﻿<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
	<head>
		<meta http-equiv="Content-Language" content=fr>		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />		<meta name="viewport"   content="width=device-width, initial-scale=0.7, minimum-scale=0.5 maximum-scale=1.0">				
		<meta name="google-site-verification" content="KO2tlGH2jaeYZ19m1kDv3nY7kgbXYUHOJc1VH6MALzw" />
		<meta name="google-site-verification" content="hKnM-DwHp2F-Yfaeax0PExAeFKNhXclhUzWAh8rKU0w" />
		<title>erreur 404 - Santé Repère</title>
				<link rel="icon" type="image/png" href="http://www.sante-repere.fr/wp-content/themes/akproject/favicon.png" />
				<link rel="stylesheet" href="http://www.sante-repere.fr/wp-content/themes/akproject/style.css" type="text/css" media="screen" />		<meta name="google-site-verification" content="KO2tlGH2jaeYZ19m1kDv3nY7kgbXYUHOJc1VH6MALzw" />		
		<script type="text/javascript" src="http://www.sante-repere.fr/wp-content/themes/akproject/js/validation.js"></script>
						
<!-- This site is optimized with the Yoast SEO plugin v5.0.2 - https://yoast.com/wordpress/plugins/seo/ -->
<meta name="robots" content="noindex,follow"/>
<link rel="canonical" href="http://www.sante-repere.fr/erreur-404/" />
<meta property="og:locale" content="fr_FR" />
<meta property="og:type" content="article" />
<meta property="og:title" content="erreur 404 - Santé Repère" />
<meta property="og:description" content="&nbsp; Désolé, cette page n&rsquo;existe pas. Retourner à l&rsquo;accueil" />
<meta property="og:url" content="http://www.sante-repere.fr/erreur-404/" />
<meta property="og:site_name" content="Santé Repère" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:description" content="&nbsp; Désolé, cette page n&rsquo;existe pas. Retourner à l&rsquo;accueil" />
<meta name="twitter:title" content="erreur 404 - Santé Repère" />
<!-- / Yoast SEO plugin. -->

