{"id":30,"date":"2022-01-08T14:07:22","date_gmt":"2022-01-08T18:07:22","guid":{"rendered":"https:\/\/ccim.mq\/?page_id=30"},"modified":"2022-01-16T14:39:06","modified_gmt":"2022-01-16T18:39:06","slug":"faire-un-don-regulier","status":"publish","type":"page","link":"https:\/\/ccim.mq\/?page_id=30","title":{"rendered":"Pr\u00e9l\u00e8vement mensuel"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.paypal.com\/donate\/?hosted_button_id=QTM9M2KP8WJCA&amp;locale.x=fr_FR\">Cliquez ici<\/a> pour effectuer un don mensuel par Carte Bancaire, Visa, Mastercard, ou Paypal.<\/p>\n\n\n\n<p>Le formulaire ci-dessous repr\u00e9sente une autorisation SEPA de pr\u00e9l\u00e8vements automatique, avec signature \u00e9lectronique. Pour toute r\u00e9siliation, \u00e9crivez-nous en utilisant le <a href=\"https:\/\/ccim.mq\/?page_id=120\" data-type=\"page\" data-id=\"120\">formulaire de contact<\/a>.<\/p>\n\n\n<style>.kadence-form-_547ff9-ec .kb-form .kadence-blocks-form-field > label{font-size:18px;line-height:35px;letter-spacing:1px;font-family:Poppins;font-style:normal;font-weight:400;}.kadence-form-_547ff9-ec .kb-form .kadence-blocks-form-field.kb-accept-form-field .kb-checkbox-style{font-size:35px;height:1em;}.kadence-form-_547ff9-ec .kb-form .kadence-blocks-form-field .kb-forms-submit{color:#e7ac18;border-width:9px 9px 9px 9px;background:#00008b;border-color:#e7ac18;}.kadence-form-_547ff9-ec .kb-form .kadence-blocks-form-field .kb-forms-submit{font-size:36px;}.kadence-form-_547ff9-ec .kadence-blocks-form-message, .kadence-form-_547ff9-ec .kb-form-error-msg{border-radius:18px;}.kb-form input.kadence-blocks-field.verify{opacity:0.0;position:absolute;top:0.0;left:0.0;width:0.0;height:0.0;z-index:-1;}<\/style>\n<div class=\"wp-block-kadence-form kadence-form-_547ff9-ec kb-form-wrap\"><form class=\"kb-form\" action=\"\" method=\"post\" data-error-message=\"Corrigez les erreurs pour continuer\"><div class=\"kadence-blocks-form-field kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_0\">Nom<span class=\"required\">*<\/span><\/label><input name=\"kb_field_0\" id=\"kb_field__547ff9-ec_0\" data-label=\"Nom\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-0\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-1 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_1\">Pr\u00e9nom<span class=\"required\">*<\/span><\/label><input name=\"kb_field_1\" id=\"kb_field__547ff9-ec_1\" data-label=\"Pr\u00e9nom\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-1\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-2 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_2\">Email<span class=\"required\">*<\/span><\/label><input name=\"kb_field_2\" id=\"kb_field__547ff9-ec_2\" data-label=\"Email\" type=\"email\" placeholder=\"adresse@email.com\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-2\" data-required=\"yes\" data-required-message=\"Adresse email obligatoire\" data-validation-message=\"Adresse email invalide\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-3 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_3\">Confirmez l&#8217;email<span class=\"required\">*<\/span><\/label><input name=\"kb_field_3\" id=\"kb_field__547ff9-ec_3\" data-label=\"Confirmez l'email\" type=\"email\" placeholder=\"adresse@email.com\" value=\"\" data-type=\"email\" class=\"kb-field kb-text-style-field kb-email-field kb-field-3\" data-required=\"yes\" data-required-message=\"Veuillez confirmer votre adresse email\" data-validation-message=\"Adresse email incorrecte\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-4 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_4\">Num\u00e9ro de t\u00e9l\u00e9phone<span class=\"required\">*<\/span><\/label><input name=\"kb_field_4\" id=\"kb_field__547ff9-ec_4\" data-label=\"Num\u00e9ro de t\u00e9l\u00e9phone\" type=\"tel\" placeholder=\"Indiquer votre num\u00e9ro au format 06 11 22 33 44.\" value=\"\" data-type=\"tel\" class=\"kb-field kb-text-style-field kb-tel-field kb-field-4\" data-required=\"yes\"\/><span class=\"kb-field-help\">Pour les num\u00e9ros hors France et hors Martinique, veuillez indiquer l&rsquo;indicatif international (+1 ; +32; +590; &#8230;)<\/span><\/div><div class=\"kadence-blocks-form-field kb-form-field-5 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_5\">Adresse postale<span class=\"required\">*<\/span><\/label><input name=\"kb_field_5\" id=\"kb_field__547ff9-ec_5\" data-label=\"Adresse postale\" type=\"text\" placeholder=\"Appartement, N\u00b0 , Type de voie, etc.