{"id":1040,"date":"2021-09-08T16:28:18","date_gmt":"2021-09-08T16:28:18","guid":{"rendered":"https:\/\/www.aloe-medical-group.com\/en\/?page_id=1040"},"modified":"2026-02-13T11:58:26","modified_gmt":"2026-02-13T11:58:26","slug":"registration","status":"publish","type":"page","link":"https:\/\/www.aloe-medical-group.com\/en\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<p>Please provide your complete personal data in clear detail as this data will be used at a later date for the production of printed materials such as business cards. The annual fee for the AMGI membership will cost 72 \u20ac (incl. VAT*). Upon registration please decide if you would want an additional mini-homepage. If you have any questions, please contact us at <a href=\"mailto:schwemmlein@aloe-medical-group.com\">schwemmlein@aloe-medical-group.com<\/a><br \/>Please fill in all the fields, which are marked with a star (*). The data is\u00a0confidentially sent via SSL to the web server.<\/p>\n\n<form class=\"af-form acf-form\" method=\"POST\" action=\"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages\/1040\" id=\"form_61e10274764dd\" data-key=\"form_61e10274764dd\"><div class=\"af-fields acf-fields acf-form-fields -top\">\t<div id=\"acf-form-data\" class=\"acf-hidden\">\n\t\t<input type=\"hidden\" id=\"_acf_screen\" name=\"_acf_screen\" value=\"acf_form\"\/><input type=\"hidden\" id=\"_acf_post_id\" name=\"_acf_post_id\" value=\"0\"\/><input type=\"hidden\" id=\"_acf_validation\" name=\"_acf_validation\" value=\"1\"\/><input type=\"hidden\" id=\"_acf_form\" name=\"_acf_form\" value=\"0\"\/><input type=\"hidden\" id=\"_acf_nonce\" name=\"_acf_nonce\" value=\"3f7b740855\"\/><input type=\"hidden\" id=\"_acf_changed\" name=\"_acf_changed\" value=\"0\"\/>\t<\/div>\n\t<div class=\"acf-hidden\"><input type=\"hidden\" name=\"_acfnonce\" value=\"bea3eccdde\"><input type=\"hidden\" name=\"nonce\" value=\"bea3eccdde\"><input type=\"hidden\" name=\"af_form\" value=\"form_61e10274764dd\"><input type=\"hidden\" name=\"af_form_args\" value=\"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\"><input type=\"hidden\" name=\"_acf_form\" value=\"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\"><input type=\"hidden\" name=\"af_form_nonce\" value=\"dc16119c8a\"><label for=\"af_email_for_non_humans_form_61e10274764dd\" aria-hidden=\"true\">Email for non-humans<\/label><input type=\"text\" name=\"email_for_non_humans\" id=\"af_email_for_non_humans_form_61e10274764dd\" tabindex=\"-1\" autocomplete=\"off\" \/><input type=\"hidden\" name=\"af_origin_url\" value=\"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages\/1040\" \/><\/div><div class=\"clearboth af-field af-field-type-text af-field-amgi-username acf-field acf-field-text acf-field-618859462e0db af-field-required\" data-name=\"amgi_username\" data-key=\"field_618859462e0db\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_618859462e0db\">Username <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_618859462e0db\" name=\"acf[field_618859462e0db]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-password acf-field acf-field-text acf-field-6259c8353154f af-field-required\" data-name=\"password\" data-key=\"field_6259c8353154f\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_6259c8353154f\">Password <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_6259c8353154f\" name=\"acf[field_6259c8353154f]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-select af-field-job-usergroup acf-field acf-field-select acf-field-61a07ec2149e0 af-field-required\" data-name=\"job_usergroup\" data-key=\"field_61a07ec2149e0\" data-type=\"select\"><div class=\"af-label acf-label\"><label for=\"acf-field_61a07ec2149e0\">Profession Group <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><select id=\"acf-field_61a07ec2149e0\" class=\"\" name=\"acf[field_61a07ec2149e0]\" data-ui=\"0\" data-ajax=\"0\" data-multiple=\"0\" data-placeholder=\"Select\" data-allow_null=\"1\"><option value=\"\" selected=\"selected\" data-i=\"0\">- Select -<\/option><option value=\"5\">Doctors<\/option><option value=\"4\">Therapists<\/option><option value=\"3\">No medical or therapeutical profession<\/option><\/select><\/div><\/div><div class=\"af-field af-field-type-text af-field-job-title acf-field acf-field-text acf-field-61978acf3b8b2 af-field-required\" data-name=\"job_title\" data-key=\"field_61978acf3b8b2\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978acf3b8b2\">Profession <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978acf3b8b2\" name=\"acf[field_61978acf3b8b2]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-title