{"id":40,"date":"2024-02-15T13:17:23","date_gmt":"2024-02-15T13:17:23","guid":{"rendered":"https:\/\/afterlifecca.com\/?page_id=40"},"modified":"2024-02-15T13:17:23","modified_gmt":"2024-02-15T13:17:23","slug":"home","status":"publish","type":"page","link":"https:\/\/afterlifecca.com\/","title":{"rendered":"Home"},"content":{"rendered":"\n<p>New Registration Form<\/p>\n\t\t\n\t\t\t<style>\/*! elementor - v3.19.0 - 07-02-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2>This Is a New Registration Form<\/h2>\t\t\n\t\t<form id=\"wpforms-form-15\" data-formid=\"15\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-admin\/admin-ajax.php\" data-token=\"3f5724c0b624cdb2095c09259720fc8c\"><noscript>Please enable JavaScript in your browser to complete this form.<\/noscript>Please enable JavaScript in your browser to complete this form.<label for=\"wpforms-15-field_19\">Select Policy *<\/label><select id=\"wpforms-15-field_19\" name=\"wpforms[fields][19]\" required=\"required\"><option value=\"Select...\" >Select&#8230;<\/option><option value=\"Mars Funeral Policy (R50 pm)\" >Mars Funeral Policy (R50 pm)<\/option><option value=\"Mercury Funeral Policy (R80 pm)\" >Mercury Funeral Policy (R80 pm)<\/option><option value=\"Venus Funeral Policy (R150 pm)\" >Venus Funeral Policy (R150 pm)<\/option><option value=\"Jupiter Funeral Policy (R180 pm)\" >Jupiter Funeral Policy (R180 pm)<\/option><\/select><label for=\"wpforms-15-field_3\">Title *<\/label><input type=\"text\" id=\"wpforms-15-field_3\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-15-field_3-error\" aria-describedby=\"wpforms-15-field_3-description\" required>Mr \/ Mrs \/ Miss \/ Dr \/ Archbishop \/ Bishop \/ Pastor \/ Etc<fieldset><legend>Full Name &amp; Surname *<\/legend><input type=\"text\" id=\"wpforms-15-field_2\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-15-field_2-error\" required><label for=\"wpforms-15-field_2\">First<\/label><input type=\"text\" id=\"wpforms-15-field_2-middle\" name=\"wpforms[fields][2][middle]\" aria-errormessage=\"wpforms-15-field_2-middle-error\" ><label for=\"wpforms-15-field_2-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_2-last\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-15-field_2-last-error\" required><label for=\"wpforms-15-field_2-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_1\">ID Number \/ Passport Number *<\/label><input type=\"text\" id=\"wpforms-15-field_1\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-15-field_1-error\" required><label for=\"wpforms-15-field_4\">Date Of Birth *<\/label><input type=\"text\" id=\"wpforms-15-field_4\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-15-field_4-error\" aria-describedby=\"wpforms-15-field_4-description\" required>YYYY\/MM\/DD<label for=\"wpforms-15-field_5\">Cellphone Number *<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15-field_5\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-15-field_5-error\" required><label for=\"wpforms-15-field_7\">Cellphone Number 2<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15-field_7\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-15-field_7-error\" ><label for=\"wpforms-15-field_8\">Cellphone Number 3<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15-field_8\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-15-field_8-error\" ><label for=\"wpforms-15-field_6\">Email Address *<\/label><input type=\"email\" id=\"wpforms-15-field_6\" name=\"wpforms[fields][6]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15-field_6-error\" required><label for=\"wpforms-15-field_9\">Profession *<\/label><input type=\"text\" id=\"wpforms-15-field_9\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-15-field_9-error\" required><label