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<!doctype html> <html lang="en"> <head> <title>CASCAISEA | Associação Ambiental</title> <!-- Required meta tags --> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <!-- Font Family CSS --> <link href="https://fonts.googleapis.com/css?family=Poppins:300,400,500,600,700,900" rel="stylesheet"> <!-- Fontawesome CSS --> <link rel="stylesheet" href="/assets/css/lib/font-awesome.min.css"> <!-- Bootstrap CSS --> <link rel="stylesheet" href="/assets/css/lib/bootstrap.min.css"> <!-- Plugins Library CSS --> <link rel="stylesheet" href="/assets/css/lib/plugins.min.css"> <!-- Theme Library CSS --> <link rel="stylesheet" href="/assets/css/style.css"> <!-- favicon --> <link rel="icon" type="image/x-icon" href="/assets/favicon/favicon.png"> <link rel="apple-touch-icon" sizes="57x57" href="/assets/favicon/apple-icon-57x57.png"> <link rel="apple-touch-icon" sizes="60x60" href="/assets/favicon/apple-icon-60x60.png"> <link 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<link rel="manifest" href="/assets/favicon/manifest.json"> <meta name="msapplication-TileColor" content="#ffffff"> <meta name="msapplication-TileImage" content="/assets/favicon/ms-icon-144x144.png"> <meta name="theme-color" content="#ffffff"> <!-- Google Recaptcha script --> <script src="https://www.google.com/recaptcha/api.js" async defer></script> <!-- cookie consent --> <script>window.cookieconsent_options = {theme: '/assets/css/cookieconsent.css'}</script> <script type="text/javascript" src="/assets/js/cookieconsent.js"></script> </head> <body> <!-- header section start --> <div class="lt_header_section" > <!-- top header start --> <div class="lt_top_header hidden-xs"> <div class="container"> <div class="row"> <!-- top contact info start --> <div class="col-md-7 col-sm-8"> <div class="lt_top_contact_info"> <!-- contact list start --> <ul> <!-- email --> <li> <a href="contacto@cascaisea.pt"> <i class="fa fa-envelope" aria-hidden="true"></i> <span>contacto@cascaisea.pt</span> </a> </li> <!-- phone --> <li> <a href="tel:0911234567"> <i class="fa fa-phone" aria-hidden="true"></i> <span>912 265 896</span> </a> </li> </ul> <!-- contact list end --> </div> </div> <!-- top contact info end --> <!-- top social links start --> <div class="col-md-5 col-sm-4"> <div class="lt_top_social_links"> <!-- social list start --> <ul> <li><a target="_BLANK" href="https://www.facebook.com/cascaisea/"><i class="fa fa-facebook" aria-hidden="true"></i></a></li> <li><a href="/pt/"><img src="/images/pt.gif" alt="Português"></a></li> <li><img style="opacity: 0.2;" src="/images/en.gif" alt="English"></li> <!-- <li><a href="#"><i class="fa fa-twitter" aria-hidden="true"></i></a></li> <li><a href="#"><i class="fa fa-google-plus" aria-hidden="true"></i></a></li> <li><a href="#"><i class="fa fa-youtube-play" aria-hidden="true"></i></a></li> --> </ul> <!-- social list end --> </div> </div> <!-- top social links end --> </div> </div> </div> <!-- top header end --> <!-- navigation container start --> <div class="lt_navigation_container"> <div class="container"> <!-- navigation block start --> <div class="lt_navigation_block"> <div class="row"> <!-- logo block start --> <div class="col-sm-2 col-xs-6"> <div class="lt_logo_block"> <a href="/<?=$lang?>/index.php"><img src="/assets/images/logo.cascaisea.png" alt="Cascaissea Associação Ambiental Cascais"></a> </div> </div> <!-- logo block end--> <!-- mobile menu toggle --> <div class="col-xs-6 visible-xs"> <div class="lt_mobile_menu_toggle"> <button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#lt_cascaisea_menu" aria-controls="lt_cascaisea_menu" aria-expanded="false" aria-label="Toggle navigation"> <span></span> <span></span> <span></span> </button> </div> </div> <!-- menu block start --> <div class="col-sm-10 col-xs-12"> <div class="lt_menu_block collapse navbar-collapse" id="lt_cascaisea_menu"> <div class="lt_menu" id="lt_menu"> <!-- menu list start --> <ul> <li><a class="active" href="/<?=$lang?>/index.php#home_sec">Home</a></li> <li><a href="/en/index.php#quem_somos_sec">Who we are</a></li> <li><a href="/en/index.php#o_que_fazemos_sec">What we do</a></li> <li><a href="/en/index.php#imprensa_sec">News</a></li> <li><a href="/en/index.php#contactos_sec">Contact</a></li> </ul> </div> </div> </div> <!-- menu block end --> </div> </div> <!-- navigation block end --> </div> </div> <!-- nevigation container end --> </div> <!-- header section end --> <!-- contact section start --> <div class="lt_contact_section lt_padding_100 lt_padding_bottom_150" id="contact_sec"> <div class="container"> <!