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Donate | Hawai'i Public Radio
<!DOCTYPE html> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <!-- Google tag (gtag.js) --> <script async src="https://www.googletagmanager.com/gtag/js?id=G-W5B1X51EQC"></script> <script> window.dataLayer = window.dataLayer || []; function gtag() { dataLayer.push(arguments); } gtag('js', new Date()); gtag('config', 'G-W5B1X51EQC'); </script> <!-- End Google tag (gtag.js) --> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <meta name="keywords" content="pledge,contribute,donate" /> <meta name="description" content="Support HPR through member support" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <base href="index.php" /> <title>Donate | Hawai'i Public Radio</title> <!--[if lte IE 8]> <script src="https://html5shiv.googlecode.com/svn/trunk/html5.js"></script> <![endif]--> <link rel="StyleSheet" href="css/formbuilder.css" type="text/css" media="screen" /> <link rel="stylesheet" href="js/jquery-lightbox-master/css/lightbox.css" /> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/jqueryui/1.12.1/jquery-ui.min.css" /> <link href="images/favicon.ico" rel="Shortcut Icon" /> <script src="https://code.jquery.com/jquery-3.5.1.js" type="text/javascript"></script> <script src="https://code.jquery.com/ui/1.12.1/jquery-ui.min.js" type="text/javascript"></script> <!-- jQuery Modal --> <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery-modal/0.9.1/jquery.modal.min.js"></script> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/jquery-modal/0.9.1/jquery.modal.min.css" /> <script src="js/jquery-lightbox-master/jquery.lightbox.js"></script> <script type="text/javascript">var isIE = null;</script> <!--[if !IE]>--><script type="text/javascript">isIE = false;</script><!-- <![endif]--> <script type="text/javascript"> function $log(message) { return console.log(message); } function $log_json(obj) { return $log(JSON.encode(obj)); } var jsRedirect = true; </script> <link rel="StyleSheet" href="css/main-new.css" type="text/css" media="screen" /> <script src="js/mytools-jquery3.js?1647968144" type="text/javascript"></script> </head> <body id="page"> <!-- <script src="./js/EFT_sig_slash.js"></script> --> <header> <a href="#default" class="logo"><img src="./images/HPR_white.png"></a> <p> Call to Donate: 808-955-8821</p> </header> <!-- This is the top --> <!-- Usable if you have a phone number in the header, and want to be able to change it via Javascript per page <div id="callInPhone"><span itemprop="telephone"><a href="tel:9097982898">909-798-2898</a></span></div> //--> <h1></h1> <script type="text/javascript"> // If set, each item of the pledge amount will allow viewing of an additional // premium item //var PlgAmtChoosesPremVisibility = true; // Remove the pmtfreq form item if sustain = "N" var SustainOnlyInstall = true; // Remove the EFT option "FT" if sustain = "N" //var SustainOnlyEFT = true; // Make EFT only available on Installment plans (pmtfreq not blank), separate from SustainOnlyEFT var InstallOnlyEFT = true; // Remove the Bill Me "CK" option if sustain = "N" //var SustainNoBillMe = true; // Remove Bill Me "CK" option if the pmtfreq isn't blank var InstallNoBillMe = true; // Do not allow Install options (pmtfreq) if the purpose is AG var AddGiftNoInstall = true; // Remove the Monthly pmtfreq item if Non Sustaining var NonSustainNoMonthly = true; // If set to true, then the survey1 field will only be visible if sustain is set to "Y" var SustainOnlySurvey1 = true; // Set to the text you want to see next to an InfoOnly PlgAmt field, if no premium has been chosen //var ChooseGiftText = "Choose a gift"; // Remove the placeholder fields if required //var RemovePlaceholders = true; // Visibility options for survey radio items, possible values, comma delimited // - amt:## - pledge amount minimum for visibility, otherwise hidden // - sust:X - sustaining value must be set to X (Y or N) //var survey1_visible = { "amt":120 }; //var survey2_visible = { "amt":200, "sust":"Y" }; // Generically set the color for the script (Above the field) text based on res_method //var PHNScriptColor = "yellow"; // What the color of the script should be otherwise //var OtherScriptColor = "#EEE"; // Change the content of a div id callInPhone , with a link based on this variable being set //var CallPhoneNum = "800-463-6797"; // Minimuym amount allowed for Other value for plgamt //var minLumpSum = 20; // Minimum amount allowed for Other value for plg_iamt var minInstall = 