\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-5\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-6 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_6\">Code Postal<span class=\"required\">*<\/span><\/label><input name=\"kb_field_6\" id=\"kb_field__547ff9-ec_6\" data-label=\"Code Postal\" type=\"text\" placeholder=\"972xx\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-6\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-7 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_7\">Ville<span class=\"required\">*<\/span><\/label><input name=\"kb_field_7\" id=\"kb_field__547ff9-ec_7\" data-label=\"Ville\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-7\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-8 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_8\">Date de pr\u00e9l\u00e8vement automatique<span class=\"required\">*<\/span><\/label><select name=\"kb_field_8\" id=\"kb_field__547ff9-ec_8\" data-label=\"Date de pr\u00e9l\u00e8vement automatique\" type=\"select\" value=\"\" data-type=\"select\" class=\"kb-field kb-select-style-field kb-select-field kb-field-8\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"><option value=\"1er du mois\">1er du mois<\/option><option value=\"5 du mois\">5 du mois<\/option><option value=\"10 du mois\">10 du mois<\/option><option value=\"15 du mois\">15 du mois<\/option><option value=\"20 du mois\">20 du mois<\/option><option value=\"25 du mois\">25 du mois<\/option><\/select><\/div><div class=\"kadence-blocks-form-field kb-form-field-9 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_9\">Formule mensuelle<span class=\"required\">*<\/span><\/label><div data-type=\"radio\" data-label=\"Formule mensuelle\" id=\"kb_field__547ff9-ec_9\" class=\"kb-field kb-radio-style-field kb-radio-field kb-field-9 kb-radio-style-inline\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"><div data-type=\"radio\" class=\"kb-radio-item kb-radio-item-0\"><input type=\"radio\" name=\"kb_field_9[]\" id=\"kb_field_9_0\" class=\"kb-sub-field kb-radio-style\" value=\"10\u20ac (0,33\u20ac par jour)\"\/><label for=\"kb_field_9_0\">10\u20ac (0,33\u20ac par jour)<\/label><\/div><div data-type=\"radio\" class=\"kb-radio-item kb-radio-item-1\"><input type=\"radio\" name=\"kb_field_9[]\" id=\"kb_field_9_1\" class=\"kb-sub-field kb-radio-style\" value=\"30\u20ac (1 \u20ac par jour)\"\/><label for=\"kb_field_9_1\">30\u20ac (1 \u20ac par jour)<\/label><\/div><div data-type=\"radio\" class=\"kb-radio-item kb-radio-item-2\"><input type=\"radio\" name=\"kb_field_9[]\" id=\"kb_field_9_2\" class=\"kb-sub-field kb-radio-style\" value=\"60\u20ac (2\u20ac par jour)\"\/><label for=\"kb_field_9_2\">60\u20ac (2\u20ac par jour)<\/label><\/div><div data-type=\"radio\" class=\"kb-radio-item kb-radio-item-3\"><input type=\"radio\" name=\"kb_field_9[]\" id=\"kb_field_9_3\" class=\"kb-sub-field kb-radio-style\" value=\"90\u20ac (3\u20ac par jour)\"\/><label for=\"kb_field_9_3\">90\u20ac (3\u20ac par jour)<\/label><\/div><div data-type=\"radio\" class=\"kb-radio-item kb-radio-item-4\"><input type=\"radio\" name=\"kb_field_9[]\" id=\"kb_field_9_4\" class=\"kb-sub-field kb-radio-style\" value=\"Autre\"\/><label for=\"kb_field_9_4\">Autre<\/label><\/div><\/div><span class=\"kb-field-help\">Le montant par jour est donn\u00e9 \u00e0 titre indicatif selon une base de 30 jours par mois<\/span><\/div><div class=\"kadence-blocks-form-field kb-form-field-10 kb-field-desk-width-100 kb-input-size-standard\"><input name=\"kb_field_10\" id=\"kb_field__547ff9-ec_10\" data-label=\"Formule mensuelle\" type=\"text\" placeholder=\"Si &quot;Autre&quot;, veuillez pr\u00e9ciser ici le montant de votre contribution mensuelle souhait\u00e9e. \" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-10\" data-required-message=\"Champs obligatoire\"\/><span class=\"kb-field-help\">Entrez le montant en euro, avec les centimes. Exemple : 30,00<\/span><\/div><div class=\"kadence-blocks-form-field kb-form-field-11 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_11\">Code BIC<span class=\"required\">*<\/span><\/label><input name=\"kb_field_11\" id=\"kb_field__547ff9-ec_11\" data-label=\"Code BIC\" type=\"text\" placeholder=\"Varie selon votre banque : AGRIMQMX, BNPAFRPPXXX, CMCIFR2A, BREDFRPPXXX, ...