-- headings --> <div class="lt_headings_block"> <h1 class="fadetop wow" data-wow-duration="1s">Membership Application Form</h1> <h5 class="fadetop wow" data-wow-duration="1.5s">Enter your personal details</h5> </div> <!-- headings end --> <div class="row"> <!-- contact form block start --> <div class="col-md-7"> <div class="lt_contact_form_block"> <?php // calculo do valor a pagar $mes = date("n"); $valor_quotas = (13-$mes); $valor_joia = "12"; ?> <p>They can only be admitted as minor members aged 15 or over.</p> <p> <b>Join value:</b> 12€<br /> <b>Value of shares:</b> 1€/month (12€/year) </p> <p>The payment of the join fee is made only once, at the time of joining. The payment of the jewel, the quotas or any donations can be made by bank transfer to the account indicated below, sending the <u>justification to the email <b>contacto@cascaisea.pt</b> or to the Association's address</u> in order to be validated and issued the respective receipt.</p> <p>Payment account:<br /><b>PT50 0035 0388 00002717 430 07</b> <p>Payment Amount: <b><?php echo ($valor_quotas+$valor_joia); ?>€</b> (<?=$valor_joia?>€ join fee + <?=$valor_quotas?> months)<br> </p> <p><span style="font-size: 70%; color: #cococo">NOTE: If a payment is made over <?php echo ($valor_quotas+$valor_joia); ?>€, it will be counted as a donation.</span> <p> </p> <p style="text-align: right; font-size: 80%;">* mandatory data</p> <!-- form start --> <form id="contactFormInscricao" class="form-horizontal" onsubmit="contactFormInscricao(this)" action="javascript:void(0);"> <input type="hidden" name="step" id="step" value="2"> <input type="hidden" name="guardar" id="guardar" value="1"> <div class="form-group"> <div class="col-sm-12"> <div class="lt_input_box"> <input type="text" placeholder="Your full name*" value="" class="form-control" name="nome" id="nome" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="email" placeholder="Your email*" value="" class="form-control" name="email" id="email" required> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Your phone*" value="" class="form-control" name="telefone" id="telefone" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-12"> <div class="lt_input_box"> <input type="text" placeholder="Your full address*" value="" class="form-control" name="morada" id="morada" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Locality/city*" value="" class="form-control" name="localidade" id="localidade" required> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Postal Code*" value="" class="form-control" name="cod_postal" id="cod_postal" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Nationality*" value="" class="form-control" name="nacionalidade" id="nacionalidade" required> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Naturalness*" value="" class="form-control" name="naturalidade" id="naturalidade" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Birth date" value="" class="form-control" name="nascimento" id="nascimento"> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Vat nº*" value="" class="form-control" name="nif" id="nif" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Identification document*" value="" class="form-control" name="doc" id="doc" required> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Validity*" value="" class="form-control" name="validade" id="validade" required> </div> </div> </div> <div class="form-group"> <div class="col-sm-12"> <div class="lt_input_box"> <input type="text" placeholder="Areas of interest*" value="" class="form-control" name="interesses" id="interesses"> </div> </div> </div> <div class="form-group"> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Training area*" value="" class="form-control" name="formacao" id="formacao"> </div> </div> <div class="col-sm-6"> <div class="lt_input_box"> <input type="text" placeholder="Profession*" value="" class="form-control" name="profissao" id="profissao"> </div> </div> </div> <div class="form-group"> <div class="col-sm-12"> <div class="lt_input_box"> <textarea type="text" placeholder="Other knowledge you consider relevant" class="form-control" name="outros" id="outros"></textarea> </div> </div> </div> <div class="form-group"> <div class="col-sm-12"> <div class="lt_submit_button"> <div class="lt_input_box"> <label>You have sea navigator licence? <input type="checkbox" name="navegador" id="navegador" value="sim"></label><br> <label>You have Open water Diver licence? <input type="checkbox" name="mergulho" id="mergulho" value="sim"></label> </div> </div> </div> </div> <div class="form-group"> <div class="col-sm-12"> <div class="lt_submit_button"> <div class="lt_input_box"> <input type="submit" value="avançar »" class="lt_btn lt_btn_primay cont_send" name="Avançar"> <br /> <p id="err"></p> </div> </div> </div> </div> </form> <!