{"id":917,"date":"2024-07-25T11:32:16","date_gmt":"2024-07-25T15:32:16","guid":{"rendered":"https:\/\/www.narfe.org\/chapter0439\/?page_id=917"},"modified":"2024-07-25T11:32:16","modified_gmt":"2024-07-25T15:32:16","slug":"contact-dues-withholding-coordinator","status":"publish","type":"page","link":"https:\/\/www.narfe.org\/chapter0439\/contact-dues-withholding-coordinator\/","title":{"rendered":"Contact Dues Withholding Coordinator"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_5_container\" data-token=\"02be6901a7b45a570840c0f740b8c9e7\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_contact-form22\" data-token=\"02be6901a7b45a570840c0f740b8c9e7\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Contact Dues Withholding Coordinator<\/legend>\r\n\r\n<div class=\"frm_description\"><p>If you would like to sign up for Dues Withholding, please let us know by furnishing your name, email, and phone number.  We will get back to you shortly.<\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"contact-form22\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"14da773676\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/chapter0439\/wp-json\/wp\/v2\/pages\/917\" \/><div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icy32\" id=\"field_qh4icy32_label\" class=\"frm_primary_label col-form-label form-label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_qh4icy32\" name=\"item_meta[22]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" class=\"form-control\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_qh4icy32\" \/>\r\n    <div class=\"frm_description form-text\" id=\"frm_desc_field_qh4icy32\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_hidden_container frm_half\">\r\n    <label for=\"field_ocfup132\" id=\"field_ocfup132_label\" class=\"frm_primary_label col-form-label form-label\">Last\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ocfup132\" name=\"item_meta[23]\" value=\"\"  data-reqmsg=\"Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" class=\"form-control\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_ocfup132\" \/>\r\n    <div class=\"frm_description form-text\" id=\"frm_desc_field_ocfup132\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_full\">\r\n    <label for=\"field_29yf4d32\" id=\"field_29yf4d32_label\" class=\"frm_primary_label col-form-label form-label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d32\" name=\"item_meta[24]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_full\">\r\n    <label for=\"field_e6lis632\" id=\"field_e6lis632_label\" class=\"frm_primary_label col-form-label form-label\">Subject\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_e6lis632\" name=\"item_meta[25]\" value=\"\"  data-reqmsg=\"Subject cannot be blank.\" aria-required=\"true\" data-invmsg=\"Subject is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_full\">\r\n    <label for=\"field_9jv0r132\" id=\"field_9jv0r132_label\" class=\"frm_primary_label col-form-label form-label\">Message\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[26]\" id=\"field_9jv0r132\" rows=\"5\"  data-reqmsg=\"Message cannot be blank.\" aria-required=\"true\" data-invmsg=\"Message is invalid\" class=\"form-control\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  form-group\">\r\n\t<div class=\"form-group frm_submit\">\r\n\r\n<button class=\"frm_button_submit btn btn-secondary frm_final_submit\" type=\"submit\"  formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_44_container\">\n\t\t\t<label for=\"field_utneu\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_utneu\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[44]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"bIdvBH5nuweTSTuj48S299TCR4geH\/eDiaLRIe9sMT9K9t+qJ653uUUJoWfYMw4p\" 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