{"id":2778,"date":"2022-10-14T11:21:02","date_gmt":"2022-10-14T11:21:02","guid":{"rendered":"https:\/\/www.bariemergency.com\/be\/?page_id=2778"},"modified":"2022-11-16T10:15:56","modified_gmt":"2022-11-16T10:15:56","slug":"modulo-iscrizione-convegno","status":"publish","type":"page","link":"https:\/\/www.bariemergency.com\/be\/modulo-iscrizione-convegno\/","title":{"rendered":"Modulo Iscrizione Convegno"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2778\" class=\"elementor elementor-2778\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7c5233c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7c5233c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8224ac5\" data-id=\"8224ac5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69c7987 elementor-widget elementor-widget-image\" data-id=\"69c7987\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"431\" src=\"https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/LogoCadutiNassyriaOrizzontaleStemma-768x431.jpg\" class=\"attachment-medium_large size-medium_large wp-image-1106\" alt=\"\" srcset=\"https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/LogoCadutiNassyriaOrizzontaleStemma-768x431.jpg 768w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/LogoCadutiNassyriaOrizzontaleStemma-300x168.jpg 300w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/LogoCadutiNassyriaOrizzontaleStemma-800x450.jpg 800w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/LogoCadutiNassyriaOrizzontaleStemma.jpg 844w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b7ab6c elementor-widget elementor-widget-shortcode\" data-id=\"9b7ab6c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-3649\"><form id=\"wpforms-form-3649\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3649\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/be\/wp-json\/wp\/v2\/pages\/2778\" data-token=\"f0713acea12b0d5be06ec23e8db7ba91\" data-token-time=\"1792788873\"><noscript class=\"wpforms-error-noscript\">Abilita JavaScript nel browser per completare questo modulo.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3649-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">IL SOTTOSCRITTO <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3649-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-3649-field_1\" class=\"wpforms-field-sublabel after\">Nome<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3649-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-3649-field_1-last\" class=\"wpforms-field-sublabel after\">Cognome<\/label><\/div><\/div><\/div><div id=\"wpforms-3649-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3649-field_2\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3649-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-3649-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-3649-field_9\">Recapito Telefonico <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3649-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-3649-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3649-field_7\">In qualit\u00e0 di Rappresentante con poteri di firma della<\/label><textarea id=\"wpforms-3649-field_7\" class=\"wpforms-field-small\" name=\"wpforms[fields][7]\" placeholder=\"(indicare il nome dell\u2019Associazione e\/o Ente e\/o Azienda e\/o Ordine e\/o Albo e\/o Altro)\" ><\/textarea><\/div><div id=\"wpforms-3649-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-3649-field_10\">Sita in VIA - CITTA&#039; - CAP - TELEFONO<\/label><textarea id=\"wpforms-3649-field_10\" class=\"wpforms-field-small\" name=\"wpforms[fields][10]\" ><\/textarea><\/div><div id=\"wpforms-3649-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"14\"><label class=\"wpforms-field-label\">CHIEDE      :   Di partecipare al 12\u00b0 CONVEGNO NAZIONALE \u201cGLI ANGELI DI NASSIRIYA\u201d in qualit\u00e0 di: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3649-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_1\" name=\"wpforms[fields][14]\" value=\"PATROCINIO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_1\">PATROCINIO<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_2\" name=\"wpforms[fields][14]\" value=\"RELATORE (*)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_2\">RELATORE (*)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_3\" name=\"wpforms[fields][14]\" value=\"ASSOCIAZIONE\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_3\">ASSOCIAZIONE<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_4\" name=\"wpforms[fields][14]\" value=\"ESPOSITORE (*)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_4\">ESPOSITORE (*)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_5\" name=\"wpforms[fields][14]\" value=\"DONATORE\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_5\">DONATORE<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-3649-field_14_6\" name=\"wpforms[fields][14]\" value=\"CITTADINO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_14_6\">CITTADINO<\/label><\/li><\/ul><div class=\"wpforms-field-description\">(indicare con una X l\u2019ambito di appartenenza della partecipazione e, in caso di RELATORE e\/o ESPOSITORE, indicare il tema\r\ndella Relazione e\/o i prodotti da esporre. \u2013 Si possono indicare diversi ambiti di appartenenza).