{"id":3953,"date":"2023-05-20T20:29:59","date_gmt":"2023-05-20T12:29:59","guid":{"rendered":"https:\/\/www.perthmoderniansociety.org.au\/?page_id=3953"},"modified":"2024-07-25T18:27:15","modified_gmt":"2024-07-25T10:27:15","slug":"music-at-mod-purchase","status":"publish","type":"page","link":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/society\/merchandise\/music-at-mod-purchase\/","title":{"rendered":"Music At Mod Purchase Form"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full purchase-music-at-mod\"><img loading=\"lazy\" decoding=\"async\" width=\"2324\" height=\"328\" src=\"https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod.png\" alt=\"\" class=\"wp-image-4193\" srcset=\"https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod.png 2324w, https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod-300x42.png 300w, https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod-1024x145.png 1024w, https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod-768x108.png 768w, https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod-1536x217.png 1536w, https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/PurchaseMusicAtMod-2048x289.png 2048w\" sizes=\"auto, (max-width: 2324px) 100vw, 2324px\" \/><\/figure>\n\n\n\n<p>Thank you for your interest in our new book, <em>Music at Mod<\/em>.<\/p>\n\n\n\n<p>Please complete the below form to purchase your copy, or alternatively <a href=\"https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/Music-at-Mod-Book-Order-Form_July-2024.pdf\" data-type=\"link\" data-id=\"https:\/\/www.perthmoderniansociety.org.au\/wp-content\/uploads\/Music-at-Mod-Book-Order-Form_July-2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">download a printer-friendly version here<\/a>.<\/p>\n\n\n<div class=\"frm_forms  with_frm_style frm_style_musicatmod\" id=\"frm_form_18_container\" data-token=\"7b80e0afdc154b1b687084a51957624f\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_musicatmod2\" data-token=\"7b80e0afdc154b1b687084a51957624f\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"18\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_18\" id=\"frm_hide_fields_18\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"musicatmod2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_18\" name=\"frm_submit_entry_18\" value=\"5fa9c9d6a5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/3953\" \/><div id=\"frm_field_406_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Order Details<\/h3>\r\n\r\n\r\n<div id=\"frm_field_393_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <div  id=\"field_45hbm_label\" class=\"frm_primary_label\">Item:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_data_container\" aria-labelledby=\"field_45hbm_label\" role=\"group\"><select name=\"item_meta[393]\" id=\"field_45hbm\"  data-sectionid=\"406\"  data-frmval=\"Music at Mod book - collected from school reception - $69.95 each\" data-reqmsg=\"Item: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Item: is invalid\" aria-invalid=\"false\"  >\n<option  value=\"Music at Mod book - collected from school reception - $69.95 each\" data-frmprice=\"69.95\" selected='selected'>Music at Mod book &#8211; collected from school reception &#8211; $69.95 each<\/option><option  value=\"Music at Mod book - posted to specified address - $69.95 plus $15 postage each\" data-frmprice=\"84.95\">Music at Mod book &#8211; posted to specified address &#8211; $69.95 plus $15 postage each<\/option><\/select>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_427_container\" class=\"frm_form_field  frm_html_container form-field\">Purchases can be collected from the school reception:<br \/>90 Roberts Road, Subiaco WA 6008<br \/>Monday\u2013Friday, 8.00 am\u20133.45pm.<\/div>\n<div id=\"frm_field_391_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_bilvj\" id=\"field_bilvj_label\" class=\"frm_primary_label\">Number of books:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_bilvj\" name=\"item_meta[391]\" value=\"1\" data-sectionid=\"406\"  data-frmproduct=\"[&quot;393&quot;]\"  data-frmval=\"1\" data-reqmsg=\"Number of books: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Quantity is invalid\" aria-invalid=\"false\"   min=\"1\" max=\"10\" step=\"1\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_400_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div id=\"field_7ijnk_label\" class=\"frm_primary_label\">Price:<\/div>\r\n    <p class=\"frm_total_formatted\"><\/p>\r\n    <input  type=\"hidden\" id=\"field_7ijnk\" name=\"item_meta[400]\" value=\"\"  data-sectionid=\"406\"  data-frmtotal  data-invmsg=\"Total is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_422_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_evp2h\" id=\"field_evp2h_label\" class=\"frm_primary_label\">I wish to donate:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group frm_with_boxes  frm_with_pre