Donate Now

<!DOCTYPE HTML> <html lang="en"> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>Donate Now</title>  <link href="https://comm-engagingnetworks.s3.amazonaws.com/live/forms.css" rel="stylesheet" type="text/css" /> <script src="https://code.jquery.com/jquery-3.7.1.min.js" integrity="sha256-/JqT3SQfawRcv/BIHPThkBvs0OEvtFFmqPF/lYI/Cxo=" crossorigin="anonymous"></script> <script src="https://code.jquery.com/ui/1.13.2/jquery-ui.min.js" integrity="sha256-lSjKY0/srUM9BE3dPm+c4fBo1dky2v27Gdjm2uoZaL0=" crossorigin="anonymous"></script> <script src="https://cdn.jsdelivr.net/npm/autonumeric@4.1.0"></script>  <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 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href="https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/1806/NoMatch_CC_FB_Hudsonian+Godwit_110817_EN.png?v=1513272320000"/> <link href='/pageassets/css/enPage.css?v=4.0.0' rel='stylesheet' type='text/css' /> <script>var pageJson = {"clientId":1806,"campaignPageId":87895,"campaignId":222767,"pageNumber":1,"pageCount":2,"pageName":"2021 GENERAL UNRESTRICTED","pageType":"premiumgift","locale":"en-US","redirectPresent":false,"giftProcess":false};</script> <script src='/page/87895/pagedata.js?locale=en-US&ea.profile.id=0'></script> <script src='/page/87895/productvariants.js'></script> <script src='/pageassets/js/enPage.js?v=4.0.0'></script> </head> <body>  <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-P7854M" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>   <div id="main-content-wrapper"> <div id="main-content">  <header> <div class="logo"> <div class="logo-bg"> <a href="https://www.birds.cornell.edu/home" target="_self" rel="parent"> <img src="https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/1806/cornell-lab-logo.png?v=1690220748000" alt="Cornell Lab of Ornithology" /> </a> </div> </div> </header> <main> <form method="post" id="pb_87895" name="pb_2021_GENERAL_UNRESTRICTED" action="/page/87895/donate/2" class="en__component en__component--page"> <input type="hidden" name="hidden" class="en__hiddenFields" value=""> <input type="hidden" name="sessionId" value="2e73419f7f4e4db8b5c429082f366362-cac1-prd-web1"> <ul class="en__errorList"> </ul> <div class="en__component en__component--row en__component--advrow"> <div class="en__component en__component en__component--column en__component--advcolumn hero dark" style="flex-grow:0; flex-shrink:0; flex-basis:100%;"> <div class="en__component en__component--imageblock"> <img src="https://aaf1a18515da0e792f78-c27fdabe952dfc357fe25ebf5c8897ee.ssl.cf5.rackcdn.com/1806/YellowthroatedWarbler_RyanSanderson_banner.jpg?v=1697028086000" class="pageImage" height="776" width="1940" alt="Yellow-throated Warbler on a branch" data-unit="px" data-ratio-lock="true" style="height: 776px; width: 1940px;"> </div> <div class="en__component en__component--copyblock" style=" " > <div class="banner-text"> <h1>Birds need help in every habitat</h1> <p>Give today to make a difference for the future of birds!</p> </div> <div class="caption">Yellow-throated Warbler by Ryan Sanderson / Macaulay Library</div> </div> </div> </div> <div class="en__component en__component--row en__component--advrow"> <div class="en__component en__component en__component--column en__component--advcolumn giving-monthly" style=""> <div class="en__component en__component--formblock giving-amount" style=""> <div class="en__field en__field--radio en__field--726736 en__field--recurrpay"> <label for="en__field_transaction_recurrpay" class="en__field__label" style="">Choose Between a Monthly or One-Time Gift</label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_transaction_recurrpay0" checked type="radio" class="en__field__input en__field__input--radio" value="N" name="transaction.recurrpay" /> <label for="en__field_transaction_recurrpay0" class="en__field__label en__field__label--item" >Give Once</label> </div> <div class="en__field__item"> <input id="en__field_transaction_recurrpay1" type="radio" class="en__field__input en__field__input--radio" value="Y" name="transaction.recurrpay" /> <label for="en__field_transaction_recurrpay1" class="en__field__label en__field__label--item" >Give Monthly</label> </div> </div> </div> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrfreq" value="MONTHLY" /> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrday" value="" /> <div class="en__field en__field--radio en__field--withOther en__field--726730 en__field--donationAmt en__mandatory"> <label class="en__field__label" style="">Donation Amount</label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input checked type="radio" class="en__field__input