{"id":5232,"date":"2025-04-17T04:37:53","date_gmt":"2025-04-17T04:37:53","guid":{"rendered":"https:\/\/stemcellthai.redcross.or.th\/?page_id=5232"},"modified":"2025-04-17T04:37:53","modified_gmt":"2025-04-17T04:37:53","slug":"membership-registration","status":"publish","type":"page","link":"https:\/\/stemcellthai.redcross.or.th\/?page_id=5232","title":{"rendered":"Registration"},"content":{"rendered":"<div class=\"swpm-registration-widget-form\">\n    <div class=\"row\">\n        <div class=\"col-md-7 swpm-registration-detail\">\n            <h3>Sign up for FREE<\/h3>\n            <p>To receive the right to download documents and news from the Thai National Stem Cell Donor Registry (TSCDR) National Blood Centre<\/p>\n            <img decoding=\"async\" src=\"https:\/\/stemcellthai.redcross.or.th\/wp-content\/plugins\/simple-membership\/images\/register.png\" \/>\n        <\/div>\n        <div class=\"col-md-5\">\n            <form id=\"swpm-registration-form\" class=\"swpm-validate-form\" name=\"swpm-registration-form\" method=\"post\" action=\"\">\n                <input type =\"hidden\" name=\"level_identifier\" value=\"c81e728d9d4c2f636f067f89cc14862c\" \/>\n                <div class=\"row\">\n                    <div class=\"col-md-6\">\n                        <div class=\"form-group\">\n                            <label for=\"first_name\">First Name <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"  autocomplete=\"off\" class=\"form-control validate[required]\" id=\"first_name\" value=\"\" size=\"50\" name=\"first_name\">\n                        <\/div>\n                    <\/div>\n                    <div class=\"col-md-6\">\n                        <div class=\"form-group\">\n                            <label for=\"last_name\">Last Name <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"  autocomplete=\"off\" class=\"form-control validate[required]\" id=\"last_name\" value=\"\" size=\"50\" name=\"last_name\">\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"row\">\n                    <div class=\"col-md-12\">\n                        <div class=\"form-group\">\n                            <label for=\"user_name\">Username <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\"  autocomplete=\"off\" id=\"user_name\" class=\"form-control validate[required,custom[noapostrophe],custom[SWPMUserName],minSize[4],ajax[ajaxUserCall]]\" value=\"\" size=\"50\" name=\"user_name\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"row\">\n                    <div class=\"col-md-12\">\n                        <div class=\"form-group\">\n                            <label for=\"email\">Email <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\" autocomplete=\"off\" id=\"email\" class=\"form-control validate[required,custom[email],ajax[ajaxEmailCall]]\" value=\"\" size=\"50\" name=\"email\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"row\">\n                    <div class=\"col-md-12\">\n                        <div class=\"form-group\">\n                            <label for=\"password\">Password <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"password\" autocomplete=\"off\" id=\"password\" class=\"form-control validate[minSize[8]] \" value=\"\" size=\"50\" name=\"password\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"row\">\n                    <div class=\"col-md-12\">\n                        <div class=\"form-group\">\n                            <label for=\"password_re\">Repeat Password <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"password\" class=\"form-control validate[minSize[8]]\" autocomplete=\"off\" id=\"password_re\" value=\"\" size=\"50\" name=\"password_re\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n                <div class=\"row\">\n                    <div class=\"col-md-12\">\n                        <div class=\"form-group\">\n                            <label for=\"notes\">Reason for Access <span style=\"color:red;\">*<\/span><\/label>\n                            <input type=\"text\" class=\"form-control validate[required]\" autocomplete=\"off\" id=\"notes\" value=\"\" size=\"255\" name=\"notes\" \/>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <input type=\"hidden\" value=\"2\" size=\"50\" name=\"membership_level\" id=\"membership_level\" \/><input type=\"hidden\" name=\"swpm_level_hash\" value=\"7317c1e1a712d7fe25b218cf519e3153\" \/>\n                <div class=\"swpm-before-registration-submit-section\" align=\"center\"><\/div>\n\n                <div class=\"row\">\n                    <div class=\"col-sm-5\">\n                        <input type=\"reset\" class=\"btn btn-secondary btn-block\" value=\"Clear Data\" style=\"margin-bottom:10px;\" \/>\n                    <\/div>\n                    <div class=\"col-sm-7\">\n                        <input type=\"submit\" value=\"Sign Up\" class=\"btn btn-danger btn-block swpm-registration-submit\" name=\"swpm_registration_submit\" \/>\n                    <\/div>\n                <\/div>\n                <input type=\"hidden\" name=\"action\" value=\"custom_posts\" \/>\n            <\/form>\n        <\/div>\n    <\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":0,"featured_media":0,"parent":3358,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5232","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=\/wp\/v2\/pages\/5232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5232"}],"version-history":[{"count":0,"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=\/wp\/v2\/pages\/5232\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=\/wp\/v2\/pages\/3358"}],"wp:attachment":[{"href":"https:\/\/stemcellthai.redcross.or.th\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}