apps.websight.agency Open in urlscan Pro
2001:41d0:1:1b00:213:186:33:50  Public Scan

URL: https://apps.websight.agency/
Submission: On July 25 via api from US — Scanned from FR

Form analysis 1 forms found in the DOM

POST https://apps.websight.agency/wp-json/ws-form/v1/submit

<form action="https://apps.websight.agency/wp-json/ws-form/v1/submit" class="wsf-form wsf-form-canvas formulaire" id="ws-form-1" data-id="1" data-instance-id="1" method="POST" novalidate=""
  style="--wsf-loader-overlay-color: 255, 255, 255; --wsf-loader-overlay-opacity: 0.7; --wsf-loader-overlay-cursor: default; --wsf-loader-fade-in-duration: 0s; --wsf-loader-fade-out-duration: 0s; --wsf-loader-sprite-animation-duration: 1s; --wsf-loader-sprite-color: 0, 0, 0; --wsf-loader-sprite-color-accent: 255, 61, 0; --wsf-loader-sprite-opacity: 1; --wsf-loader-sprite-opacity-accent: 1; --wsf-loader-sprite-size: 48px; --wsf-loader-sprite-border: 5px; --wsf-loader-text-display: none;"
  data-wsf-rendered="">
  <div class="wsf-loader">
    <div class="wsf-loader-inner" role="alert" aria-live="assertive"></div>
  </div>
  <div class="wsf-grid wsf-sections" id="wsf-1-sections-1" data-id="1">
    <fieldset class="wsf-extra-small-12 wsf-tile wsf-section" id="wsf-1-section-1" data-id="1">
      <legend>Vos coordonnées</legend>
      <div class="wsf-grid wsf-fields" id="wsf-1-fields-1" data-id="1">
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-2" data-id="2" data-type="text"><label id="wsf-1-label-2" for="wsf-1-field-2" class="wsf-label">Votre nom<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><input type="text" id="wsf-1-field-2" name="field_2" value="" required="" data-required="" aria-required="true" class="wsf-field champ"
            aria-labelledby="wsf-1-label-2" data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-invalid-feedback-2" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-1" data-id="1" data-type="text"><label id="wsf-1-label-1" for="wsf-1-field-1" class="wsf-label">Votre prénom<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><input type="text" id="wsf-1-field-1" name="field_1" value="" required="" data-required="" aria-required="true" class="wsf-field champ"
            aria-labelledby="wsf-1-label-1" data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-invalid-feedback-1" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-4" data-id="4" data-type="tel"><label id="wsf-1-label-4" for="wsf-1-field-4" class="wsf-label">Votre N° de téléphone<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><input type="tel" id="wsf-1-field-4" name="field_4" value="" inputmode="tel" required="" data-required="" aria-required="true"
            class="wsf-field champ" aria-labelledby="wsf-1-label-4" data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-invalid-feedback-4" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-14" data-id="14" data-type="datetime"><label id="wsf-1-label-14" for="wsf-1-field-14" class="wsf-label">Votre date de naissance<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><input id="wsf-1-field-14" name="field_14" value="" type="text" data-date-type="date" data-date-format="d/m/Y" data-dow-start="1" required=""
            data-required="" aria-required="true" max-date="2006-07-29" autocomplete="off" class="wsf-field champ" aria-describedby="wsf-1-help-14" aria-labelledby="wsf-1-label-14" data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-invalid-feedback-14" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div><small id="wsf-1-help-14" class="wsf-help wsf-help-post"><strong>Rappel :</strong> Vous devez avoir 18 ans minimum pour que
            votre participation soit valide.</small>
        </div>
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-3" data-id="3" data-type="email"><label id="wsf-1-label-3" for="wsf-1-field-3" class="wsf-label">Votre email<span class="wsf-required-wrapper">
              <strong class="wsf-text-danger">*</strong></span></label><input type="email" id="wsf-1-field-3" name="field_3" value="" required="" data-required="" aria-required="true" class="wsf-field champ" aria-labelledby="wsf-1-label-3"
            data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-invalid-feedback-3" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-16" data-id="16" data-type="select"><label id="wsf-1-label-16" for="wsf-1-field-16" class="wsf-label">Votre île de résidence<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><select id="wsf-1-field-16" name="field_16[]" required="" data-required="" aria-required="true" class="wsf-field champ"
            aria-labelledby="wsf-1-label-16" data-init-required="" data-init-validate-real-time="">
            <option data-id="0" value="" data-placeholder="">Sélectionner...</option>
            <option id="wsf-1-field-16-row-1" data-id="1" value="Tahiti">Tahiti</option>
