{"id":703,"date":"2015-11-08T17:10:01","date_gmt":"2015-11-08T17:10:01","guid":{"rendered":"http:\/\/www.thefireflyinnovations.com\/?page_id=703"},"modified":"2016-08-21T00:15:03","modified_gmt":"2016-08-20T22:15:03","slug":"request-registration-form","status":"publish","type":"page","link":"https:\/\/www.thefireflyinnovations.com\/home\/request-registration-form\/","title":{"rendered":"Request registration details"},"content":{"rendered":"<div class='one_half'>\n\t\t\t\t\t<h2><span style=\"color: #0000ff;\">Welcome and let us help you<\/span><\/h2>\n<div id=\"attachment_539\" style=\"width: 319px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.thefireflyinnovations.com\/wp-content\/uploads\/2015\/11\/AS-Sprin-S.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-539\" class=\"wp-image-539 size-full\" src=\"http:\/\/www.thefireflyinnovations.com\/wp-content\/uploads\/2015\/11\/AS-Sprin-S.png\" alt=\"AS Sprin S\" width=\"309\" height=\"198\" srcset=\"https:\/\/www.thefireflyinnovations.com\/wp-content\/uploads\/2015\/11\/AS-Sprin-S.png 309w, https:\/\/www.thefireflyinnovations.com\/wp-content\/uploads\/2015\/11\/AS-Sprin-S-300x192.png 300w\" sizes=\"auto, (max-width: 309px) 100vw, 309px\" \/><\/a><p id=\"caption-attachment-539\" class=\"wp-caption-text\"><strong><span style=\"color: #339966;\">You live the hunt and tap into your own soul<\/span><\/strong><\/p><\/div>\n<p>&nbsp;<\/p>\n<p>Remember to qualify for the <strong><span style=\"text-decoration: underline;\"><span style=\"color: #0000ff; text-decoration: underline;\"><a href=\"http:\/\/www.thefireflyinnovations.com\/?p=124\" target=\"_blank\">African Safari<\/a><\/span><\/span><\/strong>\u00a0competition, you need to:-<\/p>\n<ol>\n<li>Be a Firefly sponsor\/funder <span style=\"text-decoration: underline;\">or<\/span><\/li>\n<li>Be a client of a Firefly sponsor\/funder\u00a0<span style=\"text-decoration: underline;\">or<\/span><\/li>\n<li>A member of a nominated fire or forestry service <span style=\"text-decoration: underline;\">and<\/span><\/li>\n<li>be registered<\/li>\n<\/ol>\n\t\t\t\t<\/div> <div class='one_half et_column_last'>\n\t\t\t\t\t<h3><span style=\"color: #0000ff;\">Time to take your business to the next level<\/span><\/h3>\n\n\n<!-- Fast Secure Contact Form plugin 4.0.38 - begin - FastSecureContactForm.com -->\r\n<div style=\"clear:both;\"><\/div>\n<p>Complete the details below and we will help you to register.<\/p>\r\n<div id=\"FSContact1\" style=\"width:99%; max-width:555px;\">\r\n<form action=\"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/pages\/703#FSContact1\" id=\"fscf_form1\" method=\"post\">\r\n\n<div id=\"fscf_required1\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left;\">indicates required field<\/span>\n<\/div>\n\n\n<div id=\"fscf_div_clear1_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_0\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\r\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_name1\">Name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\r\n    <div style=\"text-align:left;\">\r\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_name1\" name=\"full_name\" value=\"\"  readonly=\"readonly\" \/>\r\n    <\/div>\r\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_email1\">Email:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_email1\" name=\"email\" value=\"\"  readonly=\"readonly\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_5\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_5\">Sponsor\/funders bus\/name....Also required for new applications:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_5\" name=\"Sponsorfunders-busname\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_2\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_2\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_field1_2\">Subject:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_2\" name=\"subject\" value=\"Please provide registration details\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_3\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_3\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_field1_3\">Message:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <textarea style=\"text-align:left; margin:0; width:99%; max-width:250px; height:120px;\" id=\"fscf_field1_3\" name=\"message\" cols=\"30\" rows=\"10\" >We like the program please provide the rates, process and documentation<\/textarea>\n    <\/div>\n  <\/div>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<div style=\"text-align:left; padding-top:5px;\">\n<\/div>\n<div id=\"fscf_captcha_image_div1\" style=\"width:250px; height:65px; padding-top:2px;\">\n      <img loading=\"lazy\" decoding=\"async\" id=\"fscf_captcha_image1\" style=\"border-style:none; margin:0; padding:0px; padding-right:5px; float:left;\" src=\"https:\/\/www.thefireflyinnovations.com\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix=MPFrq0BK9LCIW8nx\" width=\"175\" height=\"60\" alt=\"CAPTCHA Image\" title=\"CAPTCHA Image\" \/>\n      <input id=\"fscf_captcha_prefix1\" type=\"hidden\" name=\"fscf_captcha_prefix1\" value=\"MPFrq0BK9LCIW8nx\" \/>\n     <div id=\"fscf_captcha_refresh1\">\n        <a href=\"#\" rel=\"nofollow\" title=\"Refresh Image\" onclick=\"fscf_captcha_refresh('1','\/wp-content\/plugins\/si-contact-form\/captcha','https:\/\/www.thefireflyinnovations.com\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix='); return false;\">\n        <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.thefireflyinnovations.com\/wp-content\/plugins\/si-contact-form\/captcha\/images\/refresh.png\" width=\"22\" height=\"20\" alt=\"Refresh Image\" style=\"border-style:none; margin:0; padding:0px; vertical-align:bottom;\" onclick=\"this.blur();\" \/><\/a>\r\n     <\/div>\r\n<\/div>\r\n\r\n<div id=\"fscf_captcha_field1\" style=\"text-align:left; padding-top:5px;\">\r\n     <label style=\"text-align:left;\" for=\"fscf_captcha_code1\">CAPTCHA Code:<span style=\"text-align:left;\">*<\/span><\/label>\r\n<\/div>\r\n<div style=\"text-align:left;\">\n     <input style=\"text-align:left; margin:0; width:50px;\" type=\"text\" value=\"\" id=\"fscf_captcha_code1\" name=\"captcha_code\"  \/>\n<\/div>\n\n<div id=\"fscf_submit_div1\" style=\"text-align:left; clear:both; padding-top:15px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit1\" style=\"cursor:pointer; margin:0;\" value=\"Submit\"  onclick=\"this.disabled=true; this.value='Submitting...'; this.form.submit();\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_1\" value=\"9988256f0324d82d4ddc30569e320e23,1792312560\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n<input type=\"hidden\" name=\"mailto_id\" value=\"1\" \/>\n\n<\/form>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.38 - end - FastSecureContactForm.com -->\n\t\t\t\t<\/div><div class='clear'><\/div><\/p>\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":{"footnotes":""},"class_list":["post-703","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/pages\/703","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/comments?post=703"}],"version-history":[{"count":17,"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/pages\/703\/revisions"}],"predecessor-version":[{"id":919,"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/pages\/703\/revisions\/919"}],"wp:attachment":[{"href":"https:\/\/www.thefireflyinnovations.com\/home\/wp-json\/wp\/v2\/media?parent=703"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}