soins a domicile par santelife

santelife est un groupe de personnel de sante qualifie pour vos procurer des soins de qualité depuis vos domicile respectif, plus besoins de se bousculer dans les hôpitaux c’est l’hôpital qui vous trouve chez vous! pour en savoir enregistre vous sur le formulaire sous dessous

<div id=”sg-form” style=”width: 300px; margin: auto; margin-top: 0vh; position: relative; left: 0vw;”>
<style type=”text/css”>
#sg-form-69992 * {
/*
height: inherit !important;
display: inherit;
*/
font-family: “Source Sans Pro”, sans-serif;
font-weight: inherit;
margin-top: inherit;
margin-bottom: inherit;
opacity: inherit;
box-shadow: initial;
color: inherit;
}
#sg-form-69992 button {
overflow: visible;
}
#sg-form-69992 button,
#sg-form-69992 select {
text-transform: none;
}
#sg-form-69992 button,
#sg-form-69992 html input[type=”button”],
#sg-form-69992 input[type=”reset”],
#sg-form-69992 input[type=”submit”] {
-webkit-appearance: button;
cursor: pointer;
}
#sg-form-69992 button[disabled],
#sg-form-69992 html input[disabled] {
cursor: default;
}
#sg-form-69992 button::-moz-focus-inner,
#sg-form-69992 input::-moz-focus-inner {
border: 0;
padding: 0;
}
#sg-form-69992 input {
line-height: normal;
}
#sg-form-69992 input[type=”checkbox”],
#sg-form-69992 input[type=”radio”] {
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
padding: 0;
}
#sg-form-69992 input[type=”number”]::-webkit-inner-spin-button,
#sg-form-69992 input[type=”number”]::-webkit-outer-spin-button {
height: auto;
}
#sg-form-69992 input[type=”search”] {
-webkit-appearance: textfield;
-webkit-box-sizing: content-box;
-moz-box-sizing: content-box;
box-sizing: content-box;
}
#sg-form-69992 input[type=”search”]::-webkit-search-cancel-button,
#sg-form-69992 input[type=”search”]::-webkit-search-decoration {
-webkit-appearance: none;
}
#sg-form-69992 fieldset {
border: 1px solid #c0c0c0;
margin: 0 2px;
padding: 0.35em 0.625em 0.75em;
}
#sg-form-69992 legend {
border: 0;
padding: 0;
}
#sg-form-69992 textarea {
overflow: auto;
}
#sg-form-69992 optgroup {
font-weight: bold;
}
#sg-form-69992 table {
border-collapse: collapse;
border-spacing: 0;
}
#sg-form-69992 td,
#sg-form-69992 th {
padding: 0;
}
#sg-form-69992 * {
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
#sg-form-69992 input,
#sg-form-69992 button,
#sg-form-69992 select,
#sg-form-69992 textarea {
font-family: inherit;
font-size: inherit;
line-height: inherit;
}
#sg-form-69992 a {
color: #337ab7;
text-decoration: none;
}
#sg-form-69992 a:hover,
#sg-form-69992 a:focus {
color: #23527c;
text-decoration: underline;
}
#sg-form-69992 a:focus {
outline: 5px auto -webkit-focus-ring-color;
outline-offset: -2px;
}
#sg-form-69992 figure {
margin: 0;
}
#sg-form-69992 img {
vertical-align: middle;
}
#sg-form-69992 .img-responsive {
display: block;
max-width: 100%;
height: auto;
}
#sg-form-69992 .img-rounded {
border-radius: 6px;
}
#sg-form-69992 .img-thumbnail {
padding: 4px;
line-height: 1.42857143;
background-color: #ffffff;
border: 1px solid #dddddd;
border-radius: 4px;
