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l'茅quipe</a><ul></ul> </li> </ul> </li> </ul></del></div> </div> <div class="nine columns insideContent"> <div style="position:relative;"> <script src="/scripts/gtMoney.js" charset="utf-8"></script> <script src="/scripts/gtOnLoad.js"></script> <script src="/scripts/gtCreateElement.js"></script> <script src="/scripts/gtRadioButton.js"></script> <script src="/scripts/gtWindow.js"></script> <script src="/scripts/gtEmail.js"></script> <script src="/scripts/gtBase64.js"></script> <script> var GT = GT || {}; GT.disableSubmitButton = function(obj) { // disable submit button let button = document.getElementById("gtSubmitButton"); button.disabled = true; button.value = "En cours de traitement. Veuillez patienter."; } GT.enableSubmitButton = function(obj) { // enable submit button let button = document.getElementById("gtSubmitButton"); button.disabled = false; button.value = " Soumettre le don 禄 "; } GT.submitForm = function() { // Only submit the Captcha if present let cm = document.getElementById('CaptchModal'); if (cm && cm.style.display != 'none') { GT.submitCaptcha(); return false; } GT.disableSubmitButton(document.getElementById('gtForm1')); if (typeof GT.checkDemographics === 'function' && !GT.checkDemographics()) { GT.enableSubmitButton(document.getElementById('gtForm1')); return false; } if (typeof GT.checkTargetedProgram === 'function' && !GT.checkTargetedProgram()) { GT.enableSubmitButton(document.getElementById('gtForm1')); return false; } if (typeof GT.checkCreditCard === 'function' && !GT.checkCreditCard()) { GT.enableSubmitButton(document.getElementById('gtForm1')); return false; } if (document.gtForm1.Password) document.gtForm1.Password.value = utoa(document.gtForm1.Password.value); if (document.gtForm1.PasswordConfirm) document.gtForm1.PasswordConfirm.value = utoa(document.gtForm1.PasswordConfirm.value); return true; } GT.goPreviousPage = function(page) { //window.location.href="DonateRedirect?ID=2198&AID=3271&Page="+(page-1); window.location.href="Donate?ID=2198&AID=3271&Prev"; } GT.checkRequired = function() { let formInputs = document.getElementsByTagName("div"); for (let i=0; i < formInputs.length; i++) { if (formInputs.item(i).getAttribute("gt_required") && formInputs.item(i).getAttribute("gt_required") === 'Y') formInputs.item(i).className = "gtLineRequired"; } } </script> <form name="gtForm1" id="gtForm1" action="DonateSave" method="post" onsubmit="return GT.submitForm();"> <input type="hidden" name="ID" value="2198"> <input type="hidden" name="AID" value="3271"> <input type="hidden" name="Page" value="1">    <table width="100%" class="gtOuterTable"> <tr> <td colspan="2"> <noscript> <div class="gtError" style="text-align:left;"> <b>Oops... javascript is not enabled.</b> <br><br>To use this page your need to enable javascript in your browser. <br><br><a href="/help/JScript-No.html" target="_blank" rel="noreferrer">Please click here for simple instructions to enable javascript</a>. <br> </div> <br class="gtSection" /> </noscript>  <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> Merci de votre soutien! </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> <p style="text-align: center;"> <img alt="" height="290" src="https://www.gifttool.com/charities/bruyere.org/hosted/Web_Banners.jpg" width="960">聽</p> <p style="text-align: center;">Le soutien collectif de notre communaut茅 a un impact profond sur la qualit茅 des soins que nous fournissons 脿 nos patients et 脿 leurs familles. <br>Merci d'avoir choisi de soutenir Bruy猫re.