{% extends "memberships/base-wide.html" %} {% load base_filters %} {% load i18n %} {% block title %}{% endblock %} {% block meta_description %}{% endblock %} {% block meta_keywords %}{% endblock %} {% block meta_canonical_url %}{% endblock %} {% block extra_head %} {{ block.super }} {% endblock %} {% block body %}

{% 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 %} 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 %}
First Name: {{ member.first_name }}
Last Name: {{ member.last_name }}
Email: {{ member.email }}
Email2: {{ member.email2 }}
Company: {{ member.profile.company }}
Department: {{ member.profile.department }}
Position Title: {{ member.profile.position_title }}
Address: {{ member.profile.address }}
Address2: {{ member.profile.address2 }}
Address Type: {{ member.profile.address_type }}
City: {{ member.profile.city }}
State: {{ member.state }}
Zipcode: {{ member.profile.zipcode }}
Country: {{ member.profile.country }}
Phone: {{ member.profile.phone }}
Phone2: {{ member.profile.phone2 }}
Work Phone: {{ member.profile.work_phone }}
Home Phone: {{ member.profile.home_phone }}
Mobile Phone: {{ member.profile.mobile_phone }}
Fax {{ member.profile.fax }}
URL: {{ member.profile.url }}
URL2: {{ member.profile.url2 }}
DOB: {{ member.profile.dob }}
Sex: {{ member.profile.sex }}
Spouse: {{ member.profile.spouse }}
Hide in Search: {{ member.profile.hide_in_search|yesno:"Yes,No" }}
Hide Address: {{ member.profile.hide_address|yesno:"Yes,No" }}
Hide Email: {{ member.profile.hide_email|yesno:"Yes,No" }}
Hide Phone: {{ member.profile.hide_phone|yesno:"Yes,No" }}
{% endwith %}
Payment Method: {{ membership.payment_method }}
Membership Type: {{ membership.membership_type }}
Join Date: {{ membership.join_dt }}
Renew Date: {{ membership.renew_dt }}
Expire Date: {{ membership.expire_dt }}

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