{"id":481,"date":"2026-03-19T17:33:24","date_gmt":"2026-03-19T17:33:24","guid":{"rendered":"https:\/\/chairepublicanwomen.org\/?page_id=481"},"modified":"2026-03-19T18:32:01","modified_gmt":"2026-03-19T18:32:01","slug":"member-signup","status":"publish","type":"page","link":"https:\/\/chairepublicanwomen.org\/?page_id=481","title":{"rendered":"Member Signup"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"481\" class=\"elementor elementor-481\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5811dda7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5811dda7\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ff5ff9c\" data-id=\"2ff5ff9c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-35ca2a71 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"35ca2a71\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3e1477f\" data-id=\"3e1477f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a427316 elementor-widget elementor-widget-heading\" data-id=\"6a427316\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Become A Member<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-764fbd6e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"764fbd6e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2f1ea758\" data-id=\"2f1ea758\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b7f67e9 elementor-widget__width-auto elementor-widget elementor-widget-text-editor\" data-id=\"b7f67e9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tHome \/\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-78f8663d elementor-widget__width-auto elementor-widget elementor-widget-text-editor\" data-id=\"78f8663d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Member Form<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4100664c elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4100664c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1b2add34\" data-id=\"1b2add34\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ae7b807 elementor-widget__width-auto elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"5ae7b807\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-flag\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Membership Form<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37bc8b09 elementor-widget elementor-widget-heading\" data-id=\"37bc8b09\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Become A Chai Republican Women<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43731781 elementor-widget elementor-widget-text-editor\" data-id=\"43731781\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please complete the form below and your membership payment. Please allow 7-14 days so we can process your payment (mail-in).\u00a0\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-856db3b elementor-widget elementor-widget-shortcode\" data-id=\"856db3b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n<style>\r\n\t.chai-membership-form-wrap {\r\n\t\tmax-width: 980px;\r\n\t\tmargin: 0 auto;\r\n\t\tfont-family: inherit;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-form-grid {\r\n\t\tdisplay: grid;\r\n\t\tgrid-template-columns: repeat(2, minmax(0, 1fr));\r\n\t\tgap: 18px 20px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-form-grid-3 {\r\n\t\tdisplay: grid;\r\n\t\tgrid-template-columns: repeat(3, minmax(0, 1fr));\r\n\t\tgap: 18px 20px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-field,\r\n\t.chai-membership-form-wrap .chai-field-full {\r\n\t\tdisplay: flex;\r\n\t\tflex-direction: column;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-field-full {\r\n\t\tgrid-column: 1 \/ -1;\r\n\t}\r\n\t.chai-membership-form-wrap label {\r\n\t\tfont-weight: 600;\r\n\t\tmargin-bottom: 6px;\r\n\t}\r\n\t.chai-membership-form-wrap input[type=\"text\"],\r\n\t.chai-membership-form-wrap input[type=\"email\"],\r\n\t.chai-membership-form-wrap textarea,\r\n\t.chai-membership-form-wrap select {\r\n\t\twidth: 100%;\r\n\t\tpadding: 11px 12px;\r\n\t\tborder: 1px solid #cfcfcf;\r\n\t\tborder-radius: 6px;\r\n\t\tbox-sizing: border-box;\r\n\t\tbackground: #fff;\r\n\t}\r\n\t.chai-membership-form-wrap textarea {\r\n\t\tmin-height: 120px;\r\n\t\tresize: vertical;\r\n\t}\r\n\t.chai-membership-form-wrap fieldset {\r\n\t\tborder: 1px solid #ddd;\r\n\t\tborder-radius: 8px;\r\n\t\tpadding: 18px;\r\n\t\tmargin: 0 0 24px;\r\n\t}\r\n\t.chai-membership-form-wrap legend {\r\n\t\tfont-weight: 700;\r\n\t\tpadding: 0 8px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-inline-options {\r\n\t\tdisplay: flex;\r\n\t\tflex-wrap: wrap;\r\n\t\tgap: 14px 20px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-inline-options label,\r\n\t.chai-membership-form-wrap .chai-check-list label {\r\n\t\tfont-weight: 400;\r\n\t\tmargin: 0;\r\n\t\tdisplay: inline-flex;\r\n\t\talign-items: flex-start;\r\n\t\tgap: 8px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-check-list {\r\n\t\tdisplay: grid;\r\n\t\tgrid-template-columns: repeat(2, minmax(0, 1fr));\r\n\t\tgap: 10px 18px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-help {\r\n\t\tfont-size: 0.95em;\r\n\t\tcolor: #555;\r\n\t\tmargin-top: 6px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-conditional {\r\n\t\tmargin-top: 14px;\r\n\t\tpadding-top: 14px;\r\n\t\tborder-top: 1px dashed #ddd;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-notice {\r\n\t\tpadding: 14px 16px;\r\n\t\tborder-radius: 8px;\r\n\t\tmargin-bottom: 20px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-notice-success {\r\n\t\tbackground: #edf8ef;\r\n\t\tborder: 1px solid #b8ddbf;\r\n\t\tcolor: #235b2e;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-notice-error {\r\n\t\tbackground: #fff3f3;\r\n\t\tborder: 1px solid #efc4c4;\r\n\t\tcolor: #8a1f1f;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-dues-box {\r\n\t\tbackground: #f7f7f7;\r\n\t\tborder: 1px solid #ddd;\r\n\t\tborder-radius: 8px;\r\n\t\tpadding: 16px;\r\n\t\tmargin-top: 16px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-total {\r\n\t\tfont-size: 1.1em;\r\n\t\tfont-weight: 700;\r\n\t\tmargin-top: 8px;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-submit-wrap {\r\n\t\tmargin-top: 24px;\r\n\t}\r\n\t.chai-membership-form-wrap button[type=\"submit\"] {\r\n\t\tpadding: 13px 22px;\r\n\t\tborder: 0;\r\n\t\tborder-radius: 6px;\r\n\t\tcursor: pointer;\r\n\t\tfont-size: 16px;\r\n\t\tfont-weight: 700;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-hidden {\r\n\t\tdisplay: none !important;\r\n\t}\r\n\t.chai-membership-form-wrap .chai-required {\r\n\t\tcolor: #b42318;\r\n\t\tmargin-left: 4px;\r\n\t}\r\n\t@media (max-width: 767px) {\r\n\t\t.chai-membership-form-wrap .chai-form-grid,\r\n\t\t.chai-membership-form-wrap .chai-form-grid-3,\r\n\t\t.chai-membership-form-wrap .chai-check-list {\r\n\t\t\tgrid-template-columns: 1fr;\r\n\t\t}\r\n\t}\r\n<\/style>\r\n\r\n<div class=\"chai-membership-form-wrap\">\r\n\t\t\t\r\n\t\t<form method=\"post\" action=\"\">\r\n\t\t\t<input type=\"hidden\" id=\"chai_membership_form_nonce\" name=\"chai_membership_form_nonce\" value=\"1f598bb147\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F481\" \/>\t\t\t<input type=\"hidden\" name=\"chai_membership_form_submitted\" value=\"1\">\r\n\r\n\t\t\t<div style=\"position:absolute;left:-9999px;top:-9999px;opacity:0;pointer-events:none;\" aria-hidden=\"true\">\r\n\t\t\t\t<label for=\"chai_website\">Website<\/label>\r\n\t\t\t\t<input type=\"text\" id=\"chai_website\" name=\"website\" value=\"\">\r\n\t\t\t<\/div>\r\n\r\n\t\t\t<fieldset>\r\n\t\t\t\t<legend>Applicant Information<\/legend>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid\">\r\n\t\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t\t<label for=\"chai_full_name\">Name <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_full_name\" name=\"full_name\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t\t<label for=\"chai_address\">Address <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_address\" name=\"address\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid-3\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_city\">City <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_city\" name=\"city\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_state\">State <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_state\" name=\"state\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_zip\">Zip <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_zip\" name=\"zip\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_county\">County<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_county\" name=\"county\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_congressional_district\">Congressional District<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_congressional_district\" name=\"congressional_district\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_phone_home\">Phone - Home<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_phone_home\" name=\"phone_home\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_phone_cell\">Phone - Cell<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_phone_cell\" name=\"phone_cell\" value=\"\">\r\n\t\t\t\t\t\t<div class=\"chai-help\">Please provide at least one phone number.<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t\t<label for=\"chai_email\">Email Address <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t\t<input type=\"email\" id=\"chai_email\" name=\"email\" value=\"\" required>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/fieldset>\r\n\r\n\t\t\t<fieldset>\r\n\t\t\t\t<legend>Social Media<\/legend>\r\n\r\n\t\t\t\t<div class=\"chai-help\" style=\"margin-bottom:14px;\">\r\n\t\t\t\t\tWhat social media groups are you a member of? What is your username, ID, or handle for each group?