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Shops","https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=786337&","",0,20,120,"","","","","","",-1,-1,-1,"","");</script> <a name="top"></a> <table class="maintable" cellspacing="0" cellpadding="0" border="0"> <tr> <td rowspan="2" valign="top" class="leftcol"><a href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=106948"><img src="https://web.archive.org/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/logo.jpg" border="0"></a><br> <table cellpadding="0" cellspacing="0" class="leftnavtable"> <tr><td><img height="71" src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/logo_bottom.jpg" width="143"/> <table cellspacing="0" cellpadding="0" width="130" border="0"><tbody><tr><td align="right"><p align="center"><font size="2"><span><span><span><a href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/lookup.asp?c=etITK6OTG&b=680975"></a><img alt="" hspace="4" src="https://web.archive.org/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/sm-Rossi-pic.gif" align="left" border="0"/><span class="Header">Greetings</span> <span class="Header">from the Rector<br/></span> Msgr. Walter R. Rossi welcomes you to the Basilica of the National Shrine of the Immaculate Conception's worldwide web site.....</span></span></span><a href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/lookup.asp?c=etITK6OTG&b=680975" target="_self">More</a></font></p></td></tr></tbody></table><br/><br/><table cellspacing="0" cellpadding="2" width="135" border="0"><tbody><tr><td align="right"><img src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/nav_divide.gif"/></td></tr><tr><td align="right"><a class="leftnavlink" href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/apps/ka/ct/contactus.asp?c=etITK6OTG&b=130890&en=mlISJ5NVJfJQLcPPKiLYKeO2JjLSL5POKnK9IsL">Join the Online Shrine Community</a></td></tr><tr><td align="right"><img src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/nav_divide.gif"/></td></tr><tr><td align="right"><a class="leftnavlink" href="https://web.archive.org/web/20060705133229/https://www.kintera.org/site/apps/ka/sd/donor.asp?c=etITK6OTG&b=134205&en=dlKXIaNPLkJRK9PWJcIPK9MUJqI9KgOTIhLZJlOZLlJ4JsJ">Support</a></td></tr><tr><td align="right"><img src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/nav_divide.gif"/></td></tr><tr><td align="right"><a class="leftnavlink" href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=108010">Give the Gift of Prayer</a></td></tr><tr><td align="right"><img src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/nav_divide.gif"/></td></tr><tr><td align="right"><a class="leftnavlink" href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=107978">Book a Tour</a></td></tr><tr><td align="right"><img src="/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/nav_divide.gif"/></td></tr></tbody></table></td></tr></table> </td> <td class="headerCol"><img height="148" alt="" src="https://web.archive.org/web/20060705133229im_/https://www.kintera.org/atf/cf/{3B17C6B3-18AB-4C42-BFF7-C6F9BCE8CAC6}/bnsic%20top%20nav%201.bmp" width="631" border="0"/>          </td> </tr> <tr> <td class="middleCol" valign="top"><p class="path2">  <a class="Path" href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=106948">Home</a> > <a class="Path" href="https://web.archive.org/web/20060705133229/http://www.nationalshrine.com/site/pp.asp?c=etITK6OTG&b=108002">Donate</a> > <font class="Path">Donate to the Shrine</font> </p> <table class="contentCol" valign="top" cellpadding="0" cellspacing="0" border="0"> <tr><td width="100%" valign="top" align="left"><script language="javascript"> var xLoc, yLoc, browserType, divObj; var yDefault=300; var navDOM = window.innerHeight; // Nav DOM flag function scrollLogo(fieldName) { divObj = setDivObj(); if(divObj !=null) scrollID = setInterval ("checkScroll('" + fieldName + "')",15); } function checkScroll(fieldName) { var AlignToType = false; xLoc = 0; yLoc = 0; getCoords(fieldName); if((xLoc != 0) && (yLoc !=0)) { //if we have no locs, the object was not found. 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Your generosity is humbly appreciated. May you and your family be richly blessed.</p></font></td></tr></table><input type="hidden" value="" name="PledgeLevelID" id="PledgeLevelIDY"><table width="400" id="TableRequiredInfo"><tr><td align="left"><font class="Alert">* required information</font></td></tr></table> <table cellspacing="0" cellpadding="1" border="0" class="CTtableout" width="400" id="Table1"> <tr><td> <table cellspacing="1" cellpadding="3" border="0" class="CTtablein" width="100%" id="TableInner"> <tr><td class="CTtitle" colspan="3"><span id="donation_type_copy"><b><font class="CTtablein"><donation/></font></b></span></td></tr> <tr><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">Select Gift Frequency</font></b></td></tr><tr><td colspan="3"><font class="CT">You can give a one-time gift or you can select the option of giving a donation to the Shrine on a recurring basis - either Monthly, Quarterly or Annually. Your credit card will be debited on the anniversary date you direct.