{"id":85274,"date":"2023-06-19T08:40:18","date_gmt":"2023-06-19T12:40:18","guid":{"rendered":"https:\/\/www.cachc.ca\/programme-vda\/"},"modified":"2023-06-19T08:40:19","modified_gmt":"2023-06-19T12:40:19","slug":"programme-vda","status":"publish","type":"page","link":"https:\/\/www.cachc.ca\/fr\/programme-vda\/","title":{"rendered":"Programme VDA"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row padding_top=\u00a0\u00bb40px\u00a0\u00bb padding_bottom=\u00a0\u00bb20&Prime;][vc_column width=\u00a0\u00bb1\/6&Prime;][\/vc_column][vc_column width=\u00a0\u00bb2\/3&Prime;][vc_custom_heading text=\u00a0\u00bbProgramme de valeur dans les achats (VDA)\u00a0\u00bb font_container=\u00a0\u00bbtag:h1|text_align:center|color:%23000000&Prime; use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]<\/p>\n<p style=\"text-align: left;\">Le programme VDA permet aux centres de sant\u00e9 communautaires membres de l&rsquo;Association canadienne des centres de sant\u00e9 communautaire (ACCSC) de profiter de prix consid\u00e9rablement r\u00e9duits sur une large gamme de fournitures et de services (voir la liste ci-dessous). <span style=\"color: #000000;\">Le programme offre \u00e9galement aux CSC un soutien d&rsquo;achat \u00e9tendu de la part d&rsquo;un gestionnaire de compte d\u00e9di\u00e9 \u00e0 ASSOCIUM GAIN, le partenaire pancanadien du programme VDA de l&rsquo;ACCSC. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Le programme VDA est l`un des avantage de l&rsquo;adh\u00e9sion \u00e0 l&rsquo;ACCSC et aide votre CSC \u00e0 am\u00e9liorer vos r\u00e9sultats et \u00e0 rationaliser vos achats. C<\/span><span style=\"color: #000000;\">Remplissez le formulaire d&rsquo;inscription en ligne au programme VDA ci-dessous. <\/span><span style=\"color: #000000;\">Vous recevrez ensuite un courriel de notre responsable de compte du programme VDA chez ASSOCIUM GAIN vous expliquant comment d\u00e9marrer.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Si vous avez des questions, contactez Venessa Harris, coordonnatrice administrative de l&rsquo;ACCSC \u00e0 <a href=\"mailto:vharris@cachc.ca\" target=\"_blank\" rel=\"noopener\">vharris@cachc.ca<\/a>. Voir <\/span><span style=\"color: #000000;\"><a href=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/03\/VIP-Program-Case-Studies-and-Testimonials.pdf\" target=\"_blank\" rel=\"noopener\">\u00c9tudes de cas et t\u00e9moignages du programme VDA<\/a><\/span><\/p>\n<p>[\/vc_column_text][vc_custom_heading text=\u00a0\u00bbProduits et services \u00e0 prix r\u00e9duit via le programme VDA\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|text_align:center|color:%231db89b\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][\/vc_column][vc_column width=\u00a0\u00bb1\/6&Prime;][\/vc_column][\/vc_row][vc_row padding_top=\u00a0\u00bb\u00a0\u00bb padding_bottom=\u00a0\u00bb20px\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/3&Prime;][vc_column_text]Fournitures m\u00e9dicales et pharmaceutiques<\/p>\n<p>Fournitures de bureau et d&rsquo;installations<\/p>\n<p>Mobilier de bureau et design d&rsquo;int\u00e9rieur<\/p>\n<p>\u00c9quipement de bureau et technologie<\/p>\n<p>Lignes t\u00e9l\u00e9phoniques, VOIP, interurbains et sans frais<\/p>\n<p>Services de messagerie<\/p>\n<p>Des services de paie<\/p>\n<p>Conf\u00e9rences audio et Web<\/p>\n<p>Assurance commerciale<\/p>\n<p>REER collectifs[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/3&Prime;][vc_column_text]Fournitures dentaires<\/p>\n<p>Services et assistance informatiques<\/p>\n<p>Avantages sociaux collectifs des employ\u00e9s<\/p>\n<p>Services de conception graphique<\/p>\n<p>Nettoyage commercial<\/p>\n<p>Services de s\u00e9curit\u00e9<\/p>\n<p>D\u00e9chiquetage et stockage de documents<\/p>\n<p>D\u00e9veloppement RH et organisationnel<\/p>\n<p>Conf\u00e9rences audio et Web<\/p>\n<p>Photocopieurs et imprimantes[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/3&Prime;][vc_column_text]<span style=\"color: #000000;\">Appui \u00e0 l&rsquo;approvisionnement<\/span><\/p>\n<p><span style=\"color: #000000;\">Rep\u00e9rer tout probl\u00e8me de service client<\/span><\/p>\n<p><span style=\"color: #000000;\">Concevoir des processus d&rsquo;approvisionnement et des strat\u00e9gies de ma\u00eetrise des co\u00fbts uniques \u00e0 votre CSC<\/span><\/p>\n<p><span style=\"color: #000000;\">R\u00e9pondre aux demandes de devis<\/span><\/p>\n<p><span style=\"color: #000000;\">Aide \u00e0 la budg\u00e9tisation et pr\u00e9vision des besoins<\/span><\/p>\n<p><span style=\"color: #000000;\">Aide aux commandes sp\u00e9ciales<\/span><\/p>\n<p><span style=\"color: #000000;\">Alerter de mani\u00e8re proactive votre CSC avec des informations sur les produits, les promotions ou les services \u00e0 venir<\/span><\/p>\n<p><span style=\"color: #000000;\">Organiser des opportunit\u00e9s de r\u00e9seautage<\/span><\/p>\n<p><span style=\"color: #000000;\">R\u00e9alisation d&rsquo;exercices de benchmarking<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row padding_top=\u00a0\u00bb\u00a0\u00bb padding_bottom=\u00a0\u00bb\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/6&Prime;][\/vc_column][vc_column width=\u00a0\u00bb2\/3&Prime;][vc_custom_heading text=\u00a0\u00bbQuel est le co\u00fbt?