{"id":382,"date":"2015-11-19T11:48:15","date_gmt":"2015-11-19T11:48:15","guid":{"rendered":"https:\/\/dev.isupweb.org\/?page_id=382"},"modified":"2015-11-19T11:49:00","modified_gmt":"2015-11-19T11:49:00","slug":"register","status":"publish","type":"page","link":"https:\/\/dev.isupweb.org\/isup\/register\/","title":{"rendered":"Register"},"content":{"rendered":"<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body><div id=\"wpmem_reg\"><a id=\"register\"><\/a><form name=\"form\" method=\"post\" action=\"https:\/\/dev.isupweb.org\/isup\/register\/\" id=\"wpmem_register_form\" class=\"form\"><input type=\"hidden\" id=\"_wpmem_register_nonce\" name=\"_wpmem_register_nonce\" value=\"824f551cdb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/isup\/wp-json\/wp\/v2\/pages\/382\" \/><fieldset><legend>New User Registration<\/legend><label for=\"username\" class=\"text\">Choose a Username<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"username\" type=\"text\" id=\"username\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"first_name\" class=\"text\">First Name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"first_name\" type=\"text\" id=\"first_name\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"last_name\" class=\"text\">Last Name<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"last_name\" type=\"text\" id=\"last_name\" value=\"\" class=\"textbox\" required  \/><\/div><div class=\"div_hidden\"><input type=\"hidden\" name=\"duetest\" value=\"1776568192\"><\/input><\/div><label for=\"user_email\" class=\"text\">Email<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"user_email\" type=\"text\" id=\"user_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"title\" class=\"text\">Title<\/label><div class=\"div_text\"><input name=\"title\" type=\"text\" id=\"title\" value=\"\" class=\"textbox\" \/><\/div><label for=\"institution\" class=\"text\">Institution<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"institution\" type=\"text\" id=\"institution\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"city\" class=\"text\">City<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"city\" type=\"text\" id=\"city\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"thestate\" class=\"text\">State (US\/Canada only)<\/label><div class=\"div_text\"><input name=\"thestate\" type=\"text\" id=\"thestate\" value=\"\" class=\"textbox\" \/><\/div><label for=\"country\" class=\"select\">Country<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"country\" id=\"country\" class=\"dropdown\" required ><option value=\"\">Country<\/option><option value=\"afghanistan\">Afghanistan<\/option><option value=\"albania\">Albania<\/option><option value=\"algeria\">Algeria<\/option><option value=\"andorra\">Andorra<\/option><option value=\"angola\">Angola<\/option><option value=\"antigua-and-barbuda\">Antigua and Barbuda<\/option><option value=\"argentina\">Argentina<\/option><option value=\"armenia\">Armenia<\/option><option value=\"australia\">Australia<\/option><option value=\"austria\">Austria<\/option><option value=\"azerbaijan\">Azerbaijan<\/option><option value=\"bahamas-the\">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=\"bhutan\">Bhutan<\/option><option value=\"bolivia\">Bolivia<\/option><option value=\"bosnia-and-herzegovina\">Bosnia and Herzegovina<\/option><option value=\"botswana\">Botswana<\/option><option value=\"brazil\">Brazil<\/option><option value=\"brunei\">Brunei<\/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=\"central-african-republic\">Central African Republic<\/option><option value=\"chad\">Chad<\/option><option value=\"china-peoples-republic-of\">China<\/option><option value=\"chile\">Chile<\/option><option value=\"colombia\">Colombia<\/option><option value=\"comoros\">Comoros<\/option><option value=\"congo-democratic-republic-of-the-congo\">Congo Democratic Republic of the Congo<\/option><option value=\"congo-republic-of-the-congo\">Congo Republic of the