{"id":1289,"date":"2022-07-21T20:55:11","date_gmt":"2022-07-21T20:55:11","guid":{"rendered":"https:\/\/surgeryagency.com\/?page_id=1289"},"modified":"2023-01-23T17:20:09","modified_gmt":"2023-01-23T17:20:09","slug":"booking-form","status":"publish","type":"page","link":"https:\/\/surgeryagency.com\/fr\/booking-form\/","title":{"rendered":"R\u00e9servation"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container 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-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1414.4px;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_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--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-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-font-size:var(--awb-typography2-font-size);\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"font-family:var(--awb-typography2-font-family);font-weight:var(--awb-typography2-font-weight);font-style:var(--awb-typography2-font-style);margin:0;font-size:1em;letter-spacing:var(--awb-typography2-letter-spacing);text-transform:var(--awb-typography2-text-transform);line-height:var(--awb-typography2-line-height);\"><div>\n<div>\n<p>Merci de prendre le temps de remplir le(s) formulaire(s) ci-dessous afin que notre \u00e9quipe puisse r\u00e9pondre au mieux \u00e0 vos attentes et vous recontacter.<\/p>\n<\/div>\n<\/div><\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 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-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1414.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:50px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--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-form fusion-form-builder fusion-form-form-wrapper fusion-form-1562 has-icon-alignment\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;--awb-field-margin-top:5px;--awb-field-margin-bottom:10px;--awb-form-input-height:65px;--awb-form-bg-color:hsla(var(--awb-color2-h),var(--awb-color2-s),calc(var(--awb-color2-l) + 2%),var(--awb-color2-a));--awb-form-placeholder-color:hsla(var(--awb-color6-h),var(--awb-color6-s),var(--awb-color6-l),calc(var(--awb-color6-a) - 50%));--awb-form-text-color:var(--awb-color7);--awb-form-border-width-bottom:2px;--awb-form-border-color:var(--awb-color3);--awb-form-focus-border-color:var(--awb-color6);--awb-form-focus-border-hover-color:hsla(var(--awb-color6-h),var(--awb-color6-s),var(--awb-color6-l),calc(var(--awb-color6-a) - 50%));--awb-form-border-radius:4px;--awb-icon-alignment-top:1px;--awb-icon-alignment-bottom:2px;--awb-icon-alignment-font-size:1em;\" data-form-id=\"1562\" data-config=\"{&quot;form_id&quot;:&quot;1562&quot;,&quot;form_post_id&quot;:&quot;1562&quot;,&quot;post_id&quot;:1289,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;field_labels&quot;:{&quot;name&quot;:&quot;&quot;,&quot;phone&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;&quot;:&quot;&quot;,&quot;message&quot;:&quot;&quot;},&quot;field_logics&quot;:{&quot;notice_1&quot;:&quot;&quot;,&quot;name&quot;:&quot;&quot;,&quot;phone&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;&quot;:&quot;&quot;,&quot;message&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;notice_1&quot;:&quot;notice&quot;,&quot;name&quot;:&quot;text&quot;,&quot;phone&quot;:&quot;phone_number&quot;,&quot;email&quot;:&quot;email&quot;,&quot;&quot;:&quot;upload&quot;,&quot;message&quot;:&quot;textarea&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;}\"><form action=\"https:\/\/surgeryagency.com\/fr\/booking-form\/\" method=\"post\" class=\"fusion-form fusion-form-1562\" enctype=\"multipart\/form-data\" data-trp-original-action=\"https:\/\/surgeryagency.com\/fr\/booking-form\/\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 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-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--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-margin-bottom-small:20px;--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=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you for your message. It has been sent.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:20px;--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-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-six\" style=\"--awb-margin-left:10px;--awb-font-size:18px;\"><h6 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\">votre nom<\/h6><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><input type=\"text\"  data-empty-notice=\"Please fill in.\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:20px;--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-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-six\" style=\"--awb-margin-left:10px;--awb-font-size:18px;\"><h6 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\">num\u00e9ro de t\u00e9l\u00e9phone<\/h6><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon awb-touroperator-tty-solid\"><\/i><input type=\"tel\"  data-empty-notice=\"Please fill in.\" name=\"phone\" id=\"phone\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Enter your preferred contact number *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:20px;--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-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-six\" style=\"--awb-margin-left:10px;--awb-font-size:18px;\"><h6 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\">Email<\/h6><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon awb-touroperator-at-solid\"><\/i><input type=\"email\"  data-empty-notice=\"Please fill in.\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"example@domain.com *\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--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-margin-bottom-small:20px;--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-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-six\" style=\"--awb-margin-left:10px;--awb-font-size:18px;\"><h6 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\">Champ de t\u00e9l\u00e9chargement<\/h6><\/div><div class=\"fusion-form-field fusion-form-upload-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><div class=\"fusion-form-input-with-icon\"><i class=\"fa-upload fas\"><\/i><div class=\"fusion-form-upload-field-container\"><input type=\"file\" id=\"\" name=\"\" value=\"\"  class=\"fusion-form-input\" placeholder=\"Click or drag a file to this area \" data-size=\"7\"\/><input type=\"text\" disabled value=\"\" class=\"fusion-form-upload-field\"  placeholder=\"Click or drag a file to this area \" data-holds-private-data=\"false\"\/><div ><a class=\"fusion-button button-flat button-medium button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type fusion-form-upload-field-button\" style=\"--button-border-radius-top-left:0px;--button-border-radius-top-right:0px;--button-border-radius-bottom-right:0px;--button-border-radius-bottom-left:0px;\" target=\"_self\" href=\"javascript:void();\"><span class=\"fusion-button-text\">Choose File<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--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-margin-bottom-small:20px;--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-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-six\" style=\"--awb-margin-left:10px;--awb-font-size:18px;\"><h6 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;font-size:1em;\">Dis nous autre chose<\/h6><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><textarea cols=\"40\" data-empty-notice=\"Please fill in.\"  minlength=\"0\"  rows=\"4\" tabindex=\"\" id=\"message\" name=\"message\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"1562\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-span-yes  form-form-submit button-default\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:hsla(calc(var(--awb-color5-h) + 80),var(--awb-color5-s),var(--awb-color5-l),var(--awb-color5-a));--button_gradient_bottom_color:hsla(calc(var(--awb-color5-h) + 80),var(--awb-color5-s),var(--awb-color5-l),var(--awb-color5-a));--button_gradient_top_color_hover:var(--awb-color5);--button_gradient_bottom_color_hover:var(--awb-color5);--button_font_size:22px;--button_padding-top:20px;--button_padding-bottom:20px;--button_margin-top:30px;\" data-form-number=\"1562\" tabindex=\"\"><span class=\"fusion-button-text\">Reserve maintenant<\/span><i class=\"awb-touroperator-arrow-1 button-icon-right\" aria-hidden=\"true\"><\/i><\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-1289","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/pages\/1289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/comments?post=1289"}],"version-history":[{"count":6,"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/pages\/1289\/revisions"}],"predecessor-version":[{"id":2414,"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/pages\/1289\/revisions\/2414"}],"wp:attachment":[{"href":"https:\/\/surgeryagency.com\/fr\/wp-json\/wp\/v2\/media?parent=1289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}