{"id":1199,"date":"2023-10-14T12:40:51","date_gmt":"2023-10-14T04:40:51","guid":{"rendered":"http:\/\/103.11.101.151\/~cda2\/?page_id=1199"},"modified":"2023-10-17T09:18:00","modified_gmt":"2023-10-17T01:18:00","slug":"%e5%85%a5%e6%9c%83%e8%a1%a8%e6%a0%bc","status":"publish","type":"page","link":"http:\/\/103.11.101.151\/~cda2\/%e5%85%a5%e6%9c%83%e8%a1%a8%e6%a0%bc\/","title":{"rendered":"\u5165\u6703\u8868\u683c"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1199\" class=\"elementor elementor-1199\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5a6fa8d2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5a6fa8d2\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;slideshow&quot;,&quot;background_slideshow_gallery&quot;:[{&quot;id&quot;:1214,&quot;url&quot;:&quot;http:\\\/\\\/103.11.101.151\\\/~cda2\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/doctor-healthcare-insurance-and-patient-form-for-health-information-during-consultation-for-medica.jpg&quot;},{&quot;id&quot;:1216,&quot;url&quot;:&quot;http:\\\/\\\/103.11.101.151\\\/~cda2\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/signing-healthcare-medical-data-form.jpg&quot;}],&quot;background_slideshow_lazyload&quot;:&quot;yes&quot;,&quot;background_slideshow_ken_burns&quot;:&quot;yes&quot;,&quot;background_slideshow_loop&quot;:&quot;yes&quot;,&quot;background_slideshow_slide_duration&quot;:5000,&quot;background_slideshow_slide_transition&quot;:&quot;fade&quot;,&quot;background_slideshow_transition_duration&quot;:500,&quot;background_slideshow_ken_burns_zoom_direction&quot;:&quot;in&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-58bd9c16\" data-id=\"58bd9c16\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e9aaa5e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e9aaa5e\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-402456e2\" data-id=\"402456e2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6290be77 elementor-widget elementor-widget-heading\" data-id=\"6290be77\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u5165\u6703\u8868\u683c<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47dea63 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"47dea63\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c55936c\" data-id=\"c55936c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f4ddaf elementor-widget elementor-widget-shortcode\" data-id=\"1f4ddaf\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-1203\"><form id=\"wpforms-form-1203\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1203\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/~cda2\/wp-json\/wp\/v2\/pages\/1199?wpforms_form_id=1203\" data-token=\"f9d3fd162e0a457d0b50f86005b37c63\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-1203-field_110-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"110\"><fieldset><legend class=\"wpforms-field-label\">New Membership Application:<\/legend><ul id=\"wpforms-1203-field_110\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_110_1\" class=\"wpforms-payment-price\" data-amount=\"2,800.00\" name=\"wpforms[fields][110][]\" value=\"1\" aria-errormessage=\"wpforms-1203-field_110_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_110_1\">New Member HKD$ 2,300 + $500 application fee = TOTAL $2800 *Please note $2300 is a discounted fee for new members (from Apr \u2013 Mar)*There will be no additional prorated rates<\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-1203-field_110_2\" class=\"wpforms-payment-price\" data-amount=\"2,500.00\" name=\"wpforms[fields][110][]\" value=\"2\" aria-errormessage=\"wpforms-1203-field_110_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_110_2\">Additional subsidized inquest coverage HKD$ 1,500 (optional)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1203-field_22-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"22\"><h3 id=\"wpforms-1203-field_22\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-1203-field_22-error\">Personal Information<\/h3><\/div><div id=\"wpforms-1203-field_23-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"23\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_23\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_27\"> Name in English:<\/label><input type=\"text\" id=\"wpforms-1203-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-1203-field_27-error\" ><\/div><div id=\"wpforms-1203-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_29\">HKID Number:<\/label><input type=\"text\" id=\"wpforms-1203-field_29\" class=\"wpforms-field-medium\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-1203-field_29-error\" ><\/div><div id=\"wpforms-1203-field_70-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_70\">Clinic Telephone Number:<\/label><input type=\"tel\" id=\"wpforms-1203-field_70\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-1203-field_70-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_28\">Name in Chinese:<\/label><input type=\"text\" id=\"wpforms-1203-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-1203-field_28-error\" ><\/div><div