{"id":169,"date":"2025-12-16T11:03:03","date_gmt":"2025-12-16T11:03:03","guid":{"rendered":"https:\/\/worldpatientsalliance.org\/staging\/?page_id=169"},"modified":"2026-01-07T10:08:52","modified_gmt":"2026-01-07T10:08:52","slug":"join-us","status":"publish","type":"page","link":"https:\/\/worldpatientsalliance.org\/staging\/join-us\/","title":{"rendered":"Join Us"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"169\" class=\"elementor elementor-169\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77313abb e-flex e-con-boxed e-con e-parent\" data-id=\"77313abb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-379fa450 elementor-widget elementor-widget-heading\" data-id=\"379fa450\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Join Us - World Patients Alliance\n\u200b<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c68d7d6 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"1c68d7d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#\">\n\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Home<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Join Us - World Patients Alliance \u200b<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-533dfb8 e-flex e-con-boxed e-con e-parent\" data-id=\"533dfb8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8189b41 elementor-widget elementor-widget-heading\" data-id=\"8189b41\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Become a Member<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ac546b elementor-widget elementor-widget-text-editor\" data-id=\"4ac546b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The World Patients Alliance welcomes patient organizations, professional organizations, networks and other organizations to become a member and join our mission to empower patients worldwide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8b5daf elementor-widget elementor-widget-heading\" data-id=\"f8b5daf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">By joining the WPA, your organization will be able to:<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0409f06 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"0409f06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M173.898 439.404l-166.4-166.4c-9.997-9.997-9.997-26.206 0-36.204l36.203-36.204c9.997-9.998 26.207-9.998 36.204 0L192 312.69 432.095 72.596c9.997-9.997 26.207-9.997 36.204 0l36.203 36.204c9.997 9.997 9.997 26.206 0 36.204l-294.4 294.401c-9.998 9.997-26.207 9.997-36.204-.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Influence global healthcare policies<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M173.898 439.404l-166.4-166.4c-9.997-9.997-9.997-26.206 0-36.204l36.203-36.204c9.997-9.998 26.207-9.998 36.204 0L192 312.69 432.095 72.596c9.997-9.997 26.207-9.997 36.204 0l36.203 36.204c9.997 9.997 9.997 26.206 0 36.204l-294.4 294.401c-9.998 9.997-26.207 9.997-36.204-.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Access exclusive resources such as conferences, workshops, toolkits, and webinars<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M173.898 439.404l-166.4-166.4c-9.997-9.997-9.997-26.206 0-36.204l36.203-36.204c9.997-9.998 26.207-9.998 36.204 0L192 312.69 432.095 72.596c9.997-9.997 26.207-9.997 36.204 0l36.203 36.204c9.997 9.997 9.997 26.206 0 36.204l-294.4 294.401c-9.998 9.997-26.207 9.997-36.204-.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Attend events, including the WPAs meetings and events<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-check\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M173.898 439.404l-166.4-166.4c-9.997-9.997-9.997-26.206 0-36.204l36.203-36.204c9.997-9.998 26.207-9.998 36.204 0L192 312.69 432.095 72.596c9.997-9.997 26.207-9.997 36.204 0l36.203 36.204c9.997 9.997 9.997 26.206 0 36.204l-294.4 294.401c-9.998 9.997-26.207 9.997-36.204-.001z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Collaborate, partner, and network with like-minded organizations to create a bigger impact.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ca1aa8a elementor-widget elementor-widget-heading\" data-id=\"ca1aa8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">There is no FEE to join and become a member of WPA.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bf8ae3 elementor-widget elementor-widget-heading\" data-id=\"6bf8ae3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Two levels of membership:<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bc445f elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"5bc445f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">1. FULL MEMBERSHIP<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">2. ASSOCIATE MEMBERSHIP<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a77e0fb e-con-full e-flex e-con e-child\" data-id=\"a77e0fb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3962f90a e-con-full e-flex e-con e-child\" data-id=\"3962f90a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0682d27 elementor-widget elementor-widget-heading\" data-id=\"0682d27\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Membership Application<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-251cecf elementor-widget elementor-widget-text-editor\" data-id=\"251cecf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><strong>1. FULL