{"id":225,"date":"2015-12-23T12:18:40","date_gmt":"2015-12-23T11:18:40","guid":{"rendered":"http:\/\/ds.sixiemeson.com\/en\/?page_id=225"},"modified":"2015-12-23T12:43:17","modified_gmt":"2015-12-23T11:43:17","slug":"formulaire-dinscription","status":"publish","type":"page","link":"https:\/\/ds.sixiemeson.com\/en\/formulaire-dinscription\/","title":{"rendered":"Formulaire d&#8217;inscription"},"content":{"rendered":"<\/section><header class=\"pageHead \"><div class=\"pageInner\">\n<h1><strong>SUBSCRIBE AND ORDER THE PLAYER<\/strong><\/h1>\n<p><span style=\"line-height: 1.5;\">To subscribe and receive your player, please fill in the form below:<\/div><\/header><section class=\"pageInner\"><\/span><\/p>\n<\/section><div class=\"pagePart whiteBg \"><section class=\"pageInner\"><\/p>\n<p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f227-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"227\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/225#wpcf7-f227-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"227\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f227-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p>*Required fields\n<\/p>\n<div id=\"main_store\">\n\t<h3 class=\"green noMarginTop\"><span>Your DS Store information<\/span>\n\t<\/h3>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"store_raison_sociale\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Company name*\" value=\"\" type=\"text\" name=\"store_raison_sociale\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_responsable\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Manager name*\" value=\"\" type=\"text\" name=\"store_responsable\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address*\" value=\"\" type=\"text\" name=\"store_adresse\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_complement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Additional address details\" value=\"\" type=\"text\" name=\"store_complement\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_code_postal\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Postcode*\" value=\"\" type=\"text\" name=\"store_code_postal\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"City*\" value=\"\" type=\"text\" name=\"store_ville\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"store_pays\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"store_pays\"><option value=\"France\">France<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Germany\">Germany<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Australia\">Australia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Burma\">Burma<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Canada\">Canada<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"North Korea\">North Korea<\/option><option value=\"South Korea\">South Korea<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Ivory Coast\">Ivory Coast<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Spain\">Spain<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"United States\">United States<\/option><option value=\"Finland\">Finland<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Greece\">Greece<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"French Guyana\">French Guyana<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iran\">Iran<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Reunion Island\">Reunion Island<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Libya\">Libya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macao\">Macao<\/option><option value=\"Macedonia\">Macedonia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Malta\">Malta<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Moldova\">Moldova<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Norway\">Norway<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Oman\">Oman<\/option><option value=\"Palestine\">Palestine<\/option><option value=\"Panama\">Panama<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Romania\">Romania<\/option><option value=\"United Kingdom\">United Kingdom<\/option><option value=\"Russia\">Russia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Ta\u00efwan\">Ta\u00efwan<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkm\u00e9nistan\">Turkm\u00e9nistan<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><\/span>\n\t<\/p>\n\t<div class=\"store_siret\">\n\t\t<h4>Num\u00e9ro SIRET\n\t\t<\/h4>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"siret_siren\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"siret_siren\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro SIREN*\" value=\"\" type=\"text\" name=\"siret_siren\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"siret_nic\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"siret_nic\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro NIC*\" value=\"\" type=\"text\" name=\"siret_nic\" \/><\/span>\n\t\t<\/p>\n\t\t<div class=\"clear espace10\">\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"store_tva\">\n\t\t<h4>Intra-Community VAT\n\t\t<\/h4>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tva_code_pays\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"tva_pays\" aria-invalid=\"false\" placeholder=\"Code pays*\" value=\"\" type=\"text\" name=\"tva_code_pays\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tva_cle\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"tva_cle\" aria-invalid=\"false\" placeholder=\"Cl\u00e9*\" value=\"\" type=\"text\" name=\"tva_cle\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tva_siren\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" id=\"tva_siren\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro SIREN*\" value=\"\" type=\"text\" name=\"tva_siren\" \/><\/span>\n\t\t<\/p>\n\t\t<div