CINXE.COM

The Pew Charitable Trusts - Support Pew Research Center

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The Center is nonadvocacy,...' name='twitter:description'> </head> <body class='donation_form_focused project everyday_default' data-describe='interface'> <!-- Google Tag Manager --> <noscript> <iframe height='0' src='//www.googletagmanager.com/ns.html?id=GTM-5CNWD2' style='display:none;visibility:hidden' width='0'></iframe> </noscript> <script> (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= '//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayerGC','GTM-5CNWD2'); </script> <!-- End Google Tag Manager --> <!-- Google Tag Manager --> <noscript> <iframe height='0' src='//www.googletagmanager.com/ns.html?id=GTM-KJSMD68' style='display:none;visibility:hidden' width='0'></iframe> </noscript> <script> (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= '//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer',"GTM-KJSMD68"); </script> <!-- End Google Tag Manager --> <header class='page-header'> <nav class="navbar navbar-user py-2 px-3 bg-white navbar-expand-lg navbar-light"><a class="navbar-brand d-flex align-items-center" aria-label="The Pew Charitable Trusts home" target="_blank" href="http://www.pewresearch.org"><img alt="The Pew Charitable Trusts logo" class="img-fluid" src="https://nfg-sofun.s3.amazonaws.com/uploads/ui_configuration/main_logo/3601/welcome_logo_PRC_logo-donatepage.png" /></a> <button class="navbar-toggler" data-toggle="collapse" data-target="#masthead_bar" aria-expanded="false" aria-controls="masthead_bar" role="button"><span class="navbar-toggler-icon"></span></button> <div class="collapse navbar-collapse" id="masthead_bar"> <ul class="navbar-nav ml-auto d-flex align-items-center" id="masthead_bar_donor_links" right="true"><li class="nav-item" data-describe="sign-in-link"><a class="nav-link" href="/donors/sign_in">Log In</a></li> </ul></div></nav> </header> <div class='page-content'> <img alt='Facts help people navigate a changing world. You can make a difference. image' class='img-fluid w-100 d-md-block d-lg-none' src='https://nfg-sofun.s3.amazonaws.com/uploads/project/photo/32657/poster_board_PRC_donate-image_copy.jpg'> <div class="jumbotron mb-0 p-0 rounded-0 bg-dark" data-describe="background-gravity-50%"><div class='container py-3 py-sm-4'> <div class='row'> <div class='col col-lg-7 mx-auto' data-describe='jumbotron-form'> <div class="card shadow-sm my-lg-4 bg-dark"><div class="card-body"><h1 aria-label='Facts help people navigate a changing world. You can make a difference.' class='text-center' data-describe='primary-call-to-action' tabindex='0'>Facts help people navigate a changing world. You can make a difference.</h1> <div id='donation_form_wrapper'> <p class="lead font-italic mt-1 mb-0 text-center text-muted" data-describe="secondary-call-to-action" aria-label="To help ensure Pew Research Center’s work reaches as many people as possible, please consider making a contribution on the Center’s behalf to its parent organization, The Pew Charitable Trusts." tabindex="0">To help ensure Pew Research Center’s work reaches as many people as possible, please consider making a contribution on the Center’s behalf to its parent organization, The Pew Charitable Trusts.</p> <div class='mt-3'> <form class="simple_form new_donation_form" id="donation_form" novalidate="novalidate" data-donation-form="inline" action="/projects/32657-support-pew-research-center/donations" accept-charset="UTF-8" data-remote="true" method="post"><div class="d-none hidden donation_form_step"><input value="2" class="hidden" autocomplete="off" type="hidden" name="donation_form[step]" id="donation_form_step" /></div> <div id='inline_donation_form'> <div data-additional-instructions-char-count='250' data-canadian-provinces='[&quot;&lt;option&gt;&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AB\&quot;&gt;Alberta&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;BC\&quot;&gt;British Columbia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MB\&quot;&gt;Manitoba&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NB\&quot;&gt;New Brunswick&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NL\&quot;&gt;Newfoundland and Labrador&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NS\&quot;&gt;Nova Scotia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NT\&quot;&gt;Northwest Territories&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NU\&quot;&gt;Nunavut&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ON\&quot;&gt;Ontario&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;PE\&quot;&gt;Prince Edward Island&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;QC\&quot;&gt;Quebec&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SK\&quot;&gt;Saskatchewan&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;YT\&quot;&gt;Yukon Territory&lt;/option&gt;&quot;]' data-donor-note-char-count='150' data-toggle='donation-form-interactions' data-tribute-note-char-count='150' data-us-states='[&quot;&lt;option&gt;&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AK\&quot;&gt;Alaska&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AL\&quot;&gt;Alabama&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AR\&quot;&gt;Arkansas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AZ\&quot;&gt;Arizona&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CA\&quot;&gt;California&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CO\&quot;&gt;Colorado&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CT\&quot;&gt;Connecticut&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;DC\&quot;&gt;District of