en__field__input--radio" value="35" name="transaction.donationAmt" id="en__field_transaction_donationAmt0" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt0">$35</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="70" name="transaction.donationAmt" id="en__field_transaction_donationAmt1" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt1">$70</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="125" name="transaction.donationAmt" id="en__field_transaction_donationAmt2" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt2">$125</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="250" name="transaction.donationAmt" id="en__field_transaction_donationAmt3" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt3">$250</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="500" name="transaction.donationAmt" id="en__field_transaction_donationAmt4" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt4">$500</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="" name="transaction.donationAmt" id="en__field_transaction_donationAmt5" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt5">Other</label> </div> <div class="en__field__item en__field__item--other en__field__item--hidden"> <input class="en__field__input en__field__input--other" type="text" name="transaction.donationAmt.other" value="" /> </div> </div> </div> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.othamt4" value="" /> </div> <div class="en__component en__component--premiumgiftblock"> <div class="en__pgHeader">In appreciation for your monthly support, you will receive these gifts</div> <div class="en__pgList" data-nogift="I'd like to opt out of the gift options " ></div> <input class="en__pgVariantSubmit" type="hidden" name="transaction.selprodvariantid" value="" /> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--checkbox en__field--question en__field--732433 en__field--living-bird-digital"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_supporter_questions_732433" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.732433" /> <label for="en__field_supporter_questions_732433" class="en__field__label en__field__label--item" ><p>I do <span style="color: rgb(32, 31, 30); font-family: Calibri, sans-serif; font-size: 14.6667px;"><strong>NOT </strong></span>want the print version of <em>Living Bird</em> magazine.</p> </label> </div> </div> </div> <div class="en__field en__field--checkbox en__field--question en__field--739246 en__field--no-thank-you-gift"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_supporter_questions_739246" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.739246" /> <label for="en__field_supporter_questions_739246" class="en__field__label en__field__label--item" >Do not send me the thank you gift.</label> </div> </div> </div> </div> </div> </div> <div class="en__component en__component--row en__component--advrow"> <div class="en__component en__component en__component--column en__component--advcolumn billing-info" style=""> <div class="en__component en__component--copyblock" style=" " > <h2 id="personal-information-section-header">Billing Information</h2> </div> <div class="en__component en__component--formblock contact-info" style=""> <div class="en__field en__field--select en__field--729506 en__field--title"> <label for="en__field_supporter_title" class="en__field__label en__field__label--positionabove" style="">Title</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_title" class="en__field__input en__field__input--select" name="supporter.title" > <option value="">None</option> <option value="Mr.">Mr.</option> <option value="Ms.">Ms.</option> <option value="Mrs.">Mrs.</option> <option value="Mx.">Mx.</option> <option value="Dr.">Dr.</option> <option value="Mr. and Mrs.">Mr. and Mrs.</option> <option value="Dr. and Mrs">Dr. and Mrs.</option> <option value="Dr. and Mr.">Dr. and Mr.</option> <option value="Professor">Professor</option> </select> </div> </div> <div class="en__field en__field--text en__field--727466 en__field--firstName en__mandatory"> <label for="en__field_supporter_firstName" class="en__field__label en__field__label--positionabove" style="">First Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_firstName" type="text" class="en__field__input en__field__input--text" name="supporter.firstName" value="" /> </div> </div> <div class="en__field en__field--text en__field--729035 en__field--lastName en__mandatory"> <label for="en__field_supporter_lastName" class="en__field__label en__field__label--positionabove" style="">Last Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_lastName" type="text" class="en__field__input