{"id":33486,"date":"2021-02-06T13:32:08","date_gmt":"2021-02-06T18:32:08","guid":{"rendered":"https:\/\/cimbcc.org\/test2\/?page_id=33486"},"modified":"2025-06-12T17:11:13","modified_gmt":"2025-06-12T21:11:13","slug":"formulaire-de-renouvellement-interac-individu-plus-conjoint","status":"publish","type":"page","link":"https:\/\/cimbcc.org\/test2\/renouvellement\/renouvellement-en-ligne\/choix-du-mode-de-paiement-individu-plus-conjoint\/formulaire-de-renouvellement-interac-individu-plus-conjoint\/","title":{"rendered":"Formulaire de renouvellement de l&rsquo;adh\u00e9sion au Club"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Voici comment proc\u00e9der pour renouveler votre adh\u00e9sion au Club :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Remplir le formulaire plus bas.<\/li>\n\n\n\n<li>Cliquer sur le bouton <strong>Envoyer<\/strong>.<\/li>\n\n\n\n<li>Effectuer votre paiement par virement Interac en suivant les instructions contenues dans le courriel que nous vous enverrons lorsque vous cliquerez sur le bouton <strong>Envoyer<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Si vous avez des questions au sujet de ce formulaire ou si vous \u00e9prouvez des difficult\u00e9s en tentant de renouveler votre adh\u00e9sion, vous pouvez demander qu\u2019un b\u00e9n\u00e9vole du Club vous rappelle d&rsquo;ici 48 heures en cliquant sur <a href=\"https:\/\/cimbcc.org\/test2\/formulaire-de-demande-daide\" target=\"_blank\" rel=\"noopener noreferrer\">ce lien<\/a>.<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f33488-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"33488\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/test2\/wp-json\/wp\/v2\/pages\/33486#wpcf7-f33488-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"33488\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f33488-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h3>Renseignements sur la personne qui renouvelle son adh\u00e9sion au Club\n<\/h3>\n<p><label> Pr\u00e9nom (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-94\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-94\" \/><\/span> <\/label>\n<\/p>\n<p><label> Nom (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-228\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-228\" \/><\/span> <\/label>\n<\/p>\n<p><label> Num\u00e9ro de t\u00e9l\u00e9phone (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-979\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-979\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adresse de courriel (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<h3>Fournissez les renseignements suivants s\u2019ils ont chang\u00e9 au cours de la derni\u00e8re ann\u00e9e :\n<\/h3>\n<p><label> Ville (si diff\u00e9rente de l'ann\u00e9e derni\u00e8re)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-852\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"address-level2\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-852\" \/><\/span> <\/label>\n<\/p>\n<p><label> Code postal (si diff\u00e9rent de l'ann\u00e9e derni\u00e8re)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-824\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"postal-code\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-824\" \/><\/span> <\/label>\n<\/p>\n<h3>Renseignements sur le conjoint qui veut devenir membre\n<\/h3>\n<p><label> Pr\u00e9nom (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom-conjoint\" \/><\/span> <\/label>\n<\/p>\n<p><label> Nom (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-conjoint\" \/><\/span> <\/label>\n<\/p>\n<p><label> Num\u00e9ro de t\u00e9l\u00e9phone (si diff\u00e9rent du conjoint d\u00e9j\u00e0 membre)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-conjoint\" \/><\/span> <\/label>\n<\/p>\n<p><label> Ville (si diff\u00e9rente du conjoint d\u00e9j\u00e0 membre)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ville-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"address-level2\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville-conjoint\" \/><\/span> <\/label>\n<\/p>\n<p><label> Code postal (si diff\u00e9rent du conjoint d\u00e9j\u00e0 membre)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"code-postal-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"postal-code\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"code-postal-conjoint\" \/><\/span> <\/label>\n<\/p>\n<p><label> Adresse de courriel (si diff\u00e9rente du conjoint d\u00e9j\u00e0 membre)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-conjoint\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"email\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"email-conjoint\" \/><\/span> <\/label>\n<\/p>\n<h3>Information sur le paiement\n<\/h3>\n<p><label>Pour que nous puissions associer votre paiement avec votre demande de renouvellement, inscrivez le nom du d\u00e9tenteur du compte bancaire \u00e0 partir duquel sera fait le virement Interac (champ obligatoire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"detenteur-compte\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"detenteur-compte\" \/><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"51\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:10px;font-style:italic;font-weight:200\"><span style=\"font-size: x-small;\">Derni\u00e8re r\u00e9vision de cette page :  octobre 2025. <\/span><br><span style=\"font-size: x-small;\">Responsable de la mise \u00e0 jour de cette page :  Sylvain Garneau.\u00a0<\/span><\/p>\n\n\n\n<pre class=\"wp-block-preformatted\"><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Voici comment proc\u00e9der pour renouveler votre adh\u00e9sion au Club : Si vous avez des questions au sujet de ce formulaire ou si vous \u00e9prouvez des difficult\u00e9s en tentant de renouveler votre adh\u00e9sion, vous pouvez demander qu\u2019un b\u00e9n\u00e9vole du Club vous rappelle d&rsquo;ici 48 heures en cliquant sur ce lien.<\/p>\n","protected":false},"author":33,"featured_media":0,"parent":33480,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-33486","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/pages\/33486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/users\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/comments?post=33486"}],"version-history":[{"count":14,"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/pages\/33486\/revisions"}],"predecessor-version":[{"id":54163,"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/pages\/33486\/revisions\/54163"}],"up":[{"embeddable":true,"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/pages\/33480"}],"wp:attachment":[{"href":"https:\/\/cimbcc.org\/test2\/wp-json\/wp\/v2\/media?parent=33486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}