{"id":133,"date":"2012-04-19T21:25:03","date_gmt":"2012-04-19T21:25:03","guid":{"rendered":"http:\/\/www.cgt-hopital-manosque.fr\/?page_id=133"},"modified":"2012-05-05T19:45:00","modified_gmt":"2012-05-05T19:45:00","slug":"contact-3","status":"publish","type":"page","link":"http:\/\/www.cgt-hopital-manosque.fr\/?page_id=133","title":{"rendered":"Contact"},"content":{"rendered":"\r\n\r\n<!-- Fast Secure Contact Form plugin 3.1.9.1 - begin - FastSecureContactForm.com -->\r\n<div id=\"FSContact1\" style=\"width:600px;\">\r\n<form action=\"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F133#FSContact1\" id=\"si_contact_form1\" method=\"post\">\r\n<div style=\"text-align:left;\">\r\n * (champ obligatoire)\r\n   <\/div>\r\n\r\n         <div>\r\n               <input type=\"hidden\" name=\"si_contact_CID\" value=\"1\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_f_name1\">First Name:<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_f_name1\" name=\"si_contact_f_name\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_l_name1\">Last Name:<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_l_name1\" name=\"si_contact_l_name\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_email1\">Adresse courriel:<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_email1\" name=\"si_contact_email\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_1\">T\u00e9l\u00e9phone:<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_1\" name=\"si_contact_ex_field1\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_2\">Etablissement:<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_2\" name=\"si_contact_ex_field2\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_3\">Service:<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_3\" name=\"si_contact_ex_field3\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_ex_field1_4\">Profession:<\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_ex_field1_4\" name=\"si_contact_ex_field4\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n         <\/div>\r\n         <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_5\" name=\"si_contact_ex_field5\" value=\"selected\"  \/> <label style=\"display:inline;\" for=\"si_contact_ex_field1_5\">* Je souhaiterais avoir des renseignements sur le syndicat<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n         <\/div>\r\n         <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_6\" name=\"si_contact_ex_field6\" value=\"selected\"  \/> <label style=\"display:inline;\" for=\"si_contact_ex_field1_6\">* Je souhaiterais me syndiquer<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n         <\/div>\r\n         <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_7\" name=\"si_contact_ex_field7\" value=\"selected\"  \/> <label style=\"display:inline;\" for=\"si_contact_ex_field1_7\">* Je souhaiterais faire appel \u00e0 votre aide<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n         <\/div>\r\n         <div style=\"text-align:left;\">\r\n                <input type=\"checkbox\" style=\"width:13px;\" id=\"si_contact_ex_field1_8\" name=\"si_contact_ex_field8\" value=\"selected\"  \/> <label style=\"display:inline;\" for=\"si_contact_ex_field1_8\">* Je souhaiterais vous proposer une id\u00e9e d&#039;article pour votre blog ou votre journal<\/label>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_subject1\">Sujet:<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0;\" type=\"text\" id=\"si_contact_subject1\" name=\"si_contact_subject\" value=\"\"  size=\"60\" \/>\r\n        <\/div>\r\n\r\n        <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_message1\">Message:<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <textarea style=\"text-align:left; margin:0;\" id=\"si_contact_message1\" name=\"si_contact_message\"  cols=\"30\" rows=\"10\"><\/textarea>\r\n        <\/div>\r\n\r\n<div style=\"text-align:left; padding-top:5px;\"> <\/div>\r\n <div style=\"width:250px; height:65px; padding-top:2px;\">\r\n    <img loading=\"lazy\" decoding=\"async\" class=\"ctf-captcha\" id=\"si_image_ctf1\" style=\"border-style:none; margin:0; padding:0px; padding-right:5px; float:left;\" src=\"http:\/\/www.cgt-hopital-manosque.fr\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?ctf_form_num=1\" width=\"175\" height=\"60\" alt=\"Image CAPTCHA\" title=\"Image CAPTCHA\" \/>\r\n    <div id=\"si_refresh_ctf1\">\r\n      <a href=\"#\" rel=\"nofollow\" title=\"Rafra\u00eechir l&#039;image\" onclick=\"document.getElementById('si_image_ctf1').src = 'http:\/\/www.cgt-hopital-manosque.fr\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?ctf_form_num=1&amp;sid=' + Math.random(); return false;\">\r\n      <img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.cgt-hopital-manosque.fr\/wp-content\/plugins\/si-contact-form\/captcha\/images\/refresh.png\" width=\"22\" height=\"20\" alt=\"Rafra\u00eechir l&#039;image\" style=\"border-style:none; margin:0; padding:0px; vertical-align:bottom;\" onclick=\"this.blur();\" \/><\/a>\r\n   <\/div>\r\n   <\/div>\r\n\r\n      <div style=\"text-align:left; padding-top:5px;\">\r\n                <label for=\"si_contact_captcha_code1\">Retaper le code qui apparait ci-dessus<span style=\"text-align:left;\"> *<\/span><\/label>\r\n        <\/div>\r\n        <div style=\"text-align:left;\">\r\n                <input style=\"text-align:left; margin:0; width:50px;\" type=\"text\" value=\"\" id=\"si_contact_captcha_code1\" name=\"si_contact_captcha_code\"  size=\"6\" \/>\r\n       <\/div>\r\n\r\n    <input type=\"hidden\" name=\"si_postonce_1\" value=\"b706b2bfdcdd1725c344291bf4ebd847,1777744090\" \/>\r\n\r\n<div style=\"text-align:left; padding-top:2px;\">\r\n  <input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\r\n  <input type=\"hidden\" name=\"si_contact_form_id\" value=\"1\" \/>\r\n  <input type=\"submit\" id=\"fsc-submit-1\" style=\"cursor:pointer; margin:0;\" value=\"Envoyer\" \/> \r\n<\/div>\r\n\r\n<\/form>\r\n<\/div>\r\n<!-- Fast Secure Contact Form plugin 3.1.9.1 - end - FastSecureContactForm.com -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"full-width-page.php","meta":{"footnotes":""},"_links":{"self":[{"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/pages\/133"}],"collection":[{"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=133"}],"version-history":[{"count":11,"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/pages\/133\/revisions"}],"predecessor-version":[{"id":247,"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=\/wp\/v2\/pages\/133\/revisions\/247"}],"wp:attachment":[{"href":"http:\/\/www.cgt-hopital-manosque.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}