MEMBERSHIP<\/strong><\/p><p>Available to qualified Patient Organizations, networks or entities that are substantially engaged in advocating for or providing services for patients<\/p><p>Annual dues: None at this time<\/p><p><strong>2. ASSOCIATE MEMBERSHIP<\/strong><\/p><p>Available to high quality organizations (non-patient advocacy), health care organizations (such as hospitals, professional organizations, etc), companies and networks or entities that support the WPA\u2019s objectives and share in accomplishing our mission<\/p><p>Annual dues: None at this time<\/p><p>Please note that we will process your application promptly. Incomplete applications will not be reviewed. Each application is reviewed and voted upon by the WPA Membership Committee. Membership will become effective upon WPA approval of the application. WPA reserves the right to refuse any application.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd97ea0 elementor-widget elementor-widget-heading\" data-id=\"bd97ea0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">* Required<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95df323 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"95df323\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e54bb5b elementor-widget elementor-widget-heading\" data-id=\"e54bb5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Organization Information<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-200895d elementor-widget elementor-widget-shortcode\" data-id=\"200895d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f235305-o1\" lang=\"en\" dir=\"ltr\" data-wpcf7-id=\"235305\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/staging\/wp-json\/wp\/v2\/pages\/169#wpcf7-f235305-o1\" method=\"post\" class=\"wpcf7-form init cf7mls-no-scroll cf7mls-auto-return-first-step cf7mls-no-moving-animation\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"235305\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f235305-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:235305,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;type-of-organization&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Others&quot;}]},{&quot;then_field&quot;:&quot;organization-focus-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;organization-focus&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Specific Disease Area&quot;}]},{&quot;then_field&quot;:&quot;language-group&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;which-language&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Others&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"cf7s-user_id\" value=\"0\" \/><input type=\"hidden\" name=\"cf7sub_nonce\" value=\"031c2c16d5\" \/>\n<\/fieldset>\n<div class=\"fieldset-cf7mls-wrapper\" data-transition-effects><fieldset class=\"fieldset-cf7mls cf7mls_current_fs\"><style>\n\/* ===== Form Wrapper ===== *\/\n.wpa_cf_section {\n  margin-bottom: 22px;\n  font-family: \"Segoe UI\", Arial, sans-serif;\n}\n\n\/* ===== Section Title ===== *\/\n.wpa_org_info {\n  display: block;\n  font-size: 18px;\n  font-weight: 600;\n  margin-bottom: 12px;\n  color: #2c3e50;\n}\n\n\/* ===== Labels ===== *\/\n.wpa_cf_section label {\n  display: block;\n  margin-bottom: 6px;\n  font-weight: 500;\n  color: #333;\n}\n\n\/* Required asterisk *\/\n.wpa_red {\n  color: #e74c3c;\n}\n\n\/* ===== Text Inputs ===== *\/\n.wpa_cf_section input[type=\"text\"],\n.wpa_cf_section input[type=\"file\"] {\n  width: 100%;\n  padding: 10px 12px;\n  border: 1px solid #ccc;\n  border-radius: 6px;\n  font-size: 14px;\n  transition: all 0.3s ease;\n  box-sizing: border-box;\n}\n\n\/* Focus state *\/\n.wpa_cf_section input[type=\"text\"]:focus,\n.wpa_cf_section input[type=\"file\"]:focus {\n  border-color: #3498db;\n  outline: none;\n  box-shadow: 0 0 0 2px rgba(52, 152, 219, 0.15);\n}\n\n\/* ===== Radio Buttons ===== *\/\n.wpa_cf_section input[type=\"radio\"] {\n  margin-right: 6px;\n  accent-color: #3498db;\n}\n\n\/* Radio layout *\/\n.wpa_cf_section .wpcf7-list-item {\n  display: block;\n  margin-bottom: 6px;\n  font-size: 14px;\n}\n\n\/* ===== Group Conditional Box ===== *\/\n[group] {\n  margin-top: 10px;\n  padding: 12px;\n  background: #f7f9fb;\n  border-left: 4px solid #3498db;\n  border-radius: 6px;\n}\n\n\/* ===== File Inputs ===== *\/\n.wpa_cf_section input[type=\"file\"] {\n  background: #fafafa;\n  cursor: pointer;\n}\n\n\/* ===== Tooltip Icon ===== *\/\n.wpa_cf_section .fa-exclamation-circle {\n  color: #3498db;\n  margin-left: 5px;\n  cursor: help;\n}\n\n\/* ===== Optional helper text ===== *\/\n.wpa_cf_section em {\n  font-size: 12px;\n  color: #777;\n}\n<\/style>\n\n<div class=\"wpa_cf_section\">\n  <label class=\"wpa_org_info\">Organization Information<\/label>\n  <label>Name of Organization <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"your-organization\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Organization\" value=\"\" type=\"text\" name=\"your-organization\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Membership Type <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"membership-type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"membership-type\" value=\"Full\" \/><span class=\"wpcf7-list-item-label\">Full<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"membership-type\" value=\"Associate\" \/><span