en__field__input--text" name="supporter.lastName" value="" /> </div> </div> <div class="en__field en__field--email en__field--729036 en__field--emailAddress en__mandatory"> <label for="en__field_supporter_emailAddress" class="en__field__label en__field__label--positionabove" style="">Email Address</label> <div class="en__field__element en__field__element--email"> <input id="en__field_supporter_emailAddress" type="email" autocomplete="email" class="en__field__input en__field__input--email" name="supporter.emailAddress" value="" /> </div> </div> <div class="en__field en__field--select en__field--729037 en__field--country en__mandatory"> <label for="en__field_supporter_country" class="en__field__label en__field__label--positionabove" style="">Country</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_country" class="en__field__input en__field__input--select" name="supporter.country" > <option selected="selected" value="US">United States</option> <option value="CA">Canada</option> <option value="GB">United Kingdom</option> <option value="AF">Afghanistan</option> <option value="AX">脜land Islands</option> <option value="AL">Albania</option> <option value="DZ">Algeria</option> <option value="AS">American Samoa</option> <option value="AD">Andorra</option> <option value="AO">Angola</option> <option value="AI">Anguilla</option> <option value="AQ">Antarctica</option> <option value="AG">Antigua and Barbuda</option> <option value="AR">Argentina</option> <option value="AM">Armenia</option> <option value="AW">Aruba</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="AZ">Azerbaijan</option> <option value="BS">Bahamas</option> <option value="BH">Bahrain</option> <option value="BD">Bangladesh</option> <option value="BB">Barbados</option> <option value="BY">Belarus</option> <option value="BE">Belgium</option> <option value="BZ">Belize</option> <option value="BJ">Benin</option> <option value="BM">Bermuda</option> <option value="BT">Bhutan</option> <option value="BO">Bolivia, Plurinational State of</option> <option value="BQ">Bonaire, Sint Eustatius and Saba</option> <option value="BA">Bosnia and Herzegovina</option> <option value="BW">Botswana</option> <option value="BV">Bouvet Island</option> <option value="BR">Brazil</option> <option value="IO">British Indian Ocean Territory</option> <option value="BN">Brunei Darussalam</option> <option value="BG">Bulgaria</option> <option value="BF">Burkina Faso</option> <option value="BI">Burundi</option> <option value="CV">Cabo Verde</option> <option value="KH">Cambodia</option> <option value="CM">Cameroon</option> <option value="KY">Cayman Islands</option> <option value="CF">Central African Republic</option> <option value="TD">Chad</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CX">Christmas Island</option> <option value="CC">Cocos (Keeling) Islands</option> <option value="CO">Colombia</option> <option value="KM">Comoros</option> <option value="CG">Congo</option> <option value="CD">Congo, the Democratic Republic of the</option> <option value="CK">Cook Islands</option> <option value="CR">Costa Rica</option> <option value="CI">C么te d'Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CW">Cura莽ao</option> <option value="CY">Cyprus</option> <option value="CZ">Czech Republic</option> <option value="DK">Denmark</option> <option value="DJ">Djibouti</option> <option value="DM">Dominica</option> <option value="DO">Dominican Republic</option> <option value="EC">Ecuador</option> <option value="EG">Egypt</option> <option value="SV">El Salvador</option> <option value="GQ">Equatorial Guinea</option> <option value="ER">Eritrea</option> <option value="EE">Estonia</option> <option value="ET">Ethiopia</option> <option value="FK">Falkland Islands (Malvinas)</option> <option value="FO">Faroe Islands</option> <option value="FJ">Fiji</option> <option value="FI">Finland</option> <option value="FR">France</option> <option value="GF">French Guiana</option> <option value="PF">French Polynesia</option> <option value="TF">French Southern Territories</option> <option value="GA">Gabon</option> <option value="GM">Gambia</option> <option value="GE">Georgia</option> <option value="DE">Germany</option> <option value="GH">Ghana</option> <option value="GI">Gibraltar</option> <option value="GR">Greece</option> <option value="GL">Greenland</option> <option value="GD">Grenada</option> <option value="GP">Guadeloupe</option> <option value="GU">Guam</option> <option value="GT">Guatemala</option> <option value="GG">Guernsey</option> <option value="GN">Guinea</option> <option value="GW">Guinea-Bissau</option> <option value="GY">Guyana</option> <option value="HT">Haiti</option> <option value="HM">Heard