{"id":2109,"date":"2020-06-08T16:40:43","date_gmt":"2020-06-08T14:40:43","guid":{"rendered":"http:\/\/carolor.org\/?page_id=2109"},"modified":"2025-03-07T10:17:39","modified_gmt":"2025-03-07T09:17:39","slug":"formulaire-de-demande-dadhesion","status":"publish","type":"page","link":"https:\/\/carolor.org\/index.php\/formulaire-de-demande-dadhesion\/","title":{"rendered":"Formulaire de demande d&#8217;adh\u00e9sion"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2109\" class=\"elementor elementor-2109\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2aca1234 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2aca1234\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-af06a9e\" data-id=\"af06a9e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-744ad1d3 elementor-widget elementor-widget-text-editor\" data-id=\"744ad1d3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p><!-- wp:paragraph --><\/p>\n<p>Vous avez d\u00e9cid\u00e9 de nous rejoindre ? Bravo !\u00a0<b style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem;\">Vous pouvez remplir le formulaire ci-dessous afin que votre demande d&#8217;adh\u00e9sion soit enregistr\u00e9e.<\/b><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>En demandant l&#8217;adh\u00e9sion au r\u00e9seau du Carol&#8217;Or, vous devenez membre de notre ASBL, ce qui implique des droits et des obligations. Si vous ne l&#8217;avez pas encore fait, veuillez prendre connaissance des <a href=\"http:\/\/carolor.org\/wp-content\/uploads\/2019\/02\/Statuts-CarolOr-Version-finale.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Statuts de l&#8217;ASBL Carol&#8217;Or<\/a>\u00a0 ainsi que de notre <a href=\"http:\/\/carolor.org\/wp-content\/uploads\/2019\/05\/CarolOr-ROI-Version-CA-070519.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">R\u00e8glement d&#8217;Ordre Int\u00e9rieur<\/a>.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Une fois votre formulaire envoy\u00e9, notre \u00e9quipe vous contactera afin de prendre rendez-vous avec vous pour la signature de votre convention (si aucun probl\u00e8me n&#8217;est rencontr\u00e9), la remise de l&#8217;autocollant officiel, ainsi que pour r\u00e9pondre \u00e0 toutes vos questions techniques et op\u00e9rationnelles.<\/p>\n<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">\r\n        \r\n\r\n                <form class=\"wpuf-form-add weforms-2082  wpuf-theme-style\" action=\"\" method=\"post\"   id=\"\">\r\n\r\n            <ul class=\"wpuf-form form-label-left\">\r\n\r\n                        <li class=\"wpuf-el \" data-label=\"Donn\u00e9es Personnelles\">\r\n            <div class=\"wpuf-section-wrap wpuf-fields section_2082 wpuf__2082\" data-style=\"wpuf-style\">\r\n                <h2 class=\"wpuf-section-title\">Donn\u00e9es Personnelles<\/h2>\r\n                <div class=\"wpuf-section-details\">Vous mentionnez ici vos coordonn\u00e9es en tant que personne physique.<\/div>\r\n            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el civilit_ field-size-large\" data-label=\"Civilit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"civilit__2082\">Civilit\u00e9 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            \r\n            <div class=\"wpuf-fields\">\r\n                <select\r\n                    class=\"wpuf_civilit__2082\"\r\n                    id=\"civilit__2082\"\r\n                    name=\"civilit_\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"select\"\r\n                    data-style=\"wpuf-style\"\r\n                >\r\n                                            <option value=\"\">\u2014 Select \u2014<\/option>\r\n                                                                    <option value=\"M.\">M.<\/option>\r\n                                                        <option value=\"Mme\">Mme<\/option>\r\n                                            <\/select>\r\n                            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el identit_ field-size-large\" data-label=\"Identit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"identit__2082\">Identit\u00e9 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <div class=\"wpuf-name-field-wrap format-first-last\" data-style=\"wpuf-theme-style\">\r\n                    <div class=\"wpuf-name-field-first-name\">\r\n                        <input\r\n                            name=\"identit_[first]\"\r\n                            type=\"text\"\r\n                            placeholder=\"\"\r\n                            value=\"\"\r\n                            size=\"40\"\r\n                            data-required=\"yes\"\r\n                            data-type=\"text\"\r\n                            data-style=\"wpuf-theme-style\"\r\n                            class=\"textfield wpuf_identit__2082\"\r\n                            