{"id":388,"date":"2011-05-20T16:43:41","date_gmt":"2011-05-20T21:43:41","guid":{"rendered":"http:\/\/mtn-togo.org\/?page_id=388"},"modified":"2011-05-28T00:27:09","modified_gmt":"2011-05-28T05:27:09","slug":"devenir-membre","status":"publish","type":"page","link":"http:\/\/mtn-togo.org\/?page_id=388","title":{"rendered":"Devenir membre"},"content":{"rendered":"<form action=\"send_mail6.php\" enctype=\"application\/x-www-form-urlencoded\" method=\"post\">\n<table>\n<tbody>\n<tr>\n<td width=\"500\"><strong>Pr\u00e9nom:<\/strong><\/td>\n<td><input name=\"requiredfirstname\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Nom:<\/strong><\/td>\n<td><input name=\"requiredlastname\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Adresse postale:<\/strong><\/td>\n<td><input name=\"requiredstreetaddress\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Ville de residence:<\/strong><\/td>\n<td><input name=\"requiredcity\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Region:<\/strong><\/td>\n<td><input maxlength=\"30\" name=\"requiredstate\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Pays:<\/strong><\/td>\n<td><input maxlength=\"30\" name=\"requiredcountry\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Telephone:<\/strong><\/td>\n<td><input maxlength=\"20\" name=\"requiredphone\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Mobile Phone:<\/strong><\/td>\n<td><input maxlength=\"20\" name=\"requiredphonemobile\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td width=\"500\"><strong>Situation matrimoniale:<\/strong><\/td>\n<td><input maxlength=\"20\" name=\"marriage\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Email:<\/strong><\/td>\n<td><input maxlength=\"30\" name=\"requiredemail\" size=\"12\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td><strong>Personne \u00e0 pr\u00e9venir en cas d&#8217;urgence:<\/strong><\/td>\n<td><textarea cols=\"40\" rows=\"1\" name=\"person\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td><strong>Pourquoi voulez-vous devenir membre de MTN?:<\/strong><\/td>\n<td><textarea cols=\"40\" rows=\"3\" name=\"why1\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td><strong>Avez-vous d\u00e9ja \u00e9t\u00e9 membre d&#8217;une association visant les m\u00eame objectifs? Si oui la (les)quelle(s):<\/strong><\/td>\n<td><textarea cols=\"40\" rows=\"3\" name=\"why2\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td><strong>Commentaire:<\/strong><\/td>\n<td><textarea cols=\"40\" rows=\"3\" name=\"txt\"><\/textarea><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>J&#8217;ai lu , compris et accept\u00e9 les statuts , le R\u00e8glement int\u00e9rieur et la charte d&#8217;engagement et de police.<\/p>\n<p><input type=\"submit\" value=\"Envoyer\" \/> <input type=\"reset\" value=\"Remettre\" \/>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Payez vos droits d&#8217;adh\u00e9sion (50 euros) =71.5900\u00a0USD et vos cotisations\u00a0 mensuelles (5 euros) en cliquant ici:<br \/>\nMerci<\/form>\n<form action=\"https:\/\/www.paypal.com\/cgi-bin\/webscr\" enctype=\"application\/x-www-form-urlencoded\" method=\"post\"><input name=\"cmd\" type=\"hidden\" value=\"_s-xclick\" \/> <input name=\"hosted_button_id\" type=\"hidden\" value=\"E262CHDBYNDJN\" \/> <input alt=\"PayPal - la solution de paiement en ligne la plus simple et la plus s\u00e9curis\u00e9e !\" name=\"submit\" src=\"https:\/\/www.paypalobjects.com\/WEBSCR-640-20110429-1\/fr_FR\/FR\/i\/btn\/btn_donateCC_LG.gif\" type=\"image\" \/><\/form>\n","protected":false},"excerpt":{"rendered":"<p>Pr\u00e9nom: Nom: Adresse postale: Ville de residence: Region: Pays: Telephone: Mobile Phone: Situation matrimoniale: Email: Personne \u00e0 pr\u00e9venir en cas d&#8217;urgence: Pourquoi voulez-vous devenir membre de MTN?: Avez-vous d\u00e9ja \u00e9t\u00e9 membre d&#8217;une association visant les m\u00eame objectifs? Si oui la (les)quelle(s): Commentaire: J&#8217;ai lu , compris et accept\u00e9 les statuts , le R\u00e8glement int\u00e9rieur et [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/pages\/388"}],"collection":[{"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/mtn-togo.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=388"}],"version-history":[{"count":28,"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/pages\/388\/revisions"}],"predecessor-version":[{"id":392,"href":"http:\/\/mtn-togo.org\/index.php?rest_route=\/wp\/v2\/pages\/388\/revisions\/392"}],"wp:attachment":[{"href":"http:\/\/mtn-togo.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}