5; // Minimum amount for Monthly option //var MonthlyAvailableMinimum = 180; // Disabled radio fields vs hide them for pmtmethod and pmtmethod //var RadioDisable = true; // TODO: Disable selected items (Premiums) based on values , total calculations and what's left of plgamt (Only if plgamt is before premium selection) // TODO: var PremDisableAmount = true; // Disable options in pmtfreq rather than remove //var PmtFreqDisable = true; // Use this to change the text when a premium is not selected in a drop down //var PremNotSelectedText = "I'd prefer to give my whole contribution to the station"; </script> <div id="content"> <div id="container"> <div id="invtset_desc"><span class="hidden">Leave</span></div> <div id="invtset_longdesc"><b><h1 style="font-size:26px;"><center>Support HPR Today!</center></h1> </b> <p style="font-size:16px;">Hawai'i Public Radio is a service you can count on for timely news coverage, civil conversation, and fact-based information. We're here for you too with art, ideas, good music, and as a connection to the community. Your financial support makes this all possible. As you join, renew or give again, we encourage you to opt for continuous monthly giving, called <a href="https://www.hawaiipublicradio.org/hpr-sustaining-membership">Sustaining Membership</a> - it's one of the best ways to ensure HPR's service is here for you and the entire community. Thank you!</p> <br /> <p style="font-size:16px;"><b><a href="https://members.hawaiipublicradio.org/index.php?formid=52">Update Sustaining Membership</a></b></p> <br /></div> <p class="fbintro">Please complete the following form. Fields marked <span class="fbrequired">*</span> are required.</p> <form class="fbform round shadow" id="pledgeform-67" action="/index.php" method="post" enctype="multipart/form-data"> <fieldset id="pledge_info"> <legend id="pledge_info_legend"> <span class="round" id="pledge_info_legendspan">Donation Information</span> </legend> <div class="section radio_section" id="sustain_yn_section" data-fieldorder="2" > <div class="section_label" id="sustain_yn_label_section"> <label for="sustain_yn" id="sustain_yn_label" class="radiosection_label"> <span class="fbrequired" id="sustain_yn_spacer"> </span></label> </div> <div class="section_value" id="sustain_yn_value"> <span class="radiowrap"> <input name="sustain_yn" class="fbradio" type="radio" id="sustain_yn_Y" value="Y" checked="checked" /> <label class="radio_label" id="sustain_yn_Y_label" for="sustain_yn_Y">Sustaining Monthly Gift</label> </span> <span class="radiowrap"> <input name="sustain_yn" class="fbradio" type="radio" id="sustain_yn_N" value="N" /> <label class="radio_label" id="sustain_yn_N_label" for="sustain_yn_N">One-time Gift</label> </span> </div> <div class="error" id="errfld_sustain_yn"></div> </div> <div class="section radio_section" id="plgamt_section" data-fieldorder="4" > <div class="section_label" id="plgamt_label_section"> <label for="plgamt" id="plgamt_label" class="radiosection_label"> <span class="fbrequired" id="plgamt_spacer"> </span></label> </div> <div class="section_value" id="plgamt_value"> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_120" value="120" /> <label class="radio_label" id="plgamt_120_label" for="plgamt_120">$120</label> </span> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_180" value="180" /> <label class="radio_label" id="plgamt_180_label" for="plgamt_180">$180</label> </span> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_240" value="240" checked="checked" /> <label class="radio_label" id="plgamt_240_label" for="plgamt_240">$240</label> </span> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_365" value="365" /> <label class="radio_label" id="plgamt_365_label" for="plgamt_365">$365</label> </span> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_1200" value="1200" /> <label class="radio_label" id="plgamt_1200_label" for="plgamt_1200">$1200</label> </span> <span class="radiowrap"> <input name="plgamt" class="fbradio" type="radio" id="plgamt_0" value="0" /> <label class="radio_label" id="plgamt_0_label" for="plgamt_0">Other</label> </span> </div> <div class="error" id="errfld_plgamt"></div> </div> <div class="section textbox_section" id="plgamt_other_section" data-fieldorder="5" > <div class="section_label" id="plgamt_other_label_section"> <label for="plgamt_other" id="plgamt_other_label" class="textboxsection_label"> <span class="fbrequired" id="plgamt_other_spacer"> </span>One-time gift: $</label> </div> <div