\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|text_align:center|color:%231db89b\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Le programme VDA est offert en partenariat avec ASSOCIUM GAIN, une organisation d&rsquo;approvisionnement et d&rsquo;achats group\u00e9s qui est un chef de file canadien dans le domaine depuis 1996. L&rsquo;inscription au programme VDA s&rsquo;accompagne d&rsquo;une garantie de remboursement. Si votre CSC s&rsquo;inscrit mais n&rsquo;est pas convaincu que vous avez \u00e9conomis\u00e9 au moins le montant des frais d&rsquo;inscription annuels au cours de l&rsquo;ann\u00e9e, vos frais seront rembours\u00e9s en totalit\u00e9. <\/span>Les frais annuels de participation sont bas\u00e9s sur le budget de fonctionnement annuel total de votre organisation, comme suit (Budget de fonctionnement : frais annuels)<\/p>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/6&Prime;][\/vc_column][\/vc_row][vc_row padding_top=\u00a0\u00bb\u00a0\u00bb padding_bottom=\u00a0\u00bb\u00a0\u00bb][vc_column width=\u00a0\u00bb1\/4&Prime;][\/vc_column][vc_column width=\u00a0\u00bb1\/4&Prime;][vc_column_text]<\/p>\n<p style=\"text-align: right;\">Moins de 500 000 $<br \/>\n500 001 $ &#8211; 1 500 000 $<br \/>\n1 500 001 $ &#8211; 3 000 000 $<br \/>\n3 000 001 $ &#8211; 5 000 000 $<br \/>\n5 000 001 $ &#8211; 6 000 000 $<br \/>\n6 000 001 $ &#8211; 7 000 000 $<br \/>\n7 000 001 $ &#8211; 8 000 000 $<br \/>\n8 000 001 $ &#8211; 9 000 000 $<br \/>\n9 000 001 $ &#8211; 10 000 000 $<br \/>\n10 000 001 $ &#8211; 11 000 000 $<br \/>\n11 000 001 $ &#8211; 12 000 000 $<br \/>\n12 000 001 $ -13 000 000 $<br \/>\nPlus de 13 000 001 $[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/4&Prime;][vc_column_text]<\/p>\n<p style=\"text-align: left;\">: 125 $<br \/>\n: 200 $<br \/>\n: 250 $<br \/>\n: 300 $<br \/>\n: 350 $<br \/>\n: 400 $<br \/>\n: 450 $<br \/>\n: 500 $<br \/>\n: 550 $<br \/>\n: 600 $<br \/>\n: 650 $<br \/>\n: 700 $<br \/>\n: 750 $[\/vc_column_text][\/vc_column][vc_column width=\u00a0\u00bb1\/4&Prime;][\/vc_column][\/vc_row][vc_row][vc_column width=\u00a0\u00bb1\/6&Prime;][\/vc_column][vc_column width=\u00a0\u00bb2\/3&Prime;][vc_custom_heading text=\u00a0\u00bbInscrivez votre CSC au programme VDA\u00a0\u00bb font_container=\u00a0\u00bbtag:h2|text_align:center|color:%231db89b\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb]<script 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<div class='gform-body gform_body'><ul id='gform_fields_39' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_39_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_39_1'>Your Community Health Centre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_39_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_39_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label 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id='input_39_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_39_2_2' id='input_39_2_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_39_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_39_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_39_2_3' id='input_39_2_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_39_2_4_container' >\n                                        <select name='input_2.4' id='input_39_2_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_39_2_4' id='input_39_2_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip 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field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_39_11'>What areas of services\/supplies are you interested in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_39_11'><p>Please indicate which products and services you are interested in or would like more information about.&nbsp;<\/p>\n<\/div><div class='ginput_container ginput_container_multiselect'><select multiple='multiple' data-placeholder='Cliquez pour s\u00e9lectionner\u2026' size='7' name='input_11[]' id='input_39_11' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" aria-describedby=\"gfield_description_39_11\"><option value='Medical and Pharmaceutical Supplies' >Medical and Pharmaceutical Supplies<\/option><option value='Dental Supplies' >Dental Supplies<\/option><option value='Office and Facilities Supplies' >Office and Facilities Supplies<\/option><option value='Office Furniture and Interior Design' >Office Furniture and Interior Design<\/option><option value='Office Equipment and Technology' >Office Equipment and Technology<\/option><option value='Telephone Lines, VOIP, LD &amp; Toll Free' >Telephone Lines, VOIP, LD &amp; Toll Free<\/option><option value='Courier Services' >Courier Services<\/option><option value='Payroll Services' >Payroll Services<\/option><option value='Audio and Web Conferencing' >Audio and Web Conferencing<\/option><option value='Commercial Insurance' >Commercial Insurance<\/option><option value='Group