{"id":1964,"date":"2020-02-16T18:00:52","date_gmt":"2020-02-16T18:00:52","guid":{"rendered":"https:\/\/fine-europe.eu\/?page_id=1964"},"modified":"2024-01-28T13:16:58","modified_gmt":"2024-01-28T13:16:58","slug":"formulaire-dinscription-institutionnel","status":"publish","type":"page","link":"https:\/\/www.fine-europe.eu\/?page_id=1964","title":{"rendered":"Formulaire d&#8217;inscription institutionnel."},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Adh\u00e9sion institutionnelle.<\/h2>\n<p>Afin de proc\u00e9der \u00e0 votre demande d&#8217;adh\u00e9sion, il vous reste deux \u00e9tapes \u00e0 remplir :<\/p>\n<ul>\n<li>Compl\u00e9ter le formulaire ci-dessous<\/li>\n<li>Proc\u00e9der \u00e0 un virement avec le montant de la cotisation annuelle.<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\"><span><span style=\"text-decoration: underline;\"><strong>Titulaire du compte\u00a0:<\/strong><\/span> F\u00e9d\u00e9ration europ\u00e9enne des enseignants en soins infirmiers (FINE Europe)<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span><strong><span style=\"text-decoration: underline;\">Identification bancaire\u00a0:<\/span><\/strong> Cr\u00e9dit Lyonnais LCL<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span><strong><span style=\"text-decoration: underline;\">Adresse de la banque\u00a0:<\/span><\/strong> LCL, 19 rue des Francs Bourgeois 67000 Strasbourg<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span><span style=\"text-decoration: underline;\"><strong>N\u00b0 Compte :<\/strong><\/span>\u00a00000117023Y<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span><strong><span style=\"text-decoration: underline;\">IBAN :<\/span><\/strong>\u00a0FR4430002065310000117023Y50<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span><span style=\"text-decoration: underline;\"><strong>BIC :<\/strong><\/span>\u00a0CRLYFRPP<\/span><\/p>\n<p style=\"padding-left: 60px;\"><span style=\"text-decoration: underline;\"><strong>Communication :<\/strong><\/span> &#8220;Adh\u00e9sion institutionnelle&#8221; + <em>Nom de l&#8217;institution<\/em><\/p>\n<p><span style=\"color: #000000;\">Une fois le formulaire rempli, vous recevrez un email de confirmation reprenant les informations relatives au versement de la cotisation annuelle.<br \/><span>Note: FINE n\u2019est pas assujetti \u00e0 la TVA et ne poss\u00e8de donc pas de num\u00e9ro fiscal<\/span><br \/><\/span><\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.16&#8243; text_orientation=&#8221;left&#8221; global_colors_info=&#8221;{}&#8221;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1963-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1963\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1964#wpcf7-f1963-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1963\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1963-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<div class=\"one-full\">\n\t<p><label> Votre Institution (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-institution\"><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=\"your-institution\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> Titre du responsable (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resp-title\"><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=\"resp-title\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> Nom du responsable (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resp-lastname\"><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=\"resp-lastname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third last\">\n\t<p><label> Pr\u00e9nom du responsable (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resp-firstname\"><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=\"resp-firstname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-full\">\n\t<p><label> Adresse de l'institution (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><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=\"your-address\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-half\">\n\t<p><label> T\u00e9l\u00e9phone (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-half last\">\n\t<p><label> Email de contact (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"contact-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"contact-email\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-full\">\n\t<p><label> Site web de l'institution<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"website\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-url wpcf7-text wpcf7-validates-as-url\" aria-invalid=\"false\" value=\"\" type=\"url\" name=\"website\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-full\">\n\t<p><label> Ins\u00e9rer un descriptif des activit\u00e9s de l\u2019institution (programmes propos\u00e9s, nombre et caract\u00e9ristiques des publics \u00e9tudiants accueillis, nombre de formateurs, \u2026)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"desc-activities\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"desc-activities\"><\/textarea><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-full\">\n\t<p><label> Informations concernant le d\u00e9l\u00e9gu\u00e9 qui repr\u00e9sentera l\u2019institution.<br \/>\n<\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> Titre du repr\u00e9sentant (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-title\"><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=\"rep-title\" \/><\/span><\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> Nom du repr\u00e9sentant (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-lastname\"><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=\"rep-lastname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third last\">\n\t<p><label> Pr\u00e9nom du repr\u00e9sentant (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-firstname\"><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=\"rep-firstname\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> Fonction du repr\u00e9sentant (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-function\"><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=\"rep-function\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third\">\n\t<p><label> T\u00e9l\u00e9phone (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"rep-phone\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-third last\">\n\t<p><label> Email (n\u00e9cessaire)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rep-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"rep-email\" \/><\/span> <\/label>\n\t<\/p>\n<\/div>\n<div class=\"one-half\">\n\t<p>[mailpoetsignup* mailpoetsignup-364 list:11 default:on]\n\t<\/p>\n<\/div>\n<div class=\"one-half last\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Adh\u00e9rer\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/et_pb_code][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_sidebar _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adh\u00e9sion institutionnelle. Afin de proc\u00e9der \u00e0 votre demande d&#8217;adh\u00e9sion, il vous reste deux \u00e9tapes \u00e0 remplir : Compl\u00e9ter le formulaire ci-dessous Proc\u00e9der \u00e0 un virement avec le montant de la cotisation annuelle. Titulaire du compte\u00a0: F\u00e9d\u00e9ration europ\u00e9enne des enseignants en soins infirmiers (FINE Europe) Identification bancaire\u00a0: Cr\u00e9dit Lyonnais LCL Adresse de la banque\u00a0: LCL, 19 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1964","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/pages\/1964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1964"}],"version-history":[{"count":6,"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/pages\/1964\/revisions"}],"predecessor-version":[{"id":3545,"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=\/wp\/v2\/pages\/1964\/revisions\/3545"}],"wp:attachment":[{"href":"https:\/\/www.fine-europe.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}