for=\"wpforms-15-field_10\">Physical Address *<\/label><textarea id=\"wpforms-15-field_10\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-15-field_10-error\" required><\/textarea><label for=\"wpforms-15-field_12\">Church of Fellowship *<\/label><input type=\"text\" id=\"wpforms-15-field_12\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-15-field_12-error\" required><label for=\"wpforms-15-field_13\">Name of Church Leader *<\/label><input type=\"text\" id=\"wpforms-15-field_13\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-15-field_13-error\" required><fieldset><legend>Select Beneficiaries of Policy *<\/legend><ul id=\"wpforms-15-field_20\"><li><input type=\"checkbox\" id=\"wpforms-15-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Main Member (you)\" aria-errormessage=\"wpforms-15-field_20_1-error\" required  checked='checked'><label for=\"wpforms-15-field_20_1\">Main Member (you)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Spouse (My Husband\/Wife)\" aria-errormessage=\"wpforms-15-field_20_2-error\" required ><label for=\"wpforms-15-field_20_2\">Spouse (My Husband\/Wife)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Child 1 (under age 21)\" aria-errormessage=\"wpforms-15-field_20_3-error\" required ><label for=\"wpforms-15-field_20_3\">Child 1 (under age 21)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_4\" name=\"wpforms[fields][20][]\" value=\"Child 2 (under age 21)\" aria-errormessage=\"wpforms-15-field_20_4-error\" required ><label for=\"wpforms-15-field_20_4\">Child 2 (under age 21)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_5\" name=\"wpforms[fields][20][]\" value=\"Child 3 (under age 21)\" aria-errormessage=\"wpforms-15-field_20_5-error\" required ><label for=\"wpforms-15-field_20_5\">Child 3 (under age 21)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_6\" name=\"wpforms[fields][20][]\" value=\"Child 4 (under age 21)\" aria-errormessage=\"wpforms-15-field_20_6-error\" required ><label for=\"wpforms-15-field_20_6\">Child 4 (under age 21)<\/label><\/li><li><input type=\"checkbox\" id=\"wpforms-15-field_20_7\" name=\"wpforms[fields][20][]\" value=\"Child 5 (under age 21)\" aria-errormessage=\"wpforms-15-field_20_7-error\" required ><label for=\"wpforms-15-field_20_7\">Child 5 (under age 21)<\/label><\/li><\/ul><\/fieldset><fieldset><legend>Spouses Full Name &amp; Surname *<\/legend><input type=\"text\" id=\"wpforms-15-field_15\" name=\"wpforms[fields][15][first]\" aria-errormessage=\"wpforms-15-field_15-error\" required><label for=\"wpforms-15-field_15\">First<\/label><input type=\"text\" id=\"wpforms-15-field_15-middle\" name=\"wpforms[fields][15][middle]\" aria-errormessage=\"wpforms-15-field_15-middle-error\" ><label for=\"wpforms-15-field_15-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_15-last\" name=\"wpforms[fields][15][last]\" aria-errormessage=\"wpforms-15-field_15-last-error\" required><label for=\"wpforms-15-field_15-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_16\">Spouse ID Number \/ Passport Number *<\/label><input type=\"text\" id=\"wpforms-15-field_16\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-15-field_16-error\" required><label for=\"wpforms-15-field_17\">Spouse Date Of Birth *<\/label><input type=\"text\" id=\"wpforms-15-field_17\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-15-field_17-error\" aria-describedby=\"wpforms-15-field_17-description\" required>YYYY\/MM\/DD<label for=\"wpforms-15-field_21\">Spouse Cellphone Number *<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15-field_21\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-15-field_21-error\" required><label for=\"wpforms-15-field_22\">Spouse Email Address *<\/label><input type=\"email\" id=\"wpforms-15-field_22\" name=\"wpforms[fields][22]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15-field_22-error\" required><fieldset><legend>Child 1 Full Name &amp; Surname<\/legend><input type=\"text\" id=\"wpforms-15-field_23\" name=\"wpforms[fields][23][first]\" aria-errormessage=\"wpforms-15-field_23-error\" ><label for=\"wpforms-15-field_23\">First<\/label><input type=\"text\" id=\"wpforms-15-field_23-middle\" name=\"wpforms[fields][23][middle]\" aria-errormessage=\"wpforms-15-field_23-middle-error\" ><label for=\"wpforms-15-field_23-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_23-last\" name=\"wpforms[fields][23][last]\" aria-errormessage=\"wpforms-15-field_23-last-error\" ><label for=\"wpforms-15-field_23-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_24\">Child 1 ID Number \/ Passport Number <\/label><input type=\"text\" id=\"wpforms-15-field_24\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-15-field_24-error\" ><label for=\"wpforms-15-field_25\">Child 1 Date Of Birth<\/label><input type=\"text\" id=\"wpforms-15-field_25\" name=\"wpforms[fields][25]\" aria-errormessage=\"wpforms-15-field_25-error\" aria-describedby=\"wpforms-15-field_25-description\" >YYYY\/MM\/DD<fieldset><legend>Child 2 Full Name &amp; Surname <\/legend><input type=\"text\" id=\"wpforms-15-field_26\" name=\"wpforms[fields][26][first]\" aria-errormessage=\"wpforms-15-field_26-error\" ><label for=\"wpforms-15-field_26\">First<\/label><input type=\"text\" id=\"wpforms-15-field_26-middle\" name=\"wpforms[fields][26][middle]\" aria-errormessage=\"wpforms-15-field_26-middle-error\" ><label for=\"wpforms-15-field_26-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_26-last\" name=\"wpforms[fields][26][last]\" aria-errormessage=\"wpforms-15-field_26-last-error\" ><label for=\"wpforms-15-field_26-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_32\">Child 2 ID Number \/ Passport Number <\/label><input type=\"text\" id=\"wpforms-15-field_32\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-15-field_32-error\" ><label for=\"wpforms-15-field_34\">Child 2 Date Of Birth <\/label><input type=\"text\" id=\"wpforms-15-field_34\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-15-field_34-error\" aria-describedby=\"wpforms-15-field_34-description\" >YYYY\/MM\/DD<fieldset><legend>Child 3 Full Name &amp; Surname <\/legend><input type=\"text\" id=\"wpforms-15-field_29\" name=\"wpforms[fields][29][first]\" aria-errormessage=\"wpforms-15-field_29-error\" ><label for=\"wpforms-15-field_29\">First<\/label><input type=\"text\" id=\"wpforms-15-field_29-middle\" name=\"wpforms[fields][29][middle]\" aria-errormessage=\"wpforms-15-field_29-middle-error\" ><label for=\"wpforms-15-field_29-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_29-last\" name=\"wpforms[fields][29][last]\" aria-errormessage=\"wpforms-15-field_29-last-error\" ><label for=\"wpforms-15-field_29-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_33\">Child 3 ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_33\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-15-field_33-error\" ><label for=\"wpforms-15-field_35\">Chils 3 Date Of Birth <\/label><input type=\"text\" id=\"wpforms-15-field_35\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-15-field_35-error\" aria-describedby=\"wpforms-15-field_35-description\" >YYYY\/MM\/DD<fieldset><legend>Child 4 Full Name &amp; Surname<\/legend><input type=\"text\" id=\"wpforms-15-field_28\" name=\"wpforms[fields][28][first]\" aria-errormessage=\"wpforms-15-field_28-error\" ><label for=\"wpforms-15-field_28\">First<\/label><input type=\"text\" id=\"wpforms-15-field_28-middle\" name=\"wpforms[fields][28][middle]\" aria-errormessage=\"wpforms-15-field_28-middle-error\" ><label