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{"id":475,"date":"2020-11-13T01:26:25","date_gmt":"2020-11-13T01:26:25","guid":{"rendered":"https:\/\/avanclubaust.org.au\/wordpress\/?page_id=475"},"modified":"2020-11-13T01:26:26","modified_gmt":"2020-11-13T01:26:26","slug":"joinform","status":"publish","type":"page","link":"https:\/\/avanclubaust.org.au\/wordpress\/joinform\/","title":{"rendered":"JoinForm"},"content":{"rendered":"<form action='\/xfile\/20231021membershipbackendv4.php' id='MemberUpdForm' method='post' name='MemberUpdForm'><div class='form-aca-prs'><ul><li><img alt='' src='\/logos\/AvanClublogo311yellow.png' style='width: 80px; height: 80px; float: left;margin-right: 25px;' \/><font color='#144f62'><span style='font-size: 30px;'><br style='line-height: .5em;'><b>Membership Application Form<\/b><\/font><\/span><\/li><div style='border-bottom: 1px solid #0d414c;'><\/div><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><p style='margin-left:15px;margin-right:15px;'>Club membership is open to owners of <b>'A' shaped folding campers<\/b> manufactured by A'van Campers Pty. Ltd.<\/p><p style='margin-left:15px;margin-right:15px;'>Please submit form with a <b>$45 eft payment<\/b> to the <b>A'van Club of Australia Inc.<\/b> - this covers a <b>$15<\/b> joining fee, plus <b>$30<\/b> annual subscription.<\/p><p style='margin-left:15px;margin-right:15px;text-indent: 50px;'><b>Annual subscriptions are all due on March 31 each year.<b><\/p><\/div><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><div style='font-size:1.2em;font-weight: bold;padding: 20px;'><li>Please Pay by Electronic Funds Transfer<\/li><div><li><\/li><div style='line-height:1em;'><\/div><div class='aca-grid-Coord' style='font-size:0.7em;grid-template-columns: auto 32% 3% 55% auto;'><div class='aca-grid-Coord-text1' style='grid-area: text11'>Account Name:<\/div><div class='aca-grid-Coord-text2' style='grid-area: text12'>Avan Club of Australia Inc<\/div><div class='aca-grid-Coord-text1' style='grid-area: text21'>BSB Number:<\/div><div class='aca-grid-Coord-text2' style='grid-area: text22'>062 519<\/div><div class='aca-grid-Coord-text1' style='grid-area: text31'>Account number:<\/div><div class='aca-grid-Coord-text2' style='grid-area: text32'>10259739<\/div><div class='aca-grid-Coord-text1' style='grid-area: text41'>Amount:<\/div><div class='aca-grid-Coord-text2' style='grid-area: text42'>$45<\/div><div class='aca-grid-Coord-text1' style='grid-area: text51'>Reference:<\/div><div class='aca-grid-Coord-text2' style='grid-area: text52;color:Red;'>Please put 'New' and your Surname<\/div><\/div><\/div><\/div><\/div><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><li>Please enter up to two names per application;<\/li><li><div class='flabel' style='width:32.5ch;'><label for='title1'>Title *&nbsp;&nbsp;<\/label><select id='Title1' name='Title1' class='field-style' style='max-width:7ch;'>&nbsp;<option value='--'>--<\/option><option value='Mr'>Mr<\/option><option value='Mrs'>Mrs<\/option><option value='Ms'>Ms<\/option><option value='Miss'>Miss<\/option><option value='Dr'>Dr<\/option><\/select><\/div><div style='width:35ch;'><\/div><\/li><li><div class='flabel'><label for='firstname'>First Name *<\/label><input maxlength='50' name='firstname' type='text' class='field-style' value='' \/><\/div><div class='flabel'><label for='lastname'>Last Name *<\/label><input maxlength='50' name='lastname' type='text' class='field-style' value='' style='text-align:left;' \/><\/div><div class='flabel' style='width: 41.5ch'><label for='mobile'>Mobile Phone<\/label><input style='max-width:13ch;' maxlength='13' name='mobile' type='text' class='field-style' value='' style='text-align:left; border:1; background-color:white;' \/><\/div><\/li><li><div class='flabel' style='width:32.5ch;'><label for='title2'>Partner&#39;s Title&nbsp;&nbsp;<\/label><select id='Title2' name='Title2' class='field-style' style='max-width:7ch;'>&nbsp;<option value='--'>--<\/option><option value='Mr'>Mr<\/option><option value='Mrs'>Mrs<\/option><option value='Ms'>Ms<\/option><option value='Miss'>Miss<\/option><option value='Dr'>Dr<\/option><\/select><\/div><\/li><li><div class='flabel'><label for='partnerfirstname'>Partner&#39;s First Name&nbsp;<\/label><input maxlength='50' name='partnerfirstname' type='text' class='field-style' value='' style='text-align:left;' \/><\/div><div class='flabel'><label for='partnerlastname'>Partner&#39;s Last Name&nbsp;<\/label><input maxlength='50' name='partnerlastname' type='text' class='field-style' value='' style='text-align:left;' \/><\/div><div class='flabel' style='width: 41.5ch'><label for='mobile2'>Partner&#39;s Mobile Phone<\/label><input style='max-width:13ch;' maxlength='13' name='mobile2' type='text' class='field-style' value='' style='text-align:left; border:1; background-color:white;' \/><\/div><\/li><div style='border-bottom: 1px solid #0d414c;'><\/div><li><div