<link rel='dns-prefetch' href='//s.w.org' />
		<script type="text/javascript">
			window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/2.2.1\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/2.2.1\/svg\/","svgExt":".svg","source":{"concatemoji":"http:\/\/www.sante-repere.fr\/wp-includes\/js\/wp-emoji-release.min.js?ver=4.7.9"}};
			!function(a,b,c){function d(a){var b,c,d,e,f=String.fromCharCode;if(!k||!k.fillText)return!1;switch(k.clearRect(0,0,j.width,j.height),k.textBaseline="top",k.font="600 32px Arial",a){case"flag":return k.fillText(f(55356,56826,55356,56819),0,0),!(j.toDataURL().length<3e3)&&(k.clearRect(0,0,j.width,j.height),k.fillText(f(55356,57331,65039,8205,55356,57096),0,0),b=j.toDataURL(),k.clearRect(0,0,j.width,j.height),k.fillText(f(55356,57331,55356,57096),0,0),c=j.toDataURL(),b!==c);case"emoji4":return k.fillText(f(55357,56425,55356,57341,8205,55357,56507),0,0),d=j.toDataURL(),k.clearRect(0,0,j.width,j.height),k.fillText(f(55357,56425,55356,57341,55357,56507),0,0),e=j.toDataURL(),d!==e}return!1}function e(a){var c=b.createElement("script");c.src=a,c.defer=c.type="text/javascript",b.getElementsByTagName("head")[0].appendChild(c)}var f,g,h,i,j=b.createElement("canvas"),k=j.getContext&&j.getContext("2d");for(i=Array("flag","emoji4"),c.supports={everything:!0,everythingExceptFlag:!0},h=0;h<i.length;h++)c.supports[i[h]]=d(i[h]),c.supports.everything=c.supports.everything&&c.supports[i[h]],"flag"!==i[h]&&(c.supports.everythingExceptFlag=c.supports.everythingExceptFlag&&c.supports[i[h]]);c.supports.everythingExceptFlag=c.supports.everythingExceptFlag&&!c.supports.flag,c.DOMReady=!1,c.readyCallback=function(){c.DOMReady=!0},c.supports.everything||(g=function(){c.readyCallback()},b.addEventListener?(b.addEventListener("DOMContentLoaded",g,!1),a.addEventListener("load",g,!1)):(a.attachEvent("onload",g),b.attachEvent("onreadystatechange",function(){"complete"===b.readyState&&c.readyCallback()})),f=c.source||{},f.concatemoji?e(f.concatemoji):f.wpemoji&&f.twemoji&&(e(f.twemoji),e(f.wpemoji)))}(window,document,window._wpemojiSettings);
		</script>
		<style type="text/css">
img.wp-smiley,
img.emoji {
	display: inline !important;
	border: none !important;
	box-shadow: none !important;
	height: 1em !important;
	width: 1em !important;
	margin: 0 .07em !important;
	vertical-align: -0.1em !important;
	background: none !important;
	padding: 0 !important;
}
</style>
<link rel='stylesheet' id='contact-form-7-css'  href='http://www.sante-repere.fr/wp-content/plugins/contact-form-7/includes/css/styles.css?ver=4.8' type='text/css' media='all' />
<script type='text/javascript' src='http://www.sante-repere.fr/wp-includes/js/jquery/jquery.js?ver=1.12.4'></script>
<script type='text/javascript' src='http://www.sante-repere.fr/wp-includes/js/jquery/jquery-migrate.min.js?ver=1.4.1'></script>
<script type='text/javascript' src='http://www.sante-repere.fr/wp-content/themes/akproject/js/jquery-ui.js?ver=4.7.9'></script>
<script type='text/javascript' src='http://www.sante-repere.fr/wp-content/themes/akproject/js/liste_form.js?ver=4.7.9'></script>
<script type='text/javascript' src='http://www.sante-repere.fr/wp-content/themes/akproject/js/jquery.maskedinput.js?ver=4.7.9'></script>
<link rel='https://api.w.org/' href='http://www.sante-repere.fr/wp-json/' />
<link rel="alternate" type="application/json+oembed" href="http://www.sante-repere.fr/wp-json/oembed/1.0/embed?url=http%3A%2F%2Fwww.sante-repere.fr%2Ferreur-404%2F" />
<link rel="alternate" type="text/xml+oembed" href="http://www.sante-repere.fr/wp-json/oembed/1.0/embed?url=http%3A%2F%2Fwww.sante-repere.fr%2Ferreur-404%2F&#038;format=xml" />
        <script type="text/javascript">   
			jQuery(document).ready(function($) {
                $("ul#menu-principal>li:last").addClass("last");				$("#ariane li:last").addClass("last");				$("#content.interieur .post_content ul>li.page_item .children").parent().find("a:first").attr("href","javascript:void(0);");				$("#content.interieur .post_content li.page_item").click(
                 function(){
                    $(".post_content li.deplie").removeClass("deplie");    
                    if($(this).find(".children:first").css('display')=="none"){						$(this).addClass("deplie");                                    					}
                    else{                        $(this).removeClass("deplie");					}
                                $(this).find(".children").slideToggle("medium");
                        });
                        $("#content.interieur .post_content li.page_item .children li:last").addClass("last");
						$("#header ul#menu-principal>li").hover(
                            function(){
                                $(this).find(".sub-menu:first").stop().slideDown(100);
                            },
                            function(){
                                $(this).find(".sub-menu:first").stop().slideUp(100);
                            }
                        );  
                          $("#header ul#menu-principal>li ul>li").hover(
                            function(){
                                $(this).find(".sub-menu:first").stop().slideDown(100);
                            },
                            function(){
                                $(this).find(".sub-menu:first").stop().slideUp(100);
                            }
                        );
                        $("#pied #reseaux_sociaux span.rezo:first").attr("id","first_rezo");                        $("#bandeau_accueil #slogan #actions p:first").attr("id","first_action");                        $("#header ul#menu-principal li:last").addClass("last");                         $("#bandeau_accueil #slogan #actions p.action:first").attr("id","first_action");                        $(".sidebar #slogan #actions p.action:first").attr("id","first_action");                        $("#pied div#bandeau_bas ul ul").each(
                            function(){
                                $(this).find("li:first").addClass("first");
                            }
                        );
                        $("#pied ul#nav_pied li:first").addClass("first");
                     });
                </script>
</head>
<body>
                  <div id="page" class="interieur">
        <div id="fond_entete">
            <img src="http://www.sante-repere.fr/wp-content/themes/akproject/img/fond_bandeau_haut_int.jpg" alt="" title=""/>
        </div>
        <div id="fond_contenu">
            <span id="ombre_haut"></span>
        </div>
                 <div id="conteneur">
        <div id="header">
            <div id="navigation">
                   <span class="logo">
                                              <a href="http://www.sante-repere.fr"><img src="http://www.sante-repere.fr/wp-content/themes/akproject/img/logo.png" alt="" title="Accueil"/></a>
                                          </span>
            <div class="menu-principal-container"><ul id="menu-principal" class="menu"><li id="menu-item-1160" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1160"><a href="http://www.sante-repere.fr/remboursement-mutuelle/">Remboursement mutuelle</a>
