{"id":1878,"date":"2018-06-09T02:17:04","date_gmt":"2018-06-09T02:17:04","guid":{"rendered":"https:\/\/www.mouvementpourlapaix.org\/?page_id=1878"},"modified":"2019-01-21T21:28:29","modified_gmt":"2019-01-21T21:28:29","slug":"new-member","status":"publish","type":"page","link":"https:\/\/hamopa.org\/?page_id=1878","title":{"rendered":"Become a new member&#8230;"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1871 aligncenter\" src=\"https:\/\/hamopa.org\/wp-content\/uploads\/2018\/06\/member-image-300x97.png\" alt=\"\" width=\"547\" height=\"177\" srcset=\"https:\/\/hamopa.org\/wp-content\/uploads\/2018\/06\/member-image-300x97.png 300w, https:\/\/hamopa.org\/wp-content\/uploads\/2018\/06\/member-image.png 395w\" sizes=\"auto, (max-width: 547px) 100vw, 547px\" \/><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-1870\"><form id=\"wpforms-form-1870\" class=\"wpforms-validate wpforms-form\" data-formid=\"1870\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1878\" data-token=\"72d2e80bbc0c8b41c692951a1040f2a1\" data-token-time=\"1776482354\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1870-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_0\">Please enter Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1870-field_0\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][0]\" required><\/div><div id=\"wpforms-1870-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_7\">Phone Number<\/label><input type=\"text\" id=\"wpforms-1870-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-1870-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_1\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1870-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">Please enter your email, so we can follow up with you.<\/div><\/div><div id=\"wpforms-1870-field_2-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1870-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_2_1\" name=\"wpforms[fields][2]\" value=\"Mal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_2_1\">Mal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_2_2\" name=\"wpforms[fields][2]\" value=\"Femal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_2_2\">Femal<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_2_3\" name=\"wpforms[fields][2]\" value=\"Transgender\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_2_3\">Transgender<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_2_4\" name=\"wpforms[fields][2]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_2_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-1870-field_8-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_8\">Country<\/label><select id=\"wpforms-1870-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\"><option value=\"Aruba\"  class=\"choice-1 depth-1\"  >Aruba<\/option><option value=\"Haiti\"  class=\"choice-2 depth-1\"  >Haiti<\/option><option value=\"USA\"  class=\"choice-3 depth-1\"  >USA<\/option><option value=\"Canada\"  class=\"choice-4 depth-1\"  >Canada<\/option><option value=\"Bahamas\"  class=\"choice-5 depth-1\"  >Bahamas<\/option><option value=\"Argentine\"  class=\"choice-6 depth-1\"  >Argentine<\/option><option value=\"Dominican Republic\"  class=\"choice-7 depth-1\"  >Dominican Republic<\/option><option value=\"Dominican Republic\"  class=\"choice-8 depth-1\"  >Dominican Republic<\/option><option value=\"Brazil\"  class=\"choice-9 depth-1\"  >Brazil<\/option><option value=\"Cuba\"  class=\"choice-10 depth-1\"  >Cuba<\/option><option value=\"Germany\"  class=\"choice-11 depth-1\"  >Germany<\/option><option value=\"Chillee\"  class=\"choice-12 depth-1\"  >Chillee<\/option><option value=\"Other\"  class=\"choice-13 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-1870-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Do you live in Haiti<\/label><ul id=\"wpforms-1870-field_21\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_21_1\" name=\"wpforms[fields][21]\" value=\"YES\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_21_1\">YES<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_21_2\" name=\"wpforms[fields][21]\" value=\"NO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_21_2\">NO<\/label><\/li><\/ul><\/div><div id=\"wpforms-1870-field_10-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_10\">If you live in Haiti, please mention where, otherwise select the NO button in the list below...