{"id":2611,"date":"2026-04-16T12:48:20","date_gmt":"2026-04-16T12:48:20","guid":{"rendered":"https:\/\/transalpinevtc.fr\/medical-booking-form\/"},"modified":"2026-04-16T13:07:22","modified_gmt":"2026-04-16T13:07:22","slug":"medical-booking-form","status":"publish","type":"page","link":"https:\/\/transalpinevtc.fr\/en\/medical-booking-form\/","title":{"rendered":"Medical Booking Form"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload\" style=\"--awb-background-position:right bottom;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:190px;--awb-padding-top-small:0px;--awb-background-color:rgba(73,76,78,0.66);--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2019\/01\/footer-background-color-scaled.jpg\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1140px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-no-large-visibility fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:30px;width:100%;\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload\" style=\"--awb-background-blend-mode:multiply;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:60px;--awb-padding-bottom:60px;--awb-background-color:rgba(40,40,40,0.71);--awb-background-size:cover;--awb-flex-wrap:wrap;\" data-bg=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2024\/12\/WhatsApp-Image-2024-12-25-a-10.15.01_2c4240ad-1.jpg\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1185.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-flex-align-self-flex-start fusion-column-no-min-height fusion-animated\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:40px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color1);--awb-font-size:30px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:30;line-height:1.4;\"><h1 class=\"heroservice__title\">CPAM-approved medical taxi<\/h1><\/h1><\/div><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"--awb-font-size:var(--awb-typography3-font-size);--awb-line-height:var(--awb-typography2-line-height);--awb-letter-spacing:var(--awb-typography2-letter-spacing);--awb-text-transform:none;--awb-text-color:var(--awb-color1);\"><p>Book your transfer \/ seated medical taxi now<\/p>\n<p>We are committed to providing you with <strong>prompt and personalized service.<\/strong> See you soon!<pre class=\"ti-widget\" style=\"display: none\"><template id=\"trustindex-google-widget-html\"><div class=\" ti-widget  ti-goog ti-review-text-mode-readmore ti-text-align-left\" data-no-translation=\"true\" data-time-locale=\"il y a %d %s|aujourd&apos;hui|jour|jours|semaine|semaines|mois|mois|ann\u00e9e|ans\" data-plugin-version=\"13.2.9\" data-layout-id=\"103\" data-layout-category=\"badge, top-rated-badge\" data-set-id=\"drop-shadow\" data-pid=\"\" data-language=\"fr\" data-close-locale=\"Fermer\" data-css-version=\"2\" data-size=\"1\"> <div class=\"ti-widget-container\"> <div class=\"ti-header source-Google\"> <span class=\"ti-platform-icon-container\"> <trustindex-image class=\"ti-platform-icon\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/icon.svg\" alt=\"Google\" width=\"20\" height=\"20\" loading=\"lazy\"><\/trustindex-image> <div class=\"ti-profile-details\"> <div class=\"ti-stars\"> <trustindex-image class=\"ti-star\" data-imgurl=\"https:\/\/cdn.trustindex.io\/assets\/platform\/Google\/star\/f.svg\" alt=\"Google\" width=\"17\" height=\"17\" loading=\"lazy\"><\/trustindex-image> <\/div> <span class=\"ti-rating\">5.0<\/span> <\/div> <\/span> <div class=\"ti-header-inner\"> <div class=\"ti-top-rated-title\">Service le <br \/> mieux not\u00e9 2026<\/div> <div class=\"ti-verified-by\">certifi\u00e9 par: Trustindex <span class=\"ti-info-icon\"><\/span><\/div> <div class=\"ti-disclaimer\">Trustindex v\u00e9rifie que l'entreprise a un score sup\u00e9rieur \u00e0 4.5, sur la base des avis collect\u00e9s sur Google au cours des 12 mois, ce qui la qualifie pour recevoir le <a href=\"https:\/\/www.trustindex.io\/?a=sys&amp;c=wp-top-rated-badge&amp;url=\/the-trustindex-verified-badge\/\" target=\"_blank\" rel=\"noopener\">certificat le mieux not\u00e9<\/a>.