{"id":4961,"date":"2023-08-02T16:27:19","date_gmt":"2023-08-02T20:27:19","guid":{"rendered":"https:\/\/www.w3nd.org\/?page_id=4961"},"modified":"2023-08-04T20:38:43","modified_gmt":"2023-08-05T00:38:43","slug":"__family-membership-payment","status":"publish","type":"page","link":"https:\/\/w3nd.org\/?page_id=4961","title":{"rendered":"__Family Membership &#038; Payment"},"content":{"rendered":"<p style=\"text-align: center;\"><span style=\"font-family: 'arial black', sans-serif; font-size: 24pt;\">Family Membership &amp; Payment<\/span><\/p>\n<p><span style=\"font-family: 'arial black', sans-serif; font-size: 14pt;\"><strong>$35.00 per year<\/strong><\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 14pt;\">Use the \u2018<strong>Tab<\/strong>\u2018 key to move to your next entry box, <strong>do not<\/strong>\u00a0use the \u2018<strong>Enter<\/strong>\u2018 or \u2018<strong>Return<\/strong>\u2018 key.<\/span><br \/>\n<span style=\"color: #ff0000; font-family: arial, helvetica, sans-serif; font-size: 14pt;\">Required (*)<\/span><\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-4949 forminator-design--bold  \" data-forminator-render=\"0\" data-form=\"forminator-module-4949\" data-uid=\"6a3b25bf55346\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-4949\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-4949 forminator-design--bold  \"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"4949\"\n\t\t\t\t data-color-option=\"default\" data-design=\"bold\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a3b25bf55346\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a3b25bf55346\" id=\"forminator-field-text-1_6a3b25bf55346-label\" class=\"forminator-label\">Callsign <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Your callsign\" id=\"forminator-field-text-1_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"12\" aria-describedby=\"forminator-field-text-1_6a3b25bf55346-description\" \/><span id=\"forminator-field-text-1_6a3b25bf55346-description\" class=\"forminator-description\">(*)   Your callsign or 'NONE'<span data-limit=\"12\" data-type=\"characters\">0 \/ 12<\/span><\/span><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a3b25bf55346\" id=\"forminator-field-text-2_6a3b25bf55346-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Your First Name\" id=\"forminator-field-text-2_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a3b25bf55346\" id=\"forminator-field-text-3_6a3b25bf55346-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Your Last Name\" id=\"forminator-field-text-3_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a3b25bf55346\" id=\"forminator-field-text-4_6a3b25bf55346-label\" class=\"forminator-label\">Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Your Street Address or PO Box\" id=\"forminator-field-text-4_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-4_6a3b25bf55346-description\" \/><span id=\"forminator-field-text-4_6a3b25bf55346-description\" class=\"forminator-description\">Use standard abbreviations for Street, Circle, Drive etc<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a3b25bf55346\" id=\"forminator-field-text-5_6a3b25bf55346-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Your City Name\" id=\"forminator-field-text-5_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a3b25bf55346\" id=\"forminator-field-text-6_6a3b25bf55346-label\" class=\"forminator-label\">State <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"PA\" placeholder=\"Your State Abbreviation\" id=\"forminator-field-text-6_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"2\" \/><span id=\"forminator-field-text-6_6a3b25bf55346-description\" class=\"forminator-description\"><span data-limit=\"2\" data-type=\"characters\">0 \/ 2<\/span><\/span><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a3b25bf55346\" id=\"forminator-field-text-7_6a3b25bf55346-label\" class=\"forminator-label\">Zip Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Your Zip code\" id=\"forminator-field-text-7_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"1\" maxlength=\"10\" \/><span id=\"forminator-field-text-7_6a3b25bf55346-description\" class=\"forminator-description\"><span data-limit=\"10\" data-type=\"characters\">0 \/ 10<\/span><\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a3b25bf55346\" id=\"forminator-field-phone-1_6a3b25bf55346-label\" class=\"forminator-label\">Home Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"000-000-0000\" id=\"forminator-field-phone-1_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-1_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-1_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-1_6a3b25bf55346-description\">Please use dashes to separate number groups<\/span><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6a3b25bf55346\" id=\"forminator-field-phone-2_6a3b25bf55346-label\" class=\"forminator-label\">Home Phone - Unlisted<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"000-000-0000\" id=\"forminator-field-phone-2_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-2_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-2_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-2_6a3b25bf55346-description\">Please use dashes to separate number groups<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-4\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-4_6a3b25bf55346\" id=\"forminator-field-phone-4_6a3b25bf55346-label\" class=\"forminator-label\">Work Phone<\/label><input type=\"text\" name=\"phone-4\" value=\"\" placeholder=\"000-000-0000 