autocomplete=\"given-name\"\r\n                        >\r\n                                                    <label class=\"wpuf-form-sub-label\" data-style=\"wpuf-theme-style\">First<\/label>\r\n                                            <\/div>\r\n\r\n                                            <input type=\"hidden\" name=\"identit_[middle]\" value=\"\">\r\n                    \r\n                    <div class=\"wpuf-name-field-last-name\">\r\n                        <input\r\n                            name=\"identit_[last]\"\r\n                            type=\"text\" class=\"textfield\"\r\n                            placeholder=\"\"\r\n                            value=\"\"\r\n                            size=\"40\"\r\n                            autocomplete=\"family-name\"\r\n                            data-style=\"wpuf-theme-style\"\r\n                        >\r\n                                                    <label class=\"wpuf-form-sub-label\" data-style=\"wpuf-theme-style\">Last<\/label>\r\n                                            <\/div>\r\n                <\/div>\r\n                            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el email_personnel field-size-large\" data-label=\"Email personnel\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"email_personnel_2082\">Email personnel <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"email_personnel_2082\"\r\n                    type=\"email\"\r\n                    class=\"email  wpuf_email_personnel_2082\"\r\n                    data-duplicate=\"\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"email\"\r\n                    data-style=\"wpuf-theme-style\"\r\n                    name=\"email_personnel\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    autocomplete=\"email\"\r\n                \/>\r\n                            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el portable_personnel field-size-large\" data-label=\"Portable personnel\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"portable_personnel_2082\">Portable personnel<\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_portable_personnel_2082\"\r\n                        id=\"portable_personnel_2082\"\r\n                        name=\"portable_personnel\"\r\n                        data-required=\"no\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el fixe field-size-large\" data-label=\"Fixe\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"fixe_2082\">Fixe<\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_fixe_2082\"\r\n                        id=\"fixe_2082\"\r\n                        name=\"fixe\"\r\n                        data-required=\"no\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el \" data-label=\"Donn\u00e9es activit\u00e9\">\r\n            <div class=\"wpuf-section-wrap wpuf-fields section_2082 wpuf__2082\" data-style=\"wpuf-style\">\r\n                <h2 class=\"wpuf-section-title\">Donn\u00e9es activit\u00e9<\/h2>\r\n                <div class=\"wpuf-section-details\">Vous pr\u00e9cisez ici les donn\u00e9es de votre activit\u00e9 ou commerce.  Elles seront utilis\u00e9es pour en assurer la promotion sur notre site.<\/div>\r\n            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el text_3\" data-label=\"Nom de votre activit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"text_3_2082\">Nom de votre activit\u00e9 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_text_3_2082\"\r\n                    id=\"text_3_2082\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"text_3\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"\"\r\n                    data-style=\"wpuf-theme-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                            <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el secteur_d_activit_ field-size-large\" data-label=\"Secteur d&#039;activit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"secteur_d_activit__2082\">Secteur d&#039;activit\u00e9 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            \r\n            <div class=\"wpuf-fields\">\r\n                <select\r\n                    class=\"wpuf_secteur_d_activit__2082\"\r\n                    id=\"secteur_d_activit__2082\"\r\n                    name=\"secteur_d_activit_\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"select\"\r\n                    data-style=\"wpuf-style\"\r\n                >\r\n                                            <option value=\"\">\u2014 Select \u2014<\/option>\r\n                                                                    <option value=\"autre\">Autre<\/option>\r\n                                                        <option value=\"am\u00e9nagement_int\u00e9rieur\">Am\u00e9nagement Int\u00e9rieur<\/option>\r\n                                                        <option value=\"animation_jeunesse\">Animation