{"id":863,"date":"2019-03-04T13:39:44","date_gmt":"2019-03-04T12:39:44","guid":{"rendered":"http:\/\/icaif.org\/?page_id=863"},"modified":"2019-03-04T16:31:04","modified_gmt":"2019-03-04T15:31:04","slug":"inscription-a-la-bourse-de-licaif-2019","status":"publish","type":"page","link":"https:\/\/icaif.org\/index.php\/inscription-a-la-bourse-de-licaif-2019\/","title":{"rendered":"Inscription \u00e0 la Bourse de l&rsquo;ICAIF 2019"},"content":{"rendered":"<blockquote>\n<p style=\"text-align: center;\">Formulaire d&rsquo;inscription \u00e0 la Bourse 2019 de l&rsquo;Icaif<\/p>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><code>\r\n        \r\n\r\n                <form class=\"wpuf-form-add weforms-838  wpuf-style\" action=\"\" method=\"post\"   id=\"\">\r\n\r\n            <ul class=\"wpuf-form form-label-above\">\r\n\r\n                        <li class=\"wpuf-el nom___pr_nom field-size-large\" data-label=\"Nom &amp; Pr\u00e9nom\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"nom___pr_nom_838\">Nom &amp; Pr\u00e9nom <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-style\">\r\n                    <div class=\"wpuf-name-field-first-name\">\r\n                        <input\r\n                            name=\"nom___pr_nom[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-style\"\r\n                            class=\"textfield wpuf_nom___pr_nom_838\"\r\n                            autocomplete=\"given-name\"\r\n                        >\r\n                                                    <label class=\"wpuf-form-sub-label\" data-style=\"wpuf-style\">First<\/label>\r\n                                            <\/div>\r\n\r\n                                            <input type=\"hidden\" name=\"nom___pr_nom[middle]\" value=\"\">\r\n                    \r\n                    <div class=\"wpuf-name-field-last-name\">\r\n                        <input\r\n                            name=\"nom___pr_nom[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-style\"\r\n                        >\r\n                                                    <label class=\"wpuf-form-sub-label\" data-style=\"wpuf-style\">Last<\/label>\r\n                                            <\/div>\r\n                <\/div>\r\n                            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el rue___num_ro field-size-large\" data-label=\"Rue &amp; num\u00e9ro\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"rue___num_ro_838\">Rue &amp; num\u00e9ro <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_rue___num_ro_838\"\r\n                    id=\"rue___num_ro_838\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"rue___num_ro\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    data-style=\"wpuf-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 code_postal___ville field-size-large\" data-label=\"Code postal &amp; Ville\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"code_postal___ville_838\">Code postal &amp; Ville <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_code_postal___ville_838\"\r\n                    id=\"code_postal___ville_838\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"code_postal___ville\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    data-style=\"wpuf-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 t_l_phone_ou_gsm field-size-large\" data-label=\"T\u00e9l\u00e9phone ou GSM\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"t_l_phone_ou_gsm_838\">T\u00e9l\u00e9phone ou GSM <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    class=\"textfield wpuf_t_l_phone_ou_gsm_838\"\r\n                    id=\"t_l_phone_ou_gsm_838\"\r\n                    type=\"text\"\r\n                    data-duplicate=\"no\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"text\" name=\"t_l_phone_ou_gsm\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    data-style=\"wpuf-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 email field-size-large\" data-label=\"Email Address\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"email_838\">Email Address <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            <div class=\"wpuf-fields\">\r\n                <input\r\n                    id=\"email_838\"\r\n                    type=\"email\"\r\n                    class=\"email  wpuf_email_838\"\r\n                    data-duplicate=\"\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"email\"\r\n                    data-style=\"wpuf-style\"\r\n                    name=\"email\"\r\n                    placeholder=\"\"\r\n                    value=\"\"\r\n                    size=\"40\"\r\n                    autocomplete=\"email\"\r\n                \/>\r\n                        <span class=\"wpuf-help\">Please provide a valid email address so we can get back to you<\/span>\r\n                    <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el etes_vous_affili____un_club_aquariophile__ field-size-large\" data-label=\"Etes-vous affili\u00e9 \u00e0 un club aquariophile ?