{"id":594,"date":"2017-02-05T20:56:44","date_gmt":"2017-02-05T19:56:44","guid":{"rendered":"http:\/\/annwigmore.fr\/vitaminn201702\/?page_id=594"},"modified":"2019-12-07T23:25:31","modified_gmt":"2019-12-07T22:25:31","slug":"formulaire-semaines-detox-en-france","status":"publish","type":"page","link":"http:\/\/annwigmore.fr\/vitaminncures\/formulaire-semaines-detox-en-france\/","title":{"rendered":"Formulaire d&rsquo;inscription aux semaines d\u00e9tox en France"},"content":{"rendered":"\n\t\t\t\t<img decoding=\"async\" src=\"http:\/\/annwigmore.fr\/vitaminncures\/wp-content\/uploads\/sites\/4\/2017\/01\/facede-vers.jpg\" alt=\"facede-vers\" itemprop=\"image\"  \/>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/annwigmore.fr\/vitaminncures\/wp-content\/uploads\/sites\/7\/2017\/02\/Carte-France-Healty-Lifestyle-1-300x298.png\" alt=\"Carte-France-Healty-Lifestyle\" itemprop=\"image\" height=\"298\" width=\"300\"  \/>\n\t<h2>Formulaire d&rsquo;inscription \u00e0 un semaine de Vacances D\u00e9tox en France<\/h2>\n\t    <style type=\"text\/css\">\n        @import url(http:\/\/annwigmore.fr\/vitaminncures\/wp-content\/plugins\/jazzy-forms\/front\/themes\/1.css);\n    <\/style>\n    <script type=\"text\/javascript\">\n        if(typeof(jzzf_forms) == \"undefined\") {\n            jzzf_forms = [];\n        }\n        var graph = {\n            \"data\": {\"pays\":[\"Belgique\",\"France\",\"Luxembourg\",\"Suisse\",\"Autre\"],\"sexe\":[\"F\\u00e9minin\",\"Masculin\"],\"transportchoix\":[\"en voiture\",\"en co-voiturage avec\",\"en gare d'Avignon TGV\",\"en gare de N\\u00eemes\",\"\\u00e0 l'a\\u00e9roport de N\\u00eemes\",\"en un moyen \\u00e0 fixer\"],\"stagedate\":[\"du dimanche 20 au 26 mai 2018\"],\"stagemontant\":[\"1250\",\"1350\",\"1650\"],\"stagepayement\":[\"par virement au compte BE94 3630 6013 7414 BIC BBRUBEBB\",\"par ch\\u00e8que \\u00e0 l'ordre de Patricia KERSULEC\"]},\n            \"types\": {\"titre-coordonnees\":\"m\",\"firstname\":\"n\",\"name\":\"n\",\"adress\":\"n\",\"postcode\":\"n\",\"city\":\"n\",\"pays\":\"d\",\"autrepays\":\"n\",\"phone\":\"n\",\"mobile\":\"n\",\"email\":\"n\",\"titre-sante\":\"m\",\"sexe\":\"r\",\"age\":\"n\",\"naissance\":\"n\",\"santeautre\":\"a\",\"titre-transport\":\"m\",\"transportchoix\":\"d\",\"transportprecision\":\"n\",\"titre-s\\u00e9jour\":\"m\",\"stagedate\":\"r\",\"stagemontant\":\"r\",\"stagepayement\":\"r\",\"stageacompte\":\"n\",\"recap\":\"m\",\"acompteaverser\":\"f\",\"solde\":\"f\",\"message\":\"a\",\"submit\":\"e\"},\n            \"dependencies\": {\"stagemontant\":[\"recap\",\"acompteaverser\",\"solde\",\"solde\"],\"stageacompte\":[\"acompteaverser\",\"recap\",\"solde\"]},\n            \"formulas\": 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cours\",\"ok\":\"Le message a \\u00e9t\\u00e9 envoy\\u00e9, Nous vous en remer\\u00e7ions\",\"fail\":\"Message non envoy\\u00e9\"}},\n            \"params\": {\"acompteaverser\":{\"prefix\":\"\",\"postfix\":\"\",\"zeros\":0,\"decimals\":9,\"fixed\":false,\"thousands\":\"\",\"point\":\".\"},\"solde\":{\"prefix\":\"\",\"postfix\":\"\\u20ac\",\"zeros\":0,\"decimals\":2,\"fixed\":true,\"thousands\":\".\",\"point\":\",\"}},\n            \"email\": 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       };\n        var jzzf_ajax_url = \"http:\/\/annwigmore.fr\/vitaminncures\/wp-admin\/admin-ajax.php\";\n        jzzf_forms.push({\"id\": 2, \"data\": graph});        \n    <\/script>\n<form class=\"jzzf_form jzzf_form_2\">\n<div id=\"jzzf_form_error_2\" class=\"jzzf_form_error\" style=\"display: none\"><\/div>\n<ul class=\"jzzf_form_elements\">\n      <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_m jzzf_ahead_n jzzf_break jzzf_full\"  id=\"jzzf_2_titre-coordonnees\">\n        <p style=\"text-align: left;font-size:24px;\"> <strong><ins>Coordonn\u00e9es<\/strong><\/ins><\/p>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_firstname\">Pr\u00e9nom<span class=\"jzzf_asterisk\">*<\/span><\/label><input type=\"text\" id=\"jzzf_2_firstname\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_name\">Nom<span class=\"jzzf_asterisk\">*<\/span><\/label><input type=\"text\" id=\"jzzf_2_name\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_break jzzf_full\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_adress\">Adresse<\/label><input type=\"text\" id=\"jzzf_2_adress\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_break