Donate | The Metropolitan Museum of Art

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If you wish to make a donation with cryptocurrency, you can do so <a rel="noopener" href="https://bitpay.com/687970/donate/" target="_blank" title="Cryptocurrency Donations">here.</a></p> </div> </div> </div> <div class="stack-md"> <div class="validation-summary-valid" data-valmsg-summary="true"><ul><li style="display:none"></li> </ul></div> <div class="stack-sm"> <p class="bold"> Suggested Donation Levels </p> <input data-val="true" data-val-required="The ReoccuringDonation field is required." id="RecurringDonation_toggle" name="DonationRequest.ReoccuringDonation" type="checkbox" value="true" /><input name="DonationRequest.ReoccuringDonation" type="hidden" value="false" /> <label for="RecurringDonation_toggle" aria-controls=DonationAmounts_recur_msg id="Monthly_donation_text"> <p>Make a monthly gift to sustain The Met year-round</p> </label> <div data-panel id="DonationAmounts_recur_msg"> <div class="small rich-text" id="Additional_monthly_donation_text"> <p>Your credit card will be charged automatically on the last day of each month. <em>By checking the above box, I agree that my credit card will be charged on a monthly basis, for the amount I have chosen. I allow The Metropolitan Museum of Art to securely store my credit card information. I may cancel my participation in the Automatic Renewal Program at any time by completing <a href="https://forms.office.com/r/0ABC9Hxn0r">this form</a>, calling 212-570-3753, or emailing <a href="mailto:automatic.renewal@metmuseum.org">automatic.renewal@metmuseum.org</a>.</em></p> </div> </div> <div class="stack-sm" style="display: none" id="DonationAmounts_recur_list"> <ul class="qd-amt-list" aria-label="Donation Amounts"> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" data-val="true" data-val-number="The field DonationAmount must be a number." data-val-range="Donations must be at least $1" data-val-range-max="2147483647" data-val-range-min="1" data-val-regex="Please enter a valid, whole dollar amount." data-val-regex-pattern="^\d+(?:\.\d+)?$" data-val-required="Please enter a donation amount." id="DonationAmounts_recur_10" name="DonationRequest.DonationAmount" type="radio" value="10" /> <label for="DonationAmounts_recur_10"> $10/mo </label> </li> <li class="qd-amt-list-item"> <input checked="checked" class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_recur_25" name="DonationRequest.DonationAmount" type="radio" value="25" /> <label for="DonationAmounts_recur_25"> $25/mo </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_recur_50" name="DonationRequest.DonationAmount" type="radio" value="50" /> <label for="DonationAmounts_recur_50"> $50/mo </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_recur_100" name="DonationRequest.DonationAmount" type="radio" value="100" /> <label for="DonationAmounts_recur_100"> $100/mo </label> </li> <li class="qd-amt-list-item"> <input type="radio" name="DonationRequest.DonationAmount" id="DonationAmounts_recur_custom" class="radiocheck-pill radiocheck-pill-sm" value="5" /> <label for="DonationAmounts_recur_custom" aria-controls="CustomAmount_panel"> Other </label> </li> </ul> </div> <ul class="qd-amt-list" aria-label="Donation Amounts" id="DonationAmounts_list"> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_5" name="DonationRequest.DonationAmount" type="radio" value="5" /> <label for="DonationAmounts_5"> $5 </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_10" name="DonationRequest.DonationAmount" type="radio" value="10" /> <label for="DonationAmounts_10"> $10 </label> </li> <li class="qd-amt-list-item"> <input checked="checked" class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_25" name="DonationRequest.DonationAmount" type="radio" value="25" /> <label for="DonationAmounts_25"> $25 </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_50" name="DonationRequest.DonationAmount" type="radio" value="50" /> <label for="DonationAmounts_50"> $50 </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_100" name="DonationRequest.DonationAmount" type="radio" value="100" /> <label for="DonationAmounts_100"> $100 </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_250" name="DonationRequest.DonationAmount" type="radio" value="250" /> <label for="DonationAmounts_250"> $250 </label> </li> <li class="qd-amt-list-item"> <input class="radiocheck-pill radiocheck-pill-sm" id="DonationAmounts_500" name="DonationRequest.DonationAmount" type="radio" value="500" /> <label for="DonationAmounts_500"> $500 </label> </li> <li class="qd-amt-list-item"> <input type="radio" name="DonationRequest.DonationAmount" id="DonationAmounts_custom" class="radiocheck-pill radiocheck-pill-sm" value="5" /> <label for="DonationAmounts_custom" aria-controls="CustomAmount_panel"> Other </label> </li> </ul> <div data-qd-panel id="CustomAmount_panel" class="stack-sm"> <label for="DonationAmount"> Other Amount </label> <input data-val="true" data-val-number="The field MaximumCustomDonationAmount must be a number." data-val-required="The MaximumCustomDonationAmount field is required." id="CurrentPage_MaximumCustomDonationAmount" name="CurrentPage.MaximumCustomDonationAmount" type="hidden" value="300000" /> <div class="currency-input" data-currency="$"> <input class="text-box single-line" data-val="true" data-val-number="The field CustomDonationAmount must be a number." data-val-range="Donations must be at least $1" data-val-range-max="2147483647" data-val-range-min="1" data-val-regex="Please enter a valid, whole dollar amount." data-val-regex-pattern="^\d+(?:\.\d+)?$" data-val-required="Please enter a donation amount." id="DonationRequest_DonationAmount" name="DonationRequest.CustomDonationAmount" type="number" value="25.00" /> </div> <span class="field-validation-valid" data-valmsg-for="DonationRequest.CustomDonationAmount" data-valmsg-replace="true" id="donationrequest.customdonationamount-valMsg"></span> <span hidden class="field-validation-error" id="donationrequest-customdonationamount-valMsg-over"> <span id="DonationRequest_DonationAmount-error-over" class="">Credit Card transactions are limited to $300,000 or less. Please call Gift Processing at 212-650-2425 to make a donation larger than $300,000.</span> </span> </div> <input data-val="true" data-val-number="The field CoverTransactionFeesPercentage must be a number." data-val-required="The CoverTransactionFeesPercentage field is required." id="CurrentPage_CoverTransactionFeesPercentage" name="CurrentPage.CoverTransactionFeesPercentage" type="hidden" value="3" /><input data-val="true" data-val-required="The CoverTransaction field is required." id="CoverTransaction_toggle" name="DonationRequest.CoverTransaction" type="checkbox" value="true" /><input name="DonationRequest.CoverTransaction" type="hidden" value="false" /> <label for="CoverTransaction_toggle" aria-controls=CoverTransaction_panel id="Cover_Transaction_label"> Cover transaction costs </label> <div data-coverfees-panel id="CoverTransaction_panel" aria-hidden="true"> <div class="small rich-text" id="Cover_Transaction_text"> Thanks for your {feeAmount}. When you cover transaction costs, we receive 100% of your gift. </div> </div> <input Length="9" data-val="true" data-val-number="The field SelectedFundId must be a number." data-val-required="The SelectedFundId field is required." id="DonationRequest_SelectedFundId" name="DonationRequest.SelectedFundId" type="hidden" value="2349" /> </div> </div> </div> </div> </div> </div> <div class="split-header-image-container" style="background-image: url('/media/00efp1hc/dp-16032-044-jpg-original-300dpi-2.jpg?center=0.53400465346912307,0.31643960241624242&mode=crop&rnd=133603269096870000')"> <picture class="split-header-image-picture"> <source srcset="/media/00efp1hc/dp-16032-044-jpg-original-300dpi-2.jpg?center=0.53400465346912307,0.31643960241624242&mode=crop&quality=70&width=1920&height=2200&rnd=133603269096870000" media="(min-width: 1025px)" /> <source srcset="/media/00efp1hc/dp-16032-044-jpg-original-300dpi-2.jpg?center=0.53400465346912307,0.31643960241624242&mode=crop&quality=70&width=1024&height=1400&rnd=133603269096870000" media="(min-width: 769px) and (max-width: 1024px)" /> <source srcset="/media/00efp1hc/dp-16032-044-jpg-original-300dpi-2.jpg?center=0.53400465346912307,0.31643960241624242&mode=crop&quality=70&width=768&rnd=133603269096870000" media="(max-width: 768px)" /> <img