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Donate to Ballet Arkansas
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Ballet Arkansas is a 501(c)(3) non profit organization.</font> </p> </div> </div> <div class="sli-row" id="id_bd16902e-4ce1-4974-b83e-40a58dd9b9b1"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_979f2ea7-393b-4627-bec8-18f9d52795cf"> <div class="sli-element sli-text" id="id_e8a4ae5b-9c10-43d4-8c42-a9b08d8de040"> <div id="id_e8a4ae5b-9c10-43d4-8c42-a9b08d8de040_inner"> <h3> <span style="font-family:Arial,Helvetica,sans-serif;"><span style="color:#000000">Select Your Amount</span></span> </h3> </div> </div> <div class="sli-selectRecurring sli-element " id="id_77550b8f-9648-4e2d-9e6e-bbda821cf9b6_HrLMpPBMuT" data-ignite-field-id="MakeRecurring"> <label class="sli-label" for="id_77550b8f-9648-4e2d-9e6e-bbda821cf9b6_HrLMpPBMuT_makeRecurring_input"><input class="sli-input" id="id_77550b8f-9648-4e2d-9e6e-bbda821cf9b6_HrLMpPBMuT_makeRecurring_input" type="checkbox" name="makeRecurring" value="true" style="margin-right: 5px;" salsa-reference-name="makerecurringcb" />Make this donation recurring</label> </div> <div class="sli-donorPaysFees sli-element " id="id_33ee446a-a681-4184-8058-32d15f88118f_FIKIPRppGT" data-ignite-field-id="DonorPaysFees"> <label class="sli-label" for="id_33ee446a-a681-4184-8058-32d15f88118f_FIKIPRppGT_donorPaysFees_input"><input class="sli-input" id="id_33ee446a-a681-4184-8058-32d15f88118f_FIKIPRppGT_donorPaysFees_input" type="checkbox" name="donorPaysFees" value="true" style="margin-right: 5px;" salsa-reference-name="donorpaysfeescb" />Increase my donation amount to cover fees</label> </div> <div class="sli-donation-amountblock sli-element" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65" data-ignite-enable-onetime="true" data-ignite-enable-recurring-amounts="true" data-ignite-field-id="DonationAmount"> <div class="sli-donationAmounts"> <div class="sli-oneTimeDonation" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_oneTime" data-ignite-onetime-amount="data-ignite-onetime-amount"> 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for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_100">$100</label></li> <li><input class="sli-oneTimeAmountRadio" name="donationAmtToggle" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_250" type="radio" data-ignite-amount="250.00" /><label class="sli-oneTimeAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_250_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_250">$250</label></li> <li><input class="sli-oneTimeAmountRadio" name="donationAmtToggle" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_500" type="radio" data-ignite-amount="500.00" /><label class="sli-oneTimeAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_500_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_500">$500</label></li> <li><input class="sli-oneTimeAmountRadio" name="donationAmtToggle" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_1000" type="radio" data-ignite-amount="1000.00" /><label class="sli-oneTimeAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_1000_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_1000">$1,000</label></li> <li><input class="sli-oneTimeAmountRadio" name="donationAmtToggle" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_2500" type="radio" data-ignite-amount="2500.00" /><label class="sli-oneTimeAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_2500_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_amt_2500">$2,500</label></li> <li style=" display: block;"><input class="sli-oneTimeAmountRadio sli-oneTimeCustomAmount" name="donationAmtToggleOther" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_custom_radio" type="radio" data-ignite-custom-onetime="data-ignite-custom-onetime" aria-label="custom one-time donation amount" /> <div class="sli-input-group"> <label class="sli-oneTimeAmountLabel sli-amount-label sli-customAmount