frm_with_post\"><span class=\"frm_inline_box\">$<\/span><input type=\"number\" id=\"field_evp2h\" name=\"item_meta[422]\" value=\"0\" data-sectionid=\"406\"  data-frmval=\"0\" data-reqmsg=\"I wish to donate: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/><span class=\"frm_inline_box\">.00<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_421_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_uf7ja\" id=\"field_uf7ja_label\" class=\"frm_primary_label\">Total amount due:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <p class=\"frm_total_formatted\" data-prepend=\"\" data-append=\"\"><\/p><div class=\"frm_input_group frm_with_box frm_hidden\"><input  type=\"text\" id=\"field_uf7ja\" name=\"item_meta[421]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"406\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/><\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_394_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Contact Details<\/h3>\r\n\r\n\r\n<div id=\"frm_field_387_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_mqfa332\" id=\"field_mqfa332_label\" class=\"frm_primary_label\">Name:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mqfa332\" name=\"item_meta[387]\" value=\"\"  data-sectionid=\"394\"  data-reqmsg=\"Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_388_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_xnkv8k43\" class=\"frm_primary_label\">Email address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xnkv8k43\" name=\"item_meta[388]\" value=\"\"  data-sectionid=\"394\"  data-reqmsg=\"Email address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_408_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ni81f\" id=\"field_ni81f_label\" class=\"frm_primary_label\">Phone number:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_ni81f\" name=\"item_meta[408]\" value=\"\"  data-sectionid=\"394\"  data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_389_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_uxe1m_label\" class=\"frm_primary_label\">Postal address:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_uxe1m_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tPostal address:<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_389-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_uxe1m_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tPostal address:\t<\/label>\n\t\t<input type=\"text\" id=\"field_uxe1m_line1\" value=\"\" name=\"item_meta[389][line1]\"  data-sectionid=\"394\"  data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_389-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_uxe1m_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tPostal address:\t<\/label>\n\t\t<input type=\"text\" id=\"field_uxe1m_line2\" value=\"\" name=\"item_meta[389][line2]\"  data-sectionid=\"394\"  data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_389-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_uxe1m_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tSuburb\t<\/label>\n\t\t<input type=\"text\" id=\"field_uxe1m_city\" value=\"\" name=\"item_meta[389][city]\"  data-sectionid=\"394\"  data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">Suburb<\/div><\/div>\n<div id=\"frm_field_389-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_uxe1m_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\t<\/label>\n\t\t<input type=\"text\" id=\"field_uxe1m_state\" value=\"\" name=\"item_meta[389][state]\"  data-sectionid=\"394\"  data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State<\/div><\/div>\n<div id=\"frm_field_389-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_uxe1m_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tPostcode\t<\/label>\n\t\t<input type=\"text\" id=\"field_uxe1m_zip\" value=\"\" name=\"item_meta[389][zip]\"  data-sectionid=\"394\"  data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Postcode<\/div><\/div>\n<div id=\"frm_field_389-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_uxe1m_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tCountry\t<\/label>\n\t\t\t<select name=\"item_meta[389][country]\" id=\"field_uxe1m_country\"  data-sectionid=\"394\"  data-frmval=\"Australia\" data-reqmsg=\"Postal address: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Postal address: is invalid\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afghanistan\" data-code=\"AF\">Afghanistan<\/option><option  value=\"Aland Islands\" data-code=\"AX\">Aland Islands<\/option><option  value=\"Albania\" data-code=\"AL\">Albania<\/option><option  value=\"Algeria\" data-code=\"DZ\">Algeria<\/option><option  value=\"American Samoa\" data-code=\"AS\">American Samoa<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguilla\" data-code=\"AI\">Anguilla<\/option><option  value=\"Antarctica\" data-code=\"AQ\">Antarctica<\/option><option  value=\"Antigua and Barbuda\" data-code=\"AG\">Antigua and Barbuda<\/option><option  