{"id":2729,"date":"2024-09-27T16:01:56","date_gmt":"2024-09-27T20:01:56","guid":{"rendered":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/?page_id=2729"},"modified":"2026-01-12T10:23:23","modified_gmt":"2026-01-12T15:23:23","slug":"palmetto-prime-membership-application-and-affirmation","status":"publish","type":"page","link":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/palmetto-prime-membership-application-and-affirmation\/","title":{"rendered":"Membership Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2729\" class=\"elementor elementor-2729\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-06d25ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06d25ae\" data-element_type=\"section\" data-e-type=\"section\">\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-33 elementor-top-column elementor-element elementor-element-d7c6ed9\" data-id=\"d7c6ed9\" data-element_type=\"column\" data-e-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-8235881 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"8235881\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"400\" height=\"160\" src=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/01\/new-logo-e1768223714350.jpg\" class=\"attachment-medium_large size-medium_large wp-image-3651\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-40f72de\" data-id=\"40f72de\" data-element_type=\"column\" data-e-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-9054f8c elementor-widget elementor-widget-text-editor\" data-id=\"9054f8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><strong><span style=\"color: #ff0000;\">Instructions:<\/span><\/strong><\/h4><ol><li style=\"list-style-type: none;\"><ol><li><h6><span style=\"color: #000000;\">To complete your application online, please fill out the fields below and click the submit button.\u00a0 Fields with a <span style=\"color: #ff0000;\"><strong>red\u00a0*<\/strong><\/span>\u00a0are required.<\/span><\/h6><\/li><li><h6><span style=\"color: #000000;\">If your application is filled out correctly, you will receive a thank you message on your screen.<\/span><\/h6><\/li><li><h6><span style=\"color: #000000;\">Friendly reminder: Your membership is not complete until we receive your $60 dues using Zelle, mailed to us, or given in person at an event.\u00a0<\/span><\/h6><\/li><\/ol><\/li><\/ol>\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f1dabe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f1dabe\" data-element_type=\"section\" data-e-type=\"section\">\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-c80e82a\" data-id=\"c80e82a\" data-element_type=\"column\" data-e-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-b986e6d elementor-widget elementor-widget-shortcode\" data-id=\"b986e6d\" data-element_type=\"widget\" data-e-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\"><style id=\"wpforms-css-vars-2710\">\n\t\t\t\t#wpforms-2710 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-2710\"><form id=\"wpforms-form-2710\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2710\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729\" data-token=\"1f415d10748bb11050a04b3780c6112d\" data-token-time=\"1775713445\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-2710-field_10-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"10\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2710-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_11\">First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-2710-field_11-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2710-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_12\">Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-2710-field_12-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2710-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_6\">Street Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-2710-field_6-error\" required><\/div><div id=\"wpforms-2710-field_14-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"14\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2710-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_9\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-2710-field_9-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2710-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_8\">State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-2710-field_8-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2710-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_7\">Zip Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-2710-field_7-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2710-field_16-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"16\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-2710-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2710-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-2710-field_2-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2710-field_15-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_15\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-2710-field_15\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][15]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-2710-field_15-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-2710-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_4\">Birth Date (MM\/DD\/YR) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-2710-field_4-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2710-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">As an active member in the Chapter, I would like to VOLUNTEER in the following areas:<\/legend><ul id=\"wpforms-2710-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Board member\" aria-errormessage=\"wpforms-2710-field_18_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_1\">Board member<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Food Preparation For Events\" aria-errormessage=\"wpforms-2710-field_18_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_3\">Food Preparation For Events<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Party\/Event Host\" aria-errormessage=\"wpforms-2710-field_18_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_4\">Party\/Event