{"id":2179,"date":"2020-10-28T10:43:34","date_gmt":"2020-10-28T10:43:34","guid":{"rendered":"https:\/\/t-creative.com\/asiatic\/?page_id=2179"},"modified":"2026-03-03T23:15:51","modified_gmt":"2026-03-03T23:15:51","slug":"online-registration-form","status":"publish","type":"page","link":"https:\/\/royalasiaticsociety.org\/online-registration-form\/","title":{"rendered":"Online Registration Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column][vc_single_image image=&#8221;2194&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h3>Online Registration Form<\/h3>\r\n<p>Please fill in the form below to become a member of the Royal Asiatic Society and pay using one of the following options.<\/p>\r\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1603882418601{background-color: #cccccc !important;}&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<div id=\"wpmem_reg\"><a id=\"register\"><\/a><form name=\"form\" method=\"post\" action=\"https:\/\/royalasiaticsociety.org\/online-registration-form\/\" id=\"wpmem_register_form\" class=\"form\"><input type=\"hidden\" id=\"_wpmem_register_nonce\" name=\"_wpmem_register_nonce\" value=\"eef1354d1d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/2179\" \/><fieldset><legend>New User Registration<\/legend><label for=\"membership_plan\" class=\"radio\">Choose Membership Plan<span class=\"req\">*<\/span><\/label><div class=\"div_radio\"><span class=\"div_radio_separator\">---- Select One ----<\/span><br \/><input type=\"radio\" name=\"membership_plan\" id=\"membership_plan_1\" value=\"uk_fellow\" required > <label for=\"membership_plan_1\" id=\"label_membership_plan_1\" class=\"radio\">UK Fellow<\/label><br \/><input type=\"radio\" name=\"membership_plan\" id=\"membership_plan_2\" value=\"under30_fellow\" required > <label for=\"membership_plan_2\" id=\"label_membership_plan_2\" class=\"radio\">Fellows under the age of 30<\/label><br \/><input type=\"radio\" name=\"membership_plan\" id=\"membership_plan_3\" value=\"overseas_fellow\" required > <label for=\"membership_plan_3\" id=\"label_membership_plan_3\" class=\"radio\">Overseas Fellow<\/label><br \/><input type=\"radio\" name=\"membership_plan\" id=\"membership_plan_4\" value=\"joint_fellowship\" required > <label for=\"membership_plan_4\" id=\"label_membership_plan_4\" class=\"radio\">Joint Fellowship<\/label><br \/><input type=\"radio\" name=\"membership_plan\" id=\"membership_plan_5\" value=\"life_fellowship\" required > <label for=\"membership_plan_5\" id=\"label_membership_plan_5\" class=\"radio\">Life Fellowship<\/label><br \/><\/div><label for=\"how_to_pay\" class=\"radio\">How will you be paying your subscription?<span class=\"req\">*<\/span><\/label><div class=\"div_radio\"><span class=\"div_radio_separator\">---- Select One ----<\/span><br \/><input type=\"radio\" name=\"how_to_pay\" id=\"how_to_pay_1\" value=\"direct_debit\" required > <label for=\"how_to_pay_1\" id=\"label_how_to_pay_1\" class=\"radio\">Direct Debit<\/label><br \/><input type=\"radio\" name=\"how_to_pay\" id=\"how_to_pay_2\" value=\"bank_transfer\" required > <label for=\"how_to_pay_2\" id=\"label_how_to_pay_2\" class=\"radio\">Bank Transfer<\/label><br \/><input type=\"radio\" name=\"how_to_pay\" id=\"how_to_pay_3\" value=\"cheque\" required > <label for=\"how_to_pay_3\" id=\"label_how_to_pay_3\" class=\"radio\">Cheque<\/label><br \/><input type=\"radio\" name=\"how_to_pay\" id=\"how_to_pay_4\" value=\"paypal\" required > <label for=\"how_to_pay_4\" id=\"label_how_to_pay_4\" class=\"radio\">PayPal or card payment<\/label><br \/><\/div><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=\"title\" class=\"text\">Title<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"title\" type=\"text\" id=\"title\" 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><label for=\"user_email\" class=\"text\">Email<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"user_email\" type=\"email\" id=\"user_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"confirm_email\" class=\"text\">Confirm Email<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"confirm_email\" type=\"email\" id=\"confirm_email\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"password\" class=\"text\">Create Password<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"password\" type=\"password\" id=\"password\" class=\"textbox\" required  \/><\/div><label for=\"confirm_password\" class=\"text\">Confirm Password<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"confirm_password\" type=\"password\" id=\"confirm_password\" class=\"textbox\" required  \/><\/div><label for=\"date_of_birth\" class=\"text\">Date of