{"id":2349,"date":"2024-02-09T08:37:05","date_gmt":"2024-02-09T08:37:05","guid":{"rendered":"https:\/\/www.pelerinages-namurois.be\/?p=2349"},"modified":"2024-02-09T08:37:05","modified_gmt":"2024-02-09T08:37:05","slug":"inscription-rome-30-aout-au-5-septembre-2024","status":"publish","type":"post","link":"https:\/\/www.pelerinages-namurois.be\/index.php\/2024\/02\/09\/inscription-rome-30-aout-au-5-septembre-2024\/","title":{"rendered":"Inscription Rome 30 ao\u00fbt au 5 septembre 2024"},"content":{"rendered":"<h2><span style=\"color: #234f8c;\"><strong>1. Vos coordonn\u00e9es :<\/strong><\/span><\/h2>\n<h4><em><span class=\"sous_titre\" style=\"font-size: 16px; margin-bottom: 20px; color: #234f8c;\">(Telles qu&rsquo;indiqu\u00e9es sur votre carte d&rsquo;identit\u00e9)<\/span><\/em><\/h4>\n<form action=\"https:\/\/www.pelerinages-namurois.be\/inscriptions\/action_pelnam.php\" method=\"POST\"><input name=\"Inscription\" type=\"hidden\" value=\"Rome du 30 ao\u00fbt au 5 septembre 2024\" \/><\/p>\n<h3><input name=\"Civilit\u00e9\" required=\"required\" type=\"radio\" value=\"M.\" \/> M.<\/h3>\n<h3><input name=\"Civilit\u00e9\" type=\"radio\" value=\"Mme\" \/> Mme<\/h3>\n<h3><input name=\"Civilit\u00e9\" type=\"radio\" value=\"Mle\" \/> Mle<\/h3>\n<p>&nbsp;<\/p>\n<h3>Nom :<\/h3>\n<h3><input name=\"Nom\" required=\"required\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Pr\u00e9nom :<\/h3>\n<h3><input name=\"Pr\u00e9nom\" required=\"required\" size=\"37\" type=\"text\" \/><\/h3>\n<h3>Adresse N\u00b0\/Bte + code postal + localit\u00e9 :<\/h3>\n<h3><textarea cols=\"41\" name=\"Adresse\" required=\"required\" rows=\"4\"><\/textarea><\/h3>\n<h3>Email :<\/h3>\n<h3><input name=\"Email\" required=\"required\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Num\u00e9ro de t\u00e9l\u00e9phone :<\/h3>\n<h3><input name=\"T\u00e9l\u00e9phone\" required=\"required\" size=\"21\" type=\"text\" \/><\/h3>\n<h3>Num\u00e9ro de gsm :<\/h3>\n<h3><input name=\"gsm\" size=\"21\" type=\"text\" \/><\/h3>\n<h3>Date de naissance :<\/h3>\n<h3><input name=\"Naissance\" required=\"required\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Nationalit\u00e9 :<\/h3>\n<h3><input name=\"Nationalit\u00e9\" required=\"required\" size=\"33\" type=\"text\" \/><\/h3>\n<h3>Profession :<\/h3>\n<h3><input name=\"Profession\" size=\"34\" type=\"text\" \/><\/h3>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h3>Inscription d&rsquo;une 2\u00e8 personne domicili\u00e9e \u00e0 la m\u00eame adresse (facultatif) :<\/h3>\n<h3><input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"M.\" \/> M.<\/h3>\n<h3><input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"Mme\" \/> Mme.<\/h3>\n<h3><input name=\"Civilit\u00e9_b\" type=\"radio\" value=\"Mle\" \/> Mle<\/h3>\n<h3>Nom :<\/h3>\n<h3><input name=\"Nom_b\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Pr\u00e9nom :<\/h3>\n<h3><input name=\"Pr\u00e9nom_b\" size=\"37\" type=\"text\" \/><\/h3>\n<h3>Email :<\/h3>\n<h3><input name=\"Email_b\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Num\u00e9ro de t\u00e9l\u00e9phone :<\/h3>\n<h3><input name=\"T\u00e9l\u00e9phone_b\" size=\"21\" type=\"text\" \/><\/h3>\n<h3>Num\u00e9ro de gsm :<\/h3>\n<h3><input name=\"gsm_b\" size=\"21\" type=\"text\" \/><\/h3>\n<h3>Date de naissance :<\/h3>\n<h3><input name=\"Naissance_b\" size=\"40\" type=\"text\" \/><\/h3>\n<h3>Nationalit\u00e9 :<\/h3>\n<h3><input name=\"Nationalit\u00e9_b\" size=\"33\" type=\"text\" \/><\/h3>\n<h3>Profession :<\/h3>\n<h3><input