Columbia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;DE\&quot;&gt;Delaware&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;FL\&quot;&gt;Florida&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;GA\&quot;&gt;Georgia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;HI\&quot;&gt;Hawaii&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IA\&quot;&gt;Iowa&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ID\&quot;&gt;Idaho&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IL\&quot;&gt;Illinois&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IN\&quot;&gt;Indiana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;KS\&quot;&gt;Kansas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;KY\&quot;&gt;Kentucky&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;LA\&quot;&gt;Louisiana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MA\&quot;&gt;Massachusetts&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MD\&quot;&gt;Maryland&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ME\&quot;&gt;Maine&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MI\&quot;&gt;Michigan&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MN\&quot;&gt;Minnesota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MO\&quot;&gt;Missouri&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MS\&quot;&gt;Mississippi&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MT\&quot;&gt;Montana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NC\&quot;&gt;North Carolina&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ND\&quot;&gt;North Dakota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NE\&quot;&gt;Nebraska&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NH\&quot;&gt;New Hampshire&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NJ\&quot;&gt;New Jersey&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NM\&quot;&gt;New Mexico&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NV\&quot;&gt;Nevada&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NY\&quot;&gt;New York&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OH\&quot;&gt;Ohio&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OK\&quot;&gt;Oklahoma&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OR\&quot;&gt;Oregon&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;PA\&quot;&gt;Pennsylvania&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;RI\&quot;&gt;Rhode Island&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SC\&quot;&gt;South Carolina&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SD\&quot;&gt;South Dakota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;TN\&quot;&gt;Tennessee&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;TX\&quot;&gt;Texas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;UT\&quot;&gt;Utah&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;VA\&quot;&gt;Virginia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;VT\&quot;&gt;Vermont&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WA\&quot;&gt;Washington&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WI\&quot;&gt;Wisconsin&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WV\&quot;&gt;West Virginia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WY\&quot;&gt;Wyoming&lt;/option&gt;&quot;]'> <label for="donation_donation_amount">Donation Amount</label> <input autocomplete="off" type="hidden" name="donation[donation_amount]" id="donation_donation_amount" /> <div class='row form-row mb-2' data-toggle='buttons' id='suggested-amts-wrapper'> <div class='col-6 col-md-4 mb-2'> <button class='donation_amount_lbl px-1 btn-lg btn btn-block d-flex align-items-start h-100 mb-0 btn-outline-secondary' for='_donation_donation_amount_50_0'> <span class='sr-only'>Donate</span> <input id="_donation_donation_amount_50_0" class="d-none" type="radio" value="50.0" name="donation[donation_amount]" /> <div class='w-100'> <h2 class='h5 text-wrap text-break'>$50</h2> </div> </button> </div> <div class='col-6 col-md-4 mb-2'> <button class='donation_amount_lbl px-1 btn-lg btn btn-block d-flex align-items-start h-100 mb-0 btn-outline-secondary' for='_donation_donation_amount_100_0'> <span class='sr-only'>Donate</span> <input id="_donation_donation_amount_100_0" class="d-none" type="radio" value="100.0" name="donation[donation_amount]" /> <div class='w-100'> <h2 class='h5 text-wrap text-break'>$100</h2> </div> </button> </div> <div class='col-6 col-md-4 mb-2'> <button class='donation_amount_lbl px-1 btn-lg btn btn-block d-flex align-items-start h-100 mb-0 btn-outline-secondary' for='_donation_donation_amount_250_0'> <span class='sr-only'>Donate</span> <input id="_donation_donation_amount_250_0" class="d-none" type="radio" value="250.0" name="donation[donation_amount]" /> <div class='w-100'> <h2 class='h5 text-wrap text-break'>$250</h2> </div> </button> </div> <div class='col-6 col-md-4 mb-2'> <button class='donation_amount_lbl px-1 btn-lg btn btn-block d-flex align-items-start h-100 mb-0 btn-outline-secondary' for='_donation_donation_amount_500_0'> <span class='sr-only'>Donate</span> <input id="_donation_donation_amount_500_0" class="d-none" type="radio" value="500.0" name="donation[donation_amount]" /> <div class='w-100'> <h2 class='h5 text-wrap text-break'>$500</h2> </div> </button> </div> <div class='col-6 col-md-4 mb-2'> <button class='donation_amount_lbl px-1 btn-lg btn btn-block d-flex align-items-start h-100 mb-0 btn-outline-secondary' for='_donation_donation_amount_1000_0'> <span class='sr-only'>Donate</span> <input id="_donation_donation_amount_1000_0" class="d-none" type="radio" value="1000.0" name="donation[donation_amount]" /> <div class='w-100'> <h2 class='h5 text-wrap text-break'>$1,000</h2> </div> </button> </div> <div class='col-6 col-md-4 mb-2' id='donation_custom_amount'> <div class='btn-outline-secondary