Jeunesse<\/option>\r\n                                                        <option value=\"artiste_graphique\">Artiste Graphique<\/option>\r\n                                                        <option value=\"artiste_musical\">Artiste Musical<\/option>\r\n                                                        <option value=\"association\">Association<\/option>\r\n                                                        <option value=\"bar\">Bar<\/option>\r\n                                                        <option value=\"bar_\u00e0_vin\">Bar \u00e0 vin<\/option>\r\n                                                        <option value=\"bien-\u00eatre\">Bien-\u00eatre<\/option>\r\n                                                        <option value=\"bijouterie\">Bijouterie<\/option>\r\n                                                        <option value=\"boucherie\">Boucherie<\/option>\r\n                                                        <option value=\"boulangerie\">Boulangerie<\/option>\r\n                                                        <option value=\"bricolage\">Bricolage<\/option>\r\n                                                        <option value=\"cadeaux\">Cadeaux<\/option>\r\n                                                        <option value=\"caf\u00e9\">Caf\u00e9<\/option>\r\n                                                        <option value=\"centre_jeux,_attractions\">Centre jeux, attractions<\/option>\r\n                                                        <option value=\"centre_m\u00e9dical\">Centre M\u00e9dical<\/option>\r\n                                                        <option value=\"chaussures\">Chaussures<\/option>\r\n                                                        <option value=\"chocolaterie\">Chocolaterie<\/option>\r\n                                                        <option value=\"cin\u00e9ma\">Cin\u00e9ma<\/option>\r\n                                                        <option value=\"club_sportif\">Club Sportif<\/option>\r\n                                                        <option value=\"coiffure\">Coiffure<\/option>\r\n                                                        <option value=\"construction\">Construction<\/option>\r\n                                                        <option value=\"cordonnier\">Cordonnier<\/option>\r\n                                                        <option value=\"d\u00e9coration\">D\u00e9coration<\/option>\r\n                                                        <option value=\"dentiste\">Dentiste<\/option>\r\n                                                        <option value=\"distributeur_\u00e9nergie\">Distributeur \u00e9nergie<\/option>\r\n                                                        <option value=\"electrom\u00e9nager\">Electrom\u00e9nager<\/option>\r\n                                                        <option value=\"eleveur\">Eleveur<\/option>\r\n                                                        <option value=\"enseignement\">Enseignement<\/option>\r\n                                                        <option value=\"epicerie\">Epicerie<\/option>\r\n                                                        <option value=\"ev\u00e8nementiel\">Ev\u00e8nementiel<\/option>\r\n                                                        <option value=\"fleuriste\">Fleuriste<\/option>\r\n                                                        <option value=\"garage\">Garage<\/option>\r\n                                                        <option value=\"g\u00eete\">G\u00eete<\/option>\r\n                                                        <option value=\"herboristerie\">Herboristerie<\/option>\r\n                                                        <option value=\"hotel\">Hotel<\/option>\r\n                                                        <option value=\"informatique\">Informatique<\/option>\r\n                                                        <option value=\"jardinerie\">Jardinerie<\/option>\r\n                                                        <option value=\"jouets\">Jouets<\/option>\r\n                                                        <option value=\"librairie\">Librairie<\/option>\r\n                                                        <option value=\"lithoth\u00e9rapie\">Lithoth\u00e9rapie<\/option>\r\n                                                        <option value=\"magasin_bd\">Magasin BD<\/option>\r\n                                                        <option value=\"magasin_d\u00e9coration,_mode,_accessoires\">Magasin d\u00e9coration, mode, accessoires<\/option>\r\n                                                        <option value=\"magasin_sport\">Magasin Sport<\/option>\r\n                                                        <option