\r\n \r\n {{ $t(\"formulaireAdhesion.typeAdhesion\") }}\r\n
\r\n \r\n \r\n \r\n {{ type[$i18n.locale] }}\r\n \r\n \r\n\r\n \r\n {{ $t(\"formulaireAdhesion.versionPleinSoleil\") }}\r\n
\r\n \r\n \r\n {{ v[$i18n.locale] }}\r\n \r\n \r\n\r\n \r\n \r\n {{ $t(\"formulaireAdhesion.codePromo\") }}\r\n
\r\n \r\n {{ $t(\"formulaireAdhesion.codePromoLabel\") }}\r\n \r\n \r\n \r\n {{ codePromoValide ? \"mdi-check\" : \"mdi-close\" }}\r\n \r\n \r\n \r\n {{ $t(\"rules.erreurCodePromo\") }}\r\n \r\n \r\n {{ $t(\"formulaireAdhesion.boutonCheckCodePromo\") }}\r\n \r\n
\r\n \r\n\r\n \r\n \r\n {{ $t(\"formulaireAdhesion.professionnelDeLaSante.agreementSharing\") }}\r\n
\r\n \r\n \r\n {{ value[$i18n.locale] }}\r\n \r\n \r\n \r\n\r\n \r\n {{ $t(\"formulaireAdhesion.informationsPersonnelles\") }}\r\n
\r\n\r\n \r\n \r\n \r\n {{ civilite[$i18n.locale] }}\r\n \r\n \r\n \r\n\r\n \r\n {{ $t(\"infosPersonnelles.courriel\") }} *\r\n \r\n \r\n {{ $t(\"infosPersonnelles.prenom\") }} *\r\n \r\n \r\n {{ $t(\"infosPersonnelles.nom\") }} *\r\n \r\n \r\n {{ $t(\"infosPersonnelles.anneeNaissance\") }}\r\n \r\n \r\n \r\n \r\n {{ $t(\"formulaireAdhesion.professionnelDeLaSante.profession\") }} *\r\n \r\n \r\n \r\n {{ $t(\"formulaireAdhesion.professionnelDeLaSante.license\") }} *\r\n \r\n \r\n\r\n {{ $t(\"formulaireAdhesion.adresse\") }}
\r\n \r\n {{ $t(\"adresse.adresse\") }} *\r\n \r\n \r\n {{ $t(\"adresse.ville\") }} *\r\n \r\n \r\n {{ $t(\"adresse.codePostal\") }} *\r\n \r\n\r\n \r\n \r\n {{ $t(\"adresse.province\") }} *\r\n \r\n \r\n \r\n {{ $t(\"adresse.telephone\") }} *\r\n \r\n \r\n {{ $t(\"adresse.telephoneAuTravail\") }}\r\n \r\n\r\n \r\n {{ $t(\"formulaireAdhesion.desireFaireUnDon\") }}\r\n \r\n \r\n \r\n\r\n