{"id":44754,"date":"2025-09-28T21:15:22","date_gmt":"2025-09-28T19:15:22","guid":{"rendered":"https:\/\/caveavin-lechai-fr.extranet2.www.amica.com.pl\/?page_id=44754"},"modified":"2025-09-28T21:18:53","modified_gmt":"2025-09-28T19:18:53","slug":"formulaire-dinscription","status":"publish","type":"page","link":"https:\/\/caveavin-lechai-fr.extranet2.www.amica.com.pl\/en\/formulaire-dinscription\/","title":{"rendered":"Formulaire d&#8217;inscription"},"content":{"rendered":"\n    <form method=\"post\" class=\"woocommerce-form woocommerce-form-register register\">\n        <input type=\"hidden\" id=\"lechai_register_nonce\" name=\"lechai_register_nonce\" value=\"4dd4a1ce69\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/44754\" \/>\n        <!-- ========================================================= -->\n        <!-- 1\ufe0f\u20e3 Informations personnelles (profil du compte uniquement) -->\n        <!-- ========================================================= -->\n        <h3>Informations personnelles<\/h3>\n\n        <p class=\"form-row form-row-first\">\n            <label for=\"civilite\">Civilit\u00e9 <span class=\"required\">*<\/span><\/label>\n            <select name=\"civilite\" id=\"civilite\" required>\n                <option value=\"\">Choisir\u2026<\/option>\n                <option value=\"Monsieur\">Monsieur<\/option>\n                <option value=\"Madame\">Madame<\/option>\n            <\/select>\n        <\/p>\n\n        <p class=\"form-row form-row-first\">\n            <label for=\"prenom\">Pr\u00e9nom (profil) <span class=\"required\">*<\/span><\/label>\n            <input type=\"text\" name=\"prenom\" id=\"prenom\" required>\n        <\/p>\n\n        <p class=\"form-row form-row-last\">\n            <label for=\"nom\">Nom (profil) <span class=\"required\">*<\/span><\/label>\n            <input type=\"text\" name=\"nom\" id=\"nom\" required>\n        <\/p>\n\n        <div class=\"clear\"><\/div>\n\n        <p class=\"form-row form-row-wide\">\n            <label for=\"phone\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"required\">*<\/span><\/label>\n            <input type=\"tel\" name=\"phone\" id=\"phone\" required>\n        <\/p>\n\n        <!-- ========================================================= -->\n        <!-- 2\ufe0f\u20e3 Adresse de facturation -->\n        <!-- ========================================================= -->\n        <h3>Adresse de facturation<\/h3>\n\n        <p class=\"form-row form-row-first validate-required\" id=\"billing_first_name_field\" data-priority=\"10\"><label for=\"billing_first_name\" class=\"required_field\">First name&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_first_name\" id=\"billing_first_name\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing given-name\" \/><\/span><\/p><p class=\"form-row form-row-last validate-required\" id=\"billing_last_name_field\" data-priority=\"20\"><label for=\"billing_last_name\" class=\"required_field\">Last name&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_last_name\" id=\"billing_last_name\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing family-name\" \/><\/span><\/p><p class=\"form-row form-row-wide\" id=\"billing_company_field\" data-priority=\"30\"><label for=\"billing_company\" class=\"\">Company name&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_company\" id=\"billing_company\" placeholder=\"\"  value=\"\" autocomplete=\"section-billing billing organization\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field update_totals_on_change validate-required\" id=\"billing_country_field\" data-priority=\"40\"><label for=\"billing_country\" class=\"required_field\">Country \/ Region&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><select name=\"billing_country\" id=\"billing_country\" aria-required=\"true\" autocomplete=\"section-billing billing country\" class=\"country_to_state country_to_state--single \"><option value=\"FR\" selected>France<\/option><\/select><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required\" id=\"billing_address_1_field\" data-priority=\"50\"><label for=\"billing_address_1\" class=\"required_field\">Street address&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_address_1\" id=\"billing_address_1\" placeholder=\"House number and street name\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing address-line1\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field\" id=\"billing_address_2_field\" data-priority=\"60\"><label for=\"billing_address_2\" class=\"screen-reader-text\">Apartment, suite, unit, etc.