{"html":"<div class=\"lightbox_content richContent\"><form id=\"formCreationAcces\" action=\"\" method=\"post\" onsubmit=\"return verifFormCreation(this);\" class=\"formu\">\n\t<h2>Demande d'adh\u00e9sion \"Groupe Vocal\" \u00e0 la Corde Vocale\t<\/h2><p>Afin de cr\u00e9er votre compte, merci de remplir le formulaire ci-dessous.<br\/>Vous allez recevoir un message vous permettant de confirmer votre demande et d'acc\u00e9der \u00e0 l'ensemble de nos services, aussi <b>merci de renseigner une adresse valide que vous \u00eates en mesure de consulter d\u00e8s maintenant<\/b>.<\/p>\n\t\n\t<div class=\"form_group\">\n\t\t\n\n\t\t\n\t\t<p class=\"form_grid form_grid2 show-for-print hide-for-print\">\n\t\t\t<label>Type <\/label>\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tname=\"IDTYPEACCES\"\n\t\t\t\tvalue=\"1\"\n\t\t\t\t\n\t\t\t\t\/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid2\">\n\t\t\t<label>Nom du Groupe Vocal<span class=\"requit\">*<\/span> <\/label>\n\t\t\t<input\n\t\t\t\ttype=\"text\"\n\t\t\t\tname=\"NOMINATION\"\n\t\t\t\tvalue=\"\"\n\t\t\t\t\n\t\t\t\t\/>\n\t\t<\/p>\n\t\t<h3>Contact principal<\/h3>\n\t\t\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Nom<span class=\"requit\">*<\/span><\/label>\n\t\t\t<input type=\"text\" name=\"NOM\" value=\"\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Pr\u00e9nom<span class=\"requit\">*<\/span><\/label>\n\t\t\t<input type=\"text\" name=\"PRENOM\" value=\"\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid2\">\n\t\t\t<label>Adresse<\/label>\n\t\t\t<input type=\"text\" name=\"ADRESSE\" value=\"\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Code postal<span class=\"requit\">*<\/span><\/label>\n\t\t\t<input type=\"text\" name=\"CODEPOSTAL\" value=\"\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Ville<\/label>\n\t\t\t<input type=\"text\" name=\"VILLE\" value=\"\" \/>\n\t\t<\/p>\n\t\t\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>T\u00e9l\u00e9phone<\/label>\n\t\t\t<input type=\"text\" name=\"TEL\" value=\"\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Email<span class=\"requit\">*<\/span><\/label>\n\t\t\t<input type=\"text\" name=\"EMAIL\" value=\"\" \/>\n\t\t<\/p>\n\t\t\n\t\t\n\t\t<\/div>\n\t\t<div class=\"form_group\">\n\t\t\t<h3>Lettre d'information<\/h3>\n\t\t\t<p class=\"form_grid form_grid2\">\n\t\t\t\t<span class=\"listCheck\">\n\t\t\t\t\t<label style=\"width: auto; line-height: 1.5rem; height: auto; white-space: normal; padding-top : 0.25rem; padding-bottom: 0.25rem\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"NEWS\" value=\"1\"  \/>\n\t\t\t\t\t\tJe souhaite \u00eatre inform\u00e9 de l'actualit\u00e9 de <b>la Corde Vocale<\/b>\n\t\t\t\t\t<\/label>\n\t\t\t\t<\/span>\n\t\t\t<\/p>\n\t\t\n\n\t\t\n\t\t<div class=\"form_group\">\n\t\t\t<p class=\"form_grid form_grid2\">\n\t\t\t\t<span class=\"listCheck\">\n\t\t\t\t\t<label style=\"width: auto; line-height: 1.5rem; height: auto; white-space: normal; padding-top : 0.25rem; padding-bottom: 0.25rem\">\n\t\t\t\t\t\t<input type=\"checkbox\" name=\"MENTIONSLEGALES\" value=\"1\"  \/>\n\t\t\t\t\t\tJe confirme avoir pris connaissance des <a href=\"\/mentions-legales.html\" target=\"_blank\">mentions l\u00e9gales<\/a>\n\t\t\t\t\t<\/label>\n\t\t\t\t<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t\n\n\t\t\n\t\t<\/div><div class=\"form_group\"><h3>Identification<\/h3>\n\n\t\t\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Mot de passe<span class=\"requit\">*<\/span> <span class=\"etiq\">(6 caract\u00e8res minimum)<\/span><\/label>\n\t\t\t<input type=\"password\" name=\"PASS\" value=\"\" maxlength=\"150\" \/>\n\t\t<\/p>\n\t\t<p class=\"form_grid form_grid1\">\n\t\t\t<label>Confirmation<span class=\"requit\">*<\/span><\/label>\n\t\t\t<input type=\"password\" name=\"CONFIRMPASS\" value=\"\" maxlength=\"150\" \/>\n\t\t<\/p>\n\t\t\n\t<\/div>\n\n\n\n\t<p class=\"form_grid form_grid1\">\n\t\t<label>&nbsp<\/label>\n\t\t<span class=\"requit legend\" style=\"float:left;\">* champs obligatoires<\/span>\n\t<\/p>\n\t<p class=\"form_grid form_grid1\">\n\t\t<label>&nbsp<\/label>\n\t\t<!--<button type=\"button\" onclick=\"resetForm(this.form)\" title=\"Annuler\">Annuler<\/button>-->\n\t\t<input type=\"submit\" value=\"Valider\"\/>\n\t<\/p>\n\n\t\n\n\t<input type=\"hidden\" name=\"IDMEMBRE\" value=\"\" \/>\n\t<input type=\"hidden\" name=\"TYPEMODIF\" value=\"\" \/>\n\t<br style=\"clear: both\"\/>\n<\/form>\n<\/div>","succesCrea":false,"logged":false}