<\/div> <\/div> <\/div> <\/div> <\/div> <\/template><\/pre><div data-src=\"https:\/\/cdn.trustindex.io\/loader.js?wp-widget\" data-template-id=\"trustindex-google-widget-html\" data-css-url=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/trustindex-google-widget.css?1776245853\"><\/div><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling lazyload fusion-animated\" style=\"--awb-background-position:right bottom;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:80px;--awb-padding-bottom:160px;--awb-margin-top-small:0px;--awb-background-size:cover;--awb-flex-wrap:wrap;--awb-flex-wrap-small:wrap;\" data-bg=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2019\/01\/footer-background-color-scaled.jpg\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.3\" data-animationOffset=\"top-into-view\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1140px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:10px;--awb-padding-right:90px;--awb-padding-bottom:60px;--awb-padding-left:30px;--awb-padding-right-small:15px;--awb-padding-left-small:15px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-box-shadow:0px 50px 38px 0px hsla(var(--awb-color6-h),var(--awb-color6-s),var(--awb-color6-l),calc( var(--awb-color6-a) - 70% ));;--awb-border-color:var(--awb-color6);--awb-border-top:10px;--awb-border-style:solid;--awb-border-radius:10px 10px 10px 10px;--awb-width-large:100%;--awb-margin-top-large:-120px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInUp\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2 fusion-text-no-margin\"><p style=\"text-align: center;\"><img decoding=\"async\" class=\"lazyload alignnone wp-image-2171 \" src=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485.png\" data-orig-src=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485.png\" alt=\"white-background-logo\" width=\"600\" height=\"266\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27600%27%20height%3D%27266%27%20viewBox%3D%270%200%20600%20266%27%3E%3Crect%20width%3D%27600%27%20height%3D%27266%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485-200x89.png 200w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485-300x133.png 300w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485-400x177.png 400w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2025\/11\/logo-fond-blanc-e1763464771485.png 600w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"225\" alt=\"WhatsApp Image 2026-04-14 at 12.15.06 (1)\" title=\"WhatsApp Image 2026-04-14 at 12.15.06 (1)\" src=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1.jpeg\" data-orig-src=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-300x225.jpeg\" class=\"lazyload img-responsive wp-image-2610\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%272040%27%20height%3D%271530%27%20viewBox%3D%270%200%202040%201530%27%3E%3Crect%20width%3D%272040%27%20height%3D%271530%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-200x150.jpeg 200w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-400x300.jpeg 400w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-600x450.jpeg 600w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-800x600.jpeg 800w, https:\/\/transalpinevtc.fr\/wp-content\/uploads\/2026\/04\/WhatsApp-Image-2026-04-14-at-12.15.06-1-1200x900.jpeg 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_1 1_1 fusion-flex-column fusion-flex-align-self-center fusion-animated\" style=\"--awb-padding-right:30px;--awb-padding-left:30px;--awb-padding-right-small:0px;--awb-padding-left-small:0px;--awb-bg-image:linear-gradient(180deg, rgba(255,255,255,0) 0%,var(--awb-color2) 100%);--awb-bg-position:right top;--awb-bg-blend:multiply;--awb-bg-size:cover;--awb-border-color:var(--awb-color7);--awb-border-top:0px;--awb-border-right:0px;--awb-border-bottom:0px;--awb-border-left:0px;--awb-border-style:dotted;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:5px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:5px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\" data-animationType=\"fadeInLeft\" data-animationDuration=\"0.6\" data-animationOffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-three\"><h3 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:30;line-height:1.5;\"><h2>Booking Form<\/h2><\/h3><\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-2603 has-icon-alignment\" style=\"--awb-tooltip-text-color:var(--awb-color1);--awb-tooltip-background-color:var(--awb-color8);--awb-form-input-height:40px;--awb-form-bg-color:var(--awb-color1);--awb-label-font-size:17px;--awb-form-font-size:18px;--awb-form-placeholder-color:var(--awb-color7);--awb-form-text-color:var(--awb-color8);--awb-form-label-color:var(--awb-color1);--awb-form-border-width-top:2px;--awb-form-border-width-bottom:2px;--awb-form-border-width-right:2px;--awb-form-border-width-left:2px;--awb-form-border-color:var(--awb-color6);--awb-form-focus-border-color:var(--awb-color5);--awb-form-focus-border-hover-color:hsla(var(--awb-color5-h),var(--awb-color5-s),var(--awb-color5-l),calc(var(--awb-color5-a) - 50%));--awb-form-border-radius:4px;--awb-icon-alignment-top:2px;--awb-icon-alignment-bottom:2px;--awb-icon-alignment-font-size:18px;\" data-form-id=\"2603\" data-config=\"{&quot;form_id&quot;:2603,&quot;form_post_id&quot;:2603,&quot;post_id&quot;:2611,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;Nom-et-prenom&quot;:&quot;Nom