class=\"wpcf7-list-item-label\">Associate<\/span><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Type of Organization? <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"type-of-organization\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"type-of-organization\" value=\"Patient Group\/NGO\" \/><span class=\"wpcf7-list-item-label\">Patient Group\/NGO<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"type-of-organization\" value=\"Professional Association\" \/><span class=\"wpcf7-list-item-label\">Professional Association<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"type-of-organization\" value=\"Hospital \/ Treatment Center \/ Research Center\" \/><span class=\"wpcf7-list-item-label\">Hospital \/ Treatment Center \/ Research Center<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"type-of-organization\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/span><\/span><\/span>\n\n  <div data-id=\"option4\" data-orig_data_id=\"option4\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"too-others\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Specify\" value=\"\" type=\"text\" name=\"too-others\" \/><\/span>\n  <\/div>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Coverage Area <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"coverage-area\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"coverage-area\" value=\"Local\" \/><span class=\"wpcf7-list-item-label\">Local<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"coverage-area\" value=\"Regional\" \/><span class=\"wpcf7-list-item-label\">Regional<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"coverage-area\" value=\"National\" \/><span class=\"wpcf7-list-item-label\">National<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"coverage-area\" value=\"Umbrella Organization\" \/><span class=\"wpcf7-list-item-label\">Umbrella Organization<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"coverage-area\" value=\"International (Multiple-Countries)\" \/><span class=\"wpcf7-list-item-label\">International (Multiple-Countries)<\/span><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>\n    Does your organization focus on a specific disease area,\n    or it works in cross disease area?\n    <span class=\"wpa_red\">*<\/span>\n  <\/label>\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"organization-focus\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"organization-focus\" value=\"Cross Disease\" \/><span class=\"wpcf7-list-item-label\">Cross Disease<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"organization-focus\" value=\"Specific Disease Area\" \/><span class=\"wpcf7-list-item-label\">Specific Disease Area<\/span><\/span><\/span><\/span>\n\n  <div data-id=\"organization-focus-group\" data-orig_data_id=\"organization-focus-group\"  class=\"\" data-class=\"wpcf7cf_group\">\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"organization-focus-yes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Specify\" value=\"\" type=\"text\" name=\"organization-focus-yes\" \/><\/span>\n  <\/div>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Other Areas of Interest of your organization<\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"areas-of-interest\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Please explain\" value=\"\" type=\"text\" name=\"areas-of-interest\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>\n    Is your organization a registered entity?\n    <span class=\"icon fa fa-exclamation-circle\" title=\"Is your organization a legal entity registered with the government such as NGO\"><\/span>\n    <span class=\"wpa_red\">*<\/span>\n  <\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"registered-entity\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"registered-entity\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"registered-entity\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Mission of Your Organization <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"mission-of-your-organization\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Mention\" value=\"\" type=\"text\" name=\"mission-of-your-organization\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Year Organization Founded <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"year-organization-founded\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Year Organization\" value=\"\" type=\"text\" name=\"year-organization-founded\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Number of Employees <em>(Estimate)<\/em> <span class=\"wpa_red\">*<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"number-of-employees\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Number of Employees\" value=\"\" type=\"text\" name=\"number-of-employees\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>\n    Attach registration certificate of your organization\n    <em>(to show that your organization is a legal entity)<\/em>\n    <span class=\"wpa_red\">*<\/span>\n  <\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"registration-certificate\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg,.pdf\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"registration-certificate\" \/><\/span>\n<\/div>\n\n<div