Support SITC - Society for Immunotherapy of Cancer

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Rosenberg Scholars Award</a></li><li class="child"><a href="https://www.sitcancer.org/funding/named-funds-and-awards2/techawards">Technology Awards</a></li><li class="child"><a href="https://www.sitcancer.org/funding/named-funds-and-awards2/mac-cheever">Martin "Mac" Cheever Travel Award Fund</a></li><li class="child"><a href="https://www.sitcancer.org/funding/named-funds-and-awards2/sparkathon-accelerator">Sparkathon 2.0 Accelerator</a></li><li ><a href="https://www.sitcancer.org/funding/the-checkpoints-band">The CheckPoints: SITC’s House Band</a></li></ul></li><li id="megamenu62" class="col-sm-4"><ul><li class="dropdown-header"><a href="https://www.sitcancer.org/funding/ways-make-gift">Ways to Make a Gift</a></li><li class="child"><a href="https://www.sitcancer.org/funding/ways-make-gift/donate-online">Donate</a></li><li class="child"><a href="https://www.sitcancer.org/funding/ways-make-gift/new-page2">Stocks and Securities</a></li><li class="child"><a 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defer></script> <link href='../_include/donation_styles.css' rel='stylesheet' />  <script type="text/javaScript"> function chkfrm(frm) { //alert("checking form..."); var msg = ""; //name if (frm.fullname.value == "") {msg += "\n - Name";} //address if (frm.address.value == "") {msg += "\n - Address1";} if (frm.city.value == "") {msg += "\n - City"; } if (frm.state.value == "") {msg += "\n - State";} if (frm.zip.value == "") {msg += "\n - Zip Code";} if (frm.country.value == "") {msg += "\n - Country";} if (frm.phone.value == "") {msg += "\n - Phone";} msg += (frm.email.value == "") ? "\n - Email" : (!validateEmail(frm.email.value)) ? "\n - Invalid email format" : ""; //if (frm.recognition_name.value == "") {msg += "\n - Recognition Name";} //shirt check var hasShirt = false; //cure shirts var cureArray = ['CURETS', 'CURETM', 'CURETL', 'CURETXL', 'CURETXXL']; var wcureArray = ['WCURETS', 'WCURETM', 'WCURETL', 'WCURETXL', 'WCURETXXL']; //checkpoint shirts var checkArray = ['CKPT-S', 'CKPT-M', 'CKPT-L', 'CKPT-XL', 'CKPT-XXL']; var wcheckArray = ['WCKPT-S', 'WCKPT-M', 'WCKPT-L', 'WCKPT-XL', 'WCKPT-XXL']; //tank top check var tankArray = ['CKPT-TANK-S', 'CKPT-TANK-M', 'CKPT-TANK-L', 'CKPT-TANK-XL', 'CKPT-TANK-XXL']; var wtankArray = ['WCKPT-TANK-S', 'WCKPT-TANK-M', 'WCKPT-TANK-L', 'WCKPT-TANK-XL', 'WCKPT-TANK-XXL']; //check for cure shirt for(i=0; i<5; i++){ //full /* if (frm[tankArray[i]].selectedIndex != 0 || frm[wtankArray[i]].selectedIndex != 0 || frm[cureArray[i]].selectedIndex != 0 || frm[wcureArray[i]].selectedIndex != 0 || frm[checkArray[i]].selectedIndex != 0 || frm[wcheckArray[i]].selectedIndex != 0) { //has at least 1 shirt in basket hasShirt = true; } */ //limited if (frm[tankArray[i]].selectedIndex != 0 || frm[wtankArray[i]].selectedIndex != 0 || frm[checkArray[i]].selectedIndex != 0 || frm[wcheckArray[i]].selectedIndex != 0) { //has at least 1 shirt in basket hasShirt = true; } } //mechandise check (mask) var hasMerc = false; /* if (frm["FF-MERCH"].selectedIndex != 0 ) { //has at least 1 CP Merc in basket hasMerc = true; } */ //vip 'package' check var hasVIP = false; /* if (frm["AM-CKPT-VIP"].selectedIndex != 0 ) { //has at least 1 ticket in basket hasVIP = true; } */ //VIP ticket check (referred to as VIP often, even though above product is the VIP product) var hasTicket = false; /* if (frm["FF24-EVENT-VIP"].selectedIndex != 0 ) { //has at least 1 ticket in basket hasTicket = true; } */ //poster check var hasPoster = false; /* if (frm["FF-POSTER"].selectedIndex != 0 ) { //has at least 1 poster in basket hasPoster = true; } */ //bobble check var hasBobble = false; /* if (frm["FF-BOBBLE"].selectedIndex != 0 ) { //has at least 1 boddle head in basket hasBobble = true; } */ /* //check for checkpoint (mens) for(i=0; i<5; i++){ if (frm[checkArray[i]].selectedIndex != 0 ) { //has at least 1 shirt in basket hasShirt = true; } } //check for checkpoint (womens) for(i=0; i<5; i++){ if (frm[wcheckArray[i]].selectedIndex != 0 ) { //has at least 1 shirt in basket hasShirt = true; } } */ //donation amount (keep in mind future t-shirt additions) //if (frm.amount.value == "") {msg += "\n - Please enter a valid donation amount";} var hasDonation = false; if ((frm.amount.value >= 10) && (frm.amount.value != '')) { hasDonation = true; }; /* if ((frm.amount.value < 10) || (frm.amount.value = '')) { msg += "\n - Please enter a valid donation amount"; }; */ //shirt or donation check /* if(hasShirt == false && hasDonation == false){ msg += "\n - You need to enter a donation amount or select some t-shirts"; } */ //shirt or ticket or bobble or merc or poster or donation check if(hasShirt == false && hasMerc == false && hasVIP == false && hasPoster== false && hasBobble == false && hasDonation == false && hasTicket == false){ msg += "\n - You need to enter a donation amount or select at least one of the available products."; } //gift type if(frm.gifttype.value == '' && hasDonation == true) { msg += "\n - Gift Type"; } //Honor/Memory Name if((frm.gifttype.value == "Made in Honor" || frm.gifttype.value == "A Memorial gift") && frm.specialpersonevent.value == '') { msg += "\n - In Honor/Memory Name"; } //credit card info //cc type var cctypechk = -1; for (i = 0; i < frm.cctype.length; i++) { if (frm.cctype[i].checked) { cctypechk = i; } } if (cctypechk < 0) { msg += "\n - Credit Card Type"; } //cvv if (frm.cvv.value == "") { msg += "\n - CVV #"; } //cc expiration if (frm.ccexpmonth.options[frm.ccexpmonth.selectedIndex].value == "" ) { msg += "\n - Card Exp. Month"; } if (frm.ccexpyear.options[frm.ccexpyear.selectedIndex].value == "" ) { msg += "\n - Card Exp. Year"; } var today = new Date(); var ccmonth = frm.ccexpmonth.options[frm.ccexpmonth.selectedIndex].value; var ccyear = frm.ccexpyear.options[frm.ccexpyear.selectedIndex].value; var thisYear = today.getFullYear(); var thisMonth = today.getMonth() + 1; if(ccyear == thisYear && ccmonth < thisMonth) { msg += "\n - Card Exp. Date is not valid"; } //cc number if (frm.ccnum.value == "") { msg += "\n - Card Number"; } else { cleanccnumber = frm.ccnum.value; cleanccnumber = cleanccnumber.replace(/\s+/g, ""); cleanccnumber = cleanccnumber.replace(/-+/g, ""); if (isNaN(cleanccnumber) || cleanccnumber.length < 15 ) { msg += "\n - Please review your credit card number for errors.\n"; } } //billing info //name if (frm.ccname.value == "") {msg += "\n - Billing Name";} //address if (frm.ccaddress.value == "") {msg += "\n - Billing Address1";} if (frm.cccity.value == "") {msg += "\n - Billing City"; } if (frm.ccstate.value == "") {msg += "\n - Billing State";} if (frm.cczip.value == "") {msg += "\n - Billing Zip Code";} if (frm.cccountry.value == "") {msg += "\n - Billing Country";} //captcha (front end) validation var captchResponse = grecaptcha.getResponse(); if(captchResponse.length == 0){ //user has not yet checked the 'I am not a robot' checkbox msg += "\n - Please complete the captcha validation"; } if (msg != "") { alert("These items need attention:\n" + msg); return false; } else { //return true; //alert("xxxxxxxxx \n" + msg); //return false; } } //email validation check function validateEmail(email) { var re = /^(([^<>()[\]\\.,;:\s@\"]+(\.[^<>()[\]\\.,;:\s@\"]+)*)|(\".