value=\"Argentina\" data-code=\"AR\">Argentina<\/option><option  value=\"Armenia\" data-code=\"AM\">Armenia<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australia\" data-code=\"AU\" selected='selected'>Australia<\/option><option  value=\"Austria\" data-code=\"AT\">Austria<\/option><option  value=\"Azerbaijan\" data-code=\"AZ\">Azerbaijan<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bahrain\" data-code=\"BH\">Bahrain<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Belarus\" data-code=\"BY\">Belarus<\/option><option  value=\"Belgium\" data-code=\"BE\">Belgium<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Benin\" data-code=\"BJ\">Benin<\/option><option  value=\"Bermuda\" data-code=\"BM\">Bermuda<\/option><option  value=\"Bhutan\" data-code=\"BT\">Bhutan<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option  value=\"Bosnia and Herzegovina\" data-code=\"BA\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\" data-code=\"BW\">Botswana<\/option><option  value=\"Bouvet Island\" data-code=\"BV\">Bouvet Island<\/option><option  value=\"Brazil\" data-code=\"BR\">Brazil<\/option><option  value=\"British Indian Ocean Territory\" data-code=\"IO\">British Indian Ocean Territory<\/option><option  value=\"Brunei\" data-code=\"BN\">Brunei<\/option><option  value=\"Bulgaria\" data-code=\"BG\">Bulgaria<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"C&ocirc;te d&#039;Ivoire\">C&ocirc;te d&#039;Ivoire<\/option><option  value=\"Cambodia\" data-code=\"KH\">Cambodia<\/option><option  value=\"Cameroon\" data-code=\"CM\">Cameroon<\/option><option  value=\"Canada\" data-code=\"CA\">Canada<\/option><option  value=\"Cape Verde\" data-code=\"CV\">Cape Verde<\/option><option  value=\"Cayman Islands\" data-code=\"KY\">Cayman Islands<\/option><option  value=\"Central African Republic\" data-code=\"CF\">Central African Republic<\/option><option  value=\"Chad\" data-code=\"TD\">Chad<\/option><option  value=\"Chile\" data-code=\"CL\">Chile<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Christmas Island\" data-code=\"CX\">Christmas Island<\/option><option  value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoros\" data-code=\"KM\">Comoros<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\" data-code=\"CK\">Cook Islands<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Croatia\" data-code=\"HR\">Croatia<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Curacao\" data-code=\"CW\">Curacao<\/option><option  value=\"Cyprus\" data-code=\"CY\">Cyprus<\/option><option  value=\"Czech Republic\" data-code=\"CZ\">Czech Republic<\/option><option  value=\"Denmark\" data-code=\"DK\">Denmark<\/option><option  value=\"Djibouti\" data-code=\"DJ\">Djibouti<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Dominican Republic\" data-code=\"DO\">Dominican Republic<\/option><option  value=\"East Timor\" data-code=\"TL\">East Timor<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egypt\" data-code=\"EG\">Egypt<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Equatorial Guinea\" data-code=\"GQ\">Equatorial Guinea<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Estonia\" data-code=\"EE\">Estonia<\/option><option  value=\"Ethiopia\" data-code=\"ET\">Ethiopia<\/option><option  value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option  value=\"Faroe Islands\" data-code=\"FO\">Faroe Islands<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Finland\" data-code=\"FI\">Finland<\/option><option  value=\"France\" data-code=\"FR\">France<\/option><option  value=\"French Guiana\" data-code=\"GF\">French Guiana<\/option><option  value=\"French Polynesia\" data-code=\"PF\">French Polynesia<\/option><option  value=\"French Southern Territories\" data-code=\"TF\">French Southern Territories<\/option><option  value=\"Gabon\" data-code=\"GA\">Gabon<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Germany\" data-code=\"DE\">Germany<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Greece\" data-code=\"GR\">Greece<\/option><option  value=\"Greenland\" data-code=\"GL\">Greenland<\/option><option  value=\"Grenada\" data-code=\"GD\">Grenada<\/option><option  value=\"Guadeloupe\" data-code=\"GP\">Guadeloupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinea-Bissau\" data-code=\"GW\">Guinea-Bissau<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Haiti\" data-code=\"HT\">Haiti<\/option><option  value=\"Heard Island and McDonald Islands\" data-code=\"HM\">Heard Island and McDonald Islands<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hungary\" data-code=\"HU\">Hungary<\/option><option  value=\"Iceland\" data-code=\"IS\">Iceland<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesia\" data-code=\"ID\">Indonesia<\/option><option  value=\"Iran\" data-code=\"IR\">Iran<\/option><option  value=\"Iraq\" data-code=\"IQ\">Iraq<\/option><option  value=\"Ireland\" data-code=\"IE\">Ireland<\/option><option  