class="section_value" id="plgamt_other_value"> <input id="plgamt_other" name="plgamt_other" class="fbtextfield" type="text" placeholder="One-time gift: $" value="" /> </div> <div class="fbinstructions" id="plgamt_other_instructions">*ENTER ONLY NUMBERS Eg 750</div> <div class="error" id="errfld_plgamt_other"></div> </div> <div class="section radio_section" id="plg_iamt_section" data-fieldorder="6" > <div class="section_label" id="plg_iamt_label_section"> <label for="plg_iamt" id="plg_iamt_label" class="radiosection_label"> <span class="fbrequired" id="plg_iamt_spacer"> </span></label> </div> <div class="section_value" id="plg_iamt_value"> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_10" value="10" /> <label class="radio_label" id="plg_iamt_10_label" for="plg_iamt_10">$10/mo</label> </span> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_12.50" value="12.50" /> <label class="radio_label" id="plg_iamt_12.50_label" for="plg_iamt_12.50">$12.50/mo</label> </span> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_15" value="15" /> <label class="radio_label" id="plg_iamt_15_label" for="plg_iamt_15">$15/mo</label> </span> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_30.41" value="30.41" /> <label class="radio_label" id="plg_iamt_30.41_label" for="plg_iamt_30.41">$30.41/mo</label> </span> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_100" value="100" /> <label class="radio_label" id="plg_iamt_100_label" for="plg_iamt_100">$100/mo</label> </span> <span class="radiowrap"> <input name="plg_iamt" class="fbradio" type="radio" id="plg_iamt_0" value="0" /> <label class="radio_label" id="plg_iamt_0_label" for="plg_iamt_0">Other/mo</label> </span> </div> <div class="error" id="errfld_plg_iamt"></div> </div> <div class="section textbox_section" id="plg_iamt_other_section" data-fieldorder="7" > <div class="section_label" id="plg_iamt_other_label_section"> <label for="plg_iamt_other" id="plg_iamt_other_label" class="textboxsection_label"> <span class="fbrequired" id="plg_iamt_other_spacer"> </span>Monthly amount: $</label> </div> <div class="section_value" id="plg_iamt_other_value"> <input id="plg_iamt_other" name="plg_iamt_other" class="fbtextfield" type="text" placeholder="Monthly amount: $" value="" /> </div> <div class="fbinstructions" id="plg_iamt_other_instructions">Enter the <em>monthly</em> amount of your donation (*Numbers only please)</div> <div class="error" id="errfld_plg_iamt_other"></div> </div> <div class="section radio_section" id="pmtmethod_section" data-fieldorder="8" > <div class="section_label" id="pmtmethod_label_section"> <label for="pmtmethod" id="pmtmethod_label" class="radiosection_label"> <span class="fbrequired" id="pmtmethod_req">*</span>Payment Method</label> </div> <div class="section_value" id="pmtmethod_value"> <span class="radiowrap"> <input name="pmtmethod" class="fbradio" type="radio" id="pmtmethod_FT" value="FT" checked="checked" /> <label class="radio_label" id="pmtmethod_FT_label" for="pmtmethod_FT">Bank Account (EFT)</label> </span> <span class="radiowrap"> <input name="pmtmethod" class="fbradio" type="radio" id="pmtmethod_VI" value="VI" /> <label class="radio_label" id="pmtmethod_VI_label" for="pmtmethod_VI">Visa</label> </span> <span class="radiowrap"> <input name="pmtmethod" class="fbradio" type="radio" id="pmtmethod_MC" value="MC" /> <label class="radio_label" id="pmtmethod_MC_label" for="pmtmethod_MC">MasterCard</label> </span> <span class="radiowrap"> <input name="pmtmethod" class="fbradio" type="radio" id="pmtmethod_AX" value="AX" /> <label class="radio_label" id="pmtmethod_AX_label" for="pmtmethod_AX">American Express</label> </span> </div> <div class="error" id="errfld_pmtmethod"></div> </div> </fieldset> <fieldset id="card_info"> <legend id="card_info_legend"> <span class="round" id="card_info_legendspan">Credit Card Information</span> </legend> <div class="section textbox_section" id="card_num_section" data-fieldorder="10" > <div class="section_label" id="card_num_label_section"> <label for="card_num" id="card_num_label" class="textboxsection_label"> <span class="fbrequired" id="card_num_spacer"> </span>Credit Card Number</label> </div> <div class="section_value" id="card_num_value"> <input id="card_num" name="card_num" class="fbtextfield" type="text" placeholder="Credit Card Number" value="" /> </div> <div class="fbinstructions" id="card_num_instructions"></div> <div class="error" id="errfld_card_num"></div> </div> <div class="section textbox_section" id="card_exp_section" data-fieldorder="11" > <div