{"id":77,"date":"2015-07-09T04:27:17","date_gmt":"2015-07-09T04:27:17","guid":{"rendered":"http:\/\/cartexcel.com\/vetsplus\/?page_id=77"},"modified":"2015-07-13T05:25:27","modified_gmt":"2015-07-13T05:25:27","slug":"pre-registration","status":"publish","type":"page","link":"https:\/\/cartexcel-demo.com\/vetsplus\/pre-registration\/","title":{"rendered":"Pre Registration"},"content":{"rendered":"<p>[et_pb_section][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<div id=\"vfb-form-1\" class=\"visual-form-builder-container\"><form id=\"create-a-profile-1\" class=\"visual-form-builder vfb-form-1 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"1\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 create-a-profile \" id=\"item-vfb-1\"><div class=\"vfb-legend\"><h3>CREATE A PROFILE<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-5\"><label for=\"vfb-5\" class=\"vfb-desc\">FIRST NAME <\/label><input type=\"text\" name=\"vfb-5\" id=\"vfb-5\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-6\"><label for=\"vfb-6\" class=\"vfb-desc\">LAST NAME <\/label><input type=\"text\" name=\"vfb-6\" id=\"vfb-6\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-7\"><label for=\"vfb-7\" class=\"vfb-desc\">GENDER <\/label><input type=\"text\" name=\"vfb-7\" id=\"vfb-7\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-8\"><label for=\"vfb-8\" class=\"vfb-desc\">DATE OF BIRTH <\/label><input type=\"text\" name=\"vfb-8\" id=\"vfb-8\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-16\"><label for=\"vfb-16\" class=\"vfb-desc\">ADDRESS <\/label><div><textarea name=\"vfb-16\" id=\"vfb-16\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-10\"><label for=\"vfb-10\" class=\"vfb-desc\">CITY\/TOWN <\/label><input type=\"text\" name=\"vfb-10\" id=\"vfb-10\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-11\"><label for=\"vfb-11\" class=\"vfb-desc\">POSTAL CODE <\/label><input type=\"text\" name=\"vfb-11\" id=\"vfb-11\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-12\"><label for=\"vfb-12\" class=\"vfb-desc\">PHONE <\/label><input type=\"text\" name=\"vfb-12\" id=\"vfb-12\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-13\"><label for=\"vfb-13\" class=\"vfb-desc\">CREDIT CARD NUMBER <\/label><input type=\"text\" name=\"vfb-13\" id=\"vfb-13\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-14\"><label for=\"vfb-14\" class=\"vfb-desc\">EXPIRATION DATE <\/label><input type=\"text\" name=\"vfb-14\" id=\"vfb-14\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-15\"><label for=\"vfb-15\" class=\"vfb-desc\">CARD SECURITY CODE <\/label><input type=\"text\" name=\"vfb-15\" id=\"vfb-15\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-38\"><label for=\"vfb-38\" class=\"vfb-desc\">Image upload  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-38\" id=\"vfb-38\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif|pdf'}\" \/><label>Upload your advertisement images here. Max of 1MB<\/label><\/span><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-2\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-3\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-3\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-3\" id=\"vfb-3\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - <strong>please leave it blank<\/strong>:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-4\">\n\t\t\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-4\" value=\"CONTINUE\" class=\"vfb-submit \" \/>\n\t\t\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/vetsplus\/wp-json\/wp\/v2\/pages\/77\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;] [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/pages\/77"}],"collection":[{"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/comments?post=77"}],"version-history":[{"count":1,"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/pages\/77\/revisions"}],"predecessor-version":[{"id":164,"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/pages\/77\/revisions\/164"}],"wp:attachment":[{"href":"https:\/\/cartexcel-demo.com\/vetsplus\/wp-json\/wp\/v2\/media?parent=77"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}