{"id":323,"date":"2019-10-26T10:24:45","date_gmt":"2019-10-26T10:24:45","guid":{"rendered":"http:\/\/fgqz.de\/?page_id=121"},"modified":"2024-03-28T09:21:46","modified_gmt":"2024-03-28T09:21:46","slug":"elementor-121","status":"publish","type":"page","link":"https:\/\/fgqz.de\/?page_id=323","title":{"rendered":"Mitgliedsantrag"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"323\" class=\"elementor elementor-323\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51df41f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51df41f\" data-element_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-5237327\" data-id=\"5237327\" data-element_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-efd7a39 elementor-widget elementor-widget-text-editor\" data-id=\"efd7a39\" data-element_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<p align=\"left\">JA! Ich m\u00f6chte Mitglied der F\u00f6rdergemeinschaft des Querschnittgel\u00e4hmtenzentrums Ulm e.V. werden.<\/p><p align=\"left\">Ich erhalte halbj\u00e4hrlich eine FGQZ Ulm Infomail, welche mich unter anderem auch \u00fcber alle laufenden Aktivit\u00e4ten der F\u00f6rdergemeinschaft und medizinische Neuigkeiten im Bereich Querschnittl\u00e4hmung unterrichtet.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-231a56e elementor-button-align-center elementor-widget__width-initial elementor-widget elementor-widget-form\" data-id=\"231a56e\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;N\\u00e4chster&quot;,&quot;step_previous_label&quot;:&quot;Voriger&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Mitgliedsantrag\" aria-label=\"Mitgliedsantrag\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"323\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"231a56e\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Mitgliedsantrag\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"323\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tVorname\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1]\" id=\"form-field-field_1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Vorname\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tStra\u00dfe\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2]\" id=\"form-field-field_2\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Stra\u00dfe und Hausnummer\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_3 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPLZ\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_3]\" id=\"form-field-field_3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Postleitzahl\" required=\"required\" min=\"0\" max=\"99999\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4 elementor-col-66 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_4\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tWohnort\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4]\" id=\"form-field-field_4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Wohnort\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tE-Mail Adresse\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"E-Mail Adresse\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tGeburtsdatum\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5]\" id=\"form-field-field_5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Geburtsdatum\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_11 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_11\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tBesteht Querschnittl\u00e4hmung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_11]\" id=\"form-field-field_11\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Besteht Querschnittl\u00e4hmung?\" value=\"Besteht Querschnittl\u00e4hmung?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_dd5093c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_dd5093c\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tBesteht Querschnittl\u00e4hmung?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_dd5093c]\" id=\"form-field-field_dd5093c\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Ja\">Ja<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Nein\">Nein<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDeine Mitteilung an die F\u00f6rdergemeinschaft: \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\" placeholder=\"Mitteilung\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_12 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ich stelle den Antrag zur Aufnahme in die F\u00f6rdergemeinschaft f\u00fcr das Querschnittgel\u00e4hmtenzentrum des RKU e.V. (FGQZ Ulm). Mir ist bekannt, dass meine Daten zu Vereinszwecken gespeichert werden und der Datenschutz gew\u00e4hrleistet ist.\" id=\"form-field-field_12-0\" name=\"form_fields[field_12]\" required=\"required\"> <label for=\"form-field-field_12-0\">Ich stelle den Antrag zur Aufnahme in die F\u00f6rdergemeinschaft f\u00fcr das Querschnittgel\u00e4hmtenzentrum des RKU e.V. (FGQZ Ulm). Mir ist bekannt, dass meine Daten zu Vereinszwecken gespeichert werden und der Datenschutz gew\u00e4hrleistet ist.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tBank\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7]\" id=\"form-field-field_7\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Welcher Bank darf der Mitgliedsbeitrag belastet werden?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_8 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tIBAN\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_8]\" id=\"form-field-field_8\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"IBAN Nummer \" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_9 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSpende\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_9]\" id=\"form-field-field_9\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Meine Spende an die F\u00f6rdergemeinschaft\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_10 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_10\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\t Widerruf\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ich kann diese Anmeldung innerhalb von 10 Tagen bei der F\u00f6rdergemeinschaft des Querschnittgel\u00e4hmtenzentrum in Ulm e.V., Oberer Eselsberg 45, 89081 Ulm schriftlich widerrufen. Zur Wahrung der Frist gen\u00fcgt die rechtzeitige Absendung des Widerrufs.\" id=\"form-field-field_10-0\" name=\"form_fields[field_10]\" required=\"required\"> <label for=\"form-field-field_10-0\">Ich kann diese Anmeldung innerhalb von 10 Tagen bei der F\u00f6rdergemeinschaft des Querschnittgel\u00e4hmtenzentrum in Ulm e.V., Oberer Eselsberg 45, 89081 Ulm schriftlich widerrufen. Zur Wahrung der Frist gen\u00fcgt die rechtzeitige Absendung des Widerrufs.<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Absenden<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\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<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>JA! Ich m\u00f6chte Mitglied der F\u00f6rdergemeinschaft des Querschnittgel\u00e4hmtenzentrums Ulm e.V. werden. Ich erhalte halbj\u00e4hrlich eine FGQZ Ulm Infomail, welche mich unter anderem auch \u00fcber alle laufenden Aktivit\u00e4ten der F\u00f6rdergemeinschaft und medizinische Neuigkeiten im Bereich Querschnittl\u00e4hmung unterrichtet.<\/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-323","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/pages\/323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fgqz.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=323"}],"version-history":[{"count":6,"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/pages\/323\/revisions"}],"predecessor-version":[{"id":686,"href":"https:\/\/fgqz.de\/index.php?rest_route=\/wp\/v2\/pages\/323\/revisions\/686"}],"wp:attachment":[{"href":"https:\/\/fgqz.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}