{"id":178,"date":"2018-03-16T13:05:58","date_gmt":"2018-03-16T13:05:58","guid":{"rendered":"http:\/\/www.classactions.ca?page_id=178"},"modified":"2018-03-16T13:08:09","modified_gmt":"2018-03-16T13:08:09","slug":"178-2","status":"publish","type":"page","link":"https:\/\/www.classactions.ca?page_id=178","title":{"rendered":""},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_3' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Formulaire d'information Uber<\/h3>\n                            <span class='gform_description'>Woods s.e.n.c.r.l. vous invite \u00e0 remplir le formulaire ci-dessous pour \u00eatre inclus \u00e0 notre banque interne des membres de cette action collective.<\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F178' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_above'><li id=\"field_3_2\" class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_3_2'>\n                            \n                            <span id='input_3_2_3_container' class='name_first' >\n                                                    <input type='text' name='input_2.3' id='input_3_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_2_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_2_6_container' class='name_last' >\n                                                    <input type='text' name='input_2.6' id='input_3_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_2_6' >Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label 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gfield_label_before_complex'  >Avez-vous \u00e9t\u00e9 victime d\u2019un vol d\u2019identit\u00e9 depuis le mois d\u2019octobre 2016?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_18'><li class='gchoice gchoice_3_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Oui'  id='choice_3_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1'>Oui<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Non'  id='choice_3_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2'>Non<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_20\" class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\" ><label 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