Island and McDonald Islands</option> <option value="VA">Holy See (Vatican City State)</option> <option value="HN">Honduras</option> <option value="HK">Hong Kong</option> <option value="HU">Hungary</option> <option value="IS">Iceland</option> <option value="IN">India</option> <option value="ID">Indonesia</option> <option value="IR">Iran, Islamic Republic of</option> <option value="IQ">Iraq</option> <option value="IE">Ireland</option> <option value="IM">Isle of Man</option> <option value="IL">Israel</option> <option value="IT">Italy</option> <option value="JM">Jamaica</option> <option value="JP">Japan</option> <option value="JE">Jersey</option> <option value="JO">Jordan</option> <option value="KZ">Kazakhstan</option> <option value="KE">Kenya</option> <option value="KI">Kiribati</option> <option value="KP">Korea, Democratic People's Republic of</option> <option value="KR">Korea, Republic of</option> <option value="KW">Kuwait</option> <option value="KG">Kyrgyzstan</option> <option value="LA">Lao People's Democratic Republic</option> <option value="LV">Latvia</option> <option value="LB">Lebanon</option> <option value="LS">Lesotho</option> <option value="LR">Liberia</option> <option value="LY">Libya</option> <option value="LI">Liechtenstein</option> <option value="LT">Lithuania</option> <option value="LU">Luxembourg</option> <option value="MO">Macao</option> <option value="MK">Macedonia, the former Yugoslav Republic of</option> <option value="MG">Madagascar</option> <option value="MW">Malawi</option> <option value="MY">Malaysia</option> <option value="MV">Maldives</option> <option value="ML">Mali</option> <option value="MT">Malta</option> <option value="MH">Marshall Islands</option> <option value="MQ">Martinique</option> <option value="MR">Mauritania</option> <option value="MU">Mauritius</option> <option value="YT">Mayotte</option> <option value="MX">Mexico</option> <option value="FM">Micronesia, Federated States of</option> <option value="MD">Moldova, Republic of</option> <option value="MC">Monaco</option> <option value="MN">Mongolia</option> <option value="ME">Montenegro</option> <option value="MS">Montserrat</option> <option value="MA">Morocco</option> <option value="MZ">Mozambique</option> <option value="MM">Myanmar</option> <option value="NA">Namibia</option> <option value="NR">Nauru</option> <option value="NP">Nepal</option> <option value="NL">Netherlands</option> <option value="NC">New Caledonia</option> <option value="NZ">New Zealand</option> <option value="NI">Nicaragua</option> <option value="NE">Niger</option> <option value="NG">Nigeria</option> <option value="NU">Niue</option> <option value="NF">Norfolk Island</option> <option value="MP">Northern Mariana Islands</option> <option value="NO">Norway</option> <option value="OM">Oman</option> <option value="PK">Pakistan</option> <option value="PW">Palau</option> <option value="PS">Palestine, State of</option> <option value="PA">Panama</option> <option value="PG">Papua New Guinea</option> <option value="PY">Paraguay</option> <option value="PE">Peru</option> <option value="PH">Philippines</option> <option value="PN">Pitcairn</option> <option value="PL">Poland</option> <option value="PT">Portugal</option> <option value="PR">Puerto Rico</option> <option value="QA">Qatar</option> <option value="RE">R茅union</option> <option value="RO">Romania</option> <option value="RU">Russian Federation</option> <option value="RW">Rwanda</option> <option value="BL">Saint Barth茅lemy</option> <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option> <option value="KN">Saint Kitts and Nevis</option> <option value="LC">Saint Lucia</option> <option value="MF">Saint Martin (French part)</option> <option value="PM">Saint Pierre and Miquelon</option> <option value="VC">Saint Vincent and the Grenadines</option> <option value="WS">Samoa</option> <option value="SM">San Marino</option> <option value="ST">Sao Tome and Principe</option> <option value="SA">Saudi Arabia</option> <option value="SN">Senegal</option> <option value="RS">Serbia</option> <option value="SC">Seychelles</option> <option value="SL">Sierra Leone</option> <option value="SG">Singapore</option> <option value="SX">Sint Maarten (Dutch part)</option> <option value="SK">Slovakia</option> <option value="SI">Slovenia</option> <option value="SB">Solomon Islands</option> <option value="SO">Somalia</option> <option value="ZA">South Africa</option> <option value="GS">South Georgia and the South Sandwich Islands</option> <option value="SS">South Sudan</option> <option value="ES">Spain</option> <option value="LK">Sri Lanka</option> <option value="SD">Sudan</option> <option value="SR">Suriname</option> <option