RRSPs' >Group RRSPs<\/option><option value='IT Services and Support' >IT Services and Support<\/option><option value='Graphic Design Services' >Graphic Design Services<\/option><option value='Commercial Cleaning' >Commercial Cleaning<\/option><option value='Photocopiers\/Printers' >Photocopiers\/Printers<\/option><option value='Document Shredding &amp; Storage' >Document Shredding &amp; Storage<\/option><option value='Employee Group Benefits' >Employee Group Benefits<\/option><option value='HR and Organizational Development' >HR and Organizational Development<\/option><\/select><\/div><\/li><li id=\"field_39_8\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_39_8 gfield_product_39_8 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Your ASSOCIUM GAIN VIP Program Enrollment Fee<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_39_8'><p><strong>Annual enrollment fees are associated with your CHC&#39;s annual operating revenue. Please indicate your CHC&rsquo;s enrollment fee level.<\/strong><\/p>\n<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_39_8'>\n\t\t\t<li class='gchoice gchoice_39_8_0'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget under $500,000 (FEE: $125)|125'  id='choice_39_8_0'    \/>\n\t\t\t\t<label for='choice_39_8_0' id='label_39_8_0' class='gform-field-label gform-field-label--type-inline'>Operating Budget under $500,000 (FEE: $125)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_1'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $500,001 \u2013 $1,500,000 (FEE: $200)|200'  id='choice_39_8_1'    \/>\n\t\t\t\t<label for='choice_39_8_1' id='label_39_8_1' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $500,001 \u2013 $1,500,000 (FEE: $200)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_2'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $1,500,001 \u2013 $3,000,000 (FEE: $250)|250'  id='choice_39_8_2'    \/>\n\t\t\t\t<label for='choice_39_8_2' id='label_39_8_2' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $1,500,001 \u2013 $3,000,000 (FEE: $250)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_3'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $3,000,001 - $5,000,000 (FEE: $300)|300'  id='choice_39_8_3'    \/>\n\t\t\t\t<label for='choice_39_8_3' id='label_39_8_3' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $3,000,001 - $5,000,000 (FEE: $300)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_4'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $5,000,001 \u2013 $6,000,000 (FEE: $350)|350'  id='choice_39_8_4'    \/>\n\t\t\t\t<label for='choice_39_8_4' id='label_39_8_4' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $5,000,001 \u2013 $6,000,000 (FEE: $350)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_5'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $6,000,001 \u2013 $7,000,000 (FEE: $400)|400'  id='choice_39_8_5'    \/>\n\t\t\t\t<label for='choice_39_8_5' id='label_39_8_5' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $6,000,001 \u2013 $7,000,000 (FEE: $400)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_6'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $7,000,001 \u2013 $8,000,000 (FEE: $450)|450'  id='choice_39_8_6'    \/>\n\t\t\t\t<label for='choice_39_8_6' id='label_39_8_6' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $7,000,001 \u2013 $8,000,000 (FEE: $450)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_7'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $8,000,001 \u2013 $9,000,000 (FEE: $500)|500'  id='choice_39_8_7'    \/>\n\t\t\t\t<label for='choice_39_8_7' id='label_39_8_7' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $8,000,001 \u2013 $9,000,000 (FEE: $500)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_8'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $9,000,001 \u2013 $10,000,000 (FEE: $550)|550'  id='choice_39_8_8'    \/>\n\t\t\t\t<label for='choice_39_8_8' id='label_39_8_8' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $9,000,001 \u2013 $10,000,000 (FEE: $550)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_9'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $10,000,001 \u2013 $11,000,000 (FEE: $600)|600'  id='choice_39_8_9'    \/>\n\t\t\t\t<label for='choice_39_8_9' id='label_39_8_9' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $10,000,001 \u2013 $11,000,000 (FEE: $600)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_10'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $11,000,001 \u2013 $12,000,000 (FEE: $650)|650'  id='choice_39_8_10'    \/>\n\t\t\t\t<label for='choice_39_8_10' id='label_39_8_10' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $11,000,001 \u2013 $12,000,000 (FEE: $650)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_11'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between $12,000,001 \u2013 $13,000,000 (FEE: $700)|700'  id='choice_39_8_11'    \/>\n\t\t\t\t<label for='choice_39_8_11' id='label_39_8_11' class='gform-field-label gform-field-label--type-inline'>Operating Budget between $12,000,001 \u2013 $13,000,000 (FEE: $700)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_39_8_12'>\n\t\t\t\t<input name='input_8' type='radio' value='Operating Budget between above $13,000,001 (FEE: $750)|750'  id='choice_39_8_12'    \/>\n\t\t\t\t<label for='choice_39_8_12' id='label_39_8_12' class='gform-field-label gform-field-label--type-inline'>Operating Budget between above $13,000,001 (FEE: $750)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_39_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">In order to assist us in providing efficient and effective support, please provide us contact information for the most appropriate staff members at your centre for the following broad areas of activity.