CINXE.COM

<!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema#"> <head> <link rel="profile" href="https://www.w3.org/1999/xhtml/vocab" /> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <link rel="shortcut icon" href="https://crm.world-heart-federation.org/sites/all/themes/custom/whf_ssp_bootstrap/favicon.ico" type="image/vnd.microsoft.icon" /> <link href="https://fonts.gstatic.com" rel="preconnect" /> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" /> <link href="https://fonts.googleapis.com/css?family=Domine:400,700|Source+Sans+Pro:300,400,600,700&display=swap" rel="stylesheet" /> <meta name="generator" content="Drupal 7 (https://www.drupal.org)" /> <link rel="canonical" href="https://crm.world-heart-federation.org/en/ssp/register" /> <link rel="shortlink" href="https://crm.world-heart-federation.org/en/ssp/register" /> <title>| crm.world-heart-federation.org</title> <link type="text/css" rel="stylesheet" href="https://crm.world-heart-federation.org/sites/default/files/css/css_lQaZfjVpwP_oGNqdtWCSpJT1EMqXdMiU84ekLLxQnc4.css" media="all" /> <link type="text/css" rel="stylesheet" href="https://crm.world-heart-federation.org/sites/default/files/css/css_nZekStII0YCUlYHdedaNjAHTZhSB9dACIiUUWZ_w-D4.css" media="all" /> <link type="text/css" rel="stylesheet" href="https://crm.world-heart-federation.org/sites/default/files/css/css_rQ5aONVLQpZuZf6y0DTfRua8mStbj8vw_iGEc5CA7u0.css" media="all" /> <link type="text/css" rel="stylesheet" href="https://crm.world-heart-federation.org/sites/default/files/css/css_4jNjZtpGcy85jRjIDW3TfeZdS6FH5olb1QSromwB_rI.css" media="all" /> <link type="text/css" rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.2.0/css/all.min.css" media="all" />   <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_s5koNMBdK4BqfHyHNPWCXIL2zD0jFcPyejDZsryApj0.js"></script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_8dn96ki4hQLBCz0-aOo1_QrvfvyjPInhdfSYFcmsanc.js"></script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_V3Wlp2spH7Ksxrdw2hxqZMSKPuNj-8Hzc_EwSw27idQ.js"></script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_p4Vb0vRl6t8x0bPRvtmUfgEL3nzgXC7fgBbzrWXBUDA.js"></script> <script> (function ($, D) { D.behaviors.webform_civicrm_62_8 = { attach: function (context) { var toHide = []; var field = $('.webform-client-form-62 :input.civicrm-enabled[name$="civicrm_1_contact_1_contact_existing]"]', context); field.change(function() { wfCivi.existingSelect(1, 62, "/en/webform-civicrm/js/62-8", toHide, 'hide', 0, $(this).val(), true, []); }); } }; })(jQuery, Drupal);</script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_Nrds3Pb6aj2ATaAV0XO-4PS5IiEFr4QFPR8Y01o-ID0.js"></script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_cXmh38y8-tOXfpRAXDxF6J49xc-m1OD8nrs6viO9pLQ.js"></script> <script>jQuery.extend(Drupal.settings, {"basePath":"\/","pathPrefix":"en\/","setHasJsCookie":0,"ajaxPageState":{"theme":"whf_ssp_bootstrap","theme_token":"qvKsg100T-x-qSlIyjBcMRN5-LjPvrcEv6-DeMV3mHc","js":{"profiles\/compuclient\/modules\/contrib\/webform_civicrm\/js\/webform_civicrm_forms.js":1,"profiles\/compuclient\/themes\/contrib\/bootstrap\/js\/bootstrap.js":1,"profiles\/compuclient\/modules\/contrib\/jquery_update\/replace\/jquery\/1.10\/jquery.min.js":1,"misc\/jquery-extend-3.4.0.js":1,"misc\/jquery-html-prefilter-3.5.0-backport.js":1,"misc\/jquery.once.js":1,"misc\/drupal.js":1,"profiles\/compuclient\/modules\/contrib\/select2\/js\/Drupal.select2.js":1,"misc\/form.js":1,"misc\/form-single-submit.js":1,"profiles\/compuclient\/modules\/contrib\/webform_single_submit\/js\/script.js":1,"profiles\/compuclient\/libraries\/colorbox\/jquery.colorbox-min.js":1,"profiles\/compuclient\/modules\/