value="SJ">Svalbard and Jan Mayen</option> <option value="SZ">Swaziland</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="SY">Syrian Arab Republic</option> <option value="TW">Taiwan, Province of China</option> <option value="TJ">Tajikistan</option> <option value="TZ">Tanzania, United Republic of</option> <option value="TH">Thailand</option> <option value="TL">Timor-Leste</option> <option value="TG">Togo</option> <option value="TK">Tokelau</option> <option value="TO">Tonga</option> <option value="TT">Trinidad and Tobago</option> <option value="TN">Tunisia</option> <option value="TR">Turkey</option> <option value="TM">Turkmenistan</option> <option value="TC">Turks and Caicos Islands</option> <option value="TV">Tuvalu</option> <option value="UG">Uganda</option> <option value="UA">Ukraine</option> <option value="AE">United Arab Emirates</option> <option value="UM">United States Minor Outlying Islands</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VU">Vanuatu</option> <option value="VE">Venezuela, Bolivarian Republic of</option> <option value="VN">Viet Nam</option> <option value="VG">Virgin Islands, British</option> <option value="VI">Virgin Islands, U.S.</option> <option value="WF">Wallis and Futuna</option> <option value="EH">Western Sahara</option> <option value="YE">Yemen</option> <option value="ZM">Zambia</option> <option value="ZW">Zimbabwe</option> </select> </div> </div> <div class="en__field en__field--text en__field--729038 en__field--address1 en__mandatory"> <label for="en__field_supporter_address1" class="en__field__label en__field__label--positionabove" style="">Address 1</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_address1" type="text" class="en__field__input en__field__input--text" name="supporter.address1" value="" /> </div> </div> <div class="en__field en__field--text en__field--729039 en__field--address2"> <label for="en__field_supporter_address2" class="en__field__label en__field__label--positionabove" style="">Address 2</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_address2" type="text" class="en__field__input en__field__input--text" name="supporter.address2" value="" /> </div> </div> <div class="en__field en__field--text en__field--729040 en__field--city en__mandatory"> <label for="en__field_supporter_city" class="en__field__label en__field__label--positionabove" style="">City/Town</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_city" type="text" class="en__field__input en__field__input--text" name="supporter.city" value="" /> </div> </div> <div class="en__field en__field--select en__field--729043 en__field--region en__mandatory"> <label for="en__field_supporter_region" class="en__field__label en__field__label--positionabove" style="">State/Province</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_region" class="en__field__input en__field__input--select" name="supporter.region" > <option selected="selected" value="">Select State</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</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="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="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</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="UT">Utah</option> <option value="VT">Vermont</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="en__field en__field--text en__field--729041 en__field--postcode en__mandatory"> <label for="en__field_supporter_postcode" class="en__field__label en__field__label--positionabove" style="">Zip/Postal Code</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_postcode" type="text" class="en__field__input en__field__input--text" name="supporter.postcode" value="" /> </div> </div> <div class="en__field en__field--text en__field--729042 en__field--phoneNumber"> <label for="en__field_supporter_phoneNumber" class="en__field__label en__field__label--positionabove" style="">Phone</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_phoneNumber" type="text" class="en__field__input en__field__input--text" name="supporter.phoneNumber" value="" /> </div> </div> </div> </div> </div> <div class="en__component en__component--row en__component--row--1"> <div class="en__component en__component en__component--column en__component--column--1"> </div> </div> <div class="en__component en__component--row en__component--advrow"> <div class="en__component en__component en__component--column en__component--advcolumn credit or paypal" style=""> <div class="en__component en__component--copyblock" style=" " > <h2 id="payment-information-section-header">Payment Information</h2> </div> <div class="en__component en__component--codeblock"> <div