-webkit-transition: all 0.2s ease-in-out;
-o-transition: all 0.2s ease-in-out;
transition: all 0.2s ease-in-out;
display: inline-block;
max-width: 100%;
height: auto;
}
#sg-form-69992 .img-circle {
border-radius: 50%;
}
#sg-form-69992 hr {
margin-top: 20px;
margin-bottom: 20px;
border: 0;
border-top: 1px solid #eeeeee;
}
[role=”button”] {
cursor: pointer;
}
.row {
margin-left: -15px;
margin-right: -15px;
}
.col-xs-1, .col-sm-1, .col-md-1, .col-lg-1, .col-xs-2, .col-sm-2, .col-md-2, .col-lg-2, .col-xs-3, .col-sm-3, .col-md-3, .col-lg-3, .col-xs-4, .col-sm-4, .col-md-4, .col-lg-4, .col-xs-5, .col-sm-5, .col-md-5, .col-lg-5, .col-xs-6, .col-sm-6, .col-md-6, .col-lg-6, .col-xs-7, .col-sm-7, .col-md-7, .col-lg-7, .col-xs-8, .col-sm-8, .col-md-8, .col-lg-8, .col-xs-9, .col-sm-9, .col-md-9, .col-lg-9, .col-xs-10, .col-sm-10, .col-md-10, .col-lg-10, .col-xs-11, .col-sm-11, .col-md-11, .col-lg-11, .col-xs-12, .col-sm-12, .col-md-12, .col-lg-12 {
position: relative;
min-height: 1px;
padding-left: 15px;
padding-right: 15px;
}
.col-xs-1, .col-xs-2, .col-xs-3, .col-xs-4, .col-xs-5, .col-xs-6, .col-xs-7, .col-xs-8, .col-xs-9, .col-xs-10, .col-xs-11, .col-xs-12 {
float: left;
}
.col-xs-12 {
width: 100%;
}
.col-xs-11 {
width: 91.66666667%;
}
.col-xs-10 {
width: 83.33333333%;
}
.col-xs-9 {
width: 75%;
}
.col-xs-8 {
width: 66.66666667%;
}
.col-xs-7 {
width: 58.33333333%;
}
.col-xs-6 {
width: 50%;
}
.col-xs-5 {
width: 41.66666667%;
}
.col-xs-4 {
width: 33.33333333%;
}
.col-xs-3 {
width: 25%;
}
.col-xs-2 {
width: 16.66666667%;
}
.col-xs-1 {
width: 8.33333333%;
}
.col-xs-pull-12 {
right: 100%;
}
.col-xs-pull-11 {
right: 91.66666667%;
}
.col-xs-pull-10 {
right: 83.33333333%;
}
.col-xs-pull-9 {
right: 75%;
}
.col-xs-pull-8 {
right: 66.66666667%;
}
.col-xs-pull-7 {
right: 58.33333333%;
}
.col-xs-pull-6 {
right: 50%;
}
.col-xs-pull-5 {
right: 41.66666667%;
}
.col-xs-pull-4 {
right: 33.33333333%;
}
.col-xs-pull-3 {
right: 25%;
}
.col-xs-pull-2 {
right: 16.66666667%;
}
.col-xs-pull-1 {
right: 8.33333333%;
}
.col-xs-pull-0 {
right: auto;
}
.col-xs-push-12 {
left: 100%;
}
.col-xs-push-11 {
left: 91.66666667%;
}
.col-xs-push-10 {
left: 83.33333333%;
}
.col-xs-push-9 {
left: 75%;
}
.col-xs-push-8 {
left: 66.66666667%;
}
.col-xs-push-7 {
left: 58.33333333%;
}
.col-xs-push-6 {
left: 50%;
}
.col-xs-push-5 {
left: 41.66666667%;
}
.col-xs-push-4 {
left: 33.33333333%;
}
.col-xs-push-3 {
left: 25%;
}
.col-xs-push-2 {
left: 16.66666667%;
}
.col-xs-push-1 {
left: 8.33333333%;
}
.col-xs-push-0 {
left: auto;
}
.col-xs-offset-12 {
margin-left: 100%;
}
.col-xs-offset-11 {
margin-left: 91.66666667%;
}
.col-xs-offset-10 {
margin-left: 83.33333333%;
}
.col-xs-offset-9 {
margin-left: 75%;
}
.col-xs-offset-8 {
margin-left: 66.66666667%;
}
.col-xs-offset-7 {
margin-left: 58.33333333%;
}
.col-xs-offset-6 {
margin-left: 50%;
}
.col-xs-offset-5 {
margin-left: 41.66666667%;
}
.col-xs-offset-4 {
margin-left: 33.33333333%;
}
.col-xs-offset-3 {
margin-left: 25%;
}
.col-xs-offset-2 {
margin-left: 16.66666667%;
}
.col-xs-offset-1 {
margin-left: 8.33333333%;
}