sli-input-group-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_custom_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_custom">$</label> <input class="sli-oneTimeAmountInput sli-customAmount sli-input sli-input-group-field" size="5" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_onetime_custom" type="text" placeholder="Other" name="customOneTime" autocomplete="off" data-ignite-custom-onetime-input="donationAmtToggle" data-fv-row=".sli-oneTimeDonation" data-fv-err-container=".sli-oneTimeDonationError" data-fv-numeric="true" data-fv-numeric-message="Please enter a dollar amount" data-fv-notempty="true" data-fv-notempty-message="An amount is required" data-fv-greaterthan="true" data-fv-greaterthan-inclusive="false" data-fv-greaterthan-value="0.0" data-fv-greaterthan-message="Please enter a positive amount" /> </div></li> </ul> <div class="sli-oneTimeDonationError"></div> </div> <div class="sli-recurringDonation" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurring" data-ignite-recurring-amount="data-ignite-recurring-amount" style="display:none;"> <p data-ignite-recurrence-frequency="Monthly" class=" sli-recurringFrequency" style="margin: 0;">Donation will repeat monthly.</p> <ul class="sli-recurringDonationAmounts sli-style-button" style="justify-content: flex-start;"> <li><input class="sli-recurringAmountRadio" name="donationAmtToggle2" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_25" type="radio" data-ignite-amount="25.00" data-fv-recurringamount="true" data-sli-widget="xxxWidgetxxx" data-fv-row=".sli-recurringDonation" data-fv-err-container=".sli-recurringDonationError" data-fv-recurringamount-message="Please select a donation amount, or enter your own amount" /><label class="sli-recurringAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_25_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_25">$25</label></li> <li><input class="sli-recurringAmountRadio" name="donationAmtToggle2" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_50" type="radio" data-ignite-amount="50.00" /><label class="sli-recurringAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_50_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_50">$50</label></li> <li><input class="sli-recurringAmountRadio" name="donationAmtToggle2" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_75" type="radio" data-ignite-amount="75.00" /><label class="sli-recurringAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_75_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_75">$75</label></li> <li><input class="sli-recurringAmountRadio" name="donationAmtToggle2" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_100" type="radio" data-ignite-amount="100.00" /><label class="sli-recurringAmountLabel sli-amount-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_100_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_100">$100</label></li> <li style=" display: block;"><input class="sli-recurringAmountRadio sli-recurringCustomAmount" name="donationAmtToggle2Other" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_custom_radio" type="radio" aria-label="recurring donation custom amount" /> <div class="sli-input-group"> <label class="sli-recurringAmountLabel sli-amount-label sli-customAmount sli-input-group-label sli-small sli-floating" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_custom_label" for="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_custom">$</label> <input class="sli-recurringAmountInput sli-customAmount sli-input sli-input-group-field" size="5" id="id_ff583cb9-f48b-4d59-88a6-2cea23b81c65_qhuqtjnCxK_recurringAmt_custom" type="text" placeholder="Other" name="customRecurringAmount" data-fv-row=".sli-recurringDonation" data-fv-err-container=".sli-recurringDonationError" data-fv-numeric="true" data-fv-numeric-message="Please enter a dollar amount" data-fv-notempty="true" data-fv-notempty-message="An amount is required" data-fv-greaterthan="true" data-fv-greaterthan-inclusive="false" data-fv-greaterthan-value="0.0" data-fv-greaterthan-message="Please enter a positive