{"id":1657,"date":"2017-05-29T13:48:21","date_gmt":"2017-05-29T13:48:21","guid":{"rendered":"http:\/\/mmfss.ca\/register\/"},"modified":"2017-05-29T14:21:16","modified_gmt":"2017-05-29T14:21:16","slug":"register","status":"publish","type":"page","link":"https:\/\/staging.safetysourcefire.ca\/fr_ca\/register\/","title":{"rendered":"S&#039;inscrire"},"content":{"rendered":"<div class=\"um um-register um-1676\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\" data-trp-original-action=\"\">\n\t\t\t<div class=\"um-row _um_row_1\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_1676_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-1676\">Identifiant<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"user_login-1676\" id=\"user_login-1676\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-1676\">Pr\u00e9nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"first_name-1676\" id=\"first_name-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-1676\">Nom<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"last_name-1676\" id=\"last_name-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-1676\">Adresse courriel<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"user_email-1676\" id=\"user_email-1676\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-1676\">Mot de passe<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"user_password-1676\" id=\"user_password-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-1676\">Confirmer le Mot de Passe<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"confirm_user_password-1676\" id=\"confirm_user_password-1676\" value=\"\" placeholder=\"Confirmer le Mot de Passe\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_1676_phone_number\" class=\"um-field um-field-tel  um-field-phone_number um-field-tel um-field-type_tel\" data-key=\"phone_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-phone\" aria-label=\"Num\u00e9ro de t\u00e9l\u00e9phone\"><\/i><\/div><label for=\"phone_number-1676\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"tel\" name=\"phone_number-1676\" id=\"phone_number-1676\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"phone_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_company_name\" class=\"um-field um-field-text  um-field-company_name um-field-text um-field-type_text\" data-key=\"company_name\"><div class=\"um-field-label\"><label for=\"company_name-1676\">Entreprise ou service d&#039;incendie<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"company_name-1676\" id=\"company_name-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"company_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_job_title\" class=\"um-field um-field-text  um-field-job_title um-field-text um-field-type_text\" data-key=\"job_title\"><div class=\"um-field-label\"><label for=\"job_title-1676\">Titre d&#039;emploi<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"job_title-1676\" id=\"job_title-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"job_title\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_address_line_1\" class=\"um-field um-field-text  um-field-address_line_1 um-field-text um-field-type_text\" data-key=\"address_line_1\"><div class=\"um-field-label\"><label for=\"address_line_1-1676\">Adresse Ligne 1<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"address_line_1-1676\" id=\"address_line_1-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"address_line_1\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_address_line_2\" class=\"um-field um-field-text  um-field-address_line_2 um-field-text um-field-type_text\" data-key=\"address_line_2\"><div class=\"um-field-label\"><label for=\"address_line_2-1676\">Adresse ligne 2<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"address_line_2-1676\" id=\"address_line_2-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"address_line_2\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_City\" class=\"um-field um-field-text  um-field-City um-field-text um-field-type_text\" data-key=\"City\"><div class=\"um-field-label\"><label for=\"City-1676\">Ville<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"City-1676\" id=\"City-1676\" value=\"\" placeholder=\"\" data-validate=\"alphabetic\" data-key=\"City\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_province\" class=\"um-field um-field-text  um-field-province um-field-text um-field-type_text\" data-key=\"province\"><div class=\"um-field-label\"><label for=\"province-1676\">Province<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"province-1676\" id=\"province-1676\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"province\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_postal_code\" class=\"um-field um-field-text  um-field-postal_code um-field-text um-field-type_text\" data-key=\"postal_code\"><div class=\"um-field-label\"><label for=\"postal_code-1676\">Code Postal<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"postal_code-1676\" id=\"postal_code-1676\" value=\"\" placeholder=\"\" data-validate=\"0\" data-key=\"postal_code\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_1676_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-1676\">Pays<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid um-s1\" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Canada\" >Canada<\/option><option value=\"United States\" >\u00c9tats-Unis d&#039;Am\u00e9rique<\/option><option value=\"Other\" >Autres<\/option><\/select><\/div><\/div><div  id=\"um_field_1676_account_manager\" class=\"um-field um-field-radio  um-field-account_manager um-field-radio um-field-type_radio\" data-key=\"account_manager\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"account_manager-1676\">Votre gestionnaire de compte<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Eastern and Northern NS, Labrador and PEI\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Nord et Est de la Nouvelle-\u00c9cosse, Labrador et \u00ce.-P.-\u00c9.<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Western\/South Shore NS\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ouest et Rive Sud de la Nouvelle-\u00c9cosse<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"account_manager[]\" value=\"NB\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Nouveau Brunswick<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Northern NB\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Nouveau Brunswick - Nord<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Western NL\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Ouest de Terre-neuve-et-Labrador<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Central and Eastern NL\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Centre et Est de Terre-Neuve-et-Labrador<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"account_manager[]\" value=\"Don&#039;t Know\"  \/><span class=\"um-field-radio-state\"><i 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href=\"https:\/\/staging.safetysourcefire.ca\/fr_ca\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tRapport\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<input type=\"hidden\" name=\"trp-form-language\" value=\"fr_ca\"\/><\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-1676.um {\n\t\t\tmax-width: 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