for=\"wpforms-15-field_28-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_28-last\" name=\"wpforms[fields][28][last]\" aria-errormessage=\"wpforms-15-field_28-last-error\" ><label for=\"wpforms-15-field_28-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_31\">Child 4 ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_31\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-15-field_31-error\" ><label for=\"wpforms-15-field_36\">Child 4 Date Of Birth <\/label><input type=\"text\" id=\"wpforms-15-field_36\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-15-field_36-error\" aria-describedby=\"wpforms-15-field_36-description\" >YYYY\/MM\/DD<fieldset><legend>Child 5 Full Name &amp; Surname<\/legend><input type=\"text\" id=\"wpforms-15-field_27\" name=\"wpforms[fields][27][first]\" aria-errormessage=\"wpforms-15-field_27-error\" ><label for=\"wpforms-15-field_27\">First<\/label><input type=\"text\" id=\"wpforms-15-field_27-middle\" name=\"wpforms[fields][27][middle]\" aria-errormessage=\"wpforms-15-field_27-middle-error\" ><label for=\"wpforms-15-field_27-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_27-last\" name=\"wpforms[fields][27][last]\" aria-errormessage=\"wpforms-15-field_27-last-error\" ><label for=\"wpforms-15-field_27-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_30\">Child 5 ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_30\" name=\"wpforms[fields][30]\" aria-errormessage=\"wpforms-15-field_30-error\" ><label for=\"wpforms-15-field_37\">Child 5 Date Of Birth<\/label><input type=\"text\" id=\"wpforms-15-field_37\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-15-field_37-error\" aria-describedby=\"wpforms-15-field_37-description\" >YYYY\/MM\/DD<label for=\"wpforms-15-field_38\">Do you want to cover Extended Family? Eg Sister, Mom, Aunty, Grandmother Etc<\/label><select id=\"wpforms-15-field_38\" name=\"wpforms[fields][38]\"><option value=\"Select...\" >Select&#8230;<\/option><option value=\"Yes Please\" >Yes Please<\/option><option value=\"No Thanks\" >No Thanks<\/option><\/select>If Yes, Please fill in the below information<label for=\"wpforms-15-field_45\">Select Policy  For Extended Family Member 1<\/label><select id=\"wpforms-15-field_45\" name=\"wpforms[fields][45]\"><option value=\"Select...\" >Select&#8230;<\/option><option value=\"Mars Funeral Policy (added R50 pm)\" >Mars Funeral Policy (added R50 pm)<\/option><option value=\"Mercury Funeral Policy (added R80 pm)\" >Mercury Funeral Policy (added R80 pm)<\/option><option value=\"Venus Funeral Policy (added R150 pm)\" >Venus Funeral Policy (added R150 pm)<\/option><option value=\"Jupiter Funeral Policy (added R180 pm)\" >Jupiter Funeral Policy (added R180 pm)<\/option><\/select><label for=\"wpforms-15-field_39\">Relationship of Extended Family Member<\/label><input type=\"text\" id=\"wpforms-15-field_39\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-15-field_39-error\" aria-describedby=\"wpforms-15-field_39-description\" >Aunty, Gogo, Brother, Etc<fieldset><legend>Full Name &amp; Surname<\/legend><input type=\"text\" id=\"wpforms-15-field_40\" name=\"wpforms[fields][40][first]\" aria-errormessage=\"wpforms-15-field_40-error\" ><label for=\"wpforms-15-field_40\">First<\/label><input type=\"text\" id=\"wpforms-15-field_40-middle\" name=\"wpforms[fields][40][middle]\" aria-errormessage=\"wpforms-15-field_40-middle-error\" ><label for=\"wpforms-15-field_40-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_40-last\" name=\"wpforms[fields][40][last]\" aria-errormessage=\"wpforms-15-field_40-last-error\" ><label for=\"wpforms-15-field_40-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_41\">ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_41\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-15-field_41-error\" ><label for=\"wpforms-15-field_42\">Date of Birth<\/label><input type=\"text\" id=\"wpforms-15-field_42\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-15-field_42-error\" ><label for=\"wpforms-15-field_43\">Select Policy For Extended Family Member 2<\/label><select id=\"wpforms-15-field_43\" name=\"wpforms[fields][43]\"><option value=\"Select...