{"id":16,"date":"2021-06-03T10:38:43","date_gmt":"2021-06-03T08:38:43","guid":{"rendered":"https:\/\/academyofvisioncare.com\/fr\/?page_id=16"},"modified":"2025-10-27T15:17:22","modified_gmt":"2025-10-27T14:17:22","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/academyofvisioncare.com\/fr\/sign-up\/","title":{"rendered":"Rejoindre l&#8217;Academy of Vision Care"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e16-e1 mg-0\"><div class=\"x-row e16-e2 mg-1 mg-2 mg-4 mg-5\"><div class=\"x-row-inner\"><div class=\"x-col e16-e3 mg-7 mg-8 mg-9\"><div class=\"x-text x-text-headline e16-e4 mg-b\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h1 class=\"x-text-content-text-primary\">Rejoindre l&rsquo;Academy of Vision Care<\/h1><\/div><\/div><\/div><\/div><div class=\"x-col e16-e5 mg-7 mg-8\"><hr class=\"x-line e16-e6 mg-c\"\/><div class=\"x-text x-content e16-e7 mg-d\"><\/div><\/div><\/div><\/div><div class=\"x-row e16-e8 mg-1 mg-3 mg-4 mg-6\"><div class=\"x-row-inner\"><div class=\"x-col e16-e9 mg-7 mg-9 mg-a\">        <form enctype=\"multipart\/form-data\" method=\"post\" id=\"wppb-register-user-reg-form\" class=\"wppb-user-forms wppb-register-user wppb-user-logged-out\" action=\"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/pages\/16\">\n\t\t\t<ul><li class=\"wppb-form-field wppb-default-first-name\" id=\"wppb-form-element-3\">\n\t\t\t<label for=\"first_name\">Pr\u00e9nom<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_firstname \" name=\"first_name\" maxlength=\"70\" type=\"text\" id=\"first_name\" value=\"\"  \/><\/li><li class=\"wppb-form-field wppb-default-last-name\" id=\"wppb-form-element-4\">\n\t\t\t<label for=\"last_name\">Nom<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_lastname \" name=\"last_name\" maxlength=\"70\" type=\"text\" id=\"last_name\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-e-mail\" id=\"wppb-form-element-8\">\n\t\t\t<label for=\"email\">E-mail<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_email \" name=\"email\" maxlength=\"70\" type=\"email\" id=\"email\" value=\"\"   \/><\/li><li class=\"wppb-form-field wppb-select\" id=\"wppb-form-element-14\">\n\t\t\t\t<label for=\"profession\">Profession<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<select name=\"profession\" id=\"profession\" class=\"custom_field_select\" ><option value=\"\" class=\"custom_field_select_option \"  selected>Aucune s\u00e9lectionn\u00e9e<\/option><option value=\"1\" class=\"custom_field_select_option \" >Optom\u00e9triste<\/option><option value=\"2\" class=\"custom_field_select_option \" >Opthalmologiste<\/option><option value=\"3\" class=\"custom_field_select_option \" >Opticien<\/option><option value=\"4\" class=\"custom_field_select_option \" >Orthoptiste<\/option><option value=\"5\" class=\"custom_field_select_option \" >\u00c9tudiant<\/option><option value=\"6\" class=\"custom_field_select_option \" >Vendeur en magasin<\/option><option value=\"7\" class=\"custom_field_select_option \" >Responsable de centre m\u00e9dical<\/option><option value=\"8\" class=\"custom_field_select_option \" >Autre professionnel de sante<\/option>\n\t\t\t\t<\/select><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-15\">\n\t\t\t\t<label for=\"professional_number\">Num\u00e9ro professionnel (RPPS)<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"professional_number\" maxlength=\"250\" type=\"text\" id=\"professional_number\" value=\"\" \/><span class=\"wppb-description-delimiter\"><strong>Vous ne connaissez pas votre n\u00b0 RPPS ? Cliquez sur ce lien pour le trouver: <a href=\"https:\/\/annuaire.sante.fr\/\">Accueil - L'Annuaire Sant\u00e9.<\/a><\/strong><\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-16\">\n\t\t\t\t<label for=\"practice_name\">Nom du magasin ou nom du cabinet m\u00e9dical<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"practice_name\" maxlength=\"250\" type=\"text\" id=\"practice_name\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-textarea\" id=\"wppb-form-element-24\">\n\t\t\t\t<label for=\"practice_address\">Adresse du Magasin ou du Cabinet M\u00e9dical<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<textarea rows=\"2\" name=\"practice_address\" maxlength=\"\" class=\"custom_field_textarea \" id=\"practice_address\" wrap=\"virtual\" ><\/textarea><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-25\">\n\t\t\t\t<label for=\"practice_postcode\">Code Postal du Magasin ou du Cabinet M\u00e9dical<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"practice_postcode\" maxlength=\"250\" type=\"text\" id=\"practice_postcode\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-18\">\n\t\t\t\t<label for=\"practice_number\">Num\u00e9ro de compte Bausch+Lomb<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"practice_number\" maxlength=\"250\" type=\"text\" id=\"practice_number\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-password\" id=\"wppb-form-element-12\">\n\t\t\t<label for=\"passw1\">Mot de passe<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n            <span class=\"wppb-password-field-container\">\n\t\t\t    <input class=\"text-input \" name=\"passw1\" maxlength=\"70\" type=\"password\" id=\"passw1\" value=\"\" autocomplete=\"off\" \/>\n\t\t\t     <!