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Invest in Marketplace Today | American Public Media

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Not FIRSTNAME? \u003Ca id=\u0027notme\u0027 href=\u0027javascript:void(0)\u0027\u003EClick here\u003C\/span\u003E\u003C\/div\u003E","secure_prepopulate_global_gift_strings":false,"secure_prepopulate_dynamic_gift_strings_cookie_lifetime":1763964356000,"secure_prepopulate_gs_omit":false},"js":{"tokens":[]}}); //--><!]]> </script> <!--[if lt IE 9]><script src="//html5shiv.googlecode.com/svn/trunk/html5.js"></script><![endif]--> </head> <body class="html not-front not-logged-in no-sidebars page-node page-node- page-node-885 node-type-premium-form i18n-en not-front not-logged-in node-type-premium-form page-node-view" > <script type="text/javascript"> (function($){ $(window).load(function(){ // returns an object with the query strings as key:value function getQueryParams(qs) { qs = qs.split("+").join(' '); var params = {}; var tokens; var regex = /[?&]?([^=]+)=([^&]*)/g; while (tokens = regex.exec(qs)) { var tokenKey = tokens[1]; var tokenValue = tokens[2]; if (tokenValue.indexOf('=') > -1) { tokenValue = tokenValue.substr(tokenValue.indexOf("=") + 1); } params[decodeURIComponent(tokenKey)] = decodeURIComponent(tokenValue); } return params; } // get query strings var queryStrings = getQueryParams(document.location.search); // get amount var amount = queryStrings.amount; var recurs = queryStrings.recurs; var ms = queryStrings.ms; var gs = queryStrings.gs; if (typeof amount != 'undefined' && !gs) { if (typeof recurs != 'undefined') { if(recurs == 'one-time'){ $('#edit-submitted-donation-recurs-monthly input[value="NO_RECURR"]').trigger('click'); if ($('#webform-component-donation #edit-submitted-donation-amount input[value="'+amount+'"]').length > 0) { // an actual value $('#webform-component-donation #edit-submitted-donation-amount input[value="'+amount+'"]').prop('checked',true).trigger('change'); } else { // select other $('#webform-component-donation #edit-submitted-donation-amount input[value*="other"]').prop('checked',true); // set amount $('#webform-component-donation input#edit-submitted-donation-other-amount').focus().val(amount).trigger('change'); } } else if(recurs == 'monthly'){ $('#edit-submitted-donation-recurs-monthly input[value="recurs"]').trigger('click'); if ($('#webform-component-donation #edit-submitted-donation-recurring-amount input[value="' + amount + '"]').length > 0) { $('#webform-component-donation #edit-submitted-donation-recurring-amount input[value="' + amount + '"]').prop('checked', true).trigger('change'); } else { // select other $('#webform-component-donation #edit-submitted-donation-recurring-amount input[value*="other"]').prop('checked', true); // set amount $('#webform-component-donation input#edit-submitted-donation-recurring-other-amount').focus().val(amount).trigger('change'); } } } else { $('#edit-submitted-donation-recurs-monthly input[value="NO_RECURR"]').trigger('click'); if ($('#webform-component-donation #edit-submitted-donation-amount input[value="'+amount+'"]').length > 0) { // an actual value $('#webform-component-donation #edit-submitted-donation-amount input[value="'+amount+'"]').prop('checked',true).trigger('change'); } else { // select other $('#webform-component-donation #edit-submitted-donation-amount input[value*="other"]').prop('checked',true); // set amount $('#webform-component-donation input#edit-submitted-donation-other-amount').focus().val(amount).trigger('change'); } } } if (typeof recurs != 'undefined' && !amount ) { if(recurs == 'one-time'){ $('#edit-submitted-donation-recurs-monthly input[value="NO_RECURR"]').trigger('click'); } else if(recurs == 'monthly'){ $('#edit-submitted-donation-recurs-monthly input[value="recurs"]').trigger('click'); } } // Set ms if available if (typeof ms != 'undefined' && !ms) { $('input[name="submitted[ms]"]').val(ms); } }); })(jQuery); </script> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-M2KG9DX" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript> <!-- End Google Tag Manager (noscript) --> <script> (function ($) { // If an encoded percent sign is detected in the URL after page load, redirect to the decoded form URL. $(document).ready(function(){ // Get current form URL. var formURL = window.location.href; // If the current URL includes an encoded percent sign, decode and redirect. if (formURL.indexOf("%25") !== -1) { // decode URL var formURLDecoded = decodeURIComponent(formURL); // redirect page window.location.replace(formURLDecoded); } }); })(jQuery); </script> <div id="skip-link"> <a href="#main-content" class="element-invisible element-focusable">Skip to main content</a> </div> <link href="https://fonts.googleapis.com/css?family=Muli:400,700,900&amp;display=swap" rel="stylesheet" /><link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.5.0/css/all.css" integrity="sha384-B4dIYHKNBt8Bc12p+WXckhzcICo0wtJAoU8YZTY5qE0Id1GSseTk6S+L3BlXeVIU" crossorigin="anonymous" /><div class="container"> <header><a href="https://www.marketplace.org" class="logo"> <img src="/files/mpr/upload/Marketplace_H_RGB_transparent.png" alt="Marketplace" id="logo" /></a> <p id="phone"><strong>Donate by phone:</strong> 1-800-562-8440</p> </header><main> <div id="title"><h1>Invest in Marketplace Today</h1></div> <div class="region region-content"> <div id="block-system-main" class="block block-system"> <div class="content"> <div id="node-885" class="node node-premium-form node-promoted clearfix" about="/mkp-header" typeof="sioc:Item foaf:Document"> <span property="dc:title" content="Invest in Marketplace Today" class="rdf-meta element-hidden"></span> <div class="content"> <div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p>When you become a Marketplace Investor today, you’re more than just a listener: you’re a vital partner in our mission to make people smarter about the economy, tech, and the world, every day. Your donation today makes for a better Marketplace tomorrow.