.col-xs-offset-0 {
margin-left: 0%;
}
@media (min-width: 768px) {
.col-sm-1, .col-sm-2, .col-sm-3, .col-sm-4, .col-sm-5, .col-sm-6, .col-sm-7, .col-sm-8, .col-sm-9, .col-sm-10, .col-sm-11, .col-sm-12 {
float: left;
}
.col-sm-12 {
width: 100%;
}
.col-sm-11 {
width: 91.66666667%;
}
.col-sm-10 {
width: 83.33333333%;
}
.col-sm-9 {
width: 75%;
}
.col-sm-8 {
width: 66.66666667%;
}
.col-sm-7 {
width: 58.33333333%;
}
.col-sm-6 {
width: 50%;
}
.col-sm-5 {
width: 41.66666667%;
}
.col-sm-4 {
width: 33.33333333%;
}
.col-sm-3 {
width: 25%;
}
.col-sm-2 {
width: 16.66666667%;
}
.col-sm-1 {
width: 8.33333333%;
}
.col-sm-pull-12 {
right: 100%;
}
.col-sm-pull-11 {
right: 91.66666667%;
}
.col-sm-pull-10 {
right: 83.33333333%;
}
.col-sm-pull-9 {
right: 75%;
}
.col-sm-pull-8 {
right: 66.66666667%;
}
.col-sm-pull-7 {
right: 58.33333333%;
}
.col-sm-pull-6 {
right: 50%;
}
.col-sm-pull-5 {
right: 41.66666667%;
}
.col-sm-pull-4 {
right: 33.33333333%;
}
.col-sm-pull-3 {
right: 25%;
}
.col-sm-pull-2 {
right: 16.66666667%;
}
.col-sm-pull-1 {
right: 8.33333333%;
}
.col-sm-pull-0 {
right: auto;
}
.col-sm-push-12 {
left: 100%;
}
.col-sm-push-11 {
left: 91.66666667%;
}
.col-sm-push-10 {
left: 83.33333333%;
}
.col-sm-push-9 {
left: 75%;
}
.col-sm-push-8 {
left: 66.66666667%;
}
.col-sm-push-7 {
left: 58.33333333%;
}
.col-sm-push-6 {
left: 50%;
}
.col-sm-push-5 {
left: 41.66666667%;
}
.col-sm-push-4 {
left: 33.33333333%;
}
.col-sm-push-3 {
left: 25%;
}
.col-sm-push-2 {
left: 16.66666667%;
}
.col-sm-push-1 {
left: 8.33333333%;
}
.col-sm-push-0 {
left: auto;
}
.col-sm-offset-12 {
margin-left: 100%;
}
.col-sm-offset-11 {
margin-left: 91.66666667%;
}
.col-sm-offset-10 {
margin-left: 83.33333333%;
}
.col-sm-offset-9 {
margin-left: 75%;
}
.col-sm-offset-8 {
margin-left: 66.66666667%;
}
.col-sm-offset-7 {
margin-left: 58.33333333%;
}
.col-sm-offset-6 {
margin-left: 50%;
}
.col-sm-offset-5 {
margin-left: 41.66666667%;
}
.col-sm-offset-4 {
margin-left: 33.33333333%;
}
.col-sm-offset-3 {
margin-left: 25%;
}
.col-sm-offset-2 {
margin-left: 16.66666667%;
}
.col-sm-offset-1 {
margin-left: 8.33333333%;
}
.col-sm-offset-0 {
margin-left: 0%;
}
}
@media (min-width: 992px) {
.col-md-1, .col-md-2, .col-md-3, .col-md-4, .col-md-5, .col-md-6, .col-md-7, .col-md-8, .col-md-9, .col-md-10, .col-md-11, .col-md-12 {
float: left;
}
.col-md-12 {
width: 100%;
}
.col-md-11 {
width: 91.66666667%;
}
.col-md-10 {
width: 83.33333333%;
}
.col-md-9 {
width: 75%;
}
.col-md-8 {
width: 66.66666667%;
}
.col-md-7 {
width: 58.33333333%;
}
.col-md-6 {
width: 50%;
}
.col-md-5 {
width: 41.66666667%;
}
.col-md-4 {
width: 33.33333333%;
}
.col-md-3 {
width: 25%;
}
.col-md-2 {
width: 16.66666667%;
}
.col-md-1 {
width: 8.33333333%;
}
.col-md-pull-12 {
right: 100%;
}
.col-md-pull-11 {
right: 91.66666667%;
}
.col-md-pull-10 {
right: 83.33333333%;
}
.col-md-pull-9 {
right: 75%;
}
.col-md-pull-8 {
right: 66.66666667%;
}
.col-md-pull-7 {
right: 58.33333333%;
}
.col-md-pull-6 {
right: 50%;
}
.col-md-pull-5 {
right: 41.66666667%;
}
.col-md-pull-4 {
right: 33.33333333%;
}
.col-md-pull-3 {
right: 25%;