Host<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_8\" name=\"wpforms[fields][18][]\" value=\"Community Service\" aria-errormessage=\"wpforms-2710-field_18_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_8\">Community Service<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_6\" name=\"wpforms[fields][18][]\" value=\"Committee Member\" aria-errormessage=\"wpforms-2710-field_18_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_6\">Committee Member<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_9\" name=\"wpforms[fields][18][]\" value=\"Steering\/Advisory\" aria-errormessage=\"wpforms-2710-field_18_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_9\">Steering\/Advisory<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_12\" name=\"wpforms[fields][18][]\" value=\"Event planning\" aria-errormessage=\"wpforms-2710-field_18_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_12\">Event planning<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_11\" name=\"wpforms[fields][18][]\" value=\"Web Site\" aria-errormessage=\"wpforms-2710-field_18_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_11\">Web Site<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_10\" name=\"wpforms[fields][18][]\" value=\"Membership\" aria-errormessage=\"wpforms-2710-field_18_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_10\">Membership<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_18_13\" name=\"wpforms[fields][18][]\" value=\"Board Member\" aria-errormessage=\"wpforms-2710-field_18_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_18_13\">Board Member<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2710-field_19-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"19\"><fieldset><legend class=\"wpforms-field-label\">Check your interests below.  Use the &quot;Suggestions&quot; line to add specific interests not listed: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-2710-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_1\" name=\"wpforms[fields][19][]\" value=\"Live Music\" aria-errormessage=\"wpforms-2710-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_1\">Live Music<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_2\" name=\"wpforms[fields][19][]\" value=\"Dine-out\" aria-errormessage=\"wpforms-2710-field_19_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_2\">Dine-out<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_3\" name=\"wpforms[fields][19][]\" value=\"Single Mixers\" aria-errormessage=\"wpforms-2710-field_19_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_3\">Single Mixers<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_18\" name=\"wpforms[fields][19][]\" value=\"Weekend Trips\" aria-errormessage=\"wpforms-2710-field_19_18-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_18\">Weekend Trips<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_17\" name=\"wpforms[fields][19][]\" value=\"Movies\" aria-errormessage=\"wpforms-2710-field_19_17-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_17\">Movies<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_16\" name=\"wpforms[fields][19][]\" value=\"Sports Events\" aria-errormessage=\"wpforms-2710-field_19_16-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_16\">Sports Events<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_15\" name=\"wpforms[fields][19][]\" value=\"Quilting and Crafts\" aria-errormessage=\"wpforms-2710-field_19_15-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_15\">Quilting and Crafts<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_14\" name=\"wpforms[fields][19][]\" value=\"Lunch\" aria-errormessage=\"wpforms-2710-field_19_14-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_14\">Lunch<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_12\" name=\"wpforms[fields][19][]\" value=\"Brunch\" aria-errormessage=\"wpforms-2710-field_19_12-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_12\">Brunch<\/label><\/li><li class=\"choice-32 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_32\" name=\"wpforms[fields][19][]\" value=\"Annual Cruise\" aria-errormessage=\"wpforms-2710-field_19_32-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_32\">Annual Cruise<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_31\" name=\"wpforms[fields][19][]\" value=\"Live Theater\" aria-errormessage=\"wpforms-2710-field_19_31-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_31\">Live Theater<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_10\" name=\"wpforms[fields][19][]\" value=\"Beach Walks\" aria-errormessage=\"wpforms-2710-field_19_10-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_10\">Beach Walks<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_8\" name=\"wpforms[fields][19][]\" value=\"Potlucks\" aria-errormessage=\"wpforms-2710-field_19_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_8\">Potlucks<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_7\" name=\"wpforms[fields][19][]\" value=\"Harbor Cruises\" aria-errormessage=\"wpforms-2710-field_19_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_7\">Harbor Cruises<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_6\" name=\"wpforms[fields][19][]\" value=\"Group Picnics\" aria-errormessage=\"wpforms-2710-field_19_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_6\">Group Picnics<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_5\" name=\"wpforms[fields][19][]\" value=\"Garden Tours and Events\" aria-errormessage=\"wpforms-2710-field_19_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_5\">Garden Tours and Events<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_4\" name=\"wpforms[fields][19][]\" value=\"Happy Hours\" aria-errormessage=\"wpforms-2710-field_19_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_4\">Happy Hours<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_22\" name=\"wpforms[fields][19][]\" value=\"Boys Night Out\" aria-errormessage=\"wpforms-2710-field_19_22-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_22\">Boys Night Out<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_21\" name=\"wpforms[fields][19][]\" value=\"Cooking Classes\" aria-errormessage=\"wpforms-2710-field_19_21-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_21\">Cooking