Birth<\/label><div class=\"div_text\"><input name=\"date_of_birth\" type=\"text\" id=\"date_of_birth\" value=\"\" class=\"textbox\" placeholder=\"DD.MM.YYYY\" \/><\/div><label for=\"billing_address_1\" class=\"text\">Address 1<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_address_1\" type=\"text\" id=\"billing_address_1\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_address_2\" class=\"text\">Address 2<\/label><div class=\"div_text\"><input name=\"billing_address_2\" type=\"text\" id=\"billing_address_2\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_city\" class=\"text\">City<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_city\" type=\"text\" id=\"billing_city\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_state\" class=\"text\">State \/ County<\/label><div class=\"div_text\"><input name=\"billing_state\" type=\"text\" id=\"billing_state\" value=\"\" class=\"textbox\" \/><\/div><label for=\"billing_postcode\" class=\"text\">Zip \/ Postcode<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_postcode\" type=\"text\" id=\"billing_postcode\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_country\" class=\"text\">Country<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_country\" type=\"text\" id=\"billing_country\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"billing_phone\" class=\"text\">Daytime Phone Number<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"billing_phone\" type=\"text\" id=\"billing_phone\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"occupation\" class=\"text\">Occupation<span class=\"req\">*<\/span><\/label><div class=\"div_text\"><input name=\"occupation\" type=\"text\" id=\"occupation\" value=\"\" class=\"textbox\" required  \/><\/div><label for=\"place_of_work_study\" class=\"textarea\">Place of Work \/ Study<span class=\"req\">*<\/span><\/label><div class=\"div_textarea\"><textarea cols=\"20\" rows=\"2\" name=\"place_of_work_study\" id=\"place_of_work_study\" class=\"textarea\" required ><\/textarea><\/div><label for=\"my_area_of_interest\" class=\"textarea\">My Area of Interest Is:<span class=\"req\">*<\/span><\/label><div class=\"div_textarea\"><textarea cols=\"20\" rows=\"2\" name=\"my_area_of_interest\" id=\"my_area_of_interest\" class=\"textarea\" required ><\/textarea><\/div><label for=\"i_consent_my_contact_info\" class=\"checkbox\">I consent to my email address being added to the blog and email mailing list to keep me updated with RAS activities and my Fellowship<\/label><div class=\"div_checkbox\"><input name=\"i_consent_my_contact_info\" type=\"checkbox\" id=\"i_consent_my_contact_info\" value=\"consent_given\" \/><\/div><label for=\"journal_online\" class=\"checkbox\">I would like to access the RAS journal online only<\/label><div class=\"div_checkbox\"><input name=\"journal_online\" type=\"checkbox\" id=\"journal_online\" value=\"consent_journal_online\" \/><\/div><label for=\"fellows_list\" class=\"checkbox\">I would like my name and contact details to be included in the fellows list in printed form and\/or online<\/label><div class=\"div_checkbox\"><input name=\"fellows_list\" type=\"checkbox\" id=\"fellows_list\" value=\"fellows_list_content_given\" \/><\/div><label for=\"gift_aid\" class=\"checkbox\">Gift Aid. I pay UK income tax and consent for the Society can claim the maximum benefit for charitable giving<\/label><div class=\"div_checkbox\"><input name=\"gift_aid\" type=\"checkbox\" id=\"gift_aid\" value=\"Gift Aid Agreed\" \/><\/div><label for=\"signed\" class=\"checkbox\">Signed<span class=\"req\">*<\/span><\/label><div class=\"div_checkbox\"><input name=\"signed\" type=\"checkbox\" id=\"signed\" value=\"signed\" required  \/><\/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=\"6Lc3STosAAAAAM0ltQ1FGVOqfTwhczxmx-v5UNbL\"><\/div><\/div><input name=\"a\" type=\"hidden\" value=\"register\" \/><input name=\"wpmem_reg_page\" type=\"hidden\" value=\"https:\/\/royalasiaticsociety.org\/online-registration-form\/\" \/><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>\r\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h4>Please Note:<\/h4>\r\n<ul>\r\n<li>Upon submitting your application form you are agreeing to the RAS storing your details and using them to contact you.<\/li>\r\n<li>The first payment of subscription is due on application and then annually from the date of first payment.<\/li>\r\n<li>Should your application not be successful we will refund your payment.