-- form end --> <!-- thanks message start --> <div class="lt_tks_message"> <div class="lt_tk_msg_inner"> <h1>Thank you for your subscription!</h1> <p>You will be contacted shortly.</p> </div> </div> <!-- thanks message end --> </div> </div> <!-- contact form block end --> <!-- contact info block start --> <div class="col-md-5"> <div class="lt_contact_info_block"> <h1><i class="fa fa-info-circle" aria-hidden="true"></i>Terms</h1> <p>By submitting the dormitory you are accepting the terms:</p> <p>The data contained in this form will be processed in a computerized database by Cascaisea - environmental association, with total privacy and exclusively for the purposes of registration, correspondence and dissemination of the activities of this entity, being treated in a lawful manner in accordance with the legislation. protection of personal data (namely, the General Data Protection Regulation). The data subject will be able to consult and request at any time the alteration, restriction or elimination of the same through written communication addressed to Cascaisea - environmental association, to the address of the Association (rua dos Hibiscos, Bloco 1, 2º B, 2750-603 Cascais) or by email (cascaisea@gmail.com). </p> <p><br />If you want to download the PDF file, do so <a href="/incricao.cascaisea.pdf">here</a></p> </div> </div> <!-- contact info block end --> </div> </div> <!-- contact overlay start --> <div class="lt_contact_overlay"></div> <!-- contact overlay end --> </div> <!-- contact section end --> <!-- footer section start --> <div class="lt_footer_section lt_padding_80"> <!-- inner footer upper block start --> <div class="lt_inner_footer_upper"> <div class="container"> <!-- footer logo block start --> <div class="lt_footer_logo_block"> <a href="/<?=$lang?>/index.php/">Cascaisea Associação Ambiental</a> </div> <!-- footer logo block end --> <!-- footer menu block start --> <div class="lt_footer_menu_block"> <div class="lt_footer_menu"> <!-- menu list start --> <ul> <li><a class="active" href="/en/index.php#home_sec">Home</a></li> <li><a href="/en/index.php#quem_somos_sec">Who we are</a></li> <li><a href="/en/index.php#o_que_fazemos_sec">What we do</a></li> <li><a href="/en/index.php#imprensa_sec">News</a></li> <li><a href="/en/index.php#contactos_sec">Contact</a></li> </ul> <!-- menu list end --> </div> </div> <!-- footer menu block end --> </div> </div> <!-- inner footer upper block end --> <!-- copyright & social block start --> <div class="lt_copyright_block"> <!-- copyright title --> <div class="lt_copy_title"> <h3>Copyright 2019-<? echo date("Y"); ?>, All rights reserved.<br />Developed by <a href="http://www.ptwebsite.com/"><span style="color:white;">PTwebSite</span></a></h3> </div> <!-- copyright title end --> <div class="container"> <!-- footer text block start --> <div class="row"> <div class="col-sm-8 col-sm-offset-2"> <div class="lt_footer_text_block"> <!--p>“Quando a última árvore tiver caído, quando o último rio tiver secado, quando o último peixe for pescado, vocês vão entender que dinheiro não se come.” </p--> </div> </div> </div> <!-- footer text block end --> <!-- footer social block start --> <div class="footer_social_block"> <div class="footer_social"> <span>Follow us</span> <!-- social list start --> <ul> <li><a target="_BLANK" href="https://www.facebook.com/cascaisea/"><i class="fa fa-facebook" aria-hidden="true"></i></a></li> <!-- <li><a href="#"><i class="fa fa-twitter" aria-hidden="true"></i></a></li> <li><a href="#"><i class="fa fa-google-plus" aria-hidden="true"></i></a></li> <li><a href="#"><i class="fa fa-youtube-play" aria-hidden="true"></i></a></li> --> </ul> <!-- social list end --> </div> </div> <!-- footer social block end --> </div> <!-- button to top --> <a href="javascript:void(0);" class="hidden-xs scrollToTop"><i class="fa fa-chevron-up" aria-hidden="true"></i></a> <!-- button to top end --> </div> <!-- copyright & social block end --> <!-- footer overlay start --> <div class="lt_footer_overlay"></div> <!-- footer overlay end --> <!-- button to top --> <a href="javascript:void(0);" class="visible-xs scrollToTop"><i class="fa fa-chevron-up" aria-hidden="true"></i></a> <!-- button to top end --> </div> <!-- footer section start end --> <!-- Optional JavaScript --> <!-- jQuery first, then Bootstrap JS --> <script src="/assets/js/jquery.min.js"></script> <script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyA9ULCanHViWfv13JniKIUUVNZk8CQ8c5g"></script> <script src="/assets/js/bootstrap.min.js"></script> <script src="/assets/js/library.min.js"></script> <?php $youtube="pJajEzdVRos"; $youtube="5svce2YBHJk"; ?> <script src="/assets/js/cascaisea.js"></script> </body> </html>