amount" /> </div></li> </ul> <div class="sli-recurringDonationError"></div> </div> </div> </div> </div> </div> <div class="sli-row" id="id_3f21dbf7-49b9-4346-8c8c-0e5745993304"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_d4b0ade4-e78d-4305-81be-402aea3baabc"> <div class="sli-donationsummary-dedication sli-columns sli-large-12 sli-select-radio sli-element " id="id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication" salsa-reference-name="dedication_type"> <div> <label class="sli-label" for="id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication">Donation Dedication</label> <ul> <li><input name="dedicationType" id="id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_NONE" value="NONE" type="radio" checked="checked" />None</li> <li><input name="dedicationType" id="id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_InHonorOf" value="InHonorOf" type="radio" />In Honor Of</li> <li><input name="dedicationType" id="id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_InMemoryOf" value="InMemoryOf" type="radio" />In Memory Of</li> </ul> <input class="sli-input" type="text" disabled="" name="dedication" data-fv-row=".sli-donationsummary-dedication" data-fv-nohtml="true" data-fv-nohtml-message="Your input is invalid" maxlength="250" data-fv-stringlength="true" data-fv-stringlength-message="Please limit your input to less than 250 characters" data-fv-notempty="true" data-fv-notempty-message="Please provide a dedication" data-ignite-field-id="6a921941-0a96-474a-9c1d-f51aa791811b" salsa-reference-name="donationsummary-dedication" /> <div class="sli-dedicationError"></div> <style ignite-allow-style="ignite-allow-style">#id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication li {display: inline; padding:8px;}#id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication input[type=radio] {margin-right: 4px;}#id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication ul {margin: 4px; padding: 0px;}@media screen and (max-width:640px) {#id_065ede0b-dbc4-47d7-b1f9-4ae2cb129ad1_dedication li {display: block;padding: 2px 0 0 0;}}</style> </div> </div> <div class="sli-element sli-text" id="id_bfb01e9f-3dac-45c1-9c73-b1d260bbbf25"> <div id="id_bfb01e9f-3dac-45c1-9c73-b1d260bbbf25_inner"> <h3> <span style="color:#000000">Payment Details</span> </h3> </div> </div> <div class="sli-donation-paymentblock sli-element" id="id_2f4cfc53-026e-4128-997a-cffaf2771881"> <div class="sli-paymentType" id="id_2f4cfc53-026e-4128-997a-cffaf2771881_paymentType"> <div class="sli-ccType sli-label" for="payment_type"> Payment Type: </div> <div style="display:inline-block;"> <input name="payment_type" type="radio" value="CREDIT_CARD" checked="checked" id="bwHdcUCQWe" /> <label class="sli-label" for="bwHdcUCQWe">Credit Card</label> </div> <div style="display:inline-block;"> <input name="payment_type" sli-payment-type="ACH" style="display:none;" type="radio" value="ACH" id="KTYhEhmwlO" /> <label class="sli-label" style="display:none;" sli-payment-type="ACH" for="KTYhEhmwlO">eCheck</label> </div> <div style="display:inline-block;"> <input name="payment_type" sli-payment-type="PAYPAL" style="display:none;" type="radio" value="PAYPAL" id="myKSQBykCm" /> <label class="sli-label" style="display:none;" sli-payment-type="PAYPAL" for="myKSQBykCm">PayPal</label> </div> </div> <div id="id_2f4cfc53-026e-4128-997a-cffaf2771881_echeck_wepay" data-ignite-echeck-wepay="ignite-echeck-wepay"> <label class="sli-ccLabel sli-label" for="LeolUdVBgz">Bank Account*</label> <div class="sli-row"> <div class="sli-columns sli-medium-4 sli-large-4 sli-end sli-form-field"></div> <input class="sli-ccInput sli-input" type="text" id="LeolUdVBgz" data-fv-field="wepay_bank" data-fv-notempty-message="Bank Account is required" readonly="readonly" required="required" name="wepay_bank" /> <div class="sli-columns sli-large-8 sli-medium-8"> <input class="sli-button" id="id_2f4cfc53-026e-4128-997a-cffaf2771881_bankSelect" type="button" value="Select a Bank Account" name="bank-popup" /> <small class="sli-field-error sli-wepay-error" style="display: none;"></small> </div> </div> </div> <div id="id_2f4cfc53-026e-4128-997a-cffaf2771881_echeck" data-ignite-echeck="ignite-echeck"> <div class="sli-row"> <div class="sli-columns sli-medium-8 sli-large-8 sli-small-12 sli-end sli-form-field"> <label class="sli-ccLabel sli-label" for="dPFohKxWps">Name on Account*</label> <input class="sli-ccInput sli-input" type="text" name="holder_name" id="dPFohKxWps" required="required" data-fv-notempty="true" data-fv-notemtpy-message="Please enter the holder name" pattern="^.