<br>\r\nINVIARE: - LOGO \u2013 FOTO E CV RELATORE \u2013 BREVE PROFILO<\/div><\/div><div id=\"wpforms-3649-field_17-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"17\"><label class=\"wpforms-field-label\">di avere preso buona nota del Programma del 12\u00b0 CONVEGNO NAZIONALE \u201cGLI ANGELI DI NASSIRIYA\u201d e di: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3649-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_17_1\" name=\"wpforms[fields][17][]\" value=\"di condividere gli scopi e le finalit\u00e0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_17_1\">di condividere gli scopi e le finalit\u00e0<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_17_2\" name=\"wpforms[fields][17][]\" value=\"di osservare e rispettare i contenuti Statutari dell\u2019ASSOCIAZIONE DI PROTEZIONE CIVILE\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_17_2\">di osservare e rispettare i contenuti Statutari dell\u2019ASSOCIAZIONE DI PROTEZIONE CIVILE<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_17_3\" name=\"wpforms[fields][17][]\" value=\"(*) di richiedere n\u00b0 1 Postazione formata da n\u00b0 1 Scrivania e 2 Sedie\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_17_3\">(*) di richiedere n\u00b0 1 Postazione formata da n\u00b0 1 Scrivania e 2 Sedie<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_17_4\" name=\"wpforms[fields][17][]\" value=\"(*) di voler ricevere ATTESTATO di partecipazione donando \u2013 per contributo spese - \u20ac 10,00\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_17_4\">(*) di voler ricevere ATTESTATO di partecipazione donando \u2013 per contributo spese - \u20ac 10,00<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_17_5\" name=\"wpforms[fields][17][]\" value=\"(*) di concedere una donazione \u2013 FACOLTATIVA\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_17_5\">(*) di concedere una donazione \u2013 FACOLTATIVA<\/label><\/li><\/ul><div class=\"wpforms-field-description\">__________________________________________________________________**** I PRIMI DUE PUNTI SONO OBBLIGATORI **** __________________________________________________________________\r\n\r\n<br><br>(*) c\/c postale nr. 001024189829 int. ASSOCIAZIONE INTERFORZE PROTEZIONE CIVILE\r\nCODICE IBAN IT36Q0760104000001024189829<br><br>\r\nIl\/La sottoscritto\/a chiede che ogni comunicazione inerente la presente partecipazione venga effettuata al seguente indirizzo, impegnandosi a comunicare eventuali variazioni e riconoscendo che l\u2019AIOS PROTEZIONE\r\nCIVILE non assume alcuna responsabilit\u00e0 in caso di irreperibilit\u00e0 del destinatario<\/div><\/div><div id=\"wpforms-3649-field_22-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Sono un utente: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3649-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_22_1\" name=\"wpforms[fields][22][]\" value=\"UDENTE\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_22_1\">UDENTE<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_22_2\" name=\"wpforms[fields][22][]\" value=\"SORDO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_22_2\">SORDO<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_22_4\" name=\"wpforms[fields][22][]\" value=\"non rispondo\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_22_4\">non rispondo<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Fai una scelta<\/div><\/div><div id=\"wpforms-3649-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-3649-field_18\">Eventuali note:<\/label><input type=\"text\" id=\"wpforms-3649-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><div class=\"wpforms-field-description\">Il\/La sottoscritto\/a dichiara che tutte le informazioni riportate nel presente documento sono corrette e\r\ncomplete e, per la donazione, allega copia del bonifico.\r\nIn fede<\/div><\/div><div id=\"wpforms-3649-field_8-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Accettazione Termini di Privacy e GDPR vigenti <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3649-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-3649-field_8_1\" name=\"wpforms[fields][8][]\" value=\"Acconsento che questo sito conservi le informazioni inviate cos\u00ec che possano rispondere alle mie richiesta. I dati potranno essere cancellati su richiesta dell&#039;interessato.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3649-field_8_1\">Acconsento che questo sito conservi le informazioni inviate cos\u00ec che possano rispondere alle mie richiesta. 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ISCRIZIONE\" aria-live=\"assertive\" value=\"wpforms-submit\">INVIA ISCRIZIONE<\/button><img decoding=\"async\" src=\"https:\/\/www.bariemergency.com\/be\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Caricamento\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-004eea5 elementor-widget elementor-widget-image\" data-id=\"004eea5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"255\" src=\"https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-1024x255.jpg\" class=\"attachment-large size-large wp-image-1325\" alt=\"\" srcset=\"https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-1024x255.jpg 1024w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-300x75.jpg 300w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-768x191.jpg 768w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-1536x383.jpg 1536w, https:\/\/www.bariemergency.com\/be\/wp-content\/uploads\/2022\/09\/BaryEmergency_indirizzo-2048x511.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","ocean_front_end_style_editor":"no","ocean_post_layout":"full-width","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","footnotes":""},"class_list":["post-2778","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/pages\/2778","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/comments?post=2778"}],"version-history":[{"count":10,"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/pages\/2778\/revisions"}],"predecessor-version":[{"id":3678,"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/pages\/2778\/revisions\/3678"}],"wp:attachment":[{"href":"https:\/\/www.bariemergency.com\/be\/wp-json\/wp\/v2\/media?parent=2778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}