{"id":210,"date":"2016-11-20T17:46:44","date_gmt":"2016-11-20T16:46:44","guid":{"rendered":"http:\/\/eusen.org\/?page_id=210"},"modified":"2023-12-03T21:45:40","modified_gmt":"2023-12-03T20:45:40","slug":"become-member","status":"publish","type":"page","link":"https:\/\/eusen.org\/?page_id=210","title":{"rendered":"Become Member 2024"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f209-o1\" lang=\"en-GB\" dir=\"ltr\" data-wpcf7-id=\"209\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F210#wpcf7-f209-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"209\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_GB\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f209-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p>Dear Colleague,\n<\/p>\n<p>The board of EuSEN has fixed the annual fee for individual Membership to 20\u20ac for the Year 2024.\n<\/p>\n<p>If you want to become an individual member of EuSEN, you can complete the form below and transfert 20\u20ac by bank.\n<\/p>\n<p>The membership is on the civil year based.\n<\/p>\n<p>Civility (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Civility\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Civility\"><option value=\"Mr\">Mr<\/option><option value=\"Mrs\">Mrs<\/option><\/select><\/span>\n<\/p>\n<p>Your First Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-first-name\" \/><\/span>\n<\/p>\n<p>Your Last Name (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-last-name\" \/><\/span>\n<\/p>\n<p>Your Email (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n<\/p>\n<p>Street (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-street\" \/><\/span>\n<\/p>\n<p>Province (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-province\" \/><\/span>\n<\/p>\n<p>CodePost (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-PostCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-PostCode\" \/><\/span>\n<\/p>\n<p>Land (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-Land\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-Land\" \/><\/span>\n<\/p>\n<p>Qualification<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"qualification\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Nurse\" \/><span class=\"wpcf7-list-item-label\">Nurse<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Emergency Nurse\" \/><span class=\"wpcf7-list-item-label\">Emergency Nurse<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Emergency Nurse Specialist\" \/><span class=\"wpcf7-list-item-label\">Emergency Nurse Specialist<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Nurse Practioner\" \/><span class=\"wpcf7-list-item-label\">Nurse Practioner<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Manager\" \/><span class=\"wpcf7-list-item-label\">Manager<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"qualification[]\" value=\"Teacher\" \/><span class=\"wpcf7-list-item-label\">Teacher<\/span><\/span><\/span><\/span>\n<\/p>\n<p>Working Place<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"working_place\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"working_place[]\" value=\"General Hospital\" \/><span class=\"wpcf7-list-item-label\">General Hospital<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"working_place[]\" value=\"University Hospital\" \/><span class=\"wpcf7-list-item-label\">University Hospital<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"working_place[]\" value=\"Primary Care\" \/><span class=\"wpcf7-list-item-label\">Primary Care<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"working_place[]\" value=\"University\/College\" \/><span class=\"wpcf7-list-item-label\">University\/College<\/span><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p>\n<p><div id=\"cf7sr-69e660d646596\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LcaDj8UAAAAACftTcZzoQnWCFuVfeJJdQ_Y8KUq\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-210","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eusen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=210"}],"version-history":[{"count":2,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/210\/revisions"}],"predecessor-version":[{"id":7782,"href":"https:\/\/eusen.org\/index.php?rest_route=\/wp\/v2\/pages\/210\/revisions\/7782"}],"wp:attachment":[{"href":"https:\/\/eusen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}