{"id":10076,"date":"2026-08-03T15:10:17","date_gmt":"2026-08-03T13:10:17","guid":{"rendered":"https:\/\/acfhab.be\/?page_id=10076"},"modified":"2026-08-03T15:10:17","modified_gmt":"2026-08-03T13:10:17","slug":"formulaire-inscription-repas-banquet","status":"publish","type":"page","link":"https:\/\/acfhab.be\/?page_id=10076","title":{"rendered":"Formulaire inscription &#8211; Repas &#038; Banquet"},"content":{"rendered":"<style id=\"wpforms-css-vars-10058\">\n\t\t\t\t#wpforms-10058 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-container-quiz wpforms-render-modern\" id=\"wpforms-10058\"><form id=\"wpforms-form-10058\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"10058\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F10076\" data-token=\"e0a1bbc50e49bdc73d68cc931c9b26b9\" data-token-time=\"1787532460\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-10058-field_46-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"46\"><div id=\"wpforms-10058-field_46\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-10058-field_46-error\"><p><span style=\"color:#339966\"><strong>\u00c0 SAVOIR AVANT DE R\u00c9SERVER<br \/>\n<\/strong><\/span>- Les repas et le banquet de cl\u00f4ture sont strictement r\u00e9serv\u00e9s aux congressistes.<br \/>\n- L'inscription pr\u00e9alable aux repas &amp; banquet est obligatoire.<br \/>\n- Seul le paiement vaut inscription.<br \/>\n- Toute inscription confirm\u00e9e et pay\u00e9e est d\u00e9finitive et non remboursable.<\/p>\n<p><span style=\"color:#339966\">____________________<\/span><br \/>\n<strong><span style=\"color:#339966\">Modalit\u00e9s d'inscription<\/span><\/strong><br \/>\n\u2022 Un formulaire par personne, y compris au sein d'un m\u00eame groupe.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-10058-field_61-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"61\"><h3 id=\"wpforms-10058-field_61\" aria-errormessage=\"wpforms-10058-field_61-error\">COORDONN\u00c9ES DU CONGRESSISTE<\/h3><\/div><div id=\"wpforms-10058-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-10058-field_0\">Nom \/ Pr\u00e9nom <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-10058-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" aria-errormessage=\"wpforms-10058-field_0-error\" required><\/div><div id=\"wpforms-10058-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-10058-field_1\">Courriel <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-10058-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" aria-errormessage=\"wpforms-10058-field_1-error\" required><\/div><div id=\"wpforms-10058-field_34-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-10058-field_34\">T\u00e9l\u00e9phone (optionnel)<\/label><input type=\"tel\" id=\"wpforms-10058-field_34\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][34]\" aria-label=\"T\u00e9l\u00e9phone (optionnel)\" aria-errormessage=\"wpforms-10058-field_34-error\" ><\/div><div id=\"wpforms-10058-field_60-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"60\"><h3 id=\"wpforms-10058-field_60\" aria-errormessage=\"wpforms-10058-field_60-error\" aria-describedby=\"wpforms-10058-field_60-description\">LISTES DES REPAS \u00c0 COCHER<\/h3><div id=\"wpforms-10058-field_60-description\" class=\"wpforms-field-description\">Le montant total des repas s\u00e9lectionn\u00e9s s'affichera automatiquement \u00e0 la fin de la liste.<\/div><\/div><div id=\"wpforms-10058-field_47-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-type=\"payment-checkbox\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label\">Jeudi 20 ao\u00fbt 2026<\/legend><ul id=\"wpforms-10058-field_47\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-10058-field_47_1\" class=\"wpforms-payment-price\" data-amount=\"18,00\" name=\"wpforms[fields][47][]\" value=\"1\" aria-errormessage=\"wpforms-10058-field_47_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_47_1\">18\u20ac Repas du midi - service de 12h30 \u00e0 14h00.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10058-field_48-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-type=\"payment-checkbox\" data-field-id=\"48\"><fieldset><legend class=\"wpforms-field-label\">Vendredi 21 ao\u00fbt 2026<\/legend><ul id=\"wpforms-10058-field_48\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-10058-field_48_1\" class=\"wpforms-payment-price\" data-amount=\"18,00\" name=\"wpforms[fields][48][]\" value=\"1\" aria-errormessage=\"wpforms-10058-field_48_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_48_1\">18\u20ac Repas du midi - service de 12h30 \u00e0 14h00.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10058-field_50-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-type=\"payment-checkbox\" data-field-id=\"50\"><fieldset><legend class=\"wpforms-field-label\">Samedi 22 ao\u00fbt 2026<\/legend><ul id=\"wpforms-10058-field_50\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-10058-field_50_1\" class=\"wpforms-payment-price\" data-amount=\"18,00\" name=\"wpforms[fields][50][]\" value=\"1\" aria-errormessage=\"wpforms-10058-field_50_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_50_1\">18\u20ac Repas du midi - service de 12h30 \u00e0 14h00.<\/label><\/li><li class=\"choice-9\"><input type=\"checkbox\" id=\"wpforms-10058-field_50_9\" class=\"wpforms-payment-price\" data-amount=\"35,00\" name=\"wpforms[fields][50][]\" value=\"9\" aria-errormessage=\"wpforms-10058-field_50_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_50_9\">35\u20ac Banquet de cl\u00f4ture du congr\u00e8s - service de 18h30 \u00e0 21h00.