+\"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/; return email.match(re); } function showPart(thisId, thisFld, thisB){ if(thisB){ document.getElementById(thisId).style.display = 'block'; } else { document.getElementById(thisId).style.display = 'none'; } } function getTotal(){ //total t-shirt costs(full) //var tshirt_amount = (parseInt($('#CURETS').val()) + parseInt($('#CURETM').val()) + parseInt($('#CURETL').val()) + parseInt($('#CURETXL').val()) + parseInt($('#CURETXXL').val()) + parseInt($('#WCURETS').val()) + parseInt($('#WCURETM').val()) + parseInt($('#WCURETL').val()) + parseInt($('#WCURETXL').val()) + parseInt($('#WCURETXXL').val()) + parseInt($('#CKPT-S').val()) + parseInt($('#CKPT-M').val()) + parseInt($('#CKPT-L').val()) + parseInt($('#CKPT-XL').val()) + parseInt($('#CKPT-XXL').val()) + parseInt($('#WCKPT-S').val()) + parseInt($('#WCKPT-M').val()) + parseInt($('#WCKPT-L').val()) + parseInt($('#WCKPT-XL').val()) + parseInt($('#WCKPT-XXL').val())) * 30; //limited var tshirt_amount = (parseInt($('#CKPT-S').val()) + parseInt($('#CKPT-M').val()) + parseInt($('#CKPT-L').val()) + parseInt($('#CKPT-XL').val()) + parseInt($('#CKPT-XXL').val()) + parseInt($('#WCKPT-S').val()) + parseInt($('#WCKPT-M').val()) + parseInt($('#WCKPT-L').val()) + parseInt($('#WCKPT-XL').val()) + parseInt($('#WCKPT-XXL').val())) * 30; //console.log("T-SHIRT AMOUNT: " + tshirt_amount); //total tank top costs var tanktop_amount = (parseInt($('#CKPT-TANK-S').val()) + parseInt($('#CKPT-TANK-M').val()) + parseInt($('#CKPT-TANK-L').val()) + parseInt($('#CKPT-TANK-XL').val()) + parseInt($('#CKPT-TANK-XXL').val()) + parseInt($('#WCKPT-TANK-S').val()) + parseInt($('#WCKPT-TANK-M').val()) + parseInt($('#WCKPT-TANK-L').val()) + parseInt($('#WCKPT-TANK-XL').val()) + parseInt($('#WCKPT-TANK-XXL').val())) * 30; //console.log("TANK TOP AMOUNT: " + tanktop_amount); //TOGGLE LINES WHEN REMOVED FROM FORM //VIP total ticket costs var ticket_amount = 0; //var ticket_amount = parseInt($('#FF24-EVENT-VIP').val() * 120); //console.log("TICKET AMOUNT: " + ticket_amount); //total masks (merc is term used for mask products currently) var merc_amount = 0; //var merc_amount = parseInt($('#FF-MERCH').val() * 10); //console.log("MASKS AMOUNT: " + merc_amount); //total VIP 'packages' var vip_amount = 0; //var vip_amount = parseInt($('#AM-CKPT-VIP').val() * 100); //console.log("VIP PACKAGE AMOUNT: " + vip_amount); //total poster costs var poster_amount = 0; //var poster_amount = parseInt($('#FF-POSTER').val() * 15); //console.log("POSTER AMOUNT: " + poster_amount); //total bobbles var bobble_amount = 0; //var bobble_amount = parseInt($('#FF-BOBBLE').val() * 2000); //console.log("BOBBLE AMOUNT: " + bobble_amount); //pre-selected radio button amount var preSelectedAmount = 0; /* if($("input:radio[name='amountd']:checked").length != 0){ var preSelectedAmount = parseInt($("input[name='amountd']:checked").val()); } */ //console.log("PRE-SELECTED AMOUNT: " + preSelectedAmount); //manually entered amount var manualAmount = 0; if($('#amount').val() != ''){ manualAmount = parseFloat($('#amount').val()); } /* if($("input:radio[name='amountd']:checked").val() == 0){ //console.log("OTHER AMOUNT SELECTED IN PRE-SELECTED VALUES"); manualAmount = parseFloat($('#amount').val()); } */ //console.log("MANUAL AMOUNT: " + manualAmount); /* console.log("PRICE CHECK: " + tshirt_amount); console.log("PRICE CHECK: " + tanktop_amount); console.log("PRICE CHECK: " + poster_amount); console.log("PRICE CHECK: " + bobble_amount); console.log("PRICE CHECK: " + preSelectedAmount); console.log("PRICE CHECK: " + manualAmount); console.log("PRICE CHECK: " + ticket_amount); console.log("TOTAL PRICE CHECK: " + parseFloat(tanktop_amount + tshirt_amount + poster_amount + bobble_amount + preSelectedAmount + manualAmount + ticket_amount)); */ //update display for user $("#totalamountFee").html("$" + parseFloat(tanktop_amount + tshirt_amount + vip_amount + merc_amount + poster_amount + bobble_amount + preSelectedAmount + manualAmount + ticket_amount)); } //jQuery listener to catch/stop invalid characters in the amount document.addEventListener("DOMContentLoaded", function(event) { //display total after any item interaction $('.itemContainer select, .itemContainer input:radio').on('change', function (e) { //console.log("rb clicked"); getTotal(); }); //$(".itemContainer #amount").bind("keyup", function(){ $(".itemContainer #amount").bind("change", function(){ val = this.value; //strip out extra dots val = val.replace(/\..