id=\"wpforms-1203-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_30\">Passport Number:<\/label><input type=\"text\" id=\"wpforms-1203-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-1203-field_30-error\" ><\/div><div id=\"wpforms-1203-field_37-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_37\">Clinic Fax Number:<\/label><input type=\"tel\" id=\"wpforms-1203-field_37\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-1203-field_37-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_26\">Gender:<\/label><select id=\"wpforms-1203-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\"><option value=\"Female\" >Female<\/option><option value=\"Male\" >Male<\/option><\/select><\/div><div id=\"wpforms-1203-field_32-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\">Date of Birth: <\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][32][date][m]\" id=\"wpforms-1203-field_32-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][32][date][d]\" id=\"wpforms-1203-field_32-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][32][date][y]\" id=\"wpforms-1203-field_32-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-1203-field_71-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_71\">Mobile Number:<\/label><input type=\"tel\" id=\"wpforms-1203-field_71\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][71]\" aria-errormessage=\"wpforms-1203-field_71-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_34-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"34\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_34\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1203-field_40-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_40\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1203-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1203-field_40-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1203-field_42-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_42\">Website:<\/label><input type=\"email\" id=\"wpforms-1203-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1203-field_42-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_36\">Clinic Address:<\/label><input type=\"text\" id=\"wpforms-1203-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-1203-field_36-error\" ><\/div><div id=\"wpforms-1203-field_43-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"43\"><h3 id=\"wpforms-1203-field_43\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-1203-field_43-error\">Academic\/Professional Information<\/h3><\/div><div id=\"wpforms-1203-field_44-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"44\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_44\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-67-33\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-1203-field_45-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_45\">Chiropractic College:<\/label><input type=\"text\" id=\"wpforms-1203-field_45\" class=\"wpforms-field-medium\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-1203-field_45-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_46\">Year of Graduation:<\/label><input type=\"text\" id=\"wpforms-1203-field_46\" class=\"wpforms-field-medium\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-1203-field_46-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_62-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_62\"> Chiropractors Council of HK Registration Number:<\/label><input type=\"text\" id=\"wpforms-1203-field_62\" class=\"wpforms-field-medium\" name=\"wpforms[fields][62]\" aria-errormessage=\"wpforms-1203-field_62-error\" ><\/div><div id=\"wpforms-1203-field_63-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_63\">Overseas Licenses:<\/label><input type=\"text\" id=\"wpforms-1203-field_63\" class=\"wpforms-field-medium\" name=\"wpforms[fields][63]\" aria-errormessage=\"wpforms-1203-field_63-error\" ><\/div><div id=\"wpforms-1203-field_64-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_64\">Other Professional Qualifications<\/label><input type=\"text\" id=\"wpforms-1203-field_64\" class=\"wpforms-field-medium\" name=\"wpforms[fields][64]\" aria-errormessage=\"wpforms-1203-field_64-error\" ><\/div><div id=\"wpforms-1203-field_51-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"51\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_51\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1203-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Have you been convicted of any criminal offer (Local\/abroad)?<\/legend><ul id=\"wpforms-1203-field_11\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_11_1\" name=\"wpforms[fields][11][]\" value=\"Yes\" aria-errormessage=\"wpforms-1203-field_11_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_11_2\" name=\"wpforms[fields][11][]\" value=\"No\" aria-errormessage=\"wpforms-1203-field_11_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_11_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-1203-field_52-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"52\"><fieldset><legend class=\"wpforms-field-label\">Are you\/ will you be practicing Chiropractic in Hong Kong SAR Part-time of Full time?