{"id":17,"date":"2026-04-10T15:46:21","date_gmt":"2026-04-10T15:46:21","guid":{"rendered":"https:\/\/lanierra.org\/?page_id=17"},"modified":"2026-06-06T03:11:32","modified_gmt":"2026-06-06T03:11:32","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/lanierra.org\/home\/sign-up\/","title":{"rendered":"Sign Up"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17\" class=\"elementor elementor-17\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6175a59 e-flex e-con-boxed e-con e-parent\" data-id=\"6175a59\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<h2 data-interaction-id=\"77a6404\" class=\"e-heading-base\" data-e-type=\"widget\" data-id=\"77a6404\">Note:<\/h2>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cfc2d60 e-flex e-con-boxed e-con e-parent\" data-id=\"cfc2d60\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c9530a7 elementor-widget elementor-widget-text-editor\" data-id=\"c9530a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This is the page for signing up for the LRA and\/or the Georgia Republican Assembly (GRA).<\/p><p>You will need your Voter ID. In case you do not remember it can be obtained at\u00a0<strong><a href=\"https:\/\/mvp.sos.ga.gov\/s\/\" target=\"_blank\" rel=\"noopener\">My Voter Page<\/a> .<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e355466 e-con e-atomic-element e-flexbox-base \" data-id=\"e355466\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"e355466\" data-e-type=\"e-flexbox\" data-id=\"e355466\">\n    \t\t\t<p class=\"e-paragraph-base\" data-interaction-id=\"6e71c1d\" data-e-type=\"widget\" data-id=\"6e71c1d\"><style id=\"wpforms-css-vars-449\">\n\t\t\t\t#wpforms-449 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-449\"><form id=\"wpforms-form-449\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"449\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/home\/wp-json\/wp\/v2\/pages\/17\" data-token=\"d33cd49021da4e606e8135abb50901ce\" data-token-time=\"1782828652\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-449-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_20\">First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_20\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-449-field_20-error\" required><\/div><div id=\"wpforms-449-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_21\">Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_21\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-449-field_21-error\" required><\/div><div id=\"wpforms-449-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_2\">Preferred Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-449-field_2-error\" aria-describedby=\"wpforms-449-field_2-description\" required><div id=\"wpforms-449-field_2-description\" class=\"wpforms-field-description\">This is the name you want on your Badge<\/div><\/div><div id=\"wpforms-449-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_16\">Street address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-449-field_16-error\" aria-describedby=\"wpforms-449-field_16-description\" required><div id=\"wpforms-449-field_16-description\" class=\"wpforms-field-description\">Enter your house number, street including any direction and apartment number if applicable<\/div><\/div><div id=\"wpforms-449-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_17\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" aria-errormessage=\"wpforms-449-field_17-error\" required><\/div><div id=\"wpforms-449-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_18\">State<\/label><input type=\"text\" id=\"wpforms-449-field_18\" class=\"wpforms-field-small wpforms-masked-input wpforms-limit-characters-enabled\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"AA\" data-form-id=\"449\" data-field-id=\"18\" data-text-limit=\"2\" name=\"wpforms[fields][18]\" value=\"GA\" aria-errormessage=\"wpforms-449-field_18-error\" maxlength=\"2\" ><\/div><div id=\"wpforms-449-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_19\">Zip <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_19\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-rule-inputmask-incomplete=\"1\" data-inputmask-mask=\"99999\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-449-field_19-error\" required><\/div><div