\" >Select&#8230;<\/option><option value=\"Mars Funeral Policy (added R50 pm)\" >Mars Funeral Policy (added R50 pm)<\/option><option value=\"Mercury Funeral Policy (added R80 pm)\" >Mercury Funeral Policy (added R80 pm)<\/option><option value=\"Venus Funeral Policy (added R150 pm)\" >Venus Funeral Policy (added R150 pm)<\/option><option value=\"Jupiter Funeral Policy (added R180 pm)\" >Jupiter Funeral Policy (added R180 pm)<\/option><\/select><label for=\"wpforms-15-field_44\">Relationship of Extended Family Member 2<\/label><input type=\"text\" id=\"wpforms-15-field_44\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-15-field_44-error\" ><fieldset><legend>Full Name &amp; Surname <\/legend><input type=\"text\" id=\"wpforms-15-field_46\" name=\"wpforms[fields][46][first]\" aria-errormessage=\"wpforms-15-field_46-error\" ><label for=\"wpforms-15-field_46\">First<\/label><input type=\"text\" id=\"wpforms-15-field_46-middle\" name=\"wpforms[fields][46][middle]\" aria-errormessage=\"wpforms-15-field_46-middle-error\" ><label for=\"wpforms-15-field_46-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_46-last\" name=\"wpforms[fields][46][last]\" aria-errormessage=\"wpforms-15-field_46-last-error\" ><label for=\"wpforms-15-field_46-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_47\">ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_47\" name=\"wpforms[fields][47]\" aria-errormessage=\"wpforms-15-field_47-error\" ><label for=\"wpforms-15-field_48\">Date of Birth<\/label><input type=\"text\" id=\"wpforms-15-field_48\" name=\"wpforms[fields][48]\" aria-errormessage=\"wpforms-15-field_48-error\" ><label for=\"wpforms-15-field_49\">Select Policy For Extended Family Member 3 <\/label><select id=\"wpforms-15-field_49\" name=\"wpforms[fields][49]\"><option value=\"Select...\" >Select&#8230;<\/option><option value=\"Mars Funeral Policy (added R50 pm)\" >Mars Funeral Policy (added R50 pm)<\/option><option value=\"Mercury Funeral Policy (added R80 pm)\" >Mercury Funeral Policy (added R80 pm)<\/option><option value=\"Venus Funeral Policy (added R150 pm)\" >Venus Funeral Policy (added R150 pm)<\/option><option value=\"Jupiter Funeral Policy (added R180 pm)\" >Jupiter Funeral Policy (added R180 pm)<\/option><\/select><label for=\"wpforms-15-field_50\">Relationship of Extended Family Member 3<\/label><input type=\"text\" id=\"wpforms-15-field_50\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-15-field_50-error\" ><fieldset><legend>Full Name &amp; Surname<\/legend><input type=\"text\" id=\"wpforms-15-field_51\" name=\"wpforms[fields][51][first]\" aria-errormessage=\"wpforms-15-field_51-error\" ><label for=\"wpforms-15-field_51\">First<\/label><input type=\"text\" id=\"wpforms-15-field_51-middle\" name=\"wpforms[fields][51][middle]\" aria-errormessage=\"wpforms-15-field_51-middle-error\" ><label for=\"wpforms-15-field_51-middle\">Middle<\/label><input type=\"text\" id=\"wpforms-15-field_51-last\" name=\"wpforms[fields][51][last]\" aria-errormessage=\"wpforms-15-field_51-last-error\" ><label for=\"wpforms-15-field_51-last\">Last<\/label><\/fieldset><label for=\"wpforms-15-field_52\">ID Number \/ Passport Number<\/label><input type=\"text\" id=\"wpforms-15-field_52\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-15-field_52-error\" ><label