</font></td></tr> <tr class="CTodd"><td colspan="3"><b><font class="CT"> <input type="radio" name="RecurringOption" value="N" onclick="CheckRecurring(form,'N');" checked id="RecurringOptionN"> I would like to make a one-time gift for the following amount: </font></b></td></tr> <tr class="CTeven"><td align="right" width="40%" nowrap> <font class="CT">Enter Donation Amount Here:</font><font class="Alert">*</font> </td><td colspan="2"><font class="CT"> $<input type="text" size="12" maxlength="12" name="Amount" value="" onblur="return CheckAmtLevel(form, this);" id="Text1"> </font></td></tr> <tr class="CTodd"><td colspan="3"><b><font class="CT"> <input type="radio" name="RecurringOption" value="Y" onclick="CheckRecurring(form,'Y');" id="RecurringOptionY"> I would like to make a recurring gift. </font></b></td></tr> <tr class="CTodd"><td colspan="3"><input type="hidden" value="7/5/2006" name="RecurringDate" id="RecurringDate"> <table id="TableInstallmentGift"><tr> <td><font class="CT">Gift Amount</font><font class="Alert">*</font></td> <td nowrap><font class="CT"># of Payments</font></td> <td><font class="CT">Payment Frequency</font></td> <td><font class="CT">Total Gift Amount</font></td> </tr><tr><td nowrap><font class="CT"> $<input type="text" size="12" maxlength="12" name="RecurringAmount" value="" onblur="ChangeNumber(form,this);CountTotal(this,form.NumberOfPayments,form.TotalAmount);" disabled id="RecurringAmount"> </font></td><td nowrap><font class="CT"> X <select name="NumberOfPayments" size="1" disabled onchange="return ChangeNumber(form,this)" id="NumberOfPayments"> <option value="1">2<option value="2">3<option value="3">4<option value="4">5<option value="5">6<option value="6">7<option value="7">8<option value="8">9<option value="9">10<option value="10">11<option value="11">12<option value="12">13<option value="13">14<option value="14">15<option value="15">16<option value="16">17<option value="17">18<option value="18">19<option value="19">20<option value="20">21<option value="21">22<option value="22">23<option value="23">24<option value="24">25<option value="25">26<option value="26">27<option value="27">28<option value="28">29<option value="29">30<option value="30">31<option value="31">32<option value="32">33<option value="33">34<option value="34">35<option value="35">36<option value="36">37<option value="37">38<option value="38">39<option value="39">40 </select> </font></td><td nowrap><font class="CT"> <select name="BillingScheduleID" size="1" disabled id="BillingScheduleID" onchange="ChangeSchedule(form,this);"> <option value="1001">Monthly</option> <option value="1002">Quarterly</option> <option value="1003">Annually</option> </select> = </font></td> <td nowrap><font class="CT"> $<input type="text" size="12" maxlength="12" name="TotalAmount" value="" disabled id="TotalAmount"></font> <input type="hidden" name="TotalAmountHidden" value=""> </td></tr> <tr><td colspan="4"><font class="CT">NOTE: This transaction will count as the first payment toward your total gift amount.</font></td></tr> </table> <script language="JavaScript">  </script> </td></tr> </table><table cellspacing="1" cellpadding="3" border="0" class="CTtablein" width="100%"><tr class="CTodd"><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">Your contact information</font></b></td></tr>  <tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Title:</font></td><td align="left" colspan="2"><font class="CT"><select name="salutation" size="1"><option value="">-- please make a selection --</option><option value="Admiral">Admiral</option><option value="Ambass. & Mrs.">Ambass. & Mrs.</option><option value="Ambassador">Ambassador</option><option value="BGEN">BGEN</option><option value="Bishop">Bishop</option><option value="Bishop and Mr.">Bishop and Mr.</option><option value="Bishop and Mrs.">Bishop and Mrs.</option><option value="Brother">Brother</option><option value="c/o">c/o</option><option value="Cantor">Cantor</option><option value="Cantor and Mr.">Cantor and Mr.</option><option value="Cantor and Mrs.">Cantor and Mrs.</option><option value="Capt.">Capt.</option><option value="Capt. and Mrs.">Capt. and Mrs.</option><option value="CDR">CDR</option><option value="Cdr.">Cdr.</option><option value="Chap.">Chap.</option><option value="Chaplain & Mrs.">Chaplain & Mrs.</option><option value="Cmdr.">Cmdr.</option><option value="CMSGT">CMSGT</option><option value="Col.">Col.</option><option value="Col. and Mrs.">Col. and Mrs.</option><option value="Commissioner">Commissioner</option><option value="CWO4">CWO4</option><option value="Deacon">Deacon</option><option value="Dr.">Dr.</option><option value="Dr. & Rev.">Dr. & Rev.</option><option value="Dr. and Dr.">Dr. and Dr.</option><option value="Dr. and Mr.">Dr. and Mr.</option><option value="Dr. and Mrs.">Dr. and Mrs.</option><option value="Dr. and Ms.">Dr. and Ms.</option><option value="Dr. and Rev.">Dr. and Rev.</option><option value="Drs.">Drs.</option><option value="Elder">Elder</option><option value="Estate of">Estate of</option><option value="Father">Father</option><option value="Fr.">Fr.</option><option value="General">General</option><option value="H.R.H.">H.R.H.</option><option value="Hon.">Hon.</option><option value="Judge">Judge</option><option value="Lt.">Lt.</option><option value="Lt. Cmdr.">Lt. Cmdr.</option><option value="Lt. Col.">Lt. Col.</option><option value="Major">Major</option><option value="Messrs.">Messrs.</option><option value="Miss">Miss</option><option value="Monsignor">Monsignor</option><option value="Mother">Mother</option><option value="Mr.">Mr.</option><option value="Mr. and Mrs.">Mr. and Mrs.</option><option value="Mr. and Ms.">Mr. and Ms.</option><option value="Mrs.">Mrs.</option><option value="Ms.">Ms.</option><option value="MSG.">MSG.</option><option value="Mss.">Mss.</option><option value="Prof.">Prof.</option><option value="Prof. and Mr.">Prof. and Mr.</option><option value="Prof. and Mrs.">Prof. and Mrs.</option><option value="Prof. and Ms.">Prof. and Ms.</option><option value="Rabbi">Rabbi</option><option value="Rabbi and Mr.">Rabbi and Mr.</option><option value="Rabbi and Mrs.">Rabbi and Mrs.</option><option value="Rep.">Rep.