class="comodo"> <script type="text/javascript"> //<![CDATA[ var tlJsHost = ((window.location.protocol == "https:") ? "https://secure.trust-provider.com/" : "http://www.trustlogo.com/"); document.write(unescape("%3Cscript src='" + tlJsHost + "trustlogo/javascript/trustlogo.js' type='text/javascript'%3E%3C/script%3E")); //]]></script> <script language="JavaScript" type="text/javascript"> TrustLogo("https://sectigo.com/images/seals/sectigo_trust_seal_sm_2x.png", "SECEV", "none"); </script></div>  <script> // Add alt to Sectigo image let secureImage = document.querySelector("img[src*='sectigo']"); secureImage.setAttribute("alt", "View Sectigo information"); </script></div> <div class="en__component en__component--formblock payment-info" style=""> <div class="en__field en__field--select en__field--728304 en__field--paymenttype en__mandatory"> <label for="en__field_transaction_paymenttype" class="en__field__label en__field__label--positionabove" style="">Payment Type</label> <div class="en__field__element en__field__element--select"> <select id="en__field_transaction_paymenttype" class="en__field__input en__field__input--select" name="transaction.paymenttype" > <option selected="selected" value="">Please Select</option> <option value="VI">Visa</option> <option value="MC">MasterCard</option> <option value="DI">Discover</option> <option value="AX">American Express</option> <option value="Paypal">Paypal</option> </select> </div> </div> <div class="en__field en__field--vgs en__field--728696 en__field--ccnumber en__mandatory"> <label for="en__field_transaction_ccnumber" class="en__field__label en__field__label--positionabove" style="">Credit Card Number</label> <div class="en__field__element en__field__element--vgs"> <input type="hidden" name="transaction.ccnumber" /> <div id="en__field_transaction_ccnumber" class="en__field__input en__field__input--vgs"> </div> </div> </div> <div class="en__field en__field--splitselect en__field--728697 en__field--ccexpire en__mandatory"> <label for="en__field_transaction_ccexpire" class="en__field__label en__field__label--positionabove" style="">Card Expiration</label> <div class="en__field__element en__field__element--splitselect"> <input type="hidden" name="transaction.ccexpire.delimiter" value=""> <div class="en__field__item"> <select id="en__field_transaction_ccexpire" class="en__field__input en__field__input--splitselect" name="transaction.ccexpire" > <option selected="selected" value="">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="en__field__item"> <select class="en__field__input en__field__input--splitselect" name="transaction.ccexpire" > <option selected="selected" value="">YYYY</option> <option value="24">2024</option> <option value="25">2025</option> <option value="26">2026</option> <option value="27">2027</option> <option value="28">2028</option> <option value="29">2029</option> <option value="30">2030</option> <option value="31">2031</option> <option value="32">2032</option> <option value="33">2033</option> </select> </div> </div> </div> <div class="en__field en__field--vgs en__field--728699 en__field--ccvv en__mandatory"> <label for="en__field_transaction_ccvv" class="en__field__label en__field__label--positionabove" style="">Card Security Code</label> <div class="en__field__element en__field__element--vgs"> <input type="hidden" name="transaction.ccvv" /> <div id="en__field_transaction_ccvv" class="en__field__input en__field__input--vgs"> </div> </div> </div> <div class="en__field en__field--text en__field--728698 en__field--NOT_TAGGED_10"> <label for="en__field_supporter_NOT_TAGGED_10" class="en__field__label en__field__label--positionabove" style="">Paypal Billing Agreement</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_NOT_TAGGED_10" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_10" value="I agree to allow the Lab to withdraw funds from my PayPal account." readonly /> </div> </div> <div class="en__field en__field--text en__field--question en__field--738808 en__field--total-one-time-charge-text"> <label for="en__field_supporter_questions_738808" class="en__field__label en__field__label--positionabove" style="">Total One-time Donation Amount:</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_questions_738808" type="text" class="en__field__input en__field__input--text" name="supporter.questions.738808" value="" readonly /> </div> </div> <div class="en__field en__field--text en__field--question en__field--738809 en__field--total-monthly-charge-text"> <label for="en__field_supporter_questions_738809" class="en__field__label en__field__label--positionabove" 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