{"id":186225,"date":"2024-11-22T13:52:50","date_gmt":"2024-11-22T18:52:50","guid":{"rendered":"https:\/\/dsma.com\/?page_id=186225"},"modified":"2024-11-22T13:54:02","modified_gmt":"2024-11-22T18:54:02","slug":"formulaire-de-prequalification-2","status":"publish","type":"page","link":"https:\/\/dsma.macroblu.com\/fr\/formulaire-de-prequalification-2\/","title":{"rendered":"Formulaire de pr\u00e9qualification"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"186225\" class=\"elementor elementor-186225 elementor-186224\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2f509c80 elementor-section-height-min-height elementor-section-items-stretch elementor-section-full_width animated-slow elementor-section-height-default\" data-id=\"2f509c80\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6c2fa889\" data-id=\"6c2fa889\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7bdeeb60 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7bdeeb60\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Formulaire de pr\u00e9qualification<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-558f431 e-con-full e-flex elementor-invisible e-con e-parent\" data-id=\"558f431\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c4e174e e-flex e-con-boxed e-con e-parent\" data-id=\"c4e174e\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e9cd00 elementor-widget elementor-widget-formidable\" data-id=\"6e9cd00\" data-element_type=\"widget\" data-widget_type=\"formidable.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"frm_forms  with_frm_style frm_style_formidable-style-2\" id=\"frm_form_18_container\" data-token=\"a0b7a5f34d0bdebd2e03ce474fd8998e\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_b4ap\" data-token=\"a0b7a5f34d0bdebd2e03ce474fd8998e\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Pre-Qualification Form<\/legend>\r\n<h3 class=\"frm_form_title\">Pre-Qualification Form<\/h3>\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"18\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_18\" id=\"frm_hide_fields_18\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"b4ap\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_18\" name=\"frm_submit_entry_18\" value=\"892f9066ba\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/186225\" \/><div id=\"frm_field_241_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Informations<\/h3>\r\n\r\n\r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[111]\" id=\"field_date\" value=\"11\/05\/2026\"  data-frmval=\"11\/05\/2026\" class=\"form-control\"   \/>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm6 frm_first\">\r\n    <label for=\"field_izk4r\" id=\"field_izk4r_label\" class=\"frm_primary_label col-form-label form-label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_izk4r\" name=\"item_meta[108]\" value=\"\"  placeholder=\"Name\" data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_251_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm6\">\r\n\t<label for=\"field_i8sxs\" id=\"field_i8sxs_label\" class=\"frm_primary_label col-form-label form-label\">Associate Email\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[251]\" id=\"field_i8sxs\"  data-placeholder=\"Select your DSMA Associate\"  placeholder=\"Select your DSMA Associate\" data-reqmsg=\"Associate Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Associate Email is invalid\" class=\"form-control\" class=\"nice-select1 aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Select your DSMA Associate<\/option><option  value=\"marc@quotus.com\">--- Canada ---<\/option><option  value=\"darren.savage@dsma.com\">Darren Savage<\/option><option  value=\"john.raymond@dsma.com\">John Raymond<\/option><option  value=\"jonathan.pumphrey@dsma.com\">Jonathan Pumphrey<\/option><option  value=\"cory.harsch@dsma.com\">Cory Harsch<\/option><option  value=\"darren.hoyles@dsma.com\">Darren Hoyles<\/option><option  value=\"georges.theberge@dsma.com\">Georges Th\u00e9berge<\/option><option  value=\"eric.brunette@dsma.com\">Eric Brunette<\/option><option  value=\"yannick.pouliot@dsma.com\">Yannick Pouliot<\/option><option  value=\"michelle.christie@dsma.com\">Michelle Christie<\/option><option  value=\"kyle.chase@dsma.com\">Kyle Chase<\/option><option  value=\"natasha.denkovski@dsma.com\">Natasha Denkovski<\/option><option  value=\"rick.kingdon@dsma.com\">Rick Kingdon<\/option><option  value=\"john.chisholm@dsma.com\">John Chisholm<\/option><option  value=\"marc@quotus.com\">--- USA ---<\/option><option  value=\"bill.fields@dsma.com\">Bill Fields<\/option><option  value=\"cody.cantu@dsma.com\">Cody Cantu<\/option><option  value=\"gary.swartz@dsma.com\">Gary Swartz<\/option><option  value=\"robert.schlicht@dsma.com\">Robert Schlicht<\/option><option  value=\"greg.brown@dsma.com\">Greg Brown<\/option><option  value=\"michael.funk@dsma.com\">Michael Funk<\/option><option  value=\"chris.hawley@dsma.com\">Chris Hawley<\/option><option  value=\"noah.trubo@dsma.com\">Noah Trubo<\/option><option  value=\"shinthya.silva@dsma.com\">Shinthya Silva<\/option><option  value=\"john.hill@dsma.com\">John Hill<\/option><option  value=\"mike.prosachik@dsma.com\">Mike Prosachik<\/option><option  value=\"wendy.green@dsma.com\">Wendy Green<\/option><option  value=\"bradley.brikle@dsma.com\">Bradley Bickle<\/option><option  value=\"nicole.martin@dsma.com\">Nicole Martin<\/option><option  value=\"chris.oquinn@dsma.com\">Chris O&#039;Quinn<\/option><option  value=\"jennifer.rafael@dsma.com\">Jennifer Rafael<\/option><option  value=\"eric.levitt@dsma.com\">Eric Levitt<\/option><option  value=\"andy@dsma.com\">Andy Church<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm6 