</p> <p> Looking to mail a check, give through a donor advised fund, or donate stock? <br /><a href="http://www.marketplace.org/other-ways-to-give" style="text-decoration-line: none;">Learn more about other ways to support Marketplace here.</a></p></div></div></div><form class="webform-client-form fundraiser-donation-form" enctype="multipart/form-data" action="/mkp-header" method="post" id="webform-client-form-885" accept-charset="UTF-8"><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donation"><legend><span class="fieldset-legend">Step 1: Choose Your Donation Amount</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurs-monthly"> <div id="edit-submitted-donation-recurs-monthly"><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-1" name="submitted[donation][recurs_monthly]" value="recurs" checked="checked" /> <label class="option" for="edit-submitted-donation-recurs-monthly-1">Monthly Donation </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-2" name="submitted[donation][recurs_monthly]" value="NO_RECURR" /> <label class="option" for="edit-submitted-donation-recurs-monthly-2">One-time Donation </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount"> <div id="edit-submitted-donation-amount"><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="35" /> <label class="option" for="edit-submitted-donation-amount-1">$35 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="60" /> <label class="option" for="edit-submitted-donation-amount-2">$60 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="90" checked="checked" /> <label class="option" for="edit-submitted-donation-amount-3">$90 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="120" /> <label class="option" for="edit-submitted-donation-amount-4">$120 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="180" /> <label class="option" for="edit-submitted-donation-amount-5">$180 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-6" name="submitted[donation][amount]" value="1500" /> <label class="option" for="edit-submitted-donation-amount-6">$1500 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-7" name="submitted[donation][amount]" value="other" /> <label class="option" for="edit-submitted-donation-amount-7">Other </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurring-amount"> <div id="edit-submitted-donation-recurring-amount"><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-1" name="submitted[donation][recurring_amount]" value="5" /> <label class="option" for="edit-submitted-donation-recurring-amount-1">$5/mo </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-2" name="submitted[donation][recurring_amount]" value="8" checked="checked" /> <label class="option" for="edit-submitted-donation-recurring-amount-2">$8/mo </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-3" name="submitted[donation][recurring_amount]" value="10" /> <label class="option" for="edit-submitted-donation-recurring-amount-3">$10/mo </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-4" name="submitted[donation][recurring_amount]" value="16" /> <label class="option" for="edit-submitted-donation-recurring-amount-4">$16/mo </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-5" name="submitted[donation][recurring_amount]" value="other" /> <label class="option" for="edit-submitted-donation-recurring-amount-5">Other </label> </div></div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount"> <label for="edit-submitted-donation-other-amount">Other </label> <div class="field-prefix">$</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment $1.00.</div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--recurring-other-amount"> <label for="edit-submitted-donation-recurring-other-amount">Other </label> <div class="field-prefix">$</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-recurring-other-amount" name="submitted[donation][recurring_other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment $1.00.</div> </div></div></fieldset> <input type="hidden" name="submitted[ms]" value="default_ms" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-premiums"><legend><span class="fieldset-legend">Step 2: Choose Your Thank-You Gift</span></legend><div class="fieldset-wrapper"><div id="edit-submitted-premiums-premiums-box" class="form-item form-type-item form-item-submitted-premiums-premiums-box control-group"> <div id="premium-wrapper" class="form-item form-type-item form-item-submitted-premiums-premiums-box-premium-wrapper control-group"> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][premium-sku]" value="" /> <div class="premium-wrapper input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium input-medium form-wrapper" id="edit-submitted-premiums-premiums-box-premium-wrapper-0"><div class="form-item form-type-radio form-item-selected-premium-id control-group"> <input type="radio" id="edit-selected-premium-id" name="selected-premium-id" value="0" checked="checked" /> </div><div class="premium-name">No Gift</div><div class="premium-description"></div></div><div class="premium-wrapper form-wrapper" data-premium-id="1930" style="display:none" id="edit-submitted-premiums-premiums-box-premium-wrapper-1930"><div class="form-item form-type-radio form-item-selected-premium-id control-group"> <input type="radio" id="edit-selected-premium-id--2" name="selected-premium-id" value="1930" /> </div><div class="premium-name">Blue "Liquid Assets" Mug</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1930][inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1930][admin-inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1930][enable-restock]" value="1" /> <div