acf-field acf-field-text acf-field-619c100b081b6\" data-name=\"title\" data-key=\"field_619c100b081b6\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619c100b081b6\">Title<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619c100b081b6\" name=\"acf[field_619c100b081b6]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-first-name acf-field acf-field-text acf-field-61978b652353f af-field-required\" data-name=\"first_name\" data-key=\"field_61978b652353f\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978b652353f\">First name <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978b652353f\" name=\"acf[field_61978b652353f]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-last-name acf-field acf-field-text acf-field-61978b7a23540 af-field-required\" data-name=\"last_name\" data-key=\"field_61978b7a23540\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978b7a23540\">Last name <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978b7a23540\" name=\"acf[field_61978b7a23540]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-street acf-field acf-field-text acf-field-61978ba423541 af-field-required\" data-name=\"street\" data-key=\"field_61978ba423541\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978ba423541\">Street <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978ba423541\" name=\"acf[field_61978ba423541]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-house-nr acf-field acf-field-text acf-field-61978bc723542 af-field-required\" data-name=\"house_nr\" data-key=\"field_61978bc723542\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978bc723542\">No. <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978bc723542\" name=\"acf[field_61978bc723542]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-zip acf-field acf-field-text acf-field-61978be023543 af-field-required\" data-name=\"zip\" data-key=\"field_61978be023543\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978be023543\">Zip code <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978be023543\" name=\"acf[field_61978be023543]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-city acf-field acf-field-text acf-field-61978c0323544 af-field-required\" data-name=\"city\" data-key=\"field_61978c0323544\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978c0323544\">Town <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978c0323544\" name=\"acf[field_61978c0323544]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-select af-field-counry acf-field acf-field-select acf-field-61978c2623545 af-field-required\" data-name=\"counry\" data-key=\"field_61978c2623545\" data-type=\"select\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978c2623545\">Country <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><select id=\"acf-field_61978c2623545\" class=\"\" name=\"acf[field_61978c2623545]\" data-ui=\"0\" data-ajax=\"0\" data-multiple=\"0\" data-placeholder=\"Select\" data-allow_null=\"0\"><option value=\"54\">Deutschland<\/option><option value=\"72\">France<\/option><option value=\"65\">Espa\u00f1a<\/option><option value=\"104\">Italia<\/option><option value=\"41\">Schweiz<\/option><option value=\"74\">United Kindom<\/option><option value=\"12\">\u00d6sterreich<\/option><\/select><\/div><\/div><div class=\"af-field af-field-type-text af-field-telephone acf-field acf-field-text acf-field-61978cfd0efba af-field-required\" data-name=\"telephone\" data-key=\"field_61978cfd0efba\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978cfd0efba\">Phone <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978cfd0efba\" name=\"acf[field_61978cfd0efba]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-mobile acf-field acf-field-text acf-field-61978d530efbb\" data-name=\"mobile\" data-key=\"field_61978d530efbb\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978d530efbb\">Cell phone<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978d530efbb\" name=\"acf[field_61978d530efbb]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-fax acf-field acf-field-text acf-field-61978d670efbc\" data-name=\"fax\" data-key=\"field_61978d670efbc\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978d670efbc\">Fax<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978d670efbc\" name=\"acf[field_61978d670efbc]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-email af-field-email acf-field acf-field-email acf-field-618859402e0da af-field-required\" data-name=\"email\" data-key=\"field_618859402e0da\" data-type=\"email\"><div