</option><option value="Rev.">Rev.</option><option value="Rev. and Mr.">Rev. and Mr.</option><option value="Rev. and Mrs.">Rev. and Mrs.</option><option value="Rev. Dr.">Rev. Dr.</option><option value="Rev. Dr. & Mrs.">Rev. Dr. & Mrs.</option><option value="Rt. Rev.">Rt. Rev.</option><option value="Rt. Rev. & Mr.">Rt. Rev. & Mr.</option><option value="Rt. Rev. & Mrs.">Rt. Rev. & Mrs.</option><option value="Senator">Senator</option><option value="Senator & Mrs.">Senator & Mrs.</option><option value="Sgt.">Sgt.</option><option value="Sister">Sister</option><option value="Sr.">Sr.</option><option value="The">The</option><option value="The Hon.">The Hon.</option><option value="The Hon. & Mr.">The Hon. & Mr.</option><option value="The Hon. & Mrs.">The Hon. & Mrs.</option><option value="The Rev. Deacon">The Rev. Deacon</option></select></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">First Name:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="250" name="first_name" value=""></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Last Name:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="250" name="last_name" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Email:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="100" name="email_address" value=""></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Address Line 1:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="80" name="address_line_1" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Address Line 2:</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="80" name="address_line_2" value=""></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">City:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="30" name="city" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">State:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><select name="state" size="1"><option value="">-- please make a selection --</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="AA">Armed Forces Americas</option><option value="AE">Armed Forces Europe</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="FM">F.S. Micronesia</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="MH">Marshall Islands</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="PW">Palau</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="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><option value="XX">Not in USA</option></select></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">ZIP/Postal Code:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="10" name="zip" value="" onblur="return checkZip(this);"></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Country:</font></td><td align="left" colspan="2"><font class="CT"><select name="country" size="1"><option value="">-- please make a selection --</option><option value="AF">Afghanistan</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="BN">Brunei Darussalam</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="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</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Cote d'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</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 (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="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</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="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</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'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'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">Libyan Arab Jamahiriya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia, The Former Yugoslav Republic of</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, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</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="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</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">Russian Federation</option><option value="RW">Rwanda</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</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="CS">Serbia and Montenegro</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</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="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">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</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="US" selected>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 City</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="VG">Virgin Islands, British</option><option value="VI">Virgin Islands, US</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></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Phone:</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="20" name="phone_number" value="" onblur="this.value=phoneCheck(this.value);"></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Birth Date:</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="10" maxlength="10" name="birthdate" value="" onblur="validAspDate(2006,7,5,this.value,this,'before','You have entered an invalid date or date format. Please use the format MM/DD/YYYY without spaces.');">(mm/dd/yyyy)</font></td></tr>  <tr class="CTodd"><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">Payment Information</font></b><a name="Payment"><br></a></td></tr><tr class="CTodd"><td colspan="3"><font class="CT">Please select the type of payment your prefer to use.