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!important;}</style></noscript></head> <style> :root { --fontFamily: "Open Sans",Verdana,Arial,sans-serif; --fontSize: 18px; --fontWeight: normal; --backgroundColor:#eeeeee; --secondaryBkgdColor: red; --fontColor: #000000; --secondaryFontColor: #17639d; --inputBorder: 1px solid #ced4db; --inputPadding: 5px 7px; --inputMargin: 0px; --inputWidth: auto; --inputBorderRadius: 5px; /*** attach parent content div class or id before a:link ***/ --linkColor: #70278a; /* --buttonBorder: 1px outset #cccccc; */ --buttonPadding: 12px 24px; --buttonMargin: 0px; --buttonWidth: auto; --buttonBGColor: #fff; --buttonFtColor: #70278a; --buttonFtSize: 16px; --buttonRadius: 30px; --buttonBorder: 0px; --buttonTansition: 0.3s; --buttonHoverBGColor: #70278a; --buttonHoverFtColor: #fff; --headerColor: #00833c; --headerSize: 36px; --headerLnHeight: 50px; --headerFtFamily: "Fira Sans Condensed",Verdana,Arial,sans-serif; --headerMargin: 0; --headerFtWeight: 400; } /***from /css/CustomStyle.css with other selectors ***/ form, input, input.AddressBookButtons, input.Advocacy, input.btn, input.btnLg, input.btnMed, input.btnMini, input.btnSm, select, select.Advocacy, textarea, legend, ul, ol, li, option, table, tr, th, th.rfl_infoStatus, td, td.AlertListDescription, td.cstmBack, p, p.cstmBtnText, p.cstmFrame, p.cstmHeading, p.cstmText, p.cstmTitle, p.dividerHeading, p.scrollingText, span.cstmHeading, a, a.btn, a.btn:visited, a.cstmBtnText:hover, a.cstmBtnText:link, a.cstmBtnText:visited, #navList, .AdvocacyInstructions, .AdvocacyNSFix, .BlogHeader, .Button, .Divider, .FieldLabels, .FormBox, .FormBox06, .FormBoxHeader, .Hint, .Instructions, .Instructions, .ListItem0, .ListItem1, .NetscapeFix, .NoteText, .ObjTitle, .PhotoLinks, .Premiums, .ProgressBox, .ProgressBoxCurrent, .SectionHead, .SmallButton, .Smaller, .SmallerC, .TribBtnText1, .Upgrades, .WhatNext, .alphacube_content, .dialog_content, .dialog_title, .Explicit, .fr_register_another, .paraBlueSansSmall, .smallBlack, .smallSans, .smallSansBold, .smallWhiteBoldSans, .smallWhiteSans, .smallestBlackSans, p, div.responsive label, div.responsive div.form-checkbox label, label.FormLabel, div.responsive legend, span.label-text, select, label, .Smaller, p.PaddedListHeadingsC, div.responsive textarea, div.responsive input, div.responsive select, div.responsive option { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: var(--fontWeight); color: var(--fontColor); } /***from /css/CustomStyle.css ***/ /***other overwrite CSS***/ label.FormLabel { display: inline; } input#reset, input#ACTION_CANCEL_RESPONSE_SUBMIT, input#rsvp_cancel, input[value="Cancel"] { display: none; } #lo-return-to-cal { display: none; } .billing-info-field-value.ROValue img { height: 0; } .luminate-eventAppArea { padding: 5%; } div.lo-EventBorderContainer, div.lo-BorderContainer { border-color: transparent; } input[type="radio"], input[type="checkbox"] { display: inline-block; } input#payment_typecc_cvvname, .date-input-container fieldset select { width: 79px; } /***other overwrite CSS***/ /***LO site specific***/ .main-content { padding: 0px; } /***LO site specific***/ /* from UserGlobalStyle */ div.lo-CalendarDateInfoContainer div.lo-CalendarDateLabel,div.lo-CalendarDateInfoContainer div.lo-CalendarAddressLabel { width: 125px; } #lo-UserDetailEventDescription .headline { font-weight: bold; font-size: 14pt; color: inherit; text-decoration: none; } div.lo-CalendarDateInfoContainer { font-size: var(--fontSize); } button, input.button, .Button, button#pstep_finish, input#ACTION_SUBMIT_SURVEY_RESPONSE, input#rsvp_save, input#PARSE_PAYMENT_FORM, input#TRANSACT_CHARGE, #lo-register_link, .fl-page button:visited, .fl-responsive-preview-content button:visited, .fl-button-lightbox-content button:visited, .fl-page input[type=button], .fl-responsive-preview-content input[type=button], .fl-button-lightbox-content input[type=button], .fl-page input[type=submit], .fl-responsive-preview-content input[type=submit], .fl-button-lightbox-content input[type=submit], .fl-page a.fl-button, .fl-responsive-preview-content a.fl-button, .fl-button-lightbox-content a.fl-button, .fl-page a.fl-button:visited, .fl-responsive-preview-content a.fl-button:visited, .fl-button-lightbox-content a.fl-button:visited, .fl-page a.button, .fl-responsive-preview-content a.button, .fl-button-lightbox-content a.button, .fl-page a.button:visited, .fl-responsive-preview-content a.button:visited, .fl-button-lightbox-content a.button:visited, .fl-page button.button, .fl-responsive-preview-content button.button, .fl-button-lightbox-content button.button, .fl-page button.button:visited, .fl-responsive-preview-content button.button:visited, .fl-button-lightbox-content button.button:visited, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited { font-family: var(--fontFamily); font-size: var(--buttonFtSize); background: var(--buttonBGColor); color: var(--buttonFtColor); padding: var(--buttonPadding); border-radius: var(--buttonRadius); border: var(--buttonBorder); transition: var(--buttonTansition); border-style: solid; border-width: 0; background-clip: border-box; border: 2px solid #70278a; background: #fff; color: #70278a; font-weight: 700; white-space: nowrap; } button:hover, input.button:hover, .Button:hover, button#pstep_finish:hover, input#ACTION_SUBMIT_SURVEY_RESPONSE:hover, input#rsvp_save:hover, input#PARSE_PAYMENT_FORM:hover, input#TRANSACT_CHARGE:hover,#lo-register_link:hover, .fl-page button:visited:hover, .fl-responsive-preview-content button:visited:hover, .fl-button-lightbox-content button:visited:hover, .fl-page input[type=button]:hover, .fl-responsive-preview-content input[type=button]:hover, .fl-button-lightbox-content input[type=button]:hover, .fl-page input[type=submit]:hover, .fl-responsive-preview-content input[type=submit]:hover, .fl-button-lightbox-content input[type=submit]:hover, .fl-page a.fl-button:hover, .fl-responsive-preview-content a.fl-button:hover, .fl-button-lightbox-content a.fl-button:hover, .fl-page a.fl-button:visited:hover, .fl-responsive-preview-content a.fl-button:visited:hover, .fl-button-lightbox-content a.fl-button:visited:hover, .fl-page a.button:hover, .fl-responsive-preview-content a.button:hover, .fl-button-lightbox-content a.button:hover, .fl-page a.button:visited:hover, .fl-responsive-preview-content a.button:visited:hover, .fl-button-lightbox-content a.button:visited:hover, .fl-page button.button:hover, .fl-responsive-preview-content button.button:hover, .fl-button-lightbox-content button.button:hover, .fl-page button.button:visited:hover, .fl-responsive-preview-content button.button:visited:hover, .fl-button-lightbox-content button.button:visited:hover, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover { background: var(--buttonHoverBGColor); color: var(--buttonHoverFtColor); transition: var(--buttonTansition); text-decoration: none; border: 2px solid #70278a; } #lo-register_link { display: inline-block; margin-top: 20px; } .main-content A:link{ color: var(--linkColor); } .main-content A:link:hover { color: #17639d; text-decoration: underline; } div#lo-UserDetailEventDescription h1 { font-size: 35px; } h3.ObjTitle { color: var(--headerColor); font-size: var(--headerSize); line-height: var(--headerLnHeight); font-family: var(--headerFtFamily); margin: var(--headerMargin); font-weight: var(--headerFtWeight); } /* event */ /* from UserGlobalStyle */ /* TeamRaiser and Donations buttons */ input.FriendRaiserButtons, input.AddressBookButtons { font-size: var(--fontSize); font-family: var(--fontFamily); color: var(--fontColor); font-weight: bold; text-align: center; background-color: var(--backgroundColor); border: var(--buttonBorder); padding: 1px; margin: 1px; width: auto; white-space: nowrap; } input.FollowUpButtons { width: 172px; } .SmallButton{ font-family: var(--fontFamily); font-size: var(--fontSize); } td.cstmBtnBack { padding-right: 2px; padding-left: 2px; background-color: var(--backgroundColor); border: var(--buttonBorder); } p.cstmBtnText { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; text-decoration: none; } a.cstmBtnText:link { font-family: var(--fontFamily); font-size: small; font-weight: bold; color: var(--fontColor); text-decoration: none; } a.cstmBtnText:visited { font-family: var(--fontFamily); font-size: small; font-weight: bold; color: #000; text-decoration: none; } a.cstmBtnText:hover { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; color: var(--secondaryFontColor); text-decoration: none; } a.btn, a.btn:visited, a.editBtn, a.editBtn:visited, input.btn, input.btnMini, input.btnSm, input.btnMed, input.btnLg { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; text-decoration: none; font-size: var(--fontSize); font-weight: normal; color: var(--fontColor); background: var(--backgroundColor); border: var(--buttonBorder); padding: 1px 4px; } a.btn:hover, a.editBtn:hover, input.btn:hover, input.secbtn:hover, input.btnMini:hover, input.btnSm:hover, input.btnMed:hover, input.btnLg:hover { color: var(--secondaryFontColor); cursor: pointer; background-position: 0 -25px; } #login-div-content input.uc-button, #login-div-content button, #login-div-content .ft button { font-family: var(--fontFamily); font-size: var(--buttonFtSize); background: var(--buttonBGColor); color: var(--buttonFtColor); padding: var(--buttonPadding); border-radius: var(--buttonRadius); border: var(--buttonBorder); transition: var(--buttonTansition); border-style: solid; border-width: 0; background-clip: border-box; border: 2px solid #70278a; background: #fff; color: #70278a; font-weight: 700; white-space: nowrap; margin: 20px 0; } #login-div-content input.uc-button:hover, #login-div-content button:hover, #login-div-content .ft button:hover { background: var(--buttonHoverBGColor); color: var(--buttonHoverFtColor); transition: var(--buttonTansition); text-decoration: none; border: 2px solid #70278a; } #login-div-content .banner-header,#login-div-content .input-border,#login-div-content div.actions,#login-div-content .footer-block,#login-div-content .login-form { background: #fff; } div#login-div-content .outer-border .header-block .banner-header strong { color: #00833c; font-family: "Fira Sans Condensed",Verdana,Arial,sans-serif; font-weight: 700; font-size: 35px; } #login-div-content .banner-header { height: auto; } #login-div-content a { color: #70278a; font-weight: 700; } #login-div-content a:hover, #login-div-content a:focus { color: #17639d; text-decoration: underline; } #login-div-content .input-border { border-color: #ccc; } /* from ResponsiveBass.css */ div.responsive a.step-button { display: inline-block; text-decoration: none; zoom: 1; } div.responsive a.step-button, div.responsive button.step-button, div.responsive input.step-button { background-color: var(--backgroundColor); border: var(--buttonBorder); cursor: pointer; padding: 10px 7px; min-width: 132px; border-radius: 3px; /*CSS3, the box won't curve in older browsers*/ -moz-border-radius: 3px; -webkit-border-radius: 3px; /* background */ filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); overflow: visible; margin-top: 10px; margin-bottom: 10px; } div.responsive a.step-button:hover, div.responsive button.step-button:hover, div.responsive input.step-button:hover { /* background */ filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive a.step-button:active, div.responsive button.step-button:active { filter: none; background: var(--backgroundColor); border-color: var(--backgroundColor); color: var(--fontColor); } div.responsive button.previous-step, div.responsive button.cancel-step { float: left; } div.responsive a.next-step, div.responsive button.next-step { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); } div.responsive a.next-step, div.responsive button.next-step, div.responsive button.finish-step { float: right; } div.responsive a.next-step:hover, div.responsive button.next-step:hover { filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive a.next-step:active, div.responsive button.next-step:active { background: var(--secondaryBackgroundColor); border-color: var(--secondaryBackgroundColor); } div.responsive button.next-step[disabled="disabled"] { background-color: #e2e2e2; border: 1px solid #e2e2e2; filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: #c7c7c7; } div.responsive a.secondary-step, div.responsive button.secondary-step { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); float: right; margin-right: 20px; } div.responsive button.secondary-step:hover { filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive button.secondary-step:active { background: var(--secondaryBackgroundColor); border-color: var(--secondaryBackgroundColor); } div.responsive button.action-button { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); } div.responsive button.cancel-step { overflow:visible; border:0; min-width: inherit; color:var(--fontColor); filter: inherit; background:transparent; font:inherit; line-height:normal; text-decoration:underline; cursor:pointer; -moz-user-select:text; } div.responsive button.cancel-step:hover, div.responsive button.cancel-step:focus, div.responsive button.cancel-step:active { color:inherit; filter: inherit; -ms-filter: inherit; background-image: inherit; } /* Mobile Layout: 320px. Gutters: 24px. Outer margins: 34px. Inherits styles from: Default Layout. --------------------------------------------- cols 1 2 3 px 68 160 252 */ @media only screen and (max-width: 767px) { .mobile div.responsive button.step-button { float: none; } .mobile div.responsive button.secondary-step { margin-right: 0; } } /* Wide Mobile Layout: 480px. Gutters: 24px. Outer margins: 22px. Inherits styles from: Default Layout, Mobile Layout. ------------------------------------------------------------ cols 1 2 3 4 5 px 68 160 252 344 436 */ @media only screen and (min-width: 480px) and (max-width: 767px) { .mobile div.responsive button.next-step { float: right; } } @media(max-width:767px) { .mobile div.responsive { width: 100%; } } div.responsive textarea, div.responsive select, div.responsive option { margin-top: 3px; display: block; /* width: 249px; */ max-width: 249px; min-height: 36px; border: var(--inputBorder); padding: var(--inputPadding); border-radius: var(--inputBorderRadius); -moz-border-radius: var(--inputBorderRadius); -webkit-border-radius: var(--inputBorderRadius); -webkit-box-shadow: none; -moz-box-shadow: none; box-shadow: none; } div.responsive a:visited, div.responsive a:link, .lo-container A:link, p A:link { color: var(--linkColor); text-decoration: none; font-weight: 700; } div.responsive a:visited:hover, div.responsive a:link:hover, .lo-container A:link:hover,p A:link:hover { color: var(--secondaryFontColor); text-decoration: underline; } /* from ResponsiveBass.css */ /*** from CalendarEvent.css ***/ /***event title***/ div.lo-EventSubHeaderBar, div.lo-BorderHeaderBar { color: var(--headerColor); font-size: 19px; line-height: var(--headerLnHeight); font-family: var(--headerFtFamily); margin: var(--headerMargin); font-weight: var(--headerFtWeight); } /*** from CalendarEvent.css ***/ /* input fields */ /* from UserGlobalStyles.css */ /* accessability tags */ /* remove the border from <fieldset> */ FIELDSET { border: none; margin: 0px; padding: 0px; } FIELDSET.withBox { border: var(--inputBorder); display: block; padding: 0px; } FIELDSET.noBox { border: none; display: block; padding: 0px; } LEGEND { float: left; font-family: var(--fontFamily); font-size: var(--fontSize); margin-right: 4px; } LEGEND.surveyLegend { float: none; } /* from ResponsiveBass.css */ div.responsive input[type="text"], div.responsive input[type="number"], div.responsive input[type="email"], div.responsive input[type="password"], div.responsive textarea, div.form-row div.form-content>select { border: var(--inputBorder); padding: var(--inputPadding); border-radius: var(--inputBorderRadius); -moz-border-radius: var(--inputBorderRadius); -webkit-border-radius: var(--inputBorderRadius); -webkit-box-shadow: none; -moz-box-shadow: none; box-shadow: none; } /*survey inputs*/ /*event inputs*/ div.responsive div.form-content { margin-bottom: 15px; margin-right: 10px; } /* from DonFormResponsive.css */ /* sets the label and form input element on its own line */ div.form-row div.form-content>select, div.form-row div.form-content>input[type="text"], div.form-row div.form-content input.ui-autocomplete-input, div.form-row div.form-content>textarea, div.form-row div.form-content>button { margin-top: 3px; display: block; width: 249px; max-width: 249px; min-height: 36px; } @media(max-width:767px){ div.form-row div.form-content>select, div.form-row 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class="donation-form-content"> <script> document.body.addEventListener("keypress", function(event) { if (event.keyCode === 13) { event.preventDefault(); var button = document.getElementById("pstep_finish"); if (!button) { button = document.getElementById("pstep_next"); } if (!button) { button = document.getElementById("pstep_finish_validate"); } if(button) { button.click(); } } }); </script> <input type="hidden" name="user_donation_amt" id="user_donation_amt" value="" /> <input type="hidden" name="company_min_matching_amt" id="company_min_matching_amt" value="" /> <input type="hidden" name="currency_locale" id="currency_locale" value="en_US" /> <input type="hidden" name="user_additional_amount" id="user_additional_amount" value="" /> <input type="hidden" name="cc_available" id="cc_available" value="false" /> <input type="hidden" name="debit_available" id="debit_available" value="false" /> <input type="hidden" name="paypal_available" id="paypal_available" value="false" /> <input 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<input type="hidden" name="pco_environment_zone" id="pco_environment_zone" value="p-usa01" /> <div class="form-row"> <div class="html-caption-container"> <h1>Support IEEE MOVE </h1> <p dir="ltr"><span><strong>IEEE's MOVE</strong> (Mobile Outreach Volunteer Engagement) Disaster Relief and Outreach, is an emergency response program committed to assisting first-responders of natural disasters with short-term communications, computer, and power solutions. Working in concert with in-country IEEE volunteers and disaster-area deployment partners, the <strong>IEEE MOVE</strong> program is committed to assisting victims of natural disasters. These temporary emergency relief provisions provide critical services to help disaster-responders stay connected and make sure they can access the help they need.