src="/media/00efp1hc/dp-16032-044-jpg-original-300dpi-2.jpg?center=0.53400465346912307,0.31643960241624242&mode=crop&quality=70&width=1024&height=1400&rnd=133603269096870000" alt="The Metropolitan Museum of Art at 1000 5th Ave" class="split-header-image" style="--focal-point-h: 31.64396024162424200%; --focal-point-v: 53.40046534691230700%;" /> </picture> </div> </section> <div class="ace-page-section"> <section class="ace-page-centered"> <div class="form-container"> <h2 class="header h3-style"> Donor </h2> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.EmailAddress" data-valmsg-replace="true" id="donationrequest.userrequest.emailaddress-valMsg"></span> <label for="DonationRequest_UserRequest_EmailAddress"> Email Address </label> <input class="text-box single-line" data-val="true" data-val-required="The EmailAddress field is required." id="DonationRequest_UserRequest_EmailAddress" name="DonationRequest.UserRequest.EmailAddress" type="email" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.FirstName" data-valmsg-replace="true" id="donationrequest.userrequest.firstname-valMsg"></span> <label for="DonationRequest_UserRequest_FirstName"> First Name </label> <input class="text-box single-line" data-val="true" data-val-required="The FirstName field is required." id="DonationRequest_UserRequest_FirstName" name="DonationRequest.UserRequest.FirstName" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.LastName" data-valmsg-replace="true" id="donationrequest.userrequest.lastname-valMsg"></span> <label for="DonationRequest_UserRequest_LastName"> Last Name </label> <input class="text-box single-line" data-val="true" data-val-required="The LastName field is required." id="DonationRequest_UserRequest_LastName" name="DonationRequest.UserRequest.LastName" type="text" value="" /> </div> <div class="form-item"> <div class="flex-between form-item-label"> <label for="DonationRequest_PhoneNumber"> Phone Number </label> <span class="italic small">Optional</span> </div> <input class="text-box single-line" id="DonationRequest_PhoneNumber" name="DonationRequest.PhoneNumber" type="tel" value="" /> </div> <div class="form-item"> <div class="flex-between form-item-label"> <label for="DonationRequest_DonationNote"> Donation Note </label> <span class="italic small">Optional</span> </div> <textarea cols="20" data-val="true" data-val-maxlength="Maximum length of 255 characters" data-val-maxlength-max="255" id="DonationRequest_DonationNote" name="DonationRequest.DonationNote" rows="2"> </textarea> <span class="field-validation-valid" data-valmsg-for="DonationRequest.DonationNote" data-valmsg-replace="true"></span> </div> <div class="form-item"> <input data-val="true" data-val-required="The HasDedication field is required." id="DonationRequest_HasDedication" name="DonationRequest.HasDedication" type="checkbox" value="true" /><input name="DonationRequest.HasDedication" type="hidden" value="false" /> <label for="DonationRequest_HasDedication" aria-controls="Dedication_panel"> Dedicate my donation in honor or memory of someone </label> </div> </div> <div class="form-container"> <div id="Dedication_panel" data-dedication-panel data-clear-inputs data-prevent-focus> <section class="form-container block"> <h2 class="header h4-style" id="Dedication_heading"> <p>Dedication Information</p> </h2> <h3 class="header h6-style" id="Gift_type_heading"> My gift is </h3> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.GiftType" data-valmsg-replace="true" id="dedicationcsi.gifttype-valMsg"></span> <ul aria-label="Gift Types" class="no-bullets flex-fiftyfifty"> <li> <input class="radiocheck-pill radiocheck-pill-sm" id="Gift_In memory of" name="DedicationCsi.GiftType" type="radio" value="In memory of" /> <label for="Gift_In memory of"> In memory of </label> </li> <li> <input class="radiocheck-pill radiocheck-pill-sm" id="Gift_In honor of" name="DedicationCsi.GiftType" type="radio" value="In honor of" /> <label for="Gift_In honor of"> In honor of </label> </li> </ul> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.DedicationFirstName" data-valmsg-replace="true" id="dedicationcsi.dedicationfirstname-valMsg"></span> <label for="DedicationCsi_DedicationFirstName"> First Name </label> <input class="text-box single-line" id="DedicationCsi_DedicationFirstName" name="DedicationCsi.DedicationFirstName" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.DedicationLastName" data-valmsg-replace="true" id="dedicationcsi.dedicationlastname-valMsg"></span> <label for="DedicationCsi_DedicationLastName"> Last Name </label> <input class="text-box single-line" id="DedicationCsi_DedicationLastName" name="DedicationCsi.DedicationLastName" type="text" value="" /> </div> <h3 class="header h6-style"> Tribute Type </h3> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.TributeType" data-valmsg-replace="true" id="dedicationcsi.tributetype-valMsg"></span> <ul class="no-bullets flex-fiftyfifty" aria-label="Tribute Types"> <li> <input class="radiocheck-pill radiocheck-pill-sm" id="Tribute_Paper Card" name="DedicationCsi.TributeType" type="radio" value="Paper Card" /> <label for="Tribute_Paper Card" data-dedication-options="card message address" > Paper Card </label> </li> <li> <input class="radiocheck-pill radiocheck-pill-sm" id="Tribute_Email" name="DedicationCsi.TributeType" type="radio" value="Email" /> <label for="Tribute_Email" data-dedication-options="cert message email" > Email </label> </li> </ul> </div> </section> </div> <div class="stack-lg" id="Dedication_options_panel" data-dedication-panel data-clear-inputs data-prevent-focus> <span></span> <section id="Dedication_options_cert" class="form-container"> <h3 class="header h6-style"> </h3> <div id="Certificate_description"> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.CertificateType" data-valmsg-replace="true" id="dedicationcsi.certificatetype-valMsg"></span> <ul class="no-bullets" aria-label="Card Types"> <li class="qd-card-list-item flex-fiftyfifty"> <div> <input class="radiocheck-pill radiocheck-pill-sm" id="Cert_The Met Fifth Avenue" name="DedicationCsi.CertificateType" type="radio" value="The Met Fifth Avenue" /> <label for="Cert_The Met Fifth Avenue"> The Met Fifth Avenue </label> </div> <img src="/media/q13by2wt/facade_email_cert_image.jpg?anchor=center&mode=crop&quality=80&width=768&rnd=133246454067930000" alt="" /> </li> <li class="qd-card-list-item flex-fiftyfifty"> <div> <input class="radiocheck-pill radiocheck-pill-sm" id="Cert_William the Hippo" name="DedicationCsi.CertificateType" type="radio" value="William the Hippo" /> <label for="Cert_William the Hippo"> William the Hippo </label> </div> <img src="/media/qsnjpomf/william_email_cert_image.jpg?anchor=center&mode=crop&quality=80&width=768&rnd=133604232405670000" alt="Hippopotamus ("William"). Egypt, Middle Egypt, Meir; Middle Kingdom, Dynasty 12, reign of Senwosret II, ca. 1961-1878 B.C. Faience, Gift of Edward S. Harkness, 1917 (17.9.1)" /> </li> </ul> </div> </section> <section id="Dedication_options_card" class="form-container"> <h3 class="header h6-style"> Card Type </h3> <div id="Card_description"> <p>A tribute card will be sent to your honoree.</p> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.CardType" data-valmsg-replace="true" id="dedicationcsi.cardtype-valMsg"></span> <ul class="no-bullets" aria-label="Card Types"> <li class="qd-card-list-item flex-fiftyfifty"> <div> <input class="radiocheck-pill radiocheck-pill-sm" id="Card_The Met Fifth Avenue" name="DedicationCsi.CardType" type="radio" value="The Met Fifth Avenue" /> <label for="Card_The Met Fifth Avenue"> The Met Fifth Avenue </label> </div> <img alt="The Metropolitan Museum of Art, Fifth Avenue Facade and David H. Koch Plaza at dusk/ Photo: © Floto+Warner for The Metropolitan Museum of Art" src="/media/kjvhbc33/facade-image.jpg?anchor=center&mode=crop&quality=80&width=768&rnd=133246454003570000" /> </li> <li class="qd-card-list-item flex-fiftyfifty"> <div> <input class="radiocheck-pill radiocheck-pill-sm" id="Card_William the Hippo" name="DedicationCsi.CardType" type="radio" value="William the Hippo" /> <label for="Card_William the Hippo"> William the Hippo </label> </div> <img alt="Hippopotamus ("William"). Egypt, Middle Egypt, Meir; Middle Kingdom, Dynasty 12, reign of Senwosret II, ca. 1961-1878 B.C. Faience, Gift of Edward S. Harkness, 1917 (17.9.1)" src="/media/tx3c4ztw/william-image.jpg?anchor=center&mode=crop&quality=80&width=768&rnd=133604232985030000" /> </li> <li class="qd-card-list-item flex-fiftyfifty"> <div> <input class="radiocheck-pill radiocheck-pill-sm" id="Card_The Great Hall Floral Arrangement" name="DedicationCsi.CardType" type="radio" value="The Great Hall Floral Arrangement" /> <label for="Card_The Great Hall Floral Arrangement"> The Great Hall Floral Arrangement </label> </div> <img alt="Floral bouquet displayed in The Great Hall/ Image: © The Metropolitan Museum of Art" src="/media/afrj1oqr/flower-image.jpg?anchor=center&mode=crop&quality=80&width=768&rnd=133604233096070000" /> </li> </ul> </div> </section> <section id="Dedication_options_detail" class="form-container"> <h3 class="header h6-style"> </h3> <div id="Email_description"> <p>Your honoree will receive an email from The Met.