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10058-field_39-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-type=\"payment-total\" data-field-id=\"39\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">0,00 &euro;<\/div><input type=\"hidden\" id=\"wpforms-10058-field_39\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][39]\" value=\"0\" aria-describedby=\"wpforms-10058-field_39-description\"><div id=\"wpforms-10058-field_39-description\" class=\"wpforms-field-description\">Le paiement du montant indiqu\u00e9 \u00e0 effectuer par virement bancaire sur le compte de la SRAB : IBAN BE24 0000 0265 1938 \u2013 BIC GEBABEBB avec, dans la communication, la mention suivante \u00ab repas + Nom de la personne inscrite \u00bb.<\/div><\/div>\t\t<div id=\"wpforms-10058-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-10058-field_2\" >personnelles Pr\u00e9nom DU<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-10058-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-10058-field_40-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label\">D\u00e9claration <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-10058-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10058-field_40_1\" name=\"wpforms[fields][40][]\" value=\"Je certifie \u00eatre inscrit(e) au 12e Congr\u00e8s de l&#039;Association des Cercles francophones d&#039;Histoire et d&#039;Arch\u00e9ologie de Belgique (Bruxelles, 20-23 ao\u00fbt 2026). Je reconnais avoir pris connaissance des informations pr\u00e9alable \u00e0 l&#039;inscription et souhaite m&#039;inscrire, pour moi-m\u00eame, aux repas coch\u00e9s ci-dessus.  Le paiement s&#039;effectue par virement bancaire avec dans la communication le Nom\/pr\u00e9nom du congressiste.\" aria-errormessage=\"wpforms-10058-field_40_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_40_1\">Je certifie \u00eatre inscrit(e) au 12e Congr\u00e8s de l'Association des Cercles francophones d'Histoire et d'Arch\u00e9ologie de Belgique (Bruxelles, 20-23 ao\u00fbt 2026). Je reconnais avoir pris connaissance des informations pr\u00e9alable \u00e0 l'inscription et souhaite m'inscrire, pour moi-m\u00eame, aux repas coch\u00e9s ci-dessus.  Le paiement s'effectue par virement bancaire avec dans la communication le Nom\/pr\u00e9nom du congressiste.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-10058-field_69-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"69\"><fieldset><legend class=\"wpforms-field-label\">Protection des donn\u00e9es personnelles (RGPD) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-10058-field_69\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10058-field_69_1\" name=\"wpforms[fields][69][]\" value=\"J\u2019ai pris connaissance de l\u2019information relative \u00e0 la protection des donn\u00e9es personnelles et j\u2019accepte le traitement de mes donn\u00e9es dans le cadre de l\u2019organisation du congr\u00e8s.\" aria-errormessage=\"wpforms-10058-field_69_1-error\" aria-describedby=\"wpforms-10058-field_69-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10058-field_69_1\">J\u2019ai pris connaissance de l\u2019information relative \u00e0 la protection des donn\u00e9es personnelles et j\u2019accepte le traitement de mes donn\u00e9es dans le cadre de l\u2019organisation du congr\u00e8s.<\/label><\/li><\/ul><div id=\"wpforms-10058-field_69-description\" class=\"wpforms-field-description\">Les donn\u00e9es personnelles collect\u00e9es via ce formulaire sont trait\u00e9es par la SRAB uniquement dans le cadre de l\u2019organisation et de la gestion du congr\u00e8s (inscriptions, communication pratique, facturation le cas \u00e9ch\u00e9ant). Elles ne seront en aucun cas utilis\u00e9es \u00e0 d\u2019autres fins ni transmises \u00e0 des tiers sans base l\u00e9gale ou consentement explicite. Conform\u00e9ment au R\u00e8glement (UE) 2016\/679 (RGPD), vous disposez d\u2019un droit d\u2019acc\u00e8s, de rectification, d\u2019effacement et de limitation du traitement de vos donn\u00e9es, que vous pouvez exercer en contactant :\u00a0secretariat@SRAB.be<\/div><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-10058-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-10058-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-10058-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"10058\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/pages\/10076\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-10058\" class=\"wpforms-submit\" data-alt-text=\"Envoi...\" data-submit-text=\"Soumettre\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre<\/button><img decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2726%27%20height%3D%2726%27%20viewBox%3D%270%200%2026%2026%27%3E%3Crect%20width%3D%2726%27%20height%3D%2726%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/acfhab.be\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"lazyload wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":10077,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10076","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/pages\/10076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/acfhab.be\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10076"}],"version-history":[{"count":7,"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/pages\/10076\/revisions"}],"predecessor-version":[{"id":10235,"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/pages\/10076\/revisions\/10235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/acfhab.be\/index.php?rest_route=\/wp\/v2\/media\/10077"}],"wp:attachment":[{"href":"https:\/\/acfhab.be\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}