Classes<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_25\" name=\"wpforms[fields][19][]\" value=\"Book Clubs\" aria-errormessage=\"wpforms-2710-field_19_25-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_25\">Book Clubs<\/label><\/li><li class=\"choice-35 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_35\" name=\"wpforms[fields][19][]\" value=\"Wine Tasting\" aria-errormessage=\"wpforms-2710-field_19_35-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_35\">Wine Tasting<\/label><\/li><li class=\"choice-34 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_34\" name=\"wpforms[fields][19][]\" value=\"Antiquing\/Flea Markets\" aria-errormessage=\"wpforms-2710-field_19_34-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_34\">Antiquing\/Flea Markets<\/label><\/li><li class=\"choice-33 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_33\" name=\"wpforms[fields][19][]\" value=\"Active Outdoors\" aria-errormessage=\"wpforms-2710-field_19_33-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_33\">Active Outdoors<\/label><\/li><li class=\"choice-36 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_19_36\" name=\"wpforms[fields][19][]\" value=\"Cards and Games\" aria-errormessage=\"wpforms-2710-field_19_36-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_19_36\">Cards and Games<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2710-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_20\">Suggestions<\/label><input type=\"text\" id=\"wpforms-2710-field_20\" class=\"wpforms-field-large\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-2710-field_20-error\" ><\/div><div id=\"wpforms-2710-field_21-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"21\"><fieldset><legend class=\"wpforms-field-label\">Check all the items you agree with: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-2710-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_21_1\" name=\"wpforms[fields][21][]\" value=\"I AGREE you can use my full name in Chapter correspondence, i.e., John Smith OR\" aria-errormessage=\"wpforms-2710-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_21_1\">I AGREE you can use my full name in Chapter correspondence, i.e., John Smith OR<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_21_2\" name=\"wpforms[fields][21][]\" value=\"Please refer to me using my first name and only the first initial of my last name, i.e., John S.\" aria-errormessage=\"wpforms-2710-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_21_2\">Please refer to me using my first name and only the first initial of my last name, i.e., John S.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_21_3\" name=\"wpforms[fields][21][]\" value=\"DO NOT share my membership information\" aria-errormessage=\"wpforms-2710-field_21_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_21_3\">DO NOT share my membership information<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_21_4\" name=\"wpforms[fields][21][]\" value=\"DO NOT use my photograph in any Chapter correspondence or website.\" aria-errormessage=\"wpforms-2710-field_21_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_21_4\">DO NOT use my photograph in any Chapter correspondence or website.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2710-field_34-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">Dues: Check all those that apply below.  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-2710-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_34_1\" name=\"wpforms[fields][34][]\" value=\"Use  primetimerscharleston@yahoo.com to ZELLE  dues through your bank.\" aria-errormessage=\"wpforms-2710-field_34_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_34_1\">Use  primetimerscharleston@yahoo.com to ZELLE  dues through your bank.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_34_4\" name=\"wpforms[fields][34][]\" value=\"I will mail my check for $60 to Palmetto Prime, PO Box 80842, Charleston, SC 29416.\" aria-errormessage=\"wpforms-2710-field_34_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_34_4\">I will mail my check for $60 to Palmetto Prime, PO Box 80842, Charleston, SC 29416.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_34_3\" name=\"wpforms[fields][34][]\" value=\"I will bring my $60 dues and application  to the next Chapter event.\" aria-errormessage=\"wpforms-2710-field_34_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_34_3\">I will bring my $60 dues and application  to the next Chapter event.<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_34_5\" name=\"wpforms[fields][34][]\" value=\"I am over 75 years old and will pay $40. through Zelle or bring my application and dues to an event and pay then by check or cash.\" aria-errormessage=\"wpforms-2710-field_34_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_34_5\">I am over 75 years old and will pay $40. through Zelle or bring my application and dues to an event and pay then by check or cash.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-2710-field_37-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">Affirmation:  Please check the box to indicate that you have read, understand, and agree to the following when you sign and submit this application. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-2710-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2710-field_37_1\" name=\"wpforms[fields][37][]\" value=\"Palmetto Prime of a Charleston  Social Club for gay and bisexual men, and those who identify as male. You must be 21 years of age or older to join. Join our Facebook group page http:\/www.facebook.com\/groups\/247213721786247.  Charleston&#039;s Palmetto Prime does not tolerate discrimination based on race, color, religion\/spiritual beliefs,\u00a0national origin, or disability. Any member who speaks or acts in a manner contrary to this policy may have his membership revoked. Palmetto Prime is a Chapter of Primetimers Worldwide. Submission of this application affirms your agreement to these policies. I have read the terms and agreements on the webpage and I agree with these conditions.