{"id":764,"date":"2014-01-28T03:45:43","date_gmt":"2014-01-28T03:45:43","guid":{"rendered":"http:\/\/aupetitboise.com\/?page_id=764"},"modified":"2014-02-10T18:32:55","modified_gmt":"2014-02-10T18:32:55","slug":"sign-up-form","status":"publish","type":"page","link":"https:\/\/aupetitboise.com\/fr\/panier-2\/sign-up-form\/","title":{"rendered":"Inscriptions pour les paniers"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_4' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">ASC<\/h3>\n                            <span class='gform_description'>SVP Remplissez ce fourmulaire pour vous inscrire aux livraisons de l\u00e9gumes frais et vari\u00e9s de la mi-juin \u00e0 la fin octobre.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/764' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_4_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_1\"><label class='gfield_label gfield_label_before_complex'  >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_4_1'>\n                            <span id='input_4_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_4_1_3' value=''   aria-required='true'    {\/>\n                                                    <label for='input_4_1_3' >Pr\u00e9nom<\/label>\n                                               <\/span>\n                            <span id='input_4_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_4_1_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_4_1_6' >Nom<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_4_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_3\"><label class='gfield_label' for='input_4_3' >Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_4_3' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_2\"><label class='gfield_label gfield_label_before_complex'  >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_4_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_4_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_4_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_4_2_1' id='input_4_2_1_label' >Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_4_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_4_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_2_2' id='input_4_2_2_label' >Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_4_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_4_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_4_2_3' id='input_4_2_3_label' >Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_4_2_4_container' >\n                                        <select name='input_2.4' id='input_4_2_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_4_2_4' id='input_4_2_4_label' >Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_4_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_4_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_4_2_5' id='input_4_2_5_label' >Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_4_2_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_4_4\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_4\"><label class='gfield_label' for='input_4_4' >T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_4' id='input_4_4' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_11\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_11\"><label class='gfield_label'  >Hebdomadaire ou bi-mensuel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_11'>\n\t\t\t<li class='gchoice gchoice_4_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Hebdomadaire pour 20 livraisons pour un total de 575$'  id='choice_4_11_0'    \/>\n\t\t\t\t<label for='choice_4_11_0' id='label_4_11_0'>Hebdomadaire pour 20 livraisons pour un total de 575$<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='Bi-mensuel pour 10 livraisons pour un total de 300$'  id='choice_4_11_1'    \/>\n\t\t\t\t<label for='choice_4_11_1' id='label_4_11_1'>Bi-mensuel pour 10 livraisons pour un total de 300$<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_4_11'>Payable en deux versements: 1er ch\u00e8que au moment de l'inscription et 2e ch\u00e8que dat\u00e9 du 15 mai au plus tard\n(Vos paiements en d\u00e9but de saison nous permettent de d\u00e9frayer les nombreuses d\u00e9penses du printemps. SVP envoyez vos deux ch\u00e8ques libell\u00e9s Au Petit Bois\u00e9, au 986 Ch Hudon, Dunham, QC, J0E 1M0)<\/div><\/li><li id=\"field_4_5\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_5\"><label class='gfield_label'  >Point de Chute<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_5'>\n\t\t\t<li class='gchoice gchoice_4_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='\u00c0 la ferme, en tout temps'  id='choice_4_5_0'    \/>\n\t\t\t\t<label for='choice_4_5_0' id='label_4_5_0'>\u00c0 la ferme, en tout temps<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='\u00c0 Dunham, \u00e0 la boulangerie Laperle et son boulanger de 14h \u00e0 17h'  id='choice_4_5_1'    \/>\n\t\t\t\t<label for='choice_4_5_1' id='label_4_5_1'>\u00c0 Dunham, \u00e0 la boulangerie Laperle et son boulanger de 14h \u00e0 17h<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_2'>\n\t\t\t\t<input name='input_5' type='radio' value='\u00c0 Sutton, au 70 rue Principale Nord de 16h \u00e0 22h'  id='choice_4_5_2'    \/>\n\t\t\t\t<label for='choice_4_5_2' id='label_4_5_2'>\u00c0 Sutton, au 70 rue Principale Nord de 16h \u00e0 22h<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_3'>\n\t\t\t\t<input name='input_5' type='radio' value='\u00c0 Bromont, au 1357 rue Shefford, au comptoir M\u00fbre de Satya Yoga, de 12h30 \u00e0 17h30'  id='choice_4_5_3'    \/>\n\t\t\t\t<label for='choice_4_5_3' id='label_4_5_3'>\u00c0 Bromont, au 1357 rue Shefford, au comptoir M\u00fbre de Satya Yoga, de 12h30 \u00e0 17h30<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_5_4'>\n\t\t\t\t<input name='input_5' type='radio' value='Au Coll\u00e8ge Champlain, les jeudis'  id='choice_4_5_4'    \/>\n\t\t\t\t<label for='choice_4_5_4' id='label_4_5_4'>Au Coll\u00e8ge Champlain, les jeudis<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_7\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_7\"><h2 class=\"gsection_title\">Accord<\/h2><div class='gsection_description' id='gfield_description_4_7'>C'est la responsabilit\u00e9 du partenaire de ramasser son panier. Lors de vacances, vous pouvez donner votre panier \u00e0 un ami qui viendra le chercher \u00e0 votre place, ou nous pouvons le garder \u00e0 la ferme dans la chambre froide. Comme nous sommes tous \u00e0 la merci de m\u00e8re nature, les partenaires doivent comprendre que la maladie, les insectes, et le mauvais temps peuvent affecter une ou des cultures, les partenaires prennent ce risque avec la ferme. En contreparti, la ferme s'engage \u00e0 faire tout son possible pour s'assurer de la sant\u00e9 des cultures. Nous utilisons seulement des engrais naturels (compost, algues, fumier) et des protections contre les maladies telles que filets, couvertures flottantes, argile, et th\u00e9 de composte. Merci de soutenir l'agriculture locale et durable. Au plaisir de vous voir au mois de juin.<\/div><\/li><li id=\"field_4_8\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_8\"><label class='gfield_label screen-reader-text gfield_label_before_complex'  ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_8'><li class='gchoice gchoice_4_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Je suis d&#039;accord'  id='choice_4_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_8_1' id='label_4_8_1'>Je suis d'accord<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_9\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_9\"><label class='gfield_label' for='input_4_9' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_4_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_10\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_10\"><label class='gfield_label' for='input_4_10' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_10' id='input_4_10' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_4_10_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_4_10_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_4_10' class='gform_hidden' value='https:\/\/aupetitboise.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_4_12\"  class=\"gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_12\"><label class='gfield_label' for='input_4_12' >Phone<\/label><div class='ginput_container'><input name='input_12' id='input_4_12' type='text' value='' \/><\/div><div class='gfield_description' id='gfield_description_4_12'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_4\"]){return false;}  window[\"gf_submitting_4\"]=true; 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