class=\"wpa_cf_section\">\n  <label>Attach logo of your organization <span class=\"wpa_red\">(Optional)<\/span><\/label>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"origination-logo\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png\" aria-invalid=\"false\" type=\"file\" name=\"origination-logo\" \/><\/span>\n<\/div>\n<div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-1\" style=\" \">Next<img decoding=\"async\" src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\"><div class=\"row\"><div class=\"form-group col-md-12\" style=\"margin-bottom:0px;\"><div class=\"kc-elm kc-css-297074 kc_text_block wpa_cf_section cf_firts_section\"><h1>Membership Application<\/h1><p><\/p><p><span class=\"wpa_red\">* Required<\/span><\/p><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\" \"cf_firts_section_second_step\"><label class=\"wpa_org_info\">Contact Information<\/label><p style=\"display:block;\">Please provide at least the contact information of two different persons within your organization to avoid any lapse in communication.<\/p><div class=\"row\"><div class=\"form-group col-md-12\"><label>Organizational Address <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"organizational-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Address\" value=\"\" type=\"text\" name=\"organizational-address\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Website URL <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"website-url\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Website\" value=\"\" type=\"text\" name=\"website-url\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>City  <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your City\" value=\"\" type=\"text\" name=\"city\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Post Code  <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"post-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Post Code\" value=\"\" type=\"text\" name=\"post-code\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Country  <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"country\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"Angola\">Angola<\/option><option value=\"Benin\">Benin<\/option><option value=\"Botswana\">Botswana<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cabo Verde\">Cabo Verde<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cote d&#039;Ivoire\">Cote d&#039;Ivoire<\/option><option value=\"Democratic Republic of the Congo\">Democratic Republic of the Congo<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Eswatini\">Eswatini<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Mali\">Mali<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Sudan\">South Sudan<\/option><option value=\"Togo\">Togo<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"United Republic of Tanzania\">United Republic of Tanzania<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Bahrain\">Bahrain<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"Iran (Islamic Republic of)\">Iran (Islamic Republic of)<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Libya\">Libya<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Albania\">Albania<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Armenia\">Armenia<\/option><option value=\"Austria\">Austria<\/option><option value=\"Azerbaijan\">Azerbaijan<\/option><option value=\"Belarus\">Belarus<\/option><option value=\"Belgium\">Belgium<\/option><option value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\">Denmark<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\">France<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Greece\">Greece<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\">Italy<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Malta\">Malta<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Montenegro\">Montenegro<\/option><option value=\"Netherlands\">Netherlands<\/option><option value=\"North Macedonia\">North Macedonia<\/option><option value=\"Norway\">Norway<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\">Portugal<\/option><option value=\"Republic of Moldova\">Republic of Moldova<\/option><option value=\"Romania\">Romania<\/option><option value=\"Russian Federation\">Russian Federation<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Serbia\">Serbia<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Spain\">Spain<\/option><option value=\"Sweden\">Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Taiwan\">Taiwan<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Turkey\">Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Kingdom of Great Britain and Northern Ireland\">United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option value=\"Argentina\">Argentina<\/option><option value=\"Bahamas\">Bahamas<\/option><option value=\"Barbados\">Barbados<\/option><option value=\"Belize\">Belize<\/option><option value=\"Bolivia (Plurinational State of)\">Bolivia (Plurinational State of)<\/option><option value=\"Brazil\">Brazil<\/option><option value=\"Canada\">Canada<\/option><option value=\"Chile\">Chile<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Mexico\">Mexico<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Panama\">Panama<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option value=\"United States of