{"id":9819,"date":"2026-03-16T05:09:18","date_gmt":"2026-03-16T05:09:18","guid":{"rendered":"https:\/\/old-website.retprogram.org\/wahtn\/?page_id=9819"},"modified":"2026-03-16T13:05:28","modified_gmt":"2026-03-16T13:05:28","slug":"suite-crm-test-tom","status":"publish","type":"page","link":"https:\/\/old-website.retprogram.org\/wahtn\/suite-crm-test-tom\/","title":{"rendered":"Suite CRM Test Tom"},"content":{"rendered":"    <div class=\"wp-block-bplugins-custom-html\" id='bPluginsCustomHtml-1'>\n    <html lang='en_us'><head><meta http-equiv=\"Content-Type\" content=\"text\/html; charset=UTF-8\"><\/head><body><style type=\"text\/css\"><!--\nform#WebToLeadForm, form#WebToLeadForm * {margin: 0; padding: 0; border: none; color: #333; font-size: 12px; line-height: 1.6em; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;}\nform#WebToLeadForm {float: left; border: 1px solid #ccc; margin: 10px;}\nform#WebToLeadForm h1 {font-size: 32px; font-weight: bold; background-color: rgb(60, 141, 188); color: rgb(247, 247, 247); padding: 10px 20px;}\nform#WebToLeadForm h2 {font-size: 24px; font-weight: bold; background-color: rgb(60, 141, 188); color: rgb(247, 247, 247); padding: 10px 20px;}\nform#WebToLeadForm h3 {font-size: 12px; font-weight: bold; padding: 10px 20px;}\nform#WebToLeadForm h4 {font-size: 10px; font-weight: bold; padding: 10px 20px;}\nform#WebToLeadForm h5 {font-size: 8px; font-weight: bold; padding: 10px 20px;}\nform#WebToLeadForm h6 {font-size: 6px; font-weight: bold; padding: 10px 20px;}\nform#WebToLeadForm p {padding: 10px 20px;}\nform#WebToLeadForm input,\nform#WebToLeadForm select,\nform#WebToLeadForm textarea {border: 1px solid #ccc; display: block; float: left; min-width: 170px; padding: 5px;}\nform#WebToLeadForm select {background-color: white;}\nform#WebToLeadForm input[type=\"button\"],\nform#WebToLeadForm input[type=\"submit\"] {display: inline; float: none; padding: 5px 10px; width: auto; min-width: auto;}\nform#WebToLeadForm input[type=\"checkbox\"],\nform#WebToLeadForm input[type=\"radio\"] {width: 18px; min-width: auto;}\nform#WebToLeadForm div.col {display: block; float: left; width: 330px; padding: 10px 20px;}\nform#WebToLeadForm div.clear {display: block; float: none; clear: both; height: 0px; overflow: hidden;}\nform#WebToLeadForm div.center {text-align: center;}\nform#WebToLeadForm div.buttons {padding: 10px 0; border-top: 1px solid #ccc; background-color: #f7f7f7}\nform#WebToLeadForm label {display: block; float: left; width: 160px; font-weight: bold;}\nform#WebToLeadForm span.required {color: #FF0000;}\n--><\/style>\n<!-- TODO ???\n\n--><form id=\"WebToLeadForm\" action=\"https:\/\/suitecrm.retprogram.org\/index.php?entryPoint=WebToPersonCapture\" method=\"POST\" name=\"WebToLeadForm\">\n<h2>Web form to create Applications<\/h2>\n<p>Submitting this form will create Applications<\/p>\n<div class=\"row\">\n<div class=\"col\"><label>First Name: <span class=\"required\">*<\/span><\/label><input name=\"first_name\" id=\"first_name\" type=\"text\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Last Name: <span class=\"required\">*<\/span><\/label><input name=\"last_name\" id=\"last_name\" type=\"text\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Describe your lived experience &#8211; What experience do you have to inform the project? (*required for us to consider your application or EOI): <\/label><span class=\"sugarslot\"><textarea name=\"led_d_c\" id=\"led_d_c\"   \/> <\/textarea><\/span><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Mobile Phone Number: <span class=\"required\">*<\/span><\/label><input name=\"phone_mobile\" id=\"phone_mobile\" type=\"text\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Email Address: <span class=\"required\">*<\/span><\/label><input name=\"email1\" id=\"email1\" type=\"email\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Postcode: <span class=\"required\">*<\/span><\/label><input name=\"primary_address_postalcode\" id=\"primary_address_postalcode\" type=\"text\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>I am a: (you can select more than one): <span class=\"required\">*<\/span><\/label><select name=\"role_c[]\" id=\"role_c\" multiple=\"multiple\" tabindex=\"1\" required=\"\">\n<option value=\"consumer\">Consumer<\/option>\n<option value=\"carer\">Carer<\/option>\n<option value=\"researcher\">Researcher<\/option>\n<\/select><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row\">\n<div class=\"col\"><label>Year of birth: <span class=\"required\">*<\/span><\/label><input name=\"birth_year_c\" id=\"birth_year_c\" type=\"text\" required=\"\" \/><\/div>\n<div class=\"col\"> <\/div>\n<div class=\"clear\"> <\/div>\n<\/div>\n<div class=\"row center buttons\"><input class=\"button\" name=\"Submit\" type=\"submit\" value=\"Submit\"  \/>\n<div class=\"clear\"> <\/div>\n<\/div>\n<input name=\"campaign_id\" id=\"campaign_id\" type=\"hidden\" value=\"146d9a52-d2df-4646-8b4f-cff245bf2564\" \/> <input name=\"redirect_url\" id=\"redirect_url\" type=\"hidden\" value=\"https:\/\/cciprogram.org\/thank-you-for-registering-your-event-interest\" \/> <input name=\"assigned_user_id\" id=\"assigned_user_id\" type=\"hidden\" value=\"c6738eca-6755-1668-b2d8-68dcbd6f1758\" \/> <input name=\"moduleDir\" id=\"moduleDir\" type=\"hidden\" value=\"Leads\" \/><\/form>\n<p>\n\/\/ <![CDATA[\n    function submit_form() {\n        if (typeof(validateCaptchaAndSubmit) != 'undefined') {\n            validateCaptchaAndSubmit();\n        } else {\n            check_webtolead_fields();\n            \/\/document.WebToLeadForm.submit();\n        }\n    }\n\n    function check_webtolead_fields() {\n        if (document.getElementById('bool_id') != null) {\n            var reqs = document.getElementById('bool_id').value;\n            bools = reqs.substring(0, reqs.lastIndexOf(';'));\n            var bool_fields = new Array();\n            var bool_fields = bools.split(';');\n            nbr_fields = bool_fields.length;\n            for (var i = 0; i < nbr_fields; i++) {\n                if (document.getElementById(bool_fields[i]).value == 'on') {\n                    document.getElementById(bool_fields[i]).value = 1;\n                } else {\n                    document.getElementById(bool_fields[i]).value = 0;\n                }\n            }\n        }\n    }\n\/\/ ]]>\n<\/p><\/body><\/html>    <\/div>\n    \n\n\n<p><\/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":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"class_list":["post-9819","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/pages\/9819","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/comments?post=9819"}],"version-history":[{"count":6,"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/pages\/9819\/revisions"}],"predecessor-version":[{"id":9825,"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/pages\/9819\/revisions\/9825"}],"wp:attachment":[{"href":"https:\/\/old-website.retprogram.org\/wahtn\/wp-json\/wp\/v2\/media?parent=9819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}