contrib\/colorbox\/js\/colorbox.js":1,"profiles\/compuclient\/modules\/contrib\/colorbox\/styles\/default\/colorbox_style.js":1,"profiles\/compuclient\/modules\/contrib\/ssp_core\/js\/make_ckeditor_images_responsive.js":1,"profiles\/compuclient\/modules\/contrib\/ssp_core\/modules\/ssp_core_user\/js\/main.js":1,"0":1,"profiles\/compuclient\/modules\/contrib\/webform\/js\/webform.js":1,"profiles\/compuclient\/libraries\/select2\/select2.min.js":1,"profiles\/compuclient\/modules\/contrib\/lang_dropdown\/lang_dropdown.js":1,"sites\/all\/themes\/custom\/whf_ssp_bootstrap\/js\/jquery.treeTable.fix.js":1,"sites\/all\/themes\/custom\/whf_ssp_bootstrap\/js\/moment.min.js":1,"sites\/all\/themes\/custom\/whf_ssp_bootstrap\/js\/daterangepicker\/jquery.comiseo.daterangepicker.min.js":1,"profiles\/compuclient\/themes\/contrib\/webform_bootstrap\/vendor\/bootstrap\/js\/bootstrap.min.js":1,"profiles\/compuclient\/themes\/contrib\/webform_bootstrap\/js\/webform-bootstrap.js":1,"profiles\/compuclient\/themes\/contrib\/ssp_bootstrap\/js\/ssp-bootstrap.js":1},"css":{"modules\/system\/system.base.css":1,"modules\/field\/theme\/field.css":1,"profiles\/compuclient\/modules\/contrib\/logintoboggan\/logintoboggan.css":1,"modules\/node\/node.css":1,"profiles\/compuclient\/modules\/contrib\/views\/css\/views.css":1,"profiles\/compuclient\/modules\/contrib\/colorbox\/styles\/default\/colorbox_style.css":1,"profiles\/compuclient\/modules\/contrib\/ctools\/css\/ctools.css":1,"profiles\/compuclient\/modules\/contrib\/panels\/css\/panels.css":1,"public:\/\/honeypot\/honeypot.css":1,"profiles\/compuclient\/modules\/contrib\/webform\/css\/webform.css":1,"profiles\/compuclient\/modules\/contrib\/civicrm\/css\/crm-i.css":1,"profiles\/compuclient\/libraries\/select2\/select2.css":1,"profiles\/compuclient\/modules\/contrib\/select2\/css\/select2_integration.css":1,"profiles\/compuclient\/modules\/contrib\/lang_dropdown\/lang_dropdown.css":1,"sites\/all\/themes\/custom\/whf_ssp_bootstrap\/js\/daterangepicker\/jquery.comiseo.daterangepicker.css":1,"profiles\/compuclient\/themes\/contrib\/webform_bootstrap\/vendor\/feather-fonts\/css\/iconfont.css":1,"sites\/all\/themes\/custom\/whf_ssp_bootstrap\/css\/main.min.css":1,"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/font-awesome\/6.2.0\/css\/all.min.css":1}},"colorbox":{"opacity":"0.85","current":"{current} of {total}","previous":"\u00ab Prev","next":"Next \u00bb","close":"Close","maxWidth":"98%","maxHeight":"98%","fixed":true,"mobiledetect":true,"mobiledevicewidth":"480px","file_public_path":"\/sites\/default\/files","specificPagesDefaultValue":"admin*\nimagebrowser*\nimg_assist*\nimce*\nnode\/add\/*\nnode\/*\/edit\nprint\/*\nprintpdf\/*\nsystem\/ajax\nsystem\/ajax\/*"},"urlIsAjaxTrusted":{"\/ssp\/register":true},"better_exposed_filters":{"views":{"ssp_user_register_page":{"displays":{"block_signin_link":{"filters":[]},"page":{"filters":[]},"block_register_feature":{"filters":[]}}}}},"select_2":{"elements":{"edit-lang-dropdown-select":{"separator":"\u00b6","jqui_sortable":false,"dropdownAutoWidth":true,"width":"element","containerCssClass":"","minimumResultsForSearch":"10","allowClear":true}},"excludes":{"by_selectors":[".webform-client-form select"],"by_id":{"values":[],"reg_exs":[]},"by_class":[]},"branch":3,"default_settings":{"separator":"\u00b6","jqui_sortable":false,"dropdownAutoWidth":true,"width":"element","containerCssClass":"","minimumResultsForSearch":"10"},"process_all_selects_on_page":true,"no_version_check":false,"settings_updated":true},"bootstrap":{"anchorsFix":"0","anchorsSmoothScrolling":"0","formHasError":1,"popoverEnabled":1,"popoverOptions":{"animation":1,"html":0,"placement":"right","selector":"","trigger":"click","triggerAutoclose":1,"title":"","content":"","delay":0,"container":"body"},"tooltipEnabled":1,"tooltipOptions":{"animation":1,"html":0,"placement":"auto