value=\"m\u00e9decin\">M\u00e9decin<\/option>\r\n                                                        <option value=\"m\u00e9dia\">M\u00e9dia<\/option>\r\n                                                        <option value=\"miellerie_&amp;_apiculteur\">Miellerie &amp; Apiculteur<\/option>\r\n                                                        <option value=\"mode\">Mode<\/option>\r\n                                                        <option value=\"mode_femmes\">Mode Femmes<\/option>\r\n                                                        <option value=\"mus\u00e9e\">Mus\u00e9e<\/option>\r\n                                                        <option value=\"mus\u00e9e_art\">Mus\u00e9e Art<\/option>\r\n                                                        <option value=\"mus\u00e9e_photographie\">Mus\u00e9e Photographie<\/option>\r\n                                                        <option value=\"opticien\">Opticien<\/option>\r\n                                                        <option value=\"patisserie\">Patisserie<\/option>\r\n                                                        <option value=\"parapharmacie\">Parapharmacie<\/option>\r\n                                                        <option value=\"peinture\">Peinture<\/option>\r\n                                                        <option value=\"pharmacie\">Pharmacie<\/option>\r\n                                                        <option value=\"photographie\">Photographie<\/option>\r\n                                                        <option value=\"piscine\">Piscine<\/option>\r\n                                                        <option value=\"pizzeria\">Pizzeria<\/option>\r\n                                                        <option value=\"poissonnerie\">Poissonnerie<\/option>\r\n                                                        <option value=\"producteur_local\">Producteur Local<\/option>\r\n                                                        <option value=\"restaurant\">Restaurant<\/option>\r\n                                                        <option value=\"salle_sport\">Salle Sport<\/option>\r\n                                                        <option value=\"salon_de_th\u00e9\">Salon de th\u00e9<\/option>\r\n                                                        <option value=\"sandwicherie\">Sandwicherie<\/option>\r\n                                                        <option value=\"sanitaire,_chauffage\">Sanitaire, Chauffage<\/option>\r\n                                                        <option value=\"savons,_parfums\">Savons, Parfums<\/option>\r\n                                                        <option value=\"seconde_main\">Seconde Main<\/option>\r\n                                                        <option value=\"serrurier\">Serrurier<\/option>\r\n                                                        <option value=\"services\">Services<\/option>\r\n                                                        <option value=\"services_financiers\">Services Financiers<\/option>\r\n                                                        <option value=\"snack\">Snack<\/option>\r\n                                                        <option value=\"soins_animaliers\">Soins Animaliers<\/option>\r\n                                                        <option value=\"supermarch\u00e9\">Supermarch\u00e9<\/option>\r\n                                                        <option value=\"tabac,_vaporette\">Tabac, Vaporette<\/option>\r\n                                                        <option value=\"tattoo,_piercing\">Tattoo, Piercing<\/option>\r\n                                                        <option value=\"textiles,_laines,_mercerie\">Textiles, Laines, Mercerie<\/option>\r\n                                                        <option value=\"th\u00e9\u00e2tre,_spectacle\">Th\u00e9\u00e2tre, Spectacle<\/option>\r\n                                                        <option value=\"th\u00e9rapeute\">Th\u00e9rapeute<\/option>\r\n                                                        <option value=\"toilettage\">Toilettage<\/option>\r\n                                                        <option value=\"traiteur\">Traiteur<\/option>\r\n                                                        <option value=\"v\u00e9t\u00e9rinaire\">V\u00e9t\u00e9rinaire<\/option>\r\n                                            <\/select>\r\n                            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el email_de_l_activit_ field-size-large\" data-label=\"Email de l&#039;activit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"email_de_l_activit__2082\">Email de l&#039;activit\u00e9<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"email_de_l_activit__2082\"\r\n                    type=\"email\"\r\n                    