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Your gift will help provide food, medical care and emergency supplies to refugees in urgent need of aid in countries like Ukraine, Yemen, Syria and Ethiopia.<br /><br /> Please make an immediate donation to support our work in more than 50 countries worldwide. </p></div> <div class="one-time-disclaimer"></div></div></div></div><form class="webform-client-form form-layouts one-column fundraiser-donation-form" enctype="multipart/form-data" action="/" method="post" id="webform-client-form-3375" accept-charset="UTF-8"><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donation"><legend><span class="fieldset-legend">Donation</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurs-monthly"> <div id="edit-submitted-donation-recurs-monthly"><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-1" name="submitted[donation][recurs_monthly]" value="NO_RECURR" checked="checked" /> <label class="option" for="edit-submitted-donation-recurs-monthly-1">Give once </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group"> <input type="radio" id="edit-submitted-donation-recurs-monthly-2" name="submitted[donation][recurs_monthly]" value="recurs" /> <label class="option" for="edit-submitted-donation-recurs-monthly-2">Give monthly </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount"> <label for="edit-submitted-donation-amount">Select your donation </label> <div id="edit-submitted-donation-amount"><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="15" /> <label class="option" for="edit-submitted-donation-amount-1">£15 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="35" checked="checked" /> <label class="option" for="edit-submitted-donation-amount-2">£35 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="50" /> <label class="option" for="edit-submitted-donation-amount-3">£50 </label> </div><div class="form-item form-type-radio form-item-submitted-donation-amount control-group"> <input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="other" /> <label class="option" for="edit-submitted-donation-amount-4">Other </label> </div></div> </div><div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurring-amount"> <label for="edit-submitted-donation-recurring-amount">Select your donation </label> <div id="edit-submitted-donation-recurring-amount"><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-1" name="submitted[donation][recurring_amount]" value="5" /> <label class="option" for="edit-submitted-donation-recurring-amount-1">£5 per month </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-2" name="submitted[donation][recurring_amount]" value="15" checked="checked" /> <label class="option" for="edit-submitted-donation-recurring-amount-2">£15 per month </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-3" name="submitted[donation][recurring_amount]" value="20" /> <label class="option" for="edit-submitted-donation-recurring-amount-3">£20 per month </label> </div><div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group"> <input type="radio" id="edit-submitted-donation-recurring-amount-4" name="submitted[donation][recurring_amount]" value="other" /> <label class="option" for="edit-submitted-donation-recurring-amount-4">Other </label> </div></div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount"> <label for="edit-submitted-donation-other-amount">Other </label> <div class="field-prefix">£</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment £3.00.</div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--recurring-other-amount"> <label for="edit-submitted-donation-recurring-other-amount">Other </label> <div class="field-prefix">£</div><input class="input-medium form-text" type="text" id="edit-submitted-donation-recurring-other-amount" name="submitted[donation][recurring_other_amount]" value="" size="10" maxlength="128" /> <div class="description">Minimum payment £3.00.</div> </div></div></fieldset> <input type="hidden" name="submitted[ms]" value="" /> <input type="hidden" name="submitted[cid]" value="701av000007OOemAAG" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information"><legend><span class="fieldset-legend">Payment Information</span></legend><div class="fieldset-wrapper"><input type="hidden" name="submitted[payment_information][bacs_disclaimer_text]" value="" /> <div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method"> <label for="edit-submitted-payment-information-payment-method">Payment Method <span class="form-required" title="This field is required.">*</span></label> <div id="edit-submitted-payment-information-payment-method"><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="credit" checked="checked" /> <label class="option" for="edit-submitted-payment-information-payment-method-1">Credit Card </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-2" name="submitted[payment_information][payment_method]" value="paypal" /> <label class="option" for="edit-submitted-payment-information-payment-method-2">Paypal </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-3" name="submitted[payment_information][payment_method]" value="bacs" /> <label class="option" for="edit-submitted-payment-information-payment-method-3">Direct Debit </label> </div><div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group"> <input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-4" name="submitted[payment_information][payment_method]" value="applepay" /> <label