{"id":54,"date":"2022-11-26T05:24:57","date_gmt":"2022-11-26T05:24:57","guid":{"rendered":"https:\/\/hopeautism.org\/?page_id=54"},"modified":"2022-12-13T05:43:19","modified_gmt":"2022-12-13T05:43:19","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/hopeautism.org\/bn\/membership-form\/","title":{"rendered":"\u09ae\u09c7\u09ae\u09cd\u09ac\u09be\u09b0\u09b6\u09c0\u09aa \u09ab\u09b0\u09cd\u09ae"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221;][et_pb_row _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.7.7&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<h1 style=\"text-align: center;\">\u09b9\u09cb\u09aa \u0985\u099f\u09bf\u099c\u09ae \u0993\u09df\u09c7\u09b2\u09ab\u09c7\u09df\u09be\u09b0 \u09b8\u09cb\u09b8\u09be\u0987\u099f\u09bf<\/h1>\n<h1 style=\"text-align: center;\">\u00a0\u099c\u09c7\u09a8\u09be\u09b0\u09c7\u09b2 \u0995\u09ae\u09bf\u099f\u09bf \u09ae\u09c7\u09ae\u09cd\u09ac\u09be\u09b0\u09b6\u09c0\u09aa \u09ab\u09b0\u09cd\u09ae<\/h1>\n<p style=\"text-align: center;\"><div id=\"vfb-form-2\" class=\"visual-form-builder-container\"><form id=\"membership-form-2\" class=\"visual-form-builder vfb-form-2\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"2\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 please-complete-this-form-and-submit\" id=\"item-vfb-49\"><div class=\"vfb-legend\"><h3>\u098f\u0987 \u09ab\u09b0\u09cd\u09ae\u099f\u09bf \u09aa\u09c2\u09b0\u09a3 \u0995\u09b0\u09c1\u09a8 \u098f\u09ac\u0982 \u099c\u09ae\u09be \u09a6\u09bf\u09a8<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-radio   vfb-left-half\" id=\"item-vfb-55\"><label class=\"vfb-desc\">\u09b6\u09bf\u09b0\u09cb\u09a8\u09be\u09ae <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-55\" id=\"vfb-55-1\" value=\"Mr.\" class=\"vfb-radio\" \/><label for=\"vfb-55-1\" class=\"vfb-choice\">Mr.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-55\" id=\"vfb-55-2\" value=\"Mrs.\" class=\"vfb-radio\" \/><label for=\"vfb-55-2\" class=\"vfb-choice\">Mrs.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-55\" id=\"vfb-55-3\" value=\"Ms.\" class=\"vfb-radio\" \/><label for=\"vfb-55-3\" class=\"vfb-choice\">Ms.<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-55\" id=\"vfb-55-4\" value=\"Others\" class=\"vfb-radio\" \/><label for=\"vfb-55-4\" class=\"vfb-choice\">Others<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-file-upload   vfb-right-half\" id=\"item-vfb-57\"><label for=\"vfb-57\" class=\"vfb-desc\">\u099b\u09ac\u09bf \u0986\u09aa\u09b2\u09cb\u09a1\u0983  <span class=\"vfb-required-asterisk\">*<\/span><\/label><span class=\"vfb-span\"><input type=\"file\" name=\"vfb-57\" id=\"vfb-57\" value=\"\" class=\"vfb-text  vfb-large  required    {accept:'png|jpe?g|gif'}\" \/><label>\u098f\u0995\u099f\u09bf \u09aa\u09be\u09b8\u09aa\u09cb\u09b0\u09cd\u099f \u09b8\u09be\u0987\u099c \u099b\u09ac\u09bf \u0986\u09aa\u09b2\u09cb\u09a1 \u0995\u09b0\u09c1\u09a8. \u09b8\u09b0\u09cd\u09ac\u09cb\u099a\u09cd\u099a \u0986\u0995\u09be\u09b0 1MB\u0964<\/label><\/span><\/li><li class=\"vfb-item vfb-item-text   vfb-left-third\" id=\"item-vfb-58\"><label for=\"vfb-58\" class=\"vfb-desc\">\u09a8\u09be\u09ae\u0983  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-58\" id=\"vfb-58\" value=\"\" class=\"vfb-text  vfb-medium  required\" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-middle-third\" id=\"item-vfb-59\"><label for=\"vfb-59\" class=\"vfb-desc\">\u09aa\u09bf\u09a4\u09be\u09b0 \u09a8\u09be\u09ae\u0983  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-59\" id=\"vfb-59\" value=\"\" class=\"vfb-text  vfb-medium  required\" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-third\" id=\"item-vfb-60\"><label for=\"vfb-60\" class=\"vfb-desc\">\u09ae\u09be\u09a4\u09be\u09b0 \u09a8\u09be\u09ae\u0983  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-60\" id=\"vfb-60\" value=\"\" class=\"vfb-text  vfb-medium  required\" \/><\/li><li class=\"vfb-item vfb-item-address   vfb-left-half\" id=\"item-vfb-61\"><label class=\"vfb-desc\">\u099a\u09bf\u09a0\u09bf \u09aa\u09be\u09a0\u09be\u09a8\u09cb\u09b0 \u09a0\u09bf\u0995\u09be\u09a8\u09be: <\/label><div><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-61[address]\" id=\"vfb-61-address\" maxlength=\"150\" class=\"vfb-text vfb-medium\" \/><label for=\"vfb-61-address\">Street Address<\/label><\/span><span class=\"vfb-full\"><input type=\"text\" name=\"vfb-61[address-2]\" id=\"vfb-61-address-2\" maxlength=\"150\" class=\"vfb-text vfb-medium\" \/><label for=\"vfb-61-address-2\">Apt, Suite, Bldg. (optional)<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-61[city]\" id=\"vfb-61-city\" maxlength=\"150\" class=\"vfb-text vfb-medium\" \/><label for=\"vfb-61-city\">City<\/label><\/span><span class=\"vfb-right\"><input type=\"text\" name=\"vfb-61[state]\" id=\"vfb-61-state\" maxlength=\"150\" class=\"vfb-text vfb-medium\" \/><label for=\"vfb-61-state\">State \/ Province \/ Region<\/label><\/span><span class=\"vfb-left\"><input type=\"text\" name=\"vfb-61[zip]\" id=\"vfb-61-zip\" maxlength=\"150\" class=\"vfb-text vfb-medium\" \/><label for=\"vfb-61-zip\">Postal \/ Zip Code<\/label><\/span><span class=\"vfb-right\"><select name=\"vfb-61[country]\" class=\"vfb-select\" id=\"vfb-61-country\"><option value=\"\"><\/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\">Bahamas<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Bangladesh\" selected='selected'>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=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo (Brazzaville)\">Congo (Brazzaville)<\/option><option value=\"Congo\">Congo<\/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=\"East Timor (Timor Timur)\">East Timor (Timor Timur)<\/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, The\">Gambia, The<\/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, North\">Korea, North<\/option><option value=\"Korea, South\">Korea, South<\/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\">Myanmar<\/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=\"Palestinian Territory\">Palestinian Territory<\/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\">Saint Vincent<\/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=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania\">Tanzania<\/option><option value=\"Thailand\">Thailand<\/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 of America\">United States of America<\/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=\"Western Sahara\">Western Sahara<\/option><option value=\"Western Samoa\">Western Samoa<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select><label for=\"vfb-61-country\">Country<\/label><\/span><\/div><\/li><li class=\"vfb-item vfb-item-phone   vfb-right-half\" id=\"item-vfb-62\"><label for=\"vfb-62\" class=\"vfb-desc\">\u09ae\u09cb\u09ac\u09be\u0987\u09b2  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-62\" id=\"vfb-62\" value=\"\" class=\"vfb-text  vfb-medium  required  phone\" \/><\/li><li class=\"vfb-item vfb-item-phone   vfb-right-half\" id=\"item-vfb-63\"><label for=\"vfb-63\" class=\"vfb-desc\">\u09ab\u09cb\u09a8: <\/label><input type=\"tel\" name=\"vfb-63\" id=\"vfb-63\" value=\"\" class=\"vfb-text  vfb-medium   phone\" \/><\/li><li class=\"vfb-item vfb-item-phone   vfb-right-half\" id=\"item-vfb-64\"><label for=\"vfb-64\" class=\"vfb-desc\">\u0993\u09df\u09be\u09b0\u09cd\u0995\u0983 <\/label><input type=\"tel\" name=\"vfb-64\" id=\"vfb-64\" value=\"\" class=\"vfb-text  vfb-medium   phone\" \/><\/li><li class=\"vfb-item vfb-item-email   vfb-right-half\" id=\"item-vfb-65\"><label for=\"vfb-65\" class=\"vfb-desc\">Email:  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-65\" id=\"vfb-65\" value=\"\" class=\"vfb-text  vfb-medium  required  email\" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-66\"><label for=\"vfb-66\" class=\"vfb-desc\">\u09aa\u09c7\u09b6\u09be\u0983 <\/label><input type=\"text\" name=\"vfb-66\" id=\"vfb-66\" value=\"\" class=\"vfb-text  vfb-medium\" \/><\/li><li class=\"vfb-item vfb-item-number   vfb-right-half\" id=\"item-vfb-67\"><label for=\"vfb-67\" class=\"vfb-desc\">\u098f\u09a8\u0986\u0987\u09a1\u09bf \u09a8\u09ae\u09cd\u09ac\u09b0\u0983  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"text\" name=\"vfb-67\" id=\"vfb-67\" value=\"\" class=\"vfb-text  vfb-medium  required  digits\" \/><\/li><li