{"id":2584,"date":"2020-02-27T11:27:50","date_gmt":"2020-02-27T01:57:50","guid":{"rendered":"https:\/\/cbnsa.com.au\/staging\/?page_id=2584"},"modified":"2020-02-27T11:27:50","modified_gmt":"2020-02-27T01:57:50","slug":"member-application-form","status":"publish","type":"page","link":"https:\/\/cbnsa.com.au\/staging\/member-application-form\/","title":{"rendered":"Member application form"},"content":{"rendered":"<div class=\"wpforms-container \" id=\"wpforms-2286\"><form id=\"wpforms-form-2286\" class=\"wpforms-validate wpforms-form\" data-formid=\"2286\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/staging\/wp-json\/wp\/v2\/pages\/2584\" data-token=\"57e0a160980be9796eb194b6abf4d834\" data-token-time=\"1780889406\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Member Application Form<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2286-field_6-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_6\">Organisation <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2286-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-2286-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name (English) <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2286-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-2286-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2286-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-2286-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2286-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Name (Chinese)<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2286-field_5\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][5][first]\" ><label for=\"wpforms-2286-field_5\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2286-field_5-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][5][last]\" ><label for=\"wpforms-2286-field_5-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2286-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_9\">Preferred Name<\/label><input type=\"text\" id=\"wpforms-2286-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-2286-field_10-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_10\">Position <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2286-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-2286-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_12\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2286-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-2286-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_13\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2286-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-2286-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_15\">Fax<\/label><input type=\"text\" id=\"wpforms-2286-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-2286-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2286-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">Please enter your email, so we can follow up with you.<\/div><\/div><div id=\"wpforms-2286-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_16\">Website<\/label><input type=\"text\" id=\"wpforms-2286-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" ><\/div><div id=\"wpforms-2286-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_17\">Wechat<\/label><input type=\"text\" id=\"wpforms-2286-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-2286-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_18\">Linkedin<\/label><input type=\"text\" id=\"wpforms-2286-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-2286-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_19\">How did you hear about CBNSA?<\/label><input type=\"text\" id=\"wpforms-2286-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-2286-field_20-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_20\">What is the Nature of your business?<\/label><select id=\"wpforms-2286-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\"><option value=\"Property\/Construction\"  class=\"choice-1 depth-1\"  >Property\/Construction<\/option><option value=\"Marketing\/Communications\"  class=\"choice-2 depth-1\"  >Marketing\/Communications<\/option><option value=\"Retail\/Wholesale\"  class=\"choice-4 depth-1\"  >Retail\/Wholesale<\/option><option value=\"Agriculture\/Wine\"  class=\"choice-12 depth-1\"  >Agriculture\/Wine<\/option><option value=\"Mining\/ Natural Resources\"  class=\"choice-11 depth-1\"  >Mining\/ Natural Resources<\/option><option value=\"Tourism\"  class=\"choice-10 depth-1\"  >Tourism<\/option><option value=\"Education\/Training\"  class=\"choice-9 depth-1\"  >Education\/Training<\/option><option value=\"Government\"  class=\"choice-8 depth-1\"  >Government<\/option><option value=\"Accounting\/Legal\/Finance\/Advisory\"  class=\"choice-7 depth-1\"  >Accounting\/Legal\/Finance\/Advisory<\/option><option value=\"Architecture\/Engineering\"  class=\"choice-6 depth-1\"  >Architecture\/Engineering<\/option><option value=\"Health\/Medical Services\"  class=\"choice-5 depth-1\"  >Health\/Medical Services<\/option><option value=\"Import\/Export\/Logistics\"  class=\"choice-14 depth-1\"  >Import\/Export\/Logistics<\/option><option value=\"IT\/Technology\"  class=\"choice-13 depth-1\"  >IT\/Technology<\/option><option value=\"Other (Please Advise Below)\"  class=\"choice-15 depth-1\"  >Other (Please Advise Below)<\/option><\/select><\/div><div id=\"wpforms-2286-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_21\">Please briefly describe what your business does<\/label><textarea id=\"wpforms-2286-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/textarea><\/div><div id=\"wpforms-2286-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-2286-field_22\">How can CBNSA help you achieve your goals?<\/label><textarea id=\"wpforms-2286-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/textarea><\/div><div id=\"wpforms-2286-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"23\"><label class=\"wpforms-field-label\">Display my details listed in the online directory<\/label><ul id=\"wpforms-2286-field_23\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_23_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2286-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Membership Details<\/label><ul id=\"wpforms-2286-field_24\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_24_1\" name=\"wpforms[fields][24]\" value=\"New Membership\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_24_1\">New Membership<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_24_2\" name=\"wpforms[fields][24]\" value=\"Renew existing Membership\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_24_2\">Renew existing Membership<\/label><\/li><\/ul><\/div><div id=\"wpforms-2286-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Membership Type<\/label><ul id=\"wpforms-2286-field_25\"><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_25_2\" name=\"wpforms[fields][25]\" value=\"Corporate - $500.00\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_25_2\">Corporate - $500.00<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_25_3\" name=\"wpforms[fields][25]\" value=\"Small Business - $250.00\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_25_3\">Small Business - $250.00<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_25_4\" name=\"wpforms[fields][25]\" value=\"Individual - $100.00\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_25_4\">Individual - $100.00<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_25_5\" name=\"wpforms[fields][25]\" value=\"Student - $50.00\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_25_5\">Student - $50.00<\/label><\/li><\/ul><\/div><div id=\"wpforms-2286-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><label class=\"wpforms-field-label\">Payment Options<\/label><ul id=\"wpforms-2286-field_26\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_26_1\" name=\"wpforms[fields][26]\" value=\"Credit Card - (Please proceed to the online payment option below after submitting this form)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_26_1\">Credit Card - (Please proceed to the online payment option below after submitting this form)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2286-field_26_2\" name=\"wpforms[fields][26]\" value=\"Online Bank Transfer - To the CBNSA account BSB 015025 Account No. 263992443 Ref: Your Name\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2286-field_26_2\">Online Bank Transfer - To the CBNSA account BSB 015025 Account No. 263992443 Ref: Your Name<\/label><\/li><\/ul><\/div><div id=\"wpforms-2286-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-2286-field_29\">Single Line Text<\/label><input type=\"text\" id=\"wpforms-2286-field_29\" class=\"wpforms-field-small\" name=\"wpforms[fields][29]\" ><div class=\"wpforms-field-description\">All information collected by CBNSA is used for membership purposes and online directory display unless otherwise stated in the tick box above. I hereby apply for membership to the China Business Network of South Australia (CBNSA) and agree to abide by the rules and constitution of the association as stipulated on the website www.cbnsa.com.au.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2286-field-hp\" class=\"wpforms-field-label\">Comment<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2286-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2286\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/pages\/2584\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2286\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit & Payment\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit & Payment<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":22,"featured_media":0,"parent":0,"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,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-2584","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/pages\/2584","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/comments?post=2584"}],"version-history":[{"count":0,"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/pages\/2584\/revisions"}],"wp:attachment":[{"href":"https:\/\/cbnsa.com.au\/staging\/wp-json\/wp\/v2\/media?parent=2584"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}