            <option id="wsf-1-field-16-row-2" data-id="2" value="Moorea">Moorea</option>
            <option id="wsf-1-field-16-row-3" data-id="3" value="Bora Bora">Bora Bora</option>
            <option id="wsf-1-field-16-row-4" data-id="4" value="Raiatea">Raiatea</option>
            <option id="wsf-1-field-16-row-5" data-id="5" value="Huahine">Huahine</option>
            <option id="wsf-1-field-16-row-6" data-id="6" value="Taha'a">Taha'a</option>
            <option id="wsf-1-field-16-row-7" data-id="7" value="Maupiti">Maupiti</option>
            <option id="wsf-1-field-16-row-8" data-id="8" value="Tetiaroa">Tetiaroa</option>
            <option id="wsf-1-field-16-row-9" data-id="9" value="Tupai">Tupai</option>
            <option id="wsf-1-field-16-row-10" data-id="10" value="Fakarava">Fakarava</option>
            <option id="wsf-1-field-16-row-11" data-id="11" value="Rangiroa">Rangiroa</option>
            <option id="wsf-1-field-16-row-12" data-id="12" value="Tikehau">Tikehau</option>
            <option id="wsf-1-field-16-row-13" data-id="13" value="Manihi">Manihi</option>
            <option id="wsf-1-field-16-row-14" data-id="14" value="Makatea">Makatea</option>
            <option id="wsf-1-field-16-row-15" data-id="15" value="Mataiva">Mataiva</option>
            <option id="wsf-1-field-16-row-16" data-id="16" value="Nuku Hiva">Nuku Hiva</option>
            <option id="wsf-1-field-16-row-17" data-id="17" value="Hiva Oa">Hiva Oa</option>
            <option id="wsf-1-field-16-row-18" data-id="18" value="Ua Pou">Ua Pou</option>
            <option id="wsf-1-field-16-row-19" data-id="19" value="Ua Huka">Ua Huka</option>
            <option id="wsf-1-field-16-row-20" data-id="20" value="Fatu Hiva">Fatu Hiva</option>
            <option id="wsf-1-field-16-row-21" data-id="21" value="Tubuai">Tubuai</option>
            <option id="wsf-1-field-16-row-22" data-id="22" value="Rurutu">Rurutu</option>
            <option id="wsf-1-field-16-row-23" data-id="23" value="Rimatara">Rimatara</option>
            <option id="wsf-1-field-16-row-24" data-id="24" value="Raivavae">Raivavae</option>
            <option id="wsf-1-field-16-row-25" data-id="25" value="Rapa Iti">Rapa Iti</option>
            <option id="wsf-1-field-16-row-26" data-id="26" value="Mangareva">Mangareva</option>
            <option id="wsf-1-field-16-row-27" data-id="27" value="Taravai">Taravai</option>
            <option id="wsf-1-field-16-row-28" data-id="28" value="Akamaru">Akamaru</option>
            <option id="wsf-1-field-16-row-29" data-id="29" value="Aukena">Aukena</option>
            <option id="wsf-1-field-16-row-30" data-id="30" value="Kamaka">Kamaka</option>
            <option id="wsf-1-field-16-row-31" data-id="31" value="Mahuranga">Mahuranga</option>
            <option id="wsf-1-field-16-row-32" data-id="32" value="Makaroa">Makaroa</option>
            <option id="wsf-1-field-16-row-33" data-id="33" value="Manui">Manui</option>
            <option id="wsf-1-field-16-row-34" data-id="34" value="Marie">Marie</option>
            <option id="wsf-1-field-16-row-35" data-id="35" value="Mekiro">Mekiro</option>
            <option id="wsf-1-field-16-row-36" data-id="36" value="Morane">Morane</option>
            <option id="wsf-1-field-16-row-37" data-id="37" value="Motu Nao">Motu Nao</option>
            <option id="wsf-1-field-16-row-38" data-id="38" value="Tenarunga">Tenarunga</option>
            <option id="wsf-1-field-16-row-39" data-id="39" value="Tenararo">Tenararo</option>
            <option id="wsf-1-field-16-row-40" data-id="40" value="Vahanga">Vahanga</option>
          </select>
          <div id="wsf-1-invalid-feedback-16" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-small-6 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-15" data-id="15" data-type="select"><label id="wsf-1-label-15" for="wsf-1-field-15" class="wsf-label">Votre commune de résidence<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><select id="wsf-1-field-15" name="field_15[]" required="" data-required="" aria-required="true" class="wsf-field champ"
            aria-labelledby="wsf-1-label-15" data-init-required="" data-init-validate-real-time="">
            <option data-id="0" value="" data-placeholder="">Sélectionner...</option>
            <option id="wsf-1-field-15-row-7" data-id="7" value="Papeete">Papeete</option>
            <option id="wsf-1-field-15-row-8" data-id="8" value="Pirae">Pirae</option>
            <option id="wsf-1-field-15-row-1" data-id="1" value="Arue">Arue</option>
            <option id="wsf-1-field-15-row-2" data-id="2" value="Faaa">Faaa</option>
            <option id="wsf-1-field-15-row-9" data-id="9" value="Punaauia">Punaauia</option>
            <option id="wsf-1-field-15-row-4" data-id="4" value="Mahina">Mahina</option>
            <option id="wsf-1-field-15-row-5" data-id="5" value="Paea">Paea</option>
