instanceName)-postfinance_efinance">     <label for="@(instanceName)-postfinance_efinance" class="lema-radio-label getunik-radio-label">         PostFinance E-Finance     </label> </div>      <div class="lema-step-row">         <a href="" class="lema-info-icon lema-popup-open">Remarque concernant le paiement par PostFinance</a>         <div class="lema-popup">     <a href="" class="lema-popup-close"></a>     <div class="lema-popup-content">                                      Une fois que vous avez rempli et envoyé ce formulaire, vous êtes amené directement à le site de PostFinance pour confirmer votre don. <br/><br/><strong>Remarque:</strong><br/>Votre don est encaissé par l’association FairGive à titre fiduciaire, puis transféré directement et en toute sécurité à VPOD.                                                </div>     <div class="lema-popup-edge"></div> </div>     </div>                                     </div>                     </div><!-- /.-accordion-item -->              </div>      </div>     </div><!-- /.lema-step-content -->     </div><!-- /.lema-step --> </div>                             <div><div class="lema-step lema-step-customer-identity lema-shown">         <div class="lema-step-header">         <span class="lema-step-header-text">Votre identité</span>         <div class="lema-step-number"><span class="lema-step-number-text">3</span></div>     </div>             <div class="lema-step-content">                 <div class="lema-step-row" data-block-id="customer_salutation">                                         <input type="radio" class="getunik-radio" name="stored_customer_salutation" id="@(instanceName)-stored_customer_salutation_ms" value="ms">                 <label class="lema-radio-label getunik-radio-label" for="@(instanceName)-stored_customer_salutation_ms">                     Madame                 </label>                 <input type="radio" class="getunik-radio" name="stored_customer_salutation" id="@(instanceName)-stored_customer_salutation_mr" value="mr">                 <label class="lema-radio-label getunik-radio-label" for="@(instanceName)-stored_customer_salutation_mr">                     Monsieur                 </label>                     </div>          <div class="lema-step-row" data-block-id="customer_firstname">                         <input type="text" id="@(instanceName)-stored_customer_firstname" class="lema-input-text" name="stored_customer_firstname" placeholder="Prénom">         </div>          <div class="lema-step-row" data-block-id="customer_lastname">                         <input type="text" id="@(instanceName)-stored_customer_lastname" class="lema-input-text" name="stored_customer_lastname" placeholder="Nom de famille">         </div>                      <div class="lema-step-row lema-step-row-input-right lema-hidden" data-field-type="tripledate" data-name="stored_customer_birthdate" data-block-id="customer_birthdate">                 <div class="lema-pseudo-label lema-pseudo-label-birthday">Date de naissance:</div>                 <input type="text" class="lema-input-text lema-input-text-small lema-input-text-birthday lema-day rnw-ignore" name="customer_birthdate_day" placeholder="JJ">                 <input type="text" class="lema-input-text lema-input-text-small lema-input-text-birthday lema-month rnw-ignore" name="customer_birthdate_month" placeholder="MM">                 <input type="text" class="lema-input-text lema-input-text-small lema-input-text-birthday lema-year rnw-ignore" name="customer_birthdate_year" placeholder="AAAA">             </div>                  <div class="lema-step-row" data-block-id="customer_email">                         <input type="text" id="@(instanceName)-stored_customer_email" class="lema-input-text" name="stored_customer_email" placeholder="E-Mail">         </div>          <div class="lema-step-row" data-block-id="customer_permission">             <input type="checkbox" name="stored_customer_email_permission" id="@(instanceName)-stored_customer_email_permission" class="lema-checkbox getunik-checkbox single-checkbox" value="true" />             <label for="@(instanceName)-stored_customer_email_permission" class="lema-checkbox-label getunik-checkbox-label">                 <p>Je voudrais être informé des autres projets</p>             </label>         </div>          <div class="lema-step-row" data-block-id="customer_message">                         <textarea name="stored_customer_message" class="lema-input-textarea" rows="3" placeholder="Remarques"></textarea>         </div>                      <div class="lema-step-row" data-block-id="customer_receipt">                 <input type="checkbox" name="stored_customer_donation_receipt" id="@(instanceName)-stored_customer_donation_receipt" class="lema-checkbox getunik-checkbox single-checkbox" value="true" />                 <label for="@(instanceName)-stored_customer_donation_receipt" class="lema-checkbox-label getunik-checkbox-label">                     <p>Oui, je souhaite une attestation de don pour la déclaration d&#039;impôts</p>                 </label>             </div>                      </div><!-- /.lema-step-content -->     </div><!