{"id":282,"date":"2022-12-08T13:35:02","date_gmt":"2022-12-08T13:35:02","guid":{"rendered":"https:\/\/mobileform.kvbe.ch\/wordpress\/?page_id=282"},"modified":"2023-07-22T10:22:03","modified_gmt":"2023-07-22T10:22:03","slug":"formular_fr","status":"publish","type":"page","link":"https:\/\/vorzugsabo.ch\/?page_id=282&lang=fr","title":{"rendered":"Formulaire d&#8217;inscription"},"content":{"rendered":"<p>\u00a0<\/p>\n<p><strong>Important!<\/strong><\/p>\n<p>Une inscription s\u00e9par\u00e9e doit \u00eatre remplie pour chaque num\u00e9ro de t\u00e9l\u00e9phone. Il est possible de souscrire au maximum 5 abonnements pour des personnes vivant dans le m\u00eame m\u00e9nage.<\/p>\n<p>\u00a0<\/p>\n<h2>Formulaire d&#8217;inscription<\/h2>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-312\"><form id=\"wpforms-form-312\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"312\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F282\" data-token=\"021487d56468bb148a648a024e1f733c\" data-token-time=\"1784971913\"><noscript class=\"wpforms-error-noscript\">Bitte aktiviere JavaScript in deinem Browser, um dieses Formular fertigzustellen.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-312-field_22-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"22\"><h3 id=\"wpforms-312-field_22\">B\u00e9n\u00e9vole ou collaboratrice\/collaborateur CRS<\/h3><\/div><div id=\"wpforms-312-field_103-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"103\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_62-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"62\"><label class=\"wpforms-field-label\">Titre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_62\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_62_1\" name=\"wpforms[fields][62]\" value=\"Monsieur\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_62_1\">Monsieur<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_62_2\" name=\"wpforms[fields][62]\" value=\"Madame\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_62_2\">Madame<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><\/div><\/div><\/div><div id=\"wpforms-312-field_45-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"45\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_43\">Pr\u00e9nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_43\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][43]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_44-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_44\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_106-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"106\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_49\">Date d&#039;anniversaire <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_49\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99.99.9999\" name=\"wpforms[fields][49]\" placeholder=\"dd.mm.yyyy\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><\/div><\/div><\/div><div id=\"wpforms-312-field_23-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"23\"><h3 id=\"wpforms-312-field_23\">D\u00e9tentrice\/D\u00e9tenteur de l\u2019abonnement<\/h3><\/div><div id=\"wpforms-312-field_104-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"104\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_64-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"64\"><label class=\"wpforms-field-label\">Titre <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_64\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_64_1\" name=\"wpforms[fields][64]\" value=\"Monsieur\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_64_1\">Monsieur<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_64_2\" name=\"wpforms[fields][64]\" value=\"Madame\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_64_2\">Madame<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_65-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"65\"><label class=\"wpforms-field-label\">Client <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_65\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_65_1\" name=\"wpforms[fields][65]\" value=\"Client priv\u00e9\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_65_1\">Client priv\u00e9<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_65_2\" name=\"wpforms[fields][65]\" value=\"Client commercial\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_65_2\">Client commercial<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_48-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"48\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_50\">Pr\u00e9nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-312-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_51\">Nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_51\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][51]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_55-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_55\">Rue \/ Num\u00e9ro <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_55\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][55]\" required><\/div><div id=\"wpforms-312-field_59-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"59\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-67\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-312-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_58\">Code postal <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_58\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"9999\" name=\"wpforms[fields][58]\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-67\" ><div id=\"wpforms-312-field_57-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_57\">Lieu <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-312-field_57\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][57]\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_111-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"111\"><\/div><div