value=\"Isle of Man\" data-code=\"IM\">Isle of Man<\/option><option  value=\"Israel\" data-code=\"IL\">Israel<\/option><option  value=\"Italy\" data-code=\"IT\">Italy<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Japan\" data-code=\"JP\">Japan<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordan\" data-code=\"JO\">Jordan<\/option><option  value=\"Kazakhstan\" data-code=\"KZ\">Kazakhstan<\/option><option  value=\"Kenya\" data-code=\"KE\">Kenya<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kuwait\" data-code=\"KW\">Kuwait<\/option><option  value=\"Kyrgyzstan\" data-code=\"KG\">Kyrgyzstan<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Latvia\" data-code=\"LV\">Latvia<\/option><option  value=\"Lebanon\" data-code=\"LB\">Lebanon<\/option><option  value=\"Lesotho\" data-code=\"LS\">Lesotho<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libya\" data-code=\"LY\">Libya<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Lithuania\" data-code=\"LT\">Lithuania<\/option><option  value=\"Luxembourg\" data-code=\"LU\">Luxembourg<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Macedonia\" data-code=\"MK\">Macedonia<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malawi\" data-code=\"MW\">Malawi<\/option><option  value=\"Malaysia\" data-code=\"MY\">Malaysia<\/option><option  value=\"Maldives\" data-code=\"MV\">Maldives<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marshall Islands\" data-code=\"MH\">Marshall Islands<\/option><option  value=\"Martinique\" data-code=\"MQ\">Martinique<\/option><option  value=\"Mauritania\" data-code=\"MR\">Mauritania<\/option><option  value=\"Mauritius\" data-code=\"MU\">Mauritius<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Mexico\" data-code=\"MX\">Mexico<\/option><option  value=\"Micronesia\" data-code=\"FM\">Micronesia<\/option><option  value=\"Moldova\" data-code=\"MD\">Moldova<\/option><option  value=\"Monaco\" data-code=\"MC\">Monaco<\/option><option  value=\"Mongolia\" data-code=\"MN\">Mongolia<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Morocco\" data-code=\"MA\">Morocco<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"Namibia\" data-code=\"NA\">Namibia<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"Netherlands\" data-code=\"NL\">Netherlands<\/option><option  value=\"New Caledonia\" data-code=\"NC\">New Caledonia<\/option><option  value=\"New Zealand\" data-code=\"NZ\">New Zealand<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Niger\" data-code=\"NE\">Niger<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Norfolk Island\" data-code=\"NF\">Norfolk Island<\/option><option  value=\"North Korea\" data-code=\"KP\">North Korea<\/option><option  value=\"Northern Mariana Islands\" data-code=\"MP\">Northern Mariana Islands<\/option><option  value=\"Norway\" data-code=\"NO\">Norway<\/option><option  value=\"Oman\" data-code=\"OM\">Oman<\/option><option  value=\"Pakistan\" data-code=\"PK\">Pakistan<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\" data-code=\"PA\">Panama<\/option><option  value=\"Papua New Guinea\" data-code=\"PG\">Papua New Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Peru\" data-code=\"PE\">Peru<\/option><option  value=\"Philippines\" data-code=\"PH\">Philippines<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Poland\" data-code=\"PL\">Poland<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Qatar\" data-code=\"QA\">Qatar<\/option><option  value=\"Reunion\" data-code=\"RE\">Reunion<\/option><option  value=\"Romania\" data-code=\"RO\">Romania<\/option><option  value=\"Russia\" data-code=\"RU\">Russia<\/option><option  value=\"Rwanda\" data-code=\"RW\">Rwanda<\/option><option  value=\"Saint Barthelemy\" data-code=\"BL\">Saint Barthelemy<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option><option  value=\"Saint Kitts and Nevis\" data-code=\"KN\">Saint Kitts and Nevis<\/option><option  value=\"Saint Lucia\" data-code=\"LC\">Saint Lucia<\/option><option  value=\"Saint Martin (French part)\">Saint Martin (French part)<\/option><option  value=\"Saint Pierre and Miquelon\" data-code=\"PM\">Saint Pierre and Miquelon<\/option><option  value=\"Saint Vincent and the Grenadines\" data-code=\"VC\">Saint Vincent and the Grenadines<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"Sao Tome and Principe\" data-code=\"ST\">Sao Tome and Principe<\/option><option  value=\"Saudi Arabia\" data-code=\"SA\">Saudi Arabia<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Serbia\" data-code=\"RS\">Serbia<\/option><option  value=\"Seychelles\" data-code=\"SC\">Seychelles<\/option><option  value=\"Sierra Leone\" data-code=\"SL\">Sierra Leone<\/option><option  value=\"Singapore\" data-code=\"SG\">Singapore<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (Dutch part)<\/option><option  value=\"Slovakia\" data-code=\"SK\">Slovakia<\/option><option  value=\"Slovenia\" data-code=\"SI\">Slovenia<\/option><option  value=\"Solomon