left","selector":"","trigger":"hover focus","delay":0,"container":"body"}}});</script> </head> <body class="html not-front not-logged-in no-sidebars page-ssp page-ssp-register i18n-en page-ssp--with-sidebar-banner page-ssp--align-content-vertically"> <div id="skip-link"> <a href="#main-content" class="element-invisible element-focusable">Skip to main content</a> </div> <header role="banner" class="ssp-header navbar container-fluid navbar-inverse"> <div class="container-fluid"> <button type="button" class="navbar-toggle pull-left ssp-hamburger-menu" data-toggle="collapse" data-target="#ssp_sidebar" aria-controls="#ssp_sidebar" aria-expanded="true" aria-label="Toggle navigation"> <span class="sr-only">Toggle navigation</span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </button> <a class="ssp-logo navbar-btn pull-left" href="/en" title="Home"> <img src="https://crm.world-heart-federation.org/sites/all/themes/custom/whf_ssp_bootstrap/main_logo.png" alt="Home" /> </a> <div class="pull-right" id="ssp_header-menu"> <nav role="navigation"> <div class="region region-ssp-header-menu"> <section id="block-lang-dropdown-language" class="block block-lang-dropdown clearfix"> <form class="lang_dropdown_form language" id="lang_dropdown_form_language" action="/ssp/register" method="post" accept-charset="UTF-8"><div><div class="form-item form-item-lang-dropdown-select form-type-select form-group"><select class="lang-dropdown-select-element use-select-2 form-control form-select" id="lang-dropdown-select-language" style="width:148px" data-default-value="en" name="lang_dropdown_select"><option value="en" selected="selected">English</option><option value="fr">Fran莽ais</option><option value="es">Espa帽ol</option></select></div><input type="hidden" name="en" value="/en/ssp/register" /> <input type="hidden" name="fr" value="/fr/ssp/register" /> <input type="hidden" name="es" value="/es/ssp/register" /> <noscript><div> <button type="submit" id="edit-submit--2" name="op" value="Go" class="btn btn-default form-submit">Go</button> </div></noscript><input type="hidden" name="form_build_id" value="form-EtK3ciPYwPYEWdndzHXQyr9QHXZXXi2-rI6nSWyQ9Mw" /> <input type="hidden" name="form_id" value="lang_dropdown_form" /> </div></form></section> </div> </nav> </div> </div> </header> <section id="content" class="ssp-page-content ssp-fixed-sidebar-containers"> <aside class="ssp-fixed-sidebar clearfix collapse" id="ssp_sidebar" role="complementary"> <div class="region region-ssp-navigation"> <section id="block-views-6229d48f4acc4a45d73ae67b3efb65f5" class="block block-views clearfix"> <div class="view view-ssp-user-register-page view-id-ssp_user_register_page view-display-id-block_register_feature ssp-sidebar-banner view-dom-id-aa10ffb1bb9de6919bb698f147f327f6"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <div class="views-field views-field-body ssp-sidebar-banner__body"> <div class="field-content"><p>Welcome to the Self Service Portal. Please register here.