{"id":5381,"date":"2024-06-24T16:43:23","date_gmt":"2024-06-24T16:43:23","guid":{"rendered":"https:\/\/yourplanbproductions.com\/khs2025\/?page_id=5381"},"modified":"2024-06-24T18:31:38","modified_gmt":"2024-06-24T18:31:38","slug":"life-member-form","status":"publish","type":"page","link":"https:\/\/yourplanbproductions.com\/khs2025\/life-member-form\/","title":{"rendered":"Life Member Contact Information Form"},"content":{"rendered":"<!--themify_builder_content-->\n<div id=\"themify_builder_content-5381\" data-postid=\"5381\" class=\"themify_builder_content themify_builder_content-5381 themify_builder tf_clear\">\n                    <div  data-lazy=\"1\" class=\"module_row themify_builder_row tb_e0mj857 tb_first tf_w\">\n                        <div class=\"row_inner col_align_top tb_col_count_1 tf_box tf_rel\">\n                        <div  data-lazy=\"1\" class=\"module_column tb-column col-full tb_a0up857 first\">\n                    <!-- module text -->\n<div  class=\"module module-text tb_20kb683   \" data-lazy=\"1\">\n        <div  class=\"tb_text_wrap\">\n        <p>Please update your contact information by completing the form below.\u00a0<\/p>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-5428\"><form id=\"wpforms-form-5428\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5428\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/khs2025\/wp-json\/wp\/v2\/pages\/5381\" data-token=\"f5b56cd2443b246a773ee3bc828cb284\" data-token-time=\"1778686151\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-5428-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <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-5428-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-5428-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5428-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-5428-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-5428-field_12-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Spouse Name<\/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-5428-field_12\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][12][first]\" ><label for=\"wpforms-5428-field_12\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5428-field_12-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][12][last]\" ><label for=\"wpforms-5428-field_12-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-5428-field_13-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-5428-field_13\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][13][address1]\" required><label for=\"wpforms-5428-field_13\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-5428-field_13-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][13][address2]\" ><label for=\"wpforms-5428-field_13-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-5428-field_13-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][13][city]\" required><label for=\"wpforms-5428-field_13-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-5428-field_13-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][13][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-5428-field_13-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-5428-field_13-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][13][postal]\" required><label for=\"wpforms-5428-field_13-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-5428-field_15-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-5428-field_15\">Phone<\/label><input type=\"tel\" id=\"wpforms-5428-field_15\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][15]\" aria-label=\"Phone\" ><\/div><div id=\"wpforms-5428-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-5428-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5428-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-5428-field_16-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-5428-field_16\">Email (2nd)<\/label><input type=\"email\" id=\"wpforms-5428-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" spellcheck=\"false\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5428\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/pages\/5381\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5428\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/yourplanbproductions.com\/khs2025\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->    <\/div>\n<\/div>\n<!-- \/module text -->        <\/div>\n                        <\/div>\n        <\/div>\n        <\/div>\n<!--\/themify_builder_content-->","protected":false},"excerpt":{"rendered":"<p>Please update your contact information by completing the form below.\u00a0<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_view_id":"","footnotes":""},"class_list":["post-5381","page","type-page","status-publish","hentry","has-post-title","has-post-date","has-post-category","has-post-tag","has-post-comment","has-post-author",""],"_links":{"self":[{"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/pages\/5381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/comments?post=5381"}],"version-history":[{"count":20,"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/pages\/5381\/revisions"}],"predecessor-version":[{"id":5436,"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/pages\/5381\/revisions\/5436"}],"wp:attachment":[{"href":"https:\/\/yourplanbproductions.com\/khs2025\/wp-json\/wp\/v2\/media?parent=5381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}