*\./g, "."); //strip out all non-numeric characters (leaving decimal) val = val.replace(/[^0-9\.]/g, ""); //if applicable, enforce 2 decimal places max if (val.indexOf(".") > -1 && !isNaN(val)) { val = val.substring(0, val.indexOf(".") + 3); } else if (val == "") { val = 0; } //no leading zero check if(val.length >= 2){ //no leading zero check val = val.replace(/^0+/, ''); } //output to field this.value = val; getTotal(); }); //fire once (review state) getTotal(); }); </script> <div class="container-fluid"> <div class="row"> <form name="donationForm" id="donationForm" method="post" action="/donate/index.php?mode=submit" onsubmit="return chkfrm(this)" class="form-horizontal">  <h2 class="tblFormTitle">Donor Information</h2> <div class="form-group" style="margin-top: 25px;"> <div class="col-md-6"> <label for="inputName"><b style="color: #FF0000">*</b> Name:</label> <input type="text" class="form-control" id="inputName" name="fullname" placeholder="Full Name" value=""> </div> <div class="col-md-6"> <label for="inputAddress1"><b style="color: #FF0000">*</b> Address:</label> <input type="text" class="form-control" id="inputAddress1" name="address" placeholder="Address" value=""> </div> </div> <div class="form-group"> <div class="col-md-6"> <label for="inputCity"><b style="color: #FF0000">*</b> City:</label> <input type="text" class="form-control" id="inputCity" name="city" placeholder="City" value=""> </div> <div class="col-md-6"> <label for="inputState"><b style="color: #FF0000">*</b> State:</label> <input type="text" class="form-control" id="inputState" name="state" placeholder="State" value=""> </div> </div> <div class="form-group"> <div class="col-md-3"> <label for="inputZip"><b style="color: #FF0000">*</b> ZIP/Postal Code:</label> <input type="text" class="form-control" id="inputZip" name="zip" placeholder="Zip" value=""> </div> <div class="col-md-9"> <label for="inputCountry"><b style="color: #FF0000">*</b> Country:</label> <input type="text" class="form-control" id="inputCountry" name="country" placeholder="Country" value=""> </div> </div> <div class="form-group"> <div class="col-md-6"> <label for="inputPhone"><b style="color: #FF0000">*</b> Phone:</label> <input type="text" class="form-control" id="inputPhone" name="phone" placeholder="Phone" value=""> </div> <div class="col-md-6"> <label for="inputEmail"><b style="color: #FF0000">*</b> Email:</label> <input type="email" class="form-control" id="inputEmail" name="email" placeholder="Email" value=""> </div> </div> <div class="form-group"> <label for="inputRecognition" class="col-md-12"> Name as you wish it to appear for recognition.</label><br> <div class="col-md-6"> <input type="text" class="form-control" id="inputRecognition" name="recognition" placeholder="Recognition Name" value=""> </div> </div>    <h2 class="tblFormTitle">T-Shirt Order</h2> <p> </p>   <div class="row itemContainer">   <div class="col-md-3"> <table class="table"> <thead> <tr> <th colspan="2" class="text-center"><img src="/images/checkpoints_t-shirt.jpg"><br><strong>"Check Points" T-Shirt</strong><br>$30.00</th> </tr> </thead> <tbody> <tr> <td style="width:100px;" scope="row">Small</td> <td><select id='CKPT-S' name='CKPT-S'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Medium</td> <td><select id='CKPT-M' name='CKPT-M'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Large</td> <td><select id='CKPT-L' name='CKPT-L'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">X-Large</td> <td><select id='CKPT-XL' name='CKPT-XL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">XX-Large</td> <td><select id='CKPT-XXL' name='CKPT-XXL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> </tbody> </table> </div> <div class="col-md-3"> <table