class="option" for="edit-submitted-payment-information-payment-method-4">Apple Pay </label> </div></div> </div><div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields"><fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit"><div class="fieldset-wrapper"><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-number">Credit card number </label> <input class="input-large form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128" /> </div><div class='expiration-date-wrapper clear-block'><div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date </label> <select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]"><option value="1">January</option><option value="2">February</option><option value="3">March</option><option value="4">April</option><option value="5">May</option><option value="6">June</option><option value="7">July</option><option value="8">August</option><option value="9">September</option><option value="10">October</option><option value="11" selected="selected">November</option><option value="12">December</option></select><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year" name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]"><option value="2024" selected="selected">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option><option value="2036">2036</option><option value="2037">2037</option><option value="2038">2038</option><option value="2039">2039</option></select> </div></div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group"> <label for="edit-submitted-payment-information-payment-fields-credit-card-cvv">CVV </label> <input class="input-small form-text" autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128" /> </div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][credit][account_name][credit]" value="INTNRESCUE" /> <input type="hidden" name="submitted[payment_information][payment_fields][credit][radar_session]" value="" /> </div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal"><div class="fieldset-wrapper"><div id="payment-details" class="form-wrapper"><div id="braintree-payment-form-outer"><div class="braintree-payment-form form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal-braintree-new"><div id="paypal-container" class="form-wrapper"><div id="braintree-paypal-loggedin" class="form-wrapper"><span id="bt-pp-name">PayPal</span><span id="bt-pp-email"></span><button id="bt-pp-cancel">Cancel</button></div></div></div></div></div><input type="hidden" name="braintree[errors]" value="" /> <input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_last4]" value="" /> </div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-bacs"><div class="fieldset-wrapper"><input type="hidden" name="submitted[payment_information][payment_fields][bacs][account_name][bacs]" value="INTNRESCUE" /> <input type="hidden" name="submitted[payment_information][payment_fields][bacs][radar_session]" value="" /> <div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bacs-sort-code control-group"> <label for="edit-submitted-payment-information-payment-fields-bacs-sort-code">Sort Code </label> <input autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-bacs-sort-code" name="submitted[payment_information][payment_fields][bacs][sort_code]" value="" size="60" maxlength="128" class="form-text" /> </div><div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bacs-account-number control-group"> <label for="edit-submitted-payment-information-payment-fields-bacs-account-number">Account Number </label> <input autocomplete="off" type="text" id="edit-submitted-payment-information-payment-fields-bacs-account-number" name="submitted[payment_information][payment_fields][bacs][account_number]" value="" size="60" maxlength="128" class="form-text" /> </div><div id="bacs-disclaimer" class="donation-total-token-container"><p><div class="form-item form-type-checkbox form-item-submitted-payment-information-payment-fields-bacs-disclaimer control-group"> <input type="checkbox" id="edit-submitted-payment-information-payment-fields-bacs-disclaimer" name="submitted[payment_information][payment_fields][bacs][disclaimer]" value="1" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-payment-fields-bacs-disclaimer">I understand that IRC-UK has partnered with Stripe, who collects Direct Debits on behalf of IRC-UK and confirm that I am the account holder and the only person required to authorise debits from this account. </label> </div></p></div><div><p>Your payments are protected by the <a href="https://stripe.com/bacs_debit/direct-debit-guarantee" target="_blank">Direct Debit Guarantee</a></div></p></div></fieldset> <fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay"><div class="fieldset-wrapper"><input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="payment_method_nonce" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_card_type]" value="" /> <input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_last4]" value="" /> </div></fieldset> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--processing-fee"> <div id="edit-submitted-payment-information-processing-fee"><div class="form-item form-type-checkbox form-item-submitted-payment-information-processing-fee-1 control-group"> <input type="checkbox" id="edit-submitted-payment-information-processing-fee-1" name="submitted[payment_information][processing_fee][1]" value="1" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-processing-fee-1">Yes </label> </div></div> </div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="" /> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--updates"><legend><span class="fieldset-legend">Stay in touch and see your impact!