{% extends "memberships/base-wide.html" %} {% load base_filters %} {% block title %}{% endblock %} {% block meta_description %}{% endblock %} {% block meta_keywords %}{% endblock %} {% block meta_canonical_url %}{% endblock %} {% block extra_head %} {{ block.super }} {% endblock %} {% block content %}

{% trans "Membership Confirmation" %}

{% trans "Submitted" %} {{ membership.create_dt }}
{% if membership.application_approved %}
{% blocktrans with membership.application_approved_dt|date_short as decision_date %} Approved on {{ decision_date }} by:{% endblocktrans %} {% if membership.application_approved_user %} {{ membership.application_approved_denied_user.profile.get_name }} {% else %} {% trans 'Anonymous' %} {% endif %}
{% elif membership.application_denied %}
{% blocktrans with membership.application_approved_denied_user|date_short as decision_date %} Denied on {{ decision_date }} by:{% endblocktrans %} {{ entry.membership.application_approved_denied_user.profile.get_name }}
{% else %}
{% trans "Pending" %}
{% endif %} {% with membership.user as member %}
{% trans 'First Name' %}: {{ member.first_name }}
{% trans 'Last Name' %}: {{ member.last_name }}
{% trans 'Email' %}: {{ member.email }}
{% trans 'Email2' %}: {{ member.email2 }}
{% trans 'Company' %}: {{ member.profile.company }}
{% trans 'Department' %}: {{ member.profile.department }}
{% trans 'Position Title' %}: {{ member.profile.position_title }}
{% trans 'Address' %}: {{ member.profile.address }}
{% trans 'Address2' %}: {{ member.profile.address2 }}
{% trans 'Address Type' %}: {{ member.profile.address_type }}
{% trans 'City' %}: {{ member.profile.city }}
{% trans 'State' %}: {{ member.state }}
{% trans 'Zipcode' %}: {{ member.profile.zipcode }}
{% trans 'Country' %}: {{ member.profile.country }}
{% trans 'Phone' %}: {{ member.profile.phone }}
{% trans 'Phone2' %}: {{ member.profile.phone2 }}
{% trans 'Work Phone' %}: {{ member.profile.work_phone }}
{% trans 'Home Phone' %}: {{ member.profile.home_phone }}
{% trans 'Mobile Phone' %}: {{ member.profile.mobile_phone }}
{% trans 'Fax' %} : {{ member.profile.fax }}
{% trans 'URL' %}: {{ member.profile.url }}
{% trans 'URL2' %}: {{ member.profile.url2 }}
{% trans 'DOB' %}: {{ member.profile.dob }}
{% trans 'Sex' %}: {{ member.profile.sex }}
{% trans 'Spouse' %}: {{ member.profile.spouse }}
{% trans 'Hide in Search' %}: {{ member.profile.hide_in_search|yesno:"Yes,No" }}
{% trans 'Hide Address' %}: {{ member.profile.hide_address|yesno:"Yes,No" }}
{% trans 'Hide Email' %}: {{ member.profile.hide_email|yesno:"Yes,No" }}
{% trans 'Hide Phone' %}: {{ member.profile.hide_phone|yesno:"Yes,No" }}
{% endwith %}
{% trans 'Payment Method' %}: {{ membership.payment_method }}
{% trans 'Membership Type' %}: {{ membership.membership_type }}
{% trans 'Join Date' %}: {{ membership.join_dt }}
{% trans 'Renew Date' %}: {{ membership.renew_dt }}
{% trans 'Expire Date' %}: {{ membership.expire_dt }}

{% trans 'Member Number' %}: {{ membership.member_number }}
{% trans 'Renewal' %}: {{ membership.renewal }}
{% trans 'Certifications' %}: {{ membership.certifications }}
{% trans 'Work Experience' %}: {{ membership.work_experience }}
{% trans 'Referral Source' %}: {{ membership.referral_source }}
{% trans 'Referral Source Other' %}: {{ membership.referral_source_other }}
{% trans 'Referral Source Member Name' %}: {{ membership.referral_source_member_name }}
{% trans 'Referral Source Member Number' %}: {{ membership.referral_source_member_number }}
{% trans 'Affilliation Member Number' %}: {{ membership.affiliation_member_number }}
{% trans 'Primary Practice' %}: {{ membership.primary_practice }}
{% trans 'How long in practice' %}: {{ membership.how_long_in_practice }}
{% trans 'Notes' %}: {{ membership.notes }}
{% trans 'Areas of Expertise' %}: {{ membership.areas_of_expertise }}
{% trans 'Corporate Membership ID' %}: {{ membership.corporate_membership_id }}
{% trans 'Home State' %}: {{ membership.home_state }}
{% trans 'Year left Native Country' %}: {{ membership.year_left_native_country }}
{% trans 'Network Sectors' %}: {{ membership.network_sectors }}
{% trans 'Networking' %}: {{ membership.networking }}
{% trans 'Government Worker' %}: {{ membership.government_worker|yesno:"Yes,No" }}
{% trans 'Government Agency' %}: {{ membership.government_agency }}
{% trans 'License Number' %}: {{ membership.license_number }}
{% trans 'License State' %}: {{ membership.license_state }}
{% trans 'Region' %}: {{ membership.region }}
{% trans 'Industry' %}: {{ membership.industry }}
{% trans 'Company Size' %}: {{ membership.company_size }}
{% trans 'Promotion Code' %}: {{ membership.promotion_code }}
{% endblock %}