\" aria-errormessage=\"wpforms-2710-field_37_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2710-field_37_1\">Palmetto Prime of a Charleston  Social Club for gay and bisexual men, and those who identify as male. You must be 21 years of age or older to join. Join our Facebook group page http:\/www.facebook.com\/groups\/247213721786247.  Charleston's Palmetto Prime does not tolerate discrimination based on race, color, religion\/spiritual beliefs,\u00a0national origin, or disability. Any member who speaks or acts in a manner contrary to this policy may have his membership revoked. Palmetto Prime is a Chapter of Primetimers Worldwide. Submission of this application affirms your agreement to these policies. I have read the terms and agreements on the webpage and I agree with these conditions.<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-2710-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-2710-field_1\" >and like Check<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-2710-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-2710-field_26-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"26\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-67\"><div id=\"wpforms-2710-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_23\">Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-2710-field_23-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-2710-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-2710-field_25\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2710-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-2710-field_25-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-2710-field_30-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"30\"><div id=\"wpforms-2710-field_30\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-2710-field_30-error\"><h3><strong>Contact Information: <\/strong><\/h3>\n<p><strong>Email:\u00a0 \u00a0 \u00a0 \u00a0 <\/strong><span style=\"text-decoration:underline\"><span style=\"color:#0000ff;text-decoration:underline\"><a style=\"color:#0000ff;text-decoration:underline\" href=\"mailto:primetimerscharleston@yahoo.com\"><strong><em>primetimerscharleston@yahoo.com<\/em><\/strong><\/a><strong>\u00a0<\/strong><\/span><\/span><\/p>\n<p><strong>USPS:\u00a0 \u00a0 \u00a0 \u00a0 Palmetto Prime, PO Box 80842, Charleston, SC 29416\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><strong>Website:\u00a0 \u00a0<\/strong><span style=\"text-decoration:underline\"><span style=\"color:#0000ff\"><a style=\"color:#0000ff\" href=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/\"><strong><em>https:\/\/chapters.theprimetimersww.com\/charlestonsc\/<\/em><\/strong><\/a><\/span><\/span><\/p>\n<h5><em>*Palmetto Prime is a local chapter of <\/em><strong>Prime Timers\u00ae Worldwide, Inc. (PTWW)<\/strong><\/h5>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-2710-field_31-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"31\"><div id=\"wpforms-2710-field_31\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-2710-field_31-error\"><h3><span style=\"color:#ff0000\"><strong>Please Note:<\/strong><\/span><\/h3>\n<h3><span style=\"color:#ff0000\"><strong>If you have submitted this application correctly you will receive the message, \"Thanks for submitting your Palmetto Prime application online!\"<\/strong><\/span><\/h3>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-2710-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-2710-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-2710-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LcBE_sUAAAAAN05DYKPpUa_7Kj5RLlgguQGJlky\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"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;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2710\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2710\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit your Completed Application\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit your Completed Application<\/button><img decoding=\"async\" src=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/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 --><\/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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2341db6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2341db6\" data-element_type=\"section\" data-e-type=\"section\">\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-41cc311\" data-id=\"41cc311\" data-element_type=\"column\" data-e-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-7b25d33 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b25d33\" data-element_type=\"section\" data-e-type=\"section\">\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-50 elementor-inner-column elementor-element elementor-element-9ecc0a8\" data-id=\"9ecc0a8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ab25ac1\" data-id=\"ab25ac1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\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-f97891d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f97891d\" data-element_type=\"section\" data-e-type=\"section\">\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-4d51c67\" data-id=\"4d51c67\" data-element_type=\"column\" data-e-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-e281644 elementor-widget elementor-widget-heading\" data-id=\"e281644\" data-element_type=\"widget\" data-e-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\">Add Your Heading Text Here<\/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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Instructions: To complete your application online, please fill out the fields below and click the submit button.\u00a0 Fields with a red\u00a0*\u00a0are required. If your application is filled out correctly, you will receive a thank you&hellip; <\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2729","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/comments?post=2729"}],"version-history":[{"count":5,"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729\/revisions"}],"predecessor-version":[{"id":3666,"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729\/revisions\/3666"}],"wp:attachment":[{"href":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-json\/wp\/v2\/media?parent=2729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}