{"id":5517,"date":"2024-08-15T14:47:09","date_gmt":"2024-08-15T14:47:09","guid":{"rendered":"https:\/\/couvreurlaseigneurie.ca\/?page_id=5517"},"modified":"2026-09-11T10:29:59","modified_gmt":"2026-09-11T10:29:59","slug":"formulaire","status":"publish","type":"page","link":"https:\/\/couvreurlaseigneurie.ca\/en\/formulaire\/","title":{"rendered":"Page Soumission"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Demande de soumission<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='5517' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"013ce355b9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/5517\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><h3 style=\"text-align: left\">POUR UNE DEMANDE DE SOUMISSION, D'INFORMATIONS OU TOUT AUTRE DEMANDE, N'H\u00c9SITEZ PAS \u00c0 NOUS \u00c9CRIRE.<\/h3><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_dropdown' id='label_ff_3_dropdown' aria-label=\"Qu&#039;avez vous besoin ?\">Qu'avez vous besoin ? <\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_3_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_dropdown\"><option  selected><\/option><option value=\"Demande de soumission\"  >Demande de soumission<\/option><option value=\"Demande d&#039;information\"  >Demande d'information<\/option><option value=\"Achat de t\u00f4le\"  >Achat de t\u00f4le<\/option><option value=\"D\u00e9neigement de toiture\"  >D\u00e9neigement de toiture<\/option><option value=\"Projet sp\u00e9cial\"  >Projet sp\u00e9cial<\/option><option value=\"Autre\"  >Autre<\/option><\/select><\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >Pr\u00e9nom et Nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text' aria-label=\"Adresse courriel\">Adresse courriel<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_1' id='label_ff_3_input_text_1' aria-label=\"Adresse civique\">Adresse civique<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_3_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_5' id='label_ff_3_input_text_5' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_3_input_text_5\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_6' id='label_ff_3_input_text_6' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_3_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_input_text_7' id='label_ff_3_input_text_7' aria-label=\"T\u00e9l\u00e9phone\">T\u00e9l\u00e9phone<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_3_input_text_7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_2\" ><h4>Pour une demande de soumission, veuillez pr\u00e9ciser les informations suivantes :<\/h4>\n<p>&nbsp;<\/p>\n<div class=\"left\">\n<h4><strong>Pour quel type de toiture vous d\u00e9sirez une soumission ?<\/strong><\/h4>\n<p>&nbsp;<\/p>\n<\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_dropdown_2' id='label_ff_3_dropdown_2' aria-label=\"Produit d\u00e9sir\u00e9 :\">Produit d\u00e9sir\u00e9 :<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_3_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_3_dropdown_2\"><option  selected><\/option><option value=\"Fourniture de t\u00f4le seulement\"  >Fourniture de t\u00f4le seulement<\/option><option value=\"Toiture de t\u00f4le ancestrale\"  >Toiture de t\u00f4le ancestrale<\/option><option value=\"Toiture de bardeau d&#039;asphalte\"  >Toiture de bardeau d'asphalte<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_numeric_field_1' id='label_ff_3_numeric_field_1' aria-label=\"Nombre d&#039;\u00e9tages :\">Nombre d'\u00e9tages :<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_1\" id=\"ff_3_numeric_field_1\" class=\"ff-el-form-control\" data-name=\"numeric_field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text_4' id='label_ff_3_input_text_4' aria-label=\"Ann\u00e9e de construction :\">Ann\u00e9e de construction :<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_3_input_text_4\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description' id='label_ff_3_description' aria-label=\"informations suppl\u00e9mentaires :\">informations suppl\u00e9mentaires :<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_3_description\" name=\"description\" id=\"ff_3_description\" class=\"ff-el-form-control\" rows=\"3\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_description_1' 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