class=\"vfb-item vfb-item-file-upload   vfb-left-half\" id=\"item-vfb-68\"><label for=\"vfb-68\" class=\"vfb-desc\">\u09aa\u09c7\u09b6\u09be:  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-68\" id=\"vfb-68\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload   vfb-right-half\" id=\"item-vfb-69\"><label for=\"vfb-69\" class=\"vfb-desc\">NID: back side  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"file\" name=\"vfb-69\" id=\"vfb-69\" value=\"\" class=\"vfb-text  vfb-medium  required    {accept:'png|jpe?g|gif'}\" \/><\/li><li class=\"vfb-item vfb-item-select   vfb-left-half\" id=\"item-vfb-70\"><label for=\"vfb-70\" class=\"vfb-desc\">Membership Level  <span class=\"vfb-required-asterisk\">*<\/span><\/label><select name=\"vfb-70\" id=\"vfb-70\" class=\"vfb-select  vfb-medium  required\"><option value=\"General Member\">General Member<\/option><option value=\"Life Member\">Life Member<\/option><\/select><\/li><li class=\"vfb-item vfb-item-checkbox   vfb-right-half\" id=\"item-vfb-72\"><label class=\"vfb-desc\">Area of Interest: Please 3 as appropriate. (May chose more than one option) <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-0\" value=\"1. Take an Executive Role\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-0\" class=\"vfb-choice\">1. Take an Executive Role<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-1\" value=\"2. Society Publicity\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-1\" class=\"vfb-choice\">2. Society Publicity<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-2\" value=\"3. Help with fundraising\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-2\" class=\"vfb-choice\">3. Help with fundraising<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-3\" value=\"4. Participate as a sub-committee\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-3\" class=\"vfb-choice\">4. Participate as a sub-committee<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-4\" value=\"5. Join as a sub-committee\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-4\" class=\"vfb-choice\">5. Join as a sub-committee<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-72[]\" id=\"vfb-72-5\" value=\"6. Others\" class=\"vfb-checkbox\" \/><label for=\"vfb-72-5\" class=\"vfb-choice\">6. Others<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio   vfb-left-half\" id=\"item-vfb-73\"><label class=\"vfb-desc\">I agree to abide by the rules and reguations of the Hope Autism welfare society.  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-73\" id=\"vfb-73-1\" value=\"YES\" class=\"vfb-radio  required\" \/><label for=\"vfb-73-1\" class=\"vfb-choice\">YES<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-instructions   vfb-left-half\" id=\"item-vfb-74\"><label class=\"vfb-desc\">Payment Details: <\/label>1. Membership Admission Fee:  100 Taka (one time playable) \r\n2. General Membership Subscription:  Taka 50 per month. ie. taka 600 per year. \r\n3. Life Membership: Taka 50,000\/-  one time for life \r\nCheque must be drawn in favour of Hope Autism welfare society<\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification\" id=\"item-vfb-50\" style=\"display:block\"><div class=\"vfb-legend\"><h3>\u09ad\u09c7\u09b0\u09bf\u09ab\u09bf\u0995\u09c7\u09b6\u09a8\u0983<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-51\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-51\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-51\" id=\"vfb-51\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2}\" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-52\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-52\" value=\"\u099c\u09ae\u09be \u09a6\u09bf\u09a8\" class=\"vfb-submit\" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/bn\/wp-json\/wp\/v2\/pages\/54\" \/><input type=\"hidden\" name=\"trp-form-language\" value=\"bn\"\/><\/form><\/div> <!-- .visual-form-builder-container --><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p> [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"class_list":["post-54","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - 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