</p> </div> </section> <section id="Dedication_options_email" class="form-container"> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientEmail" data-valmsg-replace="true" id="dedicationcsi.recipientemail-valMsg"></span> <label for="DedicationCsi_RecipientEmail"> Email Address </label> <input class="text-box single-line" id="DedicationCsi_RecipientEmail" name="DedicationCsi.RecipientEmail" type="text" value="" /> </div> </section> <section id="Dedication_options_message" class="form-container"> <div class="form-item"> <div class="flex-between form-item-label"> <label for="DedicationCsi_PersonalMessage"> Personal Message </label> <span class="italic small">Optional</span> </div> <textarea cols="20" data-val="true" data-val-maxlength="Maximum length of 255 characters" data-val-maxlength-max="255" id="DedicationCsi_PersonalMessage" name="DedicationCsi.PersonalMessage" rows="2"> </textarea> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.SentBy" data-valmsg-replace="true" id="dedicationcsi.sentby-valMsg"></span> <label for="DedicationCsi_SentBy"> Sent By </label> <input class="text-box single-line" id="DedicationCsi_SentBy" name="DedicationCsi.SentBy" type="text" value="" /> </div> </section> <section id="Dedication_options_address" class="form-container"> <h3 class="header h5-style"> Recipient Information </h3> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientFirstName" data-valmsg-replace="true" id="dedicationcsi.recipientfirstname-valMsg"></span> <label for="DedicationCsi_RecipientFirstName"> First Name </label> <input class="text-box single-line" id="DedicationCsi_RecipientFirstName" name="DedicationCsi.RecipientFirstName" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientLastName" data-valmsg-replace="true" id="dedicationcsi.recipientlastname-valMsg"></span> <label for="DedicationCsi_RecipientLastName"> Last Name </label> <input class="text-box single-line" id="DedicationCsi_RecipientLastName" name="DedicationCsi.RecipientLastName" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientAddress1" data-valmsg-replace="true" id="dedicationcsi.recipientaddress1-valMsg"></span> <label for="DedicationCsi_RecipientAddress1"> Street Address </label> <input class="text-box single-line" id="DedicationCsi_RecipientAddress1" name="DedicationCsi.RecipientAddress1" type="text" value="" /> </div> <div class="form-item"> <div class="flex-between form-item-label"> <label for="DedicationCsi_RecipientAddress2"> Apartment/Suite </label> <span class="italic small">Optional</span> </div> <input class="text-box single-line" id="DedicationCsi_RecipientAddress2" name="DedicationCsi.RecipientAddress2" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientCity" data-valmsg-replace="true" id="dedicationcsi.recipientcity-valMsg"></span> <label for="DedicationCsi_RecipientCity"> City </label> <input class="text-box single-line" id="DedicationCsi_RecipientCity" name="DedicationCsi.RecipientCity" type="text" value="" /> </div> <div class="form-item"> <label for="DedicationCsi_RecipientCountryId"> Country </label> <select name="DedicationCsi.RecipientCountryId" id="Country_Dedication" data-country-dropdown="recipient"> <option value="1">USA</option> <option value="226">Afghanistan</option> <option value="288">Aland Islands</option> <option value="3">Albania</option> <option value="4">Algeria</option> <option value="239">American Samoa </option> <option value="5">Andorra</option> <option value="6">Angola</option> <option value="240">Anguilla </option> <option value="289">Antarctica</option> <option value="10">Antigua and Barbuda</option> <option value="7">Argentina</option> <option value="241">Armenia</option> <option value="8">Aruba</option> <option value="227">Australia</option> <option value="11">Austria</option> <option value="235">Azerbaijan</option> <option value="230">Bahamas (the)</option> <option value="18">Bahrain</option> <option value="24">Bangladesh</option> <option value="219">Barbados</option> <option value="242">Belarus</option> <option value="15">Belgium</option> <option value="22">Belize</option> <option value="16">Benin</option> <option value="17">Bermuda</option> <option value="19">Bhutan</option> <option value="25">Bolivia</option> <option value="290">Bonaire, Sint Eustatius & Saba</option> <option value="243">Bosnia and Herzegovina</option> <option value="26">Botswana</option> <option value="291">Bouvet Island</option> <option value="27">Brazil</option> <option value="318">British Indian Ocean Territory</option> <option value="28">Brunei Darussalam</option> <option value="29">Bulgaria</option> <option value="21">Burkina Faso</option> <option value="23">Burundi</option> <option value="244">Cambodia </option> <option value="31">Cameroon</option> <option value="32">Canada</option> <option value="46">Cape Verde</option> <option value="49">Cayman Islands (the)</option> <option value="33">Central African Republic (the)</option> <option value="36">Chad</option> <option value="37">Chile</option> <option value="246">China</option> <option value="292">Christmas Island</option> <option value="293">Cocos (Keeling) Islands (the)</option> <option value="43">Colombia</option> <option value="40">Comoros (the)</option> <option value="283">Congo (Democratic Republic of)</option> <option value="44">Congo (the)</option> <option value="39">Cook Islands (the)</option> <option value="45">Costa Rica</option> <option value="294">Côte d'Ivoire</option> <option value="232">Croatia</option> <option value="47">Cuba</option> <option value="48">Curaçao</option> <option value="50">Cyprus</option> <option value="248">Czech Republic </option> <option value="53">Denmark</option> <option value="54">Djibouti</option> <option value="55">Dominica</option> <option value="56">Dominican Republic (the)</option> <option value="57">Ecuador</option> <option value="58">Egypt</option> <option value="59">El Salvador</option> <option value="60">England</option> <option value="61">Equatorial Guinea</option> <option value="249">Eritrea</option> <option value="62">Estonia</option> <option value="63">Ethiopia</option> <option value="67">Falkland Islands (the)</option> <option value="64">Faroe Islands (the)</option> <option value="66">Fiji</option> <option value="65">Finland</option> <option value="68">France</option> <option value="34">French Guiana</option> <option value="70">French Polynesia</option> <option value="295">French Southern Territories</option> <option value="71">Gabon</option> <option value="251">Gambia (the)</option> <option value="236">Georgia</option> <option value="74">Germany</option> <option value="75">Ghana</option> <option value="76">Gibraltar</option> <option value="79">Greece</option> <option value="80">Greenland</option> <option value="73">Grenada</option> <option value="252">Guadeloupe </option> <option value="78">Guatemala</option> <option value="253">Guernsey </option> <option value="83">Guinea</option> <option value="82">Guinea-Bissau</option> <option value="84">Guyana</option> <option value="85">Haiti</option> <option value="296">Heard Island, McDonald Islands</option> <option value="254">Holy See (Vatican City State) </option> <option value="88">Honduras</option> <option value="86">Hong Kong</option> <option value="89">Hungary</option> <option value="90">Iceland</option> <option value="92">India</option> <option value="91">Indonesia</option> <option value="95">Iran</option> <option value="96">Iraq</option> <option value="94">Ireland</option> <option value="97">Isle Of Man</option> <option value="98">Israel</option> <option value="99">Italy</option> <option value="101">Jamaica</option> <option value="102">Japan</option> <option value="256">Jersey </option> <option value="103">Jordan</option> <option