id=\"wpforms-312-field_112-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"112\"><\/div><div id=\"wpforms-312-field_113-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"113\"><\/div><div id=\"wpforms-312-field_105-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"105\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_105\">Op\u00e9rateur pr\u00e9c\u00e9dent <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-312-field_105\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][105]\" required=\"required\"><option value=\"Aucun\"  class=\"choice-1 depth-1\"  >Aucun<\/option><option value=\"Swisscom\"  class=\"choice-2 depth-1\"  >Swisscom<\/option><option value=\"Autres\"  class=\"choice-3 depth-1\"  >Autres<\/option><\/select><\/div><div id=\"wpforms-312-field_66-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"66\" style=\"display:none;\"><label class=\"wpforms-field-label\">Op\u00e9rateur pr\u00e9c\u00e9dent <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_66\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_66_1\" name=\"wpforms[fields][66][]\" value=\"sunrise\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_66_1\">sunrise<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_66_2\" name=\"wpforms[fields][66][]\" value=\"salt\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_66_2\">salt<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_66_3\" name=\"wpforms[fields][66][]\" value=\"upc cablecom\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_66_3\">upc cablecom<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_66_4\" name=\"wpforms[fields][66][]\" value=\"autres\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_66_4\">autres<\/label><\/li><\/ul><\/div><div id=\"wpforms-312-field_67-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"divider\" data-field-id=\"67\" style=\"display:none;\"><h3 id=\"wpforms-312-field_67\">Je veux changer de fournisseur de services de t\u00e9l\u00e9communications et conserver mon ou mes num\u00e9ros de t\u00e9l\u00e9phone.<\/h3><\/div><div id=\"wpforms-312-field_68-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"checkbox\" data-field-id=\"68\" style=\"display:none;\"><ul id=\"wpforms-312-field_68\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_68_1\" name=\"wpforms[fields][68][]\" value=\"Je souhaite respecter la dur\u00e9e du contrat avec mon fournisseur actuel (la demande doit toutefois \u00eatre faite au maximum 365 jours avant l&#039;expiration du contrat).\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_68_1\">Je souhaite respecter la dur\u00e9e du contrat avec mon fournisseur actuel (la demande doit toutefois \u00eatre faite au maximum 365 jours avant l'expiration du contrat).<\/label><\/li><\/ul><\/div><div id=\"wpforms-312-field_69-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_69\">Date d&#039;expiration du contrat<\/label><input type=\"text\" id=\"wpforms-312-field_69\" class=\"wpforms-field-small wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99.99.9999\" name=\"wpforms[fields][69]\" placeholder=\"dd.mm.yyyy\" ><\/div><div id=\"wpforms-312-field_70-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"70\" style=\"display:none;\"><ul id=\"wpforms-312-field_70\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_70_1\" name=\"wpforms[fields][70][]\" value=\"Je souhaite transf\u00e9rer mon num\u00e9ro avant l&#039;expiration de la dur\u00e9e minimale du contrat et je me d\u00e9clare pr\u00eat(e) \u00e0 payer \u00e0 l&#039;ancien op\u00e9rateur tous les paiements \u00e9ventuellement dus dans ce contexte.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_70_1\">Je souhaite transf\u00e9rer mon num\u00e9ro avant l'expiration de la dur\u00e9e minimale du contrat et je me d\u00e9clare pr\u00eat(e) \u00e0 payer \u00e0 l'ancien op\u00e9rateur tous les paiements \u00e9ventuellement dus dans ce contexte.<\/label><\/li><\/ul><\/div><div id=\"wpforms-312-field_71-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_71\">Date de portage souhait\u00e9e<\/label><input type=\"text\" id=\"wpforms-312-field_71\" class=\"wpforms-field-small wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99.99.9999\" name=\"wpforms[fields][71]\" placeholder=\"dd.mm.yyyy\" ><\/div><div id=\"wpforms-312-field_80-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"divider\" data-field-id=\"80\" style=\"display:none;\"><h3 id=\"wpforms-312-field_80\">Je souhaite reprendre le(s) num\u00e9ro(s) suivant(s) :<\/h3><\/div><div id=\"wpforms-312-field_56-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"56\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_72-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"72\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_72\">1. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_72\" class=\"wpforms-field-medium\" name=\"wpforms[fields][72]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_73-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_73\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_73_1\" name=\"wpforms[fields][73][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_73_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_74-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_74\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_74\" class=\"wpforms-field-medium\" name=\"wpforms[fields][74]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_75-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"75\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_75\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_75\" class=\"wpforms-field-medium\" name=\"wpforms[fields][75]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_81-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"81\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_76\">2. