{"id":1573,"date":"2024-02-27T13:10:03","date_gmt":"2024-02-27T13:10:03","guid":{"rendered":"https:\/\/ombro.be\/service-aanvraag\/"},"modified":"2024-03-26T10:16:31","modified_gmt":"2024-03-26T10:16:31","slug":"demande-de-service","status":"publish","type":"page","link":"https:\/\/ombro.be\/fr\/demande-de-service\/","title":{"rendered":"Demande de service"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is 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class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/fr\/wp-json\/wp\/v2\/pages\/1573#gf_3' data-formid='3' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LdU_PYpAAAAAL4L0sVZOOJlay93hPGuur3bqv-u' data-tabindex='0'><input id=\"input_758befbaf0db4f55f79edb12dec25966\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_758befbaf0db4f55f79edb12dec25966\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_3_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_3_28' class='gfield_label gform-field-label' for='input_3_28'><span class='gform-field-label__text'>URL<\/span><\/label><div class='ginput_container'><input name='input_28' id='input_3_28' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_28'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_3_5\" class=\"gfield gfield--type-text gfield--input-type-text col-6 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3972134f\" data-field-span=\"12\"><label id='gfield_label_3_5' class='gfield_label gform-field-label' for='input_3_5'><span class='gform-field-label__text'> Pr\u00e9nom<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_6\" class=\"gfield gfield--type-text gfield--input-type-text col-6 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"005508bf\" data-field-span=\"12\"><label id='gfield_label_3_6' class='gfield_label gform-field-label' for='input_3_6'><span class='gform-field-label__text'>nom de famille<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_3_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full col-7 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7c42a425\" data-field-span=\"12\"><label id='gfield_label_3_24' class='gfield_label gform-field-label' for='input_3_24'><span class='gform-field-label__text'>Code postal + Commune<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_3_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full col-5 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"07f1e2d1\" data-field-span=\"12\"><label id='gfield_label_3_8' class='gfield_label gform-field-label' for='input_3_8'><span class='gform-field-label__text'>Telephone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_8' id='input_3_8' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_3_3\" class=\"gfield gfield--type-email gfield--input-type-email col-8 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b0cef5fb\" data-field-span=\"12\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>E-mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required 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id=\"field_3_16\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"fcca75fb\" data-field-span=\"12\"><legend id='gfield_label_3_16' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Autorisation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_16.1' id='input_3_16_1' type='checkbox' value='1'   aria-labelledby=\"input_3_16_1_label gfield_label_3_16\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_3_16_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_16_1' ><span 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