{"id":14,"date":"2020-11-02T20:10:38","date_gmt":"2020-11-02T20:10:38","guid":{"rendered":"https:\/\/bearsearstherapy.net\/payment\/home\/"},"modified":"2020-11-05T21:41:46","modified_gmt":"2020-11-05T21:41:46","slug":"home","status":"publish","type":"page","link":"https:\/\/bearsearstherapy.net\/payment\/","title":{"rendered":"Payments"},"content":{"rendered":"\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bearsearstherapy.net\/payment\/wp-content\/uploads\/2020\/11\/bearsearslogo.png\" alt=\"\" class=\"wp-image-28\" width=\"337\" height=\"166\" srcset=\"https:\/\/bearsearstherapy.net\/payment\/wp-content\/uploads\/2020\/11\/bearsearslogo.png 355w, https:\/\/bearsearstherapy.net\/payment\/wp-content\/uploads\/2020\/11\/bearsearslogo-300x148.png 300w\" sizes=\"auto, (max-width: 337px) 100vw, 337px\" \/><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center has-custom-font has-custom-lineheight\" style=\"font-family:Georgia;line-height:3;font-size:24px\"><span style=\"color:#53616e\" class=\"has-inline-color\">Make A Payment<\/span><\/p>\n<\/div>\n<\/div>\n\n\n<div class='fluentform ff-default fluentform_wrapper_1  ff_guten_block ff_guten_block-1 ffs_default_wrap'><form data-form_id=\"1\" id=\"fluentform_1\" class=\"frm-fluent-form fluent_form_1 ff-el-form-top ff_form_instance_1_1 ff-form-loading ff_calc_form ff_calc_form fluentform_has_payment ffs_default\" data-form_instance=\"ff_form_instance_1_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Service Payment Form (#1)<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"227\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><input type='hidden' name='__fluent_form_embded_post_id' value='14' \/><input type=\"hidden\" id=\"_fluentform_1_fluentformnonce\" name=\"_fluentform_1_fluentformnonce\" value=\"4571b003e4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/payment\/wp-json\/wp\/v2\/pages\/14\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_names_first_name_' id='label_ff_1_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_1_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_names_last_name_' id='label_ff_1_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_1_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_address_1_address_line_1_' id='label_ff_1_address_1_address_line_1_' aria-label=\"Address Line 1\">Address Line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_1_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Address Line 1\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_address_1_address_line_2_' id='label_ff_1_address_1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_1_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Address Line 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_address_1_city_' id='label_ff_1_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_1_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_address_1_state_' id='label_ff_1_address_1_state_' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_1_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"State\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_address_1_zip_' id='label_ff_1_address_1_zip_' aria-label=\"Zip Code\">Zip Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_1_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Zip\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_1_email' id='label_ff_1_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_1_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_numeric-field' id='label_ff_1_numeric-field' aria-label=\"Payment Amount\">Payment Amount<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_1_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_numeric-field_1' id='label_ff_1_numeric-field_1' aria-label=\"Convenience Fee (2.9%)\">Convenience Fee (2.9%)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"numeric-field_1\" id=\"ff_1_numeric-field_1\" class=\"ff-el-form-control  ff_has_formula\" data-name=\"numeric-field_1\" data-calculation_formula=\"{input.numeric-field}*.029\" readonly=\"1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_1_custom-payment-amount' id='label_ff_1_custom-payment-amount' aria-label=\"Total Payment Amount\">Total Payment Amount<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"custom-payment-amount\" id=\"ff_1_custom-payment-amount\" class=\"ff-el-form-control  ff_payment_item ff_has_formula\" data-payment_item=\"yes\" data-name=\"custom-payment-amount\" inputmode=\"decimal\" data-calculation_formula=\"{input.numeric-field}+{input.numeric-field_1}\" readonly=\"1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><input name=\"payment_method\" type=\"hidden\" value=\"stripe\" data-name=\"payment_method\" class=\"ff-el-form-check-input ff_payment_method ff_selected_payment_method\" ><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Payment\">Payment <span class=\"ff_order_total\"><\/span><\/button><\/div><\/fieldset><\/form><div id='fluentform_1_errors' class='ff-errors-in-stack ff_form_instance_1_1 ff-form-loading_errors ff_form_instance_1_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_1_1 = {\"id\":\"1\",\"ajaxUrl\":\"https:\\\/\\\/bearsearstherapy.net\\\/payment\\\/wp-admin\\\/admin-ajax.php\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_1_1\",\"form_id_selector\":\"fluentform_1\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"address_1[address_line_1]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"address_1[city]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"address_1[state]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"address_1[zip]\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"address_1[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\"}},\"email\":{\"required\":{\"value\":true,\"message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid email\"}},\"numeric-field\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"\",\"message\":\"Maximum value is \"}},\"numeric-field_1\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"\",\"message\":\"Minimum value is 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Payment<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"hide_page_title":"enabled","footnotes":""},"class_list":["post-14","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/pages\/14","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/comments?post=14"}],"version-history":[{"count":5,"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/pages\/14\/revisions"}],"predecessor-version":[{"id":40,"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/pages\/14\/revisions\/40"}],"wp:attachment":[{"href":"https:\/\/bearsearstherapy.net\/payment\/wp-json\/wp\/v2\/media?parent=14"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}