</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-markup control-group" id="webform-component-payment-information--updates--short-message"> <p>We'd love to share updates of how your gifts are making a difference in the lives of people in crisis.</p> <p><strong>Yes, please contact me via:</strong></p><p></p> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--updates--receive-updates-by-email"> <div id="edit-submitted-payment-information-updates-receive-updates-by-email"><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-email-1 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-email-1" name="submitted[payment_information][updates][receive_updates_by_email][1]" value="1" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-updates-receive-updates-by-email-1">Email </label> </div><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-email-0 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-email-2" name="submitted[payment_information][updates][receive_updates_by_email][0]" value="0" checked="checked" class="form-checkbox" /> </div></div> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--updates--receive-updates-by-sms"> <div id="edit-submitted-payment-information-updates-receive-updates-by-sms"><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-sms-1 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-sms-1" name="submitted[payment_information][updates][receive_updates_by_sms][1]" value="1" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-updates-receive-updates-by-sms-1">SMS/text </label> </div><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-sms-0 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-sms-2" name="submitted[payment_information][updates][receive_updates_by_sms][0]" value="0" checked="checked" class="form-checkbox" /> </div></div> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--updates--receive-updates-by-phone"> <div id="edit-submitted-payment-information-updates-receive-updates-by-phone"><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-phone-1 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-phone-1" name="submitted[payment_information][updates][receive_updates_by_phone][1]" value="1" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-updates-receive-updates-by-phone-1">Phone </label> </div><div class="form-item form-type-checkbox form-item-submitted-payment-information-updates-receive-updates-by-phone-0 control-group"> <input type="checkbox" id="edit-submitted-payment-information-updates-receive-updates-by-phone-2" name="submitted[payment_information][updates][receive_updates_by_phone][0]" value="0" checked="checked" class="form-checkbox" /> </div></div> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-payment-information--updates--telephone"> <label for="edit-submitted-payment-information-updates-telephone">Phone Number (Optional) </label> <input type="text" id="edit-submitted-payment-information-updates-telephone" name="submitted[payment_information][updates][telephone]" value="" size="60" maxlength="128" class="form-text" /> </div><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--updates--opt-out-small-print"><div class="fieldset-wrapper"><div class="fieldset-description">The updates will include information and stories about our work, the impact you make, and ways to support the IRC's fundraising appeals. We may also contact you by post. <strong>Your information is safe with us.</strong> We will never sell or swap your data with third parties. <strong>You're in control</strong> — you can change your preferences at any time by contacting us on <a href='mailto:contactus@rescue-uk.org'>contactus@rescue-uk.org</a> or calling +44 (0)203 983 9000. Full details in our <a href='https://www.rescue.org/uk/respecting-your-privacy'>Privacy Policy</a> and <a href='https://www.rescue.org/uk/cookie-notice'>Cookie Policy</a>.</div></div></fieldset> </div></fieldset> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--make-your-gift-go-further"><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-markup control-group" id="webform-component-payment-information--make-your-gift-go-further--gift-aid-logo"> <div class="gift-aid-logo"> <span> <img class="yellow-heart" src="/files/irc-uk/upload/Yellow_heart.svg" alt="Yellow Heart" /></span> <span> <img class="gift-aid-uk-logo" src="https://help.rescue-uk.org/files/irc-uk/upload/Gift_Aid_UK_Logo.svg" alt="Gift Aid UK Logo" /></span> </div> </div><div class="form-item webform-component webform-component-markup control-group" id="webform-component-payment-information--make-your-gift-go-further--gift-aid-top-message"> <div class="gift-aid-top-message"> <p><strong>Are you a UK taxpayer?</strong> Tick the Gift Aid box to boost your donation by 25p of Gift Aid for every £1 you donate — <strong>at no extra cost to you!