}
.col-md-pull-2 {
right: 16.66666667%;
}
.col-md-pull-1 {
right: 8.33333333%;
}
.col-md-pull-0 {
right: auto;
}
.col-md-push-12 {
left: 100%;
}
.col-md-push-11 {
left: 91.66666667%;
}
.col-md-push-10 {
left: 83.33333333%;
}
.col-md-push-9 {
left: 75%;
}
.col-md-push-8 {
left: 66.66666667%;
}
.col-md-push-7 {
left: 58.33333333%;
}
.col-md-push-6 {
left: 50%;
}
.col-md-push-5 {
left: 41.66666667%;
}
.col-md-push-4 {
left: 33.33333333%;
}
.col-md-push-3 {
left: 25%;
}
.col-md-push-2 {
left: 16.66666667%;
}
.col-md-push-1 {
left: 8.33333333%;
}
.col-md-push-0 {
left: auto;
}
.col-md-offset-12 {
margin-left: 100%;
}
.col-md-offset-11 {
margin-left: 91.66666667%;
}
.col-md-offset-10 {
margin-left: 83.33333333%;
}
.col-md-offset-9 {
margin-left: 75%;
}
.col-md-offset-8 {
margin-left: 66.66666667%;
}
.col-md-offset-7 {
margin-left: 58.33333333%;
}
.col-md-offset-6 {
margin-left: 50%;
}
.col-md-offset-5 {
margin-left: 41.66666667%;
}
.col-md-offset-4 {
margin-left: 33.33333333%;
}
.col-md-offset-3 {
margin-left: 25%;
}
.col-md-offset-2 {
margin-left: 16.66666667%;
}
.col-md-offset-1 {
margin-left: 8.33333333%;
}
.col-md-offset-0 {
margin-left: 0%;
}
}
@media (min-width: 1200px) {
.col-lg-1, .col-lg-2, .col-lg-3, .col-lg-4, .col-lg-5, .col-lg-6, .col-lg-7, .col-lg-8, .col-lg-9, .col-lg-10, .col-lg-11, .col-lg-12 {
float: left;
}
.col-lg-12 {
width: 100%;
}
.col-lg-11 {
width: 91.66666667%;
}
.col-lg-10 {
width: 83.33333333%;
}
.col-lg-9 {
width: 75%;
}
.col-lg-8 {
width: 66.66666667%;
}
.col-lg-7 {
width: 58.33333333%;
}
.col-lg-6 {
width: 50%;
}
.col-lg-5 {
width: 41.66666667%;
}
.col-lg-4 {
width: 33.33333333%;
}
.col-lg-3 {
width: 25%;
}
.col-lg-2 {
width: 16.66666667%;
}
.col-lg-1 {
width: 8.33333333%;
}
.col-lg-pull-12 {
right: 100%;
}
.col-lg-pull-11 {
right: 91.66666667%;
}
.col-lg-pull-10 {
right: 83.33333333%;
}
.col-lg-pull-9 {
right: 75%;
}
.col-lg-pull-8 {
right: 66.66666667%;
}
.col-lg-pull-7 {
right: 58.33333333%;
}
.col-lg-pull-6 {
right: 50%;
}
.col-lg-pull-5 {
right: 41.66666667%;
}
.col-lg-pull-4 {
right: 33.33333333%;
}
.col-lg-pull-3 {
right: 25%;
}
.col-lg-pull-2 {
right: 16.66666667%;
}
.col-lg-pull-1 {
right: 8.33333333%;
}
.col-lg-pull-0 {
right: auto;
}
.col-lg-push-12 {
left: 100%;
}
.col-lg-push-11 {
left: 91.66666667%;
}
.col-lg-push-10 {
left: 83.33333333%;
}
.col-lg-push-9 {
left: 75%;
}
.col-lg-push-8 {
left: 66.66666667%;
}
.col-lg-push-7 {
left: 58.33333333%;
}
.col-lg-push-6 {
left: 50%;
}
.col-lg-push-5 {
left: 41.66666667%;
}
.col-lg-push-4 {
left: 33.33333333%;
}
.col-lg-push-3 {
left: 25%;
}
.col-lg-push-2 {
left: 16.66666667%;
}
.col-lg-push-1 {
left: 8.33333333%;
}
.col-lg-push-0 {
left: auto;
}
.col-lg-offset-12 {
margin-left: 100%;
}
.col-lg-offset-11 {
margin-left: 91.66666667%;
}
.col-lg-offset-10 {
margin-left: 83.33333333%;
}
.col-lg-offset-9 {
margin-left: 75%;
}
.col-lg-offset-8 {
margin-left: 66.66666667%;
}
.col-lg-offset-7 {
margin-left: 58.33333333%;
}
.col-lg-offset-6 {
margin-left: 50%;
}
.col-lg-offset-5 {
margin-left: 41.66666667%;
}
.col-lg-offset-4 {