<ul class="sub-menu">
	<li id="menu-item-1183" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1183"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-optique/">Remboursement optique</a></li>
	<li id="menu-item-1167" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1167"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-hospitalisation/">Remboursement hospitalisation</a></li>
	<li id="menu-item-1162" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1162"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-consultation/">Remboursement consultation</a></li>
	<li id="menu-item-1175" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1175"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-medicaments/">Remboursement médicaments</a></li>
	<li id="menu-item-1164" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1164"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-dentaire/">Remboursement dentaire</a></li>
	<li id="menu-item-1173" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1173"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-maternite/">Remboursement maternité</a></li>
	<li id="menu-item-1161" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1161"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-audioprothese/">Remboursement audioprothèse</a></li>
	<li id="menu-item-1202" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1202"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-prothese-capillaire/">Remboursement prothèse capillaire</a></li>
	<li id="menu-item-1195" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1195"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-cure-thermale/">Remboursement cure thermale</a></li>
	<li id="menu-item-1194" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1194"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-contraception/">Remboursement contraception</a></li>
	<li id="menu-item-1206" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1206"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-semelles-orthopediques/">Remboursement semelles orthopédiques</a></li>
	<li id="menu-item-1196" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1196"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-medecine-douce/">Remboursement médecine douce</a></li>
	<li id="menu-item-1207" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1207"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-vaccins/">Remboursement vaccins</a></li>
	<li id="menu-item-1201" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1201"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-podologue-pedicure/">Remboursement podologue pédicure</a></li>
</ul>
</li>
<li id="menu-item-1182" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1182"><a href="http://www.sante-repere.fr/sante-senior/">Santé Senior</a>
<ul class="sub-menu">
	<li id="menu-item-1152" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1152"><a href="http://www.sante-repere.fr/mutuelle-senior/">Mutuelle Senior</a></li>
	<li id="menu-item-1214" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1214"><a href="http://www.sante-repere.fr/sante-senior/mutuelle-depart-a-la-retraite/">Mutuelle départ à la retraite</a></li>
</ul>
</li>
<li id="menu-item-1180" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1180"><a href="http://www.sante-repere.fr/sante-famille/">Santé famille</a>
<ul class="sub-menu">
	<li id="menu-item-1157" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1157"><a href="http://www.sante-repere.fr/sante-de-votre-enfant/">Santé de votre enfant</a></li>
	<li id="menu-item-1153" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1153"><a href="http://www.sante-repere.fr/mutuelle-familiale/">Mutuelle familiale</a></li>
	<li id="menu-item-1154" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1154"><a href="http://www.sante-repere.fr/mutuelle-femme/">Mutuelle femme</a></li>
</ul>
</li>
<li id="menu-item-1181" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1181"><a href="http://www.sante-repere.fr/sante-jeunes/">Santé jeunes</a>
<ul class="sub-menu">
	<li id="menu-item-1155" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1155"><a href="http://www.sante-repere.fr/mutuelle-jeune/">Mutuelle jeune</a></li>
	<li id="menu-item-1156" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1156"><a href="http://www.sante-repere.fr/mutuelle-etudiante/">Mutuelle étudiante</a></li>
</ul>
</li>
<li id="menu-item-1241" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-1241"><a href="http://www.sante-repere.fr/mutuelle-entreprise">Mutuelle Entreprise</a>
<ul class="sub-menu">
	<li id="menu-item-1148" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1148"><a href="http://www.sante-repere.fr/mutuelle-tns/">Mutuelle TNS</a></li>
</ul>
</li>
<li id="menu-item-1158" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1158"><a href="http://www.sante-repere.fr/mutuelles/">Liste des mutuelles</a>
<ul class="sub-menu">
	<li id="menu-item-1159" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1159"><a href="http://www.sante-repere.fr/mutuelles/myriade/">MYRIADE</a></li>
	<li id="menu-item-1205" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1205"><a href="http://www.sante-repere.fr/mutuelles/vittavi/">VITTAVI</a></li>
</ul>
</li>
<li id="menu-item-1187" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-1187"><a href="http://www.sante-repere.fr/guide-mutuelle/">Guide mutuelle</a>
<ul class="sub-menu">
	<li id="menu-item-1188" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1188"><a href="http://www.sante-repere.fr/guide-mutuelle/cmu-complementaire/">CMU complémentaire</a></li>
	<li id="menu-item-1189" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1189"><a href="http://www.sante-repere.fr/guide-mutuelle/lexique-mutuelle/">Lexique mutuelle</a></li>
	<li id="menu-item-1209" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1209"><a href="http://www.sante-repere.fr/guide-mutuelle/resiliation-mutuelle/">Résiliation mutuelle</a></li>
	<li id="menu-item-1293" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-1293"><a href="#">Lois et Mutuelle</a>
	<ul class="sub-menu">
		<li id="menu-item-1190" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1190"><a href="http://www.sante-repere.fr/guide-mutuelle/loi-chatel-et-resiliation-mutuelle/">Loi Chatel et résiliation mutuelle</a></li>
		<li id="menu-item-1192" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1192"><a href="http://www.sante-repere.fr/guide-mutuelle/loi-madelin/">Loi Madelin</a></li>
		<li id="menu-item-1191" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1191"><a href="http://www.sante-repere.fr/guide-mutuelle/loi-evin-et-mutuelle/">Loi Evin</a></li>
	</ul>
</li>
	<li id="menu-item-1193" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1193"><a href="http://www.sante-repere.fr/guide-mutuelle/parcours-de-soins-coordonnes/">Parcours de soins coordonnés</a></li>
</ul>
</li>
</ul></div>            </div>
                    </div>
 <!-- ouvrir header,php -->

