{"id":2241,"date":"2019-08-15T16:51:21","date_gmt":"2019-08-15T20:51:21","guid":{"rendered":"http:\/\/enyacrl.org\/site\/?page_id=2241"},"modified":"2025-04-01T12:30:38","modified_gmt":"2025-04-01T16:30:38","slug":"member-registration-form","status":"publish","type":"page","link":"https:\/\/www.enyacrl.org\/site\/member-registration-form\/","title":{"rendered":"ENY\/ACRL Member Registration Form"},"content":{"rendered":"<p><strong>ENY\/ACRL Membership Fees:<\/strong><\/p>\n<ul>\n<li>ENY\/ACRL Membership: $15<\/li>\n<li>ENY\/ACRL Membership (for current ACRL members): $12<\/li>\n<\/ul>\n<p>Please fill out this form entirely.<\/p>\n<p>Pay your membership fee via one of the three ways listed below:<\/p>\n<p>\u2022 Paypal (click the link to access the form)<br>\u2022 Personal Check-payable to Eastern New York Chapter of ACRL<br>\u2022 Institutional Check-payable to Eastern New York Chapter of ACRL<\/p>\n<p>Please mail your personal or institutional check to the ENY\/ACRL Treasurer:<\/p>\n<p>Emily Mock University at Albany Libraries<br><span style=\"font-size: revert; color: initial;\">LI-B35A 1400 Washington Ave.<br><\/span><span style=\"font-size: revert; color: initial;\">Albany, NY 12222<\/span><\/p>\n<p>Questions? Please email emock@albany.edu<\/p>\n\n<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-67272e4e-436a-4b15-8fc0-0cbb4377fa6d\" id=\"wpforms-2240\"><form id=\"wpforms-form-2240\" class=\"wpforms-validate wpforms-form\" data-formid=\"2240\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/site\/wp-json\/wp\/v2\/pages\/2241\" data-token=\"11e9cb4497d674e1a2d837fb9fb1f117\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2240-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_1\">First Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-2240-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_2\">Last Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-2240-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2240-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2240-field_4-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_4\">Membership Type: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2240-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_4_1\" name=\"wpforms[fields][4]\" value=\"Renewal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_4_1\">Renewal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_4_2\" name=\"wpforms[fields][4]\" value=\"New Member\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_4_2\">New Member<\/label><\/li><\/ul><\/div><div id=\"wpforms-2240-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_5\">Would you like to be subscribed to the ENY\/ACRL Forum discussion list?<\/label><ul id=\"wpforms-2240-field_5\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_5_1\" name=\"wpforms[fields][5]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_5_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_5_2\" name=\"wpforms[fields][5]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_5_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2240-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_16\">Would you like to learn more about serving on an ENY\/ACRL Committee or the Board?<\/label><ul id=\"wpforms-2240-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes, please contact me with more information!\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_16_1\">Yes, please contact me with more information!<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_16_2\" name=\"wpforms[fields][16]\" value=\"Maybe\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_16_2\">Maybe<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_16_3\" name=\"wpforms[fields][16]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_16_3\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2240-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_9\">Title<\/label><input type=\"text\" id=\"wpforms-2240-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-2240-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_8\">Institution<\/label><input type=\"text\" id=\"wpforms-2240-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-2240-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_10\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-2240-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_11\">City <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-2240-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_12\">State <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-2240-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_13\">Zip <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2240-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-2240-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_14\">How are you paying for your membership? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2240-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_14_1\" name=\"wpforms[fields][14]\" value=\"PayPal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_14_1\">PayPal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2240-field_14_2\" name=\"wpforms[fields][14]\" value=\"Check\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2240-field_14_2\">Check<\/label><\/li><\/ul><div class=\"wpforms-field-description\">                                                                                                                                                           \r\n\r\n                                                                                                 <\/div><\/div><div id=\"wpforms-2240-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_18\">If your PayPal email is different than the one indicated above, add your Paypal email here.<\/label><input type=\"text\" id=\"wpforms-2240-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/div><div id=\"wpforms-2240-field_20-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2240-field_20\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2240-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" spellcheck=\"false\" required><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2240-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2240-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2240\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2240\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<form method=\"post\" class=\"wp-block-gutena-forms gutena-forms-contact-form gutena_forms_ID_5c2445f541_16112023142246 after_submit_message is-layout-flow\"><input type=\"hidden\" name=\"formid\" value=\"gutena_forms_ID_5c2445f541_16112023142246\"\/><\/form>\n","protected":false},"excerpt":{"rendered":"<p>ENY\/ACRL Membership Fees: ENY\/ACRL Membership: $15 ENY\/ACRL Membership (for current ACRL members): $12 Please fill out this form entirely. Pay your membership fee via one of the three ways listed below: \u2022&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/pages\/2241"}],"collection":[{"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/comments?post=2241"}],"version-history":[{"count":10,"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/pages\/2241\/revisions"}],"predecessor-version":[{"id":2768,"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/pages\/2241\/revisions\/2768"}],"wp:attachment":[{"href":"https:\/\/www.enyacrl.org\/site\/wp-json\/wp\/v2\/media?parent=2241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}