{"id":1403,"date":"2014-07-24T12:16:59","date_gmt":"2014-07-24T16:16:59","guid":{"rendered":"http:\/\/thla.chla-absc.ca\/?page_id=1403"},"modified":"2021-09-01T10:08:15","modified_gmt":"2021-09-01T14:08:15","slug":"paypal","status":"publish","type":"page","link":"https:\/\/thla.chla-absc.ca\/?page_id=1403","title":{"rendered":"Registration and Renewal"},"content":{"rendered":"<h3>THLA Online Membership Registration and Renewal Form<\/h3>\n<div style=\"display:none\" class=\"fm-form-container fm-theme151\"><div id=\"fm-pages25\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form25\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1403\" method=\"post\" id=\"form25\" class=\"fm-form form25  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"counter25\" value=\"14\" name=\"counter25\" \/><input type=\"hidden\" id=\"Itemid25\" value=\"\" name=\"Itemid25\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_bot_validation25\" value=\"\" name=\"fm_bot_validation25\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation25\" value=\"\" name=\"fm_empty_field_validation25\" data-value=\"2c30352ef64445b5f3e25e414e0d5e2e\" \/><input type=\"hidden\" id=\"fm_form_nonce25\" name=\"fm_form_nonce25\" value=\"579976e804\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1403\" \/><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"25form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\">    <label  for=\"wdform_2_element_first25\" class=\"wdform-label\">Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 150px;\"><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_first25\" name=\"wdform_2_element_first25\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_first25\">First<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_2_element_last25\" name=\"wdform_2_element_last25\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_2_element_last25\">Last<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_3_element25\" class=\"wdform-label\">Library:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 300px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_3_element25\"                           name=\"wdform_3_element25\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_4_element25\" class=\"wdform-label\">Institution:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 300px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_4_element25\"                           name=\"wdform_4_element25\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_5_element25\" class=\"wdform-label\">Department:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" style=\"max-width: 300px;\"><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_5_element25\"                           name=\"wdform_5_element25\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\">    <label  for=\"wdform_6_element25\" class=\"wdform-label\">Email:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" style=\"max-width: 300px;\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_6_element25\" name=\"wdform_6_element25\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('6', '25', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 \">    <label  for=\"wdform_7_element25\" class=\"wdform-label\">Phone<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-70\" style=\"max-width: 135px;\"><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_7_element25\"                       name=\"wdform_7_element25\"                       value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_address wd-flex-column\">    <label  for=\"wdform_8_street125\" class=\"wdform-label\">Address:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-70\" style=\"max-width: 300px;\"><span class=\"wd-width-100 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_8_street125\" name=\"wdform_8_street125\" value=\"\"  \/>                <label for=\"wdform_8_street125\" class=\"mini_label\">Street Address<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_8_city25\" name=\"wdform_10_city25\" value=\"\"  \/>                <label for=\"wdform_8_city25\" class=\"mini_label\">City<\/label><\/span><span class=\"wd-width-49 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_8_state25\" name=\"wdform_11_state25\" value=\"\"  \/>                <label for=\"wdform_8_state25\" class=\"mini_label\">Province<\/label><\/span><span class=\"wd-width-49 wd-address\">              <input class=\"wd-width-100\" type=\"text\" id=\"wdform_8_postal25\" name=\"wdform_12_postal25\" value=\"\"  \/>              <label for=\"wdform_8_postal25\" class=\"mini_label\">Postal Code<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('25');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(25);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"25page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>THLA Online Membership Registration and Renewal 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