class=\"af-label acf-label\"><label for=\"acf-field_618859402e0da\">E-mail <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"email\" id=\"acf-field_618859402e0da\" name=\"acf[field_618859402e0da]\" required=\"required\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-email af-field-alt-email acf-field acf-field-email acf-field-61978d800efbd\" data-name=\"alt_email\" data-key=\"field_61978d800efbd\" data-type=\"email\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978d800efbd\">alternative E-mail<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"email\" id=\"acf-field_61978d800efbd\" name=\"acf[field_61978d800efbd]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-www acf-field acf-field-text acf-field-61978e260efc1\" data-name=\"www\" data-key=\"field_61978e260efc1\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978e260efc1\">Website (URL)<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978e260efc1\" name=\"acf[field_61978e260efc1]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-facebook acf-field acf-field-text acf-field-61a7324384a52\" data-name=\"facebook\" data-key=\"field_61a7324384a52\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61a7324384a52\">Facebook<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61a7324384a52\" name=\"acf[field_61a7324384a52]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-instagram acf-field acf-field-text acf-field-61a73294cf154\" data-name=\"instagram\" data-key=\"field_61a73294cf154\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61a73294cf154\">Instagram<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61a73294cf154\" name=\"acf[field_61a73294cf154]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-twitter acf-field acf-field-text acf-field-61a73292cf153\" data-name=\"twitter\" data-key=\"field_61a73292cf153\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61a73292cf153\">Twitter<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61a73292cf153\" name=\"acf[field_61a73292cf153]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-company acf-field acf-field-text acf-field-61978da50efbe\" data-name=\"company\" data-key=\"field_61978da50efbe\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978da50efbe\">Company<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978da50efbe\" name=\"acf[field_61978da50efbe]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-vat-id acf-field acf-field-text acf-field-61978dbd0efbf\" data-name=\"vat_id\" data-key=\"field_61978dbd0efbf\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978dbd0efbf\">Vat Id. No.<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_61978dbd0efbf\" name=\"acf[field_61978dbd0efbf]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-textarea af-field-short-information acf-field acf-field-textarea acf-field-61978dd60efc0\" data-name=\"short_information\" data-key=\"field_61978dd60efc0\" data-type=\"textarea\"><div class=\"af-label acf-label\"><label for=\"acf-field_61978dd60efc0\">Short information on you<\/label><\/div><div class=\"af-input acf-input\"><textarea id=\"acf-field_61978dd60efc0\" name=\"acf[field_61978dd60efc0]\" rows=\"8\"><\/textarea><\/div><\/div><div class=\"af-field af-field-type-true-false af-field-daten-nicht-veroeffentlichen acf-field acf-field-true-false acf-field-619b6e0a95877\" data-name=\"daten_nicht_veroeffentlichen\" data-key=\"field_619b6e0a95877\" data-type=\"true_false\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6e0a95877\"><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-true-false\">\n\t\t\t<input type=\"hidden\" name=\"acf[field_619b6e0a95877]\" value=\"0\"\/>\t<label>\n\t\t<input type=\"checkbox\" id=\"acf-field_619b6e0a95877\" name=\"acf[field_619b6e0a95877]\" value=\"1\" class=\"\" autocomplete=\"off\"\/>\n\t\t\t\t\t\t\t\t\t\t<span class=\"message\">I don't want to appear on the public AMGI member list.<\/span>\t<\/label>\n<\/div>\n\t\t\t<\/div><\/div><div class=\"af-field af-field-type-message af-field- acf-field acf-field-message acf-field-619792dbc24eb\" data-width=\"100\" style=\"width: 100%;\" data-name=\"\" data-key=\"field_619792dbc24eb\" data-type=\"message\"><div class=\"af-label acf-label\"><label for=\"acf-field_619792dbc24eb\">Invoicing address (if different)<\/label><\/div><div class=\"af-input acf-input\"><\/div><\/div><div class=\"af-field af-field-type-text af-field-ba-street acf-field acf-field-text acf-field-619b62488167b\" data-name=\"ba_street\" data-key=\"field_619b62488167b\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b62488167b\">Street<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b62488167b\" name=\"acf[field_619b62488167b]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-ba-house-nr acf-field acf-field-text acf-field-619b62848167d\" data-name=\"ba_house_nr\" data-key=\"field_619b62848167d\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b62848167d\">No.