&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_address_2\" id=\"billing_address_2\" placeholder=\"Apartment, suite, unit, etc. (optional)\"  value=\"\" autocomplete=\"section-billing billing address-line2\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required validate-postcode\" id=\"billing_postcode_field\" data-priority=\"65\"><label for=\"billing_postcode\" class=\"required_field\">Postcode \/ ZIP&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_postcode\" id=\"billing_postcode\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing postal-code\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required\" id=\"billing_city_field\" data-priority=\"70\"><label for=\"billing_city\" class=\"required_field\">Town \/ City&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"billing_city\" id=\"billing_city\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing address-level2\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-state\" id=\"billing_state_field\" style=\"display: none\"><label for=\"billing_state\" class=\"\">State \/ County&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"hidden\" class=\"hidden\" name=\"billing_state\" id=\"billing_state\" value=\"\" autocomplete=\"section-billing billing address-level1\" placeholder=\"\" readonly=\"readonly\" data-input-classes=\"\"\/><\/span><\/p><p class=\"form-row form-row-wide validate-required validate-phone\" id=\"billing_phone_field\" data-priority=\"100\"><label for=\"billing_phone\" class=\"required_field\">Phone&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"tel\" class=\"input-text \" name=\"billing_phone\" id=\"billing_phone\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing tel\" \/><\/span><\/p><p class=\"form-row form-row-wide validate-required validate-email\" id=\"billing_email_field\" data-priority=\"110\"><label for=\"billing_email\" class=\"required_field\">Email address&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"email\" class=\"input-text \" name=\"billing_email\" id=\"billing_email\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-billing billing email\" \/><\/span><\/p>\n        <!-- ========================================================= -->\n        <!-- 3\ufe0f\u20e3 Adresse de livraison -->\n        <!-- ========================================================= -->\n        <h3>Adresse de livraison<\/h3>\n\n        <p class=\"form-row form-row-first validate-required\" id=\"shipping_first_name_field\" data-priority=\"\"><label for=\"shipping_first_name\" class=\"required_field\">Pr\u00e9nom (livraison)&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_first_name\" id=\"shipping_first_name\" placeholder=\"\"  value=\"\" aria-required=\"true\" \/><\/span><\/p><p class=\"form-row form-row-last validate-required\" id=\"shipping_last_name_field\" data-priority=\"\"><label for=\"shipping_last_name\" class=\"required_field\">Nom (livraison)&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_last_name\" id=\"shipping_last_name\" placeholder=\"\"  value=\"\" aria-required=\"true\" \/><\/span><\/p><p class=\"form-row form-row-wide\" id=\"shipping_company_field\" data-priority=\"\"><label for=\"shipping_company\" class=\"\">Nom de l'entreprise (livraison)&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_company\" id=\"shipping_company\" placeholder=\"\"  value=\"\"  \/><\/span><\/p><p class=\"form-row form-row-wide address-field update_totals_on_change validate-required\" id=\"shipping_country_field\" data-priority=\"40\"><label for=\"shipping_country\" class=\"required_field\">Country \/ Region&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><select name=\"shipping_country\" id=\"shipping_country\" aria-required=\"true\" autocomplete=\"section-shipping shipping country\" class=\"country_to_state country_to_state--single \"><option value=\"FR\" selected>France<\/option><\/select><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required\" id=\"shipping_address_1_field\" data-priority=\"50\"><label for=\"shipping_address_1\" class=\"required_field\">Street address&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_address_1\" id=\"shipping_address_1\" placeholder=\"House number and street name\"  value=\"\" aria-required=\"true\" autocomplete=\"section-shipping shipping address-line1\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field\" id=\"shipping_address_2_field\" data-priority=\"60\"><label for=\"shipping_address_2\" class=\"screen-reader-text\">Apartment, suite, unit, etc.