\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-form-grid-3\">\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_facebook\">Facebook<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_facebook\" name=\"facebook\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_instagram\">Instagram<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_instagram\" name=\"instagram\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t<label for=\"chai_x_handle\">X<\/label>\r\n\t\t\t\t\t\t<input type=\"text\" id=\"chai_x_handle\" name=\"x_handle\" value=\"\">\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/fieldset>\r\n\r\n\t\t\t<fieldset>\r\n\t\t\t\t<legend>Committee Interests<\/legend>\r\n\r\n\t\t\t\t<div class=\"chai-help\" style=\"margin-bottom:14px;\">\r\n\t\t\t\t\tPlease tell us which committee or committees best align with your interests and talents. We welcome your participation.\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-check-list\">\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"antisemitism\" >\r\n\t\t\t\t\t\t\t<span>Antisemitism<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"israel\" >\r\n\t\t\t\t\t\t\t<span>Israel<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"caring_for_america\" >\r\n\t\t\t\t\t\t\t<span>Caring for America<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"campaign_activities\" >\r\n\t\t\t\t\t\t\t<span>Campaign Activities<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"fundraising\" >\r\n\t\t\t\t\t\t\t<span>Fundraising<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"membership\" >\r\n\t\t\t\t\t\t\t<span>Membership<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"legislative\" >\r\n\t\t\t\t\t\t\t<span>Legislative<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t<label>\r\n\t\t\t\t\t\t\t<input type=\"checkbox\" name=\"committees[]\" value=\"bylaws\" >\r\n\t\t\t\t\t\t\t<span>Bylaws<\/span>\r\n\t\t\t\t\t\t<\/label>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/fieldset>\r\n\r\n\t\t\t<fieldset>\r\n\t\t\t\t<legend>Other Information<\/legend>\r\n\r\n\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t<label>Would your significant other like to join as an Associate Member ($35)? <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t<div class=\"chai-inline-options\">\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"significant_other_join\" value=\"yes\" > Yes<\/label>\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"significant_other_join\" value=\"no\" > No<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-conditional chai-hidden\" id=\"chai-significant-other-fields\">\r\n\t\t\t\t\t<div class=\"chai-form-grid\">\r\n\t\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t\t<label for=\"chai_significant_other_name\">Significant Other Name<\/label>\r\n\t\t\t\t\t\t\t<input type=\"text\" id=\"chai_significant_other_name\" name=\"significant_other_name\" value=\"\">\r\n\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<div class=\"chai-field\">\r\n\t\t\t\t\t\t\t<label for=\"chai_significant_other_email\">Significant Other Email<\/label>\r\n\t\t\t\t\t\t\t<input type=\"email\" id=\"chai_significant_other_email\" name=\"significant_other_email\" value=\"\">\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-field-full\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<label>May we share your contact information with other members via our membership roster? <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t<div class=\"chai-inline-options\">\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"share_contact\" value=\"yes\" > Yes<\/label>\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"share_contact\" value=\"no\" > No<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-field-full\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<label>Are you currently a member of an NFRW affiliated club? <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t<div class=\"chai-inline-options\">\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"nfrw_member\" value=\"yes\" > Yes<\/label>\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"nfrw_member\" value=\"no\" > No<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-conditional chai-hidden\" id=\"chai-nfrw-club-fields\">\r\n\t\t\t\t\t<div class=\"chai-form-grid\">\r\n\t\t\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t\t\t<label for=\"chai_nfrw_club_name\">Name of the NFRW Affiliated Club<\/label>\r\n\t\t\t\t\t\t\t<input type=\"text\" id=\"chai_nfrw_club_name\" name=\"nfrw_club_name\" value=\"\">\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-field-full\" style=\"margin-top:18px;\">\r\n\t\t\t\t\t<label>Have you held office for any Republican women\u2019s club or group? <span class=\"chai-required\">*<\/span><\/label>\r\n\t\t\t\t\t<div class=\"chai-inline-options\">\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"held_office\" value=\"yes\" > Yes<\/label>\r\n\t\t\t\t\t\t<label><input type=\"radio\" name=\"held_office\" value=\"no\" > No<\/label>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-conditional