</strong></p> </div> </div><div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--make-your-gift-go-further--gift-aid"> <div id="edit-submitted-payment-information-make-your-gift-go-further-gift-aid"><div class="form-item form-type-checkbox form-item-submitted-payment-information-make-your-gift-go-further-gift-aid-Gift Aid control-group"> <input type="checkbox" id="edit-submitted-payment-information-make-your-gift-go-further-gift-aid-1" name="submitted[payment_information][make_your_gift_go_further][gift_aid][Gift Aid]" value="Gift Aid" class="form-checkbox" /> <label class="option" for="edit-submitted-payment-information-make-your-gift-go-further-gift-aid-1"> Yes, I'm a UK taxpayer and would like to Gift Aid this and any donations I make in the future or have made in the past 4 years to IRC-UK, to maximise support for IRC's vital work. I understand I must pay any tax difference if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year. </label> </div></div> </div></div></fieldset> </div></fieldset> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information"><legend><span class="fieldset-legend">Your Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name"> <label for="edit-submitted-donor-information-first-name">First Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name"> <label for="edit-submitted-donor-information-last-name">Last Name <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required" /> </div><div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail"> <label for="edit-submitted-donor-information-mail">E-mail <span class="form-required" title="This field is required.">*</span></label> <input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60" /> </div></div></fieldset> <fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information"><legend><span class="fieldset-legend">Billing Information</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address"> <label for="edit-submitted-billing-information-address">Address Line 1 <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" class="form-text required" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2"> <label for="edit-submitted-billing-information-address-line-2">Address Line 2 (Optional) </label> <input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" class="form-text" /> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city"> <label for="edit-submitted-billing-information-city">City <span class="form-required" title="This field is required.">*</span></label> <input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" /> </div><div id="zone-select-wrapper"><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state"> <label for="edit-submitted-billing-information-state">County </label> <input type="text" id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" value="" size="60" maxlength="128" class="form-text" /> </div></div><div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country"> <label for="edit-submitted-billing-information-country">Country <span class="form-required" title="This field is required.">*</span></label> <select id="edit-submitted-billing-information-country" name="submitted[billing_information][country]" class="form-select required"><option value="AF">Afghanistan</option><option value="AX">Aland Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="VG">British Virgin Islands</option><option value="BN">Brunei</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="BQ">Caribbean Netherlands</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo (Brazzaville)</option><option value="CD">Congo (Kinshasa)</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CW">Curaçao</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="HN">Honduras</option><option value="HK">Hong Kong S.A.R., China</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran</option><option value="IQ">Iraq</option><option value="IE">Ireland</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="CI">Ivory Coast</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Laos</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao S.A.R., China</option><option value="MK">Macedonia</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia</option><option value="MD">Moldova</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="KP">North Korea</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestinian Territory</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Reunion</option><option value="RO">Romania</option><option value="RU">Russia</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SX">Sint Maarten</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="KR">South Korea</option><option value="SS">South Sudan</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syria</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="VI">U.S. Virgin Islands</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="GB" selected="selected">United Kingdom</option><option value="US">United States</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VA">Vatican</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select> </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip"> <label for="edit-submitted-billing-information-zip">Postcode <span class="form-required" title="This field is required.">*</span></label> <input class="input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" /> </div></div></fieldset> <input type="hidden" name="submitted[referrer]" value="" /> <input type="hidden" name="submitted[initial_referrer]" value="" /> <input type="hidden" name="submitted[search_engine]" value="" /> <input type="hidden" name="submitted[search_string]" value="" /> <input type="hidden" name="submitted[user_agent]" value="" /> <input type="hidden" name="submitted[device_type]" value="" /> <input type="hidden" name="submitted[secure_prepop_autofilled]" value="0" /> <input type="hidden" name="submitted[springboard_cookie_autofilled]" value="disabled" /> <input type="hidden" name="submitted[content_override_id]" value="" /> <input