+\s+.*$" data-fv-regexp-message="Holder name must have at least 2 parts" /> </div> </div> <div class="sli-row"> <div class="sli-columns sli-large-8 sli-medium-8 sli-form-field"> <label class="sli-ccLabel sli-label" for="EfCUOsLHWn">Bank Routing Number*</label> <input class="sli-ccInput sli-input" type="text" name="bank_routing" id="EfCUOsLHWn" required="required" maxlength="9" dava-fv-field="bank_routing" data-fv-notempty="true" data-fv-notemtpy-message="Bank Routing Number is required" data-fv-stringlength="true" data-fv-stringlength-min="9" data-fv-stringlength-max="9" data-fv-stringlength-message="Bank Routing Number must be 9 characters long" data-fv-digits="true" data-fv-digits-message="Please enter only digits" /> </div> </div> <div class="sli-row"> <div class="sli-columns sli-large-8 sli-medium-8 sli-form-field"> <label class="sli-ccLabel sli-label" for="NOUCIxlwvt">Bank Account Number*</label> <input class="sli-bankAccount sli-ccInput sli-input" type="text" name="bank_account" id="NOUCIxlwvt" required="required" maxlength="17" dava-fv-field="bank_account" data-fv-notempty="true" data-fv-notemtpy-message="Bank Account Number is required" data-fv-stringlength="true" data-fv-stringlength-min="4" data-fv-stringlength-max="17" data-fv-stringlength-message="Bank Account Number must be from 4 to 17 characters long" data-fv-digits="true" data-fv-digits-message="Please enter only digits" /> </div> </div> </div> <div id="id_2f4cfc53-026e-4128-997a-cffaf2771881_cc" data-ignite-cc="ignite-cc"> <ul class="sli-cards"> <li class="sli-visa" style="display:none;"></li> <li class="sli-mastercard" style="display:none;"></li> <li class="sli-discover" style="display:none;"></li> <li class="sli-amex" style="display:none;"></li> </ul> <div class="sli-row"> <div class="sli-columns sli-large-8 sli-medium-8 sli-form-field"> <label class="sli-ccLabel sli-label" for="kcEInXvkrE">Card Number*</label> <input class="sli-ccInput sli-input" name="card_number" id="kcEInXvkrE" type="text" required="required" data-fv-notempty-message="A credit card number is required" maxlength="16" autocomplete="off" data-fv-creditcard="true" data-fv-creditcard-message="Please enter a valid credit card number" /> </div> <div class="sli-columns sli-large-4 sli-medium-4 sli-end sli-form-field"> <label class="sli-ccExpCcvLabel sli-label" for="NrNqgfkmHt">Security Code*</label> <input class="sli-ccExpCcvInput sli-input" name="cvv" id="NrNqgfkmHt" type="text" required="required" data-fv-notempty-message="CVV/CCV is required" maxlength="4" size="4" autocomplete="off" data-fv-cvv="true" data-fv-cvv_ccfield="card_number" data-dv-cvv-message="Your CVV is invalid" /> </div> </div> <div class="sli-row"> <div class="sli-columns sli-large-6 sli-medium-6 sli-form-field"> <label class="sli-ccExpMonthLabel sli-label" for="uAEufxlzsm">Expiration Month*</label> <select class="sli-ccInput sli-input" name="expiry_month" id="uAEufxlzsm" required="required" data-fv-notempty-message="Month is required" style="display: block;"><option value="" selected="selected">MM</option><option value="01">01</option><option value="02">02</option><option value="03">03</option><option value="04">04</option><option value="05">05</option><option value="06">06</option><option value="07">07</option><option value="08">08</option><option value="09">09</option><option value="10">10</option><option value="11">11</option><option value="12">12</option></select> </div> <div