<\/h2><\/li><li id=\"field_39_5\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Supplies Contact at Your CHC<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_39_5'><p>VIP Program Areas this covers:&nbsp;Medical Supplies; Dental Supplies; Office Supplies; Facilities Supplies; Interiors; Furniture<\/p>\n\n<p>&nbsp;<\/p>\n<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_39_5'>\n                            \n                            <span id='input_39_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_39_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_39_5_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_39_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_39_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_39_5_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_39_5_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.8' id='input_39_5_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_5_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_39_14\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Operations Contact at Your CHC<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_39_14'><p>VIP Program Areas this covers:&nbsp;Courier Services; Employee Assistance Program; Human Resources &amp; Organizational Development; Insurance; Employee Group Benefits; Group RRSPs; Graphic Design Services; Shredding Services; Security Services and Background Checks; Janitorial Services &nbsp;<\/p>\n\n<p>&nbsp;<\/p>\n<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_39_14'>\n                            \n                            <span id='input_39_14_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.3' id='input_39_14_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_39_14_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_39_14_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.6' id='input_39_14_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_39_14_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_39_14_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_14.8' id='input_39_14_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_14_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_39_13\" class=\"gfield gfield--type-name field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Technology Contact at Your CHC<\/label><div class='gfield_description' id='gfield_description_39_13'><p>VIP Program Areas this covers:&nbsp;Internet\/Teleconferencing Services; Telephone Lines, Long Distance &amp; VOIP Services; Telephone &amp; VOIP hardware; IT (Cloud) Services; Photocopier Purchasing; Tech Equipment; Office Equipment<\/p>\n\n<p>&nbsp;<\/p>\n<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_39_13'>\n                            \n                            <span id='input_39_13_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.3' id='input_39_13_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_13_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_39_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.6' id='input_39_13_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_13_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_39_13_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.8' id='input_39_13_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_13_8' class='gform-field-label gform-field-label--type-sub '>Email<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_39_15\" class=\"gfield gfield--type-name field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Finance Contact at Your CHC<\/label><div class='gfield_description' id='gfield_description_39_15'><p>VIP Program Areas this covers: Financial Auditing &amp; Taxation Services; Accounts Payable; Payroll Services<\/p>\n\n<p>&nbsp;<\/p>\n<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name has_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_39_15'>\n                            \n                            <span id='input_39_15_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.3' id='input_39_15_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_15_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_39_15_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_15.6' id='input_39_15_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_39_15_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_39_15_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' 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