</p> </div> </td> </tr> </table>  <br class="gtSection" />  <script> GT.contribution = {"levels":[{"amount":"1000","Monthly":"true","Onetime":"false","name":null,"Quarterly":"false"},{"amount":"2000","Monthly":"true","Onetime":"false","name":null,"Quarterly":"false"},{"amount":"4000","Monthly":"true","Onetime":"false","name":null,"Quarterly":"false"},{"amount":"5000","Monthly":"true","Onetime":"true","name":null,"Quarterly":"false"},{"amount":"10000","Monthly":"true","Onetime":"true","name":null,"Quarterly":"false"},{"amount":"25000","Monthly":"false","Onetime":"true","name":null,"Quarterly":"false"},{"amount":"50000","Monthly":"false","Onetime":"true","name":null,"Quarterly":"false"},{"amount":"100000","Monthly":"false","Onetime":"true","name":null,"Quarterly":"false"}]}; GT.contributionStyle = 'Horizontal'; GT.contributionOnetime = true; GT.contributionMonthly = true; GT.contributionQuarterly = false; GT.contributionFrequency = ''; GT.setContributionFrequency = function() { let select = document.getElementById('ContributionFrequency'); if (GT.contributionFrequency === '' && GT.contributionOnetime) { GT.contributionFrequency = 'Onetime'; } if (GT.contributionFrequency === '' && GT.contributionMonthly) { GT.contributionFrequency = 'Monthly'; } if (GT.contributionFrequency === '' && GT.contributionQuarterly) { GT.contributionFrequency = 'Quarterly'; } if (GT.contributionOnetime) { let option = document.createElement('option'); option.value = "Onetime"; option.innerText = "Don unique"; if (GT.contributionFrequency === 'Onetime') option.selected = true; select.appendChild(option); } if (GT.contributionMonthly) { let option = document.createElement('option'); option.value = "Monthly"; option.innerText = "Mensuel"; if (GT.contributionFrequency === 'Monthly') option.selected = true; 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GT.setContributionLevels(); GT.setContributionAmount(); if (typeof GT.setCardTypes == 'function') { //does it exist on this page GT.setCardTypes(GT.currency); } } GT.setContributionAmount = function() { let tmpDollars = document.getElementById('ContributionAmount').value; document.getElementById('ContributionAmount').value = toDollars(toCents(tmpDollars), GT.currency); } GT.setContributionAmountRadio = function() { let rbvalue = getCheckedRadioButtonValue(document.gtForm1.Level); document.getElementById('ContributionAmount').value = toDollars(rbvalue, GT.currency); } GT.setContributionLevels = function() { if (!GT.contribution.levels) return; if (!GT.currency) GT.currency = document.getElementById('ContributionCurrency').value; let table = document.getElementById('gtContribLevelTable'); if (!table) return; let nbsp = document.createElement('nbsp'); nbsp.innerHTML = '     '; let rows = table.rows; while(rows.length > 0) { table.deleteRow(rows.length-1); } let row; let td; if (GT.contributionStyle === 'Horizontal') row = table.insertRow(table.rows.length); 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let radios = document.gtForm1.Level; if (radios && radios.length > 0) { for(let i=0;i<radios.length;i++) { if(radios[i].value === ""+cents) radios[i].checked = true; else radios[i].checked = false; } } } </script> <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> Montant de la contribution </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> <p>Veuillez choisir le montant et la fr茅quence de votre don, ou entrez un montant diff茅rent dans la bo卯te ci-dessous.</p> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="ContributionFrequencyLabel">Fr茅quence:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineRequired" gt_required="Y" aria_required="true"></div> <select name="ContributionFrequency" id="ContributionFrequency" aria-labelledby="ContributionFrequencyLabel" class="gtSelect25" title="Fr茅quence" onchange="javascript:GT.changeFrequency(this.value)"> </select> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <table class="gtContribLevelTable" id="gtContribLevelTable" align="center"> </table> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="ContributionAmountLabel">Montant du don:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y" aria_required="true"></div> <input type="text" name="ContributionAmount" id="ContributionAmount" aria-labelledby="ContributionAmountLabel" maxlength="12" value="" class="gtInput10" title="Montant du don" onchange="javascript:GT.setRadioButtonOnAmountChange()"> CAD <input type="hidden" name="ContributionCurrency" id="ContributionCurrency" value="CAD"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> </div> </td> </tr> </table> <script> GT.setContributionCurrency(''); 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if (program.id == GT.target.programIdSelected) option.selected = true; } } }; // GT.createRadioElement = function( name, value, checked, className, id ) { // var rdo; // try // { // var radioHtml = '<input type="radio" name="' + name + '"'; // if ( checked ) { // radioHtml += ' checked="checked"'; // } // radioHtml += ' id="'+id+'"'; // radioHtml += ' value="'+value+'"'; // radioHtml += ' class="'+className+'"'; // radioHtml += '/>'; // rdo = document.createElement(radioHtml); // } // catch( err ) { // rdo = document.createElement('input'); // rdo.type = 'radio'; // rdo.name = name; // rdo.id = id; // rdo.value = value; // rdo.className = className; // if ( checked ) { // rdo.setAttribute('checked', 'checked'); // } // } // return rdo; // } GT.checkTargetedProgram = function() { return true; /* if (GT.target.inputtype && GT.target.inputtype === 'Select') { if (document.gtForm1.ProgramId.value === '') { alert(unescape(escape("Veuillez choisir dans la liste ci-dessous la campagne 脿 laquelle vous souhaitez contribuer. "))); document.gtForm1.ProgramId.focus(); return false; } } */ } </script> <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> En soutien 脿 : </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> <p>Veuillez s茅lectionner l鈥檜ne des options suivantes聽:</p> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <table class="gtTargetedPrograms" style="margin-left:auto; margin-right:auto;"> <tr> <td class="gtTargetedPrograms" id="gtTargetedPrograms"> </td> </tr> </table> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> </div> </td> </tr> </table> <script> GT.setTargetedPrograms(); </script>  <br class="gtSection" />  <script> GT.setInTributeType = function(index) { var value = document.getElementById('InTributeOf' + index).value; if (value.length > 0) { document.getElementById('InTributeType' + index).checked = true; GT.selectedInTributeRadio(index); } if (index > 0) { var radios = document.getElementsByName("InTributeType"); for (var i=0; i<radios.length; i++) { if (!radios.item(i).checked) { document.getElementById('InTributeOf' + (i+1)).value = ''; } } } }; GT.selectedInTributeRadio = function(index) { if (index > 0) { var radios = document.getElementsByName("InTributeType"); for (var i=0; i<radios.length; i++) { if (!radios.item(i).checked) { document.getElementById('InTributeOf' + (i+1)).value = ''; } } document.getElementById('InTributeOf' + index).focus(); } GT.showInTributeNotifee(); }; GT.initSetInTributeType = function() { var type = ""; var tributeOf = ""; if (type && type !== '') { var inputs = document.getElementsByName("InTributeType"); for (var i=0; i<inputs.length; i++) { if (inputs.item(i).value === type) { inputs.item(i).checked = true; GT.inTributeOf = document.getElementById('InTributeOf' + (i+1)); GT.inTributeOf.value = tributeOf; } } } }; GT.showInTributeNotifee = function() { if (document.getElementById('tr_InTributeMiddleMessage')) document.getElementById('tr_InTributeMiddleMessage').style.display = ''; if (document.getElementById('tr_InTributeEmail')) document.getElementById('tr_InTributeEmail').style.display = ''; if (document.getElementById('tr_InTributeFullName')) document.getElementById('tr_InTributeFullName').style.display = ''; if (document.getElementById('tr_InTributeAddress')) document.getElementById('tr_InTributeAddress').style.display = ''; if (document.getElementById('tr_InTributeMessage')) document.getElementById('tr_InTributeMessage').style.display = ''; }; </script> <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <table align="center" class="gtInTributeTable" role="radiogroup"> <tr class="gtSectionRow"> <td class="gtInTributeLeftCell"> <div class="gtInTributeLabel" id="InTributeTypeLabel"> <input type="radio" name="InTributeType" aria-labelledby="InTributeTypeLabel" id="InTributeType1" value="En l'honneur de" class="gtRadio" onclick="javascript:GT.selectedInTributeRadio(1)"> En l'honneur de: </div> </td> <td class="gtInTributeRightCell"> <input type="text" name="InTributeOf1" aria-labelledby="InTributeTypeLabel" value="" id="InTributeOf1" maxlength="100" class="gtInput15" onchange="javascript:GT.setInTributeType(1)"> </td> </tr> <tr class="gtSectionRow"> <td class="gtInTributeLeftCell"> <div