America\">United States of America<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Venezuela (Bolivarian Republic of)\">Venezuela (Bolivarian Republic of)<\/option><option value=\"Bangladesh\">Bangladesh<\/option><option value=\"Bhutan\">Bhutan<\/option><option value=\"Democratic People&#039;s Republic of Korea\">Democratic People&#039;s Republic of Korea<\/option><option value=\"India\">India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Timor-Leste\">Timor-Leste<\/option><option value=\"Australia\">Australia<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"China\">China<\/option><option value=\"Cook Islands\">Cook Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Japan\">Japan<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Lao People&#039;s Democratic Republic\">Lao People&#039;s Democratic Republic<\/option><option value=\"Malaysia\">Malaysia<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Micronesia (Federated States of)\">Micronesia (Federated States of)<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Niue\">Niue<\/option><option value=\"Palau\">Palau<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Republic of Korea\">Republic of Korea<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"Singapore\">Singapore<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Viet Nam\">Viet Nam<\/option><\/select><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Organizational Email Address <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"organization-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Organization Email\" value=\"\" type=\"email\" name=\"organization-email\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Main Phone Number <em>(With City and Country Code)<\/em> <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"main-phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Main Phone Number\" value=\"\" type=\"text\" name=\"main-phone-number\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Secondary Phone Number <em>(With City and Country Code)<\/em><span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"secondary-phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Secondary Phone Number\" value=\"\" type=\"text\" name=\"secondary-phone-number\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Mobile Number (Whatsapp)<em>(With City and Country Code)<\/em><span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"mobile-phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Mobile  Number Whatsapp\" value=\"\" type=\"text\" name=\"mobile-phone-number\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Name <em>(Primary Contact)<\/em> <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"primary-contact\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Primary Contact\" value=\"\" type=\"text\" name=\"primary-contact\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Designation <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"primary-designation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Specify\" value=\"\" type=\"text\" name=\"primary-designation\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Email <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"primary-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email Address\" value=\"\" type=\"text\" name=\"primary-email\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Name <em>(Secondary Contact)<\/em> <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"secondary-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Secondary Contact\" value=\"\" type=\"text\" name=\"secondary-name\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Designation <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"secondary-designation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Specify\" value=\"\" type=\"text\" name=\"secondary-designation\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Email <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"secondary-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email Address\" value=\"\" type=\"text\" name=\"secondary-email\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>In Which Language you would like to communicate with Us? <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"which-language\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"Arabic\" \/><span class=\"wpcf7-list-item-label\">Arabic<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"Chinese\" \/><span class=\"wpcf7-list-item-label\">Chinese<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"English\" \/><span class=\"wpcf7-list-item-label\">English<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"French\" \/><span class=\"wpcf7-list-item-label\">French<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"Spanish\" \/><span class=\"wpcf7-list-item-label\">Spanish<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"which-language[]\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/label><\/span><\/span><\/span><\/div>\n<div data-id=\"language-group\" data-orig_data_id=\"language-group\"  class=\"\" data-class=\"wpcf7cf_group\"><div class=\"form-group col-md-12\"><span class=\"wpcf7-form-control-wrap\" data-name=\"language-others\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please