margin-left: 33.33333333%;
}
.col-lg-offset-3 {
margin-left: 25%;
}
.col-lg-offset-2 {
margin-left: 16.66666667%;
}
.col-lg-offset-1 {
margin-left: 8.33333333%;
}
.col-lg-offset-0 {
margin-left: 0%;
}
}
fieldset {
padding: 0;
margin: 0;
border: 0;
min-width: 0;
}
legend {
display: block;
width: 100%;
padding: 0;
margin-bottom: 20px;
font-size: 21px;
line-height: inherit;
color: #333333;
border: 0;
border-bottom: 1px solid #e5e5e5;
}
label {
display: inline-block;
max-width: 100%;
margin-bottom: 5px;
font-weight: bold;
}
input[type=”search”] {
-webkit-box-sizing: border-box;
-moz-box-sizing: border-box;
box-sizing: border-box;
}
input[type=”radio”],
input[type=”checkbox”] {
margin: 4px 0 0;
margin-top: 1px \9;
line-height: normal;
}
input[type=”file”] {
display: block;
}
input[type=”range”] {
display: block;
width: 100%;
}
select[multiple],
select[size] {
height: auto;
}
input[type=”file”]:focus,
input[type=”radio”]:focus,
input[type=”checkbox”]:focus {
outline: 5px auto -webkit-focus-ring-color;
outline-offset: -2px;
}
output {
display: block;
padding-top: 7px;
font-size: 14px;
line-height: 1.42857143;
color: #555555;
}
#sg-form-69992 .form-control {
display: block;
width: 100%;
height: 34px;
padding: 6px 12px;
font-size: 14px;
line-height: 1.42857143;
color: #555555;
background-color: #ffffff;
background-image: none;
border: 1px solid #cccccc;
border-radius: 4px;
-webkit-box-shadow: inset 0 1px 1px rgba(0, 0, 0, 0.075);
box-shadow: inset 0 1px 1px rgba(0, 0, 0, 0.075);
-webkit-transition: border-color ease-in-out .15s, -webkit-box-shadow ease-in-out .15s;
-o-transition: border-color ease-in-out .15s, box-shadow ease-in-out .15s;
transition: border-color ease-in-out .15s, box-shadow ease-in-out .15s;
}
.form-control:focus {
border-color: #66afe9;
outline: 0;
-webkit-box-shadow: inset 0 1px 1px rgba(0,0,0,.075), 0 0 8px rgba(102, 175, 233, 0.6);
box-shadow: inset 0 1px 1px rgba(0,0,0,.075), 0 0 8px rgba(102, 175, 233, 0.6);
}
.form-control::-moz-placeholder {
color: #999999;
opacity: 1;
}
.form-control:-ms-input-placeholder {
color: #999999;
}
.form-control::-webkit-input-placeholder {
color: #999999;
}
.form-control::-ms-expand {
border: 0;
background-color: transparent;
}
.form-control[disabled],
.form-control[readonly],
fieldset[disabled] .form-control {
background-color: #eeeeee;
opacity: 1;
}
.form-control[disabled],
fieldset[disabled] .form-control {
cursor: not-allowed;
}
textarea.form-control {
height: auto;
}
input[type=”search”] {
-webkit-appearance: none;
}
@media screen and (-webkit-min-device-pixel-ratio: 0) {
input[type=”date”].form-control,
input[type=”time”].form-control,
input[type=”datetime-local”].form-control,
input[type=”month”].form-control {
line-height: 34px;
}
input[type=”date”].input-sm,
input[type=”time”].input-sm,
input[type=”datetime-local”].input-sm,
input[type=”month”].input-sm,
.input-group-sm input[type=”date”],
.input-group-sm input[type=”time”],
.input-group-sm input[type=”datetime-local”],
.input-group-sm input[type=”month”] {
line-height: 30px;
}