class="section_label" id="card_exp_label_section"> <label for="card_exp" id="card_exp_label" class="textboxsection_label"> <span class="fbrequired" id="card_exp_spacer"> </span>Expiration Date</label> </div> <div class="section_value" id="card_exp_value"> <input id="card_exp" name="card_exp" class="fbtextfield" type="text" placeholder="MM/YY" value="" /> </div> <div class="fbinstructions" id="card_exp_instructions">Format MM/YY</div> <div class="error" id="errfld_card_exp"></div> </div> </fieldset> <fieldset id="eft_info"> <legend id="eft_info_legend"> <span class="round" id="eft_info_legendspan">Direct Withdrawal from Bank Account</span> </legend> <div class="section textbox_section" id="ebanktrn_section" data-fieldorder="13" > <div class="section_label" id="ebanktrn_label_section"> <label for="ebanktrn" id="ebanktrn_label" class="textboxsection_label"> <span class="fbrequired" id="ebanktrn_spacer"> </span>Bank Routing Number</label> </div> <div class="section_value" id="ebanktrn_value"> <input id="ebanktrn" name="ebanktrn" class="fbtextfield" type="text" placeholder="Bank Routing Number" value="" /> </div> <div class="fbinstructions" id="ebanktrn_instructions"><a href="images/checksample_eft.html" rel="modal:open" target="_blank">How to find your routing and account numbers</a></div> <div class="error" id="errfld_ebanktrn"></div> </div> <div class="section textbox_section" id="ebankacct_section" data-fieldorder="14" > <div class="section_label" id="ebankacct_label_section"> <label for="ebankacct" id="ebankacct_label" class="textboxsection_label"> <span class="fbrequired" id="ebankacct_spacer"> </span>Bank Account Number</label> </div> <div class="section_value" id="ebankacct_value"> <input id="ebankacct" name="ebankacct" class="fbtextfield" type="text" placeholder="Bank Account Number" value="" /> </div> <div class="fbinstructions" id="ebankacct_instructions"></div> <div class="error" id="errfld_ebankacct"></div> </div> <div class="section checkbox_section" id="ebanksign_section" data-fieldorder="15" > <div class="section_label" id="ebanksign_label_section"> <label for="ebanksign" id="ebanksign_label" class="checkboxsection_label"> <span class="fbrequired" id="ebanksign_spacer"> </span></label> </div> <div class="section_value" id="ebanksign_value"> <label> <input name="ebanksign_arr[]" class="fbcheckbox" type="checkbox" value="Y" />Yes, I agree with the <a href="EFTTermsPage.php" rel="modal:open" target="_blank">EFT terms and conditions.</a> </label> </div> <div class="error" id="errfld_ebanksign"></div> </div> </fieldset> <fieldset id="donor_info"> <legend id="donor_info_legend"> <span class="round" id="donor_info_legendspan">Contact Information</span> </legend> <div class="section textbox_section" id="donor_first1_section" data-fieldorder="17" > <div class="section_label" id="donor_first1_label_section"> <label for="donor_first1" id="donor_first1_label" class="textboxsection_label"> <span class="fbrequired" id="donor_first1_req">*</span>First Name</label> </div> <div class="section_value" id="donor_first1_value"> <input id="donor_first1" name="donor_first1" class="fbtextfield" type="text" placeholder="First Name (required)" value="" /> </div> <div class="fbinstructions" id="donor_first1_instructions"></div> <div class="error" id="errfld_donor_first1"></div> </div> <div class="section textbox_section" id="donor_last1_section" data-fieldorder="18" > <div class="section_label" id="donor_last1_label_section"> <label for="donor_last1" id="donor_last1_label" class="textboxsection_label"> <span class="fbrequired" id="donor_last1_req">*</span>Last Name</label> </div> <div class="section_value" id="donor_last1_value"> <input id="donor_last1" name="donor_last1" class="fbtextfield" type="text" placeholder="Last Name (required)" value="" /> </div> <div class="fbinstructions" id="donor_last1_instructions"></div> <div class="error" id="errfld_donor_last1"></div> </div> <div class="section textbox_section" id="donor_first2_section" data-fieldorder="19" > <div class="section_label" id="donor_first2_label_section"> <label for="donor_first2" id="donor_first2_label" class="textboxsection_label"> <span class="fbrequired" id="donor_first2_spacer"> </span>First Name 2</label> </div> <div class="section_value" id="donor_first2_value"> <input id="donor_first2" name="donor_first2" class="fbtextfield" type="text" placeholder="First Name 2" value="" /> </div> <div class="fbinstructions" id="donor_first2_instructions"></div> <div