</p></div> </div> <div class="views-field views-field-field-signup-form-image ssp-sidebar-banner__image"> <div class="field-content"> </div> </div> </div> </div> </div></section> </div> </aside>  <div class="ssp-backdrop"></div> <div id="container" class="main-container"> <div class="container"> <div class="row"> <div class="col-md-8 col-md-offset-2"> <a id="main-content"></a> <div class="well ssp-form-box"> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div class="view view-ssp-user-register-page view-id-ssp_user_register_page view-display-id-page view-dom-id-bf057affec654ca3a5753f5591c1addd"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <article id="node-62" class="node node-signup-form clearfix" about="/en/content/user-registration" typeof="sioc:Item foaf:Document"> <h1 class="page-header">User Registration</h1> <span property="dc:title" content="User Registration" class="rdf-meta element-hidden"></span> <form class="webform-client-form webform-client-form-62 webform-single-submit" id="webform-uuid-ec94b8f6-991f-4906-bffa-6e4784ae893f" novalidate="1" action="/ssp/register" method="post" accept-charset="UTF-8"><div><fieldset class="webform-component-fieldset wb-component-civicrm-contact-fieldset webform-component--civicrm-1-contact-1-fieldset-fieldset panel panel-default form-wrapper" id="bootstrap-panel"> <div class="panel-body" id="bootstrap-panel-body"> <div class="form-item webform-component webform-component-civicrm_contact static webform-component--civicrm-1-contact-1-fieldset-fieldset--civicrm-1-contact-1-contact-existing hidden"> <input data-hide-method="hide" data-no-hide-blank="0" class="civicrm-enabled" data-civicrm-field-key="civicrm_1_contact_1_contact_existing" type="hidden" name="submitted[civicrm_1_contact_1_fieldset_fieldset][civicrm_1_contact_1_contact_existing]" value="" /> </div> <div class="first-name form-item webform-component webform-component-textfield webform-component--civicrm-1-contact-1-fieldset-fieldset--civicrm-1-contact-1-contact-first-name form-group form-item form-item-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-first-name form-type-textfield form-group"> <label class="control-label" for="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-first-name">First Name <span class="form-required" title="This field is required.">*</span></label> <input required="required" class="civicrm-enabled form-control form-text required" data-civicrm-field-key="civicrm_1_contact_1_contact_first_name" type="text" id="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-first-name" name="submitted[civicrm_1_contact_1_fieldset_fieldset][civicrm_1_contact_1_contact_first_name]" value="" size="20" maxlength="128" /></div><div class="last-name form-item webform-component webform-component-textfield webform-component--civicrm-1-contact-1-fieldset-fieldset--civicrm-1-contact-1-contact-last-name form-group form-item form-item-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-last-name form-type-textfield form-group"> <label class="control-label" for="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label> <input required="required" class="civicrm-enabled form-control form-text required" data-civicrm-field-key="civicrm_1_contact_1_contact_last_name" type="text" id="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-contact-last-name" name="submitted[civicrm_1_contact_1_fieldset_fieldset][civicrm_1_contact_1_contact_last_name]" value="" size="20" maxlength="128" /></div><div class="email form-item webform-component webform-component-email webform-component--civicrm-1-contact-1-fieldset-fieldset--civicrm-1-contact-1-email-email form-group form-item form-item-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-email-email form-type-webform-email form-group"> <label class="control-label" for="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-email-email">Email <span class="form-required" title="This field is required.">*</span></label> <input required="required" class="email civicrm-enabled form-control form-text form-email required" data-civicrm-field-key="civicrm_1_contact_1_email_email" type="email" id="edit-submitted-civicrm-1-contact-1-fieldset-fieldset-civicrm-1-contact-1-email-email" name="submitted[civicrm_1_contact_1_fieldset_fieldset][civicrm_1_contact_1_email_email]" size="20" /></div> </div> </fieldset> <div