value="238">Kazakhstan</option> <option value="106">Kenya</option> <option value="108">Kiribati</option> <option value="145">Korea (North)</option> <option value="177">Korea (South)</option> <option value="109">Kuwait</option> <option value="258">Kyrgyzstan </option> <option value="110">Laos (Loa People's Dem Rep)</option> <option value="111">Latvia</option> <option value="112">Lebanon</option> <option value="113">Lesotho</option> <option value="114">Liberia</option> <option value="118">Libya</option> <option value="115">Liechtenstein</option> <option value="116">Lithuania</option> <option value="117">Luxembourg</option> <option value="259">Macao</option> <option value="298">Macedonia</option> <option value="120">Madagascar</option> <option value="127">Malawi</option> <option value="121">Malaysia</option> <option value="124">Maldives</option> <option value="126">Mali</option> <option value="133">Malta</option> <option value="299">Marshall Islands (the)</option> <option value="122">Martinique</option> <option value="123">Mauritania</option> <option value="134">Mauritius</option> <option value="300">Mayotte</option> <option value="125">Mexico</option> <option value="301">Micronesia</option> <option value="302">Moldova (the Republic of)</option> <option value="130">Monaco</option> <option value="129">Mongolia</option> <option value="303">Montenegro</option> <option value="128">Montserrat</option> <option value="131">Morocco</option> <option value="132">Mozambique</option> <option value="261">Myanmar</option> <option value="135">Namibia</option> <option value="136">Nauru</option> <option value="138">Nepal</option> <option value="87">Netherlands (the)</option> <option value="137">New Caledonia</option> <option value="149">New Zealand</option> <option value="141">Nicaragua</option> <option value="142">Niger (the)</option> <option value="147">Nigeria</option> <option value="144">Niue</option> <option value="304">Norfolk Island</option> <option value="143">Northern Ireland</option> <option value="262">Northern Mariana Islands (the)</option> <option value="146">Norway</option> <option value="151">Oman</option> <option value="153">Pakistan</option> <option value="305">Palau</option> <option value="306">Palestine, State of</option> <option value="154">Panama</option> <option value="155">Papua New Guinea</option> <option value="156">Paraguay</option> <option value="157">Peru</option> <option value="158">Philippines (the)</option> <option value="159">Pitcairn</option> <option value="160">Poland</option> <option value="161">Portugal</option> <option value="162">Qatar</option> <option value="265">Réunion</option> <option value="164">Romania</option> <option value="233">Russia</option> <option value="166">Rwanda</option> <option value="284">Saint Barthélemy</option> <option value="309">Saint Helena</option> <option value="267">Saint Kitts and Nevis </option> <option value="185">Saint Lucia</option> <option value="268">Saint Martin (French Part)</option> <option value="310">Saint Pierre and Miquelon</option> <option value="187">Saint Vincent and Grenadines</option> <option value="269">Samoa</option> <option value="178">San Marino</option> <option value="168">Sao Tome and Principe</option> <option value="169">Saudi Arabia</option> <option value="170">Scotland</option> <option value="172">Senegal</option> <option value="270">Serbia </option> <option value="173">Seychelles</option> <option value="174">Sierra Leone</option> <option value="175">Singapore</option> <option value="271">Sint Maarten (Dutch part)</option> <option value="234">Slovakia</option> <option value="228">Slovenia</option> <option value="181">Solomon Islands</option> <option value="182">Somalia</option> <option value="180">South Africa</option> <option value="307">South Georgia, South Sandwich</option> <option value="308">South Sudan</option> <option value="183">Spain</option> <option value="184">Sri Lanka</option> <option value="188">Sudan (the)</option> <option value="189">Suriname</option> <option value="311">Svalbard and Jan Mayen</option> <option value="190">Swaziland</option> <option value="191">Sweden</option> <option value="192">Switzerland</option> <option value="193">Syria</option> <option value="195">Taiwan</option> <option value="273">Tajikistan </option> <option value="196">Tanzania, United Republic of</option> <option value="197">Thailand</option> <option value="312">Timor-Leste</option> <option value="200">Togo</option> <option value="313">Tokelau</option> <option value="201">Tonga</option> <option value="274">Trinidad and Tobago</option> <option value="204">Tunisia</option> <option value="205">Turkey</option> <option value="285">Turkmenistan</option> <option value="275">Turks and Caicos Islands (the)</option> <option value="206">Tuvalu</option> <option value="208">Uganda</option> <option value="276">Ukraine</option> <option value="207">United Arab Emirates (UAE)</option> <option value="209">United Kingdom</option> <option value="211">Uruguay</option> <option value="286">US Minor Outlying Islands</option> <option value="278">Uzbekistan </option> <option value="215">Vanuatu</option> <option value="216">Venezuela</option> <option value="279">Viet Nam </option> <option value="280">Virgin Islands (British)</option> <option value="281">Virgin Islands (U.S.)</option> <option value="218">Wales</option> <option value="316">Wallis and Futuna</option> <option value="317">Western Sahara</option> <option value="220">Yemen</option> <option value="224">Zambia</option> <option value="225">Zimbabwe</option> </select> </div> <div class="form-item"> <label for="DedicationCsi_RecipientStateCode"> State </label> <select name="DedicationCsi.RecipientStateCode" id="DedicationCsi_RecipientStateCode" data-state-dropdown="recipient"> <option value="Aberdeenshire" data-country="209">Aberdeenshire</option> <option value="AL" data-country="1">Alabama</option> <option value="AK" data-country="1">Alaska</option> <option value="AB" data-country="32">Alberta</option> <option value="AE" data-country="1">American Embassy</option> <option value="AS" data-country="1">American Samoa</option> <option value="Angus" data-country="209">Angus</option> <option value="Argyll" data-country="209">Argyll</option> <option value="AZ" data-country="1">Arizona</option> <option value="AR" data-country="1">Arkansas</option> <option value="AP" data-country="1">Armed Forces</option> <option value="AAT" data-country="227">Australian Antarctic Territory</option> <option value="ACT" data-country="227">Australian Capital Territory</option> <option value="Avon" data-country="209">Avon</option> <option value="Ayrshire" data-country="209">Ayrshire</option> <option value="Banffshire" data-country="209">Banffshire</option> <option value="Bedfordshire" data-country="209">Bedfordshire</option> <option value="Berkshire" data-country="209">Berkshire</option> <option value="Berwickshire" data-country="209">Berwickshire</option> <option value="BC" data-country="32">British Columbia</option> <option value="Buckinghamshire" data-country="209">Buckinghamshire</option> <option value="Caithness" data-country="209">Caithness</option> <option value="CA" data-country="1">California</option> <option value="Cambridgeshire" data-country="209">Cambridgeshire</option> <option value="Channel Islands" data-country="209">Channel Islands</option> <option value="Cheshire" data-country="209">Cheshire</option> <option value="Clackmannanshire" data-country="209">Clackmannanshire</option> <option value="Cleveland" data-country="209">Cleveland</option> <option value="Clwyd" data-country="209">Clwyd</option> <option value="CO" data-country="1">Colorado</option> <option value="CT" data-country="1">Connecticut</option> <option value="Cornwall" data-country="209">Cornwall</option> <option value="County Antrim" data-country="209">County Antrim</option> <option value="County Armagh" data-country="209">County Armagh</option> <option value="County Down" data-country="209">County Down</option> <option value="County Durham" data-country="209">County Durham</option> <option value="County Fermanagh" data-country="209">County Fermanagh</option> <option value="County Londonderry" data-country="209">County Londonderry</option> <option value="County Tyrone" data-country="209">County Tyrone</option> <option value="Cumbria" data-country="209">Cumbria</option> <option value="DC" data-country="1">D.C.