{"id":9920,"date":"2025-06-12T08:28:11","date_gmt":"2025-06-12T08:28:11","guid":{"rendered":"https:\/\/www.pharmalp.ch\/?page_id=9920"},"modified":"2025-06-12T08:32:55","modified_gmt":"2025-06-12T08:32:55","slug":"partner-registration","status":"publish","type":"page","link":"https:\/\/www.pharmalp.ch\/en\/partner-registration\/","title":{"rendered":"Partner Registration"},"content":{"rendered":"\n<p>\n<div class=\"partner-registration-form-wrapper\">\n    <h2>Partner Registration Request<\/h2>\n    \n    <p>Fill out this form to request partner status and access our preferential rates.<\/p>\n    \n        \n    <form method=\"post\" class=\"partner-registration-form\">\n        <input type=\"hidden\" id=\"partner_registration_nonce\" name=\"partner_registration_nonce\" value=\"ed4f668bff\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/9920\" \/>        \n        <div class=\"form-row form-row-first\">\n            <label for=\"first_name\">First name <span class=\"required\">*<\/span><\/label>\n            <input type=\"text\" class=\"input-text\" name=\"first_name\" id=\"first_name\" value=\"\" required \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-last\">\n            <label for=\"last_name\">Last name <span class=\"required\">*<\/span><\/label>\n            <input type=\"text\" class=\"input-text\" name=\"last_name\" id=\"last_name\" value=\"\" required \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-wide\">\n            <label for=\"email\">Email address <span class=\"required\">*<\/span><\/label>\n            <input type=\"email\" class=\"input-text\" name=\"email\" id=\"email\" value=\"\" required \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-first\">\n            <label for=\"password\">Password <span class=\"required\">*<\/span><\/label>\n            <input type=\"password\" class=\"input-text\" name=\"password\" id=\"password\" required \/>\n            <span class=\"password-hint\">Minimum 8 characters<\/span>\n        <\/div>\n        \n        <div class=\"form-row form-row-last\">\n            <label for=\"password_confirm\">Confirm password <span class=\"required\">*<\/span><\/label>\n            <input type=\"password\" class=\"input-text\" name=\"password_confirm\" id=\"password_confirm\" required \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-wide\">\n            <label for=\"phone\">Phone <span class=\"required\">*<\/span><\/label>\n            <input type=\"tel\" class=\"input-text\" name=\"phone\" id=\"phone\" value=\"\" required \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-wide\">\n            <label for=\"company_name\">Company name<\/label>\n            <input type=\"text\" class=\"input-text\" name=\"company_name\" id=\"company_name\" value=\"\" \/>\n        <\/div>\n        \n        <div class=\"form-row form-row-wide\">\n            <label class=\"woocommerce-form__label woocommerce-form__label-for-checkbox\">\n                <input type=\"checkbox\" class=\"woocommerce-form__input woocommerce-form__input-checkbox\" name=\"healthcare_professional\" id=\"healthcare_professional\" value=\"1\"  required \/>\n                <span>I certify that I am a healthcare professional <span class=\"required\">*<\/span><\/span>\n            <\/label>\n        <\/div>\n        \n                \n        <div class=\"form-row\">\n            <button type=\"submit\" class=\"button\" name=\"partner_registration_submit\" value=\"1\">Submit my request<\/button>\n        <\/div>\n        \n        <div class=\"form-row form-row-wide\" style=\"margin-top: 20px;\">\n            <p class=\"activation-notice\">\n                <strong>Important:<\/strong> \n                After registration, you will receive an email with an activation link. You must click on this link to activate your account before you can log in.            <\/p>\n        <\/div>\n    <\/form>\n<\/div>\n\n<style>\n.partner-registration-success.woocommerce-message {\n    position: relative;\n    padding-left: 3.5em !important;\n}\n.partner-registration-success.woocommerce-message::before {\n    left: 1em !important;\n}\n<\/style><br><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9920","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/pages\/9920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/comments?post=9920"}],"version-history":[{"count":2,"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/pages\/9920\/revisions"}],"predecessor-version":[{"id":9925,"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/pages\/9920\/revisions\/9925"}],"wp:attachment":[{"href":"https:\/\/www.pharmalp.ch\/en\/wp-json\/wp\/v2\/media?parent=9920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}