class="error" id="errfld_donor_first2"></div> </div> <div class="section textbox_section" id="donor_last2_section" data-fieldorder="20" > <div class="section_label" id="donor_last2_label_section"> <label for="donor_last2" id="donor_last2_label" class="textboxsection_label"> <span class="fbrequired" id="donor_last2_spacer"> </span>Last Name 2</label> </div> <div class="section_value" id="donor_last2_value"> <input id="donor_last2" name="donor_last2" class="fbtextfield" type="text" placeholder="Last Name 2" value="" /> </div> <div class="fbinstructions" id="donor_last2_instructions"></div> <div class="error" id="errfld_donor_last2"></div> </div> <div class="section textbox_section" id="donor_deliv_adr_section" data-fieldorder="21" > <div class="section_label" id="donor_deliv_adr_label_section"> <label for="donor_deliv_adr" id="donor_deliv_adr_label" class="textboxsection_label"> <span class="fbrequired" id="donor_deliv_adr_req">*</span>Street</label> </div> <div class="section_value" id="donor_deliv_adr_value"> <input id="donor_deliv_adr" name="donor_deliv_adr" class="fbtextfield" type="text" placeholder="Street (required)" value="" /> </div> <div class="fbinstructions" id="donor_deliv_adr_instructions"></div> <div class="error" id="errfld_donor_deliv_adr"></div> </div> <div class="section textbox_section" id="donor_city_section" data-fieldorder="22" > <div class="section_label" id="donor_city_label_section"> <label for="donor_city" id="donor_city_label" class="textboxsection_label"> <span class="fbrequired" id="donor_city_req">*</span>City</label> </div> <div class="section_value" id="donor_city_value"> <input id="donor_city" name="donor_city" class="fbtextfield" type="text" placeholder="City (required)" value="" /> </div> <div class="fbinstructions" id="donor_city_instructions"></div> <div class="error" id="errfld_donor_city"></div> </div> <div class="section select_section" id="donor_state_section" data-fieldorder="23" > <div class="section_label" id="donor_state_label_section"> <label for="donor_state" id="donor_state_label" class="selectsection_label"> <span class="fbrequired" id="donor_state_req">*</span>State</label> </div> <div class="section_value" id="donor_state_value"> <select id="donor_state" onmousedown="javascript:if(isIE){this.style.width='auto'}" name="donor_state" class="fbselect"> <option value="" id="donor_state_"></option> <option value="AA" id="donor_state_AA">AA</option> <option value="AB" id="donor_state_AB">AB</option> <option value="AE" id="donor_state_AE">AE</option> <option value="AK" id="donor_state_AK">AK</option> <option value="AL" id="donor_state_AL">AL</option> <option value="AP" id="donor_state_AP">AP</option> <option value="AR" id="donor_state_AR">AR</option> <option value="AS" id="donor_state_AS">AS</option> <option value="AU" id="donor_state_AU">AU</option> <option value="AZ" id="donor_state_AZ">AZ</option> <option value="BC" id="donor_state_BC">BC</option> <option value="CA" id="donor_state_CA">CA</option> <option value="CO" id="donor_state_CO">CO</option> <option value="CT" id="donor_state_CT">CT</option> <option value="DC" id="donor_state_DC">DC</option> <option value="DE" id="donor_state_DE">DE</option> <option value="FL" id="donor_state_FL">FL</option> <option value="FM" id="donor_state_FM">FM</option> <option value="GA" id="donor_state_GA">GA</option> <option value="GU" id="donor_state_GU">GU</option> <option value="HI" id="donor_state_HI" selected="selected">HI</option> <option value="IA" id="donor_state_IA">IA</option> <option value="ID" id="donor_state_ID">ID</option> <option value="IL" id="donor_state_IL">IL</option> <option value="IN" id="donor_state_IN">IN</option> <option value="KS" id="donor_state_KS">KS</option> <option value="KY" id="donor_state_KY">KY</option> <option value="LA" id="donor_state_LA">LA</option> <option value="MA" id="donor_state_MA">MA</option> <option value="MD" id="donor_state_MD">MD</option> <option value="ME" id="donor_state_ME">ME</option> <option value="MH" id="donor_state_MH">MH</option> <option value="MI" id="donor_state_MI">MI</option> <option value="MN" id="donor_state_MN">MN</option> <option value="MO" id="donor_state_MO">MO</option> <option value="MP" id="donor_state_MP">MP</option> <option value="MS" id="donor_state_MS">MS</option> <option value="MT" id="donor_state_MT">MT</option> <option value="NC" id="donor_state_NC">NC</option> <option value="ND" id="donor_state_ND">ND</option> <option value="NE" id="donor_state_NE">NE</option> <option