-- /.lema-step --> </div>                             <div><div class="lema-step lema-step-customer-address lema-hidden">         <div class="lema-step-header">         <span class="lema-step-header-text">Votre adresse</span>         <div class="lema-step-number"><span class="lema-step-number-text">4</span></div>     </div>             <div class="lema-step-content">             <div class="lema-step-row lema-hidden" data-block-id="customer_company">                 <input type="text" id="@(instanceName)-stored_customer_company" class="lema-input-text" name="stored_customer_company" placeholder="Raison sociale (optionnel)">     </div>             <div class="lema-step-row" data-block-id="customer_street">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_street" class="lema-input-text" name="stored_customer_street" placeholder="Rue" style="width: 74%; float: left;">                 <input type="text" id="@(instanceName)-stored_customer_street_number" class="lema-input-text" name="stored_customer_street_number" placeholder="N°" style="width: 24%; float: right;">             </div>         </div>          <div class="lema-step-row" data-block-id="customer_street2">                         <input type="text" id="@(instanceName)-stored_customer_street2" class="lema-input-text" name="stored_customer_street2" placeholder="Complément Rue">         </div>          <div class="lema-step-row lema-hidden" data-block-id="customer_pobox">                         <input type="text" id="@(instanceName)-stored_customer_pobox" class="lema-input-text" name="stored_customer_pobox" placeholder="Case postale">         </div>          <div class="lema-step-row" data-block-id="customer_city">                         <div class="lema-clearfix">                 <input type="text" id="@(instanceName)-stored_customer_zip_code" class="lema-input-text" name="stored_customer_zip_code" placeholder="NPA" style="width: 24%; float: left;">                 <input type="text" id="@(instanceName)-stored_customer_city" class="lema-input-text" name="stored_customer_city" placeholder="Localité" style="width: 74%; float: right;">             </div>         </div>         <div class="lema-step-row" data-block-id="customer_country">                 <select id="@(instanceName)-stored_customer_country" name="stored_customer_country" class="lema-select2-replace-search" id="stored_customer_country" tabindex="-1">                             <option value="CH">Suisse</option>                             <option value="DE">Allemagne</option>                             <option value="FR">France</option>                             <option value="IT">Italie</option>                             <option value="AF">Afghanistan</option>                             <option value="ZA">Afrique du Sud</option>                             <option value="AL">Albanie</option>                             <option value="DZ">Algérie</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">Arménie</option>                             <option value="AW">Aruba</option>                             <option value="AU">Australie</option>                             <option value="AT">Autriche</option>                             <option value="AZ">Azerbaidjan</option>                             <option value="BS">Bahamas</option>                             <option value="BH">Bahrein</option>                             <option value="BD">Bangladesh</option>                             <option value="BB">Barbade</option>                             <option value="BE">Belgique</option>                             <option value="BZ">Belize</option>                             <option value="BM">Bermudes</option>                             <option value="BT">Bhoutan</option>                             <option value="BO">Bolivie, État Plurinational De</option>                             <option value="BA">Bosnie-Herzégovine</option>                             <option value="BW">Botswana</option>                             <option value="BV">Bouvet, Île</option>                             <option value="BN">Brunéi Darussalam</option>                             <option value="BR">Brésil</option>                             <option value="BG">Bulgarie</option>                             <option value="BF">Burkina Faso</option>                             <option value="BI">Burundi</option>                             <option value="BY">Bélarus</option>                             <option value="BJ">Bénin</option>                             <option value="KY">Caimanes, Îles</option>                             <option value="KH">Cambidge</option>                             <option value="CM">Cameroun</option>                             <option value="CA">Canada</option>                             <option value="CV">Cap-Vert</option>                             <option value="CF">Centrafricaine, République</option>                             <option value="CL">Chili</option>                             <option value="CN">Chine</option>                             <option value="CX">Christmas, Île</option>                             <option value="CY">Chypre</option>                             <option value="CC">Cocos (Keeling), Îles</option>                             <option value="CO">Colombie</option>                             <option value="KM">Comores</option>                             <option value="CG">Congo</option>                             <option value="CD">Congo, La République Démocratique du</option>                             <option value="CK">Cook, Îles</option>                             <option value="KP">Corée, République Populaire Démocratique de</option>                             <option value="KR">Corée, République de</option>                             <option value="CR">Costa Rica</option>                             <option value="CI">Cote d\Ivoire</option>                             <option value="HR">Croatie</option>                             <option value="CU">Cuba</option>                             <option value="DK">Danemark</option>                             <option value="DJ">Djibouti</option>                             <option