class="sli-columns sli-large-6 sli-medium-6 sli-end sli-form-field"> <label class="sli-ccExpMonthLabel sli-label" for="ANBqGZFVej">Expiration Year*</label> <select class="sli-ccInput sli-input" name="expiry_year" id="ANBqGZFVej" required="required" data-fv-notempty-message="Year is required" style="display: block;"><option value="" selected="selected">YYYY</option><option value="2022">22</option><option value="2023">23</option><option value="2024">24</option><option value="2025">25</option><option value="2026">26</option><option value="2027">27</option><option value="2028">28</option><option value="2029">29</option><option value="2030">30</option><option value="2031">31</option><option value="2032">32</option><option value="2033">33</option></select> </div> </div> <div class="sli-row"> <div class="sli-columns sli-large-12 sli-small-12 sli-end sli-form-field"> <label class="sli-ccNameLabel sli-label" for="vnYOHbxLlk">Name on Card*</label> <input class="sli-ccNameInput sli-input" name="name_on_card" id="vnYOHbxLlk" type="text" autocomplete="off" required="required" data-fv-callback="true" data-fv-callback-callback="validateCCName" /> </div> </div> </div> </div> </div> </div> <div class="sli-row" id="id_8c635fbd-4e1a-4d75-ab35-40b1b7eba295"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_357fbbbb-31cb-4ae0-ab3f-23ff004af8fa"> <div class="sli-element sli-text" id="id_b287cb82-c62f-49fc-8130-c4c7f44bbf2d"> <div id="id_b287cb82-c62f-49fc-8130-c4c7f44bbf2d_inner"> <h3> <span style="color:#000000">Your Info</span> </h3> </div> </div> </div> </div> <div class="sli-row" id="id_43004b94-7278-4893-9db3-62e312ba4278"> <div class="sli-large-6 sli-medium-6 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_20542ca3-478a-4d53-85e2-1bf393243779"> <div class="sli-field-person-firstname sli-form-field sli-element" data-ignite-field-id="5d5a2165-f19e-4371-851b-183a6b92402b" id="id_9e0b9ce0-c2ad-4a07-ac10-eca574bac71f"> <label class="sli-required-true sli-label" for="id_9e0b9ce0-c2ad-4a07-ac10-eca574bac71f_input" id="id_9e0b9ce0-c2ad-4a07-ac10-eca574bac71f_label">First Name*</label> <input class="sli-input sli-input-person-firstname" type="text" data-ignite-field-id="5d5a2165-f19e-4371-851b-183a6b92402b" name="field-person-firstname" maxlength="36" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 36 characters." id="id_9e0b9ce0-c2ad-4a07-ac10-eca574bac71f_input" salsa-reference-name="person-firstname" /> </div> </div> <div class="sli-large-6 sli-medium-6 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_c762bce6-09a3-443a-bbf9-7febf5208cc1"> <div class="sli-field-person-lastname sli-form-field sli-element" data-ignite-field-id="8d21a878-287a-491f-a362-b8ee2aa71819" id="id_fc2d6a89-612f-4cbd-93b4-e84207dce6e0"> <label class="sli-required-true sli-label" for="id_fc2d6a89-612f-4cbd-93b4-e84207dce6e0_input" id="id_fc2d6a89-612f-4cbd-93b4-e84207dce6e0_label">Last Name*</label> <input class="sli-input sli-input-person-lastname" type="text" data-ignite-field-id="8d21a878-287a-491f-a362-b8ee2aa71819" name="field-person-lastname" maxlength="100" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 100 characters." id="id_fc2d6a89-612f-4cbd-93b4-e84207dce6e0_input" salsa-reference-name="person-lastname" /> </div> </div> </div> <div class="sli-row" id="id_b3d56a5d-35dd-427c-98cb-c67798d34446"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_b5235146-bcdc-42bf-b95f-5b6749743b92"> <div class="sli-field-address-line1 sli-form-field sli-element" data-ignite-field-id="f775c79a-df41-43fb-96de-ee2360254689" id="id_c2f4c928-5d63-40c2-8fda-83ddf8016355"> <label class="sli-required-true sli-label" for="id_c2f4c928-5d63-40c2-8fda-83ddf8016355_input" id="id_c2f4c928-5d63-40c2-8fda-83ddf8016355_label">Address, line 1*</label> <input class="sli-input sli-input-address-line1" type="text" data-ignite-field-id="f775c79a-df41-43fb-96de-ee2360254689" name="field-address-line1" maxlength="128" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 128 