Specify\" value=\"\" type=\"text\" name=\"language-others\" \/><\/span><\/div><\/div><\/div><\/div><div class=\"cf7mls-btns \"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-2\" style=\" \">Back<\/button><button type=\"button\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-2\" style=\" \">Next<img decoding=\"async\" src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/div><p><\/p><\/fieldset><fieldset class=\"fieldset-cf7mls\"><div class=\"row\"><div class=\"form-group col-md-12\" style=\"margin-bottom:0px;\">\n<div class=\"kc-elm kc-css-297074 kc_text_block wpa_cf_section cf_firts_section\"><h1>Membership Application<\/h1>\n<p><\/p>\n<p><span class=\"wpa_red\">* Required<\/span><\/p>\n<\/div><\/div><\/div>\n<div class=\"wpa_cf_section\" \"cf_firts_section_second_step\"><label class=\"wpa_org_info\">Interest in World Patients Alliance<\/label><div class=\"row\"><div class=\"form-group col-md-12\"><p style=\"display:block; margin-bottom:-15px;\">Please provide at least the contact information of two different persons within your organization to avoid any lapse in communication.<\/p><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Areas of Interest <em>(Check all that apply)<\/em> <span class=\"wpa_red\">*<\/span><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"areas-of-interest-more\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"areas-of-interest-more[]\" value=\"Event and Conference Participation\" \/><span class=\"wpcf7-list-item-label\">Event and Conference Participation<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"areas-of-interest-more[]\" value=\"Capacity Building (Education and training, including fellowships, workshops, resources and publications, etc.)\" \/><span class=\"wpcf7-list-item-label\">Capacity Building (Education and training, including fellowships, workshops, resources and publications, etc.)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"areas-of-interest-more[]\" value=\"Advocacy (Disease area data, planning and policy, prevention and early detection, treatment and care, UN meetings, etc.)\" \/><span class=\"wpcf7-list-item-label\">Advocacy (Disease area data, planning and policy, prevention and early detection, treatment and care, UN meetings, etc.)<\/span><\/label><\/span><\/span><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Other Areas of Interest<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"other-areas-of-interest\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Please explain\" value=\"\" type=\"text\" name=\"other-areas-of-interest\" \/><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>What can WPA do for you?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"wpa-do-for-you\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please Share\" name=\"wpa-do-for-you\"><\/textarea><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>Any other remarks?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"any-other-remarks\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please Share\" name=\"any-other-remarks\"><\/textarea><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\"><label>I hereby confirm that the information contained in this application is true and correct to the best of my information and belief <span class=\"wpa_red\">*<\/span><\/label>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"agree\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"agree[]\" value=\"I agree\" \/><span class=\"wpcf7-list-item-label\">I agree<\/span><\/label><\/span><\/span><\/span><\/div><\/div><\/div>\n<div class=\"wpa_cf_section\"><div class=\"row\"><div class=\"form-group col-md-12\">[recaptcha]<\/div><\/div><\/div>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner theme-btn btn-style-one\" type=\"submit\" value=\"Submit\" \/><div class=\"cf7mls-btns cf7mls-btns-last-step\"><button type=\"button\" class=\"cf7mls_back action-button\" name=\"cf7mls_back\" id=\"cf7mls-back-btn-cf7mls_step-3\" style=\" \">Back<\/button><button type=\"button\" style=\"display: none;\" class=\"cf7mls_next cf7mls_btn action-button\" name=\"cf7mls_next\" id=\"cf7mls-next-btn-cf7mls_step-3\" style=\" \"><img decoding=\"async\" src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" alt=\"Step Loading\" data-lazy-src=\"https:\/\/worldpatientsalliance.org\/staging\/wp-content\/plugins\/cf7-multi-step\/assets\/frontend\/img\/loader.svg\" style=\"display: none;\" \/><\/button><\/fieldset><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Join Us &#8211; World Patients Alliance \u200b Home Join Us &#8211; World Patients Alliance \u200b Become a Member The World Patients Alliance welcomes patient organizations, professional organizations, networks and other [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-169","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/pages\/169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/comments?post=169"}],"version-history":[{"count":46,"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/pages\/169\/revisions"}],"predecessor-version":[{"id":235453,"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/pages\/169\/revisions\/235453"}],"wp:attachment":[{"href":"https:\/\/worldpatientsalliance.org\/staging\/wp-json\/wp\/v2\/media?parent=169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}