</span></p> <p dir="ltr"><span>When not deployed for emergency relief, the <strong>MOVE</strong> assets are employed by volunteers to conduct community outreach and facilitate learning opportunities for students and the public in the areas of Science, Technology, Engineering, and Math (STEM).</span></p> </div> </div> <div id="single_designee_row" class="form-row form-designee"> <div class="form-content"> <fieldset> <legend> <span class="field-required"></span> <span class="aural-only">Field Is Required</span> Gift Designation: </legend> <div class="form-input"> <div class="unrestricted-option"> <input type="radio" name="single_designee_radio" id="single_designee_unrestricted" value="unrestricted" onclick="single_designee_disable_list(this.checked);" checked="checked" /> <label for="single_designee_unrestricted">Direct my gift to the MOVE Global Fund.</label> </div> <div class="designated-option"> <input type="radio" name="single_designee_radio" id="single_designee_designated" value="designated" onclick="single_designee_enable_list(this.checked);" /> <label for="single_designee_designated">Direct my gift to:</label> <select name="single_designee" id="single_designee" size="1" > <option selected="selected" value="0" >Select a program</option> <option value="1024" >IEEE MOVE International Fund</option> <option value="1023" >IEEE MOVE IEEE-USA Fund</option> <option value="1301" >IEEE Global MOVE Fund</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> </div> </div> </fieldset> </div> <input type="hidden" name="single_designeesubmit" id="single_designeesubmit" value="true" /> <script type="text/javascript"> var sel_item = 0; function single_designee_disable_list (_checked) { if (_checked) { var list = document.getElementById ('single_designee'); if (list) { list.disabled = true; list[0].selected = true; } } else { single_designee_enable_list(true); } } function single_designee_enable_list (_checked) { if (_checked) { var list = document.getElementById ('single_designee'); if (list) { list.disabled = false; } } else { single_designee_disable_list(true); } } // When first radio is selected, disable the list by the second radio. var el = document.getElementById ('single_designee'); if (el) el.disabled = true; var comp = new ObservableComponent ('single_designee', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('single_designee_Row', _display); this.disable_submit_flag (_hidden); } function single_designee_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('single_designee', src); } } var el = document.getElementById('single_designee'); if (el) { Utils.addEvent (el, 'change', single_designee_listChanged); } </script><noscript> </noscript> </div> <div id="level_flexible_row"> <div class="don-standard-levels form-row"> <div class="levels-label"> </div> <div id="level_flexible_row" class="form-row form-donation-level"> <div class="form-content"> <span class="field-required"></span> <span class="aural-only">Field Is Required</span> <span class="FormLabelText">Select gift amount:</span> <div class="donation-level-general-ask"> </div> <div class="donation-levels"> <div class="donation-level-container"> <div class="form-content"> <div class="donation-level-input-container form-input"> <div class="donation-level-label-input-container"> <input type="radio" name="level_flexibleexpanded" id="level_flexibleexpanded3021" value="3021" checked="checked" onclick="evalMatchingGift('$25.00'); updateDonorCoverAmount('$25.00');" /> </div> <label for="level_flexibleexpanded3021" onclick=""> <div class="donation-level-amount-container"> $25.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_3021expandedsubmit" value="true" /> </div> </div> <div class="donation-level-container"> <div class="form-content"> <div class="donation-level-input-container form-input"> <div class="donation-level-label-input-container"> <input type="radio" name="level_flexibleexpanded" id="level_flexibleexpanded3022" value="3022" onclick="evalMatchingGift('$100.00'); updateDonorCoverAmount('$100.00');" /> </div> <label for="level_flexibleexpanded3022" onclick=""> <div class="donation-level-amount-container"> $100.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_3022expandedsubmit" value="true" /> </div> </div> <div class="donation-level-container"> <div class="form-content"> <div class="donation-level-input-container form-input"> <div class="donation-level-label-input-container"> <input type="radio" name="level_flexibleexpanded" id="level_flexibleexpanded3023" value="3023" onclick="evalMatchingGift('$250.00'); updateDonorCoverAmount('$250.00');" /> </div> <label for="level_flexibleexpanded3023" onclick=""> <div class="donation-level-amount-container"> $250.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_3023expandedsubmit" value="true" /> </div> </div> <div class="donation-level-container"> <div class="form-content"> <div class="donation-level-input-container form-input"> <div class="donation-level-label-input-container"> <input type="radio" name="level_flexibleexpanded" id="level_flexibleexpanded3024" value="3024" onclick="evalMatchingGift('$1,000.00'); updateDonorCoverAmount('$1,000.00');" /> </div> <label for="level_flexibleexpanded3024" onclick=""> <div class="donation-level-amount-container"> $1,000.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_3024expandedsubmit" value="true" /> </div> </div> <div class="donation-level-container"> <div class="form-content"> <div class="donation-level-input-container form-input"> <div class="donation-level-label-input-container"> <input type="radio" name="level_flexibleexpanded" id="level_flexibleexpanded3026" value="3026" onclick="evalMatchingGift(document.getElementById('level_flexibleexpanded3026amount').value); updateDonorCoverAmount(document.getElementById('level_flexibleexpanded3026amount').value);" /> </div> <label for="level_flexibleexpanded3026" onclick=""> <div class="donation-level-label-container"> or enter other amount </div> </label> <div class="donation-level-user-entered"> <label for="level_flexibleexpanded3026amount"><span class="aural-only">Enter amount</span></label> <input type="text" name="level_flexibleexpanded3026amount" id="level_flexibleexpanded3026amount" value="" size="12" maxlength="10" onfocus="var el = document.getElementById ('level_flexibleexpanded3026');if (el) el.click(); fire_obs_comp_event('level_flexibleexpanded3026amount', this, event);evalMatchingGift(value); " onchange="fire_obs_comp_event('level_flexibleexpanded3026amount', this, event);evalMatchingGift(value);" onkeyup="fire_obs_comp_event('level_flexibleexpanded3026amount', this, event);evalMatchingGift(value);" onblur="fire_obs_comp_event('level_flexibleexpanded3026amount', this);updateDonorCoverAmount(value);" /> </div> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_3026expandedsubmit" value="true" /> </div> </div> </div> </div> <script type="text/javascript"> Y.use("jquery-ui", function(Y) { jQuery(function(){ // subscribe observables jQuery('div.donation-level-element-container').find('input[type="radio"]').each(function() { var syncAction = function(obj) { if (obj.is(':checked')) { obj.closest('div.donation-level-container').addClass('selected'); } else { obj.closest('div.donation-level-container').removeClass('selected'); }; return arguments.callee; }(jQuery(this)); jQuery(this).click(function() { jQuery('div.donation-level-container').removeClass('selected'); syncAction(jQuery(this)); }); }); }); }); </script><noscript> </noscript> </div> <div class="levels-gift-aid"> </div> <input type="hidden" name="level_flexiblesubmit" id="level_flexiblesubmit" value="true" /> <script type="text/javascript"> function updateDonorCoverAmount(gift) { gift = parseCurrency(gift) / 100; if (isNaN(gift) || gift === 0) { gift = ''; } var amountHidden = document.getElementById('user_donation_amt'); if(amountHidden !== null) { amountHidden.value = gift; } jQuery('#level_flexiblename').val(gift); jQuery('#user_donation_amt').val(gift); if (typeof updateAmount !== "undefined") { updateAmount(gift); } }; function evalMatchingGift(gift) { } </script><noscript> </noscript> </div> <div id="level_flexiblegift_type_Row" class="form-row field-required"> <div class="form-content"> <fieldset> <legend> Gift type: </legend> <div class="designated-giving-recurring-row"> <input type="radio" name="level_flexiblegift_type" id="level_flexiblegift_type1" value="1" checked="checked" onclick="fire_obs_comp_event('level_flexiblegift_type', this);" onkeypress="fire_obs_comp_event('level_flexiblegift_type', this);" /> <label for="level_flexiblegift_type1">One-time gift</label> </div><div class="designated-giving-recurring-row"> <input type="radio" name="level_flexiblegift_type" id="level_flexiblegift_type2" value="2" onclick="fire_obs_comp_event('level_flexiblegift_type', this);" onkeypress="fire_obs_comp_event('level_flexiblegift_type', this);" /> <label for="level_flexiblegift_type2">Recurring gift</label> </div> </fieldset> </div> <input type="hidden" name="level_flexiblegift_typesubmit" id="level_flexiblegift_typesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableRadioComponent ('level_flexiblegift_type', 'name'); </script><noscript> </noscript> <input type="hidden" name="recurring_options_name" id="recurring_options_name" value="level_flexiblegift_type" /> </div> <div id="level_flexibleduration_row" class="form-row form-selectlist"> <div class="form-content"> <label class="FormLabel" for="level_flexibleduration">Select a Gift Duration:</label> <select name="level_flexibleduration" id="level_flexibleduration" size="1" > <option ></option> <optgroup label="Monthly"> <option value="M:0" >Ongoing(Monthly)</option> <option value="M:2" >2 months</option> <option value="M:3" >3 months</option> <option value="M:4" >4 months</option> <option value="M:5" >5 months</option> <option value="M:6" >6 months</option> <option value="M:7" >7 months</option> <option value="M:8" >8 months</option> <option value="M:9" >9 months</option> <option value="M:10" >10 months</option> <option value="M:11" >11 months</option> <option value="M:12" >12 months</option> </optgroup> <optgroup label="Quarterly"> <option value="Q:0" >Ongoing(Quarterly)</option> <option value="Q:4" >4 quarters</option> <option value="Q:8" >8 quarters</option> <option value="Q:12" >12 quarters</option> <option value="Q:16" >16 quarters</option> <option value="Q:20" >20 quarters</option> </optgroup> <optgroup label="Annually"> <option value="Y:0" >Ongoing(Annually)</option> <option value="Y:2" >2 years</option> <option value="Y:3" >3 years</option> <option value="Y:4" >4 years</option> <option value="Y:5" >5 years</option> </optgroup> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="level_flexibledurationsubmit" id="level_flexibledurationsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('level_flexibleduration', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('level_flexibleduration_row', _display); this.disable_submit_flag (_hidden); } observe_component ('level_flexiblegift_type.2', new ComponentEnabler ('level_flexibleduration')); function level_flexibleduration_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('level_flexibleduration', src); } } var el = document.getElementById('level_flexibleduration'); if (el) { Utils.addEvent (el, 'change', level_flexibleduration_listChanged); } </script><noscript> </noscript> </div> </div> <script type="text/javascript"> // subscribe listeners to make an ajax call to the server to calculate the total amount Y.use('jquery-noconflict', function() { var fetchAmountFunc = function () { // find all the select, textarea, input, etc... and format them into key=val pairs. var params = jQuery('#level_flexible_row :input').serialize(); // parse the path and append the key/value pairs above to the url var url = 'https://secure.ieeefoundation.org/site/Donation2?2440.donation=form1&idb=1419032770&level_flexibleajaxfetch=true&df_id=2440&mfc_pref=T&level_flexibletotalcalculateBtn=true'; var index = url.indexOf("?"); var path = url.substring(0, index); var args = url.substring(index+1, url.length); args += '&' + params; jQuery.ajax(path, { data: args, success: function(data) { if (!data) { data = '0.00'; } jQuery('#level_flexible_row .donation-level-total-amount').html(data); jQuery('#recurring_gift_terms_acceptance_message_container').trigger("recurringTermsChange"); } }); }; jQuery('#level_flexible_row :input[type=text]').blur(function() { fetchAmountFunc(); }); jQuery('#level_flexible_row input:checkbox, #level_flexible_row input:radio').click(function() { fetchAmountFunc(); }); jQuery('#level_flexible_row select').change(function() { fetchAmountFunc(); }); // call it on page load fetchAmountFunc(); }); </script><noscript> </noscript> </div> <h2 class="section-header-container"> Tribute Gift </h2> <div id="tribute_show_honor_fields_row" class="form-row form-checkbox"> <div class="form-content"> <input type="checkbox" name="tribute_show_honor_fieldsname" id="tribute_show_honor_fieldsname" onclick="fire_obs_comp_event('tribute_show_honor_fields', this);" /> <label for="tribute_show_honor_fieldsname">Yes, this is an honor or memorial gift</label> <input type="hidden" name="tribute_show_honor_fieldssubmit" id="tribute_show_honor_fieldssubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_show_honor_fields', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_show_honor_fields_row', _display); this.disable_submit_flag (_hidden); } comp.set = function (_value) { if (document.getElementById('tribute_show_honor_fieldsname')) { document.getElementById('tribute_show_honor_fieldsname').checked = _value; this.fireEvent(); } } comp.get = function() { if (document.getElementById('tribute_show_honor_fieldsname')) { return document.getElementById('tribute_show_honor_fieldsname').checked; } } comp.clear = function() { this.set(false); } </script><noscript> </noscript> </div> </div> <div id="tribute_type_row" class="form-row form-selectlist"> <div class="form-content"> <span class="field-required"></span> <label class="FormLabel" for="tribute_type">Honor Gift Type:</label> <select name="tribute_type" id="tribute_type" size="1" > <option ></option> <option value="tribute_type_value1" >In Memory of</option> <option value="tribute_type_value2" >In Honor of</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="tribute_typesubmit" id="tribute_typesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_type', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_type_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_type')); function tribute_type_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('tribute_type', src); } } var el = document.getElementById('tribute_type'); if (el) { Utils.addEvent (el, 'change', tribute_type_listChanged); } </script><noscript> </noscript> </div> </div> <div id="tribute_honoree_first_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="tribute_honoree_first_namename">Honoree First Name:</label> <input type="text" name="tribute_honoree_first_namename" id="tribute_honoree_first_namename" value="" maxlength="50" /> <input type="hidden" name="tribute_honoree_first_namesubmit" id="tribute_honoree_first_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_honoree_first_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_honoree_first_name_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_honoree_first_name')); </script><noscript> </noscript> </div> </div> <div id="tribute_honoree_last_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="tribute_honoree_last_namename">Honoree