{"id":347,"date":"2018-12-05T18:32:28","date_gmt":"2018-12-05T18:32:28","guid":{"rendered":"https:\/\/coi.iris.rt5.ca\/inscription\/"},"modified":"2018-12-18T15:41:02","modified_gmt":"2018-12-18T15:41:02","slug":"subscription","status":"publish","type":"page","link":"https:\/\/coi.iris.rt5.ca\/en\/subscription\/","title":{"rendered":"Subscription"},"content":{"rendered":"        <form enctype=\"multipart\/form-data\" method=\"post\" id=\"wppb-register-user\" class=\"wppb-user-forms wppb-register-user wppb-user-logged-out\" action=\"https:\/\/coi.iris.rt5.ca\/en\/wp-json\/wp\/v2\/pages\/347\">\n\t\t\t<ul><li class=\"wppb-form-field wppb-default-first-name\" id=\"wppb-form-element-3\">\n\t\t\t<label for=\"first_name\">First Name<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_firstname \" name=\"first_name\" maxlength=\"70\" type=\"text\" id=\"first_name\" value=\"\"  \/><\/li><li class=\"wppb-form-field wppb-default-last-name\" id=\"wppb-form-element-4\">\n\t\t\t<label for=\"last_name\">Last Name<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_lastname \" name=\"last_name\" maxlength=\"70\" type=\"text\" id=\"last_name\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-14\">\n\t\t\t\t<label for=\"custom_field_1\">Practice number\r\n<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_1\" maxlength=\"250\" type=\"text\" id=\"custom_field_1\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-default-e-mail\" id=\"wppb-form-element-8\">\n\t\t\t<label for=\"email\">E-mail<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input default_field_email \" name=\"email\" maxlength=\"70\" type=\"email\" id=\"email\" value=\"\"   \/><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-21\"><h4 class=\"extra_field_heading\">Clinic 1<\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-17\">\n\t\t\t\t<label for=\"custom_field_4\">Name of the clinic<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_4\" maxlength=\"250\" type=\"text\" id=\"custom_field_4\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-18\">\n\t\t\t\t<label for=\"custom_field_5\">Address<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_5\" maxlength=\"250\" type=\"text\" id=\"custom_field_5\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-15\">\n\t\t\t\t<label for=\"custom_field_2\">Phone number<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_2\" maxlength=\"250\" type=\"text\" id=\"custom_field_2\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-16\">\n\t\t\t\t<label for=\"custom_field_3\">Fax<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_3\" maxlength=\"250\" type=\"text\" id=\"custom_field_3\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-22\"><h4 class=\"extra_field_heading\">Clinc 2<\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-19\">\n\t\t\t\t<label for=\"custom_field_6\">Name of the clinic<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_6\" maxlength=\"250\" type=\"text\" id=\"custom_field_6\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-20\">\n\t\t\t\t<label for=\"custom_field_7\">Address<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_7\" maxlength=\"250\" type=\"text\" id=\"custom_field_7\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-23\">\n\t\t\t\t<label for=\"custom_field_8\">Phone<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_8\" maxlength=\"250\" type=\"text\" id=\"custom_field_8\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-24\">\n\t\t\t\t<label for=\"custom_field_9\">Fax<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_9\" maxlength=\"250\" type=\"text\" id=\"custom_field_9\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-25\"><h4 class=\"extra_field_heading\">Clinic 3<\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-26\">\n\t\t\t\t<label for=\"custom_field_10\">Name of the clinic<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_10\" maxlength=\"250\" type=\"text\" id=\"custom_field_10\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-27\">\n\t\t\t\t<label for=\"custom_field_11\">Address<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_11\" maxlength=\"250\" type=\"text\" id=\"custom_field_11\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-28\">\n\t\t\t\t<label for=\"custom_field_12\">Phone<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_12\" maxlength=\"250\" type=\"text\" id=\"custom_field_12\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-29\">\n\t\t\t\t<label for=\"custom_field_13\">Fax<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_13\" maxlength=\"250\" type=\"text\" id=\"custom_field_13\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-30\"><h4 class=\"extra_field_heading\">Clinic 4<\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-31\">\n\t\t\t\t<label for=\"custom_field_14\">Name of the clinic<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_14\" maxlength=\"250\" type=\"text\" id=\"custom_field_14\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-32\">\n\t\t\t\t<label for=\"custom_field_15\">Address<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_15\" maxlength=\"250\" type=\"text\" id=\"custom_field_15\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-33\">\n\t\t\t\t<label for=\"custom_field_16\">Phone<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_16\" maxlength=\"250\" type=\"text\" id=\"custom_field_16\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-input\" id=\"wppb-form-element-34\">\n\t\t\t\t<label for=\"custom_field_17\">Fax<\/label>\n\t\t\t\t<input class=\"extra_field_input \" name=\"custom_field_17\" maxlength=\"250\" type=\"text\" id=\"custom_field_17\" value=\"\" \/><\/li><li class=\"wppb-form-field wppb-heading\" id=\"wppb-form-element-35\"><h4 class=\"extra_field_heading\"><\/h4><span class=\"wppb-description-delimiter\"><\/span><\/li><li class=\"wppb-form-field wppb-default-password\" id=\"wppb-form-element-12\">\n\t\t\t<label for=\"passw1\">Password<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input \" name=\"passw1\" maxlength=\"70\" type=\"password\" id=\"passw1\" value=\"\" autocomplete=\"off\" \/><span class=\"wppb-description-delimiter\"> <\/span><\/li><li class=\"wppb-form-field wppb-default-repeat-password\" id=\"wppb-form-element-13\">\n\t\t\t<label for=\"passw2\">Repeat Password<span class=\"wppb-required\" title=\"This field is required\">*<\/span><\/label>\n\t\t\t<input class=\"text-input \" name=\"passw2\" maxlength=\"70\" type=\"password\" id=\"passw2\" value=\"\" autocomplete=\"off\" \/><\/li><\/ul><ul><li class=\"wppb-form-field wppb-send-credentials-checkbox\"><label for=\"send_credentials_via_email\"><input id=\"send_credentials_via_email\" type=\"checkbox\" name=\"send_credentials_via_email\" value=\"sending\"\/>Send these credentials via email.<\/label><\/li><\/ul>\t\t\t<p class=\"form-submit\"  >\n\t\t\t\t                \t\t\t\t<input name=\"register\" type=\"submit\" id=\"register\" class=\"submit button\" value=\"Register\" \/>\n                <input name=\"redirect_to\" type=\"hidden\" value=\"\" \/>\n                \t\t\t\t<input name=\"action\" type=\"hidden\" id=\"action\" value=\"register\" \/>\n\t\t\t\t<input name=\"form_name\" type=\"hidden\" id=\"form_name\" value=\"unspecified\" \/>\n\t\t\t\t<input 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