class="gtInTributeLabel" id="InTributeTypeLabel"> <input type="radio" name="InTributeType" aria-labelledby="InTributeTypeLabel" id="InTributeType2" value="En m茅moire de" class="gtRadio" onclick="javascript:GT.selectedInTributeRadio(2)"> En m茅moire de: </div> </td> <td class="gtInTributeRightCell"> <input type="text" name="InTributeOf2" aria-labelledby="InTributeTypeLabel" value="" id="InTributeOf2" maxlength="100" class="gtInput15" onchange="javascript:GT.setInTributeType(2)"> </td> </tr> </table> </td> </tr> <tr class="gtSectionRow" id="tr_InTributeMiddleMessage" style="display:none"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionMiddleMessage"> <p>Qui devrions-nous informer de votre don? Le montant de votre don restera confidentiel.</p> </div> </td> </tr> <tr class="gtSectionRow" id="tr_InTributeEmail" style="display:none"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="InTributeEmailLabel">Courriel:</div> </td> <td class="gtSectionRightCell"> <input type="text" name="InTributeEmail" aria-labelledby="InTributeEmailLabel" value="" maxlength="100" class="gtInput25" title="Courriel"> </td> </tr> <tr class="gtSectionRow" id="tr_InTributeFullName" style="display:none"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="InTributeFullNameLabel">Nom en entier:</div> </td> <td class="gtSectionRightCell"> <input type="text" name="InTributeFullName" aria-labelledby="InTributeFullNameLabel" value="" maxlength="100" class="gtInput25" title="Nom en entier"> </td> </tr> <tr class="gtSectionRow" id="tr_InTributeAddress" style="display:none"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="InTributeAddressLabel">Adresse de correspondance:</div> </td> <td class="gtSectionRightCell"> <textarea name="InTributeAddress" aria-labelledby="InTributeAddressLabel" rows="4" class="gtTextarea" title="Adresse de correspondance"></textarea> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> </div> </td> </tr> </table> <script> GT.initSetInTributeType(); </script>  <br class="gtSection" />  <script src="/scripts/gtAddress.js"></script> <script> GT.setDefaultCountryAndState = function() { GT.language = 'FR'; GT.stateCode = ''; GT.countryCode = ''; if (GT.countryCode === '' && GT.stateCode === '') { GT.countryCode = 'CA'; GT.stateCode = 'ON'; } if (GT.countryCode === '') GT.countryCode = 'CA'; initCountry('Country','State',GT.countryCode,GT.stateCode,GT.language,'208px'); /* if (GT.countryCode === '') GT.countryCode = lang.substr(3,2); if (GT.countryCode === "US") { if (GT.stateCode === '') GT.stateCode = 'AK'; initCountry('Country','State','US',GT.stateCode,GT.language,'208px'); } else if (GT.countryCode === "CA") { if (GT.stateCode === '') GT.stateCode = ''; initCountry('Country','State','CA',GT.stateCode,GT.language,'208px'); } else if (GT.countryCode === "AU") { if (GT.stateCode === '') GT.stateCode = 'AAT'; initCountry('Country','State','AU',GT.stateCode,GT.language,'208px'); } else if (GT.countryCode === "GB") { if (GT.stateCode === '') GT.stateCode = ''; initCountry('Country','State','GB','',GT.language,'208px'); } else if (GT.countryCode === "UK") { if (GT.stateCode === '') GT.stateCode = 'AVON'; initCountry('Country','State','UK',GT.stateCode,GT.language,'208px'); } else if (GT.countryCode === "IE") { if (GT.stateCode === '') GT.stateCode = 'AVON'; initCountry('Country','State','UK',GT.stateCode,GT.language,'208px'); } else if (GT.countryCode === "JP") { if (GT.stateCode === '') GT.stateCode = ''; initCountry('Country','State','JP','',GT.language,'208px'); } else { if (GT.stateCode === '') GT.stateCode = 'AK'; initCountry('Country','State',GT.countryCode,GT.stateCode,GT.language,'208px'); } */ } </script> <script> GT.checkDemographics = function() { if (!isEmailWellFormed(document.gtForm1.Email.value)) { alert(unescape(escape("Veuillez fournir votre Courriel. \n\nvous@domaine.com \n\nC'est une donn茅e obligatoire. "))); document.gtForm1.Email.focus(); return false; } var formInputs = document.getElementsByTagName("input"); for (var i = 0; i < formInputs.length; i++) { if (formInputs.item(i).getAttribute("gt_required") && formInputs.item(i).getAttribute("gt_required") === 