chai-hidden\" id=\"chai-held-office-fields\">\r\n\t\t\t\t\t<div class=\"chai-form-grid\">\r\n\t\t\t\t\t\t<div class=\"chai-field-full\">\r\n\t\t\t\t\t\t\t<label for=\"chai_office_details\">Club or Group Name and Position(s) Held<\/label>\r\n\t\t\t\t\t\t\t<textarea id=\"chai_office_details\" name=\"office_details\"><\/textarea>\r\n\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/fieldset>\r\n\r\n\t\t\t<fieldset>\r\n\t\t\t\t<legend>Annual Dues<\/legend>\r\n\r\n\t\t\t\t<div class=\"chai-help\" style=\"margin-bottom:14px;\">\r\n\t\t\t\t\tIf you are not already a member of an NFRW club, then Primary voting membership is for you at $50 per year. If you are already a voting member of an NFRW affiliated club and wish to remain a Primary member there, choose Associate membership at $35 per year.\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-inline-options\">\r\n\t\t\t\t\t<label><input type=\"radio\" name=\"membership_type\" value=\"member\" > <span>Member - $50<\/span><\/label>\r\n\t\t\t\t\t<label><input type=\"radio\" name=\"membership_type\" value=\"associate\" > <span>Associate - $35<\/span><\/label>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"chai-dues-box\">\r\n\t\t\t\t\t<div><strong>Payment Instructions:<\/strong> Please make checks payable to <strong>CHAI REPUBLICAN WOMEN<\/strong>.<\/div>\r\n\t\t\t\t\t<div style=\"margin-top:8px;\">\r\n\t\t\t\t\t\tMail completed application and check to:<br>\r\n\t\t\t\t\t\tDebbie Bodlander<br>\r\n\t\t\t\t\t\t6612 Glassell Court<br>\r\n\t\t\t\t\t\tAlexandria, VA 22310\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<div class=\"chai-total\">Estimated Total Due: <span id=\"chai-total-due\">$0.00<\/span><\/div>\r\n\t\t\t\t<\/div>\r\n\t\t\t<\/fieldset>\r\n\r\n\t\t\t<div class=\"chai-submit-wrap\">\r\n\t\t\t\t<button type=\"submit\">Submit Membership Application<\/button>\r\n\t\t\t<\/div>\r\n\t\t<\/form>\r\n\r\n\t\t<script>\r\n\t\t\t(function () {\r\n\t\t\t\tvar script = document.currentScript;\r\n\t\t\t\tif (!script) return;\r\n\r\n\t\t\t\tvar wrapper = script.closest('.chai-membership-form-wrap');\r\n\t\t\t\tif (!wrapper) return;\r\n\r\n\t\t\t\tvar form = wrapper.querySelector('form');\r\n\t\t\t\tif (!form) return;\r\n\r\n\t\t\t\tvar significantOtherFields = form.querySelector('#chai-significant-other-fields');\r\n\t\t\t\tvar nfrwFields = form.querySelector('#chai-nfrw-club-fields');\r\n\t\t\t\tvar heldOfficeFields = form.querySelector('#chai-held-office-fields');\r\n\t\t\t\tvar totalDue = form.querySelector('#chai-total-due');\r\n\r\n\t\t\t\tfunction isChecked(name, value) {\r\n\t\t\t\t\tvar input = form.querySelector('input[name=\"' + name + '\"][value=\"' + value + '\"]');\r\n\t\t\t\t\treturn !!(input && input.checked);\r\n\t\t\t\t}\r\n\r\n\t\t\t\tfunction toggleSection(name, value, target) {\r\n\t\t\t\t\tif (!target) return;\r\n\t\t\t\t\tif (isChecked(name, value)) {\r\n\t\t\t\t\t\ttarget.classList.remove('chai-hidden');\r\n\t\t\t\t\t} else {\r\n\t\t\t\t\t\ttarget.classList.add('chai-hidden');\r\n\t\t\t\t\t}\r\n\t\t\t\t}\r\n\r\n\t\t\t\tfunction updateTotal() {\r\n\t\t\t\t\tvar total = 0;\r\n\r\n\t\t\t\t\tif (isChecked('membership_type', 'member')) {\r\n\t\t\t\t\t\ttotal += 50;\r\n\t\t\t\t\t} else if (isChecked('membership_type', 'associate')) {\r\n\t\t\t\t\t\ttotal += 35;\r\n\t\t\t\t\t}\r\n\r\n\t\t\t\t\tif (isChecked('significant_other_join', 'yes')) {\r\n\t\t\t\t\t\ttotal += 35;\r\n\t\t\t\t\t}\r\n\r\n\t\t\t\t\tif (totalDue) {\r\n\t\t\t\t\t\ttotalDue.textContent = '$' + total.toFixed(2);\r\n\t\t\t\t\t}\r\n\t\t\t\t}\r\n\r\n\t\t\t\tform.addEventListener('change', function () {\r\n\t\t\t\t\ttoggleSection('significant_other_join', 'yes', significantOtherFields);\r\n\t\t\t\t\ttoggleSection('nfrw_member', 'yes', nfrwFields);\r\n\t\t\t\t\ttoggleSection('held_office', 'yes', heldOfficeFields);\r\n\t\t\t\t\tupdateTotal();\r\n\t\t\t\t});\r\n\r\n\t\t\t\ttoggleSection('significant_other_join', 'yes', significantOtherFields);\r\n\t\t\t\ttoggleSection('nfrw_member', 'yes', nfrwFields);\r\n\t\t\t\ttoggleSection('held_office', 'yes', heldOfficeFields);\r\n\t\t\t\tupdateTotal();\r\n\t\t\t})();\r\n\t\t<\/script>\r\n\t<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Become A Member Home \/ Member Form Membership Form Become A Chai Republican Women Please complete the form below and your membership payment. Please allow 7-14 days so we can [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-481","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/pages\/481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=481"}],"version-history":[{"count":12,"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/pages\/481\/revisions"}],"predecessor-version":[{"id":499,"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=\/wp\/v2\/pages\/481\/revisions\/499"}],"wp:attachment":[{"href":"https:\/\/chairepublicanwomen.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}