<div id="content" class="interieur">
    
    <div id="ariane">
    <!--<p>Vous êtes ici :--> <ul><li class="first"><a title="Accueil" href="http://www.sante-repere.fr"><img src="http://www.sante-repere.fr/wp-content/themes/akproject/img/home.png" alt="Accueil"/></a><span class="end">&nbsp;</span></li><li><span>erreur 404</span><span class="end">&nbsp;</span></li></ul></p>
</div>    
       
            <div id="presentation">
                <span id="image">
                    <img src="http://www.sante-repere.fr/wp-content/uploads/2017/06/favicon.ico" class="attachment-full size-full" alt="" />             </span>
                <div id="texte">
                    <h1>erreur 404</h1>
                                    </div>
                
                <span class="ombre_bas"></span>
            </div>
            <div class="post" id="post-1321">
                <div class="post_content">
                    <p>&nbsp;</p>
<p>Désolé, cette page n&rsquo;existe pas. <a href="http://www.sante-repere.fr">Retourner à l&rsquo;accueil</a></p>
                </div>
            </div>
                    <div class="sidebar" >
   
                
             
            
		<form id="formID" class="formular " method="post" action="#" >
                    
                    <div id="slogan">
                        <div style="font-size:17px; text-align:center; font-weight:bold;">Gratuit, facile et rapide</div>
                        <div style="font-weight:normal;text-align:center;">Vos tarifs et devis mutuelle</div>
                        <p class="action"><span class="cercle">1</span>Je cherche</p>
                        <p class="action"><span class="cercle">2</span>Je compare</p>
                        <p class="action"><span class="cercle">3</span>Je choisis</p>
                    </div>
                    