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_76\" class=\"wpforms-field-medium\" name=\"wpforms[fields][76]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_77-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_77\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_77_1\" name=\"wpforms[fields][77][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_77_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_78\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_78\" class=\"wpforms-field-medium\" name=\"wpforms[fields][78]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_79\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_79\" class=\"wpforms-field-medium\" name=\"wpforms[fields][79]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_82-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"82\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_83-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"83\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_83\">3. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_83\" class=\"wpforms-field-medium\" name=\"wpforms[fields][83]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_87-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"87\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_87\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_87_1\" name=\"wpforms[fields][87][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_87_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_88-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"88\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_88\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_88\" class=\"wpforms-field-medium\" name=\"wpforms[fields][88]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_89-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"89\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_89\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_89\" class=\"wpforms-field-medium\" name=\"wpforms[fields][89]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_84-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"84\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"90\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_90\">4. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_90\" class=\"wpforms-field-medium\" name=\"wpforms[fields][90]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_91-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"91\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_91\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_91_1\" name=\"wpforms[fields][91][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_91_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"92\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_92\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_92\" class=\"wpforms-field-medium\" name=\"wpforms[fields][92]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_93-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"93\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_93\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_93\" class=\"wpforms-field-medium\" name=\"wpforms[fields][93]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_85-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"85\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_94-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"94\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_94\">5. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_94\" class=\"wpforms-field-medium\" name=\"wpforms[fields][94]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_95-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"95\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_95\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_95_1\" name=\"wpforms[fields][95][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_95_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_96-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"96\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_96\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_96\" class=\"wpforms-field-medium\" name=\"wpforms[fields][96]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_97-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"97\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_97\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_97\" class=\"wpforms-field-medium\" name=\"wpforms[fields][97]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_86-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"86\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_98-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"98\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_98\">6. Num\u00e9ro de t\u00e9l\u00e9phone<\/label><input type=\"text\" id=\"wpforms-312-field_98\" class=\"wpforms-field-medium\" name=\"wpforms[fields][98]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_102-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"checkbox\" data-field-id=\"102\" style=\"display:none;\"><label class=\"wpforms-field-label\">Prepaid<\/label><ul id=\"wpforms-312-field_102\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_102_1\" name=\"wpforms[fields][102][]\" value=\"Oui\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_102_1\">Oui<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_100\">Fax<\/label><input type=\"text\" id=\"wpforms-312-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-312-field_101-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"101\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_101\">Data<\/label><input type=\"text\" id=\"wpforms-312-field_101\" class=\"wpforms-field-medium\" name=\"wpforms[fields][101]\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-312-field_13-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_13\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-312-field_13\" class=\"wpforms-field-medium wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone\" required><\/div><div id=\"wpforms-312-field_115-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"115\"><\/div><div id=\"wpforms-312-field_116-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"116\"><\/div><div id=\"wpforms-312-field_117-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"117\"><\/div><div id=\"wpforms-312-field_118-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"118\"><div id=\"wpforms-312-field_118\"><p>Veuillez scanner le code QR avec la cam\u00e9ra de votre smartphone et signer sur votre smartphone.