Islands\" data-code=\"SB\">Solomon Islands<\/option><option  value=\"Somalia\" data-code=\"SO\">Somalia<\/option><option  value=\"South Africa\" data-code=\"ZA\">South Africa<\/option><option  value=\"South Georgia and the South Sandwich Islands\" data-code=\"GS\">South Georgia and the South Sandwich Islands<\/option><option  value=\"South Korea\" data-code=\"KR\">South Korea<\/option><option  value=\"South Sudan\" data-code=\"SS\">South Sudan<\/option><option  value=\"Spain\" data-code=\"ES\">Spain<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Sudan\" data-code=\"SD\">Sudan<\/option><option  value=\"Suriname\" data-code=\"SR\">Suriname<\/option><option  value=\"Svalbard and Jan Mayen\" data-code=\"SJ\">Svalbard and Jan Mayen<\/option><option  value=\"Swaziland\" data-code=\"SZ\">Swaziland<\/option><option  value=\"Sweden\" data-code=\"SE\">Sweden<\/option><option  value=\"Switzerland\" data-code=\"CH\">Switzerland<\/option><option  value=\"Syria\" data-code=\"SY\">Syria<\/option><option  value=\"Taiwan\" data-code=\"TW\">Taiwan<\/option><option  value=\"Tajikistan\" data-code=\"TJ\">Tajikistan<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Thailand\" data-code=\"TH\">Thailand<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad and Tobago\" data-code=\"TT\">Trinidad and Tobago<\/option><option  value=\"Tunisia\" data-code=\"TN\">Tunisia<\/option><option  value=\"Turkey\" data-code=\"TR\">Turkey<\/option><option  value=\"Turkmenistan\" data-code=\"TM\">Turkmenistan<\/option><option  value=\"Turks and Caicos Islands\" data-code=\"TC\">Turks and Caicos Islands<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Ukraine\" data-code=\"UA\">Ukraine<\/option><option  value=\"United Arab Emirates\" data-code=\"AE\">United Arab Emirates<\/option><option  value=\"United Kingdom\" data-code=\"GB\">United Kingdom<\/option><option  value=\"United States\" data-code=\"US\">United States<\/option><option  value=\"United States Minor Outlying Islands\" data-code=\"UM\">United States Minor Outlying Islands<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Uzbekistan\" data-code=\"UZ\">Uzbekistan<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Vatican City\">Vatican City<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option  value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option  value=\"Wallis and Futuna\" data-code=\"WF\">Wallis and Futuna<\/option><option  value=\"Western Sahara\" data-code=\"EH\">Western Sahara<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabwe\" data-code=\"ZW\">Zimbabwe<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Country<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_409_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Payment Details<\/h3>\r\n\r\n\r\n<div id=\"frm_field_396_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_wuhdp\" id=\"field_wuhdp_label\" class=\"frm_primary_label\">Payment method:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[396]\" id=\"field_wuhdp\"  data-sectionid=\"409\"  data-frmval=\"Credit Card\" data-invmsg=\"Payment method: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Credit Card\" selected='selected'>Credit Card<\/option><option  value=\"Electronic Funds Transfer\">Electronic Funds Transfer<\/option><option  value=\"Cheque\">Cheque<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_424_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p>Please pay to:<\/p>\n<p><strong>Perth Modernian Society Museum Association Inc.<\/strong><br \/>\n<strong>BSB:<\/strong> 126 577<br \/>\n<strong>Account:<\/strong> 23363880<br \/>\n<strong>Description:<\/strong> Your surname and initials<\/p>\n<\/div>\n<div id=\"frm_field_425_container\" class=\"frm_form_field  frm_html_container form-field\">Please make payable to <strong>\u201cPerth Modernian Society Museum Association Inc\u201d<\/strong> to complete the transaction.<\/div>\n<div id=\"frm_field_428_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_i7gcn_label\" class=\"frm_primary_label\">Payment reminder:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_i7gcn_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_428-409-0\">\t\t\t<label  for=\"field_i7gcn-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[428][]\" id=\"field_i7gcn-0\" value=\"Please send me a reminder email with these payment details\"  data-sectionid=\"409\"  data-invmsg=\"Payment reminder: is invalid\" aria-invalid=\"false\"   \/> Please send me a reminder email with these payment details<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_411_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_9hex\" id=\"field_9hex_label\" class=\"frm_primary_label\">Card type:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[411]\" id=\"field_9hex\"  data-sectionid=\"409\"  data-frmval=\"Mastercard\" data-reqmsg=\"Card type: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Card