x0000\" id=\"forminator-field-phone-4_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-4_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-4_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-4_6a3b25bf55346-description\">extensions x0000<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a3b25bf55346\" id=\"forminator-field-email-1_6a3b25bf55346-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a3b25bf55346\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a3b25bf55346-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a3b25bf55346-label\" class=\"forminator-label\">Years being paid for <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-1-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2023\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2023\" id=\"forminator-field-checkbox-1-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-1-6a3b25bf55346-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2023<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-2-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2024\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2024\" id=\"forminator-field-checkbox-1-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-2-6a3b25bf55346-label\" data-calculation=\"1\" checked=\"checked\"  data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2024<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-3-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2025\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2025\" id=\"forminator-field-checkbox-1-3-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-3-6a3b25bf55346-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2025<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-4-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2026\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2026\" id=\"forminator-field-checkbox-1-4-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-4-6a3b25bf55346-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2026<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-5-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2027\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2027\" id=\"forminator-field-checkbox-1-5-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-5-6a3b25bf55346-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2027<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a3b25bf55346-label\" for=\"forminator-field-checkbox-1-6-6a3b25bf55346\" class=\"forminator-checkbox\" title=\"2028\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"2028\" id=\"forminator-field-checkbox-1-6-6a3b25bf55346\" aria-labelledby=\"forminator-field-checkbox-1-6-6a3b25bf55346-label\" data-calculation=\"1\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">2028<\/span><\/label><\/div><\/div><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a3b25bf55346-label\"><span id=\"forminator-radiogroup-radio-1-6a3b25bf55346-label\" class=\"forminator-label\">Your License Class <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a3b25bf55346\" class=\"forminator-radio\" title=\"None\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">None<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a3b25bf55346\" class=\"forminator-radio\" title=\"Novice\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Novice<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6a3b25bf55346\" class=\"forminator-radio\" title=\"Technician\"><input type=\"radio\" name=\"radio-1\" value=\"Technician\" id=\"forminator-field-radio-1-3-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Technician<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6a3b25bf55346\" class=\"forminator-radio\" title=\"General\"><input type=\"radio\" name=\"radio-1\" value=\"General\" id=\"forminator-field-radio-1-4-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">General<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6a3b25bf55346\" class=\"forminator-radio\" title=\"Advanced\"><input type=\"radio\" name=\"radio-1\" value=\"Advanced\" id=\"forminator-field-radio-1-5-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Advanced<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6a3b25bf55346\" class=\"forminator-radio\" title=\"Extra\"><input type=\"radio\" name=\"radio-1\" value=\"Extra\" id=\"forminator-field-radio-1-6-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Extra<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a3b25bf55346-label\"><span id=\"forminator-radiogroup-radio-2-6a3b25bf55346-label\" class=\"forminator-label\">Are you a member of the ARRL? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a3b25bf55346\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a3b25bf55346\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a3b25bf55346-label\"><span id=\"forminator-radiogroup-radio-3-6a3b25bf55346-label\" class=\"forminator-label\">Are you a member of WITF <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a3b25bf55346\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a3b25bf55346\" class=\"forminator-radio\" title=\"NO\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">NO<\/span><\/label><\/div><\/div><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-4 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a3b25bf55346-label\"><span id=\"forminator-radiogroup-radio-4-6a3b25bf55346-label\" class=\"forminator-label\">Are you a Skywarn member <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a3b25bf55346\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a3b25bf55346\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-5\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-5_6a3b25bf55346\" id=\"forminator-field-phone-5_6a3b25bf55346-label\" class=\"forminator-label\">Emergency Phone Number<\/label><input type=\"text\" name=\"phone-5\" value=\"\" placeholder=\"000-000-0000 x0000\" id=\"forminator-field-phone-5_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-5_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-5_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-5_6a3b25bf55346-description\">Please use dashes to separate number groups, extensions x0000<\/span><\/div><\/div><div id=\"phone-6\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-6_6a3b25bf55346\" id=\"forminator-field-phone-6_6a3b25bf55346-label\" class=\"forminator-label\">Emergency Phone Number 2<\/label><input type=\"text\" name=\"phone-6\" value=\"\" placeholder=\"000-000-0000 x0000\" id=\"forminator-field-phone-6_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-6_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-6_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-6_6a3b25bf55346-description\">Please use dashes to separate number groups, extensions x0000<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a3b25bf55346\" id=\"forminator-field-email-2_6a3b25bf55346-label\" class=\"forminator-label\">Emergency Email Address<\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6a3b25bf55346\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a3b25bf55346\" id=\"forminator-field-number-2_6a3b25bf55346-label\" class=\"forminator-label\"># more Ham members<\/label><input name=\"number-2\" value=\"1\" placeholder=\"E.g. 10\" id=\"forminator-field-number-2_6a3b25bf55346\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"10\" aria-describedby=\"forminator-field-number-2_6a3b25bf55346-description\" \/><span id=\"forminator-field-number-2_6a3b25bf55346-description\" class=\"forminator-description\">How many more Ham family members<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Add additional Ham family members<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;variable&quot;,&quot;max_type&quot;:&quot;variable&quot;,&quot;min&quot;:&quot;number-2&quot;,&quot;max&quot;:&quot;number-2&quot;,&quot;add_text&quot;:&quot;Add additional Ham&quot;,&quot;remove_text&quot;:&quot;Remove Ham&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a3b25bf55346\" id=\"forminator-field-text-8_6a3b25bf55346-label\" class=\"forminator-label\">Additional member Callsign<\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"Additional member Callsign\" id=\"forminator-field-text-8_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"9\" \/><span id=\"forminator-field-text-8_6a3b25bf55346-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a3b25bf55346-label\"><span id=\"forminator-radiogroup-radio-5-6a3b25bf55346-label\" class=\"forminator-label\">Additional member License Class<\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"None\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">None<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"Novice\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Novice<\/span><\/label><label id=\"forminator-field-radio-5-label-3\" for=\"forminator-field-radio-5-3-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"Technician\"><input type=\"radio\" name=\"radio-5\" value=\"Technician\" id=\"forminator-field-radio-5-3-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Technician<\/span><\/label><label id=\"forminator-field-radio-5-label-4\" for=\"forminator-field-radio-5-4-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"General\"><input type=\"radio\" name=\"radio-5\" value=\"General\" id=\"forminator-field-radio-5-4-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">General<\/span><\/label><label id=\"forminator-field-radio-5-label-5\" for=\"forminator-field-radio-5-5-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"Advanced\"><input type=\"radio\" name=\"radio-5\" value=\"Advanced\" id=\"forminator-field-radio-5-5-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Advanced<\/span><\/label><label id=\"forminator-field-radio-5-label-6\" for=\"forminator-field-radio-5-6-6a3b25bf55346\" class=\"forminator-radio forminator-radio-inline\" title=\"Extra\"><input type=\"radio\" name=\"radio-5\" value=\"Extra\" id=\"forminator-field-radio-5-6-6a3b25bf55346\" aria-labelledby=\"forminator-field-radio-5-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Extra<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a3b25bf55346\" id=\"forminator-field-text-9_6a3b25bf55346-label\" class=\"forminator-label\">Additional member First Name<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"Additional member First Name\" id=\"forminator-field-text-9_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a3b25bf55346\" id=\"forminator-field-text-10_6a3b25bf55346-label\" class=\"forminator-label\">Additional member Last Name<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"Additional member  Last Name\" id=\"forminator-field-text-10_6a3b25bf55346\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_6a3b25bf55346\" id=\"forminator-field-phone-3_6a3b25bf55346-label\" class=\"forminator-label\">Additional member Cell Phone<\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"000-000-0000\" id=\"forminator-field-phone-3_6a3b25bf55346\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" aria-describedby=\"forminator-field-phone-3_6a3b25bf55346-description\" \/><span