Congo<\/option><option value=\"costa-rica\">Costa Rica<\/option><option value=\"cote-divoire-ivory-coast\">Cote d Ivoire (Ivory Coast)<\/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=\"fiji\">Fiji<\/option><option value=\"finland\">Finland<\/option><option value=\"france\">France<\/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=\"greece\">Greece<\/option><option value=\"grenada\">Grenada<\/option><option value=\"guatemala\">Guatemala<\/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=\"honduras\">Honduras<\/option><option value=\"hungary\">Hungary<\/option><option value=\"iceland\">Iceland<\/option><option value=\"india\">India<\/option><option value=\"indonesia\">Indonesia<\/option><option value=\"iran\">Iran<\/option><option value=\"iraq\">Iraq<\/option><option value=\"ireland\">Ireland<\/option><option value=\"israel\">Israel<\/option><option value=\"italy\">Italy<\/option><option value=\"jamaica\">Jamaica<\/option><option value=\"japan\">Japan<\/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-peoples-republic-of-north-korea\">Korea Democratic Peoples Republic of (North Korea)<\/option><option value=\"korea-republic-of-south-korea\">Korea Republic of (South Korea)<\/option><option value=\"kuwait\">Kuwait<\/option><option value=\"kyrgyzstan\">Kyrgyzstan<\/option><option value=\"laos\">Laos<\/option><option value=\"latvia\">Latvia<\/option><option value=\"lebanon\">Lebanon<\/option><option value=\"lesotho\">Lesotho<\/option><option value=\"liberia\">Liberia<\/option><option value=\"libya\">Libya<\/option><option value=\"liechtenstein\">Liechtenstein<\/option><option value=\"lithuania\">Lithuania<\/option><option value=\"luxembourg\">Luxembourg<\/option><option value=\"macedonia\">Macedonia<\/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=\"mauritania\">Mauritania<\/option><option value=\"mauritius\">Mauritius<\/option><option value=\"mexico\">Mexico<\/option><option value=\"micronesia\">Micronesia<\/option><option value=\"moldova\">Moldova<\/option><option value=\"monaco\">Monaco<\/option><option value=\"mongolia\">Mongolia<\/option><option value=\"montenegro\">Montenegro<\/option><option value=\"morocco\">Morocco<\/option><option value=\"mozambique\">Mozambique<\/option><option value=\"myanmar-burma\">Myanmar (Burma)<\/option><option value=\"namibia\">Namibia<\/option><option value=\"nauru\">Nauru<\/option><option value=\"nepal\">Nepal<\/option><option value=\"netherlands\">Netherlands<\/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=\"norway\">Norway<\/option><option value=\"oman\">Oman<\/option><option value=\"pakistan\">Pakistan<\/option><option value=\"palau\">Palau<\/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=\"poland\">Poland<\/option><option value=\"portugal\">Portugal<\/option><option value=\"qatar\">Qatar<\/option><option value=\"romania\">Romania<\/option><option value=\"russia\">Russia<\/option><option value=\"rwanda\">Rwanda<\/option><option value=\"saint-kitts-and-nevis\">Saint Kitts and Nevis<\/option><option value=\"saint-lucia\">Saint Lucia<\/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=\"spain\">Spain<\/option><option value=\"sri-lanka\">Sri Lanka<\/option><option value=\"sudan\">Sudan<\/option><option value=\"suriname\">Suriname<\/option><option value=\"swaziland\">Swaziland<\/option><option value=\"sweden\">Sweden<\/option><option value=\"switzerland\">Switzerland<\/option><option value=\"syria\">Syria<\/option><option value=\"tajikistan\">Tajikistan<\/option><option value=\"tanzania\">Tanzania<\/option><option value=\"thailand\">Thailand<\/option><option value=\"timor-leste-east-timor\">Timor-Leste (East Timor)<\/option><option value=\"togo\">Togo<\/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=\"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\">United States<\/option><option value=\"uruguay\">Uruguay<\/option><option value=\"uzbekistan\">Uzbekistan<\/option><option value=\"vanuatu\">Vanuatu<\/option><option