class=\"email  wpuf_email_de_l_activit__2082\"\r\n                    data-duplicate=\"\"\r\n                    data-required=\"no\"\r\n                    data-type=\"email\"\r\n                    data-style=\"wpuf-theme-style\"\r\n                    name=\"email_de_l_activit_\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    autocomplete=\"email\"\r\n                \/>\r\n                            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el tel_fixe_de_l_activit_\" data-label=\"Tel Fixe de l&#039;activit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"tel_fixe_de_l_activit__2082\">Tel Fixe de l&#039;activit\u00e9<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_tel_fixe_de_l_activit__2082\"\r\n                    id=\"tel_fixe_de_l_activit__2082\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"no\"\r\n                    data-type=\"text\" name=\"tel_fixe_de_l_activit_\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"1\"\r\n                    data-style=\"wpuf-theme-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                            <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el portable_de_l_activit_\" data-label=\"Portable de l&#039;activit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"portable_de_l_activit__2082\">Portable de l&#039;activit\u00e9<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_portable_de_l_activit__2082\"\r\n                    id=\"portable_de_l_activit__2082\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"no\"\r\n                    data-type=\"text\" name=\"portable_de_l_activit_\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"1\"\r\n                    data-style=\"wpuf-theme-style\"\r\n                \/>\r\n\r\n                <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n                            <\/div>\r\n                    <\/li>\r\n                <li class=\"wpuf-el adresse field-size-large\" data-label=\"Adresse\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"adresse_2082\">Adresse <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_adresse_2082\"\r\n                        id=\"adresse_2082\"\r\n                        name=\"adresse\"\r\n                        data-required=\"yes\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"30\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el code_postal field-size-large\" data-label=\"Code Postal\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"code_postal_2082\">Code Postal <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_code_postal_2082\"\r\n                        id=\"code_postal_2082\"\r\n                        name=\"code_postal\"\r\n                        data-required=\"yes\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"6\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el localit_ field-size-large\" data-label=\"Localit\u00e9\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"localit__2082\">Localit\u00e9 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_localit__2082\"\r\n                        id=\"localit__2082\"\r\n                        name=\"localit_\"\r\n                        data-required=\"yes\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el num_ro_d_entreprise field-size-large\" data-label=\"Num\u00e9ro d&#039;entreprise\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"num_ro_d_entreprise_2082\">Num\u00e9ro d&#039;entreprise <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_num_ro_d_entreprise_2082\"\r\n                        id=\"num_ro_d_entreprise_2082\"\r\n                        name=\"num_ro_d_entreprise\"\r\n                        data-required=\"yes\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <\/div><\/li>\r\n                <li class=\"wpuf-el iban field-size-large\" data-label=\"IBAN\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"iban_2082\">IBAN <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_iban_2082\"\r\n                        id=\"iban_2082\"\r\n                        name=\"iban\"\r\n                        data-required=\"yes\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"1\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-theme-style\"\r\n                    ><\/textarea>\r\n                    <span class=\"wpuf-wordlimit-message wpuf-help\"><\/span>\r\n\r\n                \r\n                        <span class=\"wpuf-help\">Compte bancaire utilis\u00e9 pour la conversion CR &#8211; \u20ac<\/span>\r\n                <\/div><\/li>\r\n                <li class=\"wpuf-el j_accepte field-size-large\" data-label=\"J&#039;accepte les Carol&#039;or \">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"j_accepte_2082\">J&#039;accepte les Carol&#039;or  <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_j_accepte_2082\" name=\"j_accepte[]\" value=\"uniquement_les_billets\" \/>\n                            