<\/p><p><\/p><\/div><\/div><div id=\"wpforms-312-field_119-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"119\"><\/div><div id=\"wpforms-312-field_120-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"120\"><\/div><div id=\"wpforms-312-field_109-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"109\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_109\">Signature <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-312-field_109\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][109]\" required><\/textarea><\/div><div id=\"wpforms-312-field_121-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"121\"><\/div><div id=\"wpforms-312-field_40-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"40\"><label class=\"wpforms-field-label\">Facture <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_40_1\" name=\"wpforms[fields][40]\" value=\"par e-mail \u00e0 l\u2019adresse e-mail priv\u00e9e\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_40_1\">par e-mail \u00e0 l\u2019adresse e-mail priv\u00e9e<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-312-field_40_2\" name=\"wpforms[fields][40]\" value=\"par la Poste \u00e0 l\u2019adresse susmentionn\u00e9e (suppl\u00e9ment de CHF 2.90 pour facture sur papier)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_40_2\">par la Poste \u00e0 l\u2019adresse susmentionn\u00e9e (suppl\u00e9ment de CHF 2.90 pour facture sur papier)<\/label><\/li><\/ul><\/div><div id=\"wpforms-312-field_2-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"email\" data-field-id=\"2\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-312-field_2\">E-Mail <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-312-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-312-field_25-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Conditions CRS <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-312-field_25\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-312-field_25_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][25][]\" value=\"D\u2019accord\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-312-field_25_1\">D\u2019accord<\/label><\/li><\/ul><div class=\"wpforms-field-description wpforms-disclaimer-description\">J'ai pris connaissance des conditions de souscription d'un abonnement de t\u00e9l\u00e9phonie mobile Swisscom aux conditions pr\u00e9f\u00e9rentielles de la CRS et je d\u00e9clare les accepter. En outre, je m'engage \u00e0 signaler le d\u00e9part \u00e9ventuel d'un(e) titulaire de l'abonnement du m\u00eame m\u00e9nage. En cas de d\u00e9part de la CRS, le b\u00e9n\u00e9vole\/collaborateur s'engage soit \u00e0 reprendre le num\u00e9ro de t\u00e9l\u00e9phone et \u00e0 souscrire un abonnement en tant que client priv\u00e9, soit \u00e0 nous faire part de son souhait de r\u00e9silier l'abonnement. Il en va de m\u00eame pour les proches du b\u00e9n\u00e9vole\/collaborateur.<\/div><\/div><div id=\"wpforms-312-field_32-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"32\"><h3 id=\"wpforms-312-field_32\"> <\/h3><\/div><div id=\"wpforms-312-field_31-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"31\"><h3 id=\"wpforms-312-field_31\"> <\/h3><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"312\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/pages\/282\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-312\" class=\"wpforms-submit\" data-alt-text=\"Senden\u2026\" data-submit-text=\"Envoyer\" aria-live=\"assertive\" value=\"wpforms-submit\">Envoyer<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/vorzugsabo.ch\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Wird geladen\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n<p>\u00a0<\/p>\n\n\n<script src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/jspdf\/1.5.3\/jspdf.debug.js\" integrity=\"sha384-NaWTHo\/8YCBYJ59830LTz\/P4aQZK1sS0SneOgAvhsIl3zBu8r9RevNg5lHCHAuQ\/\" crossorigin=\"anonymous\"><\/script><script src=\"https:\/\/code.jquery.com\/jquery-2.2.4.min.js\" integrity=\"sha256-BbhdlvQf\/xTY9gja0Dq3HiwQF8LaCRTXxZKRutelT44=\" crossorigin=\"anonymous\"><\/script><script src=\"https:\/\/signmydocs.ch\/service\/js\/packages\/jQuery\/signnow\/signnow.js\"><\/script><script src=\"\/js\/signMyDocsConfigFR.js\"><\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Important! Une inscription s\u00e9par\u00e9e doit \u00eatre remplie pour chaque num\u00e9ro de t\u00e9l\u00e9phone. Il est possible de souscrire au maximum 5 abonnements pour des personnes vivant dans le m\u00eame m\u00e9nage. \u00a0 Formulaire d&#8217;inscription \u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-282","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/pages\/282","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=282"}],"version-history":[{"count":16,"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/pages\/282\/revisions"}],"predecessor-version":[{"id":600,"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=\/wp\/v2\/pages\/282\/revisions\/600"}],"wp:attachment":[{"href":"https:\/\/vorzugsabo.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}