{"id":222,"date":"2010-04-09T14:00:20","date_gmt":"2010-04-09T06:00:20","guid":{"rendered":"http:\/\/www.sabahwetlands.org\/society\/?page_id=222"},"modified":"2015-08-19T10:08:31","modified_gmt":"2015-08-19T02:08:31","slug":"membership-application-form","status":"publish","type":"page","link":"https:\/\/www.sabahwetlands.org\/society\/get-involved\/memberships\/membership-application-form","title":{"rendered":"Membership Application Form"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1687-o1\" lang=\"\" dir=\"ltr\" data-wpcf7-id=\"1687\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/society\/wp-json\/wp\/v2\/pages\/222#wpcf7-f1687-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1687\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1687-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p>Full Name: (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><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=\"your-name\" \/><\/span>\n<\/p>\n<p>Your Email: (required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><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=\"your-email\" \/><\/span>\n<\/p>\n<p>Gender:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Title:(required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"title\" value=\"Datuk\" \/><span class=\"wpcf7-list-item-label\">Datuk<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Datin\" \/><span class=\"wpcf7-list-item-label\">Datin<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Mdm\" \/><span class=\"wpcf7-list-item-label\">Mdm<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"title\" value=\"Ms\" \/><span class=\"wpcf7-list-item-label\">Ms<\/span><\/span><\/span><\/span>\n<\/p>\n<p>NRIC No.:(required)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nric\"><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=\"nric\" \/><\/span>\n<\/p>\n<p>Mailing Address:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"address\" \/><\/span>\n<\/p>\n<p>Place of Birth:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"place\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place\" \/><\/span>\n<\/p>\n<p>Nationality:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nation\" \/><\/span>\n<\/p>\n<p>Occupation:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"occup\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occup\" \/><\/span>\n<\/p>\n<p>Organization:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"org\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"org\" \/><\/span>\n<\/p>\n<p>Work Phone Number:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"wphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"wphone\" \/><\/span>\n<\/p>\n<p>Home Phone Number:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"hphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hphone\" \/><\/span>\n<\/p>\n<p>Mobile Phone Number:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mphone\" \/><\/span>\n<\/p>\n<p>Fax Number:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fphone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fphone\" \/><\/span>\n<\/p>\n<p>Membership Type:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"type\" value=\"Ordinary\" \/><span class=\"wpcf7-list-item-label\">Ordinary<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"type\" value=\"Life\" \/><span class=\"wpcf7-list-item-label\">Life<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"type\" value=\"Associate\" \/><span class=\"wpcf7-list-item-label\">Associate<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"type\" value=\"Corporate\" \/><span class=\"wpcf7-list-item-label\">Corporate<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Introducer:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"introducer\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"introducer\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accept\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"accept\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I Have read and understood the <a href=\"https:\/\/www.sabahwetlands.org\/society\/?page_id=47\" target=\"_blank\">Rules and Constitution<\/a> of Sabah Wetlands Conservation Society and agree to abide it.\n<\/p>\n<p><strong>Warning:<\/strong> The <a href=\"https:\/\/wordpress.org\/plugins\/really-simple-captcha\/\">Really Simple CAPTCHA<\/a> plugin is not active.<br \/>\nPlease enter the characters above:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"captcha\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha\" \/><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><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=\"87\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":53,"featured_media":0,"parent":92,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-222","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/pages\/222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/users\/53"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/comments?post=222"}],"version-history":[{"count":1,"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":1604,"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/pages\/222\/revisions\/1604"}],"up":[{"embeddable":true,"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/pages\/92"}],"wp:attachment":[{"href":"https:\/\/www.sabahwetlands.org\/society\/wp-json\/wp\/v2\/media?parent=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}