value="DO">Dominicaine, République</option>                             <option value="DM">Dominique</option>                             <option value="SV">El Salvador</option>                             <option value="ES">Espagne</option>                             <option value="EE">Estonie</option>                             <option value="FK">Falkland, Îles (Malvinas)</option>                             <option value="FJ">Fidji</option>                             <option value="FI">Finlande</option>                             <option value="FO">Féroé, Îles</option>                             <option value="GA">Gabon</option>                             <option value="GM">Gambie</option>                             <option value="GH">Ghana</option>                             <option value="GI">Gibraltar</option>                             <option value="GD">Grenade</option>                             <option value="GL">Groenland</option>                             <option value="GR">Grèce</option>                             <option value="GP">Guadeloupe</option>                             <option value="GU">Guam</option>                             <option value="GT">Guatemala</option>                             <option value="GG">Guernesey</option>                             <option value="GN">Guinée</option>                             <option value="GQ">Guinée Équadoriale</option>                             <option value="GW">Guinée-Bissau</option>                             <option value="GY">Guyana</option>                             <option value="GF">Guyane Francaise</option>                             <option value="GE">Géorgie</option>                             <option value="GS">Géorgie du Sud et les Îles Sandwich du Sud</option>                             <option value="HT">Haiti</option>                             <option value="HM">Heard et MacDonald, Îles</option>                             <option value="HN">Honduras</option>                             <option value="HK">Hong Kong</option>                             <option value="HU">Hongrie</option>                             <option value="IQ">IRAQ</option>                             <option value="IN">Inde</option>                             <option value="ID">Indonésie</option>                             <option value="IR">Iran, République Islamique</option>                             <option value="IE">Irland</option>                             <option value="IS">Islande</option>                             <option value="IL">Israel</option>                             <option value="JM">Jamaique</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="XK">Kosovo</option>                             <option value="KW">Koweit</option>                             <option value="LA">Lao, République Démocratique Populaire</option>                             <option value="LS">Lesotho</option>                             <option value="LV">Lettonie</option>                             <option value="LB">Liban</option>                             <option value="LY">Libye</option>                             <option value="LR">Libéria</option>                             <option value="LI">Liechtenstein</option>                             <option value="LT">Lituanie</option>                             <option value="LU">Luxembourg</option>                             <option value="MY">MALAISIE</option>                             <option value="YT">MAYOTTE</option>                             <option value="MO">Macão</option>                             <option value="MK">Macédoine, LEX-RÉPUBLIQUE YOUGOSLAVE DE</option>                             <option value="MG">Madagascar</option>                             <option value="MW">Malawi</option>                             <option value="MV">Maldives</option>                             <option value="ML">Mali</option>                             <option value="MT">Malte</option>                             <option value="MP">Mariannes du Nord, Îles</option>                             <option value="MA">Maroc</option>                             <option value="MH">Marshall, Îles</option>                             <option value="MQ">Martinique</option>                             <option value="MU">Maurice</option>                             <option value="MR">Mauritanie</option>                             <option value="MX">Mexique</option>                             <option value="FM">Micronésie, États Fédérés de</option>                             <option value="MD">Moldova</option>                             <option value="MC">Monaco</option>                             <option value="MN">Mongolie</option>                             <option value="MS">Montserrat</option>                             <option value="ME">Monténégro</option>                             <option value="MZ">Mozambique</option>                             <option value="MM">Myanmar</option>                             <option value="NA">Namibie</option>                             <option value="NR">Nauru</option>                             <option value="NI">Nicaragua</option>                             <option value="AN">Niederländische Antillen</option>                             <option value="NE">Niger</option>                             <option value="NG">Nigéria</option>                             <option value="NU">Niué</option>                             <option value="NF">Norfolk, Île</option>                             <option value="NO">Norvège</option>                             <option value="NC">Nouvelle-Calédonie</option>                             <option