{"id":6,"date":"2026-01-07T08:40:12","date_gmt":"2026-01-07T07:40:12","guid":{"rendered":"https:\/\/app.synrezo.fr\/work-in-b\/demande-dadhesion\/"},"modified":"2026-01-07T08:40:12","modified_gmt":"2026-01-07T07:40:12","slug":"demande-dadhesion","status":"publish","type":"page","link":"https:\/\/app.synrezo.fr\/work-in-b\/demande-dadhesion\/","title":{"rendered":"Demande d&rsquo;adh\u00e9sion"},"content":{"rendered":"    <form method=\"POST\" enctype=\"multipart\/form-data\" class=\"needs-validation\">          \n        <input type=\"hidden\" id=\"membership-n\" name=\"membership-n\" value=\"b1a4ee5368\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/work-in-b\/wp-json\/wp\/v2\/pages\/6\" \/>\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <h2>1. Fiche entreprise<\/h2>\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-title\" class=\"form-label\">Enseigne commerciale <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"title\" value=\"\" id=\"form-title\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-name\" class=\"form-label\">Nom de l'entreprise <i class=\"notice\">(si diff\u00e9rent de l'enseigne)<\/i><\/label>\n                    <input type=\"text\" name=\"company_name\" value=\"\" id=\"form-name\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-logo\" class=\"form-label\">Logo <span class=\"required\">*<\/span> <i class=\"notice\">(jpg, png <b>Max :<\/b> 10Mo)<\/i><\/label>\n                    <input type=\"file\" name=\"logo\" accept=\"image\/jpeg,image\/png\" id=\"form-logo\" class=\"form-control\" required \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-siret\" class=\"form-label\">SIRET <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"siret\" value=\"\" id=\"form-siret\" class=\"form-control\" pattern=\"(\\d{3} ?){3}\\d{5}\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-ape\" class=\"form-label\">Code APE <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"ape\" value=\"\" id=\"form-ape\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-forme_juridique\" class=\"form-label\">Forme juridique <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"forme_juridique\" value=\"\" id=\"form-forme_juridique\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-tva\" class=\"form-label\">Num\u00e9ro de TVA<\/label>\n                    <input type=\"text\" name=\"tva\" value=\"\" id=\"form-tva\" class=\"form-control\" \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-mail_1\" class=\"form-label\">Mail principal <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"mail_1\" value=\"\" id=\"form-mail_1\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-mail_2\" class=\"form-label\">Mail secondaire<\/label>\n                    <input type=\"text\" name=\"mail_2\" value=\"\" id=\"form-mail_2\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-phone_1\" class=\"form-label\">T\u00e9l. principal <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"phone_1\" value=\"\" id=\"form-phone_1\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-phone_2\" class=\"form-label\">T\u00e9l. secondaire<\/label>\n                    <input type=\"text\" name=\"phone_2\" value=\"\" id=\"form-phone_2\" class=\"form-control\" \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-8 mb-4\">\n                    <label for=\"form-excerpt\" class=\"form-label\">Description courte <i class=\"notice\">(500 caract\u00e8res maximum)<\/i><\/label>\n                    <textarea type=\"text\" name=\"excerpt\" id=\"form-excerpt\" class=\"form-control\" maxlength=\"500\"><\/textarea>\n                <\/div>\n                                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-categories\" class=\"form-label\">M\u00e9tier <span class=\"required\">*<\/span><\/label>\n                    <select id=\"form-categories\" name=\"categories\" class=\"form-select select2\" required>\n                        <option value=\"\">S\u00e9lectionner une cat\u00e9gorie<\/option>\n                    <option value=\"7\">Agriculture, agroalimentaire &amp; fili\u00e8res v\u00e9g\u00e9tales<\/option><option value=\"17\">Imprimerie &amp; communication graphique<\/option><option value=\"29\">Traduction technique<\/option><option value=\"30\">Traduction<\/option><option value=\"19\">Services techniques, hygi\u00e8ne &amp; s\u00e9curit\u00e9<\/option><option value=\"39\">Services bancaires<\/option><option value=\"18\">Sant\u00e9, m\u00e9dico-social &amp; action sociale<\/option><option value=\"10\">Ressources humaines, emploi &amp; insertion, formation<\/option><option value=\"31\">Informatique<\/option><option value=\"16\">Industrie technologique &amp; innovation<\/option><option value=\"15\">Industrie m\u00e9canique, m\u00e9tallurgie &amp; usinage<\/option><option value=\"37\">Industrie de la d\u00e9fense<\/option><option value=\"32\">IA<\/option><option value=\"34\">Agroalimentaire<\/option><option value=\"22\">Fabrication de machines industrielles<\/option><option value=\"14\">\u00c9nergie, environnement &amp; traitement des ressources<\/option><option value=\"36\">EMS<\/option><option value=\"35\">Electronique<\/option><option value=\"13\">Conseil, strat\u00e9gie &amp; ing\u00e9nierie de services, bureau d&#039;\u00e9tudes<\/option><option value=\"38\">Chimie<\/option><option