            <option id="wsf-1-field-15-row-6" data-id="6" value="Papara">Papara</option>
            <option id="wsf-1-field-15-row-3" data-id="3" value="Hitiaa O Te Ra">Hitiaa O Te Ra</option>
            <option id="wsf-1-field-15-row-10" data-id="10" value="Taiarapu-Est">Taiarapu-Est</option>
            <option id="wsf-1-field-15-row-11" data-id="11" value="Taiarapu-Ouest">Taiarapu-Ouest</option>
            <option id="wsf-1-field-15-row-12" data-id="12" value="Teva I Uta">Teva I Uta</option>
          </select>
          <div id="wsf-1-invalid-feedback-15" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
      </div>
    </fieldset>
    <fieldset class="wsf-extra-small-12 wsf-tile wsf-section" id="wsf-1-section-2" data-id="2">
      <legend>Votre participation</legend>
      <div class="wsf-grid wsf-fields" id="wsf-1-fields-2" data-id="2">
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-12" data-id="12" data-type="textarea"><label id="wsf-1-label-12" for="wsf-1-field-12" class="wsf-label">Le magasin d’où provient le ticket de
            caisse<span class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><textarea id="wsf-1-field-12" name="field_12" required="" data-required="" aria-required="true" data-textarea-toolbar="full"
            class="wsf-field champ" aria-labelledby="wsf-1-label-12" data-init-required="" data-init-validate-real-time=""></textarea>
          <div id="wsf-1-invalid-feedback-12" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-17" data-id="17" data-type="file"><label id="wsf-1-label-17" for="wsf-1-field-17" class="wsf-label">Photo de votre ticket de caisse<span
              class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label><input type="text" id="wsf-1-field-17" name="field_17[]" value="" style="display: none;" accept="image/*,application/pdf" required=""
            data-required="" aria-required="true" data-file-type="dropzonejs" class="wsf-field champ" aria-labelledby="wsf-1-label-17" data-default-value="" data-init-file="" data-init-required="" data-init-validate-real-time="">
          <div id="wsf-1-field-17-dropzonejs" class="dropzone needsclick dz-clickable">
            <div class="dz-message">Cliquez pour ouvrir l'appareil photo ou télécharger depuis votre galerie photos.</div>
            <div id="wsf-1-field-17-dropzonejs-previews" class="wsf-dropzonejs-previews"></div>
          </div>
          <div id="wsf-1-invalid-feedback-17" class="wsf-invalid-feedback" aria-hidden="true">Vous devez télécharger une photo !</div>
        </div>
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-20" data-id="20" data-type="texteditor">
          <div data-text-editor="" data-static="" data-name="field_20">
            <p><em><strong>ATTENTION:</strong> Le nom du magasin, la date ainsi que les produits doivent être visibles sur la photo</em></p>
          </div>
        </div>
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ" id="wsf-1-field-wrapper-18" data-id="18" data-type="checkbox">
          <div>
            <div data-row-checkbox=""><input type="checkbox" id="wsf-1-field-18-row-1" name="field_18[]" value="J'ai lu et j'accepte <a href=&quot;cgv&quot; target=&quot;_blank&quot;>le règlement du jeu</a>" class="wsf-field champ" required=""
                data-required="" aria-required="true" aria-labelledby="wsf-1-label-18-row-1" data-init-required="" data-init-validate-real-time=""><label id="wsf-1-label-18-row-1" for="wsf-1-field-18-row-1" class="wsf-label">J'ai lu et j'accepte
                <a href="cgv" target="_blank">le règlement du jeu</a><span class="wsf-required-wrapper"> <strong class="wsf-text-danger">*</strong></span></label>
              <div id="wsf-1-invalid-feedback-18-row-1" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
            </div>
          </div>
          <div id="wsf-1-invalid-feedback-18" class="wsf-invalid-feedback" aria-hidden="true">Ce champ est obligatoire</div>
        </div>
        <div class="wsf-extra-small-12 wsf-tile wsf-field-wrapper wrapper-champ wsf-middle" id="wsf-1-field-wrapper-13" data-id="13" data-type="submit"><button type="submit" id="wsf-1-field-13" name="field_13"
            class="wsf-button champ wsf-button-full wsf-button-success" aria-label="Envoyer" data-init-validate-real-time="">Envoyer</button></div>
      </div>
    </fieldset>
  </div><label for="field_cf68e8e4739f85ad0e3f770bc1c3b3bb" aria-hidden="true" style="position: absolute !important; left: -9999em !important; height: 0 !important; margin: 0 !important; padding: 0 !important;">cf68e8e4739f85ad0e3f770bc1c3b3bb<input
      type="text" id="field_cf68e8e4739f85ad0e3f770bc1c3b3bb" name="field_cf68e8e4739f85ad0e3f770bc1c3b3bb" value="" autocomplete="off" tab-index="-1" style="display: none !important;"></label><input type="hidden" name="wsf_duration" value="">
</form>