class=\"clear\">\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"clear\">\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"has_multi_stores\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"has_multi_stores\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"has_multi_stores[]\" value=\"I manage more than one DS Store\" \/><span class=\"wpcf7-list-item-label\">I manage more than one DS Store<\/span><\/label><\/span><\/span><\/span><small style=\"margin-left: 30px;\">(One Player per DS Store)<\/small>\n<\/p>\n<div id=\"extra_stores\">\n<\/div>\n<h3 class=\"pink\"><span>PERSON IN CHARGE CONTACT INFORMATION<\/span>\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"referent_nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name and First name*\" value=\"\" type=\"text\" name=\"referent_nom\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referent_fonction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Professional role*\" value=\"\" type=\"text\" name=\"referent_fonction\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referent_email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"Email*\" value=\"\" type=\"email\" name=\"referent_email\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referent_telephone_fixe_prefix\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text prefix\" aria-invalid=\"false\" value=\"+33\" type=\"text\" name=\"referent_telephone_fixe_prefix\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"referent_telephone_fixe\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text phonePart\" aria-invalid=\"false\" placeholder=\"Fixed-line telephone\" value=\"\" type=\"text\" name=\"referent_telephone_fixe\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"referent_telephone_mobile_prefix\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text prefix\" aria-invalid=\"false\" value=\"+33\" type=\"text\" name=\"referent_telephone_mobile_prefix\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"referent_telephone_mobile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text phonePart\" aria-invalid=\"false\" placeholder=\"Mobile phone\" value=\"\" type=\"text\" name=\"referent_telephone_mobile\" \/><\/span>\n<\/p>\n<div class=\"clear\">\n<\/div>\n<p><small>Please indicate at least one phone number*<\/small>\n<\/p>\n<h3 class=\"blue\"><span>Requirements for player setup<br \/>\n<small>What type of addressing are you using, static or dynamic (DHCP):<\/small><span><\/span><\/span>\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adressage\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"adressage\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"adressage\" value=\"Dynamic addressing \u2013 DHCP\" \/><span class=\"wpcf7-list-item-label\">Dynamic addressing \u2013 DHCP<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"adressage\" value=\"Static addressing\" \/><span class=\"wpcf7-list-item-label\">Static addressing<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<div class=\"conditional\" data-key=\"adressage\" data-value=\"Static addressing\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adressage_statique_ip\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"The IP Address used by the IP Audio Player*\" value=\"\" type=\"text\" name=\"adressage_statique_ip\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adressage_statique_masque\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"The Subnet Mask for this IP Address*\" value=\"\" type=\"text\" name=\"adressage_statique_masque\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adressage_statique_adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"The IP Address of the Network Gateway*\" value=\"\" type=\"text\" name=\"adressage_statique_adresse\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adressage_statique_dns\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"DNS*\" value=\"\" type=\"text\" name=\"adressage_statique_dns\" \/><\/span>\n\t<\/p>\n<\/div>\n<hr \/>\n<h4 style=\"margin-top: 0;\">Could you please provide us with the contact details of the person in charge of IT and Network at your DS Store ? We will take care of contacting them in order to format the player accordingly.\n<\/h4>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"responsable_reseau_nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Full Name*\" value=\"\" type=\"text\" name=\"responsable_reseau_nom\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"responsable_reseau_telephone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Direct telephone number*\" value=\"\" type=\"text\" name=\"responsable_reseau_telephone\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"responsable_reseau_email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Email*\" value=\"\" type=\"text\" name=\"responsable_reseau_email\" \/><\/span>\n<\/p>\n<hr \/>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"horaires_store\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"DS Store hours*\" name=\"horaires_store\"><\/textarea><\/span>\n<\/p>\n<div class=\"espace30\">\n<\/div>\n\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"CONFIRM THE SUBSCRIPTION\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/p>\n<p><div class=\"clear\"><\/div><\/section><\/div><section class=\"pageInner\">\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-register.php","meta":{"footnotes":""},"class_list":["post-225","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/pages\/225","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/comments?post=225"}],"version-history":[{"count":3,"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/pages\/225\/revisions"}],"predecessor-version":[{"id":245,"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/pages\/225\/revisions\/245"}],"wp:attachment":[{"href":"https:\/\/ds.sixiemeson.com\/en\/wp-json\/wp\/v2\/media?parent=225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}