{"id":214,"date":"2019-12-06T13:29:03","date_gmt":"2019-12-06T12:29:03","guid":{"rendered":"http:\/\/michelcremerfoundation.eu\/?page_id=214"},"modified":"2020-04-02T21:44:12","modified_gmt":"2020-04-02T19:44:12","slug":"test-mollie-form","status":"publish","type":"page","link":"https:\/\/michelcremerfoundation.eu\/index.php\/test-mollie-form\/","title":{"rendered":"TEST &#8211; Mollie Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;padding-top:120px;padding-right:0px;padding-bottom:80px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"width:50%;width:calc(50% - ( ( 6% ) * 0.5 ) );margin-right: 6%;margin-top:2%;margin-bottom:2%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"max-width:100%;\"><img fetchpriority=\"high\" fetchpriority=\"high\" decoding=\"async\" width=\"960\" height=\"920\" title=\"Activites_960x920\" src=\"https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920.jpg\" class=\"img-responsive wp-image-832\" srcset=\"https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920-200x192.jpg 200w, https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920-400x383.jpg 400w, https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920-600x575.jpg 600w, https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920-800x767.jpg 800w, https:\/\/michelcremerfoundation.eu\/wp-content\/uploads\/2018\/09\/Activites_960x920.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 600px\" \/><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last fusion-column-no-min-height\" style=\"width:50%;width:calc(50% - ( ( 6% ) * 0.5 ) );margin-top:2%;margin-bottom:2%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><p>SOUTENIR LA RECHERCHE<\/p>\n<\/div><div class=\"fusion-progressbar fusion-progressbar-text-on-bar\"><div style=\"background-color:#f6f6f6;height:60;\" class=\"fusion-progressbar-bar progress-bar\"><div class=\"progress progress-bar-content\" style=\"width:0%;background-color:#004c96;border: 0px solid #ffffff;\" role=\"progressbar\" aria-valuemin=\"0\" aria-valuemax=\"100\" aria-valuenow=\"70\"><\/div><\/div> <span class=\"progress-title\" style=\"color:#ffffff;\"><span class=\"fusion-progressbar-text\">123.190 \u20ac sur 160.000 \u20ac<\/span> <\/span><\/div><div class=\"fusion-text fusion-text-2\"><p>Voulez-vous \u00eatre acteur(ice), avec nous, de cette m\u00e9decine du futur<\/p>\n<ul>\n<li>qui am\u00e9liore, sans cesse, la prise en charge des patients\u00a0 et qui leur procure un mieux-\u00eatre gr\u00e2ce \u00e0 un traitement moins invasif ?<\/li>\n<li>qui entra\u00eene moins de probl\u00e8mes post op\u00e9ratoires ?<\/li>\n<li>qui induit une diminution drastique de la douleur post op\u00e9ratoire et des dur\u00e9es d&rsquo;hospitalisation ?<\/li>\n<li>qui implique une revalidation plus courte et une r\u00e9insertion sociale et professionnelle plus rapide ?<\/li>\n<\/ul>\n<p>Alors, aidez-nous \u00e0 financer une bourse de recherche destin\u00e9e \u00e0 de jeunes m\u00e9decins ou ing\u00e9nieurs ou \u00e0 leur permettre d\u2019acqu\u00e9rir du mat\u00e9riel.<\/p>\n<p><strong>Tout don est d\u00e9ductible fiscalement d\u00e8s 40 \u20ac.<\/strong><\/p>\n<p>Vous avez aussi la possibilit\u00e9 de contribuer \u00e0 une bourse sp\u00e9cifique pour un ing\u00e9nieur ou un m\u00e9decin \u00e0 hauteur<\/p>\n<\/div>                <form id=\"dmm_form\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/214\"\n                      class=\"custom-mollie\" method=\"post\">\n                    \n                                            <input type=\"hidden\" name=\"dmm_recurring_interval\" value=\"one\">\n                    \n                                            <p>\n                            <label for=\"dmm_name\">Nom<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_name\"\n                                   name=\"dmm_name\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                    \n                                            <p>\n                            <label for=\"dmm_company\">Nom de l\u2019entreprise<\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_company\"\n                                   