value="NH" id="donor_state_NH">NH</option> <option value="NJ" id="donor_state_NJ">NJ</option> <option value="NM" id="donor_state_NM">NM</option> <option value="NV" id="donor_state_NV">NV</option> <option value="NY" id="donor_state_NY">NY</option> <option value="OH" id="donor_state_OH">OH</option> <option value="OK" id="donor_state_OK">OK</option> <option value="ON" id="donor_state_ON">ON</option> <option value="OR" id="donor_state_OR">OR</option> <option value="PA" id="donor_state_PA">PA</option> <option value="PR" id="donor_state_PR">PR</option> <option value="PW" id="donor_state_PW">PW</option> <option value="QC" id="donor_state_QC">QC</option> <option value="RI" id="donor_state_RI">RI</option> <option value="SC" id="donor_state_SC">SC</option> <option value="SD" id="donor_state_SD">SD</option> <option value="TN" id="donor_state_TN">TN</option> <option value="TX" id="donor_state_TX">TX</option> <option value="UM" id="donor_state_UM">UM</option> <option value="UT" id="donor_state_UT">UT</option> <option value="VA" id="donor_state_VA">VA</option> <option value="VI" id="donor_state_VI">VI</option> <option value="VT" id="donor_state_VT">VT</option> <option value="WA" id="donor_state_WA">WA</option> <option value="WI" id="donor_state_WI">WI</option> <option value="WV" id="donor_state_WV">WV</option> <option value="WY" id="donor_state_WY">WY</option> </select> </div> <div class="fbinstructions" id="donor_state_instructions"></div> <div class="error" id="errfld_donor_state"></div> </div> <div class="section textbox_section" id="donor_zipcode_section" data-fieldorder="24" > <div class="section_label" id="donor_zipcode_label_section"> <label for="donor_zipcode" id="donor_zipcode_label" class="textboxsection_label"> <span class="fbrequired" id="donor_zipcode_req">*</span>Zip Code</label> </div> <div class="section_value" id="donor_zipcode_value"> <input id="donor_zipcode" name="donor_zipcode" class="fbtextfield" type="text" placeholder="Zip Code (required)" value="" /> </div> <div class="fbinstructions" id="donor_zipcode_instructions"></div> <div class="error" id="errfld_donor_zipcode"></div> </div> <div class="section textbox_section" id="donor_dayphone_section" data-fieldorder="25" > <div class="section_label" id="donor_dayphone_label_section"> <label for="donor_dayphone" id="donor_dayphone_label" class="textboxsection_label"> <span class="fbrequired" id="donor_dayphone_spacer"> </span>Phone Number</label> </div> <div class="section_value" id="donor_dayphone_value"> <input id="donor_dayphone" name="donor_dayphone" class="fbtextfield" type="text" placeholder="Phone Number" value="" /> </div> <div class="fbinstructions" id="donor_dayphone_instructions"></div> <div class="error" id="errfld_donor_dayphone"></div> </div> <div class="section textbox_section" id="donor_email1_section" data-fieldorder="26" > <div class="section_label" id="donor_email1_label_section"> <label for="donor_email1" id="donor_email1_label" class="textboxsection_label"> <span class="fbrequired" id="donor_email1_req">*</span>Email</label> </div> <div class="section_value" id="donor_email1_value"> <input id="donor_email1" name="donor_email1" class="fbtextfield" type="text" placeholder="Email (required)" value="" /> </div> <div class="fbinstructions" id="donor_email1_instructions"></div> <div class="error" id="errfld_donor_email1"></div> </div> <div class="section radio_section" id="don_email_code1_section" data-fieldorder="27" > <div class="section_label" id="don_email_code1_label_section"> <label for="don_email_code1" id="don_email_code1_label" class="radiosection_label"> <span class="fbrequired" id="don_email_code1_req">*</span>May we send member and station updates via email?</label> </div> <div class="section_value" id="don_email_code1_value"> <span class="radiowrap"> <input name="don_email_code1" class="fbradio" type="radio" id="don_email_code1_Y" value="Y" checked="checked" /> <label class="radio_label" id="don_email_code1_Y_label" for="don_email_code1_Y">Yes</label> </span> <span class="radiowrap"> <input name="don_email_code1" class="fbradio" type="radio" id="don_email_code1_N" value="N" /> <label class="radio_label" id="don_email_code1_N_label" for="don_email_code1_N">No</label> </span> </div> <div class="fbinstructions" id="don_email_code1_instructions">Help HPR save money by communicating with you by email. You may unsubscribe at any time. HPR does not sell or trade its email list.