<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b62848167d\" name=\"acf[field_619b62848167d]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-ba-zip acf-field acf-field-text acf-field-619b626a8167c\" data-name=\"ba_zip\" data-key=\"field_619b626a8167c\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b626a8167c\">Zip code<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b626a8167c\" name=\"acf[field_619b626a8167c]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-ba-location acf-field acf-field-text acf-field-619b6321668b0\" data-name=\"ba_location\" data-key=\"field_619b6321668b0\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6321668b0\">Town<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b6321668b0\" name=\"acf[field_619b6321668b0]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-select af-field-ba-country acf-field acf-field-select acf-field-619b62948167e\" data-name=\"ba_country\" data-key=\"field_619b62948167e\" data-type=\"select\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b62948167e\">Country<\/label><\/div><div class=\"af-input acf-input\"><select id=\"acf-field_619b62948167e\" class=\"\" name=\"acf[field_619b62948167e]\" data-ui=\"0\" data-ajax=\"0\" data-multiple=\"0\" data-placeholder=\"Select\" data-allow_null=\"0\"><option value=\"54\">Deutschland<\/option><option value=\"72\">France<\/option><option value=\"65\">Espa\u00f1a<\/option><option value=\"104\">Italia<\/option><option value=\"41\">Schweiz<\/option><option value=\"74\">United Kindom<\/option><option value=\"12\">\u00d6sterreich<\/option><\/select><\/div><\/div><div class=\"af-field af-field-type-message af-field- acf-field acf-field-message acf-field-619b636e1b3e7\" data-width=\"100\" style=\"width: 100%;\" data-name=\"\" data-key=\"field_619b636e1b3e7\" data-type=\"message\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b636e1b3e7\">Delivery Address (if different)<\/label><\/div><div class=\"af-input acf-input\"><\/div><\/div><div class=\"af-field af-field-type-text af-field-da-street acf-field acf-field-text acf-field-619b639d1b3e8\" data-name=\"da_street\" data-key=\"field_619b639d1b3e8\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b639d1b3e8\">Street<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b639d1b3e8\" name=\"acf[field_619b639d1b3e8]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-da-house-nr acf-field acf-field-text acf-field-619b63c65de98\" data-name=\"da_house_nr\" data-key=\"field_619b63c65de98\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b63c65de98\">No.<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b63c65de98\" name=\"acf[field_619b63c65de98]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-da-zip acf-field acf-field-text acf-field-619b63e59a9b7\" data-name=\"da_zip\" data-key=\"field_619b63e59a9b7\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b63e59a9b7\">Zip code<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b63e59a9b7\" name=\"acf[field_619b63e59a9b7]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-da-location acf-field acf-field-text acf-field-619b64009a9b8\" data-name=\"da_location\" data-key=\"field_619b64009a9b8\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b64009a9b8\">Town<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b64009a9b8\" name=\"acf[field_619b64009a9b8]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-select af-field-da-country acf-field acf-field-select acf-field-619b641b9a9b9\" data-name=\"da_country\" data-key=\"field_619b641b9a9b9\" data-type=\"select\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b641b9a9b9\">Country<\/label><\/div><div class=\"af-input acf-input\"><select id=\"acf-field_619b641b9a9b9\" class=\"\" name=\"acf[field_619b641b9a9b9]\" data-ui=\"0\" data-ajax=\"0\" data-multiple=\"0\" data-placeholder=\"Select\" data-allow_null=\"0\"><option value=\"54\">Deutschland<\/option><option value=\"72\">France<\/option><option value=\"65\">Espa\u00f1a<\/option><option value=\"104\">Italia<\/option><option value=\"41\">Schweiz<\/option><option value=\"74\">United Kindom<\/option><option value=\"12\">\u00d6sterreich<\/option><\/select><\/div><\/div><div class=\"af-field af-field-type-message