class='flabel'><label for='email'>Email Address *<\/label><input maxlength='50' name='email' type='text' class='field-style' value='' style='text-align:left;' \/><\/div><\/li><li><div class='flabel' style='width: 41.5ch'><label for='Phone'>Home Phone<\/label><input style='max-width:13ch;' maxlength='13' name='Phone' type='text' class='field-style' value='' style='text-align:left; border:1; background-color:white;' \/><\/div><\/li><div style='border-bottom: 1px solid #0d414c;'><\/div><li><div class='flabel'><label for='streetandnumber'>Number and Street *<\/label><input maxlength='50' name='streetandnumber' type='text' class='field-style' value='' \/><\/div><div class='flabel'><label for='Address2'>Address Line 2<\/label><input maxlength='50' name='Address2' type='text'  class='field-style' value='' \/><\/div><div class='flabel'><label for='Address3'>Address Line 3<\/label><input maxlength='50' name='Address3' type='text' class='field-style' value='' \/><\/div><\/li><li><div class='flabel'><label for='suburb'>Town\/Suburb *<\/label><input maxlength='50' name='suburb' type='text' class='field-style' value='' \/><\/div><div class='flabel' style='width: 33.5ch'><label for='state'>State *&nbsp;<\/label><select id='state' name='state' class='field-style'>&nbsp;<option value='--'>--<\/option><option value='ACT'>ACT<\/option><option value='NSW'>NSW<\/option><option value='NT'>NT<\/option><option value='QLD'>QLD<\/option><option value='SA'>SA<\/option><option value='TAS'>TAS<\/option><option value='VIC'>VIC<\/option><option value='WA'>WA<\/option><option value='Other'>Other<\/option><\/select><\/div><div style='width: 32.5ch'><\/div><div class='flabel' style='width: 32.5ch'><label for='postcode'>Post Code *&nbsp;<\/label><input maxlength='4' name='postcode' size='6' type='text' class='field-style' style='min-width:6ch;max-width:6ch;' value='' \/><\/div><li><div class=\"flabel\"><label for=\"AvanType\" style=\"min-width:47ch;\">Current Avan Owned *&nbsp;<select id=\"AvanType\" name=\"AvanType\" class=\"field-style\" style=\"max-width:45ch;float:right;\">&nbsp;<option value=\"--\">--<\/option><option  value=\"Alite\">A&#39;van Alite<\/option><option  value=\"Sportliner\">A&#39;van Sportliner<\/option><option  value=\"Sportliner_PK\">A&#39;van Sportliner Adventure pack<\/option><option  value=\"Aliner\">A&#39;van Aliner<\/option><option  value=\"Aliner_PK\">A&#39;van Aliner Adventure Pack<\/option><option  value=\"Aliner_AP\">A&#39;van Aliner Adventure Plus<\/option><option  value=\"Cruiser\">A&#39;van Cruiser<\/option><option  value=\"Cruiser_PK\">A&#39;van Cruiser Adventure Pack<\/option><option  value=\"Cruiser_AP\">A&#39;van Cruiser Adventure Plus<\/option><option  value=\"Cruiseliner\">A&#39;van Cruiseliner<\/option><option  value=\"Cruiseliner_PK\">A&#39;van Cruiseliner Adventure Pack<\/option><option  value=\"Cruiseliner_AP\">A&#39;van Cruiseliner Adventure Plus<\/option><\/select><\/label><\/div><\/li><div style='border-bottom: 1px solid #0d414c;'><\/div><\/div><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><li><div style='text-indent: 50px;margin-top:10px;'>If you are using a P.O. Box address and would like your home Town\/Suburb on your badge, please enter it here.<\/div><div class='flabel'><label for='BadgeLocation'>Badge Town\/Suburb&nbsp;<\/label><input maxlength='50' name='BadgeLocation' type='text' class='field-style'  value='' \/><\/div><\/div><\/li><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><li><div style='text-indent: 50px;'>If 'yes' is selected to AMD option (default), you are giving permission for your names, town or suburb, post code, phone number and email address to be shown in the 'Members Directory'. Only viewable by other members. The 'AMD Phone' will contain your mobile phone number. You may prefer to select 'Partner's Mobile' or 'Home Phone' as your contact Phone number.<\/div><div class='flabel' style='max-width:20ch;'><label style='min-width:10ch;' for='AMD'>AMD *&nbsp;<\/label><select id='AMD' name='AMD' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option selected=selected value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width: 37ch;'><label Style='min-width: 15ch;' for='Phonechoice'>AMD Phone&nbsp;<\/label><select id='Phonechoice' name='Phonechoice' class='field-style'>&nbsp;<option value='AMDMobile'>Mobile <\/option><option value='AMDMobile2'>Partner&#39;s Mobile<\/option><option value='AMDHome'>Home Phone<\/option><\/select><\/div><div style='text-indent: 50px;margin-top:10px;'>Only enter the 'AMD Town\/Suburb' if the suburb\/town where you live is different to your postal address above.