id=\"wpforms-449-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_5\">County <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-449-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"APPLING\"  class=\"choice-4 depth-1\"  >APPLING<\/option><option value=\"ATKINSON\"  class=\"choice-5 depth-1\"  >ATKINSON<\/option><option value=\"BACON\"  class=\"choice-6 depth-1\"  >BACON<\/option><option value=\"BAKER\"  class=\"choice-7 depth-1\"  >BAKER<\/option><option value=\"BALDWIN\"  class=\"choice-8 depth-1\"  >BALDWIN<\/option><option value=\"BANKS\"  class=\"choice-9 depth-1\"  >BANKS<\/option><option value=\"BARROW\"  class=\"choice-10 depth-1\"  >BARROW<\/option><option value=\"BARTOW\"  class=\"choice-11 depth-1\"  >BARTOW<\/option><option value=\"BEN HILL\"  class=\"choice-12 depth-1\"  >BEN HILL<\/option><option value=\"BERRIEN\"  class=\"choice-13 depth-1\"  >BERRIEN<\/option><option value=\"BIBB\"  class=\"choice-14 depth-1\"  >BIBB<\/option><option value=\"BLECKLEY\"  class=\"choice-15 depth-1\"  >BLECKLEY<\/option><option value=\"BRANTLEY\"  class=\"choice-16 depth-1\"  >BRANTLEY<\/option><option value=\"BROOKS\"  class=\"choice-17 depth-1\"  >BROOKS<\/option><option value=\"BRYAN\"  class=\"choice-18 depth-1\"  >BRYAN<\/option><option value=\"BULLOCH\"  class=\"choice-19 depth-1\"  >BULLOCH<\/option><option value=\"BURKE\"  class=\"choice-20 depth-1\"  >BURKE<\/option><option value=\"BUTTS\"  class=\"choice-21 depth-1\"  >BUTTS<\/option><option value=\"CALHOUN\"  class=\"choice-22 depth-1\"  >CALHOUN<\/option><option value=\"CAMDEN\"  class=\"choice-23 depth-1\"  >CAMDEN<\/option><option value=\"CANDLER\"  class=\"choice-24 depth-1\"  >CANDLER<\/option><option value=\"CARROLL\"  class=\"choice-25 depth-1\"  >CARROLL<\/option><option value=\"CATOOSA\"  class=\"choice-26 depth-1\"  >CATOOSA<\/option><option value=\"CHARLTON\"  class=\"choice-27 depth-1\"  >CHARLTON<\/option><option value=\"CHATHAM\"  class=\"choice-28 depth-1\"  >CHATHAM<\/option><option value=\"CHATTAHOOCHEE\"  class=\"choice-29 depth-1\"  >CHATTAHOOCHEE<\/option><option value=\"CHATTOOGA\"  class=\"choice-30 depth-1\"  >CHATTOOGA<\/option><option value=\"CHEROKEE\"  class=\"choice-31 depth-1\"  >CHEROKEE<\/option><option value=\"CLARKE\"  class=\"choice-32 depth-1\"  >CLARKE<\/option><option value=\"CLAY\"  class=\"choice-33 depth-1\"  >CLAY<\/option><option value=\"CLAYTON\"  class=\"choice-34 depth-1\"  >CLAYTON<\/option><option value=\"CLINCH\"  class=\"choice-35 depth-1\"  >CLINCH<\/option><option value=\"COBB\"  class=\"choice-36 depth-1\"  >COBB<\/option><option value=\"COFFEE\"  class=\"choice-37 depth-1\"  >COFFEE<\/option><option value=\"COLQUITT\"  class=\"choice-38 depth-1\"  >COLQUITT<\/option><option value=\"COLUMBIA\"  class=\"choice-39 depth-1\"  >COLUMBIA<\/option><option value=\"COOK\"  class=\"choice-40 depth-1\"  >COOK<\/option><option value=\"COWETA\"  class=\"choice-41 depth-1\"  >COWETA<\/option><option value=\"CRAWFORD\"  class=\"choice-42 depth-1\"  >CRAWFORD<\/option><option value=\"CRISP\"  class=\"choice-43 depth-1\"  >CRISP<\/option><option value=\"DADE\"  class=\"choice-44 depth-1\"  >DADE<\/option><option value=\"DAWSON\"  class=\"choice-45 depth-1\"  >DAWSON<\/option><option value=\"DECATUR\"  class=\"choice-46 depth-1\"  >DECATUR<\/option><option value=\"DEKALB\"  class=\"choice-47 depth-1\"  >DEKALB<\/option><option value=\"DODGE\"  class=\"choice-48 depth-1\"  >DODGE<\/option><option value=\"DOOLY\"  class=\"choice-49 depth-1\"  >DOOLY<\/option><option value=\"DOUGHERTY\"  class=\"choice-50 depth-1\"  >DOUGHERTY<\/option><option value=\"DOUGLAS\"  class=\"choice-51 depth-1\"  >DOUGLAS<\/option><option value=\"EARLY\"  class=\"choice-52 depth-1\"  >EARLY<\/option><option value=\"ECHOLS\"  class=\"choice-53 depth-1\"  >ECHOLS<\/option><option value=\"EFFINGHAM\"  class=\"choice-54 depth-1\"  >EFFINGHAM<\/option><option value=\"ELBERT\"  class=\"choice-55 depth-1\"  >ELBERT<\/option><option value=\"EMANUEL\"  class=\"choice-56 depth-1\"  >EMANUEL<\/option><option value=\"EVANS\"  class=\"choice-57 depth-1\"  >EVANS<\/option><option value=\"FANNIN\"  class=\"choice-58 depth-1\"  >FANNIN<\/option><option value=\"FAYETTE\"  class=\"choice-59 depth-1\"  >FAYETTE<\/option><option value=\"FLOYD\"  class=\"choice-60 depth-1\"  >FLOYD<\/option><option value=\"FORSYTH\"  class=\"choice-61 depth-1\"  >FORSYTH<\/option><option value=\"FRANKLIN\"  class=\"choice-62 depth-1\"  >FRANKLIN<\/option><option value=\"FULTON\"  class=\"choice-63 depth-1\"  >FULTON<\/option><option value=\"GILMER\"  class=\"choice-64 depth-1\"  >GILMER<\/option><option value=\"GLASCOCK\"  class=\"choice-65 depth-1\"  >GLASCOCK<\/option><option value=\"GLYNN\"  class=\"choice-66 depth-1\"  >GLYNN<\/option><option value=\"GORDON\"  class=\"choice-67 depth-1\"  >GORDON<\/option><option value=\"GRADY\"  class=\"choice-68 depth-1\"  >GRADY<\/option><option value=\"GREENE\"  class=\"choice-69 depth-1\"  >GREENE<\/option><option value=\"GWINNETT\"  class=\"choice-70 depth-1\"  >GWINNETT<\/option><option value=\"HABERSHAM\"  class=\"choice-71 depth-1\"  >HABERSHAM<\/option><option value=\"HALL\"  class=\"choice-72 depth-1\"  >HALL<\/option><option value=\"HANCOCK\"  class=\"choice-73 depth-1\"  >HANCOCK<\/option><option value=\"HARALSON\"  class=\"choice-74 depth-1\"  >HARALSON<\/option><option value=\"HARRIS\"  class=\"choice-75 depth-1\"  >HARRIS<\/option><option value=\"HART\"  class=\"choice-76 depth-1\"  >HART<\/option><option value=\"HEARD\"  class=\"choice-77 depth-1\"  >HEARD<\/option><option value=\"HENRY\"  class=\"choice-78 depth-1\"  >HENRY<\/option><option value=\"HOUSTON\"  class=\"choice-79 depth-1\"  >HOUSTON<\/option><option value=\"IRWIN\"  class=\"choice-80 depth-1\"  >IRWIN<\/option><option value=\"JACKSON\"  class=\"choice-81 depth-1\"  >JACKSON<\/option><option value=\"JASPER\"  class=\"choice-82 depth-1\"  >JASPER<\/option><option value=\"JEFF DAVIS\"  class=\"choice-83 depth-1\"  >JEFF DAVIS<\/option><option value=\"JEFFERSON\"  class=\"choice-84 depth-1\"  >JEFFERSON<\/option><option value=\"JENKINS\"  class=\"choice-85 depth-1\"  >JENKINS<\/option><option value=\"JOHNSON\"  class=\"choice-86 depth-1\"  >JOHNSON<\/option><option value=\"JONES\"  class=\"choice-87 depth-1\"  >JONES<\/option><option value=\"LAMAR\"  class=\"choice-88 depth-1\"  >LAMAR<\/option><option value=\"LANIER\"  class=\"choice-89 depth-1\"  >LANIER<\/option><option value=\"LAURENS\"  class=\"choice-90 depth-1\"  >LAURENS<\/option><option value=\"LEE\"  class=\"choice-91 depth-1\"  >LEE<\/option><option value=\"LIBERTY\"  class=\"choice-92 depth-1\"  >LIBERTY<\/option><option value=\"LINCOLN\"  class=\"choice-93 depth-1\"  >LINCOLN<\/option><option value=\"LONG\"  class=\"choice-94 depth-1\"  >LONG<\/option><option value=\"LOWNDES\"  class=\"choice-95 depth-1\"  >LOWNDES<\/option><option value=\"LUMPKIN\"  class=\"choice-96 depth-1\"  >LUMPKIN<\/option><option value=\"MACON\"  class=\"choice-97 depth-1\"  >MACON<\/option><option value=\"MADISON\"  class=\"choice-98 depth-1\"  >MADISON<\/option><option value=\"MARION\"  class=\"choice-99 depth-1\"  >MARION<\/option><option value=\"MCDUFFIE\"  class=\"choice-100 depth-1\"  >MCDUFFIE<\/option><option value=\"MCINTOSH\"  class=\"choice-101 depth-1\"  >MCINTOSH<\/option><option value=\"MERIWETHER\"  class=\"choice-102 depth-1\"  >MERIWETHER<\/option><option value=\"MILLER\"  class=\"choice-103 depth-1\"  >MILLER<\/option><option value=\"MITCHELL\"  class=\"choice-104 depth-1\"  >MITCHELL<\/option><option value=\"MONROE\"  class=\"choice-105 depth-1\"  >MONROE<\/option><option value=\"MONTGOMERY\"  class=\"choice-106 depth-1\"  >MONTGOMERY<\/option><option value=\"MORGAN\"  class=\"choice-107 depth-1\"  >MORGAN<\/option><option value=\"MURRAY\"  class=\"choice-108 depth-1\"  >MURRAY<\/option><option value=\"MUSCOGEE\"  class=\"choice-109 depth-1\"  >MUSCOGEE<\/option><option value=\"NEWTON\"  class=\"choice-110 depth-1\"  >NEWTON<\/option><option value=\"NULL\"  class=\"choice-111 depth-1\"  >NULL<\/option><option value=\"OCONEE\"  class=\"choice-112 depth-1\"  >OCONEE<\/option><option value=\"OGLETHORPE\"  class=\"choice-113 depth-1\"  >OGLETHORPE<\/option><option value=\"PAULDING\"  class=\"choice-114 depth-1\"  >PAULDING<\/option><option value=\"PEACH\"  class=\"choice-115 depth-1\"  >PEACH<\/option><option value=\"PICKENS\"  