</option> <option value="DE" data-country="1">Delaware</option> <option value="Derbyshire" data-country="209">Derbyshire</option> <option value="Devon" data-country="209">Devon</option> <option value="Dorset" data-country="209">Dorset</option> <option value="Dumfriesshire" data-country="209">Dumfriesshire</option> <option value="Dunbartonshire" data-country="209">Dunbartonshire</option> <option value="Dyfed" data-country="209">Dyfed</option> <option value="East Lothian" data-country="209">East Lothian</option> <option value="East Sussex" data-country="209">East Sussex</option> <option value="Essex" data-country="209">Essex</option> <option value="Fife" data-country="209">Fife</option> <option value="FL" data-country="1">Florida</option> <option value="GA" data-country="1">Georgia</option> <option value="Gloucestershire" data-country="209">Gloucestershire</option> <option value="Greater London" data-country="209">Greater London</option> <option value="GU" data-country="1">Guam</option> <option value="Gwent" data-country="209">Gwent</option> <option value="Gwynedd" data-country="209">Gwynedd</option> <option value="Hampshire" data-country="209">Hampshire</option> <option value="HI" data-country="1">Hawaii</option> <option value="Herefordshire" data-country="209">Herefordshire</option> <option value="Hertfordshire" data-country="209">Hertfordshire</option> <option value="ID" data-country="1">Idaho</option> <option value="IL" data-country="1">Illinois</option> <option value="IN" data-country="1">Indiana</option> <option value="Inverness-Shire" data-country="209">Inverness-Shire</option> <option value="IA" data-country="1">Iowa</option> <option value="Isle Of Lewis" data-country="209">Isle Of Lewis</option> <option value="Isle Of Skye" data-country="209">Isle Of Skye</option> <option value="Isle Of Wight" data-country="209">Isle Of Wight</option> <option value="KS" data-country="1">Kansas</option> <option value="Kent" data-country="209">Kent</option> <option value="KY" data-country="1">Kentucky</option> <option value="Kincardineshire" data-country="209">Kincardineshire</option> <option value="Kirkcudbrightshire" data-country="209">Kirkcudbrightshire</option> <option value="LB" data-country="32">Labrador</option> <option value="Lanarkshire" data-country="209">Lanarkshire</option> <option value="Lancashire" data-country="209">Lancashire</option> <option value="Leicestershire" data-country="209">Leicestershire</option> <option value="Lincolnshire" data-country="209">Lincolnshire</option> <option value="LA" data-country="1">Louisiana</option> <option value="ME" data-country="1">Maine</option> <option value="MB" data-country="32">Manitoba</option> <option value="MH" data-country="1">Marshall Islands</option> <option value="MD" data-country="1">Maryland</option> <option value="MA" data-country="1">Massachusetts</option> <option value="Merseyside" data-country="209">Merseyside</option> <option value="MI" data-country="1">Michigan</option> <option value="FM" data-country="1">Micronesia</option> <option value="Mid Glamorgan" data-country="209">Mid Glamorgan</option> <option value="Middlesex" data-country="209">Middlesex</option> <option value="Midlothian" data-country="209">Midlothian</option> <option value="MN" data-country="1">Minnesota</option> <option value="MS" data-country="1">Mississippi</option> <option value="MO" data-country="1">Missouri</option> <option value="MT" data-country="1">Montana</option> <option value="Morayshire" data-country="209">Morayshire</option> <option value="NE" data-country="1">Nebraska</option> <option value="NV" data-country="1">Nevada</option> <option value="NB" data-country="32">New Brunswick</option> <option value="NH" data-country="1">New Hampshire</option> <option value="NJ" data-country="1">New Jersey</option> <option value="NM" data-country="1">New Mexico</option> <option value="NSW" data-country="227">New South Wales</option> <option value="NY" data-country="1">New York</option> <option value="NF" data-country="32">Newfoundland</option> <option value="NL" data-country="32">Newfoundland and Labrador</option> <option value="Norfolk" data-country="209">Norfolk</option> <option value="NC" data-country="1">North Carolina</option> <option value="ND" data-country="1">North Dakota</option> <option value="North Humberside" data-country="209">North Humberside</option> <option value="North Yorkshire" data-country="209">North Yorkshire</option> <option value="Northamptonshire" data-country="209">Northamptonshire</option> <option value="CM" data-country="1">Northern Mariana Is.</option> <option value="MP" data-country="1">Northern Mariana Is.</option> <option value="NT" data-country="227">Northern Territory</option> <option value="Northumberland" data-country="209">Northumberland</option> <option value="NT" data-country="32">Northwest Territories</option> <option value="Nottinghamshire" data-country="209">Nottinghamshire</option> <option value="NS" data-country="32">Nova Scotia</option> <option value="NU" data-country="32">Nunavut</option> <option value="OH" data-country="1">Ohio</option> <option value="OK" data-country="1">Oklahoma</option> <option value="ON" data-country="32">Ontario</option> <option value="OR" data-country="1">Oregon</option> <option value="Orkney" data-country="209">Orkney</option> <option value="Oxfordshire" data-country="209">Oxfordshire</option> <option value="PW" data-country="1">Palau</option> <option value="Peeblesshire" data-country="209">Peeblesshire</option> <option value="PA" data-country="1">Pennsylvania</option> <option value="Perthshire" data-country="209">Perthshire</option> <option value="Powys" data-country="209">Powys</option> <option value="PE" data-country="32">Prince Edward Island</option> <option value="PR" data-country="1">Puerto Rico</option> <option value="QC" data-country="32">Quebec</option> <option value="QLD" data-country="227">Queensland</option> <option value="Renfrewshire" data-country="209">Renfrewshire</option> <option value="RI" data-country="1">Rhode Island</option> <option value="Ross-Shire" data-country="209">Ross-Shire</option> <option value="Roxburghshire" data-country="209">Roxburghshire</option> <option value="SK" data-country="32">Saskatchewan</option> <option value="Selkirkshire" data-country="209">Selkirkshire</option> <option value="Shropshire" data-country="209">Shropshire</option> <option value="Somerset" data-country="209">Somerset</option> <option value="SA" data-country="227">South Australia</option> <option value="SC" data-country="1">South Carolina</option> <option value="SD" data-country="1">South Dakota</option> <option value="South Glamorgan" data-country="209">South Glamorgan</option> <option value="South Humberside" data-country="209">South Humberside</option> <option value="South Yorkshire" data-country="209">South Yorkshire</option> <option value="Staffordshire" data-country="209">Staffordshire</option> <option value="Stirlingshire" data-country="209">Stirlingshire</option> <option value="Suffolk" data-country="209">Suffolk</option> <option value="Surrey" data-country="209">Surrey</option> <option value="Sutherland" data-country="209">Sutherland</option> <option value="TAS" data-country="227">Tasmania</option> <option value="TN" data-country="1">Tennessee</option> <option value="TX" data-country="1">Texas</option> <option value="TT" data-country="1">Trust Territories</option> <option value="Tyne And Wear" data-country="209">Tyne And Wear</option> <option value="AA" data-country="1">US Armed Forces America</option> <option value="UT" data-country="1">Utah</option> <option value="VT" data-country="1">Vermont</option> <option value="VIC" data-country="227">Victoria</option> <option value="VI" data-country="1">Virgin Islands</option> <option value="VA" data-country="1">Virginia</option> <option value="Warwickshire" data-country="209">Warwickshire</option> <option value="WA" data-country="1">Washington</option> <option value="West Glamorgan" data-country="209">West Glamorgan</option> <option value="West Lothian" data-country="209">West Lothian</option> <option value="West Midlands" data-country="209">West Midlands</option> <option value="West Sussex" data-country="209">West Sussex</option> <option value="WV" data-country="1">West Virginia</option> <option value="West Yorkshire" data-country="209">West Yorkshire</option> <option value="WA" data-country="227">Western Australia</option> <option value="Wigtownshire" data-country="209">Wigtownshire</option> <option