name=\"dmm_company\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                    \n                                            <p>\n                            <label for=\"dmm_email\">Email address<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"email\"\n                                   id=\"dmm_email\"\n                                   name=\"dmm_email\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                    \n                                            <p>\n                            <label for=\"dmm_phone\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_phone\"\n                                   name=\"dmm_phone\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                    \n                                            <p>\n                            <label for=\"dmm_address\">Rue<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_address\"\n                                   name=\"dmm_address\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                        <p>\n                            <label for=\"dmm_zipcode\">Code postal<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_zipcode\"\n                                   name=\"dmm_zipcode\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                        <p>\n                            <label for=\"dmm_city\">Ville<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_city\"\n                                   name=\"dmm_city\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                        <p>\n                            <label for=\"dmm_country\">Pays<span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"\n                                   id=\"dmm_country\"\n                                   name=\"dmm_country\"\n                                   class=\"custom-input\"\n                                   value=\"\"\n                                   style=\"width: 100%\">\n                        <\/p>\n                    \n                                            <p>\n                            <label for=\"dmm_project\">Projet<span style=\"color:red;\">*<\/span><\/label>\n                            <select style=\"width: 100%\" id=\"dmm_project\" name=\"dmm_project\" class=\"custom-input\"><option>Soutenir la recherche\r<\/option><option>Soutenir le centre<\/option><\/select>                        <\/p>\n                    \n                    \n                    <p>\n                        <input type=\"hidden\" name=\"dmm_currency\" id=\"dmm_currency\" value=\"EUR\"><label for=\"dmm_amount\">Montant (<span id=\"dmm_currency_symbol\"><\/span>) <span style=\"color:red;\">*<\/span><\/label><select id=\"dmm_dd\" style=\"width: 100%\" class=\"custom-input\" onchange=\"if(this.value!='--'){document.getElementById('dmm_amount').value=this.value.replace(',', '.');document.getElementById('dmm_amount').style.display = 'none';}else{document.getElementById('dmm_amount').style.display = 'block';}\"><option value=\"--\">Entrez votre propre montant<\/option><option value=\"10\" selected>10<\/option><option value=\"50\">50<\/option><option value=\"100\">100<\/option><option value=\"150\">150<\/option><option value=\"300\">300<\/option><option value=\"500\">500<\/option><\/select><span style=\"display:block;overflow:auto;\">\n                                  <input type=\"number\" step=\"any\" min=\"5\" id=\"dmm_amount\" name=\"dmm_amount\" class=\"custom-input\" value=\"10\" style=\"width: 100%;float:left;\"><\/span>                    <\/p> <br><br>\n\n                    <p>\n        <script>\n        function dmm_multicurrency_methods(value) {\n            let dmm_currencies = {\"AED\":\"AED\",\"AUD\":\"AUD\",\"BGN\":\"BGN\",\"CAD\":\"CAD\",\"CHF\":\"CHF\",\"CZK\":\"CZK\",\"DKK\":\"DKK\",\"EUR\":\"&euro;\",\"GBP\":\"&pound;\",\"HKD\":\"HKD\",\"HRK\":\"HRK\",\"HUF\":\"HUF\",\"ILS\":\"ILS\",\"ISK\":\"ISK\",\"JPY\":\"&yen;\",\"NOK\":\"NOK\",\"NZD\":\"NZD\",\"PHP\":\"PHP\",\"PLN\":\"PLN\",\"RON\":\"RON\",\"RUB\":\"RUB\",\"SEK\":\"SEK\",\"SGD\":\"SGD\",\"USD\":\"US$\",\"ZAR\":\"ZAR\"};\n            document.getElementById(\"dmm_currency_symbol\").innerHTML = dmm_currencies[value];\n            \n            let x = document.getElementsByClassName(\"dmm_nomc\");\n            for (let i = 0; i < x.length; i++) {\n                x[i].style.display = (value!