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document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub31.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=2611186293&formid=4349&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:2611186293:31:4349\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>Inscription au ballado /Podcast   Industries Québec $499,95+taxes = $574,82</div></div> <div class=\"bn-form-desc\"><p>Svp remplir les champs obligatoires</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Votre nom complet <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"Votre nom complet\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper 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