class="table"> <thead> <tr> <th colspan="2" class="text-center"><img src="/images/checkpoints_t-shirt.jpg"><br><strong>"Check Points" T-Shirt (womens cut)</strong><br>$30.00</th> </tr> </thead> <tbody> <tr> <td style="width:100px;" scope="row">Small</td> <td><select id='WCKPT-S' name='WCKPT-S'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Medium</td> <td><select id='WCKPT-M' name='WCKPT-M'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Large</td> <td><select id='WCKPT-L' name='WCKPT-L'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">X-Large</td> <td><select id='WCKPT-XL' name='WCKPT-XL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">XX-Large</td> <td><select id='WCKPT-XXL' name='WCKPT-XXL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> </tbody> </table> </div>    </div>     <p> </p> <div class="row itemContainer"> <div class="col-md-3"> <table class="table"> <thead> <tr> <th colspan="2" class="text-center"><img src="/images/checkpoints_tanktop.jpg"><br><strong>"Check Points" Tank Top</strong><br>$30.00</th> </tr> </thead> <tbody> <tr> <td style="width:100px;" scope="row">Small</td> <td><select id='CKPT-TANK-S' name='CKPT-TANK-S'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Medium</td> <td><select id='CKPT-TANK-M' name='CKPT-TANK-M'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Large</td> <td><select id='CKPT-TANK-L' name='CKPT-TANK-L'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">X-Large</td> <td><select id='CKPT-TANK-XL' name='CKPT-TANK-XL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">XX-Large</td> <td><select id='CKPT-TANK-XXL' name='CKPT-TANK-XXL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> </tbody> </table> </div> <div class="col-md-3"> <table class="table"> <thead> <tr> <th colspan="2" class="text-center"><img src="/images/checkpoints_wtanktop.jpg"><br><strong>"Check Points" Tank Top (womens cut)</strong><br>$30.00</th> </tr> </thead> <tbody> <tr> <td style="width:100px;" scope="row">Small</td> <td><select id='WCKPT-TANK-S' name='WCKPT-TANK-S' disabled><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Medium</td> <td><select id='WCKPT-TANK-M' name='WCKPT-TANK-M' disabled><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">Large</td> <td><select id='WCKPT-TANK-L' name='WCKPT-TANK-L'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">X-Large</td> <td><select id='WCKPT-TANK-XL' name='WCKPT-TANK-XL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> <tr> <td style="width:100px;" scope="row">XX-Large</td> <td><select id='WCKPT-TANK-XXL' name='WCKPT-TANK-XXL'><option value='0' selected="selected">0</option><option value='1'>1</option><option value='2'>2</option><option value='3'>3</option><option value='4'>4</option><option value='5'>5</option><option value='6'>6</option><option value='7'>7</option><option value='8'>8</option><option value='9'>9</option></select></td> </tr> </tbody> </table> </div> </div> <div class="row"> <div class="col-md-12"> <p>* Prices include shipping</p> </div> </div> <div class="clear"></div>             <h2 class="tblFormTitle">Other Gift Amount</h2> <div class="form-group radios itemContainer"> <div class="col-sm-12" style="display:table;">   <div class="col-sm-3 inlineControl" style="padding-left:0; vertical-align: bottom; float:none"><input class="form-control" name="amount" id="amount" type="text" placeholder="Amount to Donate"></div> <div class="col-md-12"> <br> <p style="color: #FF0000"><b>*</b> SITC has been challenged to raise $300,000 in the next two years. Donations will be matched by an anonymous foundation.