input[type=”date”].input-lg,
input[type=”time”].input-lg,
input[type=”datetime-local”].input-lg,
input[type=”month”].input-lg,
.input-group-lg input[type=”date”],
.input-group-lg input[type=”time”],
.input-group-lg input[type=”datetime-local”],
.input-group-lg input[type=”month”] {
line-height: 46px;
}
}
.form-group {
margin-bottom: 15px;
}
.radio,
.checkbox {
position: relative;
display: block;
margin-top: 10px;
margin-bottom: 10px;
}
.radio label,
.checkbox label {
min-height: 20px;
padding-left: 20px;
margin-bottom: 0;
font-weight: normal;
cursor: pointer;
}
.radio input[type=”radio”],
.radio-inline input[type=”radio”],
.checkbox input[type=”checkbox”],
.checkbox-inline input[type=”checkbox”] {
position: absolute;
margin-left: -20px;
margin-top: 4px \9;
}
.radio + .radio,
.checkbox + .checkbox {
margin-top: -5px;
}
.radio-inline,
.checkbox-inline {
position: relative;
display: inline-block;
padding-left: 20px;
margin-bottom: 0;
vertical-align: middle;
font-weight: normal;
cursor: pointer;
}
.radio-inline + .radio-inline,
.checkbox-inline + .checkbox-inline {
margin-top: 0;
margin-left: 10px;
}
input[type=”radio”][disabled],
input[type=”checkbox”][disabled],
input[type=”radio”].disabled,
input[type=”checkbox”].disabled,
fieldset[disabled] input[type=”radio”],
fieldset[disabled] input[type=”checkbox”] {
cursor: not-allowed;
}
.radio-inline.disabled,
.checkbox-inline.disabled,
fieldset[disabled] .radio-inline,
fieldset[disabled] .checkbox-inline {
cursor: not-allowed;
}
.radio.disabled label,
.checkbox.disabled label,
fieldset[disabled] .radio label,
fieldset[disabled] .checkbox label {
cursor: not-allowed;
}
#sg-form-69992 .has-warning .help-block,
#sg-form-69992 .has-warning .control-label,
#sg-form-69992 .has-warning .radio,
#sg-form-69992 .has-warning .checkbox,
#sg-form-69992 .has-warning .radio-inline,
#sg-form-69992 .has-warning .checkbox-inline,
#sg-form-69992 .has-warning.radio label,
#sg-form-69992 .has-warning.checkbox label,
#sg-form-69992 .has-warning.radio-inline label,
#sg-form-69992 .has-warning.checkbox-inline label {
color: #8a6d3b;
}
@media (min-width: 768px) {
.form-inline .form-group {
display: inline-block;
margin-bottom: 0;
vertical-align: middle;
}
.form-inline .form-control {
display: inline-block;
width: auto;
vertical-align: middle;
}
.form-inline .form-control-static {
display: inline-block;
}
.form-inline .input-group {
display: inline-table;
vertical-align: middle;
}
.form-inline .input-group .input-group-addon,
.form-inline .input-group .input-group-btn,
.form-inline .input-group .form-control {
width: auto;
}
.form-inline .input-group > .form-control {
width: 100%;
}
.form-inline .control-label {
margin-bottom: 0;
vertical-align: middle;
}
.form-inline .radio,
.form-inline .checkbox {
display: inline-block;
margin-top: 0;
margin-bottom: 0;
vertical-align: middle;
}
.form-inline .radio label,
.form-inline .checkbox label {
padding-left: 0;
}
.form-inline .radio input[type=”radio”],
.form-inline .checkbox input[type=”checkbox”] {
position: relative;
margin-left: 0;
}