Last Name:</label> <input type="text" name="tribute_honoree_last_namename" id="tribute_honoree_last_namename" value="" maxlength="50" /> <input type="hidden" name="tribute_honoree_last_namesubmit" id="tribute_honoree_last_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_honoree_last_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_honoree_last_name_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_honoree_last_name')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_name_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_notify_recip_namename">Notification Recipient Name:</label> <input type="text" name="tribute_notify_recip_namename" id="tribute_notify_recip_namename" value="" maxlength="70" /> <input type="hidden" name="tribute_notify_recip_namesubmit" id="tribute_notify_recip_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_name_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_name')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_street1_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_notify_recip_street1name">Recipient Street 1:</label> <input type="text" name="tribute_notify_recip_street1name" id="tribute_notify_recip_street1name" value="" maxlength="50" /> <input type="hidden" name="tribute_notify_recip_street1submit" id="tribute_notify_recip_street1submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_street1', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_street1_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_street1')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_street2_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_notify_recip_street2name">Recipient Street 2:</label> <input type="text" name="tribute_notify_recip_street2name" id="tribute_notify_recip_street2name" value="" maxlength="50" /> <input type="hidden" name="tribute_notify_recip_street2submit" id="tribute_notify_recip_street2submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_street2', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_street2_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_street2')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_city_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_notify_recip_cityname">Recipient City:</label> <input type="text" name="tribute_notify_recip_cityname" id="tribute_notify_recip_cityname" value="" maxlength="50" /> <input type="hidden" name="tribute_notify_recip_citysubmit" id="tribute_notify_recip_citysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_city', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_city_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_city')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_state_row" class="form-row form-selectlist"> <div class="form-content"> <label class="FormLabel" for="tribute_notify_recip_state">Recipient State/Province:</label> <select name="tribute_notify_recip_state" id="tribute_notify_recip_state" size="1" onchange="fire_obs_comp_event('tribute_notify_recip_state', this)"> <option ></option> <option value="AK" >AK - Alaska</option> <option value="AL" >AL - Alabama</option> <option value="AR" >AR - Arkansas</option> <option value="AZ" >AZ - Arizona</option> <option value="CA" >CA - California</option> <option value="CO" >CO - Colorado</option> <option value="CT" >CT - Connecticut</option> <option value="DC" >DC - District of Columbia</option> <option value="DE" >DE - Delaware</option> <option value="FL" >FL - Florida</option> <option value="GA" >GA - Georgia</option> <option value="HI" >HI - Hawaii</option> <option value="IA" >IA - Iowa</option> <option value="ID" >ID - Idaho</option> <option value="IL" >IL - Illinois</option> <option value="IN" >IN - Indiana</option> <option value="KS" >KS - Kansas</option> <option value="KY" >KY - Kentucky</option> <option value="LA" >LA - Louisiana</option> <option value="MA" >MA - Massachusetts</option> <option value="MD" >MD - Maryland</option> <option value="ME" >ME - Maine</option> <option value="MI" >MI - Michigan</option> <option value="MN" >MN - Minnesota</option> <option value="MO" >MO - Missouri</option> <option value="MS" >MS - Mississippi</option> <option value="MT" >MT - Montana</option> <option value="NC" >NC - North Carolina</option> <option value="ND" >ND - North Dakota</option> <option value="NE" >NE - Nebraska</option> <option value="NH" >NH - New Hampshire</option> <option value="NJ" >NJ - New Jersey</option> <option value="NM" >NM - New Mexico</option> <option value="NV" >NV - Nevada</option> <option value="NY" >NY - New York</option> <option value="OH" >OH - Ohio</option> <option value="OK" >OK - Oklahoma</option> <option value="OR" >OR - Oregon</option> <option value="PA" >PA - Pennsylvania</option> <option value="RI" >RI - Rhode Island</option> <option value="SC" >SC - South Carolina</option> <option value="SD" >SD - South Dakota</option> <option value="TN" >TN - Tennessee</option> <option value="TX" >TX - Texas</option> <option value="UT" >UT - Utah</option> <option value="VA" >VA - Virginia</option> <option value="VT" >VT - Vermont</option> <option value="WA" >WA - Washington</option> <option value="WI" >WI - Wisconsin</option> <option value="WV" >WV - West Virginia</option> <option value="WY" >WY - Wyoming</option> <option value="AS" >AS - American Samoa</option> <option value="FM" >FM - Federated States of Micronesia</option> <option value="GU" >GU - Guam</option> <option value="MH" >MH - Marshall Islands</option> <option value="MP" >MP - Northern Mariana Islands</option> <option value="PR" >PR - Puerto Rico</option> <option value="PW" >PW - Palau</option> <option value="VI" >VI - Virgin Islands</option> <option value="AA" >AA - Armed Forces Americas</option> <option value="AE" >AE - Armed Forces</option> <option value="AP" >AP - Armed Forces Pacific</option> <option value="AB" >AB - Alberta</option> <option value="BC" >BC - British Columbia</option> <option value="MB" >MB - Manitoba</option> <option value="NB" >NB - New Brunswick</option> <option value="NL" >NL - Newfoundland and Labrador</option> <option value="NS" >NS - Nova Scotia</option> <option value="NT" >NT - Northwest Territories</option> <option value="NU" >NU - Nunavut</option> <option value="ON" >ON - Ontario</option> <option value="PE" >PE - Prince Edward Island</option> <option value="QC" >QC - Quebec</option> <option value="SK" >SK - Saskatchewan</option> <option value="YT" >YT - Yukon</option> <option value="None" >None</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="tribute_notify_recip_statesubmit" id="tribute_notify_recip_statesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_state', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_state_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_state')); function tribute_notify_recip_state_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('tribute_notify_recip_state', src); } } var el = document.getElementById('tribute_notify_recip_state'); if (el) { Utils.addEvent (el, 'change', tribute_notify_recip_state_listChanged); } </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_zip_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_notify_recip_zipname">Recipient ZIP/Postal Code:</label> <input type="text" name="tribute_notify_recip_zipname" id="tribute_notify_recip_zipname" value="" maxlength="50" /> <input type="hidden" name="tribute_notify_recip_zipsubmit" id="tribute_notify_recip_zipsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_zip', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_zip_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_zip')); </script><noscript> </noscript> </div> </div> <div id="tribute_notify_recip_country_row" class="form-row form-selectlist"> <div class="form-content"> <label class="FormLabel" for="tribute_notify_recip_country">Recipient Country:</label> <select name="tribute_notify_recip_country" id="tribute_notify_recip_country" size="1" onchange="fire_obs_comp_event('tribute_notify_recip_country', this)"> <option ></option> <option selected="selected" value="United States" >United States</option> <option value="Afghanistan" >Afghanistan</option> <option value="Aland Islands" >Aland Islands</option> <option value="Albania" >Albania</option> <option value="Algeria" >Algeria</option> <option value="American Samoa" >American Samoa</option> <option value="Andorra" >Andorra</option> <option value="Angola" >Angola</option> <option value="Anguilla" >Anguilla</option> <option value="Antarctica" >Antarctica</option> <option value="Antigua and Barbuda" >Antigua and Barbuda</option> <option value="Argentina" >Argentina</option> <option value="Armenia" >Armenia</option> <option value="Aruba" >Aruba</option> <option value="Australia" >Australia</option> <option value="Austria" >Austria</option> <option value="Azerbaijan" >Azerbaijan</option> <option value="Bahamas" >Bahamas</option> <option value="Bahrain" >Bahrain</option> <option value="Bangladesh" >Bangladesh</option> <option value="Barbados" >Barbados</option> <option value="Belarus" >Belarus</option> <option value="Belgium" >Belgium</option> <option value="Belize" >Belize</option> <option value="Benin" >Benin</option> <option value="Bermuda" >Bermuda</option> <option value="Bhutan" >Bhutan</option> <option value="Bolivarian Republic of Venezuela" >Bolivarian Republic of Venezuela</option> <option value="Bonaire, Sint Eustatios and Saba" >Bonaire, Sint Eustatios and Saba</option> <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option> <option value="Botswana" >Botswana</option> <option value="Bouvet Island" >Bouvet Island</option> <option value="Brazil" >Brazil</option> <option value="British Indian Ocean Territory" >British Indian Ocean Territory</option> <option value="Brunei Darussalam" >Brunei Darussalam</option> <option value="Bulgaria" >Bulgaria</option> <option value="Burkina Faso" >Burkina Faso</option> <option value="Burundi" >Burundi</option> <option value="Cambodia" >Cambodia</option> <option value="Cameroon" >Cameroon</option> <option value="Canada" >Canada</option> <option value="Cape Verde" >Cape Verde</option> <option value="Cayman Islands" >Cayman Islands</option> <option value="Central African Republic" >Central African Republic</option> <option value="Chad" >Chad</option> <option value="Chile" >Chile</option> <option value="China" >China</option> <option value="Christmas Island" >Christmas Island</option> <option value="Cocos (Keeling) Islands" >Cocos (Keeling) Islands</option> <option value="Colombia" >Colombia</option> <option value="Comoros" >Comoros</option> <option value="Congo" >Congo</option> <option value="Cook Islands" >Cook Islands</option> <option value="Costa Rica" >Costa Rica</option> <option value="Cote D'Ivoire" >Cote D'Ivoire</option> <option value="Croatia" >Croatia</option> <option value="Cuba" >Cuba</option> <option value="Curacao" >Curacao</option> <option value="Cyprus" >Cyprus</option> <option value="Czech Republic" >Czech Republic</option> <option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option> <option value="The Democratic Republic of the Congo" >The Democratic Republic of the Congo</option> <option value="Denmark" >Denmark</option> <option value="Djibouti" >Djibouti</option> <option value="Dominica" >Dominica</option> <option value="Dominican Republic" >Dominican Republic</option> <option value="Ecuador" >Ecuador</option> <option value="Egypt" >Egypt</option> <option value="El Salvador" >El Salvador</option> <option value="Equatorial Guinea" >Equatorial Guinea</option> <option value="Eritrea" >Eritrea</option> <option value="Estonia" >Estonia</option> <option value="Ethiopia" >Ethiopia</option> <option value="Falkland Islands (Malvinas)" >Falkland Islands (Malvinas)</option> <option value="Faroe Islands" >Faroe Islands</option> <option value="Federated States of Micronesia" >Federated States of Micronesia</option> <option value="Fiji" >Fiji</option> <option value="Finland" >Finland</option> <option value="The Former Yugoslav Republic of Macedonia" >The Former Yugoslav Republic of Macedonia</option> <option value="France" >France</option> <option value="French Guiana" >French Guiana</option> <option value="French Polynesia" >French Polynesia</option> <option value="French Southern Territories" >French Southern Territories</option> <option value="Gabon" >Gabon</option> <option value="Gambia" >Gambia</option> <option value="Georgia" >Georgia</option> <option value="Germany" >Germany</option> <option value="Ghana" >Ghana</option> <option value="Gibraltar" >Gibraltar</option> <option value="Greece" >Greece</option> <option value="Greenland" >Greenland</option> <option value="Grenada" >Grenada</option> <option value="Guadeloupe" >Guadeloupe</option> <option value="Guam" >Guam</option> <option value="Guatemala" >Guatemala</option> <option value="Guernsey" >Guernsey</option> <option value="Guinea" >Guinea</option> <option value="Guinea-Bissau" >Guinea-Bissau</option> <option value="Guyana" >Guyana</option> <option value="Haiti" >Haiti</option> <option value="Heard Island and McDonald Islands" >Heard Island and McDonald Islands</option> <option value="Holy See (Vatican City State)" >Holy See (Vatican City State)</option> <option value="Honduras" >Honduras</option> <option value="Hong Kong" >Hong Kong</option> <option value="Hungary" >Hungary</option> <option value="Iceland" >Iceland</option> <option value="India" >India</option> <option value="Indonesia" >Indonesia</option> <option value="Iraq" >Iraq</option> <option value="Ireland" >Ireland</option> <option value="Islamic Republic of Iran" >Islamic Republic of Iran</option> <option value="Isle of Man" >Isle of Man</option> <option value="Israel" >Israel</option> <option value="Italy" >Italy</option> <option value="Jamaica" >Jamaica</option> <option value="Japan" >Japan</option> <option value="Jersey" >Jersey</option> <option value="Jordan" >Jordan</option> <option value="Kazakhstan" >Kazakhstan</option> <option value="Kenya" >Kenya</option> <option value="Kiribati" >Kiribati</option> <option value="Kuwait" >Kuwait</option> <option value="Kyrgyzstan" >Kyrgyzstan</option> <option value="Lao People's Democratic Republic" >Lao People's Democratic Republic</option> <option value="Latvia" >Latvia</option> <option value="Lebanon" >Lebanon</option> <option value="Lesotho" >Lesotho</option> <option value="Liberia" >Liberia</option> <option value="Libya" >Libya</option> <option value="Liechtenstein" >Liechtenstein</option> <option value="Lithuania" >Lithuania</option> <option value="Luxembourg" >Luxembourg</option> <option value="Macao" >Macao</option> <option value="Madagascar" >Madagascar</option> <option value="Malawi" >Malawi</option> <option value="Malaysia" >Malaysia</option> <option value="Maldives" >Maldives</option> <option value="Mali" >Mali</option> <option value="Malta" >Malta</option> <option value="Marshall Islands" >Marshall Islands</option> <option value="Martinique" >Martinique</option> <option value="Mauritania" >Mauritania</option> <option value="Mauritius" >Mauritius</option> <option value="Mayotte" >Mayotte</option> <option value="Mexico" >Mexico</option> <option value="Monaco" >Monaco</option> <option value="Mongolia" >Mongolia</option> <option value="Montenegro" >Montenegro</option> <option value="Montserrat" >Montserrat</option> <option value="Morocco" >Morocco</option> <option value="Mozambique" >Mozambique</option> <option value="Myanmar" >Myanmar</option> <option value="Namibia" >Namibia</option> <option value="Nauru" >Nauru</option> <option value="Nepal" >Nepal</option> <option value="Netherlands" >Netherlands</option> <option value="New Caledonia" >New Caledonia</option> <option value="New Zealand" >New Zealand</option> <option value="Nicaragua" >Nicaragua</option> <option value="Niger" >Niger</option> <option value="Nigeria" >Nigeria</option> <option value="Niue" >Niue</option> <option value="Norfolk Island" >Norfolk Island</option> <option value="Northern Mariana Islands" >Northern Mariana Islands</option> <option value="Norway" >Norway</option> <option value="Oman" >Oman</option> <option value="Pakistan" >Pakistan</option> <option value="Palau" >Palau</option> <option value="Palestinian Territory, Occupied" >Palestinian Territory, Occupied</option> <option value="Panama" >Panama</option> <option value="Papua New Guinea" >Papua New Guinea</option> <option value="Paraguay" >Paraguay</option> <option value="Peru" >Peru</option> <option value="Philippines" >Philippines</option> <option value="Pitcairn" >Pitcairn</option> <option value="Plurinational State of Bolivia" >Plurinational State of Bolivia</option> <option value="Poland" >Poland</option> <option value="Portugal" >Portugal</option> <option value="Puerto Rico" >Puerto Rico</option> <option value="Qatar" >Qatar</option> <option value="Republic of Korea" >Republic of Korea</option> <option value="Republic of Moldova" >Republic of Moldova</option> <option value="Reunion" >Reunion</option> <option value="Romania" >Romania</option> <option value="Russian Federation" >Russian Federation</option> <option value="Rwanda" >Rwanda</option> <option value="Saint Barthelemy" >Saint Barthelemy</option> <option value="Saint Helena, Ascension and Tristan da Cunha" >Saint Helena, Ascension and Tristan da Cunha</option> <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option> <option value="Saint Lucia" >Saint Lucia</option> <option value="Saint Martin (French)" >Saint Martin (French)</option> <option value="Saint Pierre and Miquelon" >Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option> <option value="Samoa" >Samoa</option> <option value="San Marino" >San Marino</option> <option value="Sao Tome and Principe" >Sao Tome and Principe</option> <option value="Saudi Arabia" >Saudi Arabia</option> <option value="Senegal" >Senegal</option> <option value="Serbia" >Serbia</option> <option value="Seychelles" >Seychelles</option> <option value="S. Georgia & S. Sandwich Isls." >S. Georgia & S. Sandwich Isls.