value=\"vatican-city\">Vatican City<\/option><option value=\"venezuela\">Venezuela<\/option><option value=\"vietnam\">Vietnam<\/option><option value=\"yemen\">Yemen<\/option><option value=\"zambia\">Zambia<\/option><option value=\"zimbabwe\">Zimbabwe<\/option><option value=\"other\">Other<\/option><\/select><\/div><label for=\"secondary_email\" class=\"text\">Secondary email<\/label><div class=\"div_text\"><input name=\"secondary_email\" type=\"text\" id=\"secondary_email\" value=\"\" class=\"textbox\" \/><\/div><label for=\"membership_category\" class=\"select\">Membership category<span class=\"req\">*<\/span><\/label><div class=\"div_select\"><select name=\"membership_category\" id=\"membership_category\" class=\"dropdown\" required ><option value=\"ordinary_member\">Ordinary members (Specialists\/Staff and Fellows)<\/option><option value=\"ordinary_member_lower_income_country\">Ordinary members (Specialists\/Staff and Fellows) from low\/lower middle income countries<\/option><option value=\"junior_member_pgy1\">Junior member (PGY1)<\/option><option value=\"junior_member_pgy2\">Junior member (PGY2)<\/option><option value=\"junior_member_pgy3\">Junior member (PGY3)<\/option><option value=\"junior_member_pgy4\">Junior member (PGY4)<\/option><option value=\"junior_member_pgy5\">Junior member (PGY5)<\/option><\/select><\/div><label for=\"type_of_practice\" class=\"select\">Type of practice<\/label><div class=\"div_select\"><select name=\"type_of_practice\" id=\"type_of_practice\" class=\"dropdown\"><option value=\"\">&lt;---- Select One ----&gt;<\/option><option value=\"pathologist\">Pathologist (specialist or in training)<\/option><option value=\"scientist_non-md\">Scientist non-MD<\/option><option value=\"clinician\">Clinician<\/option><option value=\"other\">Other<\/option><\/select><\/div><label for=\"main_field_of_interest\" class=\"select\">Main field of interest in GU<\/label><div class=\"div_select\"><select name=\"main_field_of_interest\" id=\"main_field_of_interest\" class=\"dropdown\"><option value=\"\">&lt;---- Select One ----&gt;<\/option><\/select><\/div><label for=\"mfoi_prostate\" class=\"checkbox\">Prostate<\/label><div class=\"div_checkbox\"><input name=\"mfoi_prostate\" type=\"checkbox\" id=\"mfoi_prostate\" value=\"true\" \/><\/div><label for=\"mfoi_bladder\" class=\"checkbox\">Bladder<\/label><div class=\"div_checkbox\"><input name=\"mfoi_bladder\" type=\"checkbox\" id=\"mfoi_bladder\" value=\"true\" \/><\/div><label for=\"kidney\" class=\"checkbox\">Kidney<\/label><div class=\"div_checkbox\"><input name=\"kidney\" type=\"checkbox\" id=\"kidney\" value=\"true\" \/><\/div><label for=\"testis\" class=\"checkbox\">Testis<\/label><div class=\"div_checkbox\"><input name=\"testis\" type=\"checkbox\" id=\"testis\" value=\"true\" \/><\/div><label for=\"urinary_tract\" class=\"checkbox\">Urinary tract<\/label><div class=\"div_checkbox\"><input name=\"urinary_tract\" type=\"checkbox\" id=\"urinary_tract\" value=\"true\" \/><\/div><label for=\"gdpr\" class=\"checkbox\">I accept that my personal information is stored at the website. For removal or correction of this information, please contact the webmaster.<span class=\"req\">*<\/span><\/label><div class=\"div_checkbox\"><input name=\"gdpr\" type=\"checkbox\" id=\"gdpr\" value=\"agree\" required  \/><\/div><div id=\"acf-form-data\" class=\"acf-hidden\"><input type=\"hidden\" id=\"_acf_screen\" name=\"_acf_screen\" value=\"user\"\/><input type=\"hidden\" id=\"_acf_post_id\" name=\"_acf_post_id\" value=\"user_0\"\/><input type=\"hidden\" id=\"_acf_validation\" name=\"_acf_validation\" value=\"0\"\/><input type=\"hidden\" id=\"_acf_nonce\" name=\"_acf_nonce\" value=\"24a87ec3b0\"\/><input type=\"hidden\" id=\"_acf_changed\" name=\"_acf_changed\" value=\"0\"\/><\/div><h2>Member<\/h2><div class=\"acf-user-register-fields acf-fields -clear\"><div class=\"acf-field acf-field-radio acf-field-6128b07bcb897\" data-name=\"american_journal_of_surgical_pathology_subscription\" data-type=\"radio\" data-key=\"field_6128b07bcb897\"><div