
<!--HTML for displaying registration form-->
<div id="crf-form">
  <form enctype="multipart/form-data" method="post" action="" id="crf_contact_form" name="crf_contact_form">
  <input type="hidden" id="_wpnonce" name="_wpnonce" value="e30cc2fdee" /><input type="hidden" name="_wp_http_referer" value="/wordpress/wp-json/wp/v2/pages/173" />  <input type="hidden" value="1784639201" name="crf_timestamp" />
  <input type="hidden" value="17846392011" name="crf_key" />
    <div class="info-text">Application to Join REA Radio Branch

(Please read the footnote before submitting this form).</div>
    
   <div class="crf_contact_form">
            
            
      <div class="formtable">
        <div class="crf_label">
          <label for="user_login">Username          </label>
        </div>
        <div class="crf_input crf_required">
          <input type="text" size="20" onblur="javascript:validete_userName();" onkeyup="javascript:validete_userName();" onfocus="javascript:validete_userName();" onchange="javascript:validete_userName();" value="" class="input" id="user_name" name="user_name">
          <div class="reg_frontErr crf_error_text custom_error" style="display:none;" id="nameErr"></div>
        </div>
      </div>
      <div class="formtable">
        <div class="crf_label">
          <label for="user_email">E-mail          </label>
        </div>
        <div class="crf_input crf_required crf_email">
          <input type="text" onblur="javascript:validete_email();" onkeyup="javascript:validete_email();" onfocus="javascript:validete_email();" onchange="" size="25" value="" class="input" id="user_email" name="user_email">
          <div class="reg_frontErr crf_error_text custom_error" style="display:none;" id="emailErr"></div>
        </div>
      </div>
            <div class="formtable">
        <div class="crf_label">
          <label for="user_password">Password          </label>
        </div>
        <div class="crf_input crf_required crf_password">
          <input id="inputPassword" name="inputPassword" type="password" onfocus="javascript:document.getElementById('user_confirm_password').value = '';" />
          <div id="complexity" class="default" style="display:none;"></div>
          <div id="password_info" class="password-pro">At least 7 characters please!</div>
          <div class="reg_frontErr crf_error_text custom_error" style="display:none;"></div>
          
        </div>
      </div>
      <div class="formtable">
        <div class="crf_label">
          <label for="user_confirm_password">Confirm Password          </label>
        </div>
        <div class="crf_input crf_required crf_confirmpassword">
          <input id="user_confirm_password" name="user_confirm_password" type="password"/>
          <div class="reg_frontErr crf_error_text custom_error" style="display:none;"></div>
          <!--<div class="reg_frontErr crf_error_text" id="divuser_confirm_password" style="display:none;">Enter the password again to confirm</div>-->
        </div>
      </div>
                 