			<fieldset>
                            
                            <p style="display:none" id="mess_erreur">Veuillez corriger les champs en rouge </p>
                            
                                
                                <div>
                                    <span   id="liste_civilite">Civilité : </span>
                                    <label class="court">
                                    <input class="radio" type="radio" name="civilite"   id="civilite_m"  value="M." />M.</label>
                                    <label  class="court">
                                    <input class="radio" type="radio" name="civilite"    id="civilite_mme"  value="Mme" />Mme</label>
                                    <label  class="court">
                                    <input class="radio" type="radio" name="civilite"    id="civilite_mlle"  value="Mlle" />Mlle </label>
				</div>
                                
				<label >
					<span  >Nom : </span>
					<input class="required onlyLetter text-input" type="text" name="nom" id="nom" value="" />
				</label>
				<label>
					<span  >Prénom : </span>
					<input class="required onlyLetter text-input" type="text" name="prenom" id="prenom" value=""  />
				</label>
                                
                                <label>
					<span  >Code postal : </span>
                                        <input class="required codePostal text-input" maxlength="5" type="text" name="code_postal" id="code_postal" value=""  />
				</label>
                                <label id="label_ville" >
					<span   >Ville : </span>
                                        <select id="ville" name="ville" class="required"></select>
				</label>
                                <label>
					<span   >Date de naissance</span>
					<input class="required date text-input datepicker" maxlength="10" type="text" name="date_naissance" readonly  id="date_naissance"  value="" />
				</label>
                                <!--label>
					<span #error_date_prise_effet# >Prise d'effet souhaité </span>
                                        <input class="required date text-input datepicker" type="text" name="date_prise_effet" readonly maxlength="10" id="date_prise_effet" value="#date_prise_effet#"/>
				</label-->
                                 
                                 
                                <label>
					<span   >Régime:</span>
                                        <select name="regime" id="regime"  >
                                                <option value="RG" >Salarié</option><option value="RETRAITE" >Retraité</option><option value="TNS" >TNS - Indépendant</option><option value="ETU" >Etudiant</option><option value="CHOMAGE" >Sans emploi</option><option value="FONCTIONNAIRE" >Fonctionnaire</option><option value="AGRI" >Exploitant agricole</option><option value="AM" >Alsace - Moselle</option><option value="AUTRE" >Autre</option>
                                        </select>
				</label>   
                                    
                                <div>
					<span   id="liste_conjoint" >Conjoint : </span>
					<label  class="court"><input class="radio" type="radio" name="conjoint"   id="conjoint_oui"  value="oui" />Oui</label>
                                        <label  class="court"><input class="radio" type="radio" name="conjoint"    value="non" checked />Non</label>
				</div>
                                <label id="label_ne_conjoint" class="cacher">
					<span  >Né</span>
					<input class=" date text-input datepicker" maxlength="10" type="text" name="date_naissance_conjoint" readonly  id="date_naissance_conjoint"  value="" />
                                </label>
                                <label id="label_conjoint_regime"  class="cacher">
                                <span  #error_conjoint_regime# >Régime:</span>
                                    <select name="conjoint_regime" id="conjoint_regime"  >
                                            <option value="RG" >Salarié</option><option value="RETRAITE" >Retraité</option><option value="TNS" >TNS - Indépendant</option><option value="ETU" >Etudiant</option><option value="CHOMAGE" >Sans emploi</option><option value="FONCTIONNAIRE" >Fonctionnaire</option><option value="AGRI" >Exploitant agricole</option><option value="AM" >Alsace - Moselle</option><option value="AUTRE" >Autre</option>
                                    </select>
                                </label>    
                                    
                                <label>
					<span   >Nb d’enfants à assurer :</span>
                                        <select name="nombre_enfant" id="nombre_enfant"  >
                                            <option value="0" selected >Aucun enfant</option><option value="1" >1 enfant</option><option value="2" >2 enfants</option><option value="3" >3 enfants</option><option value="4" >4 enfants</option><option value="5" >5 enfants</option><option value="6" >6 enfants</option><option value="7" >7 enfants</option><option value="8" >8 enfants et +</option>
                                        </select>
				</label>
                                
