{"id":4135,"date":"2022-11-04T15:49:24","date_gmt":"2022-11-04T15:49:24","guid":{"rendered":"http:\/\/f4i.0cc.mytemp.website\/?page_id=4135"},"modified":"2022-11-29T17:03:35","modified_gmt":"2022-11-29T17:03:35","slug":"formulaire-de-location","status":"publish","type":"page","link":"https:\/\/respiart.ca\/fr\/rent-form\/","title":{"rendered":"Formulaire de location CPAP"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h1>FORMULAIRE DE LOCATION<\/h1>\n<\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4134-o1\" lang=\"en-CA\" dir=\"ltr\" data-wpcf7-id=\"4134\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/4135#wpcf7-f4134-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/4135#wpcf7-f4134-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4134\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_CA\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4134-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Ton nom complet<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Votre e-mail<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\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Mati\u00e8re<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><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-subject\" \/><\/span> <\/label>\n<\/p>\n<p>Produit \u00e0 louer<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-347\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"BEC CPAP (115$ per month)\" \/><span class=\"wpcf7-list-item-label\">BEC CPAP (115$ par mois)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"Lowenstein CPAP (115$ per month)\" \/><span class=\"wpcf7-list-item-label\">CPAP Lowenstein (115$ par mois)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"Portable oxygen concentrator Inogen One G5 ( 225$ Per month )\" \/><span class=\"wpcf7-list-item-label\">Concentrateur d&#039;oxyg\u00e8ne portable Inogen One G5 ( 225$ par mois )<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"In home oxygen concentrator (125$ per month)\" \/><span class=\"wpcf7-list-item-label\">Concentrateur d&#039;oxyg\u00e8ne \u00e0 domicile (125$ par mois)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"Zopec Explore 5500 ups (115$ per month)\" \/><span class=\"wpcf7-list-item-label\">Zopec Explore 5500 ups (115$ par mois)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-347[]\" value=\"PHOTONS 100 Pro SMART Solar Charger (115$ per month)\" \/><span class=\"wpcf7-list-item-label\">Chargeur solaire PHOTONS 100 Pro SMART (115$ par mois)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Location jour 1<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-332\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-332\" \/><\/span><\/label>\n<\/p>\n<p><label> Location Dernier jour<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-333\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-333\" \/><\/span><\/label>\n<\/p>\n<p><label>Prescription<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-144\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.jpg,.jpeg,.gif\" aria-invalid=\"false\" type=\"file\" name=\"file-144\" \/><\/span><\/label>\n<\/p>\n<p><label>Autres d\u00e9tails (facultatif)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"quiz-548\"><label><span class=\"wpcf7-quiz-label\">1+1=?<\/span> <input size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" type=\"text\" name=\"quiz-548\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-548\" value=\"65cf217f0544c90df7a786929f30bcd4\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Soumettre\" \/>\n<\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-border-size:1px;--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Fermer\">\u00d7<\/button><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n<\/div>\n<\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-flex-column\" 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