Text Content

Aller au contenu
Grand jeu de la rentrée - Charcuterie du Pacifique
Vos coordonnées
Votre nom *
Ce champ est obligatoire
Votre prénom *
Ce champ est obligatoire
Votre N° de téléphone *
Ce champ est obligatoire
Votre date de naissance *
Ce champ est obligatoire
Rappel : Vous devez avoir 18 ans minimum pour que votre participation soit
valide.
Votre email *
Ce champ est obligatoire
Votre île de résidence *Sélectionner...TahitiMooreaBora
BoraRaiateaHuahineTaha'aMaupitiTetiaroaTupaiFakaravaRangiroaTikehauManihiMakateaMataivaNuku
HivaHiva OaUa PouUa HukaFatu HivaTubuaiRurutuRimataraRaivavaeRapa
ItiMangarevaTaravaiAkamaruAukenaKamakaMahurangaMakaroaManuiMarieMekiroMoraneMotu
NaoTenarungaTenararoVahanga
Ce champ est obligatoire
Votre commune de résidence
*Sélectionner...PapeetePiraeArueFaaaPunaauiaMahinaPaeaPaparaHitiaa O Te
RaTaiarapu-EstTaiarapu-OuestTeva I Uta
Ce champ est obligatoire
Votre participation
Le magasin d’où provient le ticket de caisse *
Ce champ est obligatoire
Photo de votre ticket de caisse *
Cliquez pour ouvrir l'appareil photo ou télécharger depuis votre galerie photos.

Vous devez télécharger une photo !

ATTENTION: Le nom du magasin, la date ainsi que les produits doivent être
visibles sur la photo

J'ai lu et j'accepte le règlement du jeu *
Ce champ est obligatoire
Ce champ est obligatoire
Envoyer
cf68e8e4739f85ad0e3f770bc1c3b3bb

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