px-2 btn btn-block d-flex align-items-start h-100 mb-0' id='donation_custom_amount_bootstrap_btn'> <div class='w-100'> <div class="media"><div class='align-self-center mr-1'> <input id="_donation_donation_amount_-1" class="d-none" type="radio" value="-1" name="donation[donation_amount]" /> <label for="_donation_donation_amount_-1" class="h5 mb-0">$ <span class='sr-only'>Enter custom donation amount</span> </label></div> <div class="media-body"><input class="form-control" inputmode="numeric" pattern="[0-9]*" title="Custom Donation Amount" type="text" name="donation[donation_amount_custom_amount]" id="donation_donation_amount_custom_amount" /> </div></div> </div> </div> </div> </div> <input id="donation_form_targetable_type" autocomplete="off" type="hidden" value="Project" name="donation_form[targetable_type]" /> <input id="donation_form_targetable_id" autocomplete="off" type="hidden" value="32657" name="donation_form[targetable_id]" /> <div class='row form-row align-items-end' id='recurring_donation_block'> <div class='col-12 col-md-6' id='donation_recurring_donation_period'> <div class="form-group select required recurring_donation_period"><label class="select required control-label not-required" for="recurring_donation_period">Select Donation Frequency</label><select class="custom-select select required w-100" id="recurring_donation_period" name="recurring_donation[period]"><option selected="selected" value="one_time">One-time</option> <option value="monthly">Monthly</option> <option value="quarterly">Quarterly</option> <option value="annually">Annually</option></select></div> </div> <div class='col-12 col-md-6 d-none' data-toggle='recurring-donation-end-date' id='donation_recurring_donation_end'> <div class="form-group string optional recurring_donation_end_date"><label class="string optional control-label" for="recurring_donation_end_date">Ending (Optional)</label><input class="form-control string optional" id="recurring_donation_end_date" data-toggle="datepicker" autocomplete="off" type="text" name="recurring_donation[end_date]" /></div> </div> </div> <!-- Donation Note --> <div class="d-none hidden donation_publish_my_donation_amount"><input value="false" class="hidden" autocomplete="off" type="hidden" name="donation[publish_my_donation_amount]" id="donation_publish_my_donation_amount" /></div> <div class="d-none hidden donation_publish_my_name"><input value="false" class="hidden" autocomplete="off" type="hidden" name="donation[publish_my_name]" id="donation_publish_my_name" /></div> <div class="form-group select optional donation_honor_or_memorialize"><label class="select optional control-label" for="donation_honor_or_memorialize">Honor or remember someone with your gift?</label><select class="custom-select select optional donation-honor-or-memorialize" id="donation_honor_or_memorialize" name="donation[honor_or_memorialize]"><option selected="selected" value="No">No</option> <option value="Honor">Honor</option> <option value="Memorial">Memorial</option></select></div> <div class='tribute-info d-none' data-toggle='tribute-info'> <div class='row form-row'> <div class='col-6'> <div class="form-group string required tribute_name"><label class="string required control-label" for="tribute_name">Whom do you want to recognize?</label><input class="form-control string required" id="tribute_name" placeholder="Person or group name" type="text" name="tribute[name]" /></div> </div> <div class='col-6'> <div class="form-group string optional tribute_relationship"><label class="string optional control-label" for="tribute_relationship">Your relationship to them:</label><input class="form-control string optional" id="tribute_relationship" placeholder="E.g. Father" type="text" name="tribute[relationship]" /></div> </div> </div> <div class='modal-row modal-tribute-advanced d-none' data-toggle='tribute-notification'> <div class="form-group"><h5 class='mb-2'>Include a note to the recipient:</h5> <div class="form-group text required tribute_note mb-1"><label class="text required control-label" for="tribute_note">What would you like the note to say?</label><textarea class="form-control text required" id="tribute_note" rows="5" required="required" aria-required="true" name="tribute[note]"> </textarea></div> <p class="mb-0 form-text text-right text-muted font-size-sm"><span data-counter='tribute' id='tribtueNoteCounter'></span> / <span data-describe='max-length-for-notification-counter'> 150 </span> </p></div><div id='notification_recipient'> <h5 class='mb-2'>Where Should We Send the Notification?</h5> <div class='row form-row'> <div class='col-6'> <div class="form-group string required person_first_name"><label class="string required control-label" for="person_first_name">First Name</label><input class="form-control string required" id="person_first_name" type="text" name="person[first_name]" /></div> </div> <div class='col-6'> <div class="form-group string required person_last_name"><label class="string required control-label" for="person_last_name">Last Name</label><input class="form-control string required" id="person_last_name" type="text" name="person[last_name]" /></div> </div> </div> <div data-canadian-provinces='[&quot;&lt;option&gt;&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AB\&quot;&gt;Alberta&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;BC\&quot;&gt;British Columbia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MB\&quot;&gt;Manitoba&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NB\&quot;&gt;New Brunswick&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NL\&quot;&gt;Newfoundland and Labrador&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NS\&quot;&gt;Nova Scotia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NT\&quot;&gt;Northwest