{"id":3837,"date":"2017-07-06T15:37:17","date_gmt":"2017-07-06T13:37:17","guid":{"rendered":"http:\/\/www.nordics.ch\/?page_id=3837"},"modified":"2025-05-20T00:18:56","modified_gmt":"2025-05-19T22:18:56","slug":"membership-registration-form","status":"publish","type":"page","link":"http:\/\/www.nordics.ch\/?page_id=3837","title":{"rendered":"Membership Subscription Form"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_nv2cg\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">NC Membership Subscription Form<\/legend>\r\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=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"nv2cg\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"3f0b64cb33\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3837\" \/><div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ayapr\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[10]\" id=\"field_ayapr\"  data-frmval=\"Mrs\" data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Title is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t<option  value=\"Mrs\" selected=\"selected\">\n\t\t\tMrs\t\t<\/option>\n\t\t\t\t<option  value=\"Mr\">\n\t\t\tMr\t\t<\/option>\n\t\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_p8kyx\" class=\"frm_primary_label\">First name(s)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_p8kyx\" name=\"item_meta[12]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"First name(s) is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_yph01\" class=\"frm_primary_label\">Last name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yph01\" name=\"item_meta[13]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_h783z\" class=\"frm_primary_label\">Nationality\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_h783z\" name=\"item_meta[20]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Nationality is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_pu6e4\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[14]\" id=\"field_pu6e4\" rows=\"5\"  data-invmsg=\"Address is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_1yrzn\" class=\"frm_primary_label\">ZIP code\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_1yrzn\" name=\"item_meta[15]\" value=\"\"  data-invmsg=\"ZIP code is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_3u1fl\" class=\"frm_primary_label\">Town\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3u1fl\" name=\"item_meta[16]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Town is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_cgnx4\" class=\"frm_primary_label\">Country\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_cgnx4\" name=\"item_meta[17]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Country is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_v4d9v\" class=\"frm_primary_label\">Email address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_v4d9v\" name=\"item_meta[31]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_top_container\">\n    <label for=\"field_a7i7x\" class=\"frm_primary_label\">Phone number\n        <span class=\"frm_required\"><\/span>\n    <\/label>\n    <input type=\"text\" id=\"field_a7i7x\" name=\"item_meta[32]\" value=\"\"  data-invmsg=\"Phone number is invalid\" aria-invalid=\"false\"  \/>\n    \n    \n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">I am seeking Nordics Club membership as\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_18-0\"><label for=\"field_qj8k1-0\">\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_qj8k1-0\" value=\"Individual (CHF 40\/year)\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I am seeking Nordics Club membership as is invalid\" aria-invalid=\"false\"  \/> Individual (CHF 40\/year)<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-1\"><label for=\"field_qj8k1-1\">\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_qj8k1-1\" value=\"Family (CHF 60\/year) *\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I am seeking Nordics Club membership as is invalid\" aria-invalid=\"false\"  \/> Family (CHF 60\/year) *<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-2\"><label for=\"field_qj8k1-2\">\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_qj8k1-2\" value=\"Student \/ Au-Pair (CHF 30\/year)\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I am seeking Nordics Club membership as is invalid\" aria-invalid=\"false\"  \/> Student \/ Au-Pair (CHF 30\/year)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_bi1ly\" class=\"frm_primary_label\">* If seeking Family membership, please list the full name, nationality and relationship status of  your other family members of 18+ age (partner, children):\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[19]\" id=\"field_bi1ly\" rows=\"5\"  data-invmsg=\"* If seeking Family membership, please list the full name, nationality and relationship status of  your other family members of 18+ age (partner, children): is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">I wish to have my NC membership card sent to\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_radio\" id=\"frm_radio_22-0\"><label for=\"field_y4ikd-0\">\t\t<input type=\"radio\" name=\"item_meta[22]\" id=\"field_y4ikd-0\" value=\"The above mentioned address\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I wish to have my NC membership card sent to is invalid\" aria-invalid=\"false\"  \/> The above mentioned address<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_22-1\"><label for=\"field_y4ikd-1\">\t\t<input