frm_first\">\r\n    <label for=\"field_txbqa\" id=\"field_txbqa_label\" class=\"frm_primary_label col-form-label form-label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_txbqa\" name=\"item_meta[109]\" value=\"\"  autocomplete=\"email\"  placeholder=\"Email\" data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm6\">\r\n    <label for=\"field_zqw9t\" id=\"field_zqw9t_label\" class=\"frm_primary_label col-form-label form-label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_zqw9t\" name=\"item_meta[110]\" value=\"\"  placeholder=\"Phone\" data-reqmsg=\"Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_18\" id=\"frm_page_order_18\" value=\"13\" \/><input type=\"hidden\" name=\"item_meta[209]\" id=\"field_4f5w1\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[210]\" id=\"field_a7v71\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[137]\" id=\"field_xxx9f\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[113]\" id=\"field_qib4z\" value=\"\"  data-sectionid=\"137\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[112]\" id=\"field_5yc3j\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[114]\" id=\"field_3maso\" value=\"\"  data-sectionid=\"137\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[115]\" id=\"field_qz7o4\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[116]\" id=\"field_36bzs\" value=\"\"  data-sectionid=\"137\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[138]\" id=\"field_z8sev\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[126]\" id=\"field_68au7\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[117]\" id=\"field_other_assets_specify_1\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[125]\" id=\"field_assets_other_1\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[124]\" id=\"field_other_assets_specify_3\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[135]\" id=\"field_assets_other_2\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[118]\" id=\"field_other_assets_specify_4\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[136]\" id=\"field_assets_other_3\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[119]\" id=\"field_other_assets_specify_2\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[130]\" id=\"field_assets_other_4\" value=\"\"  data-sectionid=\"126\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[127]\" id=\"field_xyxkk\" value=\"\"  class=\"form-control\" 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class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[152]\" id=\"field_other_investment_value_2\" value=\"\"  data-sectionid=\"159\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[154]\" id=\"field_other_investment_specify_3\" value=\"\"  data-sectionid=\"159\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[151]\" id=\"field_other_investment_value_3\" value=\"\"  data-sectionid=\"159\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[157]\" id=\"field_other_investment_specify_4\" value=\"\"  data-sectionid=\"159\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[150]\" id=\"field_other_investment_value_4\" value=\"\"  data-sectionid=\"159\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[160]\" id=\"field_4md5n\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[186]\" id=\"field_vt806\" value=\"\"  class=\"form-control\"   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class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[170]\" id=\"field_medical\" value=\"\"  data-sectionid=\"162\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[169]\" id=\"field_creditcards\" value=\"\"  data-sectionid=\"162\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[171]\" id=\"field_legaljugdement\" value=\"\"  data-sectionid=\"162\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[168]\" id=\"field_departmentstorecards\" value=\"\"  data-sectionid=\"162\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[167]\" id=\"field_backtaxes\" value=\"\"  data-sectionid=\"162\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[163]\" id=\"field_qp6xa\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[164]\" id=\"field_y1inm\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[172]\" id=\"field_other_specify_debts_1\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[176]\" id=\"field_other_debts_1\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[175]\" id=\"field_other_specify_debts_2\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[177]\" id=\"field_other_debts_2\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[174]\" id=\"field_other_specify_debts_3\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[178]\" id=\"field_other_debts_3\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[173]\" id=\"field_other_specify_debts_4\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[179]\" id=\"field_other_debts_4\" value=\"\"  data-sectionid=\"164\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[165]\" id=\"field_43yxf\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[183]\" id=\"field_gh0rf\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[216]\" id=\"field_home\" value=\"\"  data-sectionid=\"183\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[217]\" id=\"field_land\" value=\"\"  data-sectionid=\"183\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[184]\" id=\"field_q3txw\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[181]\" id=\"field_tuwip\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[225]\" id=\"field_other_mortgage_specify_1\" value=\"\"  data-sectionid=\"181\"  class=\"form-control\"   \/>\n<input type=\"hidden\" 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