class="form-item webform-component webform-component-checkboxes webform-component--terms-and-conditions form-group form-item form-item-submitted-terms-and-conditions form-type-checkboxes form-group"><div id="edit-submitted-terms-and-conditions" class="form-checkboxes"><div class="form-item form-item-submitted-terms-and-conditions-1 form-type-checkbox checkbox"> <label class="control-label" for="edit-submitted-terms-and-conditions-1"><input required="required" type="checkbox" id="edit-submitted-terms-and-conditions-1" name="submitted[terms_and_conditions][1]" value="1" class="form-checkbox" /><span class="form-element-label">Please confirm that you agree to our <a href="/ssp/privacy-policy">Privacy Policy</a> and <a href="/ssp/cookie-policy">Cookie Policy</a></span></label> </div></div> <label class="control-label element-invisible" for="edit-submitted-terms-and-conditions">Terms and Conditions <span class="form-required" title="This field is required.">*</span></label> </div><input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="1" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-lQ9YYuklrjbpWVFDMlrrywNPU5tdD-hHWe9NsAL8gtQ" /> <input type="hidden" name="form_id" value="webform_client_form_62" /> <input type="hidden" name="honeypot_time" value="1739799546|xlzedlghaGE6H-9qMgp5A-CcjQd-hN-_LaCpycfe9ME" /> <div class="url-textfield"><div class="form-item form-item-url form-type-textfield form-group"> <label class="control-label" for="edit-url">Leave this field blank</label> <input autocomplete="off" class="form-control form-text" type="text" id="edit-url" name="url" value="" size="20" maxlength="128" /></div></div><div class="form-actions"><button class="webform-submit button-primary btn btn-primary form-submit" type="submit" name="op" value="Create new account">Create new account</button> </div></div></form> </article> <hr /><div class="text-center form-footer-container"><div class="view view-ssp-user-register-page view-id-ssp_user_register_page view-display-id-block_signin_link view-dom-id-"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <div class="views-field views-field-field-login-link"> <div class="field-content">Already have an account? <a class="btn btn-default" href="/user/login">Sign In</a></div> </div> </div> </div> </div></div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <footer class="ssp-footer container-fluid"> <div class="region region-ssp-footer"> <div class="ssp-footer__logo"> <img src="https://crm.world-heart-federation.org/sites/all/themes/custom/whf_ssp_bootstrap/images/footer-logo.svg" /> </div> <div id="block-block-2" class="block block-block ssp-address-footer"> <div class="content"> World Heart Federation, 32, rue de Malatrex, 1201 Geneva, Switzerland. </div> </div> <div id="block-block-3" class="block block-block ssp-policy-links-footer"> <div class="content"> <p><a href="https://www.world-heart-federation.org/privacy-policy/">Privacy and Cookie Policy</a></p> </div> </div> </div> </footer> </div> </section> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_y3dyBEa8T4s6UYWE26s2_6WUn3S7BX2OqjjPrLL6g1E.js"></script> <script src="https://crm.world-heart-federation.org/sites/default/files/js/js_MRdvkC2u4oGsp5wVxBG1pGV5NrCPW3mssHxIn6G9tGE.js"></script>  <div id="sspModalDialog" class="modal fade in" style="display:none;"> <div class="modal-dialog" role="document"> <div class="modal-content"> <a class="close" data-dismiss="modal">脳</a> <iframe class="ssp-modal-iframe ssp-hide-from-display" width="100%"></iframe> </div> </div> </div> </body> </html>