type=\"radio\" name=\"item_meta[22]\" id=\"field_y4ikd-1\" value=\"I don&#039;t want\/need a membership card\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I wish to have my NC membership card sent to is invalid\" aria-invalid=\"false\"  \/> I don't want\/need a membership card<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_22-2\"><label for=\"field_y4ikd-2\">\t\t<input type=\"radio\" name=\"item_meta[22]\" id=\"field_y4ikd-2\" value=\"The below address *\"\n\t\t   data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I wish to have my NC membership card sent to is invalid\" aria-invalid=\"false\"  \/> The below address *<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_j7m49\" class=\"frm_primary_label\">* Please send my NC membership card to the following address:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[23]\" id=\"field_j7m49\" rows=\"5\"  data-invmsg=\"* Please send my NC membership card to the following address: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">How did you hear about the Nordics Club Geneva?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-0\"><label for=\"field_9b3kv-0\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-0\" value=\"Newsletter\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Newsletter<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-1\"><label for=\"field_9b3kv-1\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-1\" value=\"Facebook\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Facebook<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-2\"><label for=\"field_9b3kv-2\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-2\" value=\"glocals\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> glocals<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-3\"><label for=\"field_9b3kv-3\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-3\" value=\"Website \/ Search Engine\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Website \/ Search Engine<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-4\"><label for=\"field_9b3kv-4\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-4\" value=\"Family \/ Friend\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Family \/ Friend<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-5\"><label for=\"field_9b3kv-5\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-5\" value=\"Flyer\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Flyer<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-6\"><label for=\"field_9b3kv-6\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-6\" value=\"Event\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Event<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-7\"><label for=\"field_9b3kv-7\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-7\" value=\"Embassy \/ Consulate\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Embassy \/ Consulate<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_24-8\"><label for=\"field_9b3kv-8\"><input type=\"checkbox\" name=\"item_meta[24][]\" id=\"field_9b3kv-8\" value=\"Other\"  data-invmsg=\"How did you hear about the Nordics Club Geneva? is invalid\" aria-invalid=\"false\"   \/> Other<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_wr98u\" class=\"frm_primary_label\">Other remarks \/ observations:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[27]\" id=\"field_wr98u\" rows=\"5\"  data-invmsg=\"Other remarks \/ observations: is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">I agree to receive the NC newsletter. I can unsubscribe from the newsletter at any time by using the \"unsubscribe option\" at end of the newsletter.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_25-0\"><label for=\"field_rho5v-0\"><input type=\"checkbox\" name=\"item_meta[25][]\" id=\"field_rho5v-0\" value=\"Yes, I agree\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"I agree to receive the NC newsletter. I can unsubscribe from the newsletter at any time by using the &quot;unsubscribe option&quot; at end of the newsletter. is invalid\" aria-invalid=\"false\"   \/> Yes, I agree<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\">After submitting this form, I will pay the annual Nordics Club membership fee by bank transfer or by using the PayPal button at the bottom of the NC website.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_29-0\"><label for=\"field_f7e20-0\"><input type=\"checkbox\" name=\"item_meta[29][]\" id=\"field_f7e20-0\" value=\"Yes, I agree\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"After submitting this form, I will pay the annual Nordics Club membership fee by bank transfer or by using the PayPal button at the bottom of the NC website. is invalid\" aria-invalid=\"false\"   \/> Yes, I agree<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":3332,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"_links":{"self":[{"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/pages\/3837"}],"collection":[{"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/www.nordics.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3837"}],"version-history":[{"count":4,"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/pages\/3837\/revisions"}],"predecessor-version":[{"id":5338,"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/pages\/3837\/revisions\/5338"}],"up":[{"embeddable":true,"href":"http:\/\/www.nordics.ch\/index.php?rest_route=\/wp\/v2\/pages\/3332"}],"wp:attachment":[{"href":"http:\/\/www.nordics.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3837"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}