class=\"choice-116 depth-1\"  >PICKENS<\/option><option value=\"PIERCE\"  class=\"choice-117 depth-1\"  >PIERCE<\/option><option value=\"PIKE\"  class=\"choice-118 depth-1\"  >PIKE<\/option><option value=\"POLK\"  class=\"choice-119 depth-1\"  >POLK<\/option><option value=\"PULASKI\"  class=\"choice-120 depth-1\"  >PULASKI<\/option><option value=\"PUTNAM\"  class=\"choice-121 depth-1\"  >PUTNAM<\/option><option value=\"QUITMAN\"  class=\"choice-122 depth-1\"  >QUITMAN<\/option><option value=\"RABUN\"  class=\"choice-123 depth-1\"  >RABUN<\/option><option value=\"RANDOLPH\"  class=\"choice-124 depth-1\"  >RANDOLPH<\/option><option value=\"RICHMOND\"  class=\"choice-125 depth-1\"  >RICHMOND<\/option><option value=\"ROCKDALE\"  class=\"choice-126 depth-1\"  >ROCKDALE<\/option><option value=\"SCHLEY\"  class=\"choice-127 depth-1\"  >SCHLEY<\/option><option value=\"SCREVEN\"  class=\"choice-128 depth-1\"  >SCREVEN<\/option><option value=\"SEMINOLE\"  class=\"choice-129 depth-1\"  >SEMINOLE<\/option><option value=\"SPALDING\"  class=\"choice-130 depth-1\"  >SPALDING<\/option><option value=\"STEPHENS\"  class=\"choice-131 depth-1\"  >STEPHENS<\/option><option value=\"STEWART\"  class=\"choice-132 depth-1\"  >STEWART<\/option><option value=\"SUMTER\"  class=\"choice-133 depth-1\"  >SUMTER<\/option><option value=\"TALBOT\"  class=\"choice-134 depth-1\"  >TALBOT<\/option><option value=\"TALIAFERRO\"  class=\"choice-135 depth-1\"  >TALIAFERRO<\/option><option value=\"TATTNALL\"  class=\"choice-136 depth-1\"  >TATTNALL<\/option><option value=\"TAYLOR\"  class=\"choice-137 depth-1\"  >TAYLOR<\/option><option value=\"TELFAIR\"  class=\"choice-138 depth-1\"  >TELFAIR<\/option><option value=\"TERRELL\"  class=\"choice-139 depth-1\"  >TERRELL<\/option><option value=\"THOMAS\"  class=\"choice-140 depth-1\"  >THOMAS<\/option><option value=\"TIFT\"  class=\"choice-141 depth-1\"  >TIFT<\/option><option value=\"TOOMBS\"  class=\"choice-142 depth-1\"  >TOOMBS<\/option><option value=\"TOWNS\"  class=\"choice-143 depth-1\"  >TOWNS<\/option><option value=\"TREUTLEN\"  class=\"choice-144 depth-1\"  >TREUTLEN<\/option><option value=\"TROUP\"  class=\"choice-145 depth-1\"  >TROUP<\/option><option value=\"TURNER\"  class=\"choice-146 depth-1\"  >TURNER<\/option><option value=\"TWIGGS\"  class=\"choice-147 depth-1\"  >TWIGGS<\/option><option value=\"UNION\"  class=\"choice-148 depth-1\"  >UNION<\/option><option value=\"UPSON\"  class=\"choice-149 depth-1\"  >UPSON<\/option><option value=\"WALKER\"  class=\"choice-150 depth-1\"  >WALKER<\/option><option value=\"WALTON\"  class=\"choice-151 depth-1\"  >WALTON<\/option><option value=\"WARE\"  class=\"choice-152 depth-1\"  >WARE<\/option><option value=\"WARREN\"  class=\"choice-153 depth-1\"  >WARREN<\/option><option value=\"WASHINGTON\"  class=\"choice-154 depth-1\"  >WASHINGTON<\/option><option value=\"WAYNE\"  class=\"choice-155 depth-1\"  >WAYNE<\/option><option value=\"WEBSTER\"  class=\"choice-156 depth-1\"  >WEBSTER<\/option><option value=\"WHEELER\"  class=\"choice-157 depth-1\"  >WHEELER<\/option><option value=\"WHITE\"  class=\"choice-158 depth-1\"  >WHITE<\/option><option value=\"WHITFIELD\"  class=\"choice-159 depth-1\"  >WHITFIELD<\/option><option value=\"WILCOX\"  class=\"choice-160 depth-1\"  >WILCOX<\/option><option value=\"WILKES\"  class=\"choice-161 depth-1\"  >WILKES<\/option><option value=\"WILKINSON\"  class=\"choice-162 depth-1\"  >WILKINSON<\/option><option value=\"WORTH\"  class=\"choice-163 depth-1\"  >WORTH<\/option><\/select><div id=\"wpforms-449-field_5-description\" class=\"wpforms-field-description\">Select from Drop Down list<\/div><\/div><div id=\"wpforms-449-field_6-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_6\">Phone<\/label><input type=\"tel\" id=\"wpforms-449-field_6\" class=\"wpforms-field-small wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][6]\" placeholder=\"+1 (999) 999 - 9999\" aria-label=\"Phone\" aria-errormessage=\"wpforms-449-field_6-error\" ><\/div><div id=\"wpforms-449-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_7\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-449-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" aria-errormessage=\"wpforms-449-field_7-error\" required><\/div><div id=\"wpforms-449-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Do you want the News Letter?