uniquement les billets                        <\/label>\n                                                <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_j_accepte_2082\" name=\"j_accepte[]\" value=\"les__billets_et_la_monnaie_\u00e9lectronique\" \/>\n                            les  billets et la monnaie \u00e9lectronique                        <\/label>\n                        \n                \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el image field-size-large\" data-label=\"Image\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"image_2082\">Image<\/label>\r\n        <\/div>\r\n                    <div class=\"wpuf-fields\">\r\n                <div id=\"wpuf-image-2082-upload-container\" data-style=\"wpuf-theme-style\">\r\n                    <div class=\"wpuf-attachment-upload-filelist\"  data-style=\"wpuf-theme-style\" data-type=\"file\" data-required=\"no\" data-style=\"wpuf-theme-style\">\r\n                        <a id=\"wpuf-image-2082-pickfiles\" data-style=\"wpuf-theme-style\" data-form_id=\"2082\" class=\"button file-selector  wpuf_image_2082\" href=\"#\">Select Image<\/a>\r\n                        <ul class=\"wpuf-attachment-list thumbnails\"><\/ul>\r\n                    <\/div>\r\n                <\/div><!-- .container -->\r\n\r\n                        <span class=\"wpuf-help\">Image repr\u00e9sentant votre activit\u00e9 ou son logo<\/span>\r\n        \r\n            <\/div> <!-- .wpuf-fields -->\r\n        <\/li>\r\n                <li class=\"wpuf-el facebook field-size-large\" data-label=\"Facebook\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"facebook_2082\">Facebook<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    title = \"The URL must contain a protocol i.e. http:\/\/example.com\"\r\n                    id = \"facebook_2082\"\r\n                    type = \"url\" class=\"url  wpuf_facebook_2082\"\r\n                    data-duplicate = \"no\"\r\n                    data-required = \"no\"\r\n                    data-type = \"url\"\r\n                    data-style=\"wpuf-style\"\r\n                    name = \"facebook\"\r\n                    placeholder = \"\"\r\n                    value = \"\" size=\"40\"\r\n                    autocomplete = \"url\"\r\n                \/>\r\n                        <span class=\"wpuf-help\">URL de votre page FaceBook<\/span>\r\n                    <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el site field-size-large\" data-label=\"Site\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"site_2082\">Site<\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    title = \"The URL must contain a protocol i.e. http:\/\/example.com\"\r\n                    id = \"site_2082\"\r\n                    type = \"url\" class=\"url  wpuf_site_2082\"\r\n                    data-duplicate = \"no\"\r\n                    data-required = \"no\"\r\n                    data-type = \"url\"\r\n                    data-style=\"wpuf-style\"\r\n                    name = \"site\"\r\n                    placeholder = \"\"\r\n                    value = \"\" size=\"40\"\r\n                    autocomplete = \"url\"\r\n                \/>\r\n                        <span class=\"wpuf-help\">URL de votre site sur le Web<\/span>\r\n                    <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el \" data-label=\"Votre Engagement\">\r\n            <div class=\"wpuf-section-wrap wpuf-fields section_2082 wpuf__2082\" data-style=\"wpuf-style\">\r\n                <h2 class=\"wpuf-section-title\">Votre Engagement<\/h2>\r\n                <div class=\"wpuf-section-details\">L&#039;ASBL Carol&#039;Or est une initiative citoyenne qui encourage l&#039;activit\u00e9 \u00e9conomique locale.  Pour adh\u00e9rer \u00e0 notre r\u00e9seau de partenaires, un certain nombre de conditions sont n\u00e9cessaires qui n\u00e9cessitent votre engagement sur l&#039;honneur.<\/div>\r\n            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el bourse field-size-large\" data-label=\"Bourse\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"bourse_2082\">Bourse<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_bourse_2082\" name=\"bourse[]\" value=\"mon_activit\u00e9_n&#039;est_pas_cot\u00e9e_en_bourse\" \/>\n                            Mon activit\u00e9 n&#8217;est pas cot\u00e9e en bourse                        <\/label>\n                        \n                \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el ind_pendance field-size-large\" data-label=\"Ind\u00e9pendance\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"ind_pendance_2082\">Ind\u00e9pendance<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_ind_pendance_2082\" name=\"ind_pendance[]\" value=\"je_dispose_d&#039;un_pouvoir_d\u00e9cisionnel_au_sein_de_mon_activit\u00e9\" \/>\n                            