type: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Mastercard\" selected='selected'>Mastercard<\/option><option  value=\"Visa\">Visa<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_413_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_c3wxs\" id=\"field_c3wxs_label\" class=\"frm_primary_label\">Card number:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_c3wxs\" name=\"item_meta[413]\" value=\"\" data-sectionid=\"409\"  data-reqmsg=\"Card number: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999999999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_414_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_7k62p\" id=\"field_7k62p_label\" class=\"frm_primary_label\">Expiry month:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[414]\" id=\"field_7k62p\"  data-sectionid=\"409\"  data-frmval=\"January\" data-reqmsg=\"Expiry month: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Expiry month: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"January\" selected='selected'>January<\/option><option  value=\"February\">February<\/option><option  value=\"March\">March<\/option><option  value=\"April\">April<\/option><option  value=\"May\">May<\/option><option  value=\"June\">June<\/option><option  value=\"July\">July<\/option><option  value=\"August\">August<\/option><option  value=\"September\">September<\/option><option  value=\"October\">October<\/option><option  value=\"November\">November<\/option><option  value=\"December\">December<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_415_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_ly3x\" id=\"field_ly3x_label\" class=\"frm_primary_label\">Year:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_ly3x\" name=\"item_meta[415]\" value=\"2024\" data-sectionid=\"409\"  data-frmval=\"2024\" data-reqmsg=\"Year: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"2023\" max=\"2050\" step=\"1\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_416_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_2f5mh\" id=\"field_2f5mh_label\" class=\"frm_primary_label\">Cardholder&#8217;s name:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2f5mh\" name=\"item_meta[416]\" value=\"\"  data-sectionid=\"409\"  data-reqmsg=\"Cardholder&#039;s name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_418_container\" class=\"frm_form_field  frm_html_container form-field\">We will only use the credit card details above to complete this transaction for the Music at Mod book. Credit card details are not stored by this website.<\/div>\n<div id=\"frm_field_417_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div  id=\"field_tnc5o_label\" class=\"frm_primary_label\">Cardholder&#8217;s signature:\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_tnc5o_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_417-409-0\">\t\t\t<label  for=\"field_tnc5o-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[417][]\" id=\"field_tnc5o-0\" value=\"I give permission for Perth Modernian Society Museum Association Inc. to use my card details to complete this transaction\"  data-sectionid=\"409\"  data-reqmsg=\"Cardholder&#039;s signature: cannot be blank.\" data-invmsg=\"Cardholder&#039;s signature: is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> I give permission for Perth Modernian Society Museum Association Inc. to use my card details to complete this transaction<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_430_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Buy Music at Mod\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/www.perthmoderniansociety.org.au\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_487_container\">\n\t\t\t<label for=\"field_o5bop\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_o5bop\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[487]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"RUW5\/06KP1Y3RFrgxr2sBBXsoRKG8CTwMBV7FPjnHIIGYCiAz3eLgN+eosMz00pt\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Thank you for your interest in our new book, Music at Mod. Please complete the below form to purchase your copy, or alternatively download a printer-friendly version here.<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":833,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3953","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/pages\/3953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/comments?post=3953"}],"version-history":[{"count":35,"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/pages\/3953\/revisions"}],"predecessor-version":[{"id":4427,"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/pages\/3953\/revisions\/4427"}],"up":[{"embeddable":true,"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/pages\/833"}],"wp:attachment":[{"href":"https:\/\/www.perthmoderniansociety.org.au\/index.php\/wp-json\/wp\/v2\/media?parent=3953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}