Complet&quot;,&quot;phone_number&quot;:&quot;Telephone&quot;,&quot;email_address&quot;:&quot;Email&quot;,&quot;message&quot;:&quot;DESCRIPTION DE LA COURSE&quot;,&quot;checkbox_field&quot;:&quot;&quot;},&quot;field_logics&quot;:{&quot;Nom-et-prenom&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;email_address&quot;:&quot;&quot;,&quot;message&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;,&quot;checkbox_field&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;Nom-et-prenom&quot;:&quot;text&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;email_address&quot;:&quot;email&quot;,&quot;message&quot;:&quot;textarea&quot;,&quot;notice_1&quot;:&quot;notice&quot;,&quot;checkbox_field&quot;:&quot;checkbox&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;&quot;,&quot;form_views_counting&quot;:&quot;&quot;}\"><form action=\"https:\/\/transalpinevtc.fr\/en\/medical-booking-form\/\" method=\"post\" class=\"fusion-form fusion-form-2603\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-padding-right:3%;--awb-padding-bottom:3%;--awb-padding-left:3%;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:#5a81ad;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-box-shadow: 0px 0px #c6c6c6;;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><div class=\"fusion-form-label-wrapper\"><label for=\"Nom-et-prenom\">Nom Complet <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"Nom-et-prenom\" id=\"Nom-et-prenom\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Telephone <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-alt fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><div class=\"fusion-form-label-wrapper\"><label for=\"email_address\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email_address\" id=\"email_address\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><label for=\"message\">DESCRIPTION DE LA COURSE <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"7\" tabindex=\"\" id=\"message\" name=\"message\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">merci votre message a \u00e9t\u00e9 envoy\u00e9<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><fieldset><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-checkbox_field-1-0\" type=\"checkbox\" value=\"cliquer ici : Je consens \u00e0 ce que ce site stocke les informations que j\u2019ai envoy\u00e9es afin de pouvoir r\u00e9pondre \u00e0 ma demande.\" name=\"checkbox_field[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-checkbox_field-1-0\">cliquer ici : Je consens \u00e0 ce que ce site stocke les informations que j\u2019ai envoy\u00e9es afin de pouvoir r\u00e9pondre \u00e0 ma demande.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"2603\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span  button-default form-form-submit\" data-form-number=\"2603\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Envoyer votre demande<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"false\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: flex-start;margin-right:auto;margin-top:20px;margin-bottom:50px;width:100%;max-width:100%;\"><\/div><div class=\"fusion-text fusion-text-3\"><h6>In accordance with the Data Protection Act of January 6, 1978, you have the right to access and rectify your personal data. Only our company receives the information you provide.<\/h6>\n<h6>1 In accordance with the General Data Protection Regulation of May 25, 2018, we are obliged to explicitly request your consent for the use of your personal data. This data will be sent by email and will not be stored on our servers, solely for the purpose of responding to your request. No other use can be made of your data without your consent. To modify or delete this data, or for more information regarding personal data management, please refer to the <a href=\"https:\/\/transalpinevtc.fr\/en\/legal-notice\/\">Legal Notice<\/a>   <\/h6>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"content-type":"","footnotes":""},"class_list":["post-2611","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/pages\/2611","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/comments?post=2611"}],"version-history":[{"count":7,"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/pages\/2611\/revisions"}],"predecessor-version":[{"id":2618,"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/pages\/2611\/revisions\/2618"}],"wp:attachment":[{"href":"https:\/\/transalpinevtc.fr\/en\/wp-json\/wp\/v2\/media?parent=2611"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}