</option> <option value="Sierra Leone" >Sierra Leone</option> <option value="Singapore" >Singapore</option> <option value="Sint Maarten (Dutch)" >Sint Maarten (Dutch)</option> <option value="Slovakia" >Slovakia</option> <option value="Slovenia" >Slovenia</option> <option value="Solomon Islands" >Solomon Islands</option> <option value="Somalia" >Somalia</option> <option value="South Africa" >South Africa</option> <option value="South Sudan" >South Sudan</option> <option value="Spain" >Spain</option> <option value="Sri Lanka" >Sri Lanka</option> <option value="Sudan" >Sudan</option> <option value="Suriname" >Suriname</option> <option value="Svalbard and Jan Mayen" >Svalbard and Jan Mayen</option> <option value="Swaziland" >Swaziland</option> <option value="Sweden" >Sweden</option> <option value="Switzerland" >Switzerland</option> <option value="Syrian Arab Republic" >Syrian Arab Republic</option> <option value="Taiwan, Province of China" >Taiwan, Province of China</option> <option value="Tajikistan" >Tajikistan</option> <option value="Thailand" >Thailand</option> <option value="Timor-Leste" >Timor-Leste</option> <option value="Togo" >Togo</option> <option value="Tokelau" >Tokelau</option> <option value="Tonga" >Tonga</option> <option value="Trinidad and Tobago" >Trinidad and Tobago</option> <option value="Tunisia" >Tunisia</option> <option value="Turkey" >Turkey</option> <option value="Turkmenistan" >Turkmenistan</option> <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option> <option value="Tuvalu" >Tuvalu</option> <option value="Uganda" >Uganda</option> <option value="Ukraine" >Ukraine</option> <option value="United Arab Emirates" >United Arab Emirates</option> <option value="United Kingdom" >United Kingdom</option> <option value="United Republic of Tanzania" >United Republic of Tanzania</option> <option value="Uruguay" >Uruguay</option> <option value="USA Minor Outlying Islands" >USA Minor Outlying Islands</option> <option value="Uzbekistan" >Uzbekistan</option> <option value="Vanuatu" >Vanuatu</option> <option value="Viet Nam" >Viet Nam</option> <option value="Virgin Islands (British)" >Virgin Islands (British)</option> <option value="Virgin Islands (USA)" >Virgin Islands (USA)</option> <option value="Wallis and Futuna" >Wallis and Futuna</option> <option value="Western Sahara" >Western Sahara</option> <option value="Yemen" >Yemen</option> <option value="Zambia" >Zambia</option> <option value="Zimbabwe" >Zimbabwe</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="tribute_notify_recip_countrysubmit" id="tribute_notify_recip_countrysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_notify_recip_country', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_notify_recip_country_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_notify_recip_country')); function tribute_notify_recip_country_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('tribute_notify_recip_country', src); } } var el = document.getElementById('tribute_notify_recip_country'); if (el) { Utils.addEvent (el, 'change', tribute_notify_recip_country_listChanged); } </script><noscript> </noscript> </div> </div> <div id="tribute_message_body_row" class="form-row form-text"> <div class="form-content"> <label for="tribute_message_bodyname">Message Body:</label> <textarea cols="50" rows="4" name="tribute_message_bodyname" id="tribute_message_bodyname" ></textarea> <input type="hidden" name="tribute_message_bodysubmit" id="tribute_message_bodysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('tribute_message_body', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('tribute_message_body_row', _display); this.disable_submit_flag (_hidden); } observe_component ('tribute_show_honor_fields.true', new ComponentDisplayer ('tribute_message_body')); </script><noscript> </noscript> </div> </div> <h2 class="section-header-container"> Donor Information </h2> <div id="donor_first_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_first_namename">First Name:</label> <input type="text" name="donor_first_namename" id="donor_first_namename" value="" maxlength="50" /> <input type="hidden" name="donor_first_namesubmit" id="donor_first_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_first_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_first_name_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_last_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_last_namename">Last Name:</label> <input type="text" name="donor_last_namename" id="donor_last_namename" value="" maxlength="50" /> <input type="hidden" name="donor_last_namesubmit" id="donor_last_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_last_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_last_name_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_street1_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_addr_street1name">Street 1:</label> <input type="text" name="donor_addr_street1name" id="donor_addr_street1name" value="" maxlength="50" /> <input type="hidden" name="donor_addr_street1submit" id="donor_addr_street1submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_street1', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_street1_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_street2_row" class="form-row form-text"> <div class="form-content"> <label for="donor_addr_street2name">Street 2:</label> <input type="text" name="donor_addr_street2name" id="donor_addr_street2name" value="" maxlength="50" /> <input type="hidden" name="donor_addr_street2submit" id="donor_addr_street2submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_street2', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_street2_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_city_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_addr_cityname">City:</label> <input type="text" name="donor_addr_cityname" id="donor_addr_cityname" value="" maxlength="50" /> <input type="hidden" name="donor_addr_citysubmit" id="donor_addr_citysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_city', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_city_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_state_row" class="form-row form-selectlist"> <div class="form-content"> <span class="field-required"></span> <label class="FormLabel" for="donor_addr_state">State/Province:</label> <select name="donor_addr_state" id="donor_addr_state" size="1" onchange="fire_obs_comp_event('donor_addr_state', this)"> <option ></option> <option value="AK" >AK - Alaska</option> <option value="AL" >AL - Alabama</option> <option value="AR" >AR - Arkansas</option> <option value="AZ" >AZ - Arizona</option> <option value="CA" >CA - California</option> <option value="CO" >CO - Colorado</option> <option value="CT" >CT - Connecticut</option> <option value="DC" >DC - District of Columbia</option> <option value="DE" >DE - Delaware</option> <option value="FL" >FL - Florida</option> <option value="GA" >GA - Georgia</option> <option value="HI" >HI - Hawaii</option> <option value="IA" >IA - Iowa</option> <option value="ID" >ID - Idaho</option> <option value="IL" >IL - Illinois</option> <option value="IN" >IN - Indiana</option> <option value="KS" >KS - Kansas</option> <option value="KY" >KY - Kentucky</option> <option value="LA" >LA - Louisiana</option> <option value="MA" >MA - Massachusetts</option> <option value="MD" >MD - Maryland</option> <option value="ME" >ME - Maine</option> <option value="MI" >MI - Michigan</option> <option value="MN" >MN - Minnesota</option> <option value="MO" >MO - Missouri</option> <option value="MS" >MS - Mississippi</option> <option value="MT" >MT - Montana</option> <option value="NC" >NC - North Carolina</option> <option value="ND" >ND - North Dakota</option> <option value="NE" >NE - Nebraska</option> <option value="NH" >NH - New Hampshire</option> <option value="NJ" >NJ - New Jersey</option> <option value="NM" >NM - New Mexico</option> <option value="NV" >NV - Nevada</option> <option value="NY" >NY - New York</option> <option value="OH" >OH - Ohio</option> <option value="OK" >OK - Oklahoma</option> <option value="OR" >OR - Oregon</option> <option value="PA" >PA - Pennsylvania</option> <option value="RI" >RI - Rhode Island</option> <option value="SC" >SC - South Carolina</option> <option value="SD" >SD - South Dakota</option> <option value="TN" >TN - Tennessee</option> <option value="TX" >TX - Texas</option> <option value="UT" >UT - Utah</option> <option value="VA" >VA - Virginia</option> <option value="VT" >VT - Vermont</option> <option value="WA" >WA - Washington</option> <option value="WI" >WI - Wisconsin</option> <option value="WV" >WV - West Virginia</option> <option value="WY" >WY - Wyoming</option> <option value="AS" >AS - American Samoa</option> <option value="FM" >FM - Federated States of Micronesia</option> <option value="GU" >GU - Guam</option> <option value="MH" >MH - Marshall Islands</option> <option value="MP" >MP - Northern Mariana Islands</option> <option value="PR" >PR - Puerto Rico</option> <option value="PW" >PW - Palau</option> <option value="VI" >VI - Virgin Islands</option> <option value="AA" >AA - Armed Forces Americas</option> <option value="AE" >AE - Armed Forces</option> <option value="AP" >AP - Armed Forces Pacific</option> <option value="AB" >AB - Alberta</option> <option value="BC" >BC - British Columbia</option> <option value="MB" >MB - Manitoba</option> <option value="NB" >NB - New Brunswick</option> <option value="NL" >NL - Newfoundland and Labrador</option> <option value="NS" >NS - Nova Scotia</option> <option value="NT" >NT - Northwest Territories</option> <option value="NU" >NU - Nunavut</option> <option value="ON" >ON - Ontario</option> <option value="PE" >PE - Prince Edward Island</option> <option value="QC" >QC - Quebec</option> <option value="SK" >SK - Saskatchewan</option> <option value="YT" >YT - Yukon</option> <option value="None" >None</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="donor_addr_statesubmit" id="donor_addr_statesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_state', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_state_row', _display); this.disable_submit_flag (_hidden); } function donor_addr_state_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('donor_addr_state', src); } } var el = document.getElementById('donor_addr_state'); if (el) { Utils.addEvent (el, 'change', donor_addr_state_listChanged); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_zip_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_addr_zipname">ZIP/Postal code:</label> <input type="text" name="donor_addr_zipname" id="donor_addr_zipname" value="" maxlength="50" /> <input type="hidden" name="donor_addr_zipsubmit" id="donor_addr_zipsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_zip', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_zip_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="donor_addr_country_row" class="form-row form-selectlist"> <div class="form-content"> <span class="field-required"></span> <label class="FormLabel" for="donor_addr_country">Country:</label> <select name="donor_addr_country" id="donor_addr_country" size="1" onchange="fire_obs_comp_event('donor_addr_country', this)"> <option ></option> <option selected="selected" value="United States" >United States</option> <option value="Afghanistan" >Afghanistan</option> <option value="Aland Islands" >Aland Islands</option> <option value="Albania" >Albania</option> <option value="Algeria" >Algeria</option> <option value="American Samoa" >American Samoa</option> <option value="Andorra" >Andorra</option> <option value="Angola" >Angola</option> <option value="Anguilla" >Anguilla</option> <option value="Antarctica" >Antarctica</option> <option value="Antigua and Barbuda" >Antigua and Barbuda</option> <option value="Argentina" >Argentina</option> <option value="Armenia" >Armenia</option> <option value="Aruba" >Aruba</option> <option value="Australia" >Australia</option> <option value="Austria" >Austria</option> <option value="Azerbaijan" >Azerbaijan</option> <option value="Bahamas" >Bahamas</option> <option value="Bahrain" >Bahrain</option> <option value="Bangladesh" >Bangladesh</option> <option value="Barbados" >Barbados</option> <option value="Belarus" >Belarus</option> <option value="Belgium" >Belgium</option> <option value="Belize" >Belize</option> <option value="Benin" >Benin</option> <option value="Bermuda" >Bermuda</option> <option value="Bhutan" >Bhutan</option> <option value="Bolivarian Republic of Venezuela" >Bolivarian Republic of Venezuela</option> <option value="Bonaire, Sint Eustatios and Saba" >Bonaire, Sint Eustatios and Saba</option> <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option> <option value="Botswana" >Botswana</option> <option value="Bouvet Island" >Bouvet Island</option> <option value="Brazil" >Brazil</option> <option value="British Indian Ocean Territory" >British Indian Ocean Territory</option> <option value="Brunei Darussalam" >Brunei Darussalam</option> <option value="Bulgaria" >Bulgaria</option> <option value="Burkina Faso" >Burkina Faso</option> <option value="Burundi" >Burundi</option> <option value="Cambodia" >Cambodia</option> <option value="Cameroon" >Cameroon</option> <option value="Canada" >Canada</option> <option value="Cape Verde" >Cape Verde</option> <option value="Cayman Islands" >Cayman Islands</option> <option value="Central African Republic" >Central African Republic</option> <option value="Chad" >Chad</option> <option value="Chile" >Chile</option> <option value="China" >China</option> <option value="Christmas Island" >Christmas Island</option> <option value="Cocos (Keeling) Islands" >Cocos (Keeling) Islands</option> <option value="Colombia" >Colombia</option> <option value="Comoros" >Comoros</option> <option value="Congo" >Congo</option> <option value="Cook Islands" >Cook Islands</option> <option value="Costa Rica" >Costa Rica</option> <option value="Cote D'Ivoire" >Cote D'Ivoire</option> <option value="Croatia" >Croatia</option> <option value="Cuba" >Cuba</option> <option value="Curacao" >Curacao</option> <option value="Cyprus" >Cyprus</option> <option value="Czech Republic" >Czech Republic</option> <option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option> <option value="The Democratic Republic of the Congo" >The Democratic Republic of the Congo</option> <option value="Denmark" >Denmark</option> <option value="Djibouti" >Djibouti</option> <option value="Dominica" >Dominica</option> <option value="Dominican Republic" >Dominican Republic</option> <option value="Ecuador" >Ecuador</option> <option value="Egypt" >Egypt</option> <option value="El Salvador" >El Salvador</option> <option value="Equatorial Guinea" >Equatorial Guinea</option> <option value="Eritrea" >Eritrea</option> <option value="Estonia" >Estonia</option> <option value="Ethiopia" >Ethiopia</option> <option value="Falkland Islands (Malvinas)" >Falkland Islands (Malvinas)</option> <option value="Faroe Islands" >Faroe Islands</option> <option value="Federated States of Micronesia" >Federated States of Micronesia</option> <option value="Fiji" >Fiji</option> <option value="Finland" >Finland</option> <option value="The Former Yugoslav Republic of Macedonia" >The Former Yugoslav Republic of Macedonia</option> <option value="France" >France</option> <option value="French Guiana" >French Guiana</option> <option value="French Polynesia" >French Polynesia</option> <option value="French Southern Territories" >French Southern Territories</option> <option value="Gabon" >Gabon</option> <option value="Gambia" >Gambia</option> <option value="Georgia" >Georgia</option> <option value="Germany" >Germany</option> <option value="Ghana" >Ghana</option> <option value="Gibraltar" >Gibraltar</option> <option value="Greece" >Greece</option> <option value="Greenland" >Greenland</option> <option value="Grenada" >Grenada</option> <option value="Guadeloupe" >Guadeloupe</option> <option value="Guam" >Guam</option> <option value="Guatemala" >Guatemala</option> <option