<\/legend><ul id=\"wpforms-1203-field_52\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_52_1\" name=\"wpforms[fields][52][]\" value=\"PT\" aria-errormessage=\"wpforms-1203-field_52_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_52_1\">PT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_52_2\" name=\"wpforms[fields][52][]\" value=\"FT\" aria-errormessage=\"wpforms-1203-field_52_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_52_2\">FT<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_53-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"53\"><fieldset><legend class=\"wpforms-field-label\">Are you amember of any other Chiropractic association(s) based in Hong Kong?<\/legend><ul id=\"wpforms-1203-field_53\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_53_1\" name=\"wpforms[fields][53][]\" value=\"Yes\" aria-errormessage=\"wpforms-1203-field_53_1-error\" aria-describedby=\"wpforms-1203-field_53-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_53_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_53_2\" name=\"wpforms[fields][53][]\" value=\"No\" aria-errormessage=\"wpforms-1203-field_53_2-error\" aria-describedby=\"wpforms-1203-field_53-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_53_2\">No<\/label><\/li><\/ul><div id=\"wpforms-1203-field_53-description\" class=\"wpforms-field-description\">(Please note that to avoid conflict of interests and to maintain the integrity of CDAHK, our policy discourages dual membership in any capacity with any other chiropractic associations within Hong Kong. We offer CDAHK benefits and privileges exclusively to our members.)<\/div><\/fieldset><\/div><div id=\"wpforms-1203-field_7-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Declaration <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-1203-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-1203-field_7_1\" name=\"wpforms[fields][7]\" value=\".\" aria-errormessage=\"wpforms-1203-field_7_1-error\" aria-describedby=\"wpforms-1203-field_7-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_7_1\">.<\/label><\/li><\/ul><div id=\"wpforms-1203-field_7-description\" class=\"wpforms-field-description\">I understand the content of this form, and hereby declare that all the information is true, correct and complete. I understand that if I make a false declaration, or fail to disclose all information material on my application, my membership could be revoked. Successful applicants must be Chiropractors in good standing according to the Code of Practice of the Chiropractors Council of Hong Kong and must abide to the statutes of the CDAHK.<\/div><\/fieldset><\/div><div id=\"wpforms-1203-field_56-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_56\">Upload<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"56\"\n\t\tdata-form-id=\"1203\"\n\t\tdata-input-name=\"wpforms_1203_56\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,ico,heic,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,json\"\n\t\tdata-max-size=\"10485760\"\n\t\tdata-max-file-number=\"10\"\n\t\tdata-post-max-size=\"209715200\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag files to this area to upload.<\/span>\n\n\t\t\t\t\t<span class=\"modern-hint\">You can upload up to 10 files.<\/span>\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-1203-field_56\"\n\t\tname=\"wpforms_1203_56\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-1203-field_69-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"69\"><fieldset><legend class=\"wpforms-field-label\">Policy<\/legend><ul id=\"wpforms-1203-field_69\" data-choice-limit=\"1\"><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_69_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][69][]\" value=\"I have read and thoroughly understand, and shall comply with the policies of the Chiropractic Doctors\u2019 Association of Hong Kong.\" aria-errormessage=\"wpforms-1203-field_69_3-error\" aria-describedby=\"wpforms-1203-field_69-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_69_3\">I have read and thoroughly understand, and shall comply with the policies of the Chiropractic Doctors\u2019 Association of Hong Kong.<\/label><\/li><\/ul><div id=\"wpforms-1203-field_69-description\" class=\"wpforms-field-description\"><br>Thank you for your interest in joining the Chiropractic Doctors\u2019 Association of Hong Kong (CDAHK), the largest and fastest growing chiropractic association in Hong Kong.<br><br>\r\nPlease be reminded that CDAHK\u2019s policy prohibits dual membership in any capacity with any other chiropractic associations within Hong Kong. This includes such posts as full members and education advisors, etc.<br><br>\r\nAs Hong Kong\u2019s largest chiropractic association, it is CDAHK\u2019s mission to promote chiropractic to the general public. We have and will continue to put forth much effort and resources for the benefits of our members and the chiropractic profession. As such, to avoid conflict of interests and to maintain the integrity of CDAHK, we offer CDAHK benefits and privileges exclusively to our members.