Je dispose d&#8217;un pouvoir d\u00e9cisionnel au sein de mon activit\u00e9                        <\/label>\n                        \n                        <span class=\"wpuf-help\">\u21e8 Je ne suis pas un franchis\u00e9 ; \u21e8 Je peux d\u00e9cider de mon assortiment ; \u21e8 Je peux choisir mes sources d&#039;approvisionnement<\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el charte field-size-large\" data-label=\"Charte\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"charte_2082\">Charte<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_charte_2082\" name=\"charte[]\" value=\"j&#039;ai_lu_et_j&#039;adh\u00e8re_aux_valeurs_port\u00e9es_par_la_charte_du_carol&#039;or\" \/>\n                            J&#8217;ai lu et j&#8217;adh\u00e8re aux valeurs port\u00e9es par la charte du Carol&#8217;Or                        <\/label>\n                        \n                        <span class=\"wpuf-help\">\u21e8 Encourager l\u2019activit\u00e9 \u00e9conomique locale et la prosp\u00e9rit\u00e9 de la r\u00e9gion\u00a0; \u21e8 Favoriser les circuits courts\u00a0; \u21e8 Respecter l\u2019environnement, les droits de tous, les valeurs de la d\u00e9mocratie, et les relations entre personnes de milieux diff\u00e9rents\u00a0 \u21e8 Etre attentif au juste prix des choses, des actions et des services dans le contexte \u00e9conomique\u00a0; \u21e8 Respecter mes collaborateurs et leurs droits, les aider \u00e0 \u00e9voluer.<\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el circularit_ field-size-large\" data-label=\"Circularit\u00e9\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"circularit__2082\">Circularit\u00e9<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_circularit__2082\" name=\"circularit_[]\" value=\"j&#039;accepte_de_faire_circuler_le_carol&#039;or\" \/>\n                            J&#8217;accepte de faire circuler le Carol&#8217;Or                        <\/label>\n                        \n                        <span class=\"wpuf-help\">\u21e8 En informant la client\u00e8le sur cette possibilit\u00e9 de paiement; \u21e8  En proposant de rendre la monnaie en CR et\/ou CR &amp; \u20ac ; \u21e8  en privil\u00e9giant des fournisseurs membres du r\u00e9seau Carol&#039;Or.<\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el asbl field-size-large\" data-label=\"ASBL\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"asbl_2082\">ASBL<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_asbl_2082\" name=\"asbl[]\" value=\"je_demande_l&#039;adh\u00e9sion_\u00e0_l&#039;asbl_carol&#039;or\" \/>\n                            Je demande l&#8217;adh\u00e9sion \u00e0 l&#8217;ASBL Carol&#8217;Or                        <\/label>\n                        \n                        <span class=\"wpuf-help\">Je confirme avoir pris connaissance du R\u00e8glement d&#039;Ordre Int\u00e9rieur de l&#039;ASBL et je comprends que ma qualit\u00e9 de membre me permet de participer aux assembl\u00e9es g\u00e9n\u00e9rales de l&#039;ASBL Carol&#039;Or.  Cela implique le r\u00e8glement de la cotisation annuelle de 25\u20ac <\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el rgpd field-size-large\" data-label=\"RGPD\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"rgpd_2082\">RGPD<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_rgpd_2082\" name=\"rgpd[]\" value=\"j&#039;accepte_l&#039;utilisation_de_toutes_les_donn\u00e9es_que_je_transmets\" \/>\n                            J&#8217;accepte l&#8217;utilisation de toutes les donn\u00e9es que je transmets                        <\/label>\n                        \n                        <span class=\"wpuf-help\">J&#039;accepte que mes donn\u00e9es soient utilis\u00e9es par les membres du Carol&#039;Or dans le cadre de la conduite de leurs activit\u00e9s, de la promotion de ces activit\u00e9s ainsi que dans la gestion op\u00e9rationnelle de ces activit\u00e9s, et que les donn\u00e9es requises par d&#039;\u00e9ventuels sous-traitants leur soient transmises.<\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el rgpd_copy field-size-large\" data-label=\"RGPD\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"rgpd_copy_2082\">RGPD<\/label>\r\n        <\/div>\r\n        \n                        <div class=\"wpuf-fields\" data-required=\"no\" data-type=\"radio\">\n\n                                        <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_rgpd_copy_2082\" name=\"rgpd_copy[]\" value=\"j&#039;accepte_l&#039;utilisation_de_toutes_les_donn\u00e9es_que_je_transmets\" \/>\n                            J&#8217;accepte l&#8217;utilisation de toutes les donn\u00e9es que je transmets                        <\/label>\n                        \n                        <span class=\"wpuf-help\">J&#039;accepte que mes donn\u00e9es soient utilis\u00e9es par les membres du Carol&#039;Or dans le cadre de la conduite de leurs activit\u00e9s, de la promotion de ces activit\u00e9s ainsi que dans la gestion op\u00e9rationnelle de ces activit\u00e9s, et que les donn\u00e9es requises par d&#039;\u00e9ventuels sous-traitants leur soient transmises.