<\/li>\r\n<li>Please pay by Direct Debit or via PayPal<\/li>\r\n<\/ul>\r\n<p>[\/vc_column_text][vc_separator color=&#8221;green&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h3>Payment Options<\/h3>\r\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h4>1. Direct Debit<\/h4>\r\n<p>The Society prefers payment by Direct Debit and offers a reduction in fees for fellows choosing this option. This option requires a UK bank account.<\/p>\r\n<p>[\/vc_column_text][vc_btn title=&#8221;Download Direct Debit Form&#8221; color=&#8221;green&#8221; css=&#8221;&#8221; link=&#8221;url:https%3A%2F%2Froyalasiaticsociety.org%2Fwp-content%2Fuploads%2F2024%2F01%2FDDI-MANDATE-2022-FORM-1.pdf|target:_blank&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h4>2. Pay via PayPal<\/h4>\r\n<form action=\"https:\/\/www.paypal.com\/cgi-bin\/webscr\" method=\"post\" target=\"_blank\">\r\n<p>Set up a recurring subscription via PayPal. You need a PayPal account to use this option. Choose your subscription type from the drop-down menu and click the button.<\/p>\r\n<\/form><form action=\"https:\/\/www.paypal.com\/cgi-bin\/webscr\" method=\"post\" target=\"_top\"><input name=\"cmd\" type=\"hidden\" value=\"_s-xclick\" \/><br \/><input name=\"hosted_button_id\" type=\"hidden\" value=\"GNCSK8EYLLRFW\" \/>\r\n<table>\r\n<tbody>\r\n<tr>\r\n<td><input name=\"on0\" type=\"hidden\" value=\"Payment Options\" \/>Payment Options<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><select name=\"os0\">\r\n<option value=\"UK Fellow\">UK Fellow : \u00a380.00 GBP &#8211; yearly<\/option>\r\n<option value=\"Fellows under the age of 30 (Worldwide)\">Fellows under the age of 30 (Worldwide) : \u00a340.00 GBP &#8211; yearly<\/option>\r\n<option value=\"Overseas Fellow\">Overseas Fellow : \u00a370.00 GBP &#8211; yearly<\/option>\r\n<option value=\"Joint Fellowship\">Joint Fellowship : \u00a3120.00 GBP &#8211; yearly<\/option>\r\n<\/select><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p><input name=\"currency_code\" type=\"hidden\" value=\"GBP\" \/><br \/><input alt=\"PayPal \u2013 The safer, easier way to pay online!\" name=\"submit\" src=\"https:\/\/royalasiaticsociety.org\/wp-content\/uploads\/subscribe-button3.jpg\" type=\"image\" \/><\/p>\r\n<\/form><form action=\"https:\/\/www.paypal.com\/cgi-bin\/webscr\" method=\"post\" target=\"_blank\">\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.paypalobjects.com\/en_GB\/i\/scr\/pixel.gif\" alt=\"\" width=\"1\" height=\"1\" border=\"0\" \/><\/p>\r\n<\/form>\r\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=&#8221;green&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\r\n<h4>Gift Aid<\/h4>\r\n<p>Fellows who pay UK income tax can complete a\u00a0<strong>Gift Aid Declaration<\/strong> so that the Society can claim the maximum benefit under the new rules for charitable giving. Please click the below button to complete the declaration form online. Alternatively, you can download the form <a href=\"https:\/\/royalasiaticsociety.org\/wp-content\/uploads\/GIFT-AID-DECLARATION-FORM.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a> and email the completed form to <a href=\"mailto:cl@royalasiaticsociety.org\">cl@royalasiaticsociety.org<\/a>.<\/p>\r\n<p>[\/vc_column_text][vc_btn title=&#8221;Gift Aid Declaration Form&#8221; color=&#8221;green&#8221; css=&#8221;&#8221; link=&#8221;url:https%3A%2F%2Froyalasiaticsociety.org%2Fgift-aid-declaration%2F|target:_blank&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row]<\/p><\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221;][vc_column][vc_single_image image=&#8221;2194&#8243; img_size=&#8221;full&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Online Registration Form Please fill in the form below to become a member of the Royal Asiatic Society and pay using one of the following options. [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1603882418601{background-color: #cccccc !important;}&#8221;][vc_column_text css=&#8221;&#8221;] [\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Please Note: Upon submitting your application form you are agreeing to the RAS storing&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":"","_tec_slr_enabled":"","_tec_slr_layout":""},"class_list":["post-2179","page","type-page","status-publish","hentry"],"acf":[],"ticketed":false,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/pages\/2179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/comments?post=2179"}],"version-history":[{"count":52,"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/pages\/2179\/revisions"}],"predecessor-version":[{"id":24669,"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/pages\/2179\/revisions\/24669"}],"wp:attachment":[{"href":"https:\/\/royalasiaticsociety.org\/wp-json\/wp\/v2\/media?parent=2179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}