{"id":1467,"date":"2021-05-25T12:59:20","date_gmt":"2021-05-25T16:59:20","guid":{"rendered":"https:\/\/dev.acjt.ca\/?page_id=1467"},"modified":"2022-01-26T12:57:18","modified_gmt":"2022-01-26T17:57:18","slug":"membership-renewal-form","status":"publish","type":"page","link":"https:\/\/acjt.ca\/en\/becoming-a-member\/membership-renewal-form\/","title":{"rendered":"Membership renewal form"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1553184085153{padding-right: 32px !important;padding-left: 32px !important;background-color: #efefef !important;}&#8221;][vc_column_text]<\/p>\n<h2 style=\"text-align: center;\">Membership renewal<\/h2>\n<p style=\"text-align: center;\">Please <a href=\"https:\/\/acjt.ca\/wp-content\/uploads\/2022\/01\/renewal_form_en.docx\" target=\"_blank\" rel=\"noopener\">download the form<\/a> and mail it to ACJT-CALT with your payment or complete the following electronic form.<\/p>\n<p>[\/vc_column_text]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1555-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1555\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1467#wpcf7-f1555-o1\" method=\"post\" class=\"wpcf7-form init cf7_custom_style_1\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1555\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1555-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p><label> First name (mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><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=\"prenom\" \/><\/span> <\/label>\n<\/p>\n<p><label> Last name (mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-famille\"><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=\"nom-famille\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email (mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"courriel\"><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=\"courriel\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone number (mandatory)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel\"><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=\"tel\" \/><\/span> <\/label>\n<\/p>\n<h2>Renewal type\n<\/h2>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"type\" value=\"Renewal without modification (Move directly to point 2)\" \/><span class=\"wpcf7-list-item-label\">Renewal without modification (Move directly to point 2)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"type\" value=\"Renewal with modification (Please specify)\" \/><span class=\"wpcf7-list-item-label\">Renewal with modification (Please specify)<\/span><\/span><\/span><\/span>\n<\/p>\n<h2>1. Information\n<\/h2>\n<p><label>Name of employer<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"employeur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employeur\" \/><\/span> <\/label>\n<\/p>\n<p><label>Position<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"poste\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"poste\" \/><\/span> <\/label>\n<\/p>\n<p><label>Professional address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse-pro\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse-pro\" \/><\/span> <\/label>\n<\/p>\n<p><label>City<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span> <\/label>\n<\/p>\n<p><label>Province<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"province\" \/><\/span> <\/label>\n<\/p>\n<p><label>Area of expertise<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spec\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"spec\" \/><\/span> <\/label>\n<\/p>\n<p><label>Source language<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"langue-dep\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"langue-dep\" \/><\/span> <\/label>\n<\/p>\n<p><label>Target language<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"langue-arr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"langue-arr\" \/><\/span> <\/label>\n<\/p>\n<p><label>Professional affiliations<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"affi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"affi\" \/><\/span> <\/label>\n<\/p>\n<p><label>Degrees obtained<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"diplomes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"diplomes\" \/><\/span> <\/label>\n<\/p>\n<h2>2. Publication authorization\n<\/h2>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"autorisation\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"autorisation\" value=\"I consent to ACJT-CALT publishing my contact information in the members\u2019 directory on its website: www.acjt.ca\" \/><span class=\"wpcf7-list-item-label\">I consent to ACJT-CALT publishing my contact information in the members\u2019 directory on its website: www.acjt.ca<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"autorisation\" value=\"I do not consent to ACJT-CALT publishing my contact information in the members\u2019 directory on its website: www.acjt.ca\" \/><span class=\"wpcf7-list-item-label\">I do not consent to ACJT-CALT publishing my contact information in the members\u2019 directory on its website: www.acjt.ca<\/span><\/span><\/span><\/span>\n<\/p>\n<h2 style=\"clear:both\">3. Membership dues and payment methods\n<\/h2>\n<p>Membership dues are $100 per calendar year and the amount may be paid in two ways:\n<\/p>\n<p>a) Payment by PayPal: Click on the \u201cSend\u201d button at the bottom of the form and follow the instructions;\n<\/p>\n<p>b) Payment by cheque: please contact <a href=\"mailto:info@acjt.ca\">info@acjt.ca<\/a> for instructions on how to proceed.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"paiement\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"paiement\" value=\"I plan to pay by PayPal.\" \/><span class=\"wpcf7-list-item-label\">I plan to pay by PayPal.<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"paiement\" value=\"I plan to pay by cheque.\" \/><span class=\"wpcf7-list-item-label\">I plan to pay by cheque.<\/span><\/span><\/span><\/span>\n<\/p>\n<h2 style=\"clear:both\">4. Signature\n<\/h2>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"signature\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"signature[]\" value=\"I certify that all the information provided on this form is accurate to the best of my knowledge.\" \/><span class=\"wpcf7-list-item-label\">I certify that all the information provided on this form is accurate to the best of my knowledge.<\/span><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1553184085153{padding-right: 32px !important;padding-left: 32px !important;background-color: #efefef !important;}&#8221;][vc_column_text] Membership renewal Please download the form and mail it to ACJT-CALT with your payment or complete the following electronic form. [\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1435,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1467","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/pages\/1467","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/comments?post=1467"}],"version-history":[{"count":6,"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/pages\/1467\/revisions"}],"predecessor-version":[{"id":1793,"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/pages\/1467\/revisions\/1793"}],"up":[{"embeddable":true,"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/pages\/1435"}],"wp:attachment":[{"href":"https:\/\/acjt.ca\/en\/wp-json\/wp\/v2\/media?parent=1467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}