Territories&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NU\&quot;&gt;Nunavut&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ON\&quot;&gt;Ontario&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;PE\&quot;&gt;Prince Edward Island&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;QC\&quot;&gt;Quebec&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SK\&quot;&gt;Saskatchewan&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;YT\&quot;&gt;Yukon Territory&lt;/option&gt;&quot;]' data-us-states='[&quot;&lt;option&gt;&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AK\&quot;&gt;Alaska&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AL\&quot;&gt;Alabama&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AR\&quot;&gt;Arkansas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;AZ\&quot;&gt;Arizona&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CA\&quot;&gt;California&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CO\&quot;&gt;Colorado&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;CT\&quot;&gt;Connecticut&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;DC\&quot;&gt;District of Columbia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;DE\&quot;&gt;Delaware&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;FL\&quot;&gt;Florida&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;GA\&quot;&gt;Georgia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;HI\&quot;&gt;Hawaii&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IA\&quot;&gt;Iowa&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ID\&quot;&gt;Idaho&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IL\&quot;&gt;Illinois&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;IN\&quot;&gt;Indiana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;KS\&quot;&gt;Kansas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;KY\&quot;&gt;Kentucky&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;LA\&quot;&gt;Louisiana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MA\&quot;&gt;Massachusetts&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MD\&quot;&gt;Maryland&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ME\&quot;&gt;Maine&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MI\&quot;&gt;Michigan&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MN\&quot;&gt;Minnesota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MO\&quot;&gt;Missouri&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MS\&quot;&gt;Mississippi&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;MT\&quot;&gt;Montana&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NC\&quot;&gt;North Carolina&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;ND\&quot;&gt;North Dakota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NE\&quot;&gt;Nebraska&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NH\&quot;&gt;New Hampshire&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NJ\&quot;&gt;New Jersey&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NM\&quot;&gt;New Mexico&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NV\&quot;&gt;Nevada&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;NY\&quot;&gt;New York&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OH\&quot;&gt;Ohio&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OK\&quot;&gt;Oklahoma&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;OR\&quot;&gt;Oregon&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;PA\&quot;&gt;Pennsylvania&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;RI\&quot;&gt;Rhode Island&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SC\&quot;&gt;South Carolina&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;SD\&quot;&gt;South Dakota&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;TN\&quot;&gt;Tennessee&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;TX\&quot;&gt;Texas&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;UT\&quot;&gt;Utah&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;VA\&quot;&gt;Virginia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;VT\&quot;&gt;Vermont&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WA\&quot;&gt;Washington&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WI\&quot;&gt;Wisconsin&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WV\&quot;&gt;West Virginia&lt;/option&gt;&quot;, &quot;&lt;option value=\&quot;WY\&quot;&gt;Wyoming&lt;/option&gt;&quot;]' id='address_block'> <div class="form-group string required person_street_address"><label class="string required control-label" for="person_street_address">Street Address</label><input class="form-control string required" id="person_street_address" required="required" aria-required="true" type="text" name="person[street_address]" /></div> <div class="form-group string optional person_street_address2"><label class="string optional control-label" for="person_street_address2">Street Address 2</label><input class="form-control string optional" id="person_street_address2" type="text" name="person[street_address2]" /><div class="form-text text-muted">Apartment, suite, etc. (optional)</div></div> <div class="form-group string required person_city"><label class="string required control-label" for="person_city">City</label><input class="form-control string required w-lg-75" id="person_city" required="required" aria-required="true" type="text" name="person[city]" /></div> <div class='row form-row'> <div class='col-12 col-md' id='state_field'> <div class="form-group"><label class="string optional control-label required" id="person_address_state_label" data-describe="state-label" for="person_state">State / Province</label> <select class="custom-select