{"id":668,"date":"2019-08-19T14:45:04","date_gmt":"2019-08-19T12:45:04","guid":{"rendered":"http:\/\/ale-tournai.be\/?page_id=668"},"modified":"2019-09-12T13:36:00","modified_gmt":"2019-09-12T11:36:00","slug":"inscription-aleizee","status":"publish","type":"page","link":"https:\/\/esc-ale.be\/index.php\/inscription-aleizee\/","title":{"rendered":"Inscription ALE&rsquo;IZEE"},"content":{"rendered":"\n<div class=\"wp-block-themeisle-blocks-advanced-columns has-1-columns has-desktop-equal-layout has-tablet-equal-layout has-mobile-equal-layout has-default-gap has-vertical-unset\" id=\"wp-block-themeisle-blocks-advanced-columns-30765e97\" style=\"border-width:0px;border-style:solid;border-color:#000000;border-radius:0px;justify-content:unset\"><div class=\"wp-themeisle-block-overlay\" style=\"opacity:0.5;mix-blend-mode:normal\"><\/div><div class=\"innerblocks-wrap\">\n<div class=\"wp-block-themeisle-blocks-advanced-column\" id=\"wp-block-themeisle-blocks-advanced-column-87d10f61\" style=\"border-width:0px;border-style:solid;border-color:#000000;border-radius:0px\">\n<div id=\"vfb-form-8\" class=\"visual-form-builder-container\"><form id=\"inscription-aleizee-8\" class=\"visual-form-builder vfb-form-8 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"8\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 inscription-aleizee \" id=\"item-vfb-134\"><div class=\"vfb-legend\"><h3>Inscription Aleizee<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-number  \" id=\"item-vfb-138\"><label for=\"vfb-138\" class=\"vfb-desc\">Num\u00e9ro de registre national (NISS)  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-138\" id=\"vfb-138\" value=\"\" class=\"vfb-text  vfb-medium  required  digits \" \/><label>Vous trouverez votre num\u00e9ro de registre national au dos de votre carte d'identit\u00e9 belge. Voir sur la carte<\/label><\/span><\/li><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-139\"><label for=\"vfb-139\" class=\"vfb-desc\">Civilit\u00e9  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-139\" id=\"vfb-139\" class=\"vfb-select  vfb-medium  required \"><option value=\"Monsieur\">Monsieur<\/option><option value=\"Madame\">Madame<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-140\"><label for=\"vfb-140\" class=\"vfb-desc\">Nom  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-140\" id=\"vfb-140\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-142\"><label for=\"vfb-142\" class=\"vfb-desc\">Pr\u00e9nom  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-142\" id=\"vfb-142\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-141\"><label for=\"vfb-141\" class=\"vfb-desc\">T\u00e9l\u00e9phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-141\" id=\"vfb-141\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-151\"><label for=\"vfb-151\" class=\"vfb-desc\">Gsm  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-151\" id=\"vfb-151\" value=\"\" class=\"vfb-text  vfb-medium  required  \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-143\"><label for=\"vfb-143\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-143\" id=\"vfb-143\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-184\"><label for=\"vfb-184\" class=\"vfb-desc\">Adresse compl\u00e8te  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><textarea name=\"vfb-184\" id=\"vfb-184\" class=\"vfb-textarea  vfb-medium  required \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-date  \" id=\"item-vfb-145\"><label for=\"vfb-145\" class=\"vfb-desc\">Date souhait\u00e9e de l&#039;activit\u00e9  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-145\" id=\"vfb-145\" value=\"\" class=\"vfb-text vfb-date-picker  vfb-medium  required \" data-dp-dateFormat=\"dd\/mm\/yy\" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-147\"><label for=\"vfb-147\" class=\"vfb-desc\">Commentaires sur le service <\/label><div><textarea name=\"vfb-147\" id=\"vfb-147\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-150\"><label class=\"vfb-desc\">En soumettant ce formulaire, j&#039;accepte que les informations saisies soient exploit\u00e9es par le personnel habilit\u00e9 dans le cadre de ma demande et de la relation commerciale qui peut en d\u00e9couler. <\/label><div><span><label>En application de la loi du 5 mai 2018 relative \u00e0 la Protection des Donn\u00e9es (RGPD). *\r\nDisponible ici<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-150[]\" id=\"vfb-150-0\" value=\"\" class=\"vfb-checkbox  \" \/><label for=\"vfb-150-0\" class=\"vfb-choice\"><\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-135\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-136\" class=\"vfb-desc\">Tapez les caract\u00e8res que vous voyez <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-136\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-136\" id=\"vfb-136\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-137\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-137\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/668\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-fullwidth.php","meta":{"footnotes":""},"class_list":["post-668","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inscription ALE&#039;IZEE - Esc&#039;ALE ASBL - 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