class="premium-description">Our fan-favorite mug is back with a refreshed design in navy blue. This dishwasher-safe, 11-ounce mug is perfect for coffee, tea, or any warm beverage, imprinted with our Marketplace logo on one side and ‘Liquid Assets’ catchphrase on the other. FMV: $5</div><div class="premium-onetime-amount premium-amount">$35.00 donation</div><div class="premium-recurs-amount premium-amount">$5.00 monthly</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1930][selected-sku]" value="NME2401" /> <img id="sku-nme2401" class="premium-image" typeof="foaf:Image" src="https://support.marketplace.org/files/mpr/styles/medium/public/product_images/1000x1000_Mug_Navy.png?itok=ZYPKtfMp" width="600" height="600" alt="" title="" /><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1930][product_id]" value="2842" /> </div><div class="premium-wrapper form-wrapper" data-premium-id="1673" style="display:none" id="edit-submitted-premiums-premiums-box-premium-wrapper-1673"><div class="form-item form-type-radio form-item-selected-premium-id control-group"> <input type="radio" id="edit-selected-premium-id--3" name="selected-premium-id" value="1673" /> </div><div class="premium-name">Marketplace Nalgene Water bottle</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1673][inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1673][admin-inventory-threshold]" /> <div class="premium-description">Show off your love of Marketplace and stay hydrated at the same time with this 32oz Nalgene® bottle. FMV: $20</div><div class="premium-onetime-amount premium-amount">$70.00 donation</div><div class="premium-recurs-amount premium-amount">$6.00 monthly</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1673][selected-sku]" value="MME2301" /> <img id="sku-mme2301" class="premium-image" typeof="foaf:Image" src="https://support.marketplace.org/files/mpr/styles/medium/public/product_images/Nalgene-Cerulean_600x600.png?itok=bNwFnP2E" width="600" height="600" alt="" title="" /><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][1673][product_id]" value="2432" /> </div><div class="premium-wrapper form-wrapper" data-premium-id="2032" style="display:none" id="edit-submitted-premiums-premiums-box-premium-wrapper-2032"><div class="form-item form-type-radio form-item-selected-premium-id control-group"> <input type="radio" id="edit-selected-premium-id--4" name="selected-premium-id" value="2032" /> </div><div class="premium-name">Pair of 2 Blue "Liquid Assets" Mugs</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][2032][inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][2032][admin-inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][2032][enable-restock]" value="1" /> <div class="premium-description">Pick up a pair of our fan-favorite mugs in navy blue. These dishwasher-safe, 11-ounce mugs are perfect for coffee, tea, or any warm beverage, imprinted with our Marketplace logo on one side and ‘Liquid Assets’ catchphrase on the other. FMV: $10 </div><div class="premium-onetime-amount premium-amount">$120.00 donation</div><div class="premium-recurs-amount premium-amount">$10.00 monthly</div><img id="default-image-2032" class="premium-image" typeof="foaf:Image" src="https://support.marketplace.org/files/mpr/styles/medium/public/1000x1000_Mug_Navy%20%282%29.png?itok=ymhC6FA-" width="600" height="600" alt="" title="" /><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][2032][selected-sku]" value="NPI2401" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][2032][product_id]" value="3091" /> </div><div class="premium-wrapper form-wrapper" data-premium-id="309" style="display:none" id="edit-submitted-premiums-premiums-box-premium-wrapper-309"><div class="form-item form-type-radio form-item-selected-premium-id control-group"> <input type="radio" id="edit-selected-premium-id--5" name="selected-premium-id" value="309" /> </div><div class="premium-name">Personal Tour of Marketplace</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][309][inventory-threshold]" /> <input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][309][admin-inventory-threshold]" /> <div class="premium-description">Meet the teams behind your favorite show in this exclusive studio tour, either Marketplace HQ in Los Angeles or our New York bureau (participant is responsible for any related travel costs). (Fair Market Value: $0) </div><div class="premium-onetime-amount premium-amount">$1,500.00 donation</div><div class="premium-recurs-amount premium-amount">$125.00 monthly</div><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][309][selected-sku]" value="MVE1708" /> <img id="sku-mve1708" class="premium-image" typeof="foaf:Image" src="https://support.marketplace.org/files/mpr/styles/medium/public/product_images/Kai%20at%20mic.png?itok=753KZ8GM" width="600" height="466" alt="" title="" /><input type="hidden" name="submitted[premiums][premiums_box][premium-wrapper][309][product_id]" value="528" /> </div> </div> </div><div id="edit-submitted-premiums-bonusgift" class="form-item form-type-item form-item-submitted-premiums-bonusgift control-group"> <div id="premium-wrapper" class="form-item form-type-item form-item-submitted-premiums-bonusgift-premium-wrapper control-group"> <input type="hidden" name="submitted[premiums][bonusgift][premium-wrapper][bonusgift-sku]" value="" /> </div> </div></div></fieldset> <input type="hidden" name="submitted[cid]" value="" /> <input type="hidden" name="submitted[referrer]" value="" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information"><legend><span class="fieldset-legend">Step 3: Payment Method</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method"> <label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label> <div id="edit-submitted-payment-information-payment-method"><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="credit" /> <label