</font></td></tr> <script language="javascript"> function getPaymentType() { var thisform thisform = document.SUPPORTER63725; for(i=0; i < thisform.elements['paymentTypeSelector'].options.length; i++) { if(thisform.elements['paymentTypeSelector'].options[i].selected == true) return thisform.elements['paymentTypeSelector'].options[i].value; } } function ChangePay2() { ChangePay(getPaymentType()); } function ChangePay3() { var paymentStatus var thisform thisform = document.SUPPORTER63725; for(i=0; i < thisform.elements['PaymentStatusSelector'].options.length; i++) { if(thisform.elements['PaymentStatusSelector'].options[i].selected == true) paymentStatus = thisform.elements['PaymentStatusSelector'].options[i].value; } thisform.PaymentStatus.value = paymentStatus if (paymentStatus == "H") { thisform.PaymentType.value = "BILLME" } else { thisform.PaymentType.value = "CREDIT" } thisform.Reload.value='Y'; thisform.action="https://web.archive.org/web/20060705133229/https://www.kintera.org/site/apps/ka/sd/donor.asp?c=etITK6OTG&b=134205&en=5dLGLLMgF9IEIFNgF7JGKJNgE6KBIROAKiJHIMPjE5JKLPOpGmIXG#Payment"; thisform.submit(); } </script>  <a name="Payment"></a> <input type="hidden" name="PaymentStatus" value="P"><input type="hidden" name="PaymentType" value="CREDIT" id="PaymentType0"><script src="/web/20060705133229js_/https://www.kintera.org/CommonLib/lib/INC_jsCcValid.js" language="JavaScript"></script><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Cardholder's Name:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="100" name="CardName" value="" id="CardName"></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Credit Card Number:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="20" maxlength="20" name="CardNumber" value="" id="CardNumber"></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Credit Card Type:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><select name="CardType" size="1"><option value="Visa">Visa</option><option value="MasterCard">MasterCard</option><option value="American Express">American Express</option><option value="Discover">Discover</option></select></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"> </td><td align="left" colspan="2"><font class="CT"> <img src="/web/20060705133229im_/https://www.kintera.org/CommonLib/images/ccVisaLogo.gif" border="0">    <img src="/web/20060705133229im_/https://www.kintera.org/CommonLib/images/ccMasterCardLogo.gif" border="0">    <img src="/web/20060705133229im_/https://www.kintera.org/CommonLib/images/ccAmericanExpressLogo.gif" border="0">    <img src="/web/20060705133229im_/https://www.kintera.org/CommonLib/images/ccDiscoverLogo.gif" border="0">    </font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Credit Card Expiration:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"> <select name="CardExpmn" size="1" id="CardExpmn"> <option value="01">January</option> <option value="02">February</option> <option value="03">March</option> <option value="04">April</option> <option value="05">May</option> <option value="06">June</option> <option value="07" selected>July</option> <option value="08">August</option> <option value="09">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select><select name="CardExpyr" size="1" id="CardExpyr"> <option value="2006" selected>2006</option><option value="2007">2007</option><option value="2008">2008</option><option value="2009">2009</option><option value="2010">2010</option><option value="2011">2011</option><option value="2012">2012</option><option value="2013">2013</option><option value="2014">2014</option><option value="2015">2015</option></select></font></td></tr> <tr class="CTodd"><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">Billing Information</font></b></td></tr> <tr class="CTodd"><td align="right" width="40%"><font class="CT"> <input type="checkbox" name="CheckAddress" value="on" onclick="ChangeAddress(form);" id="CheckAddress"> </font></td><td align="left" colspan="2"><font class="CT"> If the billing information is the same as the contact information check this box.<br> If not please fill out the information below:<br> </font></td></tr> <tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Address Line 1:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="80" name="BillAddress1" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">Address Line 2:</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="80" name="BillAddress2" value=""></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">City:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="30" name="BillCity" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">State:</font></td><td align="left" colspan="2"><font class="CT"><select name="BillState" size="1"><option value="">-- please make a selection --</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="AA">Armed Forces Americas</option><option value="AE">Armed Forces Europe</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="FM">F.S. Micronesia</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="MH">Marshall Islands</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="PW">Palau</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="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><option value="XX">Not in USA</option></select></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Province:</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="20" name="BillProvince" value=""></font></td></tr><tr class="CTodd"><td align="right" width="40%" colspan="1"><font class="CT">ZIP/Postal Code:</font><font class="Alert">*</font></td><td align="left" colspan="2"><font class="CT"><input type="text" size="25" maxlength="10" name="BillZip" value="" onblur="return checkZip(this);"></font></td></tr><tr class="CTeven"><td align="right" width="40%" colspan="1"><font