'Y') { if (formInputs.item(i).value === '') { alert(unescape(escape("Veuillez fournir votre "+formInputs.item(i).getAttribute('displayName')+". \n\nC'est une donn茅e obligatoire. "))); formInputs.item(i).focus(); return false; } } } var formSelects = document.getElementsByTagName("select"); for (var i = 0; i < formSelects.length; i++) { if (formSelects.item(i).getAttribute("gt_required") && formSelects.item(i).getAttribute("gt_required") === 'Y') { if (formSelects.item(i).value === '') { alert(unescape(escape("Veuillez fournir votre "+formSelects.item(i).getAttribute('displayName')+". \n\nC'est une donn茅e obligatoire. "))); formSelects.item(i).focus(); return false; } } } return true; } </script> <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> Coordonn茅es du donateur </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="EmailDisplayLabel">Courriel</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="Email" value="" aria-labelledby="EmailDisplayLabel" class="gtInput25" maxlength="100" displayName="Courriel" gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="TitleLabel">Titre [M. Mme Mlle Dr]</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="N"></div> <input type="text" name="Title" value="" aria-labelledby="TitleLabel" class="gtInput25" maxlength="30" displayName="Titre [M. Mme Mlle Dr]" gt_required="N" aria_required="false"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="FirstNameLabel">Pr茅nom </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="FirstName" value="" aria-labelledby="FirstNameLabel" class="gtInput25" maxlength="30" displayName="Pr茅nom " gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="LastNameLabel">Nom de famille </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="LastName" value="" aria-labelledby="LastNameLabel" class="gtInput25" maxlength="30" displayName="Nom de famille " gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="OrganizationLabel">Organisme</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="N"></div> <input type="text" name="Organization" value="" aria-labelledby="OrganizationLabel" class="gtInput25" maxlength="100" displayName="Organisme" gt_required="N" aria_required="false"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="StreetLabel">Adresse postale</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="Street" value="" aria-labelledby="StreetLabel" class="gtInput25" maxlength="60" displayName="Adresse postale" gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CityLabel">Ville </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="City" value="" aria-labelledby="CityLabel" class="gtInput25" maxlength="30" displayName="Ville " gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CountryLabel">Pays </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <select id="Country" name="Country" aria-labelledby="CountryLabel" onchange="changeCountry('Country')" displayName="Pays " gt_required="Y" class="gtSelect25" aria_required="true"> </select> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="StateLabel">Province </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <select id="State" name="State" aria-labelledby="StateLabel" onchange="changeState('Country')" displayName="Province " gt_required="Y" class="gtSelect25" aria_required="true"> </select> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="ZipCodeLabel">Code postal </div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y"></div> <input type="text" name="ZipCode" value="" aria-labelledby="ZipCodeLabel" class="gtInput25" maxlength="30" displayName="Code postal " gt_required="Y" aria_required="true"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="PhoneDayLabel">T茅l茅phone</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="N"></div> <input type="text" name="PhoneDay" value="" aria-labelledby="PhoneDayLabel" class="gtInput25" maxlength="30" displayName="T茅l茅phone" gt_required="N" aria_required="false"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> <p>Bruy猫re ne divulguera pas les renseignements obtenus de ses donateurs 脿 d鈥檃utres organismes.