-- add the HTML for the visibility toggle -->\n\t\t\t<\/span><span class=\"wppb-description-delimiter\"> <\/span><\/li><li class=\"wppb-form-field wppb-default-repeat-password\" id=\"wppb-form-element-31\">\n\t\t\t<label for=\"passw2\">Confirmer votre mot de passe<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<span class=\"wppb-password-field-container\">\n\t\t\t    <input class=\"text-input \" name=\"passw2\" maxlength=\"70\" type=\"password\" id=\"passw2\" value=\"\" autocomplete=\"off\" \/>\n\t\t\t     <!-- add the HTML for the visibility toggle -->\n\t\t\t<\/span><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-20\"><h4 class=\"extra_field_heading\">Pr\u00e9f\u00e9rences de communication<\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-34\"><h6 class=\"extra_field_heading\"><\/h6><span class=\"wppb-description-delimiter\">Sur la base de votre consentement ci-dessous, \"Bausch+lomb\" traitera vos donn\u00e9es personnelles pour vous envoyer des informations marketing via votre adresse e-mail ou tout autre moyen de communication \u00e9lectronique mat\u00e9riel marketing personnalis\u00e9 relatif aux produits et services et autres communications marketing g\u00e9n\u00e9rales, annonces et newsletters que bausch + lomb peut vous envoyer de temps \u00e0 autre dans le but de partager des informations et de d\u00e9velopper et g\u00e9rer notre relation professionnelle. Votre consentement est enti\u00e8rement volontaire et vous n\u2019avez aucune obligation de consentement. Si vous y consentez, vous pouvez par la suite refuser de recevoir des communications marketing de notre part \u00e0 tout moment, en mettant \u00e0 jour vos pr\u00e9f\u00e9rences dans votre profil. Consultez l\u2019avis de confidentialit\u00e9 pour les professionnels de sant\u00e9.<\/span><\/li><li class=\"wppb-form-field wppb-checkbox marketing-consent-field\" id=\"wppb-form-element-32\">\n\t\t\t\t<label for=\"communication_prefs_bl_updates\"><\/label><ul class=\"wppb-checkboxes\"><li class=\"wppb-hidden\"><input type=\"hidden\" value=\"\" name=\"communication_prefs_bl_updates\"><\/li><li><input value=\"yes\" class=\"custom_field_checkbox\" name=\"communication_prefs_bl_updates[]\" id=\"yes_32\" type=\"checkbox\"   \/><label for=\"yes_32\" class=\"wppb-rc-value\">Je consens par la pr\u00e9sente \u00e0 la collecte et \u00e0 l\u2019utilisation de mes renseignements personnels \u00e0 des fins de communication marketing.<\/label><\/li><\/ul><\/li><li class=\"wppb-1website-url\" id=\"wppb-form-element-36\">\n            <label for=\"1_website_url1\" style=\"position: absolute; left: -9999px;\">Honeypot<\/label>\n            <input class=\"\" name=\"1_website_url1\" maxlength=\"250\" type=\"text\" id=\"1_website_url\" tabindex=\"-1\" autocomplete=\"nope\" style=\"position: absolute; left: -9999px;\" value=\"\" \/><\/li><\/ul><ul><\/ul>\t\t\t<p class=\"form-submit\"  >\n\t\t\t\t                \t\t\t\t<input name=\"register\" type=\"submit\" id=\"register\" class=\"submit button\" value=\"S&#039;enregistrer\" \/>\n                <input name=\"redirect_to\" type=\"hidden\" value=\"\" \/>\n                \t\t\t\t<input name=\"action\" type=\"hidden\" id=\"action\" value=\"register\" \/>\n\t\t\t\t<input name=\"form_name\" type=\"hidden\" id=\"form_name\" value=\"reg-form\" \/>\n\t\t\t\t<input name=\"form_id\" type=\"hidden\" id=\"form_id\" value=\"19\" \/>\n\t\t\t\t<input type=\"hidden\" name=\"wppb_referer_url\" value=\"\"\/>\t\t\t<\/p><!-- .form-submit -->\n\t\t\t<input type=\"hidden\" id=\"register_reg-form_nonce_field\" name=\"register_reg-form_nonce_field\" value=\"c81c4edcea\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/16\" \/>\t\t<\/form>\n\t\t<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Rejoindre l&rsquo;Academy of Vision Care Pr\u00e9nom* Nom* E-mail* Profession* Aucune s\u00e9lectionn\u00e9eOptom\u00e9tristeOpthalmologisteOpticienOrthoptiste\u00c9tudiantVendeur en magasinResponsable de centre m\u00e9dicalAutre professionnel de sante Num\u00e9ro professionnel (RPPS) Vous ne connaissez pas votre n\u00b0 RPPS ? Cliquez sur ce lien pour le trouver: Accueil &#8211; L&#8217;Annuaire Sant\u00e9. Nom du magasin ou nom du cabinet m\u00e9dical* Adresse du Magasin ou du Cabinet M\u00e9dical* Code Postal du Magasin &#8230;<\/p>\n","protected":false},"author":3,"featured_media":3007,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-16","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":19,"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":3079,"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/pages\/16\/revisions\/3079"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/media\/3007"}],"wp:attachment":[{"href":"https:\/\/academyofvisioncare.com\/fr\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}