value="NZ">Nouvelle-Zélande</option>                             <option value="NP">Népal</option>                             <option value="IO">Océan Indien, Territoir Britannique</option>                             <option value="OM">Oman</option>                             <option value="UG">Ouganda</option>                             <option value="UZ">Ouzbékistan</option>                             <option value="PK">Pakistan</option>                             <option value="PW">Palaos</option>                             <option value="PA">Panama</option>                             <option value="PG">Papouasie-Nouvelle-Guinée</option>                             <option value="PY">Paraguay</option>                             <option value="NL">Pays-Bas</option>                             <option value="PH">Philippines</option>                             <option value="PN">Pitcairn</option>                             <option value="PL">Pologne</option>                             <option value="PF">Polynésie Francaise</option>                             <option value="PR">Portp Rico</option>                             <option value="PT">Portugal</option>                             <option value="PE">Pérou</option>                             <option value="QA">Qatar</option>                             <option value="RO">Roumanie</option>                             <option value="GB">Royaume-Uni</option>                             <option value="RU">Russie, Fédération de</option>                             <option value="RW">Rwana</option>                             <option value="RE">Réunion</option>                             <option value="EH">Sahara Occidental</option>                             <option value="BL">Saint-Bartthélemy</option>                             <option value="KN">Saint-Kitts-et-Nevis</option>                             <option value="SM">Saint-Marin</option>                             <option value="MF">Saint-Martin (Partie Francaise)</option>                             <option value="PM">Saint-Pierre-et-Miquelon</option>                             <option value="VA">Saint-Sièges (État de la Cité du Vatican)</option>                             <option value="VC">Saint-Vincent-et-les Grenadines</option>                             <option value="SH">Sainte-Hélène, Ascension et Tristan da Cunha</option>                             <option value="LC">Sainte-Lucie</option>                             <option value="SB">Salomon, Îles</option>                             <option value="WS">Samoa</option>                             <option value="AS">Samoa américaines</option>                             <option value="ST">Sao Tomé-et-Principe</option>                             <option value="RS">Serbie</option>                             <option value="SC">Seychelles</option>                             <option value="SL">Sierra Leone</option>                             <option value="SG">Singapour</option>                             <option value="SK">Slovanique</option>                             <option value="SI">Slovénie</option>                             <option value="SO">Somalie</option>                             <option value="SD">Soudan</option>                             <option value="LK">Sri Lanka</option>                             <option value="SR">Suriname</option>                             <option value="SE">Suède</option>                             <option value="SJ">Svalbard et Île Jan Mayen</option>                             <option value="SZ">Swaziland</option>                             <option value="SY">Syrienne, République Arabe</option>                             <option value="SN">Sénégal</option>                             <option value="TT">TRINITÉ-rt-Tobago</option>                             <option value="TJ">Tadjikistan</option>                             <option value="TW">Taiwan, Province de Chine</option>                             <option value="TZ">Tanzanie, République Unie de</option>                             <option value="TD">Tchad</option>                             <option value="CZ">Tchèque, République</option>                             <option value="TF">Terres Australes Francaise</option>                             <option value="TH">Thailande</option>                             <option value="TL">Timor-Leste</option>                             <option value="TG">Togo</option>                             <option value="TK">Tokelau</option>                             <option value="TO">Tonga</option>                             <option value="TN">Tunisie</option>                             <option value="TM">Turkménistan</option>                             <option value="TC">Turks et Caiques, Îles</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, République Bolvarienne du</option>                             <option value="VN">Viet Nam</option>                             <option value="WF">Wallis-et-Futuna</option>                             <option value="YE">Yémen</option>                             <option value="ZM">Zambie</option>                             <option value="ZW">Zimbabwe</option>                             <option value="AX">Åland, Îles</option>                             <option value="EG">Égypte</option>                             <option value="AE">Émirates arabes unis</option>                             <option value="EC">Équadeur</option>                             <option value="ER">Érythrée</option>                             <option value="PS">État de Palestine</option>                             <option value="US">États-Unis</option>                             <option value="ET">Éthiopie</option>                             <option value="IM">Île de man</option>                             <option value="VG">Îles Vierges Britanniques</option>                             <option value="VI">Îles Vierges Des États-Unis</option>                             <option value="UM">Îles mineures éloignées des États-Unis</option>                     </select>     </div>     </div><!