id=\"forminator-field-phone-3_6a3b25bf55346-description\" class=\"forminator-description\" id=\"forminator-field-phone-3_6a3b25bf55346-description\">Please use dashes to separate number groups<\/span><\/div><\/div><div id=\"email-3\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-3_6a3b25bf55346\" id=\"forminator-field-email-3_6a3b25bf55346-label\" class=\"forminator-label\">Additional member Email Address<\/label><input type=\"email\" name=\"email-3\" value=\"\" placeholder=\"\" id=\"forminator-field-email-3_6a3b25bf55346\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Add additional Ham\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Remove Ham\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a3b25bf55346\" id=\"forminator-field-textarea-1_6a3b25bf55346-label\" class=\"forminator-label\">Other Information you wish to send to the club<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a3b25bf55346\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-1\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-1_6a3b25bf55346\" id=\"forminator-field-currency-1_6a3b25bf55346-label\" class=\"forminator-label\">Family Membership<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-1\" value=\"35.00\" placeholder=\"\" id=\"forminator-field-currency-1_6a3b25bf55346\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;,&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-currency-1_6a3b25bf55346-description\" \/><span class=\"forminator-suffix\">USD<\/span><\/div><span id=\"forminator-field-currency-1_6a3b25bf55346-description\" class=\"forminator-description\">Family  Membership Dues Amount<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-4949__field--select-1_6a3b25bf55346\" id=\"forminator-form-4949__field--select-1_6a3b25bf55346-label\" class=\"forminator-label\">Cover PayPal Fees <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-4949__field--select-1_6a3b25bf55346\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"0\" data-hidden-behavior=\"zero\" data-placeholder=\"Please select an option\" data-search=\"false\" data-search-placeholder=\"Please select an option\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-4949__field--select-1_6a3b25bf55346-label\" aria-describedby=\"forminator-form-4949__field--select-1_6a3b25bf55346-description\"><option value=\"\"  >Please select an option<\/option><option value=\"1\"  data-calculation=\"1\">YES<\/option><option value=\"0\" selected=\"selected\" data-calculation=\"0\">NO<\/option><\/select><span id=\"forminator-form-4949__field--select-1_6a3b25bf55346-description\" class=\"forminator-description\">Do you wish to include funds to cover PayPal fees?<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_6a3b25bf55346\" id=\"calculation-1-field_6a3b25bf55346-label\" class=\"forminator-label\">Total to be Paid<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_6a3b25bf55346\" class=\"forminator-calculation forminator-input\" data-formula=\"(({currency-1}*{checkbox-1})+(0.49*{select-1}))+((({currency-1}*{checkbox-1})+0.49)*0.0205)*{select-1}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;,&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" data-hidden-behavior=\"zero\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"paypal-1\" class=\"forminator-field-paypal  forminator-col-12 \"><input type=\"hidden\" name=\"paypal-1\" id=\"forminator-paypal-1-field_6a3b25bf55346\" class=\"forminator-paypal-input\" data-is-payment=\"true\" data-payment-type=\"paypal\" data-currency=\"usd\" data-amount-type=\"variable\" data-amount=\"calculation-1\" data-label=\"\" data-locale=\"en\" value=\"\" \/><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" name=\"payment_gateway_total\" value=\"\" \/><div class=\"forminator-row forminator-paypal-row\"><div class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><div id=\"paypal-button-container-4949_6a3b25bf55346\" class=\"paypal-1-payment forminator-button-paypal\"><\/div><\/div><\/div><\/div><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Click to Send Membership Information<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"ddb8f35a13\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F4961\" \/><input type=\"hidden\" name=\"form_id\" value=\"4949\"><input type=\"hidden\" name=\"page_id\" value=\"4961\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/w3nd.org\/?page_id=4961\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_33\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_33\" type=\"text\" name=\"input_33\" value=\"\" autocomplete=\"off\"><\/label><\/form>\n","protected":false},"excerpt":{"rendered":"<p>Family Membership &amp; Payment $35.00 per year Use the \u2018Tab\u2018 key to move to your next entry box, do not\u00a0use the \u2018Enter\u2018 or \u2018Return\u2018 key. Required (*)<\/p>\n","protected":false},"author":105,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"footnotes":""},"class_list":["post-4961","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/pages\/4961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/users\/105"}],"replies":[{"embeddable":true,"href":"https:\/\/w3nd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4961"}],"version-history":[{"count":5,"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/pages\/4961\/revisions"}],"predecessor-version":[{"id":5013,"href":"https:\/\/w3nd.org\/index.php?rest_route=\/wp\/v2\/pages\/4961\/revisions\/5013"}],"wp:attachment":[{"href":"https:\/\/w3nd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}