class=\"acf-label\"><label for=\"acf-field_6128b07bcb897\">American Journal of Surgical Pathology Subscription<\/label><\/div><div class=\"acf-input\"><input type=\"hidden\" name=\"acf[field_6128b07bcb897]\"\/><ul class=\"acf-radio-list acf-bl\" data-allow_null=\"1\" data-other_choice=\"0\"><li><label><input type=\"radio\" id=\"acf-field_6128b07bcb897-ajospsubscription_regular_member_digital\" name=\"acf[field_6128b07bcb897]\" value=\"AJOSPSubscription_regular_member_digital\"\/>Regular members, already paid ISUP dues and request subscription (Am. J. Surg. Pathol.*, starting Jan. 22, digital only x 1 year) extra $299.00 USD<\/label><\/li><li><label><input type=\"radio\" id=\"acf-field_6128b07bcb897-ajospsubscription_regular_member_print_and_digital\" name=\"acf[field_6128b07bcb897]\" value=\"AJOSPSubscription_regular_member_print_and_digital\u2028\"\/>Regular members, already paid (Am. J. Surg. Pathol.*, starting Jan. 22, print and digital x 1 year) extra $399.00 USD<\/label><\/li><li><label><input type=\"radio\" id=\"acf-field_6128b07bcb897-ajospsubscription_regular_junior_and_emeritus\" name=\"acf[field_6128b07bcb897]\" value=\"AJOSPSubscription_regular_junior_and_emeritus\u2028\"\/>Junior and emeritus members (residents\/trainees \u2013 journal options not available) $0.00 USD<\/label><\/li><li><label><input type=\"radio\" id=\"acf-field_6128b07bcb897-ajospsubscription_no\" name=\"acf[field_6128b07bcb897]\" value=\"AJOSPSubscription_NO\"\/>I do not plan to add this subscription<\/label><\/li><li><label><input type=\"radio\" id=\"acf-field_6128b07bcb897-nolongerwanttobeamember\" name=\"acf[field_6128b07bcb897]\" value=\"NoLongerWantToBeAMember\"\/>No longer want to be a member<\/label><\/li><\/ul><\/div><\/div><\/div><h2>User<\/h2><div class=\"acf-user-register-fields acf-fields -clear\"><div class=\"acf-field acf-field-text acf-field-55dvbo84982d7\" data-name=\"test\" data-type=\"text\" data-key=\"field_55dvbo84982d7\"><div class=\"acf-label\"><label for=\"acf-field_55dvbo84982d7\">Duetest<\/label><\/div><div class=\"acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_55dvbo84982d7\" name=\"acf[field_55dvbo84982d7]\"\/><\/div><\/div><\/div><div class=\"acf-field acf-field-date-picker acf-field-568fd1157300a\" data-name=\"due\" data-type=\"date_picker\" data-key=\"field_568fd1157300a\"><div class=\"acf-label\"><label for=\"acf-field_568fd1157300a\">Due<\/label><\/div><div class=\"acf-input\"><div class=\"acf-date-picker acf-input-wrap\" data-date_format=\"MM d, yy\" data-first_day=\"1\"><input type=\"hidden\" id=\"acf-field_568fd1157300a\" name=\"acf[field_568fd1157300a]\" value=\"\"\/><input type=\"text\" class=\"input\" value=\"\"\/><\/div><\/div><\/div><\/div><div class=\"clear\"><\/div><div class=\"captcha\"><script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script><div class=\"g-recaptcha\" data-sitekey=\"6LdGIBMTAAAAAM-U4G1j1PGe6m8Q4aO3QRi9gN8G\"><\/div><\/div><input name=\"a\" type=\"hidden\" value=\"register\" \/><input name=\"wpmem_reg_page\" type=\"hidden\" value=\"https:\/\/dev.isupweb.org\/isup\/register\/\" \/><div class=\"button_div\"><input name=\"submit\" type=\"submit\" value=\"Register\" class=\"buttons\" \/><\/div><div class=\"req-text\"><span class=\"req\">*<\/span>Required field<\/div><\/fieldset><\/form><\/div>\n<\/body><\/html>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-382","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/pages\/382"}],"collection":[{"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/comments?post=382"}],"version-history":[{"count":2,"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/pages\/382\/revisions"}],"predecessor-version":[{"id":384,"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/pages\/382\/revisions\/384"}],"wp:attachment":[{"href":"https:\/\/dev.isupweb.org\/isup\/wp-json\/wp\/v2\/media?parent=382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}