for=\"wpforms-15-field_53\">Date of Birth<\/label><input type=\"text\" id=\"wpforms-15-field_53\" name=\"wpforms[fields][53]\" aria-errormessage=\"wpforms-15-field_53-error\" ><label for=\"wpforms-15-field_59\">I have more Extended Members to add &#8211; Please call me on this cell number<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15-field_59\" name=\"wpforms[fields][59]\" aria-errormessage=\"wpforms-15-field_59-error\" ><fieldset><legend>I have read and understand the Terms and Conditions stated on https:\/\/afterlifecca.com\/test<\/legend><ul id=\"wpforms-15-field_55\"><li><input type=\"radio\" id=\"wpforms-15-field_55_1\" name=\"wpforms[fields][55]\" value=\"Yes\" aria-errormessage=\"wpforms-15-field_55_1-error\"  ><label for=\"wpforms-15-field_55_1\">Yes<\/label><\/li><li><input type=\"radio\" id=\"wpforms-15-field_55_2\" name=\"wpforms[fields][55]\" value=\"No\" aria-errormessage=\"wpforms-15-field_55_2-error\"  ><label for=\"wpforms-15-field_55_2\">No<\/label><\/li><\/ul><\/fieldset><fieldset><legend>I have paid my first installment with the Representative<\/legend><ul id=\"wpforms-15-field_56\"><li><input type=\"radio\" id=\"wpforms-15-field_56_1\" name=\"wpforms[fields][56]\" value=\"Yes\" aria-errormessage=\"wpforms-15-field_56_1-error\"  ><label for=\"wpforms-15-field_56_1\">Yes<\/label><\/li><li><input type=\"radio\" id=\"wpforms-15-field_56_2\" name=\"wpforms[fields][56]\" value=\"No\" aria-errormessage=\"wpforms-15-field_56_2-error\"  ><label for=\"wpforms-15-field_56_2\">No<\/label><\/li><\/ul><\/fieldset><fieldset><legend>Accept this as my electronic signature as I agree that the above information is true and fave<\/legend><ul id=\"wpforms-15-field_57\"><li><input type=\"radio\" id=\"wpforms-15-field_57_1\" name=\"wpforms[fields][57]\" value=\"Yes\" aria-errormessage=\"wpforms-15-field_57_1-error\"  ><label for=\"wpforms-15-field_57_1\">Yes<\/label><\/li><li><input type=\"radio\" id=\"wpforms-15-field_57_2\" name=\"wpforms[fields][57]\" value=\"No\" aria-errormessage=\"wpforms-15-field_57_2-error\"  ><label for=\"wpforms-15-field_57_2\">No<\/label><\/li><\/ul><\/fieldset><!-- .wpforms-field-container --><input type=\"hidden\" name=\"wpforms[id]\" value=\"15\">\t\t\t<input\n\t\t\t\ttype=\"hidden\"\n\t\t\t\tname=\"wpforms[nonce]\"\n\t\t\t\tvalue=\"478c0b0f65\"\n\t\t\t\/>\n\t\t\t<input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-15\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/afterlifecca.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/form>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>New Registration Form This Is a New Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Select Policy *Select&#8230;Mars Funeral Policy (R50 pm)Mercury Funeral Policy (R80 pm)Venus Funeral Policy (R150 pm)Jupiter Funeral Policy (R180 pm)Title *Mr \/ Mrs \/ Miss \/ Dr \/ Archbishop [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":39,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-40","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/pages\/40","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/afterlifecca.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=40"}],"version-history":[{"count":2,"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/pages\/40\/revisions"}],"predecessor-version":[{"id":44,"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/pages\/40\/revisions\/44"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/afterlifecca.com\/index.php?rest_route=\/wp\/v2\/media\/39"}],"wp:attachment":[{"href":"https:\/\/afterlifecca.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=40"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}