</p> </div> </td> </tr> </table> <script> GT.setDefaultCountryAndState(); </script>  <br class="gtSection" />  <script> GT.currency = 'CAD'; GT.currencies = {values:["CAD"]}; GT.cards = {"CAD":["Visa","MasterCard","Amex"]}; GT.setCardTypes = function(currency) { if (currency) GT.currency = currency; let select = document.getElementById('CardType'); for (let i = select.length - 1; i>=0; i--) { select.remove(i); } GT.currentCards = GT.cards[GT.currency]; for (x in GT.cards[GT.currency]) { //Filter card types as many templates js is adding other values if (GT.cards[GT.currency][x] === "Visa" || GT.cards[GT.currency][x] === "MasterCard" || GT.cards[GT.currency][x] === "Amex" || GT.cards[GT.currency][x] === "Diners Club" || GT.cards[GT.currency][x] === "Discover") { let option = document.createElement('option'); option.value = GT.cards[GT.currency][x]; option.innerHTML = GT.cards[GT.currency][x]; select.appendChild(option); } } } GT.checkCreditCard = function() { let formInputs = document.getElementsByTagName("input"); for (let i = 0; i < formInputs.length; i++) { if (formInputs.item(i).getAttribute("cardRequired") && formInputs.item(i).getAttribute("cardRequired") === 'Y') { if (formInputs.item(i).value === '') { alert(unescape(escape("Veuillez fournir votre "+formInputs.item(i).getAttribute('displayName')+". \n\nC'est une donn茅e obligatoire. "))); formInputs.item(i).focus(); return false; } } } let cardNumber = document.getElementById('CardNumber'); let derivedCardType = GT.cardTypeFromNumber(cardNumber.value); let select = document.getElementById('CardType'); let cardType = select.options[select.selectedIndex].value; if (derivedCardType != cardType) { alert("The card number is not a " + cardType + " number. Please check the card type and card number."); cardNumber.focus(); return false; } return true; } GT.cardTypeFromNumber = function(number) { // Visa Electron // re = new RegExp("^(4026|417500|4508|4844|491(3|7))"); // if (number.match(re) != null) // return "Visa Electron"; // Visa re = new RegExp("^4"); if (number.match(re) != null) return "Visa"; // MasterCard re = new RegExp("^5[1-5]"); if (number.match(re) != null) return "MasterCard"; // Diners - Carte Blanche re = new RegExp("^30[0-5]"); if (number.match(re) != null) return "Diners Club"; //"Diners - Carte Blanche"; // Diners re = new RegExp("^(30[6-9]|36|38)"); if (number.match(re) != null) return "Diners Club"; // JCB // re = new RegExp("^35(2[89]|[3-8][0-9])"); // if (number.match(re) != null) // return "JCB"; // AMEX re = new RegExp("^3[47]"); if (number.match(re) != null) return "Amex"; // Discover re = new RegExp("^(6011|622(12[6-9]|1[3-9][0-9]|[2-8][0-9]{2}|9[0-1][0-9]|92[0-5]|64[4-9])|65)"); if (number.match(re) != null) return "Discover"; return ""; }; </script> <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> Information sur le paiement </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CardNameLabel">Nom du d茅tenteur de la carte:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineRequired" gt_required="Y" aria_required="true"></div> <input type="text" name="CardName" aria-labelledby="CardNameLabel" maxlength="80" value="" class="gtInput25" displayName="Nom du d茅tenteur de la carte" cardRequired="Y" title="Nom du d茅tenteur de la carte"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CardNumberLabel">No de carte de cr茅dit:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineRequired" gt_required="Y" aria_required="true"></div> <input type="text" id="CardNumber" name="CardNumber" aria-labelledby="CardNumberLabel" maxlength="24" autocomplete="off" class="gtInput25" displayName="No de carte de cr茅dit" cardRequired="Y" title="No de carte de cr茅dit"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CVV2Label">Code de s茅curit茅 (CVV2):</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineRequired" gt_required="Y" aria_required="true"></div> <input type="text" name="CVV2" aria-labelledby="CVV2Label" maxlength="4" autocomplete="off" class="gtInput5" displayName="Code de s茅curit茅 (CVV2)" cardRequired="Y" title="Code de s茅curit茅 (CVV2)"> <a href="javascript:OpenWindow('https://www.gifttool.com/app/creditcard/CVV2FR.html',500,650);" class="gtTip">Qu'est-ce qu'un CVV2?