value="Wiltshire" data-country="209">Wiltshire</option> <option value="WI" data-country="1">Wisconsin</option> <option value="Worcestershire" data-country="209">Worcestershire</option> <option value="WY" data-country="1">Wyoming</option> <option value="Yorkshire" data-country="209">Yorkshire</option> <option value="YT" data-country="32">Yukon</option> </select> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DedicationCsi.RecipientPostalCode" data-valmsg-replace="true" id="dedicationcsi.recipientpostalcode-valMsg"></span> <label for="DedicationCsi_RecipientPostalCode"> Postal Code </label> <input class="text-box single-line" id="DedicationCsi_RecipientPostalCode" name="DedicationCsi.RecipientPostalCode" type="text" value="" /> </div> </section> </div> </div> </section> <section class="ace-page-centered" data-billing-address-focus> <div class="form-container"> <h2 class="header h3-style"> Billing </h2> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.Address1" data-valmsg-replace="true" id="donationrequest.userrequest.address1-valMsg"></span> <label for="DonationRequest_UserRequest_Address1"> Street Address </label> <input class="text-box single-line" data-val="true" data-val-required="The Address1 field is required." id="DonationRequest_UserRequest_Address1" name="DonationRequest.UserRequest.Address1" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.Address2" data-valmsg-replace="true" id="donationrequest.userrequest.address2-valMsg"></span> <div class="flex-between form-item-label"> <label for="DonationRequest_UserRequest_Address2"> Apartment/Suite </label> <span class="italic small">Optional</span> </div> <input class="text-box single-line" id="DonationRequest_UserRequest_Address2" name="DonationRequest.UserRequest.Address2" type="text" value="" /> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.City" data-valmsg-replace="true" id="donationrequest.userrequest.city-valMsg"></span> <label for="DonationRequest_UserRequest_City"> City </label> <input class="text-box single-line" data-val="true" data-val-required="The City field is required." id="DonationRequest_UserRequest_City" name="DonationRequest.UserRequest.City" type="text" value="" /> </div> <div class="form-item"> <label for="DonationRequest_UserRequest_SelectedCountryId"> Country </label> <select name="DonationRequest.UserRequest.SelectedCountryId" id="DonationRequest_UserRequest_SelectedCountryId" data-country-dropdown="user"> <option value="1">USA</option> <option value="226">Afghanistan</option> <option value="288">Aland Islands</option> <option value="3">Albania</option> <option value="4">Algeria</option> <option value="239">American Samoa </option> <option value="5">Andorra</option> <option value="6">Angola</option> <option value="240">Anguilla </option> <option value="289">Antarctica</option> <option value="10">Antigua and Barbuda</option> <option value="7">Argentina</option> <option value="241">Armenia</option> <option value="8">Aruba</option> <option value="227">Australia</option> <option value="11">Austria</option> <option value="235">Azerbaijan</option> <option value="230">Bahamas (the)</option> <option value="18">Bahrain</option> <option value="24">Bangladesh</option> <option value="219">Barbados</option> <option value="242">Belarus</option> <option value="15">Belgium</option> <option value="22">Belize</option> <option value="16">Benin</option> <option value="17">Bermuda</option> <option value="19">Bhutan</option> <option value="25">Bolivia</option> <option value="290">Bonaire, Sint Eustatius & Saba</option> <option value="243">Bosnia and Herzegovina</option> <option value="26">Botswana</option> <option value="291">Bouvet Island</option> <option value="27">Brazil</option> <option value="318">British Indian Ocean Territory</option> <option value="28">Brunei Darussalam</option> <option value="29">Bulgaria</option> <option value="21">Burkina Faso</option> <option value="23">Burundi</option> <option value="244">Cambodia </option> <option value="31">Cameroon</option> <option value="32">Canada</option> <option value="46">Cape Verde</option> <option value="49">Cayman Islands (the)</option> <option value="33">Central African Republic (the)</option> <option value="36">Chad</option> <option value="37">Chile</option> <option value="246">China</option> <option value="292">Christmas Island</option> <option value="293">Cocos (Keeling) Islands (the)</option> <option value="43">Colombia</option> <option value="40">Comoros (the)</option> <option value="283">Congo (Democratic Republic of)</option> <option value="44">Congo (the)</option> <option value="39">Cook Islands (the)</option> <option value="45">Costa Rica</option> <option value="294">Côte d'Ivoire</option> <option value="232">Croatia</option> <option value="47">Cuba</option> <option value="48">Curaçao</option> <option value="50">Cyprus</option> <option value="248">Czech Republic </option> <option value="53">Denmark</option> <option value="54">Djibouti</option> <option value="55">Dominica</option> <option value="56">Dominican Republic (the)</option> <option value="57">Ecuador</option> <option value="58">Egypt</option> <option value="59">El Salvador</option> <option value="60">England</option> <option value="61">Equatorial Guinea</option> <option value="249">Eritrea</option> <option value="62">Estonia</option> <option value="63">Ethiopia</option> <option value="67">Falkland Islands (the)</option> <option value="64">Faroe Islands (the)</option> <option value="66">Fiji</option> <option value="65">Finland</option> <option value="68">France</option> <option value="34">French Guiana</option> <option value="70">French Polynesia</option> <option value="295">French Southern Territories</option> <option value="71">Gabon</option> <option value="251">Gambia (the)</option> <option value="236">Georgia</option> <option value="74">Germany</option> <option value="75">Ghana</option> <option value="76">Gibraltar</option> <option value="79">Greece</option> <option value="80">Greenland</option> <option value="73">Grenada</option> <option value="252">Guadeloupe </option> <option value="78">Guatemala</option> <option value="253">Guernsey </option> <option value="83">Guinea</option> <option value="82">Guinea-Bissau</option> <option value="84">Guyana</option> <option value="85">Haiti</option> <option value="296">Heard Island, McDonald Islands</option> <option value="254">Holy See (Vatican City State) </option> <option value="88">Honduras</option> <option value="86">Hong Kong</option> <option value="89">Hungary</option> <option value="90">Iceland</option> <option value="92">India</option> <option value="91">Indonesia</option> <option value="95">Iran</option> <option value="96">Iraq</option> <option value="94">Ireland</option> <option value="97">Isle Of Man</option> <option value="98">Israel</option> <option value="99">Italy</option> <option value="101">Jamaica</option> <option value="102">Japan</option> <option value="256">Jersey </option> <option value="103">Jordan</option> <option value="238">Kazakhstan</option> <option value="106">Kenya</option> <option value="108">Kiribati</option> <option value="145">Korea (North)</option> <option value="177">Korea (South)</option> <option value="109">Kuwait</option> <option value="258">Kyrgyzstan </option> <option value="110">Laos (Loa People's Dem Rep)</option> <option value="111">Latvia</option> <option value="112">Lebanon</option> <option value="113">Lesotho</option> <option value="114">Liberia</option> <option value="118">Libya</option> <option value="115">Liechtenstein</option> <option value="116">Lithuania</option> <option value="117">Luxembourg</option> <option value="259">Macao</option> <option value="298">Macedonia</option> <option value="120">Madagascar</option> <option value="127">Malawi</option> <option value="121">Malaysia</option> <option value="124">Maldives</option> <option value="126">Mali</option> <option value="133">Malta</option> <option value="299">Marshall Islands (the)</option> <option value="122">Martinique</option> <option value="123">Mauritania</option> <option value="134">Mauritius</option> <option value="300">Mayotte</option> <option value="125">Mexico</option> <option value="301">Micronesia</option> <option value="302">Moldova (the Republic of)</option> <option value="130">Monaco</option> <option value="129">Mongolia</option> <option value="303">Montenegro</option> <option value="128">Montserrat</option> <option value="131">Morocco</option> <option