{"id":299,"date":"2022-02-23T14:29:30","date_gmt":"2022-02-23T14:29:30","guid":{"rendered":"http:\/\/ebtikarweb.com\/?page_id=299"},"modified":"2024-09-08T22:52:10","modified_gmt":"2024-09-08T22:52:10","slug":"formulaire-dadhesion-a-lassociation-asmon","status":"publish","type":"page","link":"https:\/\/ebtikarweb.com\/asmon\/","title":{"rendered":"FORMULAIRE D&rsquo;ADH\u00c9SION \u00c0 L&rsquo;ASSOCIATION ASMON"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" src=\"https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON.jpeg\" alt=\"\" class=\"wp-image-1537\" width=\"298\" height=\"303\" srcset=\"https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON.jpeg 1006w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-295x300.jpeg 295w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-768x782.jpeg 768w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-143x146.jpeg 143w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-50x50.jpeg 50w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-74x75.jpeg 74w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-85x85.jpeg 85w, https:\/\/ebtikarweb.com\/asmon\/wp-content\/uploads\/2024\/09\/ASMON-80x80.jpeg 80w\" sizes=\"(max-width: 298px) 100vw, 298px\" \/><\/figure>\n\n\n\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-298\"><form id=\"wpforms-form-298\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"298\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/asmon\/wp-json\/wp\/v2\/pages\/299\" data-token=\"0fdd5bf86c33eda44a9c0aa7a9bd7286\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-298-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_15\">TITRE <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-298-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-298-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Mr\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-298-field_15_1\">Mr<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-298-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Mme\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-298-field_15_2\">Mme<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-298-field_15_3\" name=\"wpforms[fields][15][]\" value=\"Mlle\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-298-field_15_3\">Mlle<\/label><\/li><\/ul><\/div><div id=\"wpforms-298-field_14-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_14\">NOM <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-298-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_3\">PR\u00c9NOM <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-298-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_4\">NUM\u00c9RO DE LA CARTE NATIONALE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-298-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_5\">DATE DE NAISSANCE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-298-field_6-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_6\">VILLE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-298-field_7-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_7\">NUM\u00c9RO DE T\u00c9L\u00c9PHONE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-298-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_8\">EMAIL<\/label><input type=\"text\" id=\"wpforms-298-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-298-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_9\">NOM D&#039;UN CONTACT DE VOTRE FAMILLE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-298-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_10\">T\u00c9L\u00c9PHONE DU CONTACT DE VOTRE FAMILLE <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-298-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-298-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_2\">INFORMATIONS M\u00c9DICALES <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-298-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/textarea><\/div><div id=\"wpforms-298-field_13-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-298-field_13\">ACCEPTATION DES R\u00c8GLES ET DROITS D&#039;ADH\u00c9SION \u00c0 L&#039;ASSOCIATION <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-298-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-298-field_13_1\" name=\"wpforms[fields][13]\" value=\"J&#039;ACCEPTE \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-298-field_13_1\">J'ACCEPTE <\/label><\/li><\/ul><div class=\"wpforms-field-description\"><a href=\"http:\/\/ebtikarweb.com\/asmon\/reglement-interne-asmon\/\" target=\"_blank\">(*Consultez le r\u00e8glement interne de l'association en cliquant ici)<\/a><\/div><\/div><\/div><div class=\"wpforms-submit-container\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"298\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-298\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"TERMINER ET ENVOYER\" aria-live=\"assertive\" value=\"wpforms-submit\">TERMINER ET ENVOYER<\/button><img src=\"https:\/\/ebtikarweb.com\/asmon\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.TITRE *MrMmeMlleNOM *PR\u00c9NOM *NUM\u00c9RO DE LA CARTE NATIONALE *DATE DE NAISSANCE *VILLE *NUM\u00c9RO DE T\u00c9L\u00c9PHONE *EMAILNOM D&#039;UN<span class=\"excerpt-hellip\"> [\u2026]<\/span>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/pages\/299"}],"collection":[{"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/comments?post=299"}],"version-history":[{"count":5,"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/pages\/299\/revisions"}],"predecessor-version":[{"id":1539,"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/pages\/299\/revisions\/1539"}],"wp:attachment":[{"href":"https:\/\/ebtikarweb.com\/asmon\/wp-json\/wp\/v2\/media?parent=299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}