</a> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel" id="CardTypeLabel">Type de carte:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y" aria_required="true"></div> <select name="CardType" aria-labelledby="CardTypeLabel" id="CardType" class="gtCardType"> </select> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionLeftCell"> <div class="gtLabel">Date d'expiration:</div> </td> <td class="gtSectionRightCell"> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y" aria_required="true"></div> <select name="ExpiryMonth" class="gtExpiryMonth" title="Date d\'expiration"> <option value="01" selected>1</option> <option value="02">2</option> <option value="03">3</option> <option value="04">4</option> <option value="05">5</option> <option value="06">6</option> <option value="07">7</option> <option value="08">8</option> <option value="09">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> </select> /  </div> <div class="gtInputRequired"> <div class="gtLineNotRequired" gt_required="Y" aria_required="true"></div> <select name="ExpiryYear" class="gtExpiryYear" title="Date d\'expiration"> <option value="25">2025</option> <option value="26">2026</option> <option value="27">2027</option> <option value="28">2028</option> <option value="29">2029</option> <option value="30">2030</option> <option value="31">2031</option> <option value="32">2032</option> <option value="33">2033</option> <option value="34">2034</option> <option value="35">2035</option> <option value="36">2036</option> <option value="37">2037</option> <option value="38">2038</option> <option value="39">2039</option> <option value="40">2040</option> <option value="41">2041</option> <option value="42">2042</option> <option value="43">2043</option> <option value="44">2044</option>  </select> <div class="gtSectionTip">MM/AA</div> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> <p>Veuillez noter qu'un re莽u officiel aux fins de l'imp么t sera聽d茅livr茅 au d茅tenteur de la carte. L'Agence du revenu du Canada ne nous permet pas de d茅livrer des re莽us 脿 une personne autre que le donateur (c.-脿-d. la personne ou l'entreprise dont le nom聽apparait sur la carte de cr茅dit).</p> </div> </td> </tr> </table> <script> GT.setCardTypes(); </script>  <br class="gtSection" />  <table class="gtSectionTable" role="presentation"> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTitle"> Dites-nous... </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionTopMessage"> </div> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <table class="gtQuestion"> <tr> <td class="gtQuestion"> <table align="center" cellpadding="2" cellspacing="2" border="0" width="95%" class="gtFullInnerTable"> <tr> <td align="left" colspan="3" class="gtQuestion" id="AskLabel_12514"> Qu'est-ce qui vous a incit茅脿 faire un don 脿 Bruy猫re? </td> </tr> <tr> <td width="2%"> </td> <td align="left" colspan="2" class="gtQuestionField"> <textarea name="Answer_1_" cols="80" rows="5" class="gtTextarea" aria-labelledby="AskLabel_12514" style="width:90%"></textarea> </td> </tr> </table> <br class="gtQuestion"> </td> </tr> <tr> <td class="gtQuestion"> <table align="center" cellpadding="2" cellspacing="2" border="0" width="95%" class="gtFullInnerTable"> <tr> <td align="left" colspan="3" class="gtQuestion" id="AskLabel_9634"> D茅sirez-vous que votre don soit anonyme? </td> </tr> <tr> <td width="2%"> </td> <td align="left" colspan="2" class="gtQuestionField" role="radiogroup" aria-labelledby="AskLabel_9634"> <input type="radio" name="Answer_2_" value="Oui" aria-labelledby="AskLabel_9634_2_">   <nostylelabel id="AskLabel_9634_2_">Oui</nostylelabel> <br> </td> </tr> </table> <br class="gtQuestion"> </td> </tr> <tr> <td class="gtQuestion"> <table align="center" cellpadding="2" cellspacing="2" border="0" width="95%" class="gtFullInnerTable"> <tr> <td align="left" colspan="3" class="gtQuestion" id="AskLabel_13404"> Votre employeur peut 茅galer votre don. Entrez le nom de votre employeur ci-dessous pour voir si votre entreprise offre des cadeaux correspondants. </td> </tr> <tr> <td width="2%"> </td> <td align="left" colspan="2" class="gtQuestionField"> <textarea name="Answer_3_" cols="80" rows="2" class="gtTextarea" aria-labelledby="AskLabel_13404" style="width:90%"></textarea> </td> </tr> </table> <br class="gtQuestion"> </td> </tr> </table> </td> </tr> <tr class="gtSectionRow"> <td class="gtSectionCell" colspan="2"> <div class="gtSectionBottomMessage"> <div class="gtSectionTitle" style="text-align: center;"> <span style="font-size: 14.0pt;"> <strong>Merci pour votre soutien !