value=\"11\">Bois, papier &amp; mat\u00e9riaux biosourc\u00e9s<\/option><option value=\"12\">B\u00e2timent, construction &amp; r\u00e9novation, \u00e9nergtie<\/option><option value=\"9\">Assurances, finance &amp; courtage<\/option><option value=\"8\">Architecture, urbanisme &amp; conception<\/option><option value=\"33\">Transports<\/option>                    <\/select>\n                                    <\/div>\n                            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-12\">\n                    <label for=\"form-content\" class=\"form-label\">Description longue <i class=\"notice\">(3000 caract\u00e8res maximum)<\/i><\/label>\n                    <div id=\"wp-form-content-wrap\" class=\"wp-core-ui wp-editor-wrap tmce-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/app.synrezo.fr\/work-in-b\/wp-includes\/css\/dashicons.min.css?ver=6.9.4' type='text\/css' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/app.synrezo.fr\/work-in-b\/wp-includes\/css\/editor.min.css?ver=6.9.4' type='text\/css' media='all' \/>\n<div id=\"wp-form-content-editor-container\" class=\"wp-editor-container\"><textarea class=\"form-control wp-editor-area\" rows=\"4\" autocomplete=\"off\" cols=\"40\" name=\"content\" id=\"form-content\"><\/textarea><\/div>\n<\/div>\n\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <h2>2. Adresse de l'entreprise<\/h2>\n\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-address_1\" class=\"form-label\">Adresse <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"address_1\" value=\"\" id=\"form-address_1\" class=\"form-control\" required \/>\n                    <input type=\"text\" name=\"address_2\" value=\"\" id=\"form-address_2\" class=\"form-control\" placeholder=\"Compl\u00e9ment d'adresse\" \/>\n                <\/div>\n                <div class=\"col-md-2 mb-4\">\n                    <label for=\"form-zip\" class=\"form-label\">Code postal <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"zip\" value=\"\" id=\"form-zip\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-city\" class=\"form-label\">Ville <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"city\" value=\"\" id=\"form-city\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-country\" class=\"form-label\">Pays <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"country\" value=\"France\" id=\"form-country\" class=\"form-control\" required \/>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <h2>3. Adresse de facturation<\/h2>\n\n            <div class=\"form-check mb-4\">\n                <input class=\"form-check-input collapse-disable-fields\" type=\"checkbox\" name=\"billing\" value=\"1\" id=\"form-billing\" data-bs-toggle=\"collapse\" data-bs-target=\"#billing-form\">\n                <label class=\"form-check-label\" for=\"form-billing\">Saisir une adresse de facturation diff\u00e9rente<\/label>\n            <\/div>\n\n            <div id=\"billing-form\" class=\"collapse\">\n                <div class=\"row\">\n                    <div class=\"col-md-4 mb-4\">\n                        <label for=\"form-billing_address_1\" class=\"form-label\">Adresse <span class=\"required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"billing_address_1\" value=\"\" id=\"form-billing_address_1\" class=\"form-control\" required \/>\n                        <input type=\"text\" name=\"billing_address_2\" value=\"\" id=\"form-billing_address_2\" class=\"form-control\" placeholder=\"Compl\u00e9ment d'adresse\" \/>\n                    <\/div>\n                    <div class=\"col-md-2 mb-4\">\n                        <label for=\"form-billing_zip\" class=\"form-label\">Code postal <span class=\"required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"billing_zip\" value=\"\" id=\"form-billing_zip\" class=\"form-control\" required \/>\n                    <\/div>\n                    <div class=\"col-md-3 mb-4\">\n                        <label for=\"form-billing_city\" class=\"form-label\">Ville <span class=\"required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"billing_city\" value=\"\" id=\"form-billing_city\" class=\"form-control\" required \/>\n                    <\/div>\n                    <div class=\"col-md-3 mb-4\">\n                        <label for=\"form-billing_country\" class=\"form-label\">Pays <span class=\"required\">*<\/span><\/label>\n                        <input type=\"text\" name=\"billing_country\" value=\"France\" id=\"form-billing_country\" class=\"form-control\" required \/>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <h2>4. Informations et R\u00e9seaux Sociaux de l'Entreprise<\/h2>\n\n            <div class=\"row\">\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-site\" class=\"form-label\">Site internet <i class=\"notice\">(commence par https:\/\/)<\/i><\/label>\n                    <input type=\"url\" name=\"site\" value=\"\" id=\"form-site\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-facebook\" class=\"form-label\">Facebook<\/label>\n                    <input type=\"url\" name=\"facebook\" value=\"\" id=\"form-facebook\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-instagram\" class=\"form-label\">Instagram<\/label>\n                    <input