w-100" data-country="US" id="person_state" name="person[state]"><option value="" label=" "></option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AS">American Samoa</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="AE">Armed Forces Africa, Canada, Europe, Middle East</option> <option value="AA">Armed Forces Americas (except Canada)</option> <option value="AP">Armed Forces Pacific</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="GU">Guam</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="MP">Northern Mariana Islands</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="PR">Puerto Rico</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UM">United States Minor Outlying Islands</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VI">Virgin Islands</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option></select> <div class="form-group string optional person_state"><input class="form-control string optional d-none" id="person_address_state_text" name="" type="text" /></div> </div></div> <div class='col-12 col-md-auto'> <div class="form-group string required person_zip_code"><label class="string required control-label" for="person_zip_code">Zip / Postal Code</label><input class="form-control string required w-auto" id="person_zip_code" required="required" aria-required="true" type="text" name="person[zip_code]" /></div> </div> </div> <div class="form-group"><label class="country optional control-label required" for="person_country">Country</label> <select class="custom-select" id="person_country" name="person[country]"><option value="" label=" "></option> <option selected="selected" value="US">United States</option> <option value="CA">Canada</option> <option disabled="disabled" value="---------------">---------------</option> <option value="AF">Afghanistan</option> <option value="AX">Åland 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="BQ">Bonaire, Sint Eustatius and Saba</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="BN">Brunei Darussalam</option> <option value="BG">Bulgaria</option> <option value="BF">Burkina Faso</option> <option value="BI">Burundi</option> <option value="CV">Cabo Verde</option> <option value="KH">Cambodia</option> <option value="CM">Cameroon</option> <option value="CA">Canada</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</option> <option value="CD">Congo, The Democratic Republic of the</option> <option value="CK">Cook Islands</option> <option value="CR">Costa Rica</option> <option value="CI">Côte d&#39;Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CW">Curaçao</option> <option value="CY">Cyprus</option> <option value="CZ">Czechia</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="SZ">Eswatini</option> <option value="ET">Ethiopia</option> <option value="FK">Falkland Islands (Malvinas)</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="VA">Holy See (Vatican City State)</option> <option value="HN">Honduras</option> <option value="HK">Hong Kong</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, Islamic Republic of</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="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="KP">Korea, Democratic People&#39;s Republic of</option> <option value="KR">Korea, Republic of</option> <option value="KW">Kuwait</option> <option value="KG">Kyrgyzstan</option> <option value="LA">Lao People&#39;s Democratic Republic</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</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, Federated States of</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="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="MK">North Macedonia</option> <option value="MP">Northern Mariana Islands</option> <option value="NO">Norway</option> <option value="OM">Oman</option> <option value="PK">Pakistan</option> <option value="PW">Palau</option> <option value="PS">Palestine, State of</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">Réunion</option> <option value="RO">Romania</option> <option value="RU">Russian Federation</option> <option value="RW">Rwanda</option> <option value="BL">Saint Barthélemy</option> <option value="SH">Saint Helena, Ascension and Tristan da Cunha</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 (Dutch part)</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="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="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="SY">Syrian Arab Republic</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="UG">Uganda</option> <option value="UA">Ukraine</option> <option value="AE">United Arab Emirates</option> <option value="GB">United Kingdom</option> <option value="UM">United States Minor Outlying Islands</option> <option value="US">United States</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VU">Vanuatu</option> <option value="VE">Venezuela</option> <option value="VN">Vietnam</option> <option value="VG">Virgin Islands, British</option> <option value="VI">Virgin Islands, U.S.</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> <div class='row form-row'> <div class='col-6'> <div class="form-group email optional person_email"><label class="email optional control-label" for="person_email">Email</label><input class="form-control string email optional" id="person_email" type="email" name="person[email]" /></div> </div> <div class='col-6'> <div class="form-group tel optional person_phone"><label class="tel optional control-label" for="person_phone">Phone</label><input class="form-control string tel optional" id="person_phone" type="tel" name="person[phone]" /></div> </div> </div> </div> </div> </div> </div> <button class="btn rounded-pill btn-lg btn-primary 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