value="132">Mozambique</option> <option value="261">Myanmar</option> <option value="135">Namibia</option> <option value="136">Nauru</option> <option value="138">Nepal</option> <option value="87">Netherlands (the)</option> <option value="137">New Caledonia</option> <option value="149">New Zealand</option> <option value="141">Nicaragua</option> <option value="142">Niger (the)</option> <option value="147">Nigeria</option> <option value="144">Niue</option> <option value="304">Norfolk Island</option> <option value="143">Northern Ireland</option> <option value="262">Northern Mariana Islands (the)</option> <option value="146">Norway</option> <option value="151">Oman</option> <option value="153">Pakistan</option> <option value="305">Palau</option> <option value="306">Palestine, State of</option> <option value="154">Panama</option> <option value="155">Papua New Guinea</option> <option value="156">Paraguay</option> <option value="157">Peru</option> <option value="158">Philippines (the)</option> <option value="159">Pitcairn</option> <option value="160">Poland</option> <option value="161">Portugal</option> <option value="162">Qatar</option> <option value="265">Réunion</option> <option value="164">Romania</option> <option value="233">Russia</option> <option value="166">Rwanda</option> <option value="284">Saint Barthélemy</option> <option value="309">Saint Helena</option> <option value="267">Saint Kitts and Nevis </option> <option value="185">Saint Lucia</option> <option value="268">Saint Martin (French Part)</option> <option value="310">Saint Pierre and Miquelon</option> <option value="187">Saint Vincent and Grenadines</option> <option value="269">Samoa</option> <option value="178">San Marino</option> <option value="168">Sao Tome and Principe</option> <option value="169">Saudi Arabia</option> <option value="170">Scotland</option> <option value="172">Senegal</option> <option value="270">Serbia </option> <option value="173">Seychelles</option> <option value="174">Sierra Leone</option> <option value="175">Singapore</option> <option value="271">Sint Maarten (Dutch part)</option> <option value="234">Slovakia</option> <option value="228">Slovenia</option> <option value="181">Solomon Islands</option> <option value="182">Somalia</option> <option value="180">South Africa</option> <option value="307">South Georgia, South Sandwich</option> <option value="308">South Sudan</option> <option value="183">Spain</option> <option value="184">Sri Lanka</option> <option value="188">Sudan (the)</option> <option value="189">Suriname</option> <option value="311">Svalbard and Jan Mayen</option> <option value="190">Swaziland</option> <option value="191">Sweden</option> <option value="192">Switzerland</option> <option value="193">Syria</option> <option value="195">Taiwan</option> <option value="273">Tajikistan </option> <option value="196">Tanzania, United Republic of</option> <option value="197">Thailand</option> <option value="312">Timor-Leste</option> <option value="200">Togo</option> <option value="313">Tokelau</option> <option value="201">Tonga</option> <option value="274">Trinidad and Tobago</option> <option value="204">Tunisia</option> <option value="205">Turkey</option> <option value="285">Turkmenistan</option> <option value="275">Turks and Caicos Islands (the)</option> <option value="206">Tuvalu</option> <option value="208">Uganda</option> <option value="276">Ukraine</option> <option value="207">United Arab Emirates (UAE)</option> <option value="209">United Kingdom</option> <option value="211">Uruguay</option> <option value="286">US Minor Outlying Islands</option> <option value="278">Uzbekistan </option> <option value="215">Vanuatu</option> <option value="216">Venezuela</option> <option value="279">Viet Nam </option> <option value="280">Virgin Islands (British)</option> <option value="281">Virgin Islands (U.S.)</option> <option value="218">Wales</option> <option value="316">Wallis and Futuna</option> <option value="317">Western Sahara</option> <option value="220">Yemen</option> <option value="224">Zambia</option> <option value="225">Zimbabwe</option> </select> </div> <div class="form-item"> <label for="DonationRequest_UserRequest_SelectedStateCode"> State </label> <select name="DonationRequest.UserRequest.SelectedStateCode" id="DonationRequest_UserRequest_SelectedStateCode" data-state-dropdown="user"> <option value="Aberdeenshire" data-country="209">Aberdeenshire</option> <option value="AL" data-country="1">Alabama</option> <option value="AK" data-country="1">Alaska</option> <option value="AB" data-country="32">Alberta</option> <option value="AE" data-country="1">American Embassy</option> <option value="AS" data-country="1">American Samoa</option> <option value="Angus" data-country="209">Angus</option> <option value="Argyll" data-country="209">Argyll</option> <option value="AZ" data-country="1">Arizona</option> <option value="AR" data-country="1">Arkansas</option> <option value="AP" data-country="1">Armed Forces</option> <option value="AAT" data-country="227">Australian Antarctic Territory</option> <option value="ACT" data-country="227">Australian Capital Territory</option> <option value="Avon" data-country="209">Avon</option> <option value="Ayrshire" data-country="209">Ayrshire</option> <option value="Banffshire" data-country="209">Banffshire</option> <option value="Bedfordshire" data-country="209">Bedfordshire</option> <option value="Berkshire" data-country="209">Berkshire</option> <option value="Berwickshire" data-country="209">Berwickshire</option> <option value="BC" data-country="32">British Columbia</option> <option value="Buckinghamshire" data-country="209">Buckinghamshire</option> <option value="Caithness" data-country="209">Caithness</option> <option value="CA" data-country="1">California</option> <option value="Cambridgeshire" data-country="209">Cambridgeshire</option> <option value="Channel Islands" data-country="209">Channel Islands</option> <option value="Cheshire" data-country="209">Cheshire</option> <option value="Clackmannanshire" data-country="209">Clackmannanshire</option> <option value="Cleveland" data-country="209">Cleveland</option> <option value="Clwyd" data-country="209">Clwyd</option> <option value="CO" data-country="1">Colorado</option> <option value="CT" data-country="1">Connecticut</option> <option value="Cornwall" data-country="209">Cornwall</option> <option value="County Antrim" data-country="209">County Antrim</option> <option value="County Armagh" data-country="209">County Armagh</option> <option value="County Down" data-country="209">County Down</option> <option value="County Durham" data-country="209">County Durham</option> <option value="County Fermanagh" data-country="209">County Fermanagh</option> <option value="County Londonderry" data-country="209">County Londonderry</option> <option value="County Tyrone" data-country="209">County Tyrone</option> <option value="Cumbria" data-country="209">Cumbria</option> <option value="DC" data-country="1">D.C.</option> <option value="DE" data-country="1">Delaware</option> <option value="Derbyshire" data-country="209">Derbyshire</option> <option value="Devon" data-country="209">Devon</option> <option value="Dorset" data-country="209">Dorset</option> <option value="Dumfriesshire" data-country="209">Dumfriesshire</option> <option value="Dunbartonshire" data-country="209">Dunbartonshire</option> <option value="Dyfed" data-country="209">Dyfed</option> <option value="East Lothian" data-country="209">East Lothian</option> <option value="East Sussex" data-country="209">East Sussex</option> <option value="Essex" data-country="209">Essex</option> <option value="Fife" data-country="209">Fife</option> <option value="FL" data-country="1">Florida</option> <option value="GA" data-country="1">Georgia</option> <option value="Gloucestershire" data-country="209">Gloucestershire</option> <option value="Greater London" data-country="209">Greater London</option> <option value="GU" data-country="1">Guam</option> <option value="Gwent" data-country="209">Gwent</option> <option value="Gwynedd" data-country="209">Gwynedd</option> <option value="Hampshire" data-country="209">Hampshire</option> <option value="HI" data-country="1">Hawaii</option> <option value="Herefordshire" data-country="209">Herefordshire</option> <option value="Hertfordshire" data-country="209">Hertfordshire</option> <option value="ID" data-country="1">Idaho</option> <option value="IL" data-country="1">Illinois</option> <option