<\/span>\r\n        \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el date_de_la_demande field-size-large\" data-label=\"date de la demande\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"date_de_la_demande_0\">date de la demande <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"wpuf-date-date_de_la_demande\"\r\n                    type=\"text\"\r\n                                        class=\"datepicker  wpuf_date_de_la_demande_2082\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\"\r\n                    data-style=\"wpuf-style\"\r\n                    name=\"date_de_la_demande\"\r\n                    placeholder=\"dd\/mm\/yy\"\r\n                    value=\"\"\r\n                    size=\"30\"\r\n                \/>\r\n                            <\/div>\r\n        <\/li>\r\n                    <li class=\"wpuf-el recaptcha\" data-label=\"\" >\r\n                            <li class=\"wpuf-el recaptcha\" data-label=\"\" >\r\n                    <div class=\"wpuf-fields  wpuf_recaptcha_2082\" data-style=\"wpuf-style\">\r\n                        <input type=\"hidden\" name=\"g-recaptcha-response\" id=\"g-recaptcha-response\">\r\n                        <input type=\"hidden\" name=\"g-action\" id=\"g-action\">\r\n                        <script src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=6LdolKoZAAAAAGnPoV0I-PUsQ4lJ6jp3MnI7eT1A\"> <\/script>\r\n                        <script>\r\n                            grecaptcha.ready(function() {\r\n                                  grecaptcha.execute('6LdolKoZAAAAAGnPoV0I-PUsQ4lJ6jp3MnI7eT1A', {action: 'captcha_validation'}).then( function( token ) {\r\n                                    document.getElementById('g-recaptcha-response').value = token;\r\n                                    document.getElementById('g-action').value = 'captcha_validation';\r\n\r\n                                  });\r\n                                setInterval(function () {\r\n                                    grecaptcha.execute('6LdolKoZAAAAAGnPoV0I-PUsQ4lJ6jp3MnI7eT1A', {action: 'captcha_validation'}).then( function( token ) {\r\n                                        document.getElementById('g-recaptcha-response').value = token;\r\n                                        document.getElementById('g-action').value = 'captcha_validation';\r\n                                    });\r\n                                }, 60000);\r\n                            });\r\n                        <\/script>\r\n                    <\/div>\r\n                <\/li>\r\n                <li class=\"wpuf-submit\">\r\n            <div class=\"wpuf-label\">\r\n                &nbsp;\r\n            <\/div>\r\n\r\n            <input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"5d7750c9c9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/2109\" \/>\r\n            <input type=\"hidden\" name=\"form_id\" value=\"2082\">\r\n            <input type=\"hidden\" name=\"page_id\" value=\"2109\">\r\n            <input type=\"hidden\" name=\"action\" value=\"weforms_frontend_submit\">\r\n\r\n                            <input type=\"hidden\" name=\"weforms-front-report\" value=\"no\">\r\n            \r\n            \r\n                            <input type=\"submit\" class=\"button button-primary wpuf_submit_2082\" name=\"submit\" value=\"Envoyer\" \/>\r\n                    <\/li>\r\n                <\/ul>\r\n\r\n        <\/form>\r\n                <\/span><\/p>\n<p><!-- \/wp:html --><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Vous avez d\u00e9cid\u00e9 de nous rejoindre ? Bravo !\u00a0Vous pouvez remplir le formulaire ci-dessous afin que votre demande d&#8217;adh\u00e9sion soit enregistr\u00e9e. En demandant l&#8217;adh\u00e9sion au r\u00e9seau du Carol&#8217;Or, vous devenez &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/carolor.org\/index.php\/formulaire-de-demande-dadhesion\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;Formulaire de demande d&#8217;adh\u00e9sion&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v18.4.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Formulaire de demande d&#039;adh\u00e9sion -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carolor.org\/index.php\/formulaire-de-demande-dadhesion\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire de demande d&#039;adh\u00e9sion -\" \/>\n<meta property=\"og:description\" content=\"Vous avez d\u00e9cid\u00e9 de nous rejoindre ? Bravo !\u00a0Vous pouvez remplir le formulaire ci-dessous afin que votre demande d&#8217;adh\u00e9sion soit enregistr\u00e9e. 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