<\/div><div  class='flabel'><label for='AMDLocation'>AMD Town\/Suburb&nbsp;<\/label><input maxlength='50' name='AMDLocation' type='text' class='field-style'  value='' \/><\/div><\/div><\/li><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><li><div>Optional:<\/div><div style='text-indent: 50px;'>A'van Assist are member's who are willing to provide assistance to other A'vanners during their travels. Selecting 'Yes' to Avan Assist is where you allow your names and contact details to be listed for members to contact you if they are in your area and need information and\/or a possible overnight stay. Select 'yes' to be contacted to provide information and select 'Yes' if you are happy to 'Allow an Over Night stay'<\/div><div class='flabel' style='max-width:42ch;'><label for='AvanAssist'>A'van Assist, provide information&nbsp;<\/label><select id='AvanAssist' name='AvanAssist' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:26.5ch;'><label style='min-width:15ch;' for='AAPark'>Allow O\/Nite Park&nbsp;<select id='AAPark' name='AAPark' class='field-yesno'>&nbsp;<\/label><option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><\/div><div><\/li><div style='margin-bottom:15px;'><\/div><div class='form-aca-prs' style='border: 0px solid #0d414c;'><li><div>Optional:<\/div><div style='text-indent: 50px;'>Select the Regional Group or Groups nearest you that you would call your Home group, that you would like to attend as members. For example, if you live near NSW South Coast, you may also like to attend Events from the ACT and\/or NSW Greater Sydney. If you live in Victoria, you may wish to attend the Vic A'vanner events and the Vic Strzelecki events on a regular basis. You should only select the regions nearest to you. This selected information is so that Regional Co-ordinators may contact you and welcome you to events and update you with information.<\/div><div style='text-indent: 50px;'>Note that when you are a club member, you may attend any of the club events advertised in the calendar. Just book with park and confirm attendance with the event Hosts or as directed in the calendar details.<\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='ACT'>ACT&nbsp;<\/label><select id='ACT' name='ACT' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='NSWSYD'>NSW Gtr Syd&nbsp;<\/label><select id='NSWSYD' name='NSWSYD' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='NSWMID'>NSW Mid Nth&nbsp;<\/label><select id='NSWMID' name='NSWMID' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='NSWSCst'>NSW Sth Cst&nbsp;<\/label><select id='NSWSCst' name='NSWSCst' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='QLDCntl'>QLD Central&nbsp;<\/label><select id='QLDCntl' name='QLDCntl' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='QLDFNth'>QLD Far Nth&nbsp;<\/label><select id='QLDFNth' name='QLDFNth' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='QLDSE'>QLD Sth East&nbsp;<\/label><select id='QLDSE' name='QLDSE' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='QLDWB'>QLD Wide Bay&nbsp;<\/label><select id='QLDWB' name='QLDWB' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='SA'>SA&nbsp;&nbsp;<\/label><select id='SA' name='SA' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='SOLO'>SOLO&nbsp;<\/label><select id='SOLO' name='SOLO' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='TAS'>TAS&nbsp;<\/label><select id='TAS' name='TAS' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='VIC'>VIC&nbsp;<\/label><select id='VIC' name='VIC' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='VICStrz'>VIC Strz&nbsp;<\/label><select id='VICStrz' name='VICStrz' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><div class='flabel' style='max-width:24.5ch;'><label style='min-width:13ch;max-width:13ch;' for='WA'>WA&nbsp;<\/label><select id='WA' name='WA' class='field-yesno'>&nbsp;<option value='No'>No<\/option><option value='Yes'>Yes<\/option><\/select><\/div><\/div><\/li><div style='border-bottom: 2px solid #0d414c;'><\/div><div style='margin-bottom:15px;'><\/div><div style='margin-left:25px;margin-right:25px;'>I\/We agree that by submitting this Membership Application, that I\/We have read the Information and Policy statements and agree to abide by the rules of the A'van Club of Australia Inc.<\/div><li><div style='margin-left:auto;margin-right:auto;'><button name='Update' style='margin-top:25px;margin-bottom:25px;padding: 15px 15px; font-size:24px;' type='submit' value='Update'><strong>Click Here to Submit Your Membership Application<\/strong><\/button><\/div><\/li><\/form><li><div id='footer'>Copyright &copy; avanclubaust.org.au<\/div><\/li><\/ul><\/div><p>&nbsp;<\/p><p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-475","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/pages\/475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/comments?post=475"}],"version-history":[{"count":1,"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/pages\/475\/revisions"}],"predecessor-version":[{"id":476,"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/pages\/475\/revisions\/476"}],"wp:attachment":[{"href":"https:\/\/avanclubaust.org.au\/wordpress\/wp-json\/wp\/v2\/media?parent=475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}