value="Guernsey" >Guernsey</option> <option value="Guinea" >Guinea</option> <option value="Guinea-Bissau" >Guinea-Bissau</option> <option value="Guyana" >Guyana</option> <option value="Haiti" >Haiti</option> <option value="Heard Island and McDonald Islands" >Heard Island and McDonald Islands</option> <option value="Holy See (Vatican City State)" >Holy See (Vatican City State)</option> <option value="Honduras" >Honduras</option> <option value="Hong Kong" >Hong Kong</option> <option value="Hungary" >Hungary</option> <option value="Iceland" >Iceland</option> <option value="India" >India</option> <option value="Indonesia" >Indonesia</option> <option value="Iraq" >Iraq</option> <option value="Ireland" >Ireland</option> <option value="Islamic Republic of Iran" >Islamic Republic of Iran</option> <option value="Isle of Man" >Isle of Man</option> <option value="Israel" >Israel</option> <option value="Italy" >Italy</option> <option value="Jamaica" >Jamaica</option> <option value="Japan" >Japan</option> <option value="Jersey" >Jersey</option> <option value="Jordan" >Jordan</option> <option value="Kazakhstan" >Kazakhstan</option> <option value="Kenya" >Kenya</option> <option value="Kiribati" >Kiribati</option> <option value="Kuwait" >Kuwait</option> <option value="Kyrgyzstan" >Kyrgyzstan</option> <option value="Lao People's Democratic Republic" >Lao People's Democratic Republic</option> <option value="Latvia" >Latvia</option> <option value="Lebanon" >Lebanon</option> <option value="Lesotho" >Lesotho</option> <option value="Liberia" >Liberia</option> <option value="Libya" >Libya</option> <option value="Liechtenstein" >Liechtenstein</option> <option value="Lithuania" >Lithuania</option> <option value="Luxembourg" >Luxembourg</option> <option value="Macao" >Macao</option> <option value="Madagascar" >Madagascar</option> <option value="Malawi" >Malawi</option> <option value="Malaysia" >Malaysia</option> <option value="Maldives" >Maldives</option> <option value="Mali" >Mali</option> <option value="Malta" >Malta</option> <option value="Marshall Islands" >Marshall Islands</option> <option value="Martinique" >Martinique</option> <option value="Mauritania" >Mauritania</option> <option value="Mauritius" >Mauritius</option> <option value="Mayotte" >Mayotte</option> <option value="Mexico" >Mexico</option> <option value="Monaco" >Monaco</option> <option value="Mongolia" >Mongolia</option> <option value="Montenegro" >Montenegro</option> <option value="Montserrat" >Montserrat</option> <option value="Morocco" >Morocco</option> <option value="Mozambique" >Mozambique</option> <option value="Myanmar" >Myanmar</option> <option value="Namibia" >Namibia</option> <option value="Nauru" >Nauru</option> <option value="Nepal" >Nepal</option> <option value="Netherlands" >Netherlands</option> <option value="New Caledonia" >New Caledonia</option> <option value="New Zealand" >New Zealand</option> <option value="Nicaragua" >Nicaragua</option> <option value="Niger" >Niger</option> <option value="Nigeria" >Nigeria</option> <option value="Niue" >Niue</option> <option value="Norfolk Island" >Norfolk Island</option> <option value="Northern Mariana Islands" >Northern Mariana Islands</option> <option value="Norway" >Norway</option> <option value="Oman" >Oman</option> <option value="Pakistan" >Pakistan</option> <option value="Palau" >Palau</option> <option value="Palestinian Territory, Occupied" >Palestinian Territory, Occupied</option> <option value="Panama" >Panama</option> <option value="Papua New Guinea" >Papua New Guinea</option> <option value="Paraguay" >Paraguay</option> <option value="Peru" >Peru</option> <option value="Philippines" >Philippines</option> <option value="Pitcairn" >Pitcairn</option> <option value="Plurinational State of Bolivia" >Plurinational State of Bolivia</option> <option value="Poland" >Poland</option> <option value="Portugal" >Portugal</option> <option value="Puerto Rico" >Puerto Rico</option> <option value="Qatar" >Qatar</option> <option value="Republic of Korea" >Republic of Korea</option> <option value="Republic of Moldova" >Republic of Moldova</option> <option value="Reunion" >Reunion</option> <option value="Romania" >Romania</option> <option value="Russian Federation" >Russian Federation</option> <option value="Rwanda" >Rwanda</option> <option value="Saint Barthelemy" >Saint Barthelemy</option> <option value="Saint Helena, Ascension and Tristan da Cunha" >Saint Helena, Ascension and Tristan da Cunha</option> <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option> <option value="Saint Lucia" >Saint Lucia</option> <option value="Saint Martin (French)" >Saint Martin (French)</option> <option value="Saint Pierre and Miquelon" >Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option> <option value="Samoa" >Samoa</option> <option value="San Marino" >San Marino</option> <option value="Sao Tome and Principe" >Sao Tome and Principe</option> <option value="Saudi Arabia" >Saudi Arabia</option> <option value="Senegal" >Senegal</option> <option value="Serbia" >Serbia</option> <option value="Seychelles" >Seychelles</option> <option value="S. Georgia & S. Sandwich Isls." >S. Georgia & S. Sandwich Isls.</option> <option value="Sierra Leone" >Sierra Leone</option> <option value="Singapore" >Singapore</option> <option value="Sint Maarten (Dutch)" >Sint Maarten (Dutch)</option> <option value="Slovakia" >Slovakia</option> <option value="Slovenia" >Slovenia</option> <option value="Solomon Islands" >Solomon Islands</option> <option value="Somalia" >Somalia</option> <option value="South Africa" >South Africa</option> <option value="South Sudan" >South Sudan</option> <option value="Spain" >Spain</option> <option value="Sri Lanka" >Sri Lanka</option> <option value="Sudan" >Sudan</option> <option value="Suriname" >Suriname</option> <option value="Svalbard and Jan Mayen" >Svalbard and Jan Mayen</option> <option value="Swaziland" >Swaziland</option> <option value="Sweden" >Sweden</option> <option value="Switzerland" >Switzerland</option> <option value="Syrian Arab Republic" >Syrian Arab Republic</option> <option value="Taiwan, Province of China" >Taiwan, Province of China</option> <option value="Tajikistan" >Tajikistan</option> <option value="Thailand" >Thailand</option> <option value="Timor-Leste" >Timor-Leste</option> <option value="Togo" >Togo</option> <option value="Tokelau" >Tokelau</option> <option value="Tonga" >Tonga</option> <option value="Trinidad and Tobago" >Trinidad and Tobago</option> <option value="Tunisia" >Tunisia</option> <option value="Turkey" >Turkey</option> <option value="Turkmenistan" >Turkmenistan</option> <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option> <option value="Tuvalu" >Tuvalu</option> <option value="Uganda" >Uganda</option> <option value="Ukraine" >Ukraine</option> <option value="United Arab Emirates" >United Arab Emirates</option> <option value="United Kingdom" >United Kingdom</option> <option value="United Republic of Tanzania" >United Republic of Tanzania</option> <option value="Uruguay" >Uruguay</option> <option value="USA Minor Outlying Islands" >USA Minor Outlying Islands</option> <option value="Uzbekistan" >Uzbekistan</option> <option value="Vanuatu" >Vanuatu</option> <option value="Viet Nam" >Viet Nam</option> <option value="Virgin Islands (British)" >Virgin Islands (British)</option> <option value="Virgin Islands (USA)" >Virgin Islands (USA)</option> <option value="Wallis and Futuna" >Wallis and Futuna</option> <option value="Western Sahara" >Western Sahara</option> <option value="Yemen" >Yemen</option> <option value="Zambia" >Zambia</option> <option value="Zimbabwe" >Zimbabwe</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="donor_addr_countrysubmit" id="donor_addr_countrysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_addr_country', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_addr_country_row', _display); this.disable_submit_flag (_hidden); } function donor_addr_country_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('donor_addr_country', src); } } var el = document.getElementById('donor_addr_country'); if (el) { Utils.addEvent (el, 'change', donor_addr_country_listChanged); } </script><noscript> </noscript> </div> </div> <div id="donor_email_address_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor_email_addressname">Email Address:</label> <input type="text" name="donor_email_addressname" id="donor_email_addressname" value="" maxlength="255" /> <input type="hidden" name="donor_email_addresssubmit" id="donor_email_addresssubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor_email_address', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_email_address_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div class="form-row form-checkbox" id="donor_email_opt_in_Row"> <div class="form-content"> <span class="check-box-form-label-text"></span> <input type="checkbox" name="donor_email_opt_inname" id="donor_email_opt_inname" checked="checked" onclick="fire_obs_comp_event('donor_email_opt_in', this);" /> <label for="donor_email_opt_inname"> Yes, I'd like to receive email updates from the foundation. </label> <script type="text/javascript"> var comp = new ObservableComponent ('donor_email_opt_in', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor_email_opt_in_Row', _display); this.disable_submit_flag (_hidden); } comp.set = function (_value) { if (document.getElementById('donor_email_opt_inname')) { document.getElementById('donor_email_opt_inname').checked = _value; this.fireEvent(); } } comp.get = function() { if (document.getElementById('donor_email_opt_inname')) return document.getElementById('donor_email_opt_inname').checked; } comp.clear = function() { this.set(false); } </script><noscript> </noscript> <input type="hidden" name="donor_email_opt_insubmit" id="donor_email_opt_insubmit" value="true" /> </div> </div> <div class="form-row"> <div class="html-caption-container"> <script src="https://doublethedonation.com/api/js/ddplugin.js"></script> <link href="https://doublethedonation.com/api/css/ddplugin.css" rel="stylesheet"/> <p>Does your employer have a matching gift program? Please use the field below to find out.</p> <div id="dd-company-name-input"></div> <script type="text/javascript"> var DDCONF = {API_KEY: "YTU2ZDFkYzMtMjNh"}; doublethedonation.integrations.embed.luminateonline.v1.initDonation(); </script> </div> </div> <h2 class="section-header-container"> Billing Information </h2> <div id="billing_info_same_as_donor_row" class="form-row form-checkbox"> <div class="form-content"> <input type="checkbox" name="billing_info_same_as_donorname" id="billing_info_same_as_donorname" checked="checked" onclick="fire_obs_comp_event('billing_info_same_as_donor', this);" /> <label for="billing_info_same_as_donorname">Use the donor information as the billing information.</label> <input type="hidden" name="billing_info_same_as_donorsubmit" id="billing_info_same_as_donorsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_info_same_as_donor', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_info_same_as_donor_row', _display); this.disable_submit_flag (_hidden); } comp.set = function (_value) { if (document.getElementById('billing_info_same_as_donorname')) { document.getElementById('billing_info_same_as_donorname').checked = _value; this.fireEvent(); } } comp.get = function() { if (document.getElementById('billing_info_same_as_donorname')) { return document.getElementById('billing_info_same_as_donorname').checked; } } comp.clear = function() { this.set(false); } </script><noscript> </noscript> </div> </div> <script type="text/javascript"> Y.use("jquery-ui", function(Y) { jQuery(function(){ jQuery('#billing_info_same_as_donorname').click (function() { if (jQuery(this).attr('checked')) { copySrcNameElement ('donor_addr_street1', '', 'billing_addr_street1'); copySrcNameElement ('donor_addr_street2', '', 'billing_addr_street2'); copySrcNameElement ('donor_addr_city', '', 'billing_addr_city'); copySrcElement ('donor_addr_state', '', 'billing_addr_state'); copySrcNameElement ('donor_addr_zip', '', 'billing_addr_zip'); copySrcElement ('donor_addr_country', '', 'billing_addr_country'); copySrcElement ('donor_title', '', 'billing_title'); copySrcNameElement ('donor_first_name', '', 'billing_first_name'); copySrcNameElement ('donor_middle_name', '', 'billing_middle_name'); copySrcNameElement ('donor_last_name', '', 'billing_last_name'); copySrcElement ('donor_suffix', '', 'billing_suffix'); copySrcElement ('donor_prof_suffix', '', 'billing_prof_suffix'); copySrcNameElement ('donor_email_address', '', 'billing_email_address'); copySrcNameElement ('donor_phone', '', 'billing_phone'); copySrcNameElement ('donor_addr_street3', '', 'billing_addr_street3'); copySrcNameElement ('donor_addr_county', '', 'billing_addr_county'); copySrcNameElement ('donor_addr_postcode', '', 'billing_addr_postcode'); } else { clearDestinationNameElement ('billing_addr_street1'); clearDestinationNameElement ('billing_addr_street2'); clearDestinationNameElement ('billing_addr_city'); clearDestinationElement ('billing_addr_state'); clearDestinationNameElement ('billing_addr_zip'); clearDestinationElement ('billing_addr_country'); clearDestinationElement ('billing_title'); clearDestinationNameElement ('billing_first_name'); clearDestinationNameElement ('billing_middle_name'); clearDestinationNameElement ('billing_last_name'); clearDestinationElement ('billing_suffix'); clearDestinationElement ('billing_prof_suffix'); clearDestinationNameElement ('billing_email_address'); clearDestinationNameElement ('billing_phone'); clearDestinationNameElement ('billing_addr_street3'); clearDestinationNameElement ('billing_addr_county'); clearDestinationNameElement ('billing_addr_postcode'); } }); }); function copySrcNameElement (source, previousPageValue, destination) { copySrcElement (source + "name", previousPageValue, destination + "name"); } function copySrcElement (source, previousPageValue, destination) { if (previousPageValue !== '') { jQuery('#' + destination).val(previousPageValue); } else if (jQuery('#' + source).val() != undefined) { jQuery('#' + destination).val(jQuery('#' + source).val()); } } function clearDestinationNameElement(destination) { clearDestinationElement (destination + "name"); } function clearDestinationElement(destination) { jQuery('#' + destination).val(""); } }); </script><noscript> </noscript> <div id="billing_first_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="billing_first_namename">First Name:</label> <input type="text" name="billing_first_namename" id="billing_first_namename" value="" maxlength="50" /> <input type="hidden" name="billing_first_namesubmit" id="billing_first_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_first_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_first_name_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_last_name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="billing_last_namename">Last Name:</label> <input type="text" name="billing_last_namename" id="billing_last_namename" value="" maxlength="50" /> <input type="hidden" name="billing_last_namesubmit" id="billing_last_namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_last_name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_last_name_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_street1_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="billing_addr_street1name">Street 1:</label> <input type="text" name="billing_addr_street1name" id="billing_addr_street1name" value="" maxlength="50" /> <input type="hidden" name="billing_addr_street1submit" id="billing_addr_street1submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_street1', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_street1_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_street2_row" class="form-row form-text"> <div class="form-content"> <label for="billing_addr_street2name">Street 2:</label> <input type="text" name="billing_addr_street2name" id="billing_addr_street2name" value="" maxlength="50" /> <input type="hidden" name="billing_addr_street2submit" id="billing_addr_street2submit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_street2', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_street2_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_city_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="billing_addr_cityname">City:</label> <input type="text" name="billing_addr_cityname" id="billing_addr_cityname" value="" maxlength="50" /> <input type="hidden" name="billing_addr_citysubmit" id="billing_addr_citysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_city', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_city_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_state_row" class="form-row form-selectlist"> <div class="form-content"> <span class="field-required"></span> <label class="FormLabel" for="billing_addr_state">State/Province:</label> <select name="billing_addr_state" id="billing_addr_state" size="1" onchange="fire_obs_comp_event('billing_addr_state', this)"> <option ></option> <option value="AK" >AK - Alaska</option> <option value="AL" >AL - Alabama</option> <option value="AR" >AR - Arkansas</option> <option value="AZ" >AZ - Arizona</option> <option value="CA" >CA - California</option> <option value="CO" >CO - Colorado</option> <option value="CT" >CT - Connecticut</option> <option value="DC" >DC - District of Columbia</option> <option value="DE" >DE - Delaware</option> <option value="FL" >FL - Florida</option> <option value="GA" >GA - Georgia</option> <option value="HI" >HI - Hawaii</option> <option value="IA" >IA - Iowa</option> <option value="ID" >ID - Idaho</option> <option value="IL" >IL - Illinois</option> <option value="IN" >IN - Indiana</option> <option value="KS" >KS - Kansas</option> <option value="KY" >KY - Kentucky</option> <option value="LA" >LA - Louisiana</option> <option value="MA" >MA - Massachusetts</option> <option value="MD" >MD - Maryland</option> <option value="ME" >ME - Maine</option> <option value="MI" >MI - Michigan</option> <option value="MN" >MN - Minnesota</option> <option value="MO" >MO - Missouri</option> <option value="MS" >MS - Mississippi</option> <option value="MT" >MT - Montana</option> <option value="NC" >NC - North Carolina</option> <option value="ND" >ND - North Dakota</option> <option value="NE" >NE - Nebraska</option> <option value="NH" >NH - New Hampshire</option> <option value="NJ" >NJ - New Jersey</option> <option value="NM" >NM - New Mexico</option> <option value="NV" >NV - Nevada</option> <option value="NY" >NY - New York</option> <option value="OH" >OH - Ohio</option> <option value="OK" >OK - Oklahoma</option> <option value="OR" >OR - Oregon</option> <option value="PA" >PA - Pennsylvania</option> <option value="RI" >RI - Rhode Island</option> <option value="SC" >SC - South Carolina</option> <option value="SD" >SD - South Dakota</option> <option value="TN" >TN - Tennessee</option> <option value="TX" >TX - Texas</option> <option value="UT" >UT - Utah</option> <option value="VA" >VA - Virginia</option> <option value="VT" >VT - Vermont</option> <option value="WA" >WA - Washington</option> <option value="WI" >WI - Wisconsin</option> <option value="WV" >WV - West Virginia</option> <option value="WY" >WY - Wyoming</option> <option value="AS" >AS - American Samoa</option> <option value="FM" >FM - Federated States of Micronesia</option> <option value="GU" >GU - Guam</option> <option value="MH" >MH - Marshall Islands</option> <option value="MP" >MP - Northern Mariana Islands</option> <option value="PR" >PR - Puerto Rico</option> <option value="PW" >PW - Palau</option> <option value="VI" >VI - Virgin Islands</option> <option value="AA" >AA - Armed Forces Americas</option> <option value="AE" >AE - Armed Forces</option> <option value="AP" >AP - Armed Forces Pacific</option> <option value="AB" >AB - Alberta</option> <option value="BC" >BC - British Columbia</option> <option value="MB" >MB - Manitoba</option> <option value="NB" >NB - New Brunswick</option> <option value="NL" >NL - Newfoundland and Labrador</option> <option value="NS" >NS - Nova Scotia</option> <option value="NT" >NT - Northwest Territories</option> <option value="NU" >NU - Nunavut</option> <option value="ON" >ON - Ontario</option> <option value="PE" >PE - Prince Edward Island</option> <option value="QC" >QC - Quebec</option> <option value="SK" >SK - Saskatchewan</option> <option value="YT" >YT - Yukon</option> <option value="None" >None</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="billing_addr_statesubmit" id="billing_addr_statesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_state', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_state_row', _display); this.disable_submit_flag (_hidden); } function billing_addr_state_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('billing_addr_state', src); } } var el = document.getElementById('billing_addr_state'); if (el) { Utils.addEvent (el, 'change', billing_addr_state_listChanged); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_zip_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="billing_addr_zipname">ZIP/Postal Code:</label> <input type="text" name="billing_addr_zipname" id="billing_addr_zipname" value="" maxlength="50" /> <input type="hidden" name="billing_addr_zipsubmit" id="billing_addr_zipsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_zip', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_zip_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="billing_addr_country_row" class="form-row form-selectlist"> <div class="form-content"> <span class="field-required"></span> <label class="FormLabel" for="billing_addr_country">Country:</label> <select name="billing_addr_country" id="billing_addr_country" size="1" onchange="fire_obs_comp_event('billing_addr_country', this)"> <option ></option> <option selected="selected" value="United States" >United States</option> <option value="Afghanistan" >Afghanistan</option> <option value="Aland Islands" >Aland Islands</option> <option value="Albania" >Albania</option> <option value="Algeria" >Algeria</option> <option value="American Samoa" >American Samoa</option> <option value="Andorra" >Andorra</option> <option value="Angola" >Angola</option> <option value="Anguilla" >Anguilla</option> <option value="Antarctica" >Antarctica</option> <option value="Antigua and Barbuda" >Antigua and Barbuda</option> <option value="Argentina" >Argentina</option> <option value="Armenia" >Armenia</option> <option value="Aruba" >Aruba</option> <option value="Australia" >Australia</option> <option value="Austria" >Austria</option> <option value="Azerbaijan" >Azerbaijan</option> <option value="Bahamas" >Bahamas</option> <option value="Bahrain" >Bahrain</option> <option value="Bangladesh" >Bangladesh</option> <option value="Barbados" >Barbados</option> <option value="Belarus" >Belarus</option> <option value="Belgium" >Belgium</option> <option value="Belize" >Belize</option> <option value="Benin" >Benin</option> <option value="Bermuda" >Bermuda</option> <option value="Bhutan" >Bhutan</option> <option value="Bolivarian Republic of Venezuela" >Bolivarian Republic of Venezuela</option> <option value="Bonaire, Sint Eustatios and Saba" >Bonaire, Sint Eustatios and Saba</option> <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option> <option value="Botswana" >Botswana</option> <option value="Bouvet Island" >Bouvet Island</option> <option value="Brazil" >Brazil</option> <option value="British Indian Ocean Territory" >British Indian Ocean Territory</option> <option value="Brunei Darussalam" >Brunei Darussalam</option> <option value="Bulgaria" >Bulgaria</option> <option value="Burkina Faso" >Burkina Faso</option> <option value="Burundi" >Burundi</option> <option value="Cambodia" >Cambodia</option> <option value="Cameroon" >Cameroon</option> <option value="Canada" >Canada</option> <option value="Cape Verde" >Cape Verde</option> <option value="Cayman Islands" >Cayman Islands</option> <option value="Central African Republic" >Central African Republic</option> <option value="Chad" >Chad</option> <option value="Chile" >Chile</option> <option value="China" >China</option> <option value="Christmas Island" >Christmas Island</option> <option value="Cocos (Keeling) Islands" >Cocos (Keeling) Islands</option> <option value="Colombia" >Colombia</option> <option value="Comoros" >Comoros</option> <option value="Congo" >Congo</option> <option value="Cook Islands" >Cook Islands</option> <option value="Costa Rica" >Costa Rica</option> <option value="Cote D'Ivoire" >Cote D'Ivoire</option> <option value="Croatia" >Croatia</option> <option value="Cuba" >Cuba</option> <option value="Curacao" >Curacao</option> <option value="Cyprus" >Cyprus</option> <option value="Czech Republic" >Czech Republic</option> <option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option> <option value="The Democratic Republic of the Congo" >The Democratic Republic of the Congo</option> <option value="Denmark" >Denmark</option> <option value="Djibouti" >Djibouti</option> <option value="Dominica" >Dominica</option> <option value="Dominican Republic" >Dominican Republic</option> <option value="Ecuador" >Ecuador</option> <option value="Egypt" >Egypt</option> <option value="El Salvador" >El Salvador</option> <option value="Equatorial Guinea" >Equatorial Guinea</option> <option value="Eritrea" >Eritrea</option> <option value="Estonia" >Estonia</option> <option value="Ethiopia" >Ethiopia</option> <option value="Falkland Islands (Malvinas)" >Falkland Islands (Malvinas)</option> <option value="Faroe Islands" >Faroe Islands</option> <option value="Federated States of Micronesia" >Federated States of Micronesia</option> <option value="Fiji" >Fiji</option> <option value="Finland" >Finland</option> <option value="The Former Yugoslav Republic of Macedonia" >The Former Yugoslav Republic of Macedonia</option> <option value="France" >France</option> <option value="French Guiana" >French Guiana</option> <option value="French Polynesia" >French Polynesia</option> <option value="French Southern Territories" >French Southern Territories</option> <option value="Gabon" >Gabon</option> <option value="Gambia" >Gambia</option> <option value="Georgia" >Georgia</option> <option value="Germany" >Germany</option> <option value="Ghana" >Ghana</option> <option value="Gibraltar" >Gibraltar</option> <option value="Greece" >Greece</option> <option value="Greenland" >Greenland</option> <option value="Grenada" >Grenada</option> <option value="Guadeloupe" >Guadeloupe</option> <option value="Guam" >Guam</option> <option value="Guatemala" >Guatemala</option> <option value="Guernsey" >Guernsey</option> <option value="Guinea" >Guinea</option> <option value="Guinea-Bissau" >Guinea-Bissau</option> <option value="Guyana" >Guyana</option> <option value="Haiti" >Haiti</option> <option value="Heard Island and McDonald Islands" >Heard Island and McDonald Islands</option> <option value="Holy See (Vatican City State)" >Holy See (Vatican City State)</option> <option value="Honduras" >Honduras</option> <option value="Hong Kong" >Hong Kong</option> <option value="Hungary" >Hungary</option> <option value="Iceland" >Iceland</option> <option value="India" >India</option> <option value="Indonesia" >Indonesia</option> <option value="Iraq" >Iraq</option> <option value="Ireland" >Ireland</option> <option value="Islamic Republic of Iran" >Islamic Republic of Iran</option> <option value="Isle of Man" >Isle of Man</option> <option value="Israel" >Israel</option> <option value="Italy" >Italy</option> <option value="Jamaica" >Jamaica</option> <option value="Japan" >Japan</option> <option value="Jersey" >Jersey</option> <option value="Jordan" >Jordan</option> <option value="Kazakhstan" >Kazakhstan</option> <option value="Kenya" >Kenya</option> <option value="Kiribati" >Kiribati</option> <option value="Kuwait" >Kuwait</option> <option value="Kyrgyzstan" >Kyrgyzstan</option> <option value="Lao People's Democratic Republic" >Lao People's Democratic Republic</option> <option value="Latvia" >Latvia</option> <option value="Lebanon" >Lebanon</option> <option value="Lesotho" >Lesotho</option> <option value="Liberia" >Liberia</option> <option value="Libya" >Libya</option> <option value="Liechtenstein" >Liechtenstein</option> <option value="Lithuania" >Lithuania</option> <option value="Luxembourg" >Luxembourg</option> <option value="Macao" >Macao</option> <option value="Madagascar" >Madagascar</option> <option value="Malawi" >Malawi</option> <option value="Malaysia" >Malaysia</option> <option value="Maldives" >Maldives</option> <option value="Mali" >Mali</option> <option value="Malta" >Malta</option> <option value="Marshall Islands" >Marshall Islands</option> <option value="Martinique" >Martinique</option> <option value="Mauritania" >Mauritania</option> <option value="Mauritius" >Mauritius</option> <option value="Mayotte" >Mayotte</option> <option value="Mexico" >Mexico</option> <option value="Monaco" >Monaco</option> <option value="Mongolia" >Mongolia</option> <option value="Montenegro" >Montenegro</option> <option value="Montserrat" >Montserrat</option> <option value="Morocco" >Morocco</option> <option value="Mozambique" >Mozambique</option> <option value="Myanmar" >Myanmar</option> <option value="Namibia" >Namibia</option> <option value="Nauru" >Nauru</option> <option value="Nepal" >Nepal</option> <option value="Netherlands" >Netherlands</option> <option value="New Caledonia" >New Caledonia</option> <option value="New Zealand" >New Zealand</option> <option value="Nicaragua" >Nicaragua</option> <option value="Niger" >Niger</option> <option value="Nigeria" >Nigeria</option> <option value="Niue" >Niue</option> <option value="Norfolk Island" >Norfolk Island</option> <option value="Northern Mariana Islands" >Northern Mariana Islands</option> <option value="Norway" >Norway</option> <option value="Oman" >Oman</option> <option value="Pakistan" >Pakistan</option> <option value="Palau" >Palau</option> <option value="Palestinian Territory, Occupied" >Palestinian Territory, Occupied</option> <option value="Panama" >Panama</option> <option value="Papua New Guinea" >Papua New Guinea</option> <option value="Paraguay" >Paraguay</option> <option value="Peru" >Peru</option> <option value="Philippines" >Philippines</option> <option value="Pitcairn" >Pitcairn</option> <option value="Plurinational State of Bolivia" >Plurinational State of Bolivia</option> <option value="Poland" >Poland</option> <option value="Portugal" >Portugal</option> <option value="Puerto Rico" >Puerto Rico</option> <option value="Qatar" >Qatar</option> <option value="Republic of Korea" >Republic of Korea</option> <option value="Republic of Moldova" >Republic of Moldova</option> <option value="Reunion" >Reunion</option> <option value="Romania" >Romania</option> <option value="Russian Federation" >Russian Federation</option> <option value="Rwanda" >Rwanda</option> <option value="Saint Barthelemy" >Saint Barthelemy</option> <option value="Saint Helena, Ascension and Tristan da Cunha" >Saint Helena, Ascension and Tristan da Cunha</option> <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option> <option value="Saint Lucia" >Saint Lucia</option> <option value="Saint Martin (French)" >Saint Martin (French)</option> <option value="Saint Pierre and Miquelon" >Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option> <option value="Samoa" >Samoa</option> <option value="San Marino" >San Marino</option> <option value="Sao Tome and Principe" >Sao Tome and Principe</option> <option value="Saudi Arabia" >Saudi Arabia</option> <option value="Senegal" >Senegal</option> <option value="Serbia" >Serbia</option> <option value="Seychelles" >Seychelles</option> <option value="S. Georgia & S. Sandwich Isls." >S. Georgia & S. Sandwich Isls.</option> <option value="Sierra Leone" >Sierra Leone</option> <option value="Singapore" >Singapore</option> <option value="Sint Maarten (Dutch)" >Sint Maarten (Dutch)</option> <option value="Slovakia" >Slovakia</option> <option value="Slovenia" >Slovenia</option> <option value="Solomon Islands" >Solomon Islands</option> <option value="Somalia" >Somalia</option> <option value="South Africa" >South Africa</option> <option value="South Sudan" >South Sudan</option> <option value="Spain" >Spain</option> <option value="Sri Lanka" >Sri Lanka</option> <option value="Sudan" >Sudan</option> <option value="Suriname" >Suriname</option> <option value="Svalbard and Jan Mayen" >Svalbard and Jan Mayen</option> <option value="Swaziland" >Swaziland</option> <option value="Sweden" >Sweden</option> <option value="Switzerland" >Switzerland</option> <option value="Syrian Arab Republic" >Syrian Arab Republic</option> <option value="Taiwan, Province of China" >Taiwan, Province of China</option> <option value="Tajikistan" >Tajikistan</option> <option value="Thailand" >Thailand</option> <option value="Timor-Leste" >Timor-Leste</option> <option value="Togo" >Togo</option> <option value="Tokelau" >Tokelau</option> <option value="Tonga" >Tonga</option> <option value="Trinidad and Tobago" >Trinidad and Tobago</option> <option value="Tunisia" >Tunisia</option> <option value="Turkey" >Turkey</option> <option value="Turkmenistan" >Turkmenistan</option> <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option> <option value="Tuvalu" >Tuvalu</option> <option value="Uganda" >Uganda</option> <option value="Ukraine" >Ukraine</option> <option value="United Arab Emirates" >United Arab Emirates</option> <option value="United Kingdom" >United Kingdom</option> <option value="United Republic of Tanzania" >United Republic of Tanzania</option> <option value="Uruguay" >Uruguay</option> <option value="USA Minor Outlying Islands" >USA Minor Outlying Islands</option> <option value="Uzbekistan" >Uzbekistan</option> <option value="Vanuatu" >Vanuatu</option> <option value="Viet Nam" >Viet Nam</option> <option value="Virgin Islands (British)" >Virgin Islands (British)</option> <option value="Virgin Islands (USA)" >Virgin Islands (USA)</option> <option value="Wallis and Futuna" >Wallis and Futuna</option> <option value="Western Sahara" >Western Sahara</option> <option value="Yemen" >Yemen</option> <option value="Zambia" >Zambia</option> <option value="Zimbabwe" >Zimbabwe</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> <input type="hidden" name="billing_addr_countrysubmit" id="billing_addr_countrysubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('billing_addr_country', ''); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('billing_addr_country_row', _display); this.disable_submit_flag (_hidden); } function billing_addr_country_listChanged(_evt) { var e = _evt ? _evt : event; // IE vs. Mozilla event model if (e) { var src = e.target ? e.target : e.srcElement; // IE vs. Mozilla event model fire_obs_comp_event('billing_addr_country', src); } } var el = document.getElementById('billing_addr_country'); if (el) { Utils.addEvent (el, 'change', billing_addr_country_listChanged); } </script><noscript> </noscript> </div> </div> <h2 class="section-header-container"> Payment Information </h2> <div id="organization-name-visible_row" class="form-row form-checkbox"> <div class="form-content"> <input type="checkbox" name="organization-name-visiblename" id="organization-name-visiblename" onclick="fire_obs_comp_event('organization-name-visible', this);" /> <label for="organization-name-visiblename">Make this donation from a company or organization.