characters." id="id_c2f4c928-5d63-40c2-8fda-83ddf8016355_input" salsa-reference-name="address-line1" /> </div> </div> </div> <div class="sli-row" id="id_c3add9e0-d913-4ab3-907b-2c21b32d5310"> <div class="sli-large-4 sli-medium-4 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_d76c4938-7725-445d-b3b3-1c43f11c3404"> <div class="sli-field-address-city sli-form-field sli-element" data-ignite-field-id="a102d60f-f8ab-47eb-8ee0-864cfa1fc5b2" id="id_45f94774-b7ba-47b4-ab57-a15dab911cea"> <label class="sli-required-true sli-label" for="id_45f94774-b7ba-47b4-ab57-a15dab911cea_input" id="id_45f94774-b7ba-47b4-ab57-a15dab911cea_label">City*</label> <input class="sli-input sli-input-address-city" type="text" data-ignite-field-id="a102d60f-f8ab-47eb-8ee0-864cfa1fc5b2" name="field-address-city" maxlength="64" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 64 characters." id="id_45f94774-b7ba-47b4-ab57-a15dab911cea_input" salsa-reference-name="address-city" /> </div> </div> <div class="sli-large-4 sli-medium-4 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_9a4e0000-0bc7-4fa5-8593-e341fcf02ef0"> <div class="sli-field-address-state sli-form-field sli-element" data-ignite-field-id="3f8b9098-ff2d-4384-bb95-425f113028c0" id="id_911a57a3-c6b7-491a-847a-52b6a1961eeb"> <label class="sli-required-true sli-label" for="id_911a57a3-c6b7-491a-847a-52b6a1961eeb_input" id="id_911a57a3-c6b7-491a-847a-52b6a1961eeb_label">State*</label> <select class="sli-select-address-state sli-input" name="field-address-state" data-ignite-field-id="3f8b9098-ff2d-4384-bb95-425f113028c0" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" id="id_911a57a3-c6b7-491a-847a-52b6a1961eeb_input" salsa-reference-name="address-state"><option value="" selected="selected"> Choose one...</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AA">Armed Forces America</option><option value="AE">Armed Forces Europe</option><option value="AP">Armed Forces Pacific</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NY">New York</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="MP">Northern Mariana Islands</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="OR">Oregon</option><option value="PA">Pennsylvania</option><option value="PR">Puerto Rico</option><option value="RI">Rhode Island</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UM">United States Minor Outlying Islands</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option></select> </div> </div> <div class="sli-large-4 sli-medium-4 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_f80d0670-c996-4729-91a5-965b85e6f91b"> <div class="sli-field-address-zip sli-form-field sli-element" data-ignite-field-id="44e5ad15-1fdd-4ba8-bf38-f5cbaad023c2" id="id_1025270b-ae07-4baa-8574-3f4bc7167a6e"> <label class="sli-required-true sli-label" for="id_1025270b-ae07-4baa-8574-3f4bc7167a6e_input" id="id_1025270b-ae07-4baa-8574-3f4bc7167a6e_label">Zip Code*</label> <input class="sli-input sli-input-address-zip" type="text" data-ignite-field-id="44e5ad15-1fdd-4ba8-bf38-f5cbaad023c2" name="field-address-zip" maxlength="20" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 20 characters." data-fv-zipcode="true" data-fv-zipcode-priority="1" data-fv-zipcode-country="US" data-fv-zipcode-message="This value is not valid as a %s postal code" data-fv-regexp="true" data-fv-regexp-priority="2" data-fv-regexp-regexp="^(\d{5}|\d{5}-\d{4})?$" data-fv-regexp-message="Zip Code must be formatted as: "55555" or "55555-5555"" id="id_1025270b-ae07-4baa-8574-3f4bc7167a6e_input" salsa-reference-name="address-zip" /> </div> </div> </div> <div class="sli-row" id="id_4acf7eb0-1565-4269-8abc-49f78ce6ccec"> <div class="sli-large-6 sli-medium-6 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_68db9cb7-c555-44f8-b4ea-554350c33d36"> <div class="sli-field-contact-email sli-form-field sli-element" data-ignite-field-id="2851b463-606f-40c8-bb3d-d31f399e6896" id="id_b039bf49-c9d7-4a50-b209-62ca2862eefe"> <label class="sli-required-true sli-label" for="id_b039bf49-c9d7-4a50-b209-62ca2862eefe_input" id="id_b039bf49-c9d7-4a50-b209-62ca2862eefe_label">Email Address*</label> <input class="sli-input sli-input-contact-email" type="email" data-ignite-field-id="2851b463-606f-40c8-bb3d-d31f399e6896" name="field-contact-email" maxlength="128" required="required" data-fv-notempty="true" data-fv-notempty-message="This field requires a value" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 128 characters." data-fv-regexp="true" data-fv-regexp-regexp="^[^@\s]+@([^@\s]+\.)