</div> <div class="error" id="errfld_don_email_code1"></div> </div> <div class="section textarea_section" id="comment_section" data-fieldorder="28" > <div class="section_label" id="comment_label_section"> <label for="comment" id="comment_label" class="textareasection_label"> <span class="fbrequired" id="comment_spacer"> </span>Comments. Why is HPR important to you?</label> </div> <div class="section_value" id="comment_value"> <textarea id="comment" name="comment" class="fbtextarea" rows="5" cols="35" placeholder="Comments. Why is HPR important to you?" maxlength="973"></textarea> </div> <div class="fbinstructions" id="comment_instructions">If choosing Hawaiian Miles as your gift, enter miles# and name in Comments. If this is a Pet Membership incl name, species & pronouns for your pet too.</div> <div class="error" id="errfld_comment"></div> </div> </fieldset> <fieldset id="comment_info"> <legend id="comment_info_legend"> <span class="round" id="comment_info_legendspan">Additonal Information</span> </legend> <div class="section select_section" id="prem_code1_section" data-fieldorder="30" > <div class="section_label" id="prem_code1_label_section"> <label for="prem_code1" id="prem_code1_label" class="selectsection_label"> <span class="fbrequired" id="prem_code1_spacer"> </span>Thank-You Gift</label> </div> <div class="section_value" id="prem_code1_value"> <select id="prem_code1" onmousedown="javascript:if(isIE){this.style.width='auto'}" name="prem_code1" class="fbselect"> <option value="" id="prem_code1_">No gift for me. I'd like 100% of my donation to go to HPR.</option> <optgroup label="$120.00 or $10.00/mo"> <option value="F24D108" id="prem_code1_F24D108" data-option="120.00">HPR Socks</option> <option value="F24D100" id="prem_code1_F24D100" data-option="120.00">HPR Wireless Charging Pad</option> </optgroup> <optgroup label="$150.00 or $12.50/mo"> <option value="F24D101" id="prem_code1_F24D101" data-option="150.00">HPR Collapsible Umbrella</option> <option value="F24D106" id="prem_code1_F24D106" data-option="150.00">HPR2 Classical Pacific Bag</option> </optgroup> <optgroup label="$180.00 or $15.00/mo"> <option value="F24D758" id="prem_code1_F24D758" data-option="180.00">1 year NYT Basic Digital Subscription</option> <option value="F24TSKM" id="prem_code1_F24TSKM" data-option="180.00">HPR sound board & moon T-Shirt KEIKI SIZE MEDIUM</option> <option value="F24TSL" id="prem_code1_F24TSL" data-option="180.00">HPR Sound Board & Moon T-Shirt LARGE</option> <option value="F24TSM" id="prem_code1_F24TSM" data-option="180.00">HPR Sound Board & Moon T-Shirt MEDIUM</option> <option value="F24TSS" id="prem_code1_F24TSS" data-option="180.00">HPR Sound Board & Moon T-Shirt SMALL</option> <option value="F24TSXL" id="prem_code1_F24TSXL" data-option="180.00">HPR Sound Board & Moon T-Shirt XLARGE</option> <option value="F24TSXXL" id="prem_code1_F24TSXXL" data-option="180.00">HPR Sound Board & Moon T-Shirt XXLARGE</option> <option value="F24TSXXXL" id="prem_code1_F24TSXXXL" data-option="180.00">HPR Sound Board & Moon T-Shirt XXXLARGE</option> </optgroup> <optgroup label="$365.00 or $30.42/mo"> <option value="F24D103" id="prem_code1_F24D103" data-option="365.00">Eton Emergency Radio</option> <option value="F24D107" id="prem_code1_F24D107" data-option="365.00">HPR Surfshack 500 Piece Puzzle</option> </optgroup> <optgroup label="$1200.00 or $100.00/mo"> <option value="F24D125" id="prem_code1_F24D125" data-option="1200.00">Your Voice on HPR</option> </optgroup> </select> </div> <div class="fbinstructions" id="prem_code1_instructions"></div> <div class="error" id="errfld_prem_code1"></div> </div> <div class="section radio_section" id="survey_radio1_section" data-fieldorder="32" > <div class="section_label" id="survey_radio1_label_section"> <label for="survey_radio1" id="survey_radio1_label" class="radiosection_label"> <span class="fbrequired" id="survey_radio1_spacer"> </span>BONUS for Sustainers-Receive license plate frame?</label> </div> <div class="section_value" id="survey_radio1_value"> <span class="radiowrap"> <input name="survey_radio1" class="fbradio" type="radio" id="survey_radio1_Y" value="Y" /> <label class="radio_label" id="survey_radio1_Y_label" for="survey_radio1_Y">Yes</label> </span> <span class="radiowrap"> <input name="survey_radio1" class="fbradio" type="radio" id="survey_radio1_N" value="N" checked="checked" /> <label class="radio_label" id="survey_radio1_N_label" for="survey_radio1_N">No</label> </span> </div> <div class="error" id="errfld_survey_radio1"></div> </div> <div class="section radio_section" id="prog_pref1_section" data-fieldorder="34" > <div class="section_label" id="prog_pref1_label_section"> <label for="prog_pref1" id="prog_pref1_label" class="radiosection_label"> <span class="fbrequired" id="prog_pref1_req">*</span>What station do you listen to?