      <!-- HTML for displaying custom fields in Registration form -->
      
                <div class="formtable crf_heading">
          <h1 name="aboutyou_20" class=""></h1>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="servicenumber_15">Service Number</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="" value="" id="servicenumber_15" name="servicenumber_15" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="rank_23">Rank</label>
          </div>
          <div class="crf_input crf_select crf_select_required">
            <select class="regular-text " id="rank_23" name="rank_23" >
                            <option value="Sapper" >Sapper</option>
                            <option value="L\Cpl" >L\Cpl</option>
                            <option value="Cpl" >Cpl</option>
                            <option value="Sgt" >Sgt</option>
                            <option value="SSgt" >SSgt</option>
                            <option value="WO2" >WO2</option>
                            <option value="WO1" >WO1</option>
                            <option value="2nd lt" >2nd lt</option>
                            <option value="Lt" >Lt</option>
                            <option value="Capt" >Capt</option>
                            <option value="Maj" >Maj</option>
                            <option value="LtCol" >LtCol</option>
                            <option value="Col" >Col</option>
                            <option value="Other" >Other</option>
                          </select>
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="christianname_1">Christian Name</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="20" value="" id="christianname_1" name="christianname_1" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="surname_2">Surname</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="20" value="" id="surname_2" name="surname_2" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="knownas_3">Known as:</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="" value="" id="knownas_3" name="knownas_3" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="describeyourself_19">Describe Yourself</label>
          </div>
          <div class="crf_input crf_select crf_select_required">
            <select class="regular-text " id="describeyourself_19" name="describeyourself_19" >
                            <option value="Serving Signaller" >Serving Signaller</option>
                            <option value="Army Cadet" >Army Cadet</option>
                            <option value="Civilian" >Civilian</option>
                            <option value="Veteran" >Veteran</option>
                            <option value="TA Soldier" >TA Soldier</option>
                          </select>
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="amateurradiocallsignifany_5">Amateur Radio Callsign if Any</label>
          </div>
          <div class="crf_input ">
            <input type="text" class="regular-text " maxlength="" value="" id="amateurradiocallsignifany_5" name="amateurradiocallsignifany_5" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="iamanreamember_6">I am an REA Member</label>
          </div>
          <div class="crf_input crf_radiorequired">
                        <label>Yes</label>
            <input type="radio" class="regular-text  " value="Yes"  id="iamanreamember_6" name="iamanreamember_6"  >
                        <label>No</label>
            <input type="radio" class="regular-text  " value="No"  id="iamanreamember_6" name="iamanreamember_6"  >
                        <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="housenumberstreet_7">House Number, Street</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="50" value="" id="housenumberstreet_7" name="housenumberstreet_7" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="addressline2_8">Address Line 2</label>
          </div>
          <div class="crf_input ">
            <input type="text" class="regular-text " maxlength="" value="" id="addressline2_8" name="addressline2_8" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="town_9">Town</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="" value="" id="town_9" name="town_9" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="postcode_10">Post Code</label>
          </div>
          <div class="crf_input crf_required">
            <input type="text" class="regular-text " maxlength="" value="" id="postcode_10" name="postcode_10" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="country_11">Country</label>
          </div>
          <div class="crf_input crf_select crf_country crf_select_required">
            <select class="regular-text " id="country_11" name="country_11" >
			<option value="Afghanistan">Afghanistan</option>
<option value="Åland Islands">Åland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'ivoire">Cote D'ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-bissau">Guinea-bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and The South Sandwich Islands">South Georgia and The South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province of China">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-leste">Timor-leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States" selected>United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>            </select>
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="hometelephonenumber_12">Home Telephone Number</label>
          </div>
          <div class="crf_input crf_number crf_required">
            <input type="text" class="crf_number regular-text " maxlength="" value="" id="hometelephonenumber_12" name="hometelephonenumber_12" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="mobilephonenumber_13">Mobile Phone Number</label>
          </div>
          <div class="crf_input crf_number ">
            <input type="text" class="crf_number regular-text " maxlength="" value="" id="mobilephonenumber_13" name="mobilephonenumber_13" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="prefferednumber_14">Preffered Number</label>
          </div>
          <div class="crf_input ">
                        <label>Mobile</label>
            <input type="radio" class="regular-text  " value="Mobile"  id="prefferednumber_14" name="prefferednumber_14"  >
                        <label>Home Number</label>
            <input type="radio" class="regular-text  " value="Home Number" checked id="prefferednumber_14" name="prefferednumber_14"  >
                        <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="startofserviceyyyy-mm-dd_16">Start of Service (YYYY-MM-DD)</label>
          </div>
          <div class="crf_input ">
            <input type="text" class="MyDate regular-text " maxlength="" value="" id="startofserviceyyyy-mm-dd_16" name="startofserviceyyyy-mm-dd_16" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable">
          <div class="crf_label">
            <label for="completionofserviceyyyy-mm-dd_17">Completion of Service (YYYY-MM-DD)</label>
          </div>
          <div class="crf_input ">
            <input type="text" class="MyDate regular-text " maxlength="" value="" id="completionofserviceyyyy-mm-dd_17" name="completionofserviceyyyy-mm-dd_17" >
            <div class="reg_frontErr custom_error crf_error_text" style="display:none;"></div>
          </div>
        </div>
                <div class="formtable crf_paragraph">

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From time to time the branch sends out mass emails to members.  I agree to my email address being seen by branch members.</textarea>
            
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