class="option" for="edit-submitted-payment-information-payment-method-1">Credit Card </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="bank account" checked="checked" /> <label class="option" for="edit-submitted-payment-information-payment-method-2">Bank Account </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-3" name="submitted[payment_information][payment_method]" value="paypal" /> <label class="option" for="edit-submitted-payment-information-payment-method-3">PayPal </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-4" name="submitted[payment_information][payment_method]" value="applepay" /> <label class="option" for="edit-submitted-payment-information-payment-method-4">Apple Pay </label> </div></div> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--recurring-agreement"> <div id="edit-submitted-payment-information-recurring-agreement"><div class="form-item form-type-checkbox form-item-submitted-payment-information-recurring-agreement-Y control-group"> <input type="checkbox" id="edit-submitted-payment-information-recurring-agreement-1" name="submitted[payment_information][recurring_agreement][Y]" value="Y" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-recurring-agreement-1">Yes, I agree with the terms and conditions. </label> </div></div> </div><div class="form-item webform-component webform-component-markup control-group" id="webform-component-payment-information--terms-conditions"> <p>My authorization to withdraw my monthly gift from the account indicated shall remain in effect until I notify Marketplace/American Public Media that I wish to change it or end it, allowing at least two weeks to process my request. I understand if I choose this payment option, my contribution will be processed on the next to last Thursday of the month, or the next business day. A record of each payment will appear on my monthly credit card or bank statement and will serve as my receipt (please note: your transaction will appear on your statement as American Public Media/Minnesota Public Radio). To continue, please indicate that you have read and agreed to these terms.</p> </div><div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields"><fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit"><div class="fieldset-wrapper"><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number </label> <input class="input-large form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128" /> </div><div class='expiration-date-wrapper clear-block'><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date </label> <select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]"><option value="1">January</option><option value="2">February</option><option value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11" selected="selected">November</option><option value="12">December</option></select><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]"><option value="2024" selected="selected">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option><option value="2036">2036</option><option value="2037">2037</option><option value="2038">2038</option><option value="2039">2039</option></select> </div></div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV </label> <input class="input-small form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128" /> </div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" /> </div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-bank-account"><div class="fieldset-wrapper"><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-bank account-accType control-group"> <label for="edit-submitted-payment-information-payment-fields-bank-account-acctype">Account type </label> <select id="edit-submitted-payment-information-payment-fields-bank-account-acctype" name="submitted[payment_information][payment_fields][bank account][accType]" class="form-select"><option value="Checking">Checking</option><option value="Savings">Savings</option><option value="Corporate">Corporate</option><option value="Corp Savings">Corp Savings</option></select> </div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-routingNum control-group"> <label for="edit-submitted-payment-information-payment-fields-bank-account-routingnum">Routing number </label> <input autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-bank-account-routingnum" name="submitted[payment_information][payment_fields][bank account][routingNum]" value="" size="20" maxlength="128" class="form-text" /> </div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-accNum control-group"> <label for="edit-submitted-payment-information-payment-fields-bank-account-accnum">Account number </label> <input autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-bank-account-accnum" name="submitted[payment_information][payment_fields][bank account][accNum]" value="" size="30" maxlength="128" class="form-text" /> </div></div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal"><div class="fieldset-wrapper"><div id="payment-details" class="form-wrapper"><div id="braintree-payment-form-outer"><div class="braintree-payment-form form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal-braintree-new"><div id="paypal-container" class="form-wrapper"><div id="braintree-paypal-loggedin" class="form-wrapper"><span id="bt-pp-name">PayPal</span><span id="bt-pp-email"></span><button id="bt-pp-cancel">Cancel</button></div></div></div></div></div><input type="hidden" name="braintree[errors]" value="" /> <input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_last4]" value="" /> </div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay"><div class="fieldset-wrapper"><input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_last4]" value="" /> </div></fieldset> </div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="" /> </div></fieldset> <input