type=\"url\" name=\"instagram\" value=\"\" id=\"form-instagram\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-3 mb-4\">\n                    <label for=\"form-linkedin\" class=\"form-label\">LinkedIn<\/label>\n                    <input type=\"url\" name=\"linkedin\" value=\"\" id=\"form-linkedin\" class=\"form-control\" \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-12 mb-4\">\n                    <label for=\"form-notes\" class=\"form-label\">Notes\/Instructions\/Informations <span class=\"notice\">(Informations suppl\u00e9mentaires pour le traitement de votre fiche)<\/span><\/label>\n                    <textarea type=\"text\" name=\"notes\" id=\"form-notes\" class=\"form-control\" rows=\"4\"><\/textarea>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <h2>5. Contact<\/h2>\n\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_lastname\" class=\"form-label\">Nom <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"contact_lastname\" value=\"\" id=\"form-contact_lastname\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_firstname\" class=\"form-label\">Pr\u00e9nom <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"contact_firstname\" value=\"\" id=\"form-contact_firstname\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_job\" class=\"form-label\">Fonction <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"contact_job\" value=\"\" id=\"form-contact_job\" class=\"form-control\" required \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_mail\" class=\"form-label\">Adresse mail <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" name=\"contact_mail\" value=\"\" id=\"form-contact_mail\" class=\"form-control\" required \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_phone\" class=\"form-label\">T\u00e9l\u00e9phone<\/label>\n                    <input type=\"text\" name=\"contact_phone\" value=\"\" id=\"form-contact_phone\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact-thumb\" class=\"form-label\">Photo <span class=\"required\">*<\/span><i class=\"notice\">(jpg, png <b>Max :<\/b> 10Mo)<\/i><\/label>\n                    <input type=\"file\" name=\"contact_thumb\" accept=\"image\/jpeg,image\/png\" id=\"form-contact-thumb\" class=\"form-control\" required \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_facebook\" class=\"form-label\">Facebook<\/label>\n                    <input type=\"url\" name=\"contact_facebook\" value=\"\" id=\"form-contact_facebook\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_instagram\" class=\"form-label\">Instagram<\/label>\n                    <input type=\"url\" name=\"contact_instagram\" value=\"\" id=\"form-contact_instagram\" class=\"form-control\" \/>\n                <\/div>\n                <div class=\"col-md-4 mb-4\">\n                    <label for=\"form-contact_linkedin\" class=\"form-label\">LinkedIn<\/label>\n                    <input type=\"url\" name=\"contact_linkedin\" value=\"\" id=\"form-contact_linkedin\" class=\"form-control\" \/>\n                <\/div>\n            <\/div>\n            <div class=\"row\">\n                <div class=\"col-md-4 mb-4\">\n                <label for=\"form-contact_birthdate\" class=\"form-label\">Date de naissance<\/label><br \/><i>(r\u00e9serv\u00e9 aux administrateurs du club)<\/i>\n                <input type=\"date\" name=\"contact_birthdate\" value=\"\" id=\"form-contact_birthdate\" class=\"form-control\" \/>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <div class=\"border rounded-5 p-4 mb-4\">\n            <div class=\"form-check\">\n                <input class=\"form-check-input\" type=\"checkbox\" name=\"rgpd\" value=\"1\" id=\"form-rgpd\" required>\n                <label class=\"form-check-label\" for=\"form-rgpd\">En soumettant ce formulaire, vous acceptez nos conditions g\u00e9n\u00e9rales d'utilisation et notre politique de confidentialit\u00e9, et vous consentez au traitement de vos donn\u00e9es personnelles conform\u00e9ment au r\u00e8glement g\u00e9n\u00e9ral sur la protection des donn\u00e9es (RGPD). <span class=\"required\">*<\/span><\/label>\n            <\/div>\n            <p><span class=\"required\">*<\/span> : Champs obligatoires<\/p>\n            <div class=\"text-center\"><button class=\"btn btn-primary btn-lg btn-block\" type=\"submit\">Envoyer<\/button><\/div>\n        <\/div>\n    <\/form>\n\n","protected":false},"excerpt":{"rendered":"1. Fiche entreprise Enseigne commerciale * Nom de l'entreprise (si diff\u00e9rent de l'enseigne) Logo * (jpg, png Max : 10Mo) SIRET * Code APE * Forme juridique * Num\u00e9ro de TVA Mail principal * Mail secondaire T\u00e9l. principal * T\u00e9l. secondaire Description courte (500 caract\u00e8res maximum) M\u00e9tier * S\u00e9lectionner une cat\u00e9gorie Agriculture, agroalimentaire &amp; fili\u00e8res [...]","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-6","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/pages\/6","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/comments?post=6"}],"version-history":[{"count":1,"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":212,"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/pages\/6\/revisions\/212"}],"wp:attachment":[{"href":"https:\/\/app.synrezo.fr\/work-in-b\/wp-json\/wp\/v2\/media?parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}