{"id":28,"date":"2017-09-25T14:51:47","date_gmt":"2017-09-25T14:51:47","guid":{"rendered":"http:\/\/www.classactions.ca\/?page_id=28"},"modified":"2018-03-16T14:24:37","modified_gmt":"2018-03-16T14:24:37","slug":"formu-tj","status":"publish","type":"page","link":"https:\/\/www.classactions.ca?page_id=28","title":{"rendered":""},"content":{"rendered":"<p>&nbsp;<\/p>\n<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_1' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Formulaire d'information T\u00e9moins de J\u00e9hovah<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F28' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_above'><li id=\"field_1_14\" class=\"gfield gsection field_sublabel_below field_description_above gfield_visibility_visible\" ><h2 class=\"gsection_title\">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.<\/h2><\/li><li id=\"field_1_15\" class=\"gfield gsection field_sublabel_below field_description_above gfield_visibility_visible\" ><h2 class=\"gsection_title\">Veuillez noter que si vous correspondez \u00e0 la d\u00e9finition d\u2019un des groupes d\u00e9crit dans le jugement d\u2019autorisation du 27 f\u00e9vrier 2019, vous faites automatiquement partie de l\u2019action collective. Vous aurez la possibilit\u00e9 de vous exclure de l\u2019action collective suivant les conclusions du jugement d\u2019autorisation et il n\u2019est pas n\u00e9cessaire de vous inscrire pour devenir membre du groupe. Sachez que les informations que vous fournissez dans ce formulaire sont prot\u00e9g\u00e9es par le secret professionnel et le privil\u00e8ge relatif au litige. Nous nous engageons \u00e9galement \u00e0 pr\u00e9server votre anonymat sauf si vous nous indiquez clairement que vous ne le souhaitez pas.<\/h2><\/li><li id=\"field_1_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_1_2'>\n                            \n                            <span id='input_1_2_3_container' class='name_first' >\n                                                    <input type='text' name='input_2.3' id='input_1_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_2_3' >Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_2_6_container' class='name_last' >\n                                                    <input type='text' name='input_2.6' id='input_1_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_1_2_6' >Nom de famille<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_1_3\" class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email' id='input_1_3_container'>\n                                <span id='input_1_3_1_container' class='ginput_left'>\n                                    <input class='' type='text' name='input_3' id='input_1_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_3' >Saisissez votre courriel<\/label>\n                                <\/span>\n                                <span id='input_1_3_2_container' class='ginput_right'>\n                                    <input class='' type='text' name='input_3_2' id='input_1_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_1_3_2' >Confirmez votre courriel<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_1_4\" class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Adresse<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address' id='input_1_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_1_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_1_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_1_4_1' id='input_1_4_1_label' >Num\u00e9ro civique, rue<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_1_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_1_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_1_4_3' id='input_1_4_3_label' >Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_1_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_1_4_4' value=''      aria-required='false'    \/>\n                                        <label for='input_1_4_4' id='input_1_4_4_label' >Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_1_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_1_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_1_4_5' id='input_1_4_5_label' >Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_1_4_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_1_5\" class=\"gfield gfield_contains_required 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id=\"field_1_7\" class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label' for='input_1_7' >Date de naissance<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_1_7' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_1_7_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_1_7_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_7' class='gform_hidden' value='https:\/\/www.classactions.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_1_8\" class=\"gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label' for='input_1_8' >Veuillez fournir un court r\u00e9sum\u00e9 de l&#039;agression dont vous avez \u00e9t\u00e9 victime.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_1_8'>Si vous ne vous sentez pas \u00e0 l\u2019aise de partager ces informations \u00e0 ce stade-ci, merci de l\u2019indiquer plus bas.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_1_8' class='textarea medium'  aria-describedby=\"gfield_description_1_8\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_9\" class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label' for='input_1_9' >Veuillez d\u00e9crire le ou les lieu(x) des agressions.<\/label><div class='gfield_description' id='gfield_description_1_9'>Soit le lieu, la ville et la province.\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_1_9' class='textarea medium'  aria-describedby=\"gfield_description_1_9\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_10\" class=\"gfield field_sublabel_below field_description_above gfield_visibility_visible\" ><label class='gfield_label' for='input_1_10' >Veuillez pr\u00e9ciser la ou les date(s) de l\u2019agression ou des agressions.<\/label><div class='gfield_description' id='gfield_description_1_10'>Si vous ne connaissez pas la date exacte ou le moment exact, veuillez fournir un estim\u00e9 de la p\u00e9riode concern\u00e9e.\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_1_10' class='textarea medium'  aria-describedby=\"gfield_description_1_10\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_1_13\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Consentez-vous \u00e0 recevoir de Woods s.e.n.c.r.l. des courriels et\/ou autres formes de messages \u00e9lectroniques pour toute question li\u00e9e \u00e0 cette action collective et de recevoir des informations concernant d\u2019autres services juridiques et services associ\u00e9s que nous pouvons vous offrir et pour lesquels nous pourrions vous solliciter?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_13'>\n\t\t\t<li class='gchoice gchoice_1_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Je consens et je suis en accord avec l\u2019\u00e9nonc\u00e9 ci-haut'  id='choice_1_13_0'    \/>\n\t\t\t\t<label for='choice_1_13_0' id='label_1_13_0'>Je consens et je suis en accord avec l\u2019\u00e9nonc\u00e9 ci-haut<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_1_13'>Si vous NE CONSENTEZ 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