{"id":119,"date":"2020-11-25T09:50:57","date_gmt":"2020-11-25T09:50:57","guid":{"rendered":"http:\/\/www.dorsetworkingspanielclub.net\/?page_id=119"},"modified":"2026-03-11T11:44:14","modified_gmt":"2026-03-11T11:44:14","slug":"membership-application-form","status":"publish","type":"page","link":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/membership-application-form\/","title":{"rendered":"Membership Application Form"},"content":{"rendered":"\n<p>Electronic Membership Application Form<\/p>\n\n\n\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f684-o1\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"684\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/119#wpcf7-f684-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=\"684\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f684-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><label> Your Subject<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"DWSC Membership Application\" type=\"text\" name=\"your-subject\" \/><\/span><\/label>\n<\/p>\n<p><label> Single \/ Joint Application<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SingleJoint\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"SingleJoint\"><option value=\"Single\">Single<\/option><option value=\"Joint\">Joint<\/option><\/select><\/span> <\/label>\n<\/p>\n<p><label> Your Name \/ Names<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name-names\"><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-name-names\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address 1<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Address1\"><input size=\"40\" maxlength=\"400\" 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> <\/label>\n<\/p>\n<p><label> Address 2<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Address2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Address 2\" value=\"\" type=\"text\" name=\"Address2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Town \/ City<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Town\" value=\"\" type=\"text\" name=\"City\" \/><\/span> <\/label>\n<\/p>\n<p><label> County<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"County\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"County\" value=\"\" type=\"text\" name=\"County\" \/><\/span> <\/label>\n<\/p>\n<p><label> Post Code<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PostCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Post Code\" value=\"\" type=\"text\" name=\"PostCode\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your Phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"YourPhone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"text\" name=\"YourPhone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Your email<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> <\/label>\n<\/p>\n<p><label> Applicants Acceptance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ApplicantsAcceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ApplicantsAcceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Please accept my\/our Application for Membership<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label> Date<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"xx\/xx\/xxxx\" value=\"\" type=\"text\" name=\"Date\" \/><\/span> <\/label>\n<\/p>\n<p><label> Proposer<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ProposersName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Proposers Name\" value=\"\" type=\"text\" name=\"ProposersName\" \/><\/span> <\/label>\n<\/p>\n<p><label> Proposers Phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ProposersPhone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Proposers Phone\" value=\"\" type=\"text\" name=\"ProposersPhone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Proposer Acceptance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ProposersAcceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"ProposersAcceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Please accept this Application for Membership<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label> Seconder<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Seconder\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Seconders Name\" value=\"\" type=\"text\" name=\"Seconder\" \/><\/span> <\/label>\n<\/p>\n<p><label> Seconders Phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SecondersPhone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Seconders Phone\" value=\"\" type=\"text\" name=\"SecondersPhone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Seconder Acceptance<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SecondersAcceptance\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"SecondersAcceptance\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Please accept this Application for Membership<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label> Your Message<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-message\" \/><\/span> <\/label>\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<\/div>\n\n\n\n<p>Please remember to make the required payment to:<\/p>\n\n\n\n<p>DWSC<br>Bank: Lloyds<br>Account Number: 00447584<br>Sort Code: 30-92-69<\/p>\n\n\n\n<p>Please use your surname as a reference.<\/p>\n\n\n\n<p>Or&#8230;.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.dorsetworkingspanielclub.net\/wp-content\/uploads\/2024\/07\/APPLICATION-FORM-FOR-MEMBERSHIP-2024-Website.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Application Form for Membership as pdf<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.dorsetworkingspanielclub.net\/wp-content\/uploads\/2024\/07\/APPLICATION-FORM-FOR-MEMBERSHIP-2024-Website.pdf\" alt=\"\" class=\"wp-image-1861\"\/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Electronic Membership Application Form Please remember to make the required payment to: DWSCBank: LloydsAccount Number: 00447584Sort Code: 30-92-69 Please use your surname as a reference. Or&#8230;. Application Form for Membership as pdf<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-119","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/pages\/119","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/comments?post=119"}],"version-history":[{"count":11,"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/pages\/119\/revisions"}],"predecessor-version":[{"id":2512,"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/pages\/119\/revisions\/2512"}],"wp:attachment":[{"href":"https:\/\/www.dorsetworkingspanielclub.net\/index.php\/wp-json\/wp\/v2\/media?parent=119"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}