jzzf_third\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_postcode\">Code Postal<\/label><input type=\"text\" id=\"jzzf_2_postcode\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_d jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_city\">Ville<\/label><input type=\"text\" id=\"jzzf_2_city\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_d jzzf_ahead_n jzzf_break jzzf_half\" >\n    <label class=\"jzzf_element_label jzzf_dropdown_label\" for=\"jzzf_2_pays\">Pays<\/label><select id=\"jzzf_2_pays\">\n        <option selected=\"selected\">Belgique<\/option>\n        <option>France<\/option>\n        <option>Luxembourg<\/option>\n        <option>Suisse<\/option>\n        <option>Autre<\/option>\n        <\/select>\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_autrepays\">Autres pr\u00e9cisions<\/label><input type=\"text\" id=\"jzzf_2_autrepays\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_phone\">T\u00e9l\u00e9phone fixe<\/label><input type=\"text\" id=\"jzzf_2_phone\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_mobile\">Gsm \/ Portable<\/label><input type=\"text\" id=\"jzzf_2_mobile\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_m jzzf_break jzzf_full\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_email\">E-mail<span class=\"jzzf_asterisk\">*<\/span><\/label><input type=\"text\" id=\"jzzf_2_email\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_m jzzf_ahead_r jzzf_break jzzf_full\"  id=\"jzzf_2_titre-sante\">\n        <p style=\"text-align: left;font-size:24px;\"> <ins><strong>Etat de sant\u00e9<\/ins><\/strong><\/p>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_r jzzf_ahead_n jzzf_break jzzf_full\" >\n    <label class=\"jzzf_radio_label jzzf_element_label\">Sexe<\/label>\n    <ul id=\"jzzf_2_sexe\" class=\"jzzf_radio\">\n        <li>\n        <input type=\"radio\" name=\"jzzf_2_sexe\" id=\"jzzf_2_sexe-1\" checked=\"checked\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_sexe-1\">F\u00e9minin<\/label>\n    <\/li>\n    <li>\n        <input type=\"radio\" name=\"jzzf_2_sexe\" id=\"jzzf_2_sexe-2\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_sexe-2\">Masculin<\/label>\n    <\/li>\n    <\/ul>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_n jzzf_break jzzf_quarter\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_age\">Age<\/label><input type=\"text\" id=\"jzzf_2_age\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_a jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_naissance\">Date de naissance<\/label><input type=\"text\" id=\"jzzf_2_naissance\" value=\"\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_a jzzf_ahead_m jzzf_break jzzf_full\" >\n    <label class=\"jzzf_textarea_label jzzf_element_label\" for=\"jzzf_2_santeautre\">Autres \u00e9l\u00e9ments que je communique<\/label><textarea id=\"jzzf_2_santeautre\"> <\/textarea>\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_m jzzf_ahead_d jzzf_break jzzf_full\"  id=\"jzzf_2_titre-transport\">\n        <p style=\"text-align: left;font-size:24px;\"> <ins><strong>Transport<\/ins><\/strong><\/p>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_d jzzf_ahead_n jzzf_break jzzf_half\" >\n    <label class=\"jzzf_element_label jzzf_dropdown_label\" for=\"jzzf_2_transportchoix\">J&#039;arriverai<\/label><select id=\"jzzf_2_transportchoix\">\n        <option selected=\"selected\">en voiture<\/option>\n        <option>en co-voiturage avec<\/option>\n        <option>en gare d&#039;Avignon TGV<\/option>\n        <option>en gare de N\u00eemes<\/option>\n        <option>\u00e0 l&#039;a\u00e9roport de N\u00eemes<\/option>\n        <option>en un moyen \u00e0 fixer<\/option>\n        <\/select>\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_n jzzf_ahead_m jzzf_no_break jzzf_half\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_transportprecision\">Pr\u00e9cisions <\/label><input type=\"text\" id=\"jzzf_2_transportprecision\" value=\" \">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_m jzzf_ahead_r jzzf_break jzzf_full\"  id=\"jzzf_2_titre-s\u00e9jour\">\n        <p style=\"text-align: left;font-size:24px;\"> <ins><strong>Inscription au s\u00e9jour<\/ins><\/strong><\/p>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_r jzzf_ahead_r jzzf_break jzzf_full\" >\n    <label class=\"jzzf_radio_label jzzf_element_label\">Je m&#039;inscrit au s\u00e9jour Healty Life Style \u00e0 Vers-Pont-du-Gard<\/label>\n    <ul id=\"jzzf_2_stagedate\" class=\"jzzf_radio\">\n        <li>\n        <input type=\"radio\" name=\"jzzf_2_stagedate\" id=\"jzzf_2_stagedate-1\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagedate-1\">du dimanche 20 au 26 mai 2018<\/label>\n    <\/li>\n    <\/ul>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_r jzzf_ahead_r jzzf_break jzzf_full\" >\n    <label class=\"jzzf_radio_label jzzf_element_label\">J&#039;opte pour un s\u00e9jour<\/label>\n    <ul id=\"jzzf_2_stagemontant\" class=\"jzzf_radio\">\n        <li>\n        <input type=\"radio\" name=\"jzzf_2_stagemontant\" id=\"jzzf_2_stagemontant-1\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagemontant-1\">Je\u00fbne hydrique au prix de 1.250 \u20ac<\/label>\n    <\/li>\n    <li>\n        <input type=\"radio\" name=\"jzzf_2_stagemontant\" id=\"jzzf_2_stagemontant-2\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagemontant-2\">Je\u00fbne au jus vert au prix de 1.350 \u20ac<\/label>\n    <\/li>\n    <li>\n        <input type=\"radio\" name=\"jzzf_2_stagemontant\" id=\"jzzf_2_stagemontant-3\" checked=\"checked\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagemontant-3\">A l&#039;alimentation vivante au prix de 1.650 \u20ac<\/label>\n    <\/li>\n    <\/ul>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_r jzzf_ahead_n jzzf_break jzzf_full\" >\n    <label class=\"jzzf_radio_label jzzf_element_label\">Pour confirmer mon inscription, je verse un acompte de 500,00 \u20ac<\/label>\n    <ul id=\"jzzf_2_stagepayement\" class=\"jzzf_radio\">\n        <li>\n        <input type=\"radio\" name=\"jzzf_2_stagepayement\" id=\"jzzf_2_stagepayement-1\" checked=\"checked\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagepayement-1\">par virement au compte BE94 3630 6013 7414 BIC BBRUBEBB<\/label>\n    <\/li>\n    <li>\n        <input type=\"radio\" name=\"jzzf_2_stagepayement\" id=\"jzzf_2_stagepayement-2\"><label class=\"jzzf_radio_option_label\" for=\"jzzf_2_stagepayement-2\">par ch\u00e8que \u00e0 l&#039;ordre de Patricia KERSULEC<\/label>\n    <\/li>\n    <\/ul>  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_n jzzf_ahead_m jzzf_break jzzf_full\" >\n    <label class=\"jzzf_number_label jzzf_element_label\" for=\"jzzf_2_stageacompte\">Montant de l&#039;acompte que je m&#039;engage \u00e0 verser<span class=\"jzzf_asterisk\">*<\/span><\/label><input type=\"text\" id=\"jzzf_2_stageacompte\" value=\"500\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_m jzzf_ahead_f jzzf_break jzzf_full\"  id=\"jzzf_2_recap\">\n        <p style=\"text-align: left;font-size:24px;\"> <ins><strong>R\u00e9capitulation<\/ins><\/strong><\/p>\n<p>Prix du stage \u2026\u2026\u2026\u2026..\u2026.: {{stagemontant}},00 \u20ac<\/p>\n<p>Acompte \u00e0 payer \u2026\u2026\u2026.. : <ins>-{{acompteaverser}},00 \u20ac<\/ins><\/p>\n<p>Solde \u00e0 payer \u00e0 l\u2019arriv\u00e9e.: {{solde}},00 \u20ac<p>\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_f jzzf_ahead_f jzzf_break jzzf_full\"  style=\"display:none;\">\n        <label class=\"jzzf_element_label jzzf_output_label\" for=\"jzzf_2_acompteaverser\">Acompte \u00e0 verser<\/label><input type=\"text\" readonly=\"readonly\" id=\"jzzf_2_acompteaverser\" value=\"...\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n              <div class=\"jzzf_element jzzf_element_f jzzf_ahead_a jzzf_no_break jzzf_third\"  style=\"display:none;\">\n        <label class=\"jzzf_element_label jzzf_output_label\" for=\"jzzf_2_solde\">Solde \u00e0 payer<\/label><input type=\"text\" readonly=\"readonly\" id=\"jzzf_2_solde\" value=\"...\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_a jzzf_ahead_e jzzf_break jzzf_full\" >\n    <label class=\"jzzf_textarea_label jzzf_element_label\" for=\"jzzf_2_message\">Autres commentaires que je communique<\/label><textarea id=\"jzzf_2_message\"><\/textarea>\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n              <li class=\"jzzf_row\">\n      <div class=\"jzzf_element jzzf_element_e jzzf_ahead_ jzzf_break jzzf_full\" >\n        <input type=\"button\" class=\"jzzf_email_button\" id=\"jzzf_2_submit\" value=\"Envoy\u00e9\">\n  <div class=\"jzzf_error\"><\/div>\n  <\/div>\n          <div class=\"jzzf_message\"><\/div>\n  <div class=\"clear\"><\/div>\n  <\/li>\n        <\/ul>\n<\/form>\n\n","protected":false},"excerpt":{"rendered":"<p>Formulaire d&rsquo;inscription \u00e0 un semaine de Vacances D\u00e9tox en 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