af-field- acf-field acf-field-message acf-field-619b6466857db\" data-width=\"100\" style=\"width: 100%;\" data-name=\"\" data-key=\"field_619b6466857db\" data-type=\"message\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6466857db\">Bank details<\/label><\/div><div class=\"af-input acf-input\"><\/div><\/div><div class=\"af-field af-field-type-text af-field-bank-name acf-field acf-field-text acf-field-619b6482857dc\" data-name=\"bank_name\" data-key=\"field_619b6482857dc\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6482857dc\">Name of the Bank<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b6482857dc\" name=\"acf[field_619b6482857dc]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-account-number acf-field acf-field-text acf-field-619b6496857dd\" data-name=\"account_number\" data-key=\"field_619b6496857dd\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6496857dd\">Account number<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b6496857dd\" name=\"acf[field_619b6496857dd]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-account-holder acf-field acf-field-text acf-field-619b64b3857de\" data-name=\"account_holder\" data-key=\"field_619b64b3857de\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b64b3857de\">Account owner<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b64b3857de\" name=\"acf[field_619b64b3857de]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-bank-iban acf-field acf-field-text acf-field-619b64c4857df\" data-name=\"bank_iban\" data-key=\"field_619b64c4857df\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b64c4857df\">IBAN<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b64c4857df\" name=\"acf[field_619b64c4857df]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-bank-swift-bic acf-field acf-field-text acf-field-619b64d7857e0\" data-name=\"bank_swift_bic\" data-key=\"field_619b64d7857e0\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b64d7857e0\">SWIFT Code \/ BIC<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b64d7857e0\" name=\"acf[field_619b64d7857e0]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-bankcode acf-field acf-field-text acf-field-619b6502857e1\" data-name=\"bankcode\" data-key=\"field_619b6502857e1\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6502857e1\">Bankcode<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b6502857e1\" name=\"acf[field_619b6502857e1]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-true-false af-field-bank-agreement acf-field acf-field-true-false acf-field-619b653d4d291\" data-name=\"bank_agreement\" data-key=\"field_619b653d4d291\" data-type=\"true_false\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b653d4d291\"><\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-true-false\">\n\t\t\t<input type=\"hidden\" name=\"acf[field_619b653d4d291]\" value=\"0\"\/>\t<label>\n\t\t<input type=\"checkbox\" id=\"acf-field_619b653d4d291\" name=\"acf[field_619b653d4d291]\" value=\"1\" class=\"\" autocomplete=\"off\"\/>\n\t\t\t\t\t\t\t\t\t\t<span class=\"message\">I agree that the membership fee and invoice amounts for order are deducted from my account.<\/span>\t<\/label>\n<\/div>\n\t\t\t<\/div><\/div><div class=\"af-field af-field-type-message af-field- acf-field acf-field-message acf-field-619b663b07a28\" data-name=\"\" data-key=\"field_619b663b07a28\" data-type=\"message\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b663b07a28\">Additional information<\/label><\/div><div class=\"af-input acf-input\"><\/div><\/div><div class=\"af-field af-field-type-text af-field-flp-id acf-field acf-field-text acf-field-619b664807a29\" data-name=\"flp_id\" data-key=\"field_619b664807a29\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b664807a29\">Your FLP ID<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b664807a29\" name=\"acf[field_619b664807a29]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-text af-field-recommended-by acf-field acf-field-text acf-field-619b665a07a2a\" data-name=\"recommended_by\" data-key=\"field_619b665a07a2a\" data-type=\"text\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b665a07a2a\">Recommended by<\/label><\/div><div class=\"af-input acf-input\"><div class=\"acf-input-wrap\"><input type=\"text\" id=\"acf-field_619b665a07a2a\" name=\"acf[field_619b665a07a2a]\"\/><\/div><\/div><\/div><div class=\"af-field af-field-type-message af-field- acf-field acf-field-message acf-field-619b66b575dcf\" data-name=\"\" data-key=\"field_619b66b575dcf\" data-type=\"message\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b66b575dcf\">Costs\/Booking<\/label><\/div><div class=\"af-input acf-input\"><p>The annual fee for the AMGI membership will cost 72\u20ac (incl. statutory VAT).