</label> <input type="hidden" name="organization-name-visiblesubmit" id="organization-name-visiblesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('organization-name-visible', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('organization-name-visible_row', _display); this.disable_submit_flag (_hidden); } comp.set = function (_value) { if (document.getElementById('organization-name-visiblename')) { document.getElementById('organization-name-visiblename').checked = _value; this.fireEvent(); } } comp.get = function() { if (document.getElementById('organization-name-visiblename')) { return document.getElementById('organization-name-visiblename').checked; } } comp.clear = function() { this.set(false); } </script><noscript> </noscript> </div> </div> <div id="donor-organization-name_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="donor-organization-namename">Organization Name:</label> <input type="text" name="donor-organization-namename" id="donor-organization-namename" value="" maxlength="255" /> <input type="hidden" name="donor-organization-namesubmit" id="donor-organization-namesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('donor-organization-name', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('donor-organization-name_row', _display); this.disable_submit_flag (_hidden); } observe_component ('organization-name-visible.true', new ComponentEnabler ('donor-organization-name')); observe_component ('organization-name-visible.true', new ComponentDisplayer ('donor-organization-name')); </script><noscript> </noscript> </div> </div> <div class="payment-type-element-container"> <div class="payment-type-selection-container payment-field-container"> <h3>Payment Method:</h3> <div id="responsive_payment_typepay_typeradio_row" class="form-row"> <div class="form-content"> <div class="payment-type-selections" id="responsive_payment_typepay_typeradio_payment_types"> <span class="internal-payment"><span class="payment-type-option selected"><input type="radio" name="responsive_payment_typepay_typeradio" id="responsive_payment_typepay_typeradiocredit" value="credit" checked="checked" onclick="fire_obs_comp_event('responsive_payment_typepay_typeradio', this);" onkeypress="fire_obs_comp_event('responsive_payment_typepay_typeradio', this);" /><label for="responsive_payment_typepay_typeradiocredit"><a href="javascript:void(0);" class="payment-type-label">Credit Card</a></label><script type="text/javascript"> var comp = new ObservableRadioComponent ('responsive_payment_typepay_typeradio', 'name'); </script><noscript> </noscript></span><span class="payment-type-option"><input type="radio" name="responsive_payment_typepay_typeradio" id="responsive_payment_typepay_typeradioach" value="ach" onclick="fire_obs_comp_event('responsive_payment_typepay_typeradio', this);" onkeypress="fire_obs_comp_event('responsive_payment_typepay_typeradio', this);" /><label for="responsive_payment_typepay_typeradioach"><a href="javascript:void(0);" class="payment-type-label">Checking Account</a></label><script type="text/javascript"> var comp = new ObservableRadioComponent ('responsive_payment_typepay_typeradio', 'name'); </script><noscript> </noscript></span></span> <span class="external-payment"></span> </div> <input type="hidden" name="responsive_payment_typepay_typeradiosubmit" id="responsive_payment_typepay_typeradiosubmit" value="true" /> <script type="text/javascript"> Y.use("jquery-ui", function(Y) { jQuery(function() { // subscribe observable for payment type options jQuery('.payment-type-option').each(function() { var syncAction = function(obj) { if (obj.hasClass('selected')) { var radioGroupName = obj.find('input').attr('name'); obj.find('input').prop('checked', true); fire_obs_comp_event(radioGroupName, obj.find('input').get()); } return arguments.callee; }(jQuery(this)); jQuery(this).click(function() { jQuery('.payment-type-option').removeClass('selected'); jQuery(this).addClass('selected'); syncAction(jQuery(this)); var selectedValue = jQuery(this).find('input').val(); if (selectedValue == 'paypal' || selectedValue == 'amazon') { // open up a boxinator dialog jQuery(document).trigger('redirect-external'); jQuery('#btn_next').click(); } }); }); }); }); var comp = new ObservableRadioComponent ('responsive_payment_typepay_typeradio', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typepay_typeradio_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> </div> <div id="payment_cc_container" class="payment-field-container"> <h3>Credit Card Information:</h3> <div id="responsive_payment_typecc_type_row" class="form-row form-radio-array"> <div class="form-content"> <fieldset> <legend>Credit Card Type:</legend> <ul class="radio-array-list"> <li class="tender-row "> <img src="../images/diners_sm.gif" alt="Diners Club" name="responsive_payment_typecc_type_Diners_Club" id="responsive_payment_typecc_type_Diners_Club" /> </li><li class="tender-row "> <img src="../images/discovercard_sm.gif" alt="Discover" name="responsive_payment_typecc_type_Discover" id="responsive_payment_typecc_type_Discover" /> </li><li class="tender-row "> <img src="../images/amex_small.gif" alt="American Express" name="responsive_payment_typecc_type_American_Express" id="responsive_payment_typecc_type_American_Express" /> </li><li class="tender-row "> <img src="../images/mastercd_small.gif" alt="MasterCard" name="responsive_payment_typecc_type_MasterCard" id="responsive_payment_typecc_type_MasterCard" /> </li><li class="tender-row "> <img src="../images/visa_small.gif" alt="Visa" name="responsive_payment_typecc_type_Visa" id="responsive_payment_typecc_type_Visa" /> </li> </ul> </fieldset> <input type="hidden" name="responsive_payment_typecc_typesubmit" id="responsive_payment_typecc_typesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableRadioComponent ('responsive_payment_typecc_type', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typecc_type_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> <input type="hidden" name="recurring_options_name_install_plan" id="recurring_options_name_install_plan" value="responsive_payment_typecc_type" /> </div> </div> <div id="responsive_payment_typecc_number_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typecc_numbername">Credit Card Number:</label> <input type="text" name="responsive_payment_typecc_numbername" id="responsive_payment_typecc_numbername" value="" maxlength="22" autocomplete="off"/> <input type="hidden" name="responsive_payment_typecc_numbersubmit" id="responsive_payment_typecc_numbersubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typecc_number', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typecc_number_row', _display); this.disable_submit_flag (_hidden); } observe_component ('null', new ComponentDisplayer ('responsive_payment_typecc_number')); </script><noscript> </noscript> </div> </div> <div id="responsive_payment_typecc_exp_date_row" class="form-row form-date"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typecc_exp_date_MONTH"> <span class="label-text">Expiration Date:</span><span class="aural-only">Select month of credit card</span> </label> <label for="responsive_payment_typecc_exp_date_YEAR" ><span class="aural-only">Select Expiration Year</span></label> <div class="date-input-container"> <fieldset class="cardExpGroup"> <select name="responsive_payment_typecc_exp_date_MONTH" id="responsive_payment_typecc_exp_date_MONTH" onChange="fire_obs_comp_event('responsive_payment_typecc_exp_date_MONTH', this)"> <option value="1" >01</option> <option value="2" >02</option> <option value="3" >03</option> <option value="4" >04</option> <option value="5" >05</option> <option value="6" >06</option> <option value="7" >07</option> <option value="8" >08</option> <option value="9" >09</option> <option value="10" >10</option> <option value="11" selected="selected">11</option> <option value="12" >12</option> </select> <select name="responsive_payment_typecc_exp_date_YEAR" id="responsive_payment_typecc_exp_date_YEAR" onChange="fire_obs_comp_event('responsive_payment_typecc_exp_date_YEAR', this)"> <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> </select> </fieldset> <input type="hidden" name="responsive_payment_typecc_exp_date_DAY" id="responsive_payment_typecc_exp_date_DAY" value="1" /> <script type="text/javascript">  </script><noscript> </noscript> </div> <input type="hidden" name="responsive_payment_typecc_exp_datesubmit" id="responsive_payment_typecc_exp_datesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typecc_exp_date', 'input'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typecc_exp_date_row', _display); disable_submit_flag ('responsive_payment_typecc_exp_datesubmit', _hidden); } comp.disable = function(_disabled) { disable_element ('responsive_payment_typecc_exp_date_MONTH', _disabled); disable_element ('responsive_payment_typecc_exp_date_DAY', _disabled); disable_element ('responsive_payment_typecc_exp_date_YEAR', _disabled); disable_element ('responsive_payment_typecc_exp_date_HOUR12',_disabled); disable_element ('responsive_payment_typecc_exp_date_HOUR24',_disabled); //For UK, 24 hour clock used disable_element ('responsive_payment_typecc_exp_date_MINUTE',_disabled); disable_element ('responsive_payment_typecc_exp_date_AMPM', _disabled); } </script><noscript> </noscript> </div> </div> <div id="responsive_payment_typecc_cvv_row" class="form-row form-text cvv-input"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typecc_cvvname"> <span class="FormLabelText">CVV Number:</span> </label> <a href="http://help.convio.net/site/PageServer?s_site=ieee&pagename=user_donation_cvv" class="HelpLink" title="What is this? Opens new window.">What is this?</a> <input type="text" name="responsive_payment_typecc_cvvname" id="responsive_payment_typecc_cvvname" value="" maxlength="4" autocomplete="off" /> <input type="hidden" name="responsive_payment_typecc_cvvsubmit" id="responsive_payment_typecc_cvvsubmit" value="true" /> <script type="text/javascript"> //chrome is mapping cvv as card name if (/CriOS/.test(navigator.userAgent) || (/Chrome/.test(navigator.userAgent) && /Google Inc/.test(navigator.vendor))){ document.getElementById('responsive_payment_typecc_cvvname').autocomplete='cc-csc'; } var comp = new ObservableComponent ('responsive_payment_typecc_cvv', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typecc_cvv_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> </div> <div id="payment_bank_container" class="payment-field-container"> <h3>Checking Account Information:</h3> <div id="responsive_payment_typerouting_number_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typerouting_numbername">Bank Routing Number:</label> <a href="http://help.convio.net/site/PageServer?s_site=ieee&pagename=User_Donation_ACH" class="HelpLink" title="What is this? Opens new window.">What is this?</a> <input type="text" name="responsive_payment_typerouting_numbername" id="responsive_payment_typerouting_numbername" value="" size="20" maxlength="20" onchange="fire_obs_comp_event('responsive_payment_typerouting_number', this);" autocomplete="off" /> <input type="hidden" name="responsive_payment_typerouting_numbersubmit" id="responsive_payment_typerouting_numbersubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typerouting_number', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typerouting_number_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> </div> </div> <div id="responsive_payment_typebank_account_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typebank_accountname">Bank Account Number:</label> <input type="text" name="responsive_payment_typebank_accountname" id="responsive_payment_typebank_accountname" value="" maxlength="20" autocomplete="off"/> <input type="hidden" name="responsive_payment_typebank_accountsubmit" id="responsive_payment_typebank_accountsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typebank_account', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typebank_account_row', _display); this.disable_submit_flag (_hidden); } observe_component ('null', new ComponentDisplayer ('responsive_payment_typebank_account')); </script><noscript> </noscript> </div> </div> <div id="responsive_payment_typeverify_bank_account_row" class="form-row form-text"> <div class="form-content"> <span class="field-required"></span> <label for="responsive_payment_typeverify_bank_accountname">Verify Bank Account Number:</label> <input type="text" name="responsive_payment_typeverify_bank_accountname" id="responsive_payment_typeverify_bank_accountname" value="" maxlength="20" autocomplete="off"/> <input type="hidden" name="responsive_payment_typeverify_bank_accountsubmit" id="responsive_payment_typeverify_bank_accountsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typeverify_bank_account', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typeverify_bank_account_row', _display); this.disable_submit_flag (_hidden); } observe_component ('null', new ComponentDisplayer ('responsive_payment_typeverify_bank_account')); </script><noscript> </noscript> </div> </div><div id="responsive_payment_type.account_type_row" class="form-row form-radio-array"> <div class="form-content"> <fieldset> <legend><span class="field-required"></span> Account Type:</legend> <ul class="radio-array-list"> <li> <input type="radio" name="responsive_payment_type.account_type" id="responsive_payment_type.account_type_responsive_payment_typeaccount_type_checking" value="CHECKING" onclick="fire_obs_comp_event('responsive_payment_type.account_type', this);" /> <span class="radio-label"> <label for="responsive_payment_type.account_type_responsive_payment_typeaccount_type_checking" >Checking</label> </span> </li><li> <input type="radio" name="responsive_payment_type.account_type" id="responsive_payment_type.account_type_responsive_payment_typeaccount_type_savings" value="SAVINGS" onclick="fire_obs_comp_event('responsive_payment_type.account_type', this);" /> <span class="radio-label"> <label for="responsive_payment_type.account_type_responsive_payment_typeaccount_type_savings" >Savings</label> </span> </li> </ul> </fieldset> <input type="hidden" name="responsive_payment_type.account_typesubmit" id="responsive_payment_type.account_typesubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableRadioComponent ('responsive_payment_type.account_type', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_type.account_type_row', _display); this.disable_submit_flag (_hidden); } </script><noscript> </noscript> <input type="hidden" name="recurring_options_name_install_plan" id="recurring_options_name_install_plan" value="responsive_payment_type.account_type" /> </div> </div> <div id="responsive_payment_typeach_confirm_row" class="form-row form-checkbox"> <div class="form-content"> <span class="field-required"></span> <input type="checkbox" name="responsive_payment_typeach_confirmname" id="responsive_payment_typeach_confirmname" onclick="fire_obs_comp_event('responsive_payment_typeach_confirm', this);" /> <label for="responsive_payment_typeach_confirmname">By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.</label> <input type="hidden" name="responsive_payment_typeach_confirmsubmit" id="responsive_payment_typeach_confirmsubmit" value="true" /> <script type="text/javascript"> var comp = new ObservableComponent ('responsive_payment_typeach_confirm', 'name'); comp.hide = function(_hidden) { var _display = _hidden ? 