{"id":193,"date":"2021-07-05T08:14:50","date_gmt":"2021-07-05T08:14:50","guid":{"rendered":"https:\/\/amicale-citroen-pologne.org\/?page_id=193"},"modified":"2024-03-02T15:33:22","modified_gmt":"2024-03-02T14:33:22","slug":"deklaracja-czlonkowska","status":"publish","type":"page","link":"https:\/\/amicale-citroen-pologne.org\/?page_id=193","title":{"rendered":"Deklaracja przyst\u0105pienia do ACP"},"content":{"rendered":"<div class=\"boldgrid-section\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-md-12 col-xs-12 col-sm-12 col-lg-12\">\n<p class=\"\">\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"tmpl-text-12 boldgrid-section dynamic-gridblock\">\n<div class=\"container\">\n<div class=\"row\">\n<div class=\"col-md-12 col-sm-12 col-xs-12 text-center col-lg-12\">\n<h2 class=\"\">Deklaracja cz\u0142onkowska <style id=\"wpforms-css-vars-1524\">\n\t\t\t\t#wpforms-1524 {\n\t\t\t\t\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1524\"><form id=\"wpforms-form-1524\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1524\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F193\" data-token=\"d21751abf57db02bf0156d5a604eefb9\" data-token-time=\"1776476109\"><noscript class=\"wpforms-error-noscript\">Aby wype\u0142ni\u0107 ten formularz, w\u0142\u0105cz obs\u0142ug\u0119 JavaScript w przegl\u0105darce.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Aby wype\u0142ni\u0107 ten formularz, w\u0142\u0105cz obs\u0142ug\u0119 JavaScript w przegl\u0105darce.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1524-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Imi\u0119 i nazwisko <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1524-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-1524-field_2-error\" required><label for=\"wpforms-1524-field_2\" class=\"wpforms-field-sublabel after\">Pierwszy<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1524-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-1524-field_2-last-error\" required><label for=\"wpforms-1524-field_2-last\" class=\"wpforms-field-sublabel after\">Ostatni<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1524-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_3\">Data i miejsce urodzenia  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_3\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-1524-field_3-error\" aria-describedby=\"wpforms-1524-field_3-description\" required><div id=\"wpforms-1524-field_3-description\" class=\"wpforms-field-description\">Prosz\u0119 wpisa\u0107 dat\u0119 i miejscowo\u015b\u0107 <\/div><\/div><div id=\"wpforms-1524-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_4\">Imiona rodzic\u00f3w  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-1524-field_4-error\" required><\/div><div id=\"wpforms-1524-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_5\">Adres zamieszkania  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-1524-field_5-error\" aria-describedby=\"wpforms-1524-field_5-description\" required><div id=\"wpforms-1524-field_5-description\" class=\"wpforms-field-description\">Ulica, numer, numer mieszkania, kod pocztowy, miejscowo\u015b\u0107<\/div><\/div><div id=\"wpforms-1524-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_6\">Nr telefonu  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1524-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" aria-errormessage=\"wpforms-1524-field_6-error\" aria-describedby=\"wpforms-1524-field_6-description\" required><div id=\"wpforms-1524-field_6-description\" class=\"wpforms-field-description\">Nr telefonu kom\u00f3rkowego <\/div><\/div><div id=\"wpforms-1524-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_7\">E-mail <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1524-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1524-field_7-error\" aria-describedby=\"wpforms-1524-field_7-description\" required><div id=\"wpforms-1524-field_7-description\" class=\"wpforms-field-description\">Adres poczyty elektronicznej <\/div><\/div><div id=\"wpforms-1524-field_8-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_8\">Nr PESEL lub NIP <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-1524-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" step=\"any\" aria-errormessage=\"wpforms-1524-field_8-error\" aria-describedby=\"wpforms-1524-field_8-description\" required><div