{"id":392,"date":"2021-04-07T14:43:00","date_gmt":"2021-04-07T14:43:00","guid":{"rendered":"https:\/\/www.terredesens.be\/?page_id=392"},"modified":"2023-07-31T10:21:27","modified_gmt":"2023-07-31T10:21:27","slug":"inscription-tolede-andalousie","status":"publish","type":"page","link":"https:\/\/www.terredesens.be\/index.php\/inscription-tolede-andalousie\/","title":{"rendered":"Inscription Tol\u00e8de et l\u2019Andalousie du 26 septembre au 2 octobre 2023"},"content":{"rendered":"<form action=\"https:\/\/www.terredesens.be\/formulaire\/action.php\" method=\"POST\"><input name=\"Inscription\" type=\"hidden\" value=\"Tol\u00e8de et l\u2019Andalousie du 26 septembre au 2 octobre 2023\" \/><\/p>\n<h4><span style=\"color: #234f8c;\"><strong>1. Vos coordonn\u00e9es :<\/strong><\/span><br \/>\n<span class=\"sous_titre\" style=\"font-size: 16px; margin-bottom: 20px; color: #234f8c;\">(Telles qu&rsquo;indiqu\u00e9es sur votre carte d&rsquo;identit\u00e9) <\/span><\/h4>\n<h4><input name=\"Civilit\u00e9\" required=\"required\" type=\"radio\" value=\"M.\" \/> M.\u00a0 <input name=\"Civilit\u00e9\" type=\"radio\" value=\"Mme\" \/> Mme. <input name=\"Civilit\u00e9\" type=\"radio\" value=\"Mle\" \/> Mle<\/h4>\n<h4>Nom :<br \/>\n<input name=\"Nom\" required=\"required\" size=\"40\" type=\"text\" \/><\/h4>\n<h4>Pr\u00e9nom :<br \/>\n<input name=\"Pr\u00e9nom\" required=\"required\" size=\"37\" type=\"text\" \/><\/h4>\n<h4>Adresse N\u00b0\/Bte + code postal + localit\u00e9 :<\/h4>\n<h4>\n<textarea cols=\"41\" name=\"Adresse\" required=\"required\" rows=\"4\"><\/textarea><\/h4>\n<h4>Email :<br \/>\n<input name=\"Email\" required=\"required\" size=\"40\" type=\"text\" \/><\/h4>\n<h4>Num\u00e9ro de t\u00e9l\u00e9phone :<br \/>\n<input name=\"T\u00e9l\u00e9phone\" required=\"required\" size=\"21\" type=\"text\" \/><\/h4>\n<h4>Date de naissance :<br \/>\n<input name=\"Naissance\" required=\"required\" size=\"40\" type=\"text\" \/><\/h4>\n<h4>Nationalit\u00e9 :<br \/>\n<input name=\"Nationalit\u00e9\" required=\"required\" size=\"33\" type=\"text\" \/><\/h4>\n<h4>Profession :<br \/>\n<input name=\"Profession\" size=\"34\" type=\"text\" \/><strong><br \/>\n<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<h4>Inscription d&rsquo;une 2\u00e8 personne domicili\u00e9e \u00e0 la m\u00eame adresse (facultatif) :<\/h4>\n<h4><input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"M.\" \/> M.\u00a0 <input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"Mme\" \/> Mme. <input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"Mle\" \/> Mle<\/h4>\n<h4>Nom :<br \/>\n<input name=\"Nom_b\" size=\"40\" type=\"text\" \/><\/h4>\n<h4>Pr\u00e9nom :<br \/>\n<input name=\"Pr\u00e9nom_b\" size=\"37\" type=\"text\" \/><\/h4>\n<h4>Email :<br \/>\n<input name=\"Email_b\" type=\"text\" \/><\/h4>\n<h4>Num\u00e9ro de t\u00e9l\u00e9phone :<br \/>\n<input name=\"T\u00e9l\u00e9phone_b\" size=\"21\" type=\"text\" \/><\/h4>\n<h4>Date de naissance :<br \/>\n<input name=\"Naissance_b\" size=\"40\" type=\"text\" \/><\/h4>\n<h4>Nationalit\u00e9 :<br \/>\n<input name=\"Nationalit\u00e9_b\" size=\"33\" type=\"text\" \/><\/h4>\n<h4>Profession :<br \/>\n<input name=\"Profession_b\" size=\"34\" type=\"text\" \/><strong><br \/>\n<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #234f8c;\"><strong>2. Car ou navette :<\/strong><\/span><br \/>\nJe souhaiterais embarquer \u00e0 :<br \/>\n<input name=\"Car\" size=\"30\" type=\"text\" \/><strong><br \/>\n<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #234f8c;\"><strong>3. Type de chambre :<\/strong><\/span><br \/>\n<input name=\"Chambre\" required=\"required\" type=\"radio\" value=\"Double (1grand lit)\" \/> Double (1grand lit)<br \/>\n<input name=\"Chambre\" type=\"radio\" value=\"Double (2 lits)\" \/> Double (2 lits)<br \/>\n<input name=\"Chambre\" type=\"radio\" value=\"Individuelle\" \/> Individuelle (suppl\u00e9ment :425 \u20ac)<\/h4>\n<h4>Je d\u00e9sire partager ma chambre avec :<br \/>\n<input name=\"Partager\" size=\"30\" type=\"text\" \/><strong><br \/>\n<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #234f8c;\"><strong>4. Personnes \u00e0 contacter en cas d&rsquo;urgence (nom et t\u00e9l\u00e9phone) :<\/strong><\/span><br \/>\n1. <input name=\"Urgence_a\" size=\"60\" type=\"text\" \/><br \/>\n2. <input name=\"Urgence_b\" size=\"60\" type=\"text\" \/><\/h4>\n<p>&nbsp;<\/p>\n<h4><span style=\"color: #234f8c;\"><strong>5. Remarques :<\/strong><\/span><br \/>\n<textarea cols=\"50\" name=\"Remarques\" rows=\"6\"><\/textarea><strong><br \/>\n<\/strong><\/h4>\n<p><span style=\"color: #ffffff;\">Email :<\/span><br \/>\n<input name=\"Email_c\" type=\"text\" style=\"display&#58;none\"\/><br \/>\n&nbsp;<\/p>\n<h4><span style=\"color: #234f8c;\"><strong>6. Prix du voyage :<\/strong><\/span><\/h4>\n<h4>Prix : 1990 \u20ac<\/h4>\n<p><input name=\"Prix\" type=\"hidden\" value=\"1990 \u20ac\" \/><\/p>\n<h4>Suppl\u00e9ment : <input name=\"Suppl\u00e9ment\" size=\"30\" type=\"text\" \/><\/h4>\n<h4>R\u00e9duction : <input name=\"R\u00e9duction\" size=\"30\" type=\"text\" \/><\/h4>\n<h4>Don : <input name=\"Don\" size=\"30\" type=\"text\" \/><\/h4>\n<h4>Total : <input name=\"Total\" size=\"46\" type=\"text\" \/><\/h4>\n<h4><input name=\"CG\" required=\"required\" type=\"checkbox\" value=\"Oui\" \/> En cochant cette case, j&rsquo;accepte les conditions g\u00e9n\u00e9rales<\/h4>\n<p><input style=\"width: 130px; height: 40px; font-size: 15px;\" type=\"submit\" value=\"Envoyer\" \/><\/p>\n<\/form>\n<p style=\"text-align: center;\">\n","protected":false},"excerpt":{"rendered":"<p>1. Vos coordonn\u00e9es : (Telles qu&rsquo;indiqu\u00e9es sur votre carte d&rsquo;identit\u00e9) M.\u00a0 Mme. Mle Nom : Pr\u00e9nom : Adresse N\u00b0\/Bte + code postal + localit\u00e9 : Email : Num\u00e9ro de t\u00e9l\u00e9phone : Date de naissance : Nationalit\u00e9 : Profession : &nbsp; Inscription d&rsquo;une 2\u00e8 personne domicili\u00e9e \u00e0 la m\u00eame adresse (facultatif) : M.\u00a0 Mme. Mle Nom [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-392","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/pages\/392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/comments?post=392"}],"version-history":[{"count":0,"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/pages\/392\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.terredesens.be\/index.php\/wp-json\/wp\/v2\/media?parent=392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}