</strong> </span> </div> <div class="gtSectionTitle" style="text-align: center;"> <p>43, rue Bruy猫re Ottawa, ON. K1N 5C8聽聽<br> <span class="b3">Num茅ro聽</span> <span class="b4">d'</span> <span class="b5">enregistrement</span> <span class="b4">d</span> <span class="b3">'org</span> <span class="b2">anisme de charit茅</span>聽聽88846 0441 RR0001</p> </div> </div> </td> </tr> </table>  <br class="gtSection" /> <br class="gtAboveButtons" /> <div id="gtRecurringWillProcess" class="gtSectionTopMessage" style="display:none; text-align: center; padding: 20px 0 40px 0"> Recurring message </div> <table class="gtButtons"> <tr> <td class="gtButtons"><input type="submit" id="gtSubmitButton" data-submit=true value=" Soumettre le don » " class="gtButton"> </td> </tr> </table> </td> </tr> <tr> <td colspan="2" style="padding:60px 0 12px 0;text-align:center;"> <a href="/" target="_blank" rel="noreferrer"> <img src="/images/logos/PoweredByGiftTool72FR.png" alt="Puissance GiftTool.com" border="0"></a> </td> </tr> </table> </form> <script> GT.checkRequired(); </script>  <br><br> <script language="JavaScript" src="/scripts/gtSecuritySeal.js"></script> <script type="text/javascript"></script> <script type="text/javascript"></script> <br><br> <p> Fondation Bruy猫re<br> 43, rue Bruy猫re,<br> Ottawa (ON) K1N 5C8<br> Canada</p> <br> <div id="ctl00_Content_ctl00_tdEdit" style="position:absolute; bottom:-7px; right:0px; z-index:2"></div> </div> </div> </div> </div> <div id="prefooter"> <div class="container"> <div class="row"> <div class="one-half column subscribe"> <div> <h2>Abonnez-vous 脿 Bruy猫re</h2><p>Soyez les premiers 脿锚tre<br>inform茅s des mises 脿 jour<br>脿 ce site Web.</p> </div> <div> <a id="subscribe-btn" href="http://fluidsurveys.com/surveys/bruyere-5wz/casl-legislation/?p=0&k=&h=3b19a6ce518290ec2a3e9af19aabb7f0&s=eyJwYWdlcGF0aCI6IFswXSwgInJhbmRvbV9zZWVkIjogIjE4M2MwM2RiZTU3NmRjNTY3ODhhZmQyN2QyY2RiY2EyNjBmOTRkZmUifQ%3D%3D&n=.&l=fr-ca">Abonnez-vous</a> <div id="subscribeBox"> <div class="subscribeBoxBg">聽</div> <div style="position: absolute; text-align: center; width: 100%; top: 50%;"> <div id="subscribeBoxInner">   <img class="popupclose" title="Close" alt="Close" src="/charities/bruyere.org/donation/v2/close-icon-white.png"> </div> </div> </div> </div> </div> <div class="one-half column login"> <div> <p style="text-align:left;">Employee Login</p> <a href="https://infonet.bruyere.org" class="button" target="_blank">InfoNet</a>聽 <a href="https://mail.bruyere.org" class="button" target="_blank">Outlook</a>聽 <a href="http://oldsite.previewbruyere.org/default.aspx?cid=73" class="button" target="_blank">Members Login</a> </div> </div> </div> </div> </div> <div id="footer"> <div class="container"> <div class="row"> <div class="four columns social"> <a class="facebook" href="https://www.facebook.com/bruyerecare?fref=ts" target="_blank">Facebook</a>聽 <a class="twitter" href="https://twitter.com/bruyere_care" target="_blank">Twitter</a>聽 <a class="youtube" href="https://www.youtube.com/channel/UCvwql9JIga3Lar3Rs_mAJGg" target="_blank">Youtube</a>聽 <a class="linkedin" href="https://www.linkedin.com/company/bruyere-continuing-care" target="_blank">Linkedin</a> </div> <div class="eight columns footer"> <div style="position:relative;"> <p><a href=" ">Disclaimer</a> | <a href=" ">Information, Access & Privacy</a></p> <p>漏 Copyright <script language="javascript" type="text/javascript">document.write(new Date().getFullYear());</script> Bruy猫re.</p> <p>All Rights Reserved.</p> <p>Powered by <a href="http://bluelemonmedia.com/" target="_blank">Blue Lemon Media</a></p> <div id="ctl00_Footer_ctl00_tdEdit" style="position:absolute; bottom:-7px; right:0px; z-index:2"></div> </div> </div> </div> </div> </div> <div> </div> </body> </html>