+[^@\s]+$" data-fv-regexp-message="Please enter a valid email address" id="id_b039bf49-c9d7-4a50-b209-62ca2862eefe_input" salsa-reference-name="contact-email" /> </div> </div> <div class="sli-large-6 sli-medium-6 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_3aa2b7ce-6bbb-4920-857c-09f865e2cc43"> <div class="sli-field-person-home_phone sli-form-field sli-element" data-ignite-field-id="6e201e0b-8208-453f-b393-a5f0d9059726" id="id_5b3b0839-f596-45ec-bdf5-3f5597f142de"> <label class="sli-required-false sli-label" for="id_5b3b0839-f596-45ec-bdf5-3f5597f142de_input" id="id_5b3b0839-f596-45ec-bdf5-3f5597f142de_label">Phone</label> <input class="sli-input sli-input-person-home_phone" type="text" data-ignite-field-id="6e201e0b-8208-453f-b393-a5f0d9059726" name="field-person-home_phone" placeholder="555-555-5555" maxlength="128" data-fv-stringlength="true" data-fv-stringlengthmessage="Please limit your input to at most 128 characters." id="id_5b3b0839-f596-45ec-bdf5-3f5597f142de_input" salsa-reference-name="person-home_phone" /> </div> </div> </div> <div class="sli-row" id="id_b11c2c26-2e4c-4745-9deb-57fb0d2c6548"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_78317207-c30e-4728-b9be-37c715a74c97"> <div class="sli-element sli-mailing-lists" id="id_d54d4333-7a24-489c-9b33-5f6dc3a98036"> <div> <p> Add me to the following email lists: </p> </div> <ul class="sli-input-list"> <li></li> </ul> </div> <div class="sli-element sli-button-element" id="id_dce1d84b-a0be-41cd-9ade-5a3c35d15a39"> <a class="sli-button sli-floating sli-expand" track="true" data-ignite-submit-button="data-ignite-submit-button" tabindex="0">Donate</a> <div class="sli-processing" style="display:none;"></div> </div> </div> </div> </div> </div> </form> <div id="id_fb295da515f64b41a97f9ea4c3feecdb"><script type="text/javascript" src="/api/widget/fundraising/fb295da5-15f6-4b41-a97f-9ea4c3feecdb?tId=id_fb295da515f64b41a97f9ea4c3feecdb&eId=ad1e4bc1-e73e-4989-9105-746f04d099e7&eType=Page&lsi=sli-forms-styles_v02&bo=true"></script></div></div> </div> </div> </div> </div> </div> <div class="sli-tickets-pane sli-widget" id="id_a148a214-ae1d-4ecc-a028-9723243f85a7_ticketView" style="display:none" data-internal-id="a148a214-ae1d-4ecc-a028-9723243f85a7" data-token-id="ca98045a-68d2-4b94-ad24-3305511b54c0" data-ignite-view="ticketView"></div> <div class="sli-checkout-pane sli-widget" id="id_7f2d3815-5b0b-445e-b46c-469911d8e88f_checkoutView" style="display:none" data-internal-id="7f2d3815-5b0b-445e-b46c-469911d8e88f" data-token-id="ca98045a-68d2-4b94-ad24-3305511b54c0" data-ignite-view="checkoutView"></div> <div class="sli-action-pane sli-widget" id="id_c5a73251-9d96-4720-9dcf-368231b9940e_actionView" style="display:none" data-internal-id="c5a73251-9d96-4720-9dcf-368231b9940e" data-token-id="ca98045a-68d2-4b94-ad24-3305511b54c0" data-ignite-view="actionView"></div> <div class="sli-no-targets-pane sli-widget" id="id_2313b9e3-2ec2-4d5c-886f-acbe3c54668e_noTargetsView" style="display:none" data-internal-id="2313b9e3-2ec2-4d5c-886f-acbe3c54668e" data-token-id="ca98045a-68d2-4b94-ad24-3305511b54c0" data-ignite-view="noTargetsView"></div> <div class="sli-confirmation-pane sli-widget" id="id_85fcb194-6261-40b7-bf67-cc8c020b4a7e_confirmationView" style="display:none" data-internal-id="85fcb194-6261-40b7-bf67-cc8c020b4a7e" data-token-id="ca98045a-68d2-4b94-ad24-3305511b54c0" data-ignite-view="confirmationView"> <div class="sli-row" id="id_2c42430c-5913-46df-ae30-b7e1408fa953"> <div class="sli-large-12 