<br><br>\r\nPlease be reminded that any violations of the above stated policy will result in immediate suspension of the member\u2019s CDAHK membership. The member shall be given a 14-day grace period to resolve the matter before his\/her CDAHK membership is revoked without further notice. No refunds of membership fee and other paid dues will be given.<br><br>\r\nWe thank you in advance for your attention in this matter, and look forward to working as a team with everyone in promoting chiropractic.<\/div><\/fieldset><\/div><div id=\"wpforms-1203-field_104-container\" class=\"wpforms-field wpforms-field-payment-checkbox wpforms-conditional-trigger\" data-field-id=\"104\"><fieldset><legend class=\"wpforms-field-label\">\u9999\u6e2f\u57f7\u696d\u810a\u91ab\u5354\u6703 <\/legend><ul id=\"wpforms-1203-field_104\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1203-field_104_1\" class=\"wpforms-payment-price\" data-amount=\"1,000.00\" name=\"wpforms[fields][104][]\" value=\"1\" aria-errormessage=\"wpforms-1203-field_104_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1203-field_104_1\">LISTING $1,000<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-1203-field_108-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"108\" style=\"display:none;\"><div id=\"wpforms-1203-field_108\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][108]\" aria-errormessage=\"wpforms-1203-field_108-error\"><p>Dear members,<\/p>\n<p>As you are aware, we publish your office info (name, telephone numbers &amp; website) on our website and other promotional materials so the public can look for the right chiropractor with ease.<\/p>\n<p>Some members practice at more than one location, and would like to publish the additional office information on our website. We offer that service for an additional $1000 per listing per year.<\/p>\n<p>Those who would like to make use of this service can fill out the following table.<br \/>\nPlease note that the $1000 listing charge runs from April &ndash; March. We are unable to pro-rate the charge for those joining mid way. Thank you for your understanding.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1203-field_83-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"83\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_83\" aria-hidden=\"false\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_84-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"84\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Member\u2019s name: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1203-field_84\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][84][first]\" aria-errormessage=\"wpforms-1203-field_84-error\" required><label for=\"wpforms-1203-field_84\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1203-field_84-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][84][last]\" aria-errormessage=\"wpforms-1203-field_84-last-error\" required><label for=\"wpforms-1203-field_84-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_85-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"85\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_85\">CC<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-1203-field_85\" class=\"wpforms-field-medium\" name=\"wpforms[fields][85]\" aria-errormessage=\"wpforms-1203-field_85-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_86-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"86\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_86\">Date : <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1203-field_86\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][86][date]\" aria-errormessage=\"wpforms-1203-field_86-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_88-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"88\" style=\"display:none;\"><h3 id=\"wpforms-1203-field_88\" name=\"wpforms[fields][88]\" aria-errormessage=\"wpforms-1203-field_88-error\">Second listing<\/h3><\/div><div id=\"wpforms-1203-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"90\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_90\">Address<\/label><input type=\"text\" id=\"wpforms-1203-field_90\" class=\"wpforms-field-medium\" name=\"wpforms[fields][90]\" aria-errormessage=\"wpforms-1203-field_90-error\" ><\/div><div id=\"wpforms-1203-field_87-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"87\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_87\" aria-hidden=\"false\">Address<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"92\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_92\">Closest MTR Station<\/label><input type=\"text\" id=\"wpforms-1203-field_92\" class=\"wpforms-field-medium\" name=\"wpforms[fields][92]\" aria-errormessage=\"wpforms-1203-field_92-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_93-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"93\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_93\">Tel : <\/label><input