</p> </div> </div> <script> function setVal(o){ document.forms.donationForm.amount.value=o.value; document.forms.donationForm.amount.disabled = false //alert("VALUE CHECK: " + o.value); } </script> </div> <h3>Total Donation Amount: <span id="totalamountFee">0.00</span></h3> <div class="clear"></div>  <h2 class="tblFormTitle">This Gift is</h2> <div style="padding-left:15px;">  <div class="radio"> <label><input type="radio" name="gifttype" value="A General Donation" onClick="showPart('giftsection', this, false);">A General donation</label> </div>  <div class="radio"> <label><input type="radio" name="gifttype" value="James P. Allison Endowed Fellowship Fund" onClick="showPart('giftsection', this, false);">In support of the James P. Allison Endowed Fellowship Fund</label> </div>  <div class="radio"> <label><input type="radio" name="gifttype" value="Jeffrey S. Weber Memorial Fund" onClick="showPart('giftsection', this, false);">In support of the Jeffrey S. Weber Memorial Fund</label> </div>  <div class="radio"> <label><input type="radio" name="gifttype" value="In support of the Martin 'Mac' Cheever Travel Award Fund" onClick="showPart('giftsection', this, false);">In support of the Martin 'Mac' Cheever Travel Award Fund</label> </div>  <div class="radio"> <label><input type="radio" name="gifttype" value="Steven A. Rosenberg Scholar Fund" onClick="showPart('giftsection', this, false);">In support of the Steven A. Rosenberg Scholars Fund</label> </div>  <div class="radio"> <label> <input type="radio" name="gifttype" value="Made in Honor" onClick="showPart('giftsection', this, true);">Made in honor to acknowledge a special person or occasion (<em>please complete next section</em>) </label> </div>  <div class="radio"> <label> <input type="radio" name="gifttype" value="A Memorial gift" onClick="showPart('giftsection', this, true);">Memorial gift to remember someone (<em>please complete next section</em>) </label> </div> <br> <p>If you would like to make a pledge, please contact <a href="mailto:development@sitcancer.org">development@sitcancer.org</a></p> </div>  <div id="giftsection" style="display:none;"> <p> </p> <p><b style="font-size: 1em; color: #C90000;">Please complete this section for Honor and Memorial gifts:</b></p> <p> <div class="form-group"> <label class="col-md-12">The special person or occasion:</label> <div class="col-md-6"> <input class="form-control" type="text" name="specialpersonevent" value=""> </div> </div> </p> <p>Send an acknowledgement of your donation to someone: (optional)</p> <div class="form-group"> <label for="inputRecipient" class="col-md-3">Card Recipient Name</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_Name" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientAddress" class="col-md-3">Address</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_Address" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientCity" class="col-md-3">City</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_City" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientState" class="col-md-3">State/Province</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_State" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientZip" class="col-md-3">ZIP/Postal Code</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_Zip" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientCountry" class="col-md-3">Country</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_Country" value=""> </div> </div> <div class="form-group"> <label for="inputRecipientPhone" class="col-md-3">Telephone</label> <div class="col-md-6"> <input type="text" class="form-control" name="ack_Phone" value=""> </div> </div> <div class="form-group"> <label for="inputSentBy" class="col-md-3">Sent by (name)</label> <div class="col-md-6"> <input type="text" class="form-control" id="inputSentBy" name="sentbyname" value=""> </div> </div>  </div>  <h2 class="tblFormTitle">Payment Information</h2>  <div class="form-group" style="padding-left:15px;"> <label for="inputCCtype" class="col-sm-12"><b style="color: #FF0000">*</b> Card Type:</label> <div class="col-sm-9"> <label class="radio-inline"> <input type="radio" name="cctype" value="American