{"id":1188,"date":"2013-08-08T16:04:07","date_gmt":"2013-08-08T20:04:07","guid":{"rendered":"http:\/\/wr4cc.org\/?page_id=1188"},"modified":"2022-09-06T22:14:59","modified_gmt":"2022-09-07T02:14:59","slug":"membership-online-application","status":"publish","type":"page","link":"https:\/\/wr4cc.org\/?page_id=1188","title":{"rendered":"Membership Online Application"},"content":{"rendered":"<p>If you would like to join the Carter County Amateur Radio Association, please complete either this online application form or download the pdf version and mail it to CCARA.&nbsp;<\/p>\n<link rel='stylesheet' id='formidable-css'  href='https:\/\/wr4cc.org\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=752249' type='text\/css' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_19_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_v2jxf6\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"19\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_19\" id=\"frm_hide_fields_19\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"v2jxf6\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_19\" name=\"frm_submit_entry_19\" value=\"9aff123991\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1188\" \/><div id=\"frm_field_292_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_e3g24p\" name=\"item_meta[292]\" value=\"\"  style=\"width:180px\" data-reqmsg=\"First Name cannot be blank\" aria-required=\"true\" data-invmsg=\"First Name is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_291_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ylnydb\" name=\"item_meta[291]\" value=\"\"  style=\"width:360px\" data-reqmsg=\"Last Name cannot be blank\" aria-required=\"true\" data-invmsg=\"Last Name is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_295_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">Street address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gr17q3\" name=\"item_meta[295]\" value=\"\"  style=\"width:270px\" data-reqmsg=\"Street address cannot be blank\" aria-required=\"true\" data-invmsg=\"Street address is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_296_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label class=\"frm_primary_label\">Address ln 2\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l9jvlk\" name=\"item_meta[296]\" value=\"\"  style=\"width:270px\" data-invmsg=\"Address ln 2 is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_286_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">City (or County)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ee8nlp\" name=\"item_meta[286]\" value=\"\"  style=\"width:225px\" data-reqmsg=\"City (or County) cannot be blank\" aria-required=\"true\" data-invmsg=\"City (or County) is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_285_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_svrrkj\" name=\"item_meta[285]\" value=\"\"  style=\"width:18px\" data-reqmsg=\"State cannot be blank\" aria-required=\"true\" data-invmsg=\"State is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_284_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">zip\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_45g9yy\" name=\"item_meta[284]\" value=\"\"  style=\"width:99px\" maxlength=\"11\" data-reqmsg=\"zip cannot be blank\" aria-required=\"true\" data-invmsg=\"zip is invalid\" class=\"auto_width\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_290_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">Home phone or Preferred\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_r17636\" name=\"item_meta[290]\" value=\"\"  style=\"width:135px\" data-reqmsg=\"Home phone or Preferred cannot be blank\" aria-required=\"true\" data-invmsg=\"Home phone is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_289_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label class=\"frm_primary_label\">Work Phone\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_v9vndi\" name=\"item_meta[289]\" value=\"\"  style=\"width:135px\" data-invmsg=\"Work Phone is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_283_container\" class=\"frm_form_field form-field  frm_left_container\">\r\n    <label class=\"frm_primary_label\">Cell Phone\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_9iqz97\" name=\"item_meta[283]\" value=\"\"  style=\"width:135px\" data-invmsg=\"Cell Phone is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_293_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">Amateur Call Sign\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_inrv\" name=\"item_meta[293]\" value=\"\"  style=\"width:72px\" data-reqmsg=\"Amateur Call Sign cannot be blank\" aria-required=\"true\" data-invmsg=\"Amateur Call Sign is invalid\" class=\"auto_width\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_inrv\"\/>\r\n    <div id=\"frm_desc_field_inrv\" class=\"frm_description\">Please add the applicants Amateur Radio Station call sign issued by the FCC.  If you recently passed an exam but do not yet have a call - enter \"pending\"<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_564_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Email Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_lojh7j\" name=\"item_meta[564]\" value=\"\"  data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_297_container\" class=\"frm_form_field form-field  frm_required_field frm_left_container\">\r\n    <label class=\"frm_primary_label\">License Class\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[297]\" id=\"field_r43rwv\"  data-frmval=\"None SWL\" data-reqmsg=\"Must select a license class!\" aria-required=\"true\" data-invmsg=\"License Class is invalid\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"None SWL\" selected='selected'>None SWL<\/option><option  value=\"TECH\">TECH<\/option><option  value=\"GENERAL\">GENERAL<\/option><option  value=\"ADVANCED\">ADVANCED<\/option><option  value=\"EXTRA\">EXTRA<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_563_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\">Type of Membership\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[563]\" id=\"field_bwy120\"  data-frmval=\"Active - Licensed adult\" data-invmsg=\"Type of Membership is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Active - Licensed adult\" selected='selected'>Active - Licensed adult<\/option><option  value=\"Inactive - Licensed adult\">Inactive - Licensed adult<\/option><option  value=\"Supporting - non licensed non voting\">Supporting - non licensed non voting<\/option><option  value=\"Non Resident - Supporting\">Non Resident - Supporting<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[303]\" id=\"field_wq5cy7\" value=\"\" data-frmval=\"\"\/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_749_container\">\n\t\t\t<label for=\"field_eogtg\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_eogtg\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[749]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"TJKy8LLJ5ZN\/w9Wxu9Yga8vEqQvg18yxpAPIit3nMaQ=\" \/><div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit application\"  \/>\r\n<img class=\"frm_ajax_loading\" src=\"http:\/\/wr4cc.org\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"132\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n<\/div>\n\n<p>&nbsp;<\/p>\n<p>When your application is accepted your call sign will appear on the Club Roster and you will receive an email notification.<\/p>\n<p>Thanks &amp; 73 &#8211; CU on the Radio!<\/p>\n<p>WR4CC<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>If you would like to join the Carter County Amateur Radio Association, please complete either this online application form or download the pdf version and <a class=\"mh-excerpt-more\" href=\"https:\/\/wr4cc.org\/?page_id=1188\" title=\"Membership Online Application\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0},"_links":{"self":[{"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/pages\/1188"}],"collection":[{"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wr4cc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1188"}],"version-history":[{"count":2,"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/pages\/1188\/revisions"}],"predecessor-version":[{"id":3539,"href":"https:\/\/wr4cc.org\/index.php?rest_route=\/wp\/v2\/pages\/1188\/revisions\/3539"}],"wp:attachment":[{"href":"https:\/\/wr4cc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1188"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}