{"id":734,"date":"2018-11-11T15:54:15","date_gmt":"2018-11-11T22:54:15","guid":{"rendered":"https:\/\/www.ab0pc.org\/?page_id=734"},"modified":"2019-01-08T10:03:42","modified_gmt":"2019-01-08T17:03:42","slug":"online-membership-application","status":"publish","type":"page","link":"https:\/\/ab0pc.org\/index.php\/online-membership-application\/","title":{"rendered":"Online Membership Application"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f733-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"733\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/734#wpcf7-f733-o1\" method=\"post\" class=\"wpcf7-form init cf7skins cf7t-registration cf7s-golden-brown\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"733\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f733-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<fieldset>\n\t<legend>PCRC Membership Application<\/legend>\n\t<ol>\n\t\t<li><span class=\"wpcf7-form-control-wrap\" data-name=\"date-28\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-28\" \/><\/span><li>\n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"Application\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Application\" value=\"New\" \/><span class=\"wpcf7-list-item-label\">New<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Application\" value=\"Renewal\" \/><span class=\"wpcf7-list-item-label\">Renewal<\/span><\/span><\/span><\/span><li>\n                <li>Call Sign <span class=\"wpcf7-form-control-wrap\" data-name=\"Callsign\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Callsign\" \/><\/span><li>\n                <li>Last Name <span class=\"wpcf7-form-control-wrap\" data-name=\"lname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lname\" \/><\/span><li>\n                <li>First Name <span class=\"wpcf7-form-control-wrap\" data-name=\"fname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fname\" \/><\/span><li>\n                <li>Address <span class=\"wpcf7-form-control-wrap\" data-name=\"Address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Address\" \/><\/span>\n                <li>City <span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span><li>\n                <li>State <span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span><li>\n                <li>Zip <span class=\"wpcf7-form-control-wrap\" data-name=\"Zip\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"Zip\" \/><\/span><li>\n                <li>Phone <span class=\"wpcf7-form-control-wrap\" data-name=\"tel-343\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-343\" \/><\/span><li>\n                <li>Email <span class=\"wpcf7-form-control-wrap\" data-name=\"email-721\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-721\" \/><\/span><li>\n                \n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"MembershipType\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"MembershipType\" value=\"Individual\" \/><span class=\"wpcf7-list-item-label\">Individual<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"MembershipType\" value=\"Family\" \/><span class=\"wpcf7-list-item-label\">Family<\/span><\/span><\/span><\/span><li>\n                Names, Call Signs and Email of other family members (required for family membership)\n                <li>Family Member 1 Info <span class=\"wpcf7-form-control-wrap\" data-name=\"Family1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Family1\" \/><\/span><li>\n                <li>Family Member 2 Info <span class=\"wpcf7-form-control-wrap\" data-name=\"Family2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Family2\" \/><\/span><li>\n                <li>Family Member 3 Info <span class=\"wpcf7-form-control-wrap\" data-name=\"Family3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Family3\" \/><\/span><li>\n                <li>Family Member 4 Info <span class=\"wpcf7-form-control-wrap\" data-name=\"Family4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Family4\" \/><\/span><li>\n               \n                <li> ARRL Member <span class=\"wpcf7-form-control-wrap\" data-name=\"ARRLMember\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"ARRLMember\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"ARRLMember\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><li>\n                Would you be willing to serve on a committee or as a club officer in the future?\n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"Committee\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Committee\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Committee\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><li>\n                Are you interested in being involved in the Amateur Radio Emergency Services (ARES)?\n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"ARES\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"ARES\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"ARES\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><li>\n                What are your special interests in Ham radio?\n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"Interests\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Interests\"><\/textarea><\/span>Do you have an area or expertise you would be willing to share with the club? \n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"Expertise\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Expertise\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Expertise\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n                <li><span class=\"wpcf7-form-control-wrap\" data-name=\"Expertise\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Expertise\"><\/textarea><\/span><li>\n                \n           <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Application\" \/><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"152\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><blockquote class=\"wp-embedded-content\" data-secret=\"YgUe3pxTvh\"><a href=\"https:\/\/ab0pc.org\/index.php\/online-membership-payment\/\">Online Membership Payment<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Online Membership Payment&#8221; &#8212; AB0PC\" src=\"https:\/\/ab0pc.org\/index.php\/online-membership-payment\/embed\/#?secret=YMP5RVsSK2#?secret=YgUe3pxTvh\" data-secret=\"YgUe3pxTvh\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Online Membership Payment<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pmpro_default_level":"","ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-734","page","type-page","status-publish","hentry","pmpro-has-access"],"_links":{"self":[{"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/pages\/734","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/comments?post=734"}],"version-history":[{"count":41,"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/pages\/734\/revisions"}],"predecessor-version":[{"id":3026,"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/pages\/734\/revisions\/3026"}],"wp:attachment":[{"href":"https:\/\/ab0pc.org\/index.php\/wp-json\/wp\/v2\/media?parent=734"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}