<form action="https://www.tech-connect.info/wp-admin/admin-ajax.php" method="post" id="gdrf-form">
			<input type="hidden" name="action" value="gdrf_data_request" />
			<input type="hidden" name="gdrf_data_human_key" id="gdrf_data_human_key" value="10003" />
			<input type="hidden" name="gdrf_data_nonce" id="gdrf_data_nonce" value="af5ceb010e" />

					<div class="gdrf-field gdrf-field-action" role="radiogroup" aria-labelledby="gdrf-radio-label">
				<p id="gdrf-radio-label">
					Sélectionner un type de demande :				</p>

				<input id="gdrf-data-type-export" class="gdrf-data-type-input" type="radio" name="gdrf_data_type" value="export_personal_data" />
				<label for="gdrf-data-type-export" class="gdrf-data-type-label">
					Exporter mes données personnelles				</label>
				<br />
				<input id="gdrf-data-type-remove" class="gdrf-data-type-input" type="radio" name="gdrf_data_type" value="remove_personal_data" />
				<label for="gdrf-data-type-remove" class="gdrf-data-type-label">
					Supprimer mes données personnelles				</label>
			</div>
		
			<p class="gdrf-field gdrf-field-email">
				<label for="gdrf_data_email">
					Votre adresse de messagerie (obligatoire)				</label>
				<input type="email" id="gdrf_data_email" name="gdrf_data_email" required />
			</p>

			<p class="gdrf-field gdrf-field-human">
				<label for="gdrf_data_human">
					Vérification antispam (obligatoire) :					1 + 3 = ?				</label>
				<input type="text" id="gdrf_data_human" name="gdrf_data_human" required />
			</p>

			<p class="gdrf-field gdrf-field-submit">
				<input id="gdrf-submit-button" type="submit" class="wp-element-button" value="Envoyer la demande" />
			</p>
		</form>