value="IN" data-country="1">Indiana</option> <option value="Inverness-Shire" data-country="209">Inverness-Shire</option> <option value="IA" data-country="1">Iowa</option> <option value="Isle Of Lewis" data-country="209">Isle Of Lewis</option> <option value="Isle Of Skye" data-country="209">Isle Of Skye</option> <option value="Isle Of Wight" data-country="209">Isle Of Wight</option> <option value="KS" data-country="1">Kansas</option> <option value="Kent" data-country="209">Kent</option> <option value="KY" data-country="1">Kentucky</option> <option value="Kincardineshire" data-country="209">Kincardineshire</option> <option value="Kirkcudbrightshire" data-country="209">Kirkcudbrightshire</option> <option value="LB" data-country="32">Labrador</option> <option value="Lanarkshire" data-country="209">Lanarkshire</option> <option value="Lancashire" data-country="209">Lancashire</option> <option value="Leicestershire" data-country="209">Leicestershire</option> <option value="Lincolnshire" data-country="209">Lincolnshire</option> <option value="LA" data-country="1">Louisiana</option> <option value="ME" data-country="1">Maine</option> <option value="MB" data-country="32">Manitoba</option> <option value="MH" data-country="1">Marshall Islands</option> <option value="MD" data-country="1">Maryland</option> <option value="MA" data-country="1">Massachusetts</option> <option value="Merseyside" data-country="209">Merseyside</option> <option value="MI" data-country="1">Michigan</option> <option value="FM" data-country="1">Micronesia</option> <option value="Mid Glamorgan" data-country="209">Mid Glamorgan</option> <option value="Middlesex" data-country="209">Middlesex</option> <option value="Midlothian" data-country="209">Midlothian</option> <option value="MN" data-country="1">Minnesota</option> <option value="MS" data-country="1">Mississippi</option> <option value="MO" data-country="1">Missouri</option> <option value="MT" data-country="1">Montana</option> <option value="Morayshire" data-country="209">Morayshire</option> <option value="NE" data-country="1">Nebraska</option> <option value="NV" data-country="1">Nevada</option> <option value="NB" data-country="32">New Brunswick</option> <option value="NH" data-country="1">New Hampshire</option> <option value="NJ" data-country="1">New Jersey</option> <option value="NM" data-country="1">New Mexico</option> <option value="NSW" data-country="227">New South Wales</option> <option value="NY" data-country="1">New York</option> <option value="NF" data-country="32">Newfoundland</option> <option value="NL" data-country="32">Newfoundland and Labrador</option> <option value="Norfolk" data-country="209">Norfolk</option> <option value="NC" data-country="1">North Carolina</option> <option value="ND" data-country="1">North Dakota</option> <option value="North Humberside" data-country="209">North Humberside</option> <option value="North Yorkshire" data-country="209">North Yorkshire</option> <option value="Northamptonshire" data-country="209">Northamptonshire</option> <option value="CM" data-country="1">Northern Mariana Is.</option> <option value="MP" data-country="1">Northern Mariana Is.</option> <option value="NT" data-country="227">Northern Territory</option> <option value="Northumberland" data-country="209">Northumberland</option> <option value="NT" data-country="32">Northwest Territories</option> <option value="Nottinghamshire" data-country="209">Nottinghamshire</option> <option value="NS" data-country="32">Nova Scotia</option> <option value="NU" data-country="32">Nunavut</option> <option value="OH" data-country="1">Ohio</option> <option value="OK" data-country="1">Oklahoma</option> <option value="ON" data-country="32">Ontario</option> <option value="OR" data-country="1">Oregon</option> <option value="Orkney" data-country="209">Orkney</option> <option value="Oxfordshire" data-country="209">Oxfordshire</option> <option value="PW" data-country="1">Palau</option> <option value="Peeblesshire" data-country="209">Peeblesshire</option> <option value="PA" data-country="1">Pennsylvania</option> <option value="Perthshire" data-country="209">Perthshire</option> <option value="Powys" data-country="209">Powys</option> <option value="PE" data-country="32">Prince Edward Island</option> <option value="PR" data-country="1">Puerto Rico</option> <option value="QC" data-country="32">Quebec</option> <option value="QLD" data-country="227">Queensland</option> <option value="Renfrewshire" data-country="209">Renfrewshire</option> <option value="RI" data-country="1">Rhode Island</option> <option value="Ross-Shire" data-country="209">Ross-Shire</option> <option value="Roxburghshire" data-country="209">Roxburghshire</option> <option value="SK" data-country="32">Saskatchewan</option> <option value="Selkirkshire" data-country="209">Selkirkshire</option> <option value="Shropshire" data-country="209">Shropshire</option> <option value="Somerset" data-country="209">Somerset</option> <option value="SA" data-country="227">South Australia</option> <option value="SC" data-country="1">South Carolina</option> <option value="SD" data-country="1">South Dakota</option> <option value="South Glamorgan" data-country="209">South Glamorgan</option> <option value="South Humberside" data-country="209">South Humberside</option> <option value="South Yorkshire" data-country="209">South Yorkshire</option> <option value="Staffordshire" data-country="209">Staffordshire</option> <option value="Stirlingshire" data-country="209">Stirlingshire</option> <option value="Suffolk" data-country="209">Suffolk</option> <option value="Surrey" data-country="209">Surrey</option> <option value="Sutherland" data-country="209">Sutherland</option> <option value="TAS" data-country="227">Tasmania</option> <option value="TN" data-country="1">Tennessee</option> <option value="TX" data-country="1">Texas</option> <option value="TT" data-country="1">Trust Territories</option> <option value="Tyne And Wear" data-country="209">Tyne And Wear</option> <option value="AA" data-country="1">US Armed Forces America</option> <option value="UT" data-country="1">Utah</option> <option value="VT" data-country="1">Vermont</option> <option value="VIC" data-country="227">Victoria</option> <option value="VI" data-country="1">Virgin Islands</option> <option value="VA" data-country="1">Virginia</option> <option value="Warwickshire" data-country="209">Warwickshire</option> <option value="WA" data-country="1">Washington</option> <option value="West Glamorgan" data-country="209">West Glamorgan</option> <option value="West Lothian" data-country="209">West Lothian</option> <option value="West Midlands" data-country="209">West Midlands</option> <option value="West Sussex" data-country="209">West Sussex</option> <option value="WV" data-country="1">West Virginia</option> <option value="West Yorkshire" data-country="209">West Yorkshire</option> <option value="WA" data-country="227">Western Australia</option> <option value="Wigtownshire" data-country="209">Wigtownshire</option> <option value="Wiltshire" data-country="209">Wiltshire</option> <option value="WI" data-country="1">Wisconsin</option> <option value="Worcestershire" data-country="209">Worcestershire</option> <option value="WY" data-country="1">Wyoming</option> <option value="Yorkshire" data-country="209">Yorkshire</option> <option value="YT" data-country="32">Yukon</option> </select> </div> <div class="form-item"> <span class="field-validation-valid" data-valmsg-for="DonationRequest.UserRequest.PostalCode" data-valmsg-replace="true" id="donationrequest.userrequest.postalcode-valMsg"></span> <label for="DonationRequest_UserRequest_PostalCode"> Postal Code </label> <input class="text-box single-line" data-val="true" data-val-required="The PostalCode field is required." id="DonationRequest_UserRequest_PostalCode" name="DonationRequest.UserRequest.PostalCode" type="text" value="" /> </div> </div> </section> <section class="ace-page-centered"> <div class="form-container"> <div class="form-item"> <input data-val="true" data-val-required="The NewsletterSignUpChecked field is required." id="DonationRequest_NewsletterSignUpChecked" name="DonationRequest.NewsletterSignUpChecked" type="checkbox" value="true" /><input name="DonationRequest.NewsletterSignUpChecked" type="hidden" value="false" /> <label for="DonationRequest_NewsletterSignUpChecked" class="tm-checkout-newsletter-label" id="Email_newsletter_label"> 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