type="hidden" name="submitted[device_name]" value="" /> <input type="hidden" name="submitted[gs_flag]" value="0" /> <input type="hidden" name="submitted[device_os]" value="" /> <input type="hidden" name="submitted[device_browser]" value="" /> <input type="hidden" name="submitted[utm_source]" value="" /> <input type="hidden" name="submitted[utm_medium]" value="" /> <input type="hidden" name="submitted[utm_term]" value="" /> <input type="hidden" name="submitted[utm_content]" value="" /> <input type="hidden" name="submitted[field_sbp_referrer_long]" value="" /> <input type="hidden" name="submitted[utm_campaign]" value="" /> <input type="hidden" name="submitted[field_sbp_initial_referrer_long]" value="" /> <input type="hidden" name="submitted[eml_name]" value="" /> <input type="hidden" name="submitted[field_form]" value="" /> <input type="hidden" name="submitted[eml_id]" value="" /> <input type="hidden" name="submitted[field_form_url]" value="" /> <input type="hidden" name="submitted[social_referer_transaction]" value="" /> <input type="hidden" name="submitted[p2p_pcid]" value="" /> <input type="hidden" name="submitted[sbp_zip_plus_four]" value="" /> <input type="hidden" name="submitted[sbp_twitter_screen_name]" value="" /> <input type="hidden" name="submitted[sbp_twitter_id_str]" value="" /> <input type="hidden" name="submitted[sbp_twitter_status_count]" value="" /> <input type="hidden" name="submitted[sbp_twitter_following_count]" value="" /> <input type="hidden" name="submitted[sbp_twitter_followers_count]" value="" /> <input type="hidden" name="submitted[sbp_twitter_created_at]" value="" /> <div class="form-item webform-component webform-component-markup control-group" id="webform-component-form-header-image"> /files/irc-uk/upload/_Z2A6303-edited_rs.jpg </div><div class="form-item webform-component webform-component-textfield control-group" id="webform-component-address-search"> <label for="edit-submitted-address-search">Address Search </label> <input type="text" id="edit-submitted-address-search" name="submitted[address_search]" value="" size="60" maxlength="128" class="form-text" /> </div><fieldset class="webform-component-fieldset form-wrapper" id="webform-component-confirmation"><legend><span class="fieldset-legend">Confirm your details</span></legend><div class="fieldset-wrapper"><div class="form-item webform-component webform-component-markup control-group" id="webform-component-confirmation--bacs-disclaimer"> <p>You’ll be notified 2 days in advance via email of the amount debited through this Direct Debit. These payments will appear as “IRC-UK” on your bank statement. Once you confirm the instruction, you’ll receive an email confirmation within 3 business days.</p> </div></div></fieldset> <input type="hidden" name="submitted[initialms]" value="" /> <input type="hidden" name="details[sid]" /> <input type="hidden" name="details[page_num]" value="1" /> <input type="hidden" name="details[page_count]" value="1" /> <input type="hidden" name="details[finished]" value="0" /> <input type="hidden" name="form_build_id" value="form-5vTrus9UAvo56FavVSMd_L-OX-DeXl1uj5DW7RLlgtM" /> <input type="hidden" name="form_id" value="webform_client_form_3375" /> <a name="payment-section"></a><input type="hidden" name="springboard_fraud_token" value="" /> <input type="hidden" name="springboard_fraud_js_detect" value="" /> <div class="form-actions form-wrapper" id="edit-actions"><input class="btn" type="submit" id="edit-submit" name="op" value="Submit" /></div><fieldset class="form-wrapper" id="edit-recent-donations-block"><div class="fieldset-wrapper"></div></fieldset> </form> </div> </div> </div> </div> <script> (function ($) { Drupal.behaviors.BACSrecurring = { attach: function (context) { var $form = $('.webform-client-form'); $form.once(function (){ // Hide BACS/debit for one-time function bacsVisibility(){ var recursStatus = $('#edit-submitted-donation-recurs-monthly input:checked').val(); if(recursStatus == 'recurs'){ $('.bacs').show(); } else if (recursStatus == 'NO_RECURR') { $('.bacs').hide(); if ($('#edit-submitted-payment-information-payment-method input[value="bacs"]').is(':checked')) { $('#edit-submitted-payment-information-payment-method .credit label').trigger('click'); } } } // Set inital state if(!$('#sb-content').hasClass('sequential')){ bacsVisibility(); // Change state if type changes $('#edit-submitted-donation-recurs-monthly input').change(function(){ bacsVisibility(); }); } else { // State for Sequential forms. bacsVisibility(); // Change state if type changes $('#edit-submitted-donation-recurs-monthly input').change(function(){ bacsVisibility(); }); } }); // once(). } }; })(jQuery); </script> </div> <div class="full-width-column"> <div class="description"> <div class="node-body span8"> <p> Donate now to help refugee families to survive, recover and rebuild their lives. <b>Your gift will help provide food, medical care and emergency supplies</b> to refugees in urgent need of aid in countries like Ukraine, Yemen, Syria and Ethiopia. <br /><br /> Please make an immediate donation to support our work in more than 50 countries worldwide. <br /><br /></p><blockquote><em>The above image shows Basmah (pseudonym) receiving malnutrition treatment from an IRC mobile health team in Yemen.</em></blockquote> <div class="body-content--mobile"> <h1>Make a Donation</h1> <p>Donate now to help refugee families to survive, recover and rebuild their lives. 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