{"id":7050,"date":"2020-09-03T18:03:17","date_gmt":"2020-09-03T18:03:17","guid":{"rendered":"https:\/\/www.jsums.edu\/alumni\/?page_id=7050"},"modified":"2020-09-03T18:03:17","modified_gmt":"2020-09-03T18:03:17","slug":"membership-submittal-form","status":"publish","type":"page","link":"https:\/\/www.jsums.edu\/alumni\/membership-submittal-form\/","title":{"rendered":"Membership Submittal Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-7042\"><form id=\"wpforms-form-7042\" class=\"wpforms-validate wpforms-form\" data-formid=\"7042\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/alumni\/wp-json\/wp\/v2\/pages\/7050\" data-token=\"341141cd9d554e75d94faad220daef58\" data-token-time=\"1776298555\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-7042-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_1\">JNumber<\/label><input type=\"text\" id=\"wpforms-7042-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" ><\/div><div id=\"wpforms-7042-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_2\">First Name<\/label><input type=\"text\" id=\"wpforms-7042-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/div><div id=\"wpforms-7042-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_3\">Last Name<\/label><input type=\"text\" id=\"wpforms-7042-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" ><\/div><div id=\"wpforms-7042-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_4\">Maiden Name (if applicable)<\/label><input type=\"text\" id=\"wpforms-7042-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-7042-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_12\">Phone Number<\/label><input type=\"text\" id=\"wpforms-7042-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-7042-field_11-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_11\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-7042-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-7042-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_6\">Address<\/label><input type=\"text\" id=\"wpforms-7042-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-7042-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_7\">Apartment number (if applicable)<\/label><input type=\"text\" id=\"wpforms-7042-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-7042-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_8\">City<\/label><input type=\"text\" id=\"wpforms-7042-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-7042-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_9\">State<\/label><input type=\"text\" id=\"wpforms-7042-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-7042-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_10\">Zip<\/label><input type=\"text\" id=\"wpforms-7042-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-7042-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_14\">President of Your Chapter<\/label><input type=\"text\" id=\"wpforms-7042-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-7042-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_15\">Treasurer of Your Chapter<\/label><input type=\"text\" id=\"wpforms-7042-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-7042-field_13-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-7042-field_13\">Member Type<\/label><select id=\"wpforms-7042-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\"><option value=\"Regular\" >Regular<\/option><option value=\"Associate\" >Associate<\/option><option value=\"Life\" >Life<\/option><option value=\"Life - Other\" >Life - Other<\/option><\/select><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-7042-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-7042-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"7042\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/pages\/7050\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-7042\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":70,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/pages\/7050"}],"collection":[{"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/users\/70"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/comments?post=7050"}],"version-history":[{"count":1,"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/pages\/7050\/revisions"}],"predecessor-version":[{"id":7051,"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/pages\/7050\/revisions\/7051"}],"wp:attachment":[{"href":"https:\/\/www.jsums.edu\/alumni\/wp-json\/wp\/v2\/media?parent=7050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}