<\/legend><ul id=\"wpforms-449-field_9\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-449-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes\" aria-errormessage=\"wpforms-449-field_9_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_9_1\">Yes<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-449-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-449-field_1\" >Zip Birthdate Letter?<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-449-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-449-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_10\">Membership Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-449-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select Choice ---<\/option><option value=\"Individual\"  class=\"choice-1 depth-1\"  >Individual<\/option><option value=\"Family\"  class=\"choice-2 depth-1\"  >Family<\/option><\/select><div id=\"wpforms-449-field_10-description\" class=\"wpforms-field-description\">Family membership consists of a maximum of 2.<\/div><\/div><div id=\"wpforms-449-field_11-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_11\">Birthdate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-449-field_11\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][11][date]\" aria-errormessage=\"wpforms-449-field_11-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-449-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_12\">Primary Family Member <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-449-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-449-field_12-error\" aria-describedby=\"wpforms-449-field_12-description\" required><div id=\"wpforms-449-field_12-description\" class=\"wpforms-field-description\">The Primary Family member is the one that is paying for the Family Membership. Use the Preferred Name<\/div><\/div><div id=\"wpforms-449-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-449-field_13\">Voter Registration number<\/label><input type=\"text\" id=\"wpforms-449-field_13\" class=\"wpforms-field-medium wpforms-limit-characters-enabled\" data-form-id=\"449\" data-field-id=\"13\" data-text-limit=\"8\" name=\"wpforms[fields][13]\" placeholder=\"99999999\" aria-errormessage=\"wpforms-449-field_13-error\" aria-describedby=\"wpforms-449-field_13-description\" maxlength=\"8\" ><div id=\"wpforms-449-field_13-description\" class=\"wpforms-field-description\">Include leading zeros there should be eight characters<\/div><\/div><div id=\"wpforms-449-field_15-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Interests<\/legend><ul id=\"wpforms-449-field_15\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Call Banking\" aria-errormessage=\"wpforms-449-field_15_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_1\">Call Banking<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Door Knocking\" aria-errormessage=\"wpforms-449-field_15_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_2\">Door Knocking<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_3\" name=\"wpforms[fields][15][]\" value=\"Sign Placement\" aria-errormessage=\"wpforms-449-field_15_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_3\">Sign Placement<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_4\" name=\"wpforms[fields][15][]\" value=\"Registration\" aria-errormessage=\"wpforms-449-field_15_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_4\">Registration<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_5\" name=\"wpforms[fields][15][]\" value=\"Event Support\" aria-errormessage=\"wpforms-449-field_15_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_5\">Event Support<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-449-field_15_6\" name=\"wpforms[fields][15][]\" value=\"Event Cleanup\" aria-errormessage=\"wpforms-449-field_15_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-449-field_15_6\">Event Cleanup<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-169-field_2-container,#wpforms-449-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-169-field_2-container,#wpforms-449-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-169-field_2-container,#wpforms-449-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"449\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages\/17\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-449\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit Application\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit Application<\/button><img decoding=\"async\" src=\"https:\/\/lanierra.