{"id":8,"date":"2007-12-13T12:45:42","date_gmt":"2007-12-13T16:45:42","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/supercentenarian\/contact-us-2\/"},"modified":"2008-09-22T13:44:18","modified_gmt":"2008-09-22T17:44:18","slug":"contact-us-2","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/supercentenarian\/contact-us-2\/","title":{"rendered":"Contact Us"},"content":{"rendered":"<div>\n<form action=\"http:\/\/www.bu.edu\/phpbin\/telegraph\/\" accept-charset=\"UNKNOWN\" enctype=\"application\/x-www-form-urlencoded\" method=\"post\"><input name=\"form_location\" size=\"20\" type=\"hidden\" value=\"\/cms\/telegraph\/\" \/> <input name=\"form_configuration\" size=\"20\" type=\"hidden\" value=\"config.direct.xml\" \/> <input name=\"*smtphost\" size=\"20\" type=\"hidden\" value=\"acs-smtp.bu.edu\" \/> <input name=\"to\" size=\"20\" type=\"hidden\" value=\"stacy@bu.edu\" \/> <input name=\"subject\" size=\"20\" type=\"hidden\" value=\"Contact Us Form\" \/> To refer a potential participant or receive more information about the <strong>New England Supercentenarian Study<\/strong>, please fill out the following fields:<\/form>\n<\/div>\n<form action=\"http:\/\/www.bu.edu\/phpbin\/telegraph\/\" accept-charset=\"UNKNOWN\" enctype=\"application\/x-www-form-urlencoded\" method=\"post\">\n<table border=\"0\">\n<tbody>\n<tr>\n<td>First Name:<\/td>\n<td><input name=\"First Name\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Last Name:<\/td>\n<td><input name=\"Last Name\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Address:<\/td>\n<td><textarea cols=\"35\" rows=\"3\" name=\"Address\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td>Telephone: *REQUIRED*<\/td>\n<td><input name=\"Telephone\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Fax:<\/td>\n<td><input name=\"Fax\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>E-mail:<\/td>\n<td><input name=\"Email\" size=\"20\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td>Category:<\/td>\n<td><select name=\"Category\" size=\"1\"><option selected=\"65535\"><\/option><option>Potential Study Subject<\/option><option>Web Site<\/option><option>Media Related Request<\/option><option>Request for Literature<\/option><option>Colleague<\/option><option>Other<\/option><\/select><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Comments:<br \/>\n<textarea cols=\"35\" rows=\"7\" name=\"Comments\"><\/textarea>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">Your email address will not automatically accompany this form. Please be sure to give us your phone number or email address.<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><input name=\"*Submit\" size=\"20\" type=\"submit\" value=\"Submit Query\" \/> <input name=\"*Reset\" size=\"20\" type=\"reset\" value=\"Reset Form\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/form>\n<p><strong>To speak to someone about our study, please call our toll free number:<\/strong><span style=\"font-size: x-large\"><br \/>\n1-888-333-NECS (6327)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>To refer a potential participant or receive more information about the New England Supercentenarian Study, please fill out the following fields: First Name: Last Name: Address: Telephone: *REQUIRED* Fax: E-mail: Category: Potential Study SubjectWeb SiteMedia Related RequestRequest for LiteratureColleagueOther Comments: Your email address will not automatically accompany this form. Please be sure to give us [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/pages\/8"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/comments?post=8"}],"version-history":[{"count":7,"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/pages\/8\/revisions"}],"predecessor-version":[{"id":24,"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/pages\/8\/revisions\/24"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/supercentenarian\/wp-json\/wp\/v2\/media?parent=8"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}