type="hidden" name="submitted[initial_referrer]" value="" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information"><legend><span class="fieldset-legend">Step 4: Donor Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name"> <label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="35" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name"> <label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="35" class="form-text required" /> </div><div class="form-item webform-component webform-component-markup control-group" id="webform-component-donor-information--secondary-donor-link"> <a id="add-name" href="#">Add second name</a> </div><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information--secondary-donor"><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--secondary-donor--secondary-donor-first-name"> <label for="edit-submitted-donor-information-secondary-donor-secondary-donor-first-name">First Name </label> <input type="text" id="edit-submitted-donor-information-secondary-donor-secondary-donor-first-name" name="submitted[donor_information][secondary_donor][secondary_donor_first_name]" value="" size="60" maxlength="35" class="form-text" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--secondary-donor--secondary-donor-last-name"> <label for="edit-submitted-donor-information-secondary-donor-secondary-donor-last-name">Last Name </label> <input type="text" id="edit-submitted-donor-information-secondary-donor-secondary-donor-last-name" name="submitted[donor_information][secondary_donor][secondary_donor_last_name]" value="" size="60" maxlength="35" class="form-text" /> </div></div></fieldset> <div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail"> <label for="edit-submitted-donor-information-mail">E-mail address <span class="form-required" title="This field is required.">*</span></label> <input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60" /> </div><div class="form-item webform-component webform-component-number control-group" id="webform-component-donor-information--mobile-phone"> <label for="edit-submitted-donor-information-mobile-phone">Mobile Phone (Optional) </label> <input type="number" id="edit-submitted-donor-information-mobile-phone" name="submitted[donor_information][mobile_phone]" step="any" class="form-text form-number" /> </div></div></fieldset> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information"><legend><span class="fieldset-legend">Address</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address"> <label for="edit-submitted-billing-information-address">Street <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="65" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2"> <label for="edit-submitted-billing-information-address-line-2">Address line 2 </label> <input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="65" class="form-text" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city"> <label for="edit-submitted-billing-information-city">City <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" /> </div><div id="zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state"> <label for="edit-submitted-billing-information-state">State/Province <span class="form-required" title="This field is required.">*</span></label> <select id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" class="form-select required"><option value="" selected="selected">- Select -</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><option value=" ">--</option><option value="AA">Armed Forces (Americas)</option><option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option><option value="AP">Armed Forces (Pacific)</option><option value="AS">American Samoa</option><option value="FM">Federated States of Micronesia</option><option value="GU">Guam</option><option value="MH">Marshall Islands</option><option value="MP">Northern Mariana Islands</option><option value="PW">Palau</option><option value="PR">Puerto Rico</option><option value="VI">Virgin Islands</option></select> </div></div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip"> <label for="edit-submitted-billing-information-zip">ZIP/Postal <span class="form-required" title="This field is required.">*</span></label> <input class="input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" /> </div><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country"> <label for="edit-submitted-billing-information-country">Country <span class="form-required" title="This field is required.">*</span></label> <select id="edit-submitted-billing-information-country" name="submitted[billing_information][country]" class="form-select required"><option value="AF">Afghanistan</option><option value="AX">Aland 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</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="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</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 (Brazzaville)</option><option value="CD">Congo (Kinshasa)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</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</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="HN">Honduras</option><option value="HK">Hong Kong S.A.R., China</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</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="CI">Ivory Coast</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="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</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 S.A.R., China</option><option value="MK">Macedonia</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</option><option value="MD">Moldova</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="AN">Netherlands Antilles</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 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