{"version":"1.0","provider_name":"Services fun\u00e9raires Azur incin\u00e9ration","provider_url":"https:\/\/azurdeces.com\/en\/","author_name":"Ariel","author_url":"https:\/\/azurdeces.com\/en\/author\/ariel\/","title":"Addition(s) and correction(s) - Services fun\u00e9raires Azur incin\u00e9ration","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"RSodWycDt3\"><a href=\"https:\/\/azurdeces.com\/en\/additions-and-corrections\/\">Addition(s) and correction(s)<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/azurdeces.com\/en\/additions-and-corrections\/embed\/#?secret=RSodWycDt3\" width=\"600\" height=\"338\" title=\"&#8220;Addition(s) and correction(s)&#8221; &#8212; Services fun\u00e9raires Azur incin\u00e9ration\" data-secret=\"RSodWycDt3\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/azurdeces.com\/wp-includes\/js\/wp-embed.min.js\n<\/script>\n","description":"Ajout et modification d&#039;informationsVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.Formulaire d&#8217;ajout et\/ou de modification d&#8217;informations. Directeur fun\u00e9raire : Denis Lachance. -Remplissez tous les champs de ce formulaire. Section 1: Renseignements sur la personne d\u00e9c\u00e9d\u00e9e Nom de famille \u00e0 la naissance *Pr\u00e9nom *Date de naissance *J12345678910111213141516171819202122232425262728293031M123456789101112A202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 Section 2: Renseignements sur le d\u00e9clarant du d\u00e9c\u00e8s Nom de famille \u00e0 la naissance (d\u00e9clarant) *Pr\u00e9nom (d\u00e9clarant) *T\u00e9l\u00e9phone au domicile *T\u00e9l\u00e9phone mobile ou 2i\u00e8me num\u00e9ro *Courriel du d\u00e9clarant (Responsable du dossier)E-mailConfirmez l\u2019e-mailAjouter ici l&#039;informations \u00e0 corriger ou \u00e0 ajouter.En appuyant sur le bouton &quot;Soumettre&quot; J\u2019autorise Services fun\u00e9raire Azur incin\u00e9ration inc. \u00e0 transmettre et utiliser l\u2019ensemble des renseignements n\u00e9cessaires en conformit\u00e9 avec la Politique de protection des renseignements personnels et politique de confidentialit\u00e9. * D&#8217;accord Politique de protection des renseignements personnels et politique de confidentialit\u00e9Email Soumettre","thumbnail_url":"https:\/\/azurdeces.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg"}