                                 <label id="enfant_1"  class="cacher">
                                    <span>1<sup>er</sup> enfant</span>
                                    <input class="date text-input datepickerEnfant" maxlength="10" type="text" name="date_enfant_1"  id="date_enfant_1"  />
                                </label> 
                                
                                <label id="enfant_2" class="cacher">
                                    <span>2<sup>ème</sup> enfant</span>
                                    <input class="date text-input datepickerEnfant" maxlength="10" type="text" name="date_enfant_2"  id="date_enfant_2"  />
                                </label> 
                                <label id="enfant_3"  class="cacher">
                                    <span>3<sup>ème</sup> enfant</span>
                                    <input class="date text-input datepickerEnfant" maxlength="10" type="text" name="date_enfant_3"  id="date_enfant_3"  />
                                </label>  
                                  <label id="enfant_4"  class="cacher">
                                    <span>4<sup>ème</sup> enfant</span>
                                    <input class="date text-input datepickerEnfant" maxlength="10" type="text" name="date_enfant_4"  id="date_enfant_4"  />
                                </label>   
                                   <label>
					<span  >Téléphone : <div href="#" id="infobulle">(détails)<div id="textInfo">En renseignant votre n° de téléphone, vous acceptez que des assureurs ou courtiers vous proposent des devis en fonction de vos besoins.</div></div></span>
					<input class="required telephone text-input" type="text" name="telephone" maxlength="10" id="telephone" value=""  />
				</label>  
                                <label>
					<span   >Email : </span>
					<input class="required email text-input" type="text" name="email" id="email" value=""  />
				</label>
                                     <!--
                                 <label>
					<span  >Adresse : </span>
					<input class="required text-input" type="text" name="adresse" id="adresse" value="" />
				</label>
                                
                                -->
                                
                                <!--label>
					<span #error_besoins_specifiques# >Besoin spécifique :</span>
					<textarea class=" text-input" name="besoins_specifiques" besoins_specifiques" rows="3" cols="3">#besoins_specifiques#</textarea>
                                        
				</label-->
                                   
                                    
                                
                            <p id="btn_comparer"><input class="submit" type="submit" value="Comparer maintenant"  /></p>
				
			</fieldset>
		
</form>
		
	
<?    
</div></div>
</div>


<div id="footer">
    <div id="pied">
        <img id="fond_pied" src="http://www.sante-repere.fr/wp-content/themes/akproject/img/fond_bandeau_pied.jpg" alt="" title=""/>
        <div id="conteneur_pied">
            <div id="bandeau_bas">
                            </div>

            <ul id="nav_pied">
                <div class="menu-top-container"><ul id="menu-top" class="menu"><li id="menu-item-1263" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1263"><a href="http://www.sante-repere.fr/remboursement-mutuelle/">Complémentaire santé</a></li>
<li id="menu-item-1267" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-1267"><a href="http://www.sante-repere.fr/mutuelle-entreprise">Mutuelle obligatoire</a></li>
<li id="menu-item-1262" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1262"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-dentaire/">Mutuelle dentaire</a></li>
<li id="menu-item-1264" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1264"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-optique/">Mutuelle optique</a></li>
<li id="menu-item-1266" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1266"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-hospitalisation/">Mutuelle hospitalisation</a></li>
<li id="menu-item-1265" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1265"><a href="http://www.sante-repere.fr/remboursement-mutuelle/remboursement-maternite/">Assurance santé maternité</a></li>
<li id="menu-item-1210" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1210"><a rel="nofollow" href="http://www.sante-repere.fr/mentions-legales/">Mentions légales</a></li>
<li id="menu-item-1211" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1211"><a rel="nofollow" href="http://www.sante-repere.fr/plan-du-site/">Plan du site</a></li>
<li id="menu-item-1212" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-1212"><a rel="nofollow" href="http://www.sante-repere.fr/contact/">Contact</a></li>
</ul></div>            </ul>
        </div>
    </div>
</div>
<script>
 (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
 (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
 m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
 })(window,document,'script','https://www.google-analytics.com/analytics.js','ga');

 ga('create', 'UA-7358312-1', 'auto');
 ga('send', 'pageview');

</script></div>


</body>
</html>