&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_address_2\" id=\"shipping_address_2\" placeholder=\"Apartment, suite, unit, etc. (optional)\"  value=\"\" autocomplete=\"section-shipping shipping address-line2\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required validate-postcode\" id=\"shipping_postcode_field\" data-priority=\"65\"><label for=\"shipping_postcode\" class=\"required_field\">Postcode \/ ZIP&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_postcode\" id=\"shipping_postcode\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-shipping shipping postal-code\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-required\" id=\"shipping_city_field\" data-priority=\"70\"><label for=\"shipping_city\" class=\"required_field\">Town \/ City&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"text\" class=\"input-text \" name=\"shipping_city\" id=\"shipping_city\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-shipping shipping address-level2\" \/><\/span><\/p><p class=\"form-row form-row-wide address-field validate-state\" id=\"shipping_state_field\" style=\"display: none\"><label for=\"shipping_state\" class=\"\">State \/ County&nbsp;<span class=\"optional\">(optional)<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"hidden\" class=\"hidden\" name=\"shipping_state\" id=\"shipping_state\" value=\"\" autocomplete=\"section-shipping shipping address-level1\" placeholder=\"\" readonly=\"readonly\" data-input-classes=\"\"\/><\/span><\/p><p class=\"form-row form-row-wide validate-required validate-phone\" id=\"shipping_phone_field\" data-priority=\"100\"><label for=\"shipping_phone\" class=\"required_field\">Phone&nbsp;<span class=\"required\" aria-hidden=\"true\">*<\/span><\/label><span class=\"woocommerce-input-wrapper\"><input type=\"tel\" class=\"input-text \" name=\"shipping_phone\" id=\"shipping_phone\" placeholder=\"\"  value=\"\" aria-required=\"true\" autocomplete=\"section-shipping shipping tel\" \/><\/span><\/p>\n        <!-- ========================================================= -->\n        <!-- Informations de logement (inside Adresse de livraison) -->\n        <!-- ========================================================= -->\n        <h4>Informations de logement<\/h4>\n\n        <p class=\"form-row form-row-wide\">\n            <label>Type de logement <span class=\"required\">*<\/span><\/label><br>\n            <label>\n                <input type=\"radio\" name=\"type_logement\" value=\"maison\" required>\n                Maison            <\/label><br>\n            <label>\n                <input type=\"radio\" name=\"type_logement\" value=\"appartement\" required>\n                Appartement            <\/label>\n        <\/p>\n\n        <p class=\"form-row form-row-first\">\n            <label for=\"code_porte\">Code porte<\/label>\n            <input type=\"text\" name=\"code_porte\" id=\"code_porte\">\n        <\/p>\n\n        <p class=\"form-row form-row-last\">\n            <label>Ascenseur <span class=\"required\">*<\/span><\/label><br>\n            <label><input type=\"radio\" name=\"ascenseur\" value=\"oui\" required> Oui<\/label>\n            <label><input type=\"radio\" name=\"ascenseur\" value=\"non\" required> Non<\/label>\n        <\/p>\n\n        <p class=\"form-row form-row-wide\">\n            <label><input type=\"checkbox\" name=\"ascenseur_grand\" value=\"1\"> Est-ce que l\u2019ascenseur est assez grand ?<\/label><br>\n            <label><input type=\"checkbox\" name=\"cage_escalier_grande\" value=\"1\"> Cage d\u2019escalier assez grande ?<\/label>\n        <\/p>\n\n        <p class=\"form-row form-row-wide\">\n            <label for=\"infos_complementaires\">Informations compl\u00e9mentaires (\u00e9tage, digicode, instructions sp\u00e9ciales)<\/label>\n            <textarea name=\"infos_complementaires\" id=\"infos_complementaires\" rows=\"3\" placeholder=\"Ex : 3e \u00e9tage, digicode 1234A, sonnette \u00e0 droite\u2026\"><\/textarea>\n        <\/p>\n\n        <!-- ========================================================= -->\n        <!-- 4\ufe0f\u20e3 Connexion -->\n        <!-- ========================================================= -->\n        <h3>Connexion<\/h3>\n\n        <p class=\"form-row form-row-first\">\n            <label for=\"reg_email\">Adresse e-mail <span 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