<\/p>\n<\/div><\/div><div class=\"af-field af-field-type-true-false af-field-minihomepage acf-field acf-field-true-false acf-field-619b6785069a8\" data-name=\"minihomepage\" data-key=\"field_619b6785069a8\" data-type=\"true_false\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6785069a8\">Minihomepage<\/label><p class=\"af-field-instructions -placement-label\">Set up a mini-website (with cost) for me (please click, if desired):<\/p><\/div><div class=\"af-input acf-input\"><div class=\"acf-true-false\">\n\t\t\t<input type=\"hidden\" name=\"acf[field_619b6785069a8]\" value=\"0\"\/>\t<label>\n\t\t<input type=\"checkbox\" id=\"acf-field_619b6785069a8\" name=\"acf[field_619b6785069a8]\" value=\"1\" class=\"\" autocomplete=\"off\"\/>\n\t\t\t\t\t\t\t\t\t\t<span class=\"message\">EUR 120 (excl. statutory VAT) mini-website<\/span>\t<\/label>\n<\/div>\n\t\t\t<\/div><\/div><div class=\"af-field af-field-type-textarea af-field-comment acf-field acf-field-textarea acf-field-619b6746c28b5\" data-name=\"comment\" data-key=\"field_619b6746c28b5\" data-type=\"textarea\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6746c28b5\">Comment<\/label><\/div><div class=\"af-input acf-input\"><textarea id=\"acf-field_619b6746c28b5\" name=\"acf[field_619b6746c28b5]\" rows=\"8\"><\/textarea><\/div><\/div><div class=\"af-field af-field-type-checkbox af-field-agb-datenschutz acf-field acf-field-checkbox acf-field-619b6944ff1b3 af-field-required\" data-name=\"agb_datenschutz\" data-key=\"field_619b6944ff1b3\" data-type=\"checkbox\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6944ff1b3\">GTC and data protection <span class=\"acf-required\">*<\/span><\/label><\/div><div class=\"af-input acf-input\"><input type=\"hidden\" name=\"acf[field_619b6944ff1b3]\"\/><ul class=\"acf-checkbox-list acf-bl\" role=\"group\" aria-labelledby=\"acf-field_619b6944ff1b3-label\">\n<li><label><input type=\"checkbox\" id=\"acf-field_619b6944ff1b3-1\" name=\"acf[field_619b6944ff1b3][]\" value=\"1\"\/> I agree with the general terms and conditions.*<\/label><\/li>\n<\/ul>\n<\/div><\/div><div class=\"af-field af-field-type-checkbox af-field-newsletter acf-field acf-field-checkbox acf-field-619b6a1c9f00d\" data-name=\"newsletter\" data-key=\"field_619b6a1c9f00d\" data-type=\"checkbox\"><div class=\"af-label acf-label\"><label for=\"acf-field_619b6a1c9f00d\">Newsletter<\/label><\/div><div class=\"af-input acf-input\"><input type=\"hidden\" name=\"acf[field_619b6a1c9f00d]\"\/><ul class=\"acf-checkbox-list acf-bl\" role=\"group\" aria-labelledby=\"acf-field_619b6a1c9f00d-label\">\n<li><label><input type=\"checkbox\" id=\"acf-field_619b6a1c9f00d-1\" name=\"acf[field_619b6a1c9f00d][]\" value=\"1\"\/> yes<\/label><\/li>\n<\/ul>\n<\/div><\/div><div class=\"af-submit acf-form-submit\"><button type=\"submit\" class=\"acf-button af-submit-button\">Submit<\/button><span class=\"acf-spinner af-spinner\"><\/span><\/div><\/div><\/form>\n","protected":false},"excerpt":{"rendered":"<p>Please provide your complete personal data in clear detail as this data will be used at a later date for the production of printed materials such as business cards. The annual fee for the AMGI membership will cost 72 \u20ac (incl. VAT*). Upon registration please decide if you would want an additional mini-homepage. If you &#8230; <a title=\"Registration\" class=\"read-more\" href=\"https:\/\/www.aloe-medical-group.com\/en\/registration\/\" aria-label=\"Read more about Registration\">Read more<\/a><\/p>\n","protected":false},"author":2,"featured_media":994,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_editorskit_title_hidden":false,"_editorskit_reading_time":1,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","footnotes":""},"class_list":["post-1040","page","type-page","status-publish","has-post-thumbnail"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages\/1040","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/comments?post=1040"}],"version-history":[{"count":12,"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages\/1040\/revisions"}],"predecessor-version":[{"id":2013,"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/pages\/1040\/revisions\/2013"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/media\/994"}],"wp:attachment":[{"href":"https:\/\/www.aloe-medical-group.com\/en\/wp-json\/wp\/v2\/media?parent=1040"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}