'none' : ''; set_display ('responsive_payment_typeach_confirm_row', _display); this.disable_submit_flag (_hidden); } comp.set = function (_value) { if (document.getElementById('responsive_payment_typeach_confirmname')) { document.getElementById('responsive_payment_typeach_confirmname').checked = _value; this.fireEvent(); } } comp.get = function() { if (document.getElementById('responsive_payment_typeach_confirmname')) { return document.getElementById('responsive_payment_typeach_confirmname').checked; } } comp.clear = function() { this.set(false); } observe_component ('null', new ComponentEnabler ('responsive_payment_typeach_confirm')); </script><noscript> </noscript> </div> </div> </div> <div id="payment_check_container" class="payment-field-container"> <h3>Check Information</h3> </div> <script> document.addEventListener("DOMContentLoaded", function () { addHiddenInputIfNotExist("cc_available", "cc_available", "null"); addHiddenInputIfNotExist("debit_available", "debit_available", "null"); addHiddenInputIfNotExist("paypal_available", "paypal_available", "null"); addHiddenInputIfNotExist("wallets_available", "wallets_available", "null"); addHiddenInputIfNotExist("secure_url", "secure_url", "https://secure.ieeefoundation.org/site/"); addHiddenInputIfNotExist("is_admin_app", "is_admin_app", "F"); addHiddenInputIfNotExist("environment_id", "environment_id", ""); addHiddenInputIfNotExist("merchant_account_configuration_id", "merchant_account_configuration_id", ""); addHiddenInputIfNotExist("pco_javascript_location", "pco_javascript_location", ""); addHiddenInputIfNotExist("primary_color", "primary_color", "null"); addHiddenInputIfNotExist("application_name", "application_name", "TeamRaiser"); addHiddenInputIfNotExist("pco_language_locale", "pco_language_locale", "en_US"); addHiddenInputIfNotExist("pco_environment_zone", "pco_environment_zone", "p-usa01"); }); </script> <input type="hidden" name="responsive_payment_typesubmit" id="responsive_payment_typesubmit" value="true" /> <script type="text/javascript"> function PaymentObserver() { this.observe = function(_event) { var sVal = _event.component.get(); switch (sVal) { case 'check': hide_element('payment_cc_container'); hide_element('payment_bank_container'); show_element('payment_check_container'); break; case 'credit': hide_element('payment_bank_container'); hide_element('payment_check_container'); show_element('payment_cc_container'); break; case 'ach': hide_element('payment_cc_container'); hide_element('payment_check_container'); show_element('payment_bank_container'); break; case 'paypal': case 'amazon': case 'mobilepay': default: // hide all hide_element('payment_bank_container'); hide_element('payment_cc_container'); hide_element('payment_check_container'); break; } } } // Set the observer to show/hide the relevant fields observe_component ('responsive_payment_typepay_typeradio', new PaymentObserver()); </script><noscript> </noscript> </div> <div class="button-container clearfix"> <div class="button-sub-container"> <button class="step-button action-button finish-step" type="submit" id="pstep_finish" name="pstep_finish" value="Donate Now">Donate Now</button> </div> </div> <input type="hidden" name="idb" id="idb" value="1419032770" /> <input type="hidden" name="df_id" id="df_id" value="2440" /> <input type="hidden" name="mfc_pref" id="mfc_pref" value="T" /> <div class="form-row"> <div class="html-caption-container"> <style> /* Style variables */ :root { --btnDefault: #17639d; --btnSelected: #70278a; --btnHover: #00833c; --btnDefaultTxt: #ffffff; --btnHoverTxt: #ffffff; } div.responsive div.ErrorMessage.page-error > span.field-error-text { width: 100%; } html body main, html body .header { margin: 0 !important; } h1, h2, h3, h4, h5 { color: rgb(0, 131, 60); } #ProcessForm .donation-form-container .donation-form-content .form-content { display: inline-block; width: 100%; margin: 0; padding: 0; float: none; } #ProcessForm * { font-size: 1.00em; } #ProcessForm h1 { font-size: 1.5em; font-weight: 600; } #ProcessForm .section-header-container { font-size: 1.55em; font-weight: 600; } #ProcessForm .donation-form-container .form-row { display: flex; flex-wrap: wrap; margin-right: 0; margin-left: 0; } #ProcessForm .donation-form-container input[type='text'], #ProcessForm .donation-form-container select, #ProcessForm .donation-form-container textarea { box-sizing: border-box; display: block; width: 100%; max-width: 100%; margin: 0; padding: 10px 5px; border: 1px solid #888; border-radius: 4px; min-height: 45px; } #ProcessForm .donation-form-container input[type='checkbox'] + label { margin-top: -5px; } #ProcessForm .donation-form-container select { box-sizing: border-box; background-color: transparent; border-radius: 4px; box-shadow: none; } #ProcessForm label { font-size: 0.90em; font-weight: 700; vertical-align: top; margin: 0 0 0 0; padding: 0 0 0 0; } #ProcessForm input + label { width: 100%; max-width: 95%; } /* Style gift type buttons -- sustaining vs one-time -- flexible giving level */ #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset legend, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row { display: inline-block; width: 100%; margin: 0; padding: 0; float: none; vertical-align: top; } @media (min-width: 992px) { #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row { max-width: 50%; } } #ProcessForm .donation-form-container .donation-form-content #payment_cc_container h3, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset legend, #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row input, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typecc_type_row, #ProcessForm .donation-form-container .donation-form-content .HelpLink { display: none; } #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row label { display: inline-block; width: 100%; max-width: 99%; background-color: var(--btnDefault); margin: 1px 2px; padding: 15px 15px; min-width: 80px; text-align: center; color: var(--btnDefaultTxt); border: 1px solid var(--btnDefault); border-radius: 4px; font-weight: 600; } #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row label:hover { background-color: var(--btnHover); border: 1px solid var(--btnHover); color: var(--btnHoverTxt); } #ProcessForm .donation-form-container .donation-form-content #level_flexiblegift_type_Row .form-content fieldset .designated-giving-recurring-row input:checked ~ label { background-color: var(--btnSelected); border: 1px solid var(--btnSelected); color: var(--btnDefaultTxt); } /* Style donor level buttons */ #ProcessForm .donation-form-container .donation-form-content #level_standard_row, #ProcessForm .donation-form-container .donation-form-content #level_flexible_row { display: block; width: 100%; max-width: none; margin: 0; padding: 0; float: none } #ProcessForm .donation-form-container .donation-form-content .donation-levels, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label .donation-level-amount-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label .donation-level-label-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-label-container { display: inline-block; width: 100%; max-width: none; margin: 0; padding: 0; float: none; vertical-align: top; } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-label-input-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label { display: inline-block; width: auto; vertical-align: top; } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container.otherBlock { display: block; } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-user-entered, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-user-entered label { display: inline-block; width: auto; margin: 0; padding: 0; float: none; vertical-align: top; } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-label-input-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container .donation-level-user-entered label { display: none; } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label { background-color: var(--btnDefault); margin: 1px 1px; padding: 15px 15px; min-width: 130px; text-align: center; border: 1px solid var(--btnDefault); border-radius: 4px; font-weight: 600; } @media (min-width: 992px) { #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label { min-width: 100px; } } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label .donation-level-amount-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label .donation-level-label-container { color: var(--btnDefaultTxt); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label:hover { background-color: var(--btnHover); border: 1px solid var(--btnHover); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label.selected { background-color: var(--btnSelected); border: 1px solid var(--btnSelected); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label.selected .donation-level-amount-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label.selected .donation-level-label-container { color: var(--btnDefaultTxt); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label:hover .donation-level-amount-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container .form-content .donation-level-input-container label:hover .donation-level-label-container { color: var(--btnDefaultTxt); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container.otherBlock .form-content .donation-level-input-container label { background-color: var(--btnDefaultTxt); border: 1px solid var(--btnDefaultTxt); } #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container.otherBlock .form-content .donation-level-input-container label .donation-level-amount-container, #ProcessForm .donation-form-container .donation-form-content .donation-levels .donation-level-container.otherBlock .form-content .donation-level-input-container label .donation-level-label-container { color: var(--btnSelected); } /* Style for payment selector */ #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types { width: 100% } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment { background-color: transparent; border-color: transparent; } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option { background-image: none; background-color: var(--btnDefault); border-color: transparent; border-radius: 4px; margin: 0 0 10px 0; padding: 15px 15px; } @media (min-width: 992px) { #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option { margin: 0 10px 10px 0; } } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option.selected { background-color: var(--btnSelected); } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option label a { color: var(--btnDefaultTxt); font-weight: 600; } .fl-node-7wef9rq5dn6i > .fl-row-content-wrap { position: relative; display: block; margin: 0; padding-top: 0; padding-right: 5%; padding-bottom: 0; padding-left: 5%; height: 100px; } .fl-node-7wef9rq5dn6i > .fl-row-content-wrap .fl-row-content.fl-row-fixed-width.fl-node-content { display: none; font-size: 0px; } /* Style for slim design */ @media (min-width: 992px) { .fl-page-content { background-color: transparent !important; } html body .fl-page { background-color: #ffffff; background-image: url('https://secure3.convio.net/ieee/images/content/pagebuilder/IEEE_Foundation_donate_BKGD_head_v1.png'); background-position: center; background-repeat: no-repeat; background-size: cover; background-attachment: fixed; } #ProcessForm div.donation-form-container.responsive, .mobile #ProcessForm div.donation-form-container.responsive { display: block; width: 100%; max-width: 500px; padding: 25px; margin: 50px 1% 50px 20%; border: 0; background-color: rgba(255, 255, 255, .99); } } #ProcessForm .donation-form-container #level_flexibleduration_row, #ProcessForm .donation-form-container #tribute_honoree_first_name_row, #ProcessForm .donation-form-container #tribute_honoree_last_name_row, #ProcessForm .donation-form-container #tribute_notify_recip_city_row, #ProcessForm .donation-form-container #tribute_notify_recip_state_row, #ProcessForm .donation-form-container #tribute_notify_recip_zip_row, #ProcessForm .donation-form-container #tribute_notify_recip_country_row, #ProcessForm .donation-form-container #donor_first_name_row, #ProcessForm .donation-form-container #donor_last_name_row, #ProcessForm .donation-form-container #donor_addr_city_row, #ProcessForm .donation-form-container #donor_addr_state_row, #ProcessForm .donation-form-container #donor_addr_zip_row, #ProcessForm .donation-form-container #donor_addr_country_row, #ProcessForm .donation-form-container #billing_first_name_row, #ProcessForm .donation-form-container #billing_last_name_row, #ProcessForm .donation-form-container #billing_addr_city_row, #ProcessForm .donation-form-container #billing_addr_state_row, #ProcessForm .donation-form-container #billing_addr_zip_row, #ProcessForm .donation-form-container #billing_addr_country_row, #ProcessForm .donation-form-container #responsive_payment_typecc_number_row, #ProcessForm .donation-form-container #responsive_payment_typecc_exp_date_row, #ProcessForm .donation-form-container #responsive_payment_typecc_cvv_row { margin-left: 0; } #ProcessForm .donation-form-container #tribute_honoree_first_name_row, #ProcessForm .donation-form-container #tribute_honoree_last_name_row, #ProcessForm .donation-form-container #tribute_notify_recip_city_row, #ProcessForm .donation-form-container #tribute_notify_recip_state_row, #ProcessForm .donation-form-container #tribute_notify_recip_zip_row, #ProcessForm .donation-form-container #tribute_notify_recip_country_row, #ProcessForm .donation-form-container #donor_first_name_row, #ProcessForm .donation-form-container #donor_last_name_row, #ProcessForm .donation-form-container #donor_addr_city_row, #ProcessForm .donation-form-container #donor_addr_state_row, #ProcessForm .donation-form-container #donor_addr_zip_row, #ProcessForm .donation-form-container #donor_addr_country_row, #ProcessForm .donation-form-container #billing_first_name_row, #ProcessForm .donation-form-container #billing_last_name_row, #ProcessForm .donation-form-container #billing_addr_city_row, #ProcessForm .donation-form-container #billing_addr_state_row, #ProcessForm .donation-form-container #billing_addr_zip_row, #ProcessForm .donation-form-container #billing_addr_country_row, #ProcessForm .donation-form-container #responsive_payment_typecc_number_row, #ProcessForm .donation-form-container #responsive_payment_typecc_exp_date_row, #ProcessForm .donation-form-container #responsive_payment_typecc_cvv_row { display: inline-block; width: 100%; max-width: 100%; vertical-align: top; } @media (min-width: 992px) { #ProcessForm .donation-form-container #tribute_honoree_first_name_row, #ProcessForm .donation-form-container #tribute_honoree_last_name_row, #ProcessForm .donation-form-container #tribute_notify_recip_city_row, #ProcessForm .donation-form-container #tribute_notify_recip_state_row, #ProcessForm .donation-form-container #tribute_notify_recip_zip_row, #ProcessForm .donation-form-container #tribute_notify_recip_country_row, #ProcessForm .donation-form-container #donor_first_name_row, #ProcessForm .donation-form-container #donor_last_name_row, #ProcessForm .donation-form-container #donor_addr_city_row, #ProcessForm .donation-form-container #donor_addr_state_row, #ProcessForm .donation-form-container #donor_addr_zip_row, #ProcessForm .donation-form-container #donor_addr_country_row, #ProcessForm .donation-form-container #billing_first_name_row, #ProcessForm .donation-form-container #billing_last_name_row, #ProcessForm .donation-form-container #billing_addr_city_row, #ProcessForm .donation-form-container #billing_addr_state_row, #ProcessForm .donation-form-container #billing_addr_zip_row, #ProcessForm .donation-form-container #billing_addr_country_row { display: inline-block; max-width: 49%; } #ProcessForm .donation-form-container #responsive_payment_typecc_number_row { display: inline-block; max-width: 100%; } #ProcessForm .donation-form-container #responsive_payment_typecc_exp_date_row { display: inline-block; max-width: 48.5%; } #ProcessForm .donation-form-container #responsive_payment_typecc_exp_date_row select { display: inline-block; max-width: 48.5%; } #ProcessForm .donation-form-container #responsive_payment_typecc_cvv_row { display: inline-block; max-width: 50%; } } /* Style for payment selector */ #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types { font-size: 0; width: auto !important; margin: 0; padding: 0; } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .external-payment { font-size: 0; background-color: transparent; border-color: transparent; width: auto !important; margin: 0; padding: 0; border: 0; } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .external-payment .payment-type-option { font-size: 0; background-image: none; color: var(--btnDefaultTxt); background-color: var(--btnDefault); border-color: transparent; border-radius: 4px; margin: 0 0 10px 0; padding: 15px 25px; width: auto !important; text-align: center; border: 0; } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option.selected, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .external-payment .payment-type-option.selected { background-color: var(--btnSelected); 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