-- /.lema-step-content -->     </div><!-- /.lema-step --> </div>                             <div><div class="lema-step lema-step-customer-address-compact-mode lema-hidden">         <div class="lema-step-header">         <span class="lema-step-header-text">Vos données</span>         <div class="lema-step-number"><span class="lema-step-number-text">5</span></div>     </div>             <div class="lema-step-content">             <div class="lema-customer-compact-mode">         <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Vos données de contact</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-compact-mode-customer-identity">             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->         <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Votre adresse e-mail</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-compact-mode-customer-email">             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->         <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Date de naissance</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-compact-mode-customer-birthdate">             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->         <div class="lema-step-row clearfix">             <div class="lema-step-row-left">                 <label class="lema-label-standalone">Adresse</label>             </div><!-- /.-step-row-left -->             <div class="lema-step-row-right" id="@(instanceName)-compact-mode-customer-address">             </div><!-- /.-step-row-right -->         </div><!-- /.-step-row -->         <hr />         <div class="lema-step-row clearfix">             <a class="lema-link lema-link-left lema-change-address-link" href="#">Modifier mes données de contact ou mon adresse</a>             <a class="lema-link lema-link-right lema-not-me-link" href="#">C&#039;est pas moi</a>         </div><!-- /.-step-row -->     </div><!-- /.lema-customer-compact-mode -->     </div><!-- /.lema-step-content -->     </div><!-- /.lema-step --> </div>                      </form>          <div class="lema-text-center">             <div class="lema-summary-check">                  <a href="#" class="lema-button lema-button-donate">Transmettre un don en toute sécurité</a>                  <div class="lema-security">                     Payer en toute sécurité avec <a href="https://www.raisenow.com/?utm_source=product&utm_medium=lema" target="_blank">RaiseNow</a>                     <a href="#" class="lema-overlay-trigger" data-target="data-protection"><p>Dispositions relatives à la protection des données</p></a>                 </div>             </div>         </div>  </div><!-- /.lema-page -->                             <div class="lema-page lema-page-payment-success lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header"></div>     <div class="lema-step-content">         <div class="lema-step-row">              <div class="lema-success-content" id="@(instanceName)-success-content">              </div>          </div>     </div><!-- /.lema-step-content --> </div>  <script id="@(instanceName)-ich_custom_success_template" type="text/html">     <div>         <h3>{{title}}</h3>         <p>{{{content_html}}}</p>         <a href="#" class="lema-button lema-button-small lema-button-new-donation">{{button}}</a>     </div> </script>   </div><!-- /.lema-page -->                             <div class="lema-page lema-page-refund-error-transaction lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header">         <span class="lema-step-header-text lema-step-header-text-no-padding"></span>     </div>     <div class="lema-step-content">          <div class="lema-step-row">              <p><p></p></p>          </div>          <div class="lema-step-row">             <p><p></p></p>         </div>     </div><!-- /.lema-step-content --> </div>  </div><!-- /.lema-page -->                             <div class="lema-page lema-page-refund-success-transaction lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header">         <span class="lema-step-header-text lema-step-header-text-no-padding"></span>     </div>     <div class="lema-step-content">          <div class="lema-step-row">              <p><p></p></p>          </div>          <div class="lema-step-row">             <p><p></p></p>         </div>      </div><!-- /.lema-step-content --> </div>  </div><!-- /.lema-page -->                             <div class="lema-page lema-page-subscription-renew-success lema-hidden">      <div class="lema-step lema-shown">     <div class="lema-step-header"></div>     <div class="lema-step-content">         <div class="lema-step-row">              <div class="lema-success-content">                 <h3>Merci beaucoup pour la reconduction de l&#039;abonnement</h3>                 <p><span>Merci</span></p>                 <a class="lema-link" href="#" id="@(instanceName)-reload-subscription-info">Retour au sommaire</a>             </div>          </div>     </div><!-- /.lema-step-content --> </div>  </div><!-- /.lema-page -->                          <div class="lema-page lema-page-loading lema-shown" >             </div><!-- /.lema-page -->                                  </div><!-- /.lema-content -->     </div><!-- /.lema-wrapper --> </div><!-- /.lema-container -->')