sli-medium-12 sli-small-12 sli-columns " data-ignite-container-type="DEFAULT" id="id_4a19bca5-ba7a-4709-8504-aa0a3ae0d52c"> <div class="sli-element sli-spacer" id="id_0a2ab16f-614b-4945-827c-3cfbfbb405c5"> </div> <div class="sli-element sli-logo" id="id_44021916-b2ed-4bdb-8400-0a909ea4833c"> <img entity-id="logo" id="id_44021916-b2ed-4bdb-8400-0a909ea4833c_logo" arkansas"="" alt="Ballet Arkansas" src="https://balletarkansas.salsalabs.org/public/images/image-placeholder.png" ignite-image-src="https://default.salsalabs.org/api/organization/0b92021f-abb1-4ca9-8592-a96dacde7005/logo" /> </div> <div class="sli-element sli-text" id="id_1d847b4b-2654-4ba1-b197-4b5006380ce3"> <div id="id_1d847b4b-2654-4ba1-b197-4b5006380ce3_inner"> <p style="text-align: center;"> <span style="font-size:16px;">Thank you for your donation to support Ballet Arkansas!</span> </p> </div> </div> <div class="sli-element sli-orgInfo" id="id_ce03ca55-be4d-406e-87a3-b633826ee1f7"> <div id="id_ce03ca55-be4d-406e-87a3-b633826ee1f7_inner"> <h2 style="text-align: center;"> Contact Us </h2> <p class="contact-info" style="text-align: center;"> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_NAME" ignite-mergefield-option="null" ignite-text="ORGANIZATION NAME">ORGANIZATION NAME</span><br /> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_ADDRESS_LINE1" ignite-mergefield-option="null" ignite-text="ORG ADDRESS LINE 1">ORG ADDRESS LINE 1</span> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_ADDRESS_LINE2" ignite-mergefield-option="null" ignite-text="ORG ADDRESS LINE 2">ORG ADDRESS LINE 2</span><br /> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_CITY" ignite-mergefield-option="null" ignite-text="ORG CITY">ORG CITY</span>, <span ignite-mergefield-default="" ignite-mergefield-id="ORG_STATE" ignite-mergefield-option="null" ignite-text="ORG STATE">ORG STATE</span> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_ZIPCODE" ignite-mergefield-option="null" ignite-text="ORG ZIP">ORG ZIP</span><br /> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_CONTACT_PHONE" ignite-mergefield-option="null" ignite-text="ORG CONTACT PHONE">ORG CONTACT PHONE</span><br /> <span ignite-mergefield-default="" ignite-mergefield-id="ORG_CONTACT_EMAIL" ignite-mergefield-option="null" ignite-text="ORG CONTACT EMAIL">ORG CONTACT EMAIL</span> </p> </div> </div> <div class="sli-social-icons-element sli-element sli-orientation-HORIZONTAL sli-iconColors-AUTO sli-iconSize-MEDIUM sli-alignment-CENTER" id="id_9a5964a0-1724-4728-9235-1f5a2a191ad0"> <div class="sli-social-icons-text"></div> <div class="sli-social-icons-list sli-hide"> <div class="sli-social-icons-item" id="id_FACEBOOK"> <a href="https://www.facebook.com/sharer.php?u=https%3A%2F%2Fballetarkansas.salsalabs.org%2Fdonate" social-sharing-link="https://www.facebook.com/sharer.php?u=" target="_blank"><span class="sli-icon 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href="https://www.linkedin.com/shareArticle?url=https%3A%2F%2Fballetarkansas.salsalabs.org%2Fdonate" social-sharing-link="https://www.linkedin.com/shareArticle?url=" target="_blank"><span class="sli-icon sli-icon-linkedin" title="share on LinkedIn"><span class="sli-visually-hidden">LinkedIn</span></span></a> </div> <div class="sli-social-icons-item" id="id_TUMBLR"> <a href="https://www.tumblr.com/widgets/share/tool?canonicalUrl=https%3A%2F%2Fballetarkansas.salsalabs.org%2Fdonate" social-sharing-link="https://www.tumblr.com/widgets/share/tool?canonicalUrl=" target="_blank"><span class="sli-icon sli-icon-tumblr2" title="share on Tumblr"><span class="sli-visually-hidden">Tumblr</span></span></a> </div> <div class="sli-social-icons-item" id="id_EMAIL"> <a href="mailto:?&body=https%3A%2F%2Fballetarkansas.salsalabs.org%2Fdonate" social-sharing-link="mailto:?&body=" target="_blank"><span class="sli-icon sli-icon-mail" title="share on Email"><span class="sli-visually-hidden">Email</span></span></a> </div> </div> </div> </div> </div> </div> </formtemplate> </div> </body></html>