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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); } 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class="fl-col fl-node-awxm4yfcjtpn" data-node="awxm4yfcjtpn"> <div class="fl-col-content fl-node-content"> <div class="fl-module fl-module-pp-heading fl-node-59jqb2gcm8hs" data-node="59jqb2gcm8hs"> <div class="fl-module-content fl-node-content"> <div class="pp-heading-content"> <div class="pp-heading pp-left"> <h1 class="heading-title"><span class="title-text pp-primary-title"> </span></h1> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="fl-row fl-row-full-width fl-row-bg-none fl-node-21o4f5js9dqh" data-node="21o4f5js9dqh"> <div class="fl-row-content-wrap"> <div class="fl-row-content fl-row-fixed-width fl-node-content"> <div class="fl-col-group fl-node-u0zbnk2rtpf9" data-node="u0zbnk2rtpf9"> <form name="process" id="ProcessForm" action="https://secure.ieeefoundation.org/site/Donation2" method="post" onsubmit="return checkDoubleClick();" > <div class="donation-form-container responsive"> <script type="text/javascript">  </script> <div 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 EPICS in IEEE</h1> <p> </p> <div>EPICS in IEEE empowers students to work with local service organizations to apply technical knowledge to implement solutions for a community’s unique challenges. In this way, EPICS in IEEE not only assists communities in achieving their specific local community improvement goals but also prepares students for their future engineering & technology careers by developing in-demand professional skills.  2024 marks the program's 15th anniversary of impacting students and communities around the world. </div> <div> </div> <div>Your financial generosity will enable us to fund more projects, impact more communities, and contribute to the education of more engineering students worldwide. Join us as we celebrate the 15th Anniversary of this program in 2024 by helping us reach our goal of raising funding for 15 future EPICS in IEEE projects. </div> <p> </p> </div> </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_flexibleexpanded2190" value="2190" checked="checked" onclick="evalMatchingGift('$25.00'); updateDonorCoverAmount('$25.00');" /> </div> <label for="level_flexibleexpanded2190" onclick=""> <div class="donation-level-amount-container"> $25.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_2190expandedsubmit" 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_flexibleexpanded2189" value="2189" onclick="evalMatchingGift('$100.00'); updateDonorCoverAmount('$100.00');" /> </div> <label for="level_flexibleexpanded2189" onclick=""> <div class="donation-level-amount-container"> $100.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_2189expandedsubmit" 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_flexibleexpanded2188" value="2188" onclick="evalMatchingGift('$250.00'); updateDonorCoverAmount('$250.00');" /> </div> <label for="level_flexibleexpanded2188" onclick=""> <div class="donation-level-amount-container"> $250.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_2188expandedsubmit" 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_flexibleexpanded2192" value="2192" onclick="evalMatchingGift('$1,000.00'); updateDonorCoverAmount('$1,000.00');" /> </div> <label for="level_flexibleexpanded2192" onclick=""> <div class="donation-level-amount-container"> $1,000.00 </div> </label> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_2192expandedsubmit" 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_flexibleexpanded2191" value="2191" onclick="evalMatchingGift(document.getElementById('level_flexibleexpanded2191amount').value); updateDonorCoverAmount(document.getElementById('level_flexibleexpanded2191amount').value);" /> </div> <label for="level_flexibleexpanded2191" onclick=""> <div class="donation-level-label-container"> or enter other amount </div> </label> <div class="donation-level-user-entered"> <label for="level_flexibleexpanded2191amount"><span class="aural-only">Enter amount</span></label> <input type="text" name="level_flexibleexpanded2191amount" id="level_flexibleexpanded2191amount" value="" size="12" maxlength="10" onfocus="var el = document.getElementById ('level_flexibleexpanded2191');if (el) el.click(); fire_obs_comp_event('level_flexibleexpanded2191amount', this, event);evalMatchingGift(value); " onchange="fire_obs_comp_event('level_flexibleexpanded2191amount', this, event);evalMatchingGift(value);" onkeyup="fire_obs_comp_event('level_flexibleexpanded2191amount', this, event);evalMatchingGift(value);" onblur="fire_obs_comp_event('level_flexibleexpanded2191amount', this);updateDonorCoverAmount(value);" /> </div> </div> <input type="hidden" name="level_flexibleexpandedsubmit" id="level_flexible_2191expandedsubmit" 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?idb=2019411513&level_flexibleajaxfetch=true&df_id=1661&mfc_pref=T&1661.donation=form1&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 class="payment-type-option"><input type="radio" name="responsive_payment_typepay_typeradio" id="responsive_payment_typepay_typeradiopaypal" value="paypal" 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_typeradiopaypal"><a href="javascript:void(0);" class="payment-type-label"><img src="../images/payment/paypal-logo.png" alt="Pay with Paypal" /></a></label><script type="text/javascript"> var comp = new ObservableRadioComponent ('responsive_payment_typepay_typeradio', 'name'); </script><noscript> </noscript></span></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="2019411513" /> <input type="hidden" name="df_id" id="df_id" value="1661" /> <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); } @media (min-width: 768px) { #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 { margin-right: 10px !important; } } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option label, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .external-payment .payment-type-option label { font-size: 0; margin: 0; padding: 0; border: 0; width: auto; max-width: unset; } #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .internal-payment .payment-type-option label a, #ProcessForm .donation-form-container .donation-form-content #responsive_payment_typepay_typeradio_payment_types .external-payment .payment-type-option label a { color: var(--btnDefaultTxt); 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