Express"> American Express </label> <label class="radio-inline"> <input type="radio" name="cctype" value="MasterCard"> MasterCard </label> <label class="radio-inline"> <input type="radio" name="cctype" value="Visa"> Visa </label> </div> </div>  <div class="form-group"> <label for="inputCCnumber" class="col-md-12"><b style="color: #FF0000">*</b> Card Number:</label> <div class="col-md-6"> <input type="text" class="form-control" id="inputCCnumber" name="ccnum" value=""> </div> </div>  <div class="form-group" style="padding-left:15px;"> <div class="col-sm-12"> <label for="inputCCnumber"><b style="color: #FF0000">*</b> Exp. Date:</label> <div class="form-group col-sm-9"> <div class="col-sm-2"> <select name="ccexpmonth" class="form-control"> <option></option> <option value="01">01</option><option value="02">02</option><option value="03">03</option><option value="04">04</option><option value="05">05</option><option value="06">06</option><option value="07">07</option><option value="08">08</option><option value="09">09</option><option value="10">10</option><option value="11">11</option><option value="12">12</option> </select> </div> <div class="col-sm-2"> <select name="ccexpyear" class="form-control"> <option></option> <option value="2024">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> </select> </div> </div> </div> </div>  <div class="form-group"> <label class="col-md-12" for="inputCVV"><b style="color: #FF0000">*</b> CVV #:</label> <div class="col-md-3"><input type="text" class="form-control col-sm-3" id="inputCVV" name="cvv" value=""></div> </div> <div class="form-group"> <div class="col-md-3"> <button type="button" class="btn btn-primary" name="CCCopy" id="inputCCCopy" onclick="doCCCopy();">Click to use same name and contact information as above</button> </div> </div> <script> function doCCCopy(){ var f = document.forms.donationForm; f.ccname.value = f.fullname.value; f.ccaddress.value = f.address.value; f.cccity.value = f.city.value; f.ccstate.value = f.state.value; f.cczip.value = f.zip.value; f.cccountry.value = f.country.value; } </script>   <div class="form-group"> <label for="inputCCName" class="col-md-3"><b style="color: #FF0000">*</b> Name as it appears on card:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCName" name="ccname" value=""> </div> </div> <div class="form-group"> <label for="inputCCAddress" class="col-md-3"><b style="color: #FF0000">*</b> Address:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCAddress" name="ccaddress" value=""> </div> </div>  <div class="form-group"> <label for="inputCCCity" class="col-md-3"><b style="color: #FF0000">*</b> City:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCCity" name="cccity" value=""> </div> </div> <div class="form-group"> <label for="inputCCState" class="col-md-3">State/Province:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCState" name="ccstate" value=""> </div> </div> <div class="form-group"> <label for="inputCCZip" class="col-md-3"><b style="color: #FF0000">*</b> Zip:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCZip" name="cczip" value=""> </div> </div> <div class="form-group"> <label for="inputCCCountry" class="col-md-3"><b style="color: #FF0000">*</b> Country:</label> <div class="col-md-12"> <input type="text" class="form-control" id="inputCCCountry" name="cccountry" value=""> </div> </div>  <div class="form-inline"> <div class="col-md-12">  <div class="g-recaptcha" data-sitekey="6LcLk6gUAAAAAG9mz4zBvCRM-xrM5o9suoKUBBtq"></div><br><br> <input id="review_freq_number" type="hidden" name="review_freq_number" value=""> <button type="submit" class="btn btn-primary">Continue</button> </div> </div> </form> </div> </div>  <script type="text/javascript"> if (document.donationForm.gifttype[1].checked || document.donationForm.gifttype[2].checked) { showPart('giftsection', this, true); 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