type=\"text\" id=\"wpforms-1203-field_93\" class=\"wpforms-field-medium\" name=\"wpforms[fields][93]\" aria-errormessage=\"wpforms-1203-field_93-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_94-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"94\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_94\">Website : <\/label><input type=\"text\" id=\"wpforms-1203-field_94\" class=\"wpforms-field-medium\" name=\"wpforms[fields][94]\" aria-errormessage=\"wpforms-1203-field_94-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_95-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"95\" style=\"display:none;\"><h3 id=\"wpforms-1203-field_95\" name=\"wpforms[fields][95]\" aria-errormessage=\"wpforms-1203-field_95-error\"> Third listing<\/h3><\/div><div id=\"wpforms-1203-field_96-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"96\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_96\">Address <\/label><input type=\"text\" id=\"wpforms-1203-field_96\" class=\"wpforms-field-medium\" name=\"wpforms[fields][96]\" aria-errormessage=\"wpforms-1203-field_96-error\" ><\/div><div id=\"wpforms-1203-field_97-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"97\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1203-field_97\" aria-hidden=\"false\">Address (copy)<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_98-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"98\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_98\">Closest MTR Station <\/label><input type=\"text\" id=\"wpforms-1203-field_98\" class=\"wpforms-field-medium\" name=\"wpforms[fields][98]\" aria-errormessage=\"wpforms-1203-field_98-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_99-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"99\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_99\">Tel :  <\/label><input type=\"text\" id=\"wpforms-1203-field_99\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99]\" aria-errormessage=\"wpforms-1203-field_99-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-1203-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_100\">Website :  <\/label><input type=\"text\" id=\"wpforms-1203-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" aria-errormessage=\"wpforms-1203-field_100-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-1203-field_109-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"109\"><div id=\"wpforms-1203-field_109\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][109]\" aria-errormessage=\"wpforms-1203-field_109-error\"><h4>Application\/Payment Method:<\/h4>\n<p>Please submit this application along with the following documents:&nbsp;<br \/>\n1. A completed malpractice insurance form (please email us if you require one)&nbsp;<br \/>\n2. A passport-sized photograph&nbsp;<br \/>\n3. Membership fee made payable to \u201cChiropractic Doctors\u2019 Association of Hong Kong Limited\u201d&nbsp;<br \/>\n4. A photocopy of your graduation certificate\/diploma issued by a CCE approved Chiropractic College \/<br \/>\nUniversity&nbsp;<br \/>\n5. A photocopy of the Registration Certificate and a current Practicing Certificate issued by the Chiropractors Council of Hong Kong (for Hong Kong memberships) or an overseas regulating body (for overseas memberships)&nbsp;<\/p>\n<p>Please note that all documents submitted will not be returned.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1203-field_9-container\" class=\"wpforms-field wpforms-field-payment-total\" data-field-id=\"9\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_9\">Total to be paid via credit card<\/label><div class=\"wpforms-payment-total\">&#036; 0.00<\/div><input type=\"hidden\" id=\"wpforms-1203-field_9\" class=\"wpforms-payment-total\" name=\"wpforms[fields][9]\" value=\"0\" aria-errormessage=\"wpforms-1203-field_9-error\"><\/div><div id=\"wpforms-1203-field_12-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1203-field_12\">Stripe Credit Card <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-cc-warning wpforms-error-alert\">This page is insecure. Credit Card field should be used for testing purposes only.<\/div><div class=\"wpforms-cc-warning wpforms-error-alert\">Credit Card field is disabled, Stripe keys are missing.<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1203\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1203\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Pay Now\" aria-live=\"assertive\" value=\"wpforms-submit\">Pay Now<\/button><img decoding=\"async\" src=\"http:\/\/103.11.101.151\/~cda2\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u5165\u6703\u8868\u683c<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"_links":{"self":[{"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/pages\/1199"}],"collection":[{"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/comments?post=1199"}],"version-history":[{"count":8,"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/pages\/1199\/revisions"}],"predecessor-version":[{"id":1524,"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/pages\/1199\/revisions\/1524"}],"wp:attachment":[{"href":"http:\/\/103.11.101.151\/~cda2\/wp-json\/wp\/v2\/media?parent=1199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}