{"id":908,"date":"2024-04-03T18:32:24","date_gmt":"2024-04-03T18:32:24","guid":{"rendered":"https:\/\/www.west65spa.rs\/?page_id=908"},"modified":"2025-10-23T09:56:01","modified_gmt":"2025-10-23T09:56:01","slug":"membership-application-form","status":"publish","type":"page","link":"https:\/\/www.west65spa.rs\/en\/membership-application-form\/","title":{"rendered":"Membership Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"908\" class=\"elementor elementor-908\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1882a71 e-con-full e-flex e-con e-parent\" data-id=\"1882a71\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b798bb9 e-con-full e-flex e-con e-child\" data-id=\"b798bb9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f7c352b elementor-widget elementor-widget-heading\" data-id=\"f7c352b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">APPLY FOR<br>MEMBERSHIP<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a85f2fd e-con-full e-flex e-con e-child\" data-id=\"a85f2fd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0004d37 elementor-widget elementor-widget-text-editor\" data-id=\"0004d37\" data-element_type=\"widget\" data-e-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>To become an exclusive member at West 65 Wellness &amp; Spa, please fill out and submit your application via the online form below .<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-39c3277 e-con-full e-flex e-con e-parent\" data-id=\"39c3277\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5d7c252 innerLink elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"5d7c252\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&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=\"Members Registration Form\" aria-label=\"Members Registration Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"908\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"5d7c252\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Membership Application Form - West Spa\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"908\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\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\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPersonal Details\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-md  elementor-field-textual\" placeholder=\"First and Last Name\">\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-email2 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email2]\" id=\"form-field-email2\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Your Email\" 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-tel elementor-field-group elementor-column elementor-field-group-number elementor-col-50\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[number]\" id=\"form-field-number\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Your Phone Number\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-dob elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dob\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[dob]\" id=\"form-field-dob\" class=\"elementor-field elementor-size-md  elementor-field-textual elementor-date-field\" placeholder=\"Date of Birth (DD\/MM\/YYYY)\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\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-address elementor-col-100\">\n\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[address]\" id=\"form-field-address\" rows=\"3\" placeholder=\"Home Address\"><\/textarea>\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_8255769 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8255769\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMembership type\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<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_8255769]\" id=\"form-field-field_8255769\" class=\"elementor-field-textual elementor-size-md\">\n\t\t\t\t\t\t\t\t\t<option value=\"Individual - 1 month (RSD 46,900)\">Individual - 1 month (RSD 46,900)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Individual - 3 months (RSD 140,600)\">Individual - 3 months (RSD 140,600)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Individual - 6 months (RSD 253,200)\">Individual - 6 months (RSD 253,200)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Individual - 12 months (RSD 421,900)\">Individual - 12 months (RSD 421,900)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Joint - 1 month (RSD 84,500)\">Joint - 1 month (RSD 84,500)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Joint - 3 months (RSD 253,200)\">Joint - 3 months (RSD 253,200)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Joint - 6 months (RSD 455,700)\">Joint - 6 months (RSD 455,700)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Joint - 12 months (RSD 759,400)\">Joint - 12 months (RSD 759,400)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Day Access (RSD 6,500 - 8,000)\">Day Access (RSD 6,500 - 8,000)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Corporate (Enquire for price)\">Corporate (Enquire for price)<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Family (Enquire for price)\">Family (Enquire for price)<\/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-aboutme elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-aboutme\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGetting to know you\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[aboutme]\" id=\"form-field-aboutme\" rows=\"6\" placeholder=\"Members aren\u2019t just numbers; getting to know you is important to us.  Please tell us a little about yourself. What are your interests? How do you spend your free time? \"><\/textarea>\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-referral elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-referral\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tReferrals (if applicable)\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[referral]\" id=\"form-field-referral\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"Do you know any existing members who can recommend you? (their name)\">\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-radio elementor-field-group elementor-column elementor-field-group-field_accd7f4 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_accd7f4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPreferred communication language\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=\"English\" id=\"form-field-field_accd7f4-0\" name=\"form_fields[field_accd7f4]\" required=\"required\"> <label for=\"form-field-field_accd7f4-0\">English<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Serbian\" id=\"form-field-field_accd7f4-1\" name=\"form_fields[field_accd7f4]\" required=\"required\"> <label for=\"form-field-field_accd7f4-1\">Serbian<\/label><\/span><\/div>\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-terms elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-terms\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHave you read and understood the <a href='https:\/\/www.west65spa.rs\/terms-conditions'>terms of membership<\/a>? \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=\"Yes\" id=\"form-field-terms-0\" name=\"form_fields[terms]\" required=\"required\"> <label for=\"form-field-terms-0\">Yes<\/label><\/span><\/div>\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-privacy elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-privacy\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHave you read and understood the <a href='https:\/\/www.west65spa.rs\/privacy-policy-2\/'>data and privacy agreement<\/a>? \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=\"Yes\" id=\"form-field-privacy-0\" name=\"form_fields[privacy]\" required=\"required\"> <label for=\"form-field-privacy-0\">Yes<\/label><\/span><\/div>\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-marketing elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-marketing\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWould you like to receive email updates and marketing content from West 65 Wellness and Spa?\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=\"Yes\" id=\"form-field-marketing-0\" name=\"form_fields[marketing]\"> <label for=\"form-field-marketing-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-marketing-1\" name=\"form_fields[marketing]\"> <label for=\"form-field-marketing-1\">No<\/label><\/span><\/div>\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-recommendation elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-recommendation\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow did you hear about us?\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=\"A friend\u2019s recommendation\" id=\"form-field-recommendation-0\" name=\"form_fields[recommendation]\"> <label for=\"form-field-recommendation-0\">A friend\u2019s recommendation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Instagram\" id=\"form-field-recommendation-1\" name=\"form_fields[recommendation]\"> <label for=\"form-field-recommendation-1\">Instagram<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Facebook\" id=\"form-field-recommendation-2\" name=\"form_fields[recommendation]\"> <label for=\"form-field-recommendation-2\">Facebook<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"LinkedIn\" id=\"form-field-recommendation-3\" name=\"form_fields[recommendation]\"> <label for=\"form-field-recommendation-3\">LinkedIn<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Google\" id=\"form-field-recommendation-4\" name=\"form_fields[recommendation]\"> <label for=\"form-field-recommendation-4\">Google<\/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\">Submit Application<\/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<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>APPLY FORMEMBERSHIP To become an exclusive member at West 65 Wellness &amp; Spa, please fill out and submit your application via the online form below 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