name=\"Profession_b\" size=\"34\" type=\"text\" \/><\/h3>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #234f8c;\"><strong>2. Car ou navette :<\/strong><\/span><\/h2>\n<h3>Je souhaiterais embarquer \u00e0 :<\/h3>\n<h3><input name=\"Embarquement\" size=\"30\" type=\"text\" \/><\/h3>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #234f8c;\"><strong>3. Type de chambre :<\/strong><\/span><\/h2>\n<h3><input name=\"Chambre\" required=\"required\" type=\"radio\" value=\"Double (1grand lit)\" \/> Double (1grand lit)<\/h3>\n<h3><input name=\"Chambre\" type=\"radio\" value=\"Double (2 lits)\" \/> Double (2 lits)<\/h3>\n<h3><input name=\"Chambre\" type=\"radio\" value=\"Individuelle\" \/> Individuelle (suppl\u00e9ment : 185 \u20ac )<\/h3>\n<h3>Je d\u00e9sire partager ma chambre avec :<\/h3>\n<h3><input name=\"Partager\" size=\"30\" type=\"text\" \/><\/h3>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #234f8c;\"><strong>4. Personnes \u00e0 contacter en cas d&rsquo;urgence : <\/strong><\/span><\/h2>\n<h3>(nom et t\u00e9l\u00e9phone)<\/h3>\n<h3>1 <input name=\"Urgence_a\" size=\"60\" type=\"text\" \/><\/h3>\n<h3>2 <input name=\"Urgence_b\" size=\"60\" type=\"text\" \/><\/h3>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #234f8c;\"><strong>5. Remarques :<\/strong><\/span><\/h2>\n<h3><textarea cols=\"50\" name=\"Remarques\" rows=\"6\"><\/textarea><\/h3>\n<h3><span style=\"color: #ffffff;\">Email :<\/span><\/h3>\n<p><input style=\"display: none;\" name=\"Email_c\" type=\"text\" \/><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #234f8c;\"><strong>6. Prix du voyage :<\/strong><\/span><\/h2>\n<h3>Prix : 1599 \u20ac<\/h3>\n<h3>Suppl\u00e9ment :<\/h3>\n<h3><input name=\"Suppl\u00e9ment\" size=\"30\" type=\"text\" \/><\/h3>\n<h3>R\u00e9duction :<\/h3>\n<h3><input name=\"R\u00e9duction\" size=\"30\" type=\"text\" \/><\/h3>\n<h3>Don pour nos oeuvres :<\/h3>\n<h3><input name=\"Don\" size=\"30\" type=\"text\" \/><\/h3>\n<h3>Total :<\/h3>\n<h3><input name=\"Total\" size=\"46\" type=\"text\" \/><\/h3>\n<h3><input name=\"CG\" required=\"required\" type=\"checkbox\" value=\"Oui\" \/> En cochant cette case, j&rsquo;accepte les conditions g\u00e9n\u00e9rales<\/h3>\n<h3><input style=\"width: 130px; height: 40px; font-size: 15px;\" type=\"submit\" value=\"Envoyer\" \/><\/h3>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>1. Vos coordonn\u00e9es : (Telles qu&rsquo;indiqu\u00e9es sur votre carte d&rsquo;identit\u00e9) M. Mme Mle &nbsp; Nom : Pr\u00e9nom : Adresse N\u00b0\/Bte + code postal + localit\u00e9 : Email : Num\u00e9ro de t\u00e9l\u00e9phone : Num\u00e9ro de gsm : Date de naissance : Nationalit\u00e9 : Profession : &nbsp; Inscription d&rsquo;une 2\u00e8 personne domicili\u00e9e \u00e0 la m\u00eame adresse (facultatif) : M. Mme. Mle Nom &hellip; <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2349","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/posts\/2349","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/comments?post=2349"}],"version-history":[{"count":1,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/posts\/2349\/revisions"}],"predecessor-version":[{"id":2350,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/posts\/2349\/revisions\/2350"}],"wp:attachment":[{"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/media?parent=2349"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/categories?post=2349"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pelerinages-namurois.be\/index.php\/wp-json\/wp\/v2\/tags?post=2349"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}