.form-inline .has-feedback .form-control-feedback {
top: 0;
}
}
.form-horizontal .radio,
.form-horizontal .checkbox,
.form-horizontal .radio-inline,
.form-horizontal .checkbox-inline {
margin-top: 0;
margin-bottom: 0;
padding-top: 7px;
}
.form-horizontal .radio,
.form-horizontal .checkbox {
min-height: 27px;
}
.form-horizontal .form-group {
margin-left: -15px;
margin-right: -15px;
}
@media (min-width: 768px) {
.form-horizontal .control-label {
text-align: right;
margin-bottom: 0;
padding-top: 7px;
}
}
#sg-form-69992 .btn {
display: inline-block;
margin-bottom: 0;
font-weight: normal;
text-align: center !important;
vertical-align: middle;
-ms-touch-action: manipulation;
touch-action: manipulation;
cursor: pointer;
background-image: none;
border: 1px solid transparent;
white-space: nowrap;
padding: 6px 12px;
font-size: 14px;
line-height: 1.42857143;
border-radius: 4px;
-webkit-user-select: none;
-moz-user-select: none;
-ms-user-select: none;
user-select: none;
}
#sg-form-69992 .btn:focus,
#sg-form-69992 .btn:active:focus,
#sg-form-69992 .btn.active:focus,
#sg-form-69992 .btn.focus,
#sg-form-69992 .btn:active.focus,
#sg-form-69992 .btn.active.focus {
outline: 5px auto -webkit-focus-ring-color;
outline-offset: -2px;
}
#sg-form-69992 .btn:hover,
#sg-form-69992 .btn:focus,
#sg-form-69992 .btn.focus {
color: #333333;
text-decoration: none;
}
#sg-form-69992 .btn:active,
#sg-form-69992 .btn.active {
outline: 0;
background-image: none;
-webkit-box-shadow: inset 0 3px 5px rgba(0, 0, 0, 0.125);
box-shadow: inset 0 3px 5px rgba(0, 0, 0, 0.125);
}
#sg-form-69992 .btn.disabled,
#sg-form-69992 .btn[disabled],
#sg-form-69992 fieldset[disabled] .btn {
cursor: not-allowed;
opacity: 0.65;
filter: alpha(opacity=65);
-webkit-box-shadow: none;
box-shadow: none;
}
#sg-form-69992 a.btn.disabled,
#sg-form-69992 fieldset[disabled] a.btn {
pointer-events: none;
}
.btn-default {
color: #333333;
background-color: #ffffff;
border-color: #cccccc;
}
#sg-form-69992 .btn-default:focus,
#sg-form-69992 .btn-default.focus {
color: #333333;
background-color: #e6e6e6;
border-color: #8c8c8c;
}
#sg-form-69992 .btn-default:hover {
color: #333333;
background-color: #e6e6e6;
border-color: #adadad;
}
#sg-form-69992 .btn-default:active,
#sg-form-69992 .btn-default.active,
#sg-form-69992 .open > .dropdown-toggle.btn-default {
color: #333333;
background-color: #e6e6e6;
border-color: #adadad;
}
#sg-form-69992 .btn-default:active:hover,
#sg-form-69992 .btn-default.active:hover,
#sg-form-69992 .open > .dropdown-toggle.btn-default:hover,
#sg-form-69992 .btn-default:active:focus,
#sg-form-69992 .btn-default.active:focus,
#sg-form-69992 .open > .dropdown-toggle.btn-default:focus,
#sg-form-69992 .btn-default:active.focus,
#sg-form-69992 .btn-default.active.focus,
#sg-form-69992 .open > .dropdown-toggle.btn-default.focus {
color: #333333;
background-color: #d4d4d4;
border-color: #8c8c8c;
}
#sg-form-69992 .btn-default:active,
#sg-form-69992 .btn-default.active,
#sg-form-69992 .open > .dropdown-toggle.btn-default {
background-image: none;
}
#sg-form-69992 .btn-block {