=\"EUR\" ? \"none\" : \"block\");\n                x[i].disabled = (value!=\"EUR\" ? \"disabled\" : \"\");\n            }\n        }\n        <\/script><label class=\"dmm_cc dmm_mc\"><input type=\"radio\" name=\"dmm_method\" value=\"creditcard\" checked> <img decoding=\"async\" style=\"vertical-align:middle;display:inline-block\" src=\"https:\/\/www.mollie.com\/external\/icons\/payment-methods\/creditcard.png\"> Card<br><\/label><label class=\"dmm_recurring dmm_nomc\"><input type=\"radio\" name=\"dmm_method\" value=\"banktransfer\" > <img decoding=\"async\" style=\"vertical-align:middle;display:inline-block\" src=\"https:\/\/www.mollie.com\/external\/icons\/payment-methods\/banktransfer.png\"> Virement<br><\/label><label class=\"dmm_dd dmm_nomc\"><input type=\"radio\" name=\"dmm_method\" value=\"bancontact\" > <img decoding=\"async\" style=\"vertical-align:middle;display:inline-block\" src=\"https:\/\/www.mollie.com\/external\/icons\/payment-methods\/bancontact.png\"> Bancontact<br><\/label><label class=\"dmm_dd dmm_nomc\"><input type=\"radio\" name=\"dmm_method\" value=\"kbc\" > <img decoding=\"async\" style=\"vertical-align:middle;display:inline-block\" src=\"https:\/\/www.mollie.com\/external\/icons\/payment-methods\/kbc.png\"> Bouton de paiement KBC\/CBC<br><\/label><label class=\"dmm_dd dmm_nomc\"><input type=\"radio\" name=\"dmm_method\" value=\"belfius\" > <img decoding=\"async\" style=\"vertical-align:middle;display:inline-block\" src=\"https:\/\/www.mollie.com\/external\/icons\/payment-methods\/belfius.png\"> Bouton de paiement Belfius<br><\/label><\/p>\n\n                    <br><br>\n                    <script>\n                        window.onload = function () {\n                            var dmm_dd = document.getElementById('dmm_dd');\n                            if (dmm_dd !== null) {\n                                if (dmm_dd.value !== '--') {\n                                    document.getElementById('dmm_amount').value = document.getElementById('dmm_dd').value.replace(',', '.');\n                                    document.getElementById('dmm_amount').style.display = 'none';\n                                }\n                            }\n                                                        dmm_multicurrency_methods(document.getElementById('dmm_currency').value);\n                        }\n                    <\/script>\n                    <label for=\"dmm_permission_field\" id=\"dmm_permission\" style=\"display:none\">\n\t                    <input type=\"checkbox\" id=\"dmm_permission_field\" name=\"dmm_permission\">\n\t                    Je vous autorise Fondation Michel Cremer de percevoir le montant indiqu\u00e9 ci-dessus de mon compte p\u00e9riodiquement.                    <\/label>\n\n                                            <p>\n                            <label for=\"dmm_gdpr\"><input type=\"checkbox\" id=\"dmm_gdpr\" name=\"dmm_gdpr\">\n                                I hereby agree to the                                <a target=\"_blank\" href=\"\">\n                                    Politique de confidentialit\u00e9                                <\/a>\n                            <\/label>\n\n                        <\/p>\n                    \n                    \n\t                \t\t                <input type=\"submit\"\n\t\t                       name=\"dmm_submitted\"\n\t\t                       class=\"fusion-button button-default button-medium\"\n\t\t                       value=\"Faire un don\">\n\t                \n                <\/form>\n                <div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-214","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TEST - Mollie Form - Fondation Michel Cremer<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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