{"id":2389,"date":"2017-11-09T19:39:57","date_gmt":"2017-11-09T19:39:57","guid":{"rendered":"http:\/\/www.ncjwmaine.org\/?page_id=2389"},"modified":"2017-11-10T11:37:51","modified_gmt":"2017-11-10T11:37:51","slug":"membership-renewal-payment","status":"publish","type":"page","link":"http:\/\/www.ncjwmaine.org\/?page_id=2389","title":{"rendered":"Membership Renewal Payment"},"content":{"rendered":"<div style=\"float: right; width: 95%; margin-left: 3%; padding: 2%; border: solid 1px #A9A9A9;\">\n<h2 style=\"text-align: center;\"><strong>Returning Member Dues Form<\/strong><\/h2>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2389'>\n                        <div class='gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id='field_5_1'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_5_1'>\n                            \n                            <span id='input_5_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_5_1_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_5_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_5_1_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_5_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_5_20'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_20' >Phone Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_5_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_5_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_17' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_5_17' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_5_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Mailing Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_5_2' >\n                         <span class='ginput_full address_line_1' id='input_5_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_5_2_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_5_2_1' id='input_5_2_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_5_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_5_2_2' value=''   \/>\n                                        <label for='input_5_2_2' id='input_5_2_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_5_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_5_2_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_5_2_3' id='input_5_2_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_5_2_4_container' >\n                                        <input type='text' name='input_2.4' id='input_5_2_4' value=''      aria-required=\"true\"\/>\n                                        <label for='input_5_2_4' id='input_5_2_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_5_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_5_2_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_5_2_5' id='input_5_2_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_5_2_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_5_7'  class='gfield gf_left_half gfield_price gfield_price_5_7 gfield_product_5_7 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_7' >Membership Dues<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_5_7' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='Annual Membership - $36|36' >Annual Membership - $36<\/option><option value='Lifetime Membership - $350|350' >Lifetime Membership - $350<\/option><\/select><\/div><\/li><li id='field_5_8'  class='gfield gf_right_half gfield_price gfield_price_5_8 gfield_product_5_8 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_8' >Additional Donation<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_8' id='input_5_8' type='text' value='' class='small ginput_amount'  placeholder='$0.00'  aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_5_11'  class='gfield gfield_price gfield_price_5_ gfield_total gfield_total_5_ field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_11' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t<span class='ginput_total ginput_total_5' aria-live='polite'>$0.00<\/span>\n\t\t\t\t\t\t<input type='hidden' name='input_11' id='input_5_11' class='gform_hidden'\/>\n\t\t\t\t\t<\/div><\/li><li id='field_5_19'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_5_19' >Please Let us Know How We&#039;re Doing!<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_5_19' class='textarea medium'  aria-describedby=\"gfield_description_5_19\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_19'>We want to know if there is an initiative\/event you loved, didn't hit the mark, or something you'd like to see in the upcoming year. \nYour opinion is VERY important to us.<\/div><\/li><li id='field_5_18'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>When you click SUBMIT, you will be taken to PayPal to complete your payment details, then returned to this site.<\/h2><\/li>\n                            <\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_5\"]){return false;}  window[\"gf_submitting_5\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_5\"]){return false;} window[\"gf_submitting_5\"]=true;  jQuery(\"#gform_5\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            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{\"1\":{\"price\":false,\"value\":false},\"20\":{\"price\":false,\"value\":false},\"17\":{\"price\":false,\"value\":false},\"2\":{\"price\":false,\"value\":false},\"7\":{\"price\":\"decimal_dot\",\"value\":false},\"8\":{\"price\":\"decimal_dot\",\"value\":false},\"11\":{\"price\":false,\"value\":false},\"19\":{\"price\":false,\"value\":false},\"18\":{\"price\":false,\"value\":false}};if(window[\"gformInitPriceFields\"]) jQuery(document).ready(function(){gformInitPriceFields();} );if(typeof Placeholders != 'undefined'){\n                        Placeholders.enable();\n                    }} } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [5, 1]) } ); <\/script>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Returning Member Dues 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