display: block;
width: 100%;
}
.btn-facebook{
color:#fff !important;
background-color:#3b5998;
border-color:rgba(0,0,0,0.2);
text-align: center;
}
.btn-facebook *, #sg-form-header img {
display: inline !important;
}
.btn-facebook:focus,
.btn-facebook.focus{
color:#fff;background-color:#2d4373;border-color:rgba(0,0,0,0.2)
}
.btn-facebook:hover{color:#fff !important;background-color: #2d4373 !important;border-color:rgba(0,0,0,0.2)}
.btn-facebook:active,
.btn-facebook.active,
.open>.dropdown-toggle.btn-facebook{color:#fff;background-color:#2d4373;border-color:rgba(0,0,0,0.2)}
.btn-facebook:active,
.btn-facebook.active,
.open>.dropdown-toggle.btn-facebook{background-image:none}
.btn-facebook .badge{color:#3b5998;background-color:#fff}
#sg-form-69992 form {
margin: 10px;
padding: 10px;
}
.text-center {
text-align: center;
}
/*
@media screen and (max-width: 750px) {
#sg-form-69992 {
width: 90% !important;
}

#sg-form-69992 * {
width: 90% !important;
}
}

@media screen and (max-width: 400px) {
#sg-form-69992 * {
width: 100% !important;
}
}
*/
/* Material Ribbon */

#sg-form-69992 {
background: white !important;
}

#sg-form-69992 #sg-form-header {
color: #3e3e3e;
background: white;
}

#sg-form-69992 label {
color: black;
}

#sg-form-69992 .form-control {
color: black;
background: white;
border-color: white;
border-radius: 5px;
box-shadow: 0 2px 2px none;
}

#sg-form-69992 .form-control:hover {
box-shadow: 0 5px 2px none;
}

#sg-form-69992 .form-control:focus {
border-color: #3e3e3e;
box-shadow: 0 5px 2px none;
}

#sg-form-69992 .btn-submit {
color: none;
background-color: none !important;
box-shadow: 0 2px 2px none;
}
</style>
<div id=”sg-form-69992″>
<div id=”sg-form-header”>

<h3><p>Profitez de …</p></h3>
</div>
<form method=”post” action=”//sg-autorepondeur.com/public/subscribe.php” id=”sg-form-body” target=”_top” accept-charset=”UTF-8″>
<div class=”form-group”><label>Email</label><input type=”email” class=”form-control” name=”email” placeholder=”Email” required=”true”></div><div class=”form-group”><label>Pr&eacute;nom</label><input type=”text” class=”form-control” name=”forename” placeholder=”Pr&eacute;nom”></div><div class=”form-group”><p>En soumettant ce formulaire, j’accepte que mes informations soient utilis&eacute;es uniquement dans le cadre de ma demande et de la relation commerciale &eacute;thique et personnalis&eacute;e qui peut en d&eacute;couler.</p></div><img src=”https://sg-autorepondeur.com/tauxouverture/form.gif?membreid=45739&amp;listeid=194140&amp;id=69992″ alt=”” width=”1″ height=”1″ style=”display: none”><input type=”hidden” name=”user” value=”45739″><input type=”hidden” name=”list” value=”194140″><input type=”hidden” name=”form” value=”69992″>

<button type=”submit” id=”sg-form-button” class=”btn btn-block btn-submit”>Je m’inscris !</button>

</form>
<div id=”sg-form-footer” style=”text-align: center”>
<p>Pour conna&icirc;tre et exercer mes droits, notamment pour annuler mon consentement, je consulte la politique de vie priv&eacute;e en cliquant ici</p>
</div>
</div>
</div>