</label> </div> <div class="section_value" id="prog_pref1_value"> <span class="radiowrap"> <input name="prog_pref1" class="fbradio" type="radio" id="prog_pref1_HPR1" value="HPR1" checked="checked" /> <label class="radio_label" id="prog_pref1_HPR1_label" for="prog_pref1_HPR1">HPR-1 News Talk World Music</label> </span> <span class="radiowrap"> <input name="prog_pref1" class="fbradio" type="radio" id="prog_pref1_HPR2" value="HPR2" /> <label class="radio_label" id="prog_pref1_HPR2_label" for="prog_pref1_HPR2">HPR-2 Classical Music</label> </span> <span class="radiowrap"> <input name="prog_pref1" class="fbradio" type="radio" id="prog_pref1_HPRBoth" value="HPRBoth" /> <label class="radio_label" id="prog_pref1_HPRBoth_label" for="prog_pref1_HPRBoth">Both HPR-1 & 2</label> </span> </div> <div class="error" id="errfld_prog_pref1"></div> </div> <div class="section checkbox_section" id="recaptcha_section" data-fieldorder="35"> <div class="section_label" id="recaptcha_label_section"> <label for="recaptcha" id="recaptcha_label" class="checkboxsection_label"> <span class="fbrequired" id="recaptcha_req">*</span>Verification</label> </div> <div class="section_value" id="recaptcha_value"> <div class="g-recaptcha" data-sitekey="6LfeXRMUAAAAAHAjgXpfMh-I5sxxe8mZ69qLRwfy"></div> <div class="error" id="errfld_recaptcha"></div> </div> </div> <script src='https://www.google.com/recaptcha/api.js'></script> </fieldset> <fieldset class="fbsubmit"> <div class="error" style="display:none;" id="errfld_pmtfreq"></div> <input name="pmtfreq" id="pmtfreq" type="hidden" value="" /> <div class="error" style="display:none;" id="errfld_announce_yn"></div> <input name="announce_yn" id="announce_yn" type="hidden" value="Y" /> <div class="error" style="display:none;" id="errfld_donor_mail"></div> <input name="donor_mail" id="donor_mail" type="hidden" value="ON" /> <div class="error" style="display:none;" id="errfld_source"></div> <input name="source" id="source" type="hidden" value="GEN2024" /> <div class="error" style="display:none;" id="errfld_invtset"></div> <input name="invtset" id="invtset" type="hidden" value="BASIC" /> <div class="error" style="display:none;" id="errfld_formid"></div> <input name="formid" id="formid" type="hidden" value="67" /> <div class="error" style="display:none;" id="errfld_res_method"></div> <input name="res_method" id="res_method" type="hidden" value="WEB" /> <div class="error" style="display:none;" id="errfld_token1"></div> <input name="token1" id="token1" type="hidden" value="8a996e7b-c961-426f-82d3-6eba968507f2" /> <input name="fbformname" type="hidden" value="pledgeform-67" /> <input id="is_ajax_req" name="is_ajax_req" type="hidden" value="0" /> <div style="display:none;" class="error" id="errorFlag"><span id="errorCount"></span> Errors above, please check and submit again</div> <input type="submit" name="submit" value="Submit Donation" class="fbsubmitbtn" id="fbinputsubmit" /> </fieldset> </form> <div id ="CardForm"> <form id = "sevdForm" method="POST" action= "https://www.sageexchange.com/sevd/frmpayment.aspx" accept-charset="UTF-8"> <input type = "hidden" id="sevdRequest" name="request" value='' /> <input type = "hidden" id="redirect_url" name = "redirect_url" value="https://members.hawaiipublicradio.org/index.php?MyToken1=SECTOKEN1&formid=67"/> <input type = "hidden" name="consumer_initiated" value = "true" /> </form> </div> </div> </div> <div style="display:none;" id="mb_processing" class="fbthanks"> <br /><br /> <h4>Thank you for your patience as we process your pledge. Hootie Hoo</h4> <br /><br /> </div><!-- #BEGIN PAGEBOTTOM --> <h3 style="margin-top: 1em; height: .9em" id="pagebottom">Thank you for supporting your local public radio station!</h3> <!-- #END PAGEBOTTOM --> <footer> <a href="http://hawaiipublicradio.org/contact" target="_blank" rel="noopener noreferrer" class="contact_info">Contact Us!</a> <a href="https://www.hawaiipublicradio.org/terms-of-service" target="_blank" rel="noopener noreferrer" class="terms_of_service">Terms of Service</a> <p>© 2023 Hawai'i Public Radio</p> <a href="#default" class="logo"><img src="./images/hpr_logo_final_hor.png"></a> <a href="#default" class="logo"><img src="./images/Charity_Navigator_4_Star_Logo.jpg"></a> </footer> <!-- This is the bottom --> </body> </html>