\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-11\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><\/div><div class=\"kadence-blocks-form-field kb-form-field-12 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_12\">IBAN <span class=\"required\">*<\/span><\/label><input name=\"kb_field_12\" id=\"kb_field__547ff9-ec_12\" data-label=\"IBAN \" type=\"text\" placeholder=\"FR76 XXXX XXXX XXXX XXXX XXX\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-style-field kb-text-field kb-field-12\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"\/><span class=\"kb-field-help\">Pensez \u00e0 bien v\u00e9rifier l&rsquo;IBAN avant de valider.<\/span><\/div><div class=\"kadence-blocks-form-field kb-form-field-13 kb-field-desk-width-100 kb-input-size-standard\"><label for=\"kb_field__547ff9-ec_13\">Signature \u00e9lectronique <span class=\"required\">*<\/span><\/label><div data-type=\"checkbox\" data-label=\"Signature \u00e9lectronique \" id=\"kb_field__547ff9-ec_13\" class=\"kb-field kb-checkbox-style-field kb-checkbox-field kb-field-13 kb-radio-style-normal\" data-required=\"yes\" data-required-message=\"Champs obligatoire\"><div data-type=\"checkbox\" class=\"kb-checkbox-item kb-checkbox-item-0\"><input type=\"checkbox\" name=\"kb_field_13[]\" id=\"kb_field_13_0\" class=\"kb-sub-field kb-checkbox-style\" value=\"J'ai v\u00e9rifi\u00e9 l'exactitude des informations qui apparaissent dans le mandant de pr\u00e9l\u00e8vement et j'accepte les conditions d'utilisation du service de signature \u00e9lectronique. Je donne mandat \u00e0 l'association Centre Culturel Islamique de la Martinique pour pr\u00e9lever les sommes que j'ai saisi dans ce formulaire, aux dates choisies.\"\/><label for=\"kb_field_13_0\">J&rsquo;ai v\u00e9rifi\u00e9 l&rsquo;exactitude des informations qui apparaissent dans le mandant de pr\u00e9l\u00e8vement et j&rsquo;accepte les conditions d&rsquo;utilisation du service de signature \u00e9lectronique. Je donne mandat \u00e0 l&rsquo;association Centre Culturel Islamique de la Martinique pour pr\u00e9lever les sommes que j&rsquo;ai saisi dans ce formulaire, aux dates choisies.<\/label><\/div><\/div><span class=\"kb-field-help\">* En validant ce formulaire de mandat, vous signez electroniquement ce mandat de pr\u00e9l\u00e8vement, et vous autorisez l&rsquo;association Centre Culturel Islamique de la Martinique \u00e0 envoyer des instructions \u00e0 votre banque pour pr\u00e9lever les sommes que vous avez mentionn\u00e9es dans le m\u00eame formulaire, aux dates choisies.<\/span><\/div><input type=\"hidden\" name=\"_kb_form_id\" value=\"_547ff9-ec\"\/><input type=\"hidden\" name=\"_kb_form_post_id\" value=\"30\"\/><input type=\"hidden\" name=\"action\" value=\"kb_process_ajax_submit\"\/><input type=\"hidden\" name=\"recaptcha_response\" class=\"kb_recaptcha_response kb_recaptcha__547ff9-ec\"\/><label class=\"kadence-verify-label\">Email<input class=\"kadence-blocks-field verify\" type=\"text\" name=\"_kb_verify_email\" autocomplete=\"new-password\" aria-hidden=\"true\" placeholder=\"Email\" tabindex=\"-1\" data-1p-ignore=\"true\" data-lpignore=\"true\" \/><\/label><div class=\"kadence-blocks-form-field kb-submit-field kb-field-desk-width-100\"><button class=\"kb-forms-submit button kb-button-size-large kb-button-width-full\">ENVOYER<\/button><\/div><\/form><\/div>\n<noscript><div class=\"kadence-blocks-form-message kadence-blocks-form-warning\">Veuillez activer JavaScript dans votre navigateur pour envoyer le formulaire.<\/div><style>.kadence-form-_547ff9-ec .kadence-blocks-form-field.kb-submit-field { display: none; }<\/style><\/noscript>","protected":false},"excerpt":{"rendered":"<p>Cliquez ici pour effectuer un don mensuel par Carte Bancaire, Visa, Mastercard, ou Paypal. Le formulaire ci-dessous repr\u00e9sente une autorisation SEPA de pr\u00e9l\u00e8vements automatique, avec signature \u00e9lectronique. Pour toute r\u00e9siliation, \u00e9crivez-nous en utilisant le formulaire de contact.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":72,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"templates\/template-full.php","meta":{"footnotes":""},"class_list":["post-30","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/pages\/30","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ccim.mq\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=30"}],"version-history":[{"count":13,"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/pages\/30\/revisions"}],"predecessor-version":[{"id":164,"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/pages\/30\/revisions\/164"}],"up":[{"embeddable":true,"href":"https:\/\/ccim.mq\/index.php?rest_route=\/wp\/v2\/pages\/72"}],"wp:attachment":[{"href":"https:\/\/ccim.mq\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}