<\/label><select id=\"wpforms-1870-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\"><option value=\"Port-au-Prince\"  class=\"choice-1 depth-1\"  >Port-au-Prince<\/option><option value=\"Delmas\"  class=\"choice-2 depth-1\"  >Delmas<\/option><option value=\"Carrefour\"  class=\"choice-3 depth-1\"  >Carrefour<\/option><option value=\"Petion-ville\"  class=\"choice-4 depth-1\"  >Petion-ville<\/option><option value=\"Carrefour\"  class=\"choice-5 depth-1\"  >Carrefour<\/option><option value=\"Gerssier\"  class=\"choice-6 depth-1\"  >Gerssier<\/option><option value=\"Leogane\"  class=\"choice-7 depth-1\"  >Leogane<\/option><option value=\"Miragoane\"  class=\"choice-8 depth-1\"  >Miragoane<\/option><option value=\"Grand-Goave\"  class=\"choice-9 depth-1\"  >Grand-Goave<\/option><option value=\"Petit-Goave\"  class=\"choice-10 depth-1\"  >Petit-Goave<\/option><option value=\"Acquin\"  class=\"choice-11 depth-1\"  >Acquin<\/option><option value=\"Jacmel\"  class=\"choice-12 depth-1\"  >Jacmel<\/option><option value=\"Cayes\"  class=\"choice-13 depth-1\"  >Cayes<\/option><option value=\"Jeremie\"  class=\"choice-14 depth-1\"  >Jeremie<\/option><option value=\"Pestel\"  class=\"choice-15 depth-1\"  >Pestel<\/option><option value=\"Thomonde\"  class=\"choice-16 depth-1\"  >Thomonde<\/option><option value=\"Bomond\"  class=\"choice-17 depth-1\"  >Bomond<\/option><option value=\"Hinche\"  class=\"choice-18 depth-1\"  >Hinche<\/option><option value=\"Mirbalais\"  class=\"choice-19 depth-1\"  >Mirbalais<\/option><option value=\"Cerca-La-Source\"  class=\"choice-20 depth-1\"  >Cerca-La-Source<\/option><option value=\"Arcahaie\"  class=\"choice-21 depth-1\"  >Arcahaie<\/option><option value=\"Montruie\"  class=\"choice-22 depth-1\"  >Montruie<\/option><option value=\"Saint-Marc\"  class=\"choice-23 depth-1\"  >Saint-Marc<\/option><option value=\"Cap-Haitien\"  class=\"choice-24 depth-1\"  >Cap-Haitien<\/option><option value=\"Port-de-Paix\"  class=\"choice-25 depth-1\"  >Port-de-Paix<\/option><option value=\"Mole Saint-Nicolas\"  class=\"choice-26 depth-1\"  >Mole Saint-Nicolas<\/option><option value=\"Saint-Louis du nord\"  class=\"choice-27 depth-1\"  >Saint-Louis du nord<\/option><option value=\"Saint-Louis du Sud\"  class=\"choice-28 depth-1\"  >Saint-Louis du Sud<\/option><option value=\"Cavaillon\"  class=\"choice-29 depth-1\"  >Cavaillon<\/option><option value=\"Lester\"  class=\"choice-30 depth-1\"  >Lester<\/option><option value=\"Pont Sond\u00e9\"  class=\"choice-31 depth-1\"  >Pont Sond\u00e9<\/option><option value=\"Marchant Dessalnes\"  class=\"choice-32 depth-1\"  >Marchant Dessalnes<\/option><option value=\"Port-Salut\"  class=\"choice-33 depth-1\"  >Port-Salut<\/option><option value=\"Croix- Des- Bouquets\"  class=\"choice-34 depth-1\"  >Croix- Des- Bouquets<\/option><option value=\"Other\"  class=\"choice-35 depth-1\"  >Other<\/option><option value=\"NO\"  class=\"choice-36 depth-1\"  >NO<\/option><\/select><\/div><div id=\"wpforms-1870-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_3\">Subject <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1870-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-1870-field_4-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_4\">Message <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1870-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/textarea><div class=\"wpforms-field-description\">Tell us more about you <\/div><\/div><div id=\"wpforms-1870-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_16\">Why do you want to be a member of the organization? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1870-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/textarea><\/div><div id=\"wpforms-1870-field_17-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_17\">Haiti Mouvement Pour La Paix is not and will never be a political party. Tell us what do you think that! <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-1870-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/textarea><\/div><div id=\"wpforms-1870-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Every member of HAMOPA is a messenger of peace, are you ready to become one? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-1870-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_28_1\" name=\"wpforms[fields][28]\" value=\"YES\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_28_1\">YES<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-1870-field_28_2\" name=\"wpforms[fields][28]\" value=\"NO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1870-field_28_2\">NO<\/label><\/li><\/ul><\/div><div id=\"wpforms-1870-field_26-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_26\">How did you hear about us? <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-1870-field_26\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][26]\" required=\"required\"><option value=\"Facebook\"  class=\"choice-1 depth-1\"  >Facebook<\/option><option value=\"LinkedIN\"  class=\"choice-2 depth-1\"  >LinkedIN<\/option><option value=\"Tweeter\"  class=\"choice-3 depth-1\"  >Tweeter<\/option><option value=\"Instagram\"  class=\"choice-4 depth-1\"  >Instagram<\/option><option value=\"Whatsup\"  class=\"choice-5 depth-1\"  >Whatsup<\/option><option value=\"Freind\"  class=\"choice-6 depth-1\"  >Freind<\/option><option value=\"Radio\"  class=\"choice-7 depth-1\"  >Radio<\/option><option value=\"TV\"  class=\"choice-8 depth-1\"  >TV<\/option><\/select><\/div><div id=\"wpforms-1870-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-1870-field_18\">PRINT YOUR NAME <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1870-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1870\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/hamopa.org\/index.php?rest_route=\/wp\/v2\/pages\/1878\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1870\" class=\"wpforms-submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<div id=\"cp6e4f889901\" style=\"margin: 10px 0\" onclick=\"document.getElementById('pay_now_form_08f45ad0c8').submit()\">\n<div><div class=\"r-bg \"><span class=\"r-fg r-fg-3\"><\/span> <span class=\"r-fg r-fg-2\"><\/span> <span class=\"r-fg r-fg-1\"><\/span> <span class=\"r-fg r-fg-0\"><\/span> <\/div>\n<form action=\"https:\/\/checkout.globalgatewaye4.firstdata.com\/pay\" id=\"pay_now_form_08f45ad0c8\" method=\"post\"><input type=\"hidden\" name=\"x_login\" value=\"WSP-HAITI-tED@kwCuQg\"><input type=\"hidden\" name=\"x_show_form\" value=\"PAYMENT_FORM\"><input type=\"hidden\" name=\"x_fp_sequence\" value=\"1535332872214092554\"><input type=\"hidden\" name=\"x_fp_hash\" value=\"PNB-1.0-95dbda9099c35da487a10dbefbd5d587b5b17267\"><input type=\"hidden\" name=\"x_amount\" value=\"\"><input type=\"hidden\" name=\"x_currency_code\" value=\"USD\"><input type=\"hidden\" name=\"x_test_request\" value=\"FALSE\"><input type=\"hidden\" name=\"x_relay_response\" value=\"\"><input type=\"hidden\" name=\"donation_prompt\" value=\"\"><input type=\"hidden\" name=\"button_code\" value=\"Pay Now Haiti Mouvement Pour La Pai\"><div class=\"cpwrap\"><button type=\"button\">Donate Now<\/button><\/div>\n<\/form>\n<div class=\"r-bg \"><span class=\"r-fg r-fg-0\"><\/span> <span class=\"r-fg r-fg-1\"><\/span> <span class=\"r-fg r-fg-2\"><\/span> <span class=\"r-fg r-fg-3\"><\/span> <\/div>\n<\/div>\n<\/div>\n<style type=\"text\/css\">div#cp6e4f889901{width: 200px; 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