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/p>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-0d553f0 e-con e-atomic-element e-div-block-base e-0d553f0-1403e86 \" data-id=\"0d553f0\" data-element_type=\"e-div-block\" data-e-type=\"e-div-block\" data-interaction-id=\"0d553f0\" data-e-type=\"e-div-block\" data-id=\"0d553f0\">\n    \t\t<div class=\"elementor-element elementor-element-2a79c9c elementor-widget elementor-widget-text-editor\" data-id=\"2a79c9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Appliction will not be processed without payment<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n<div class=\"elementor-element elementor-element-8fb1fb4 e-con e-atomic-element e-flexbox-base e-9f930c3 \" data-id=\"8fb1fb4\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"8fb1fb4\" data-e-type=\"e-flexbox\" data-id=\"8fb1fb4\">\n    \t\t<div class=\"elementor-element elementor-element-ced56c1 elementor-widget elementor-widget-shortcode\" data-id=\"ced56c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-169\">\n\t\t\t\t#wpforms-169 {\n\t\t\t\t--wpforms-field-border-radius: 0px;\n--wpforms-field-border-color: #cccccc;\n--wpforms-field-border-color-spare: #cccccc;\n--wpforms-field-text-color: #444444;\n--wpforms-label-color: #262626;\n--wpforms-label-sublabel-color: #7f7f7f;\n--wpforms-label-error-color: #ff0000;\n--wpforms-button-border-style: solid;\n--wpforms-button-border-radius: 0px;\n--wpforms-button-background-color: #dddddd;\n--wpforms-button-border-color: #cccccc;\n--wpforms-button-text-color: #666666;\n--wpforms-page-break-color: #dddddd;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 14px;\n--wpforms-label-size-line-height: 17px;\n--wpforms-label-size-sublabel-font-size: 13px;\n--wpforms-label-size-sublabel-line-height: 16px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-render-modern\" id=\"wpforms-169\"><form id=\"wpforms-form-169\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"169\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/home\/wp-json\/wp\/v2\/pages\/17\" data-token=\"cd1b949276af2fadb28d364eab35a6e1\" data-token-time=\"1782828652\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-169-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-169-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" aria-errormessage=\"wpforms-169-field_3-error\" aria-describedby=\"wpforms-169-field_3-description\" required><label for=\"wpforms-169-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-169-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" aria-errormessage=\"wpforms-169-field_3-last-error\" aria-describedby=\"wpforms-169-field_3-description\" required><label for=\"wpforms-169-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-169-field_3-description\" class=\"wpforms-field-description\">Please use legal name<\/div><\/fieldset><\/div><div id=\"wpforms-169-field_11-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"11\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">2nd Family Member<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-169-field_11\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][11][first]\" aria-errormessage=\"wpforms-169-field_11-error\" aria-describedby=\"wpforms-169-field_11-description\" ><label for=\"wpforms-169-field_11\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-169-field_11-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][11][last]\" aria-errormessage=\"wpforms-169-field_11-last-error\" aria-describedby=\"wpforms-169-field_11-description\" ><label for=\"wpforms-169-field_11-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-169-field_11-description\" class=\"wpforms-field-description\">Add second person's name if this is for Family membership<\/div><\/fieldset><\/div><div