id=\"wpforms-1524-field_8-description\" class=\"wpforms-field-description\">Numer identyfikacji NIP lub numer PESEL<\/div><\/div><div id=\"wpforms-1524-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_9\">Urz\u0105d Skarbowy <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-1524-field_9-error\" aria-describedby=\"wpforms-1524-field_9-description\" required><div id=\"wpforms-1524-field_9-description\" class=\"wpforms-field-description\">Urz\u0105d Skarbowy w\u0142a\u015bciwy dla adresu miejsca zamieszkania<\/div><\/div><div id=\"wpforms-1524-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_11\">Posiadane Samochody <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_11\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-1524-field_11-error\" aria-describedby=\"wpforms-1524-field_11-description\" required><div id=\"wpforms-1524-field_11-description\" class=\"wpforms-field-description\">Prosz\u0119 wpisa\u0107 posiadany samoch\u00f3d lub samochody. W przypadku braku prosz\u0119 wpisa\u0107 NIE POSIADAM. <\/div><\/div><div id=\"wpforms-1524-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1524-field_12\">Podpis <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1524-field_12\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-1524-field_12-error\" aria-describedby=\"wpforms-1524-field_12-description\" required><div id=\"wpforms-1524-field_12-description\" class=\"wpforms-field-description\">Podpisuj\u0105c niniejsz\u0105 deklaracj\u0119 wyra\u017cam wol\u0119 przyst\u0105pienia do Stowarzyszenia AMICALE CITRO\u00cbN POLOGNE.<br><br>\r\nO\u015bwiadczam, \u017ce zapozna\u0142am(-em) si\u0119 z tre\u015bci\u0105 statutu Stowarzyszenia i Regulaminem Cz\u0142onkostwa <a> https:\/\/amicale-citroen-pologne.org\/?p=1801 <\/a> , znam swoje prawa i obowi\u0105zki wynikaj\u0105ce z przyst\u0105pienia do Stowarzyszenia.<br><br>\r\nWyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych oraz wizerunku, wynikaj\u0105cych z niniejszej deklaracji i innych dokument\u00f3w zwi\u0105zanych z przyst\u0105pieniem do Stowarzyszenia zgodnie z ustaw\u0105 o ochronie danych osobowych oraz w celu sprawnego funkcjonowania Stowarzyszenia w zakresie zgodnym z wyznaczonymi przez statut Stowarzyszenia i przepisy prawa, celami. Zosta\u0142em poinformowany o przys\u0142uguj\u0105cym mi prawie wgl\u0105du do swoich danych osobowych oraz do ich poprawiania. <br><br>\r\nJednocze\u015bnie o\u015bwiadczam, i\u017c zobowi\u0105zuje si\u0119, pod rygorem usuni\u0119cia z listy cz\u0142onk\u00f3w stowarzyszenia, do op\u0142acania rocznej sk\u0142adki cz\u0142onkowskiej w wysoko\u015bci ustalonej corocznie przez Zarz\u0105d stowarzyszenia. <\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1524\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/pages\/193\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1524\" class=\"wpforms-submit\" data-alt-text=\"Wysy\u0142anie...\" data-submit-text=\"Prze\u015blij\" aria-live=\"assertive\" value=\"wpforms-submit\">Prze\u015blij<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/amicale-citroen-pologne.org\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Wczytywanie\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/h2>\n<\/div>\n<\/div>\n<div class=\"row\" style=\"padding-top: 20px;\">\n<div class=\"col-md-4 col-sm-4 col-xs-12 wow fadeInUp col-lg-4\" data-wow-duration=\"1s\" data-wow-delay=\"2s\">\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Deklaracja cz\u0142onkowska<\/p>\n","protected":false},"author":1,"featured_media":200,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-193","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/pages\/193"}],"collection":[{"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=193"}],"version-history":[{"count":6,"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/pages\/193\/revisions"}],"predecessor-version":[{"id":1628,"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/wp\/v2\/pages\/193\/revisions\/1628"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=\/"}],"wp:attachment":[{"href":"https:\/\/amicale-citroen-pologne.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}