\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"etes_vous_affili____un_club_aquariophile___838\">Etes-vous affili\u00e9 \u00e0 un club aquariophile ? <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\" data-style=\"wpuf-style\">\r\n\r\n                \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"etes_vous_affili____un_club_aquariophile__\"\r\n                                class=\"wpuf_etes_vous_affili____un_club_aquariophile___838\"\r\n                                type=\"radio\"\r\n                                value=\"oui\"                            \/>\r\n                            Oui                        <\/label>\r\n                        \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"etes_vous_affili____un_club_aquariophile__\"\r\n                                class=\"wpuf_etes_vous_affili____un_club_aquariophile___838\"\r\n                                type=\"radio\"\r\n                                value=\"non\"                            \/>\r\n                            Non                        <\/label>\r\n                        \r\n                \r\n            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el que_proposez_vous___la_vente__ field-size-large\" data-label=\"Que proposez-vous \u00e0 la vente ?\">\n                    <div class=\"wpuf-label\">\r\n            <label for=\"que_proposez_vous___la_vente___838\">Que proposez-vous \u00e0 la vente ? <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_que_proposez_vous___la_vente___838\" name=\"que_proposez_vous___la_vente__[]\" value=\"poissons\" \/>\n                            Poissons                        <\/label>\n                                                <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_que_proposez_vous___la_vente___838\" name=\"que_proposez_vous___la_vente__[]\" value=\"plantes\" \/>\n                            Plantes                        <\/label>\n                                                <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_que_proposez_vous___la_vente___838\" name=\"que_proposez_vous___la_vente__[]\" value=\"mat\u00e9riel\" \/>\n                            Mat\u00e9riel                        <\/label>\n                                                <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_que_proposez_vous___la_vente___838\" name=\"que_proposez_vous___la_vente__[]\" value=\"nourriture\" \/>\n                            Nourriture                        <\/label>\n                                                <label class=\"wpuf-checkbox-block\">\n                            <input type=\"checkbox\" class=\"wpuf_que_proposez_vous___la_vente___838\" name=\"que_proposez_vous___la_vente__[]\" value=\"autre\" \/>\n                            Autre                        <\/label>\n                        \n                \n            <\/div>\n        <\/li>\n                <li class=\"wpuf-el je_r_serve_m_tre_s__courant_s___au_prix_de_5__m_tre field-size-large\" data-label=\"Je r\u00e9serve m\u00e8tre(s) courant(s)  au prix de 5\u20ac\/m\u00e8tre\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"je_r_serve_m_tre_s__courant_s___au_prix_de_5__m_tre_838\">Je r\u00e9serve m\u00e8tre(s) courant(s)  au prix de 5\u20ac\/m\u00e8tre <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n            \r\n            <div class=\"wpuf-fields\">\r\n                <select\r\n                    multiple=\"multiple\"\r\n                    class=\"multiselect wpuf_je_r_serve_m_tre_s__courant_s___au_prix_de_5__m_tre_838\"\r\n                    id=\"je_r_serve_m_tre_s__courant_s___au_prix_de_5__m_tre_838\"\r\n                    name=\"je_r_serve_m_tre_s__courant_s___au_prix_de_5__m_tre[]\"\r\n                    mulitple=\"multiple\"\r\n                    data-required=\"yes\"\r\n                    data-type=\"multiselect\"\r\n                    data-style=\"wpuf-style\"\r\n                >\r\n\r\n                                            <option value=\"\">\u2014 Select \u2014<\/option>\r\n                    \r\n                                                <option value=\"1_m\u00e8tre\">1 m\u00e8tre<\/option>\r\n                                                        <option value=\"2_m\u00e8tres\">2 m\u00e8tres<\/option>\r\n                                                        <option value=\"3_m\u00e8tres\">3 m\u00e8tres<\/option>\r\n                                                        <option value=\"4_m\u00e8tres\">4 m\u00e8tres<\/option>\r\n                                                        <option value=\"5_m\u00e8tres\">5 m\u00e8tres<\/option>\r\n                                                        <option value=\"6_m\u00e8tres\">6 m\u00e8tres<\/option>\r\n                                                        <option value=\"7_m\u00e8tres\">7 m\u00e8tres<\/option>\r\n                                                        <option value=\"8_m\u00e8tres\">8 m\u00e8tres<\/option>\r\n                                                        <option value=\"9_m\u00e8tres\">9 m\u00e8tres<\/option>\r\n                                                        <option value=\"10_m\u00e8tres\">10 m\u00e8tres<\/option>\r\n                                            <\/select>\r\n                            <\/div>\r\n\r\n        <\/li>\r\n                <li class=\"wpuf-el je_souhaite_disposer_d_une_prise__lectrique__max_100_watts__ field-size-large\" data-label=\"Je souhaite disposer d&#039;une prise \u00e9lectrique (max 100 watts)?\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"je_souhaite_disposer_d_une_prise__lectrique__max_100_watts___838\">Je souhaite disposer d&#039;une prise \u00e9lectrique (max 100 watts)? <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\" data-style=\"wpuf-style\">\r\n\r\n                \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"je_souhaite_disposer_d_une_prise__lectrique__max_100_watts__\"\r\n                                class=\"wpuf_je_souhaite_disposer_d_une_prise__lectrique__max_100_watts___838\"\r\n                                type=\"radio\"\r\n                                value=\"oui\"                            \/>\r\n                            Oui                        <\/label>\r\n                        \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"je_souhaite_disposer_d_une_prise__lectrique__max_100_watts__\"\r\n                                class=\"wpuf_je_souhaite_disposer_d_une_prise__lectrique__max_100_watts___838\"\r\n                                type=\"radio\"\r\n                                value=\"non\"                            \/>\r\n                            Non                        <\/label>\r\n                        \r\n                \r\n            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el paiement_de_ma_r_servation field-size-large\" data-label=\"Paiement de ma r\u00e9servation\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"paiement_de_ma_r_servation_838\">Paiement de ma r\u00e9servation <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\" data-style=\"wpuf-style\">\r\n\r\n                \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"paiement_de_ma_r_servation\"\r\n                                class=\"wpuf_paiement_de_ma_r_servation_838\"\r\n                                type=\"radio\"\r\n                                value=\"j&#039;effectue_le_paiement_sur_le_compte_de_l&#039;icaif_be77_0015_7488_6542\"                            \/>\r\n                            J'effectue le paiement sur le compte de l'ICAIF BE77 0015 7488 6542                        <\/label>\r\n                        \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"paiement_de_ma_r_servation\"\r\n                                class=\"wpuf_paiement_de_ma_r_servation_838\"\r\n                                type=\"radio\"\r\n                                value=\"je_paierai_lors_de_mon_arriv\u00e9e\"                            \/>\r\n                            Je paierai lors de mon arriv\u00e9e                        <\/label>\r\n                        \r\n                \r\n            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el je_m_engage___terminer_mon_installation_avant_l_ouverture_de_la_bourse_le_dimanche_22_09_2019___10h00 field-size-large\" data-label=\"Je m\u2019engage \u00e0 terminer mon installation avant l\u2019ouverture de la bourse le dimanche 22\/09\/2019 \u00e0 10h00\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"je_m_engage___terminer_mon_installation_avant_l_ouverture_de_la_bourse_le_dimanche_22_09_2019___10h00_838\">Je m\u2019engage \u00e0 terminer mon installation avant l\u2019ouverture de la bourse le dimanche 22\/09\/2019 \u00e0 10h00 <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\" data-style=\"wpuf-style\">\r\n\r\n                \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"je_m_engage___terminer_mon_installation_avant_l_ouverture_de_la_bourse_le_dimanche_22_09_2019___10h00\"\r\n                                class=\"wpuf_je_m_engage___terminer_mon_installation_avant_l_ouverture_de_la_bourse_le_dimanche_22_09_2019___10h00_838\"\r\n                                type=\"radio\"\r\n                                value=\"oui\"                            \/>\r\n                            Oui                        <\/label>\r\n                        \r\n                \r\n            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el j_ai_pris_connaissance_et_j_adh_re_au_r_glement__bourse_icaif__disponible_sur_notre_site_ou_sur_demande field-size-large\" data-label=\"J\u2019ai pris connaissance et j\u2019adh\u00e8re au r\u00e8glement \u00abBourse ICAIF\u00bb disponible sur notre site ou sur demande\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"j_ai_pris_connaissance_et_j_adh_re_au_r_glement__bourse_icaif__disponible_sur_notre_site_ou_sur_demande_838\">J\u2019ai pris connaissance et j\u2019adh\u00e8re au r\u00e8glement \u00abBourse ICAIF\u00bb disponible sur notre site ou sur demande <span class=\"required\">*<\/span><\/label>\r\n        <\/div>\r\n        \r\n                        <div class=\"wpuf-fields\" data-required=\"yes\" data-type=\"radio\" data-style=\"wpuf-style\">\r\n\r\n                \r\n                        <label class=\"wpuf-radio-block\">\r\n                            <input\r\n                                name=\"j_ai_pris_connaissance_et_j_adh_re_au_r_glement__bourse_icaif__disponible_sur_notre_site_ou_sur_demande\"\r\n                                class=\"wpuf_j_ai_pris_connaissance_et_j_adh_re_au_r_glement__bourse_icaif__disponible_sur_notre_site_ou_sur_demande_838\"\r\n                                type=\"radio\"\r\n                                value=\"oui\"                            \/>\r\n                            Oui                        <\/label>\r\n                        \r\n                \r\n            <\/div>\r\n        <\/li>\r\n                <li class=\"wpuf-el vos_remarques__ventuelles field-size-large\" data-label=\"Vos remarques \u00e9ventuelles\">\r\n                    <div class=\"wpuf-label\">\r\n            <label for=\"vos_remarques__ventuelles_838\">Vos remarques \u00e9ventuelles<\/label>\r\n        <\/div>\r\n                                    <div class=\"wpuf-fields\">\r\n            \r\n                                    <textarea\r\n                        class=\"textareafield  wpuf_vos_remarques__ventuelles_838\"\r\n                        id=\"vos_remarques__ventuelles_838\"\r\n                        name=\"vos_remarques__ventuelles\"\r\n                        data-required=\"no\"\r\n                        data-type=\"textarea\"\r\n                        placeholder=\"\"\r\n                        rows=\"5\"\r\n                        cols=\"25\"\r\n                        data-style=\"wpuf-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-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=\"6d838f6307\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/863\" \/>\r\n            <input type=\"hidden\" name=\"form_id\" value=\"838\">\r\n            <input type=\"hidden\" name=\"page_id\" value=\"863\">\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=\"weforms_submit_btn wpuf_submit_838\" name=\"submit\" value=\"Submit Query\" \/>\r\n                    <\/li>\r\n                <\/ul>\r\n\r\n        <\/form>\r\n                <\/code><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-818 aligncenter\" src=\"https:\/\/icaif.org\/wp-content\/uploads\/2019\/03\/Affiche-Bourse-2019-icone-212x300.jpg\" alt=\"\" width=\"212\" height=\"300\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Formulaire d&rsquo;inscription \u00e0 la Bourse 2019 de l&rsquo;Icaif &nbsp;<span class=\"more-link\"><a href=\"https:\/\/icaif.org\/index.php\/inscription-a-la-bourse-de-licaif-2019\/\">En savoir +<\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["entry","author-admin7729","post-863","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/pages\/863","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/comments?post=863"}],"version-history":[{"count":3,"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/pages\/863\/revisions"}],"predecessor-version":[{"id":866,"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/pages\/863\/revisions\/866"}],"wp:attachment":[{"href":"https:\/\/icaif.org\/index.php\/wp-json\/wp\/v2\/media?parent=863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}