id=\"wpforms-169-field_13-container\" class=\"wpforms-field wpforms-field-payment-checkbox wpforms-conditional-trigger\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Membership type<\/legend><ul id=\"wpforms-169-field_13\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-169-field_13_1\" class=\"wpforms-payment-price\" data-amount=\"20.00\" name=\"wpforms[fields][13][]\" value=\"1\" aria-errormessage=\"wpforms-169-field_13_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_1\">Lifetime Member Chapter Fee - <span class=\"wpforms-currency-symbol\">&#036;20.00<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"checkbox\" id=\"wpforms-169-field_13_2\" class=\"wpforms-payment-price\" data-amount=\"40.00\" name=\"wpforms[fields][13][]\" value=\"2\" aria-errormessage=\"wpforms-169-field_13_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_2\">Lifetime Member Chapter Fee, Family - <span class=\"wpforms-currency-symbol\">&#036;40.00<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"checkbox\" id=\"wpforms-169-field_13_3\" class=\"wpforms-payment-price\" data-amount=\"20.00\" name=\"wpforms[fields][13][]\" value=\"3\" aria-errormessage=\"wpforms-169-field_13_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_3\">Individual LRA Only Membership - <span class=\"wpforms-currency-symbol\">&#036;20.00<\/span><\/label><\/li><li class=\"choice-4\"><input type=\"checkbox\" id=\"wpforms-169-field_13_4\" class=\"wpforms-payment-price\" data-amount=\"40.00\" name=\"wpforms[fields][13][]\" value=\"4\" aria-errormessage=\"wpforms-169-field_13_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_4\">LRA Only Membership, Family - <span class=\"wpforms-currency-symbol\">&#036;40.00<\/span><\/label><\/li><li class=\"choice-5\"><input type=\"checkbox\" id=\"wpforms-169-field_13_5\" class=\"wpforms-payment-price\" data-amount=\"45.00\" name=\"wpforms[fields][13][]\" value=\"5\" aria-errormessage=\"wpforms-169-field_13_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_5\">Individual LRA and GRA Membership - <span class=\"wpforms-currency-symbol\">&#036;45.00<\/span><\/label><\/li><li class=\"choice-6\"><input type=\"checkbox\" id=\"wpforms-169-field_13_6\" class=\"wpforms-payment-price\" data-amount=\"80.00\" name=\"wpforms[fields][13][]\" value=\"6\" aria-errormessage=\"wpforms-169-field_13_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_13_6\">LRA and GRA Membership, Family - <span class=\"wpforms-currency-symbol\">&#036;80.00<\/span><\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-169-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-169-field_2\" >Card Family 2nd<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-169-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-169-field_1-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Stripe Credit Card <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-medium \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"1\"><div id=\"wpforms-field-stripe-link-element-169\"><\/div><div 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name=\"wpforms[id]\" value=\"169\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages\/17\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-169\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit Member Payment\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit Member Payment<\/button><img decoding=\"async\" src=\"https:\/\/lanierra.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Note: This is the page for signing up for the LRA and\/or the Georgia Republican Assembly (GRA). You will need your Voter ID. In case you do not remember it can be obtained at\u00a0My Voter Page . Appliction will not be processed without payment<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages\/17","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/comments?post=17"}],"version-history":[{"count":20,"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages\/17\/revisions"}],"predecessor-version":[{"id":582,"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/pages\/17\/revisions\/582"}],"wp:attachment":[{"href":"https:\/\/lanierra.org\/home\/wp-json\/wp\/v2\/media?parent=17"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}