class="CT">Country:</font></td><td align="left" colspan="2"><font class="CT"><select name="BillCountry" size="1"><option value="">-- please make a selection --</option><option value="AF">Afghanistan</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="BN">Brunei Darussalam</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="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</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="CI">Cote d'Ivoire</option><option value="HR">Croatia</option><option value="CU">Cuba</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 (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="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</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="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</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'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'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">Libyan Arab Jamahiriya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia, The Former Yugoslav Republic of</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, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</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="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</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">Russian Federation</option><option value="RW">Rwanda</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</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="CS">Serbia and Montenegro</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</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="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">Syrian Arab Republic</option><option value="TW">Taiwan, Province of China</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</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="US" selected>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 City</option><option value="VE">Venezuela</option><option value="VN">Vietnam</option><option value="VG">Virgin Islands, British</option><option value="VI">Virgin Islands, US</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></font></td></tr>        </table><table cellspacing="1" cellpadding="3" border="0" class="CTtablein" width="100%"><tr class="CTeven"><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">What specific interests do you have at the Shrine:</font></b></td></tr><tr class="CTeven"><td colspan="3"><font class="CT">Feel free to select any and all of the interests below. We will send you information specific to your interests.</font></td></tr> <tr class="CTodd"><td colspan="3"> <font class="CT">I'd like to know about:</font>    <a href="#" onclick="javascript:CheckAll(document.SUPPORTER63725,'62031,62038,62032,62036,62037,62030,62035,62034,62033');return false;"><img src="/web/20060705133229im_/https://www.kintera.org/spherelite/images/allchecks.gif" alt="Check/Uncheck All" border="0" width="18" height="18" align="absmiddle"></a> <font class="CT">Select all in category</font>  </td></tr> <tr class="CTodd"><td colspan="3"><table width="100%" border="0" cellspacing="0" cellpadding="0"><tr> <td width="50%" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62031"></font></td> <td width="99%"><font class="CT">Chapel of the Month</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62038"></font></td> <td width="99%"><font class="CT">Events at the Shrine</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62032"></font></td> <td width="99%"><font class="CT">Mass for Life</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62036"></font></td> <td width="99%"><font class="CT">Music at the Shrine</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62037"></font></td> <td width="99%"><font class="CT">Pilgrimage Info</font></td></tr> </table></td><td width="50%" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62030"></font></td> <td width="99%"><font class="CT">Prayer of the Week</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62035"></font></td> <td width="99%"><font class="CT">Shrine Architecture</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62034"></font></td> <td width="99%"><font class="CT">Shrine Archives and History</font></td></tr> <tr><td width="1%" align="right"><font class="CT"><input type="checkbox" name="SegmentID" value="62033"></font></td> <td width="99%"><font class="CT">Volunteering at the Shrine</font></td></tr> </table></td></tr></table></td></tr></table><input type="hidden" name="PickFromIDList" value="62031,62038,62032,62036,62037,62030,62035,62034,62033" id="ColumnPickFromIDList"> <script language="JavaScript">  </script> <table cellspacing="1" cellpadding="3" border="0" class="CTtablein" width="100%"><tr class="CTodd"><td colspan="3"><br></td></tr><tr class="CTsubtitle"><td colspan="3"><b><font class="CTtablein">Subscribe to our eNewsletter!</font></b></td></tr> <tr class="CTeven"> <td width="1" colspan="1" align="center"><input type="checkbox" checked name="CampaignID" value="30137"></td> <td colspan="2" align="left"><font class="CT"><b>Mary's Shrine Newsletter</b><br></font></td> </tr> <tr class="CTodd"> <td width="1" colspan="1" align="center"><input type="checkbox" checked name="CampaignID" value="30138"></td> <td colspan="2" align="left"><font class="CT"><b>Shrine News</b><br></font></td> </tr> </table> </td></tr> </table> <table width="400" id="TableButton"> <tr><td align="left"><font class="CT">By clicking the Donate button, you will be providing the much needed financial support required to keep the National Shrine operational. 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