{"id":5463,"date":"2019-09-23T22:50:28","date_gmt":"2019-09-24T02:50:28","guid":{"rendered":"http:\/\/catalysisclubphilly.org\/?page_id=5463"},"modified":"2019-09-23T22:50:29","modified_gmt":"2019-09-24T02:50:29","slug":"post-paypal-contact-form","status":"publish","type":"page","link":"https:\/\/catalysisclubphilly.org\/awe9a91v\/post-paypal-contact-form\/","title":{"rendered":"Post PayPal Contact"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Please finish registering below:<\/h2>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5464-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/awe9a91v\/wp-json\/wp\/v2\/pages\/5463#wpcf7-f5464-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5464\">\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.7\">\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\">\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5464-o1\">\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\">\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value>\n<\/div>\n<h3>Reservation Form\n<\/h3>\n<fieldset>\n\t<div class=\"right-input\">\n\t\t<legend>Din\u00adner\n\t\t<\/legend>\n\t\t<p><label>Din\u00adner Cost (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"dinner-cost\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"dinner-cost\"><option value>\u2014Please choose an option\u2014<\/option><option value=\"Regular Member Dues and Dinner: $65.00\">Regular Member Dues and Dinner: $65.00<\/option><option value=\"Student, Retiree Dues and Dinner: $35.00\">Student, Retiree Dues and Dinner: $35.00<\/option><option value=\"Reg\u00adu\u00adlar Mem\u00adber Dinner: $40.00\">Reg\u00adu\u00adlar Mem\u00adber Dinner: $40.00<\/option><option value=\"Student Dinner: $25.00\">Student Dinner: $25.00<\/option><option value=\"Postdoc Dinner: $25.00\">Postdoc Dinner: $25.00<\/option><option value=\"Retired Dinner: $25.00\">Retired Dinner: $25.00<\/option><option value=\"Non-member Dinner: $45.00\">Non-member Dinner: $45.00<\/option><\/select><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/fieldset>\n<fieldset>\n\t<div class=\"right-input\">\n\t\t<legend>Your Con\u00adtact Infor\u00adma\u00adtion\n\t\t<\/legend>\n\t\t<p><label>First Name (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" value type=\"text\" name=\"first-name\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Last Name (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" value type=\"text\" name=\"last-name\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Affil\u00adi\u00ada\u00adtion (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"affiliation\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Affiliation\" value type=\"text\" name=\"affiliation\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Address 1 (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Address 1\" value type=\"text\" name=\"address1\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Address 2<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"address2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address 2\" value type=\"text\" name=\"address2\"><\/span>\n\t\t<\/p>\n\t\t<p><label>City (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" value type=\"text\" name=\"city\"><\/span>\n\t\t<\/p>\n\t\t<p><label>State (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"State\" value type=\"text\" name=\"state\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Zip Code (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"zip-code\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip Code\" value type=\"text\" name=\"zip-code\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Tele\u00adphone<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Telephone\" value type=\"text\" name=\"telephone\"><\/span>\n\t\t<\/p>\n\t\t<p><label>Your Email (required)<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value type=\"email\" name=\"your-email\"><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/fieldset>\n<fieldset>\n\t<div class=\"right-input\">\n\t\t<legend>Com\u00adments\n\t\t<\/legend>\n\t\t<p><label>Mes\u00adsage<\/label>\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"5\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"optional\" name=\"your-message\"><\/textarea><\/span>\n\t\t<\/p>\n\t<\/div>\n<\/fieldset>\n\n<div>\n\t<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Submit Form\">\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please fin\u00adish reg\u00adis\u00adter\u00ading below:<\/p>\n","protected":false},"author":101013,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-5463","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/pages\/5463","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/users\/101013"}],"replies":[{"embeddable":true,"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/comments?post=5463"}],"version-history":[{"count":5,"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/pages\/5463\/revisions"}],"predecessor-version":[{"id":5470,"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/pages\/5463\/revisions\/5470"}],"wp:attachment":[{"href":"https:\/\/catalysisclubphilly.org\/awe9a91v\/wp-json\/wp\/v2\/media?parent=5463"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}