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<html> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>Donate - HIAS.org</title> <script type="text/javascript" src="//cdn-4.convertexperiments.com/js/10041834-10042906.js"></script> <link rel="preconnect" href="https://fonts.googleapis.com" /> <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin /> <link href="https://fonts.googleapis.com/css2?family=Architects+Daughter&display=swap" rel="stylesheet" /> <link rel="stylesheet" href="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/main.min.css?v=1731621852000" /> <script src="https://js.radar.com/v3.6.1/radar.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/moment.js/2.29.4/moment.min.js"></script>  <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= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-TC8H4GJ');</script>  <style> .en__field__input--vgs { width: 100% !important; } </style> <meta name="title" content="Donate to HIAS today."/> <meta property="og:title" content="Donate to HIAS today."/> <meta property="og:description" content="HIAS stands for a world in which refugees find welcome, safety, and opportunity. Help provide vital services around the world."/> <meta name="description" content="HIAS stands for a world in which refugees find welcome, safety, and opportunity. Help provide vital services around the world."/> <meta property="og:image" content="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/Chad_05022023_IIsocial.png?v=1683213704000"/> <link rel="canonical" href="https://act.hias.org/page/53286/donate/1?locale=en-US"/> <meta property="og:url" content="https://act.hias.org/page/53286/donate/1?locale=en-US"/> <link rel="image_src" href="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/Chad_05022023_IIsocial.png?v=1683213704000"/> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@hiasrefugees" /> <meta name="twitter:title" content="Donate to HIAS today." /> <meta name="twitter:description" content="HIAS stands for a world in which refugees find welcome, safety, and opportunity. Help provide vital services around the world." /> <meta name="twitter:image" content="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/Chad_05022023_IIsocial.png?v=1683213704000" /> <meta name="twitter:image:alt" content="Donate today" /> <link href='/pageassets/css/enPage.css?v=4.0.0' rel='stylesheet' type='text/css' /> <link href='https://doublethedonation.com/api/css/ddplugin.css' rel='stylesheet' type='text/css' /> <script>var pageJson = {"clientId":10027,"campaignPageId":53286,"campaignId":119554,"pageNumber":1,"pageCount":2,"pageName":"2306_DON_Web_General","pageType":"donation","locale":"en-US","redirectPresent":false,"giftProcess":false};</script> <script src='/page/53286/pagedata.js?locale=en-US&ea.profile.id=0'></script> <script src='/pageassets/js/enPage.js?v=4.0.0'></script> <script>window.DDCONF = { API_KEY: "nuAd8ES4zoY42MsL" }</script><script id='dd360script' src='https://doublethedonation.com/api/js/ddplugin.js' data-key='nuAd8ES4zoY42MsL'></script> </head> <body class="redesign">  <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-TC8H4GJ" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>  <div id="app">  <header class="page-header"> <div class="header-container container">  <a href="https://www.hias.org" class="hias-logo" target="_blank"> <img src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/HIAS_logo_only_RGB+1.png?v=1681137705000" alt="HIAS Homepage" /> </a>  <div class="page-nav-container">  <button class="nav-toggle js-nav-toggle" aria-label="Open the Other Ways To Give menu." > Other Ways To Give </button>  <nav class="page-nav js-nav" aria-expanded="false"> <ul> <li> <a target="_blank" href="https://hias.org/matching-gifts/">Employer Match</a> </li> <li> <a target="_blank" href="https://hias.org/gifts-of-stock/">Gifts of Stock</a> </li> <li> <a target="_blank" href="https://hias.org/donor-advised-fund/">Donor Advised Funds</a> </li> <li> <a target="_blank" href="https://www.hias.org/planned-giving">Planned Giving</a> </li> <li> <a target="_blank" href="https://hias.org/how/ways-give/">Other Ways to Give</a> </li> </ul> </nav> </div> </div> </header>  <main aria-hidden="false">  <article class="donation-form-container container"><form method="post" id="pb_53286" name="pb_2306DONWebGeneral" action="/page/53286/donate/2" class="en__component en__component--page"> <input type="hidden" name="hidden" class="en__hiddenFields" value=""> <input type="hidden" name="sessionId" value="bf3b41450b014808802a42239b37c555-use2-prd-web1"> <ul class="en__errorList"> </ul> <div class="en__component en__component--row en__component--row--1"> <div class="en__component en__component en__component--column en__component--column--1"> <div class="en__component en__component--codeblock"><style> main { background-image: url(https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/hias-base-donation-form-bg.jpg?v=1681489309000); } </style></div> <div class="en__component en__component--copyblock" style=" " > <h1>Help make a difference for refugees — donate today</h1> <p>The number of forcibly displaced people around the world has doubled in the last 10 years — reaching a new record-breaking high of 120 million people.</p> <p>Drawing on our Jewish values and history, for more than a century HIAS has been there for refugees when and where they need help most. Now, in more than 20 countries around the world, we provide vital services to refugees and asylum seekers and advocate for their fundamental rights so they can rebuild their lives.</p> <p>Together, we can help create a world in which refugees find welcome, safety, and opportunity.</p> <p><strong>Support our work with a gift today.</strong></p> </div> <div class="en__component en__component--copyblock" style=" " > <h2>Your Tax-Deductible Gift</h2> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--radio en__field--667617 en__field--recurrpay en__mandatory"> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_transaction_recurrpay0" checked type="radio" class="en__field__input en__field__input--radio" value="N" name="transaction.recurrpay" /> <label for="en__field_transaction_recurrpay0" class="en__field__label en__field__label--item" >One Time Gift</label> </div> <div class="en__field__item"> <input id="en__field_transaction_recurrpay1" type="radio" class="en__field__input en__field__input--radio" value="Y" name="transaction.recurrpay" /> <label for="en__field_transaction_recurrpay1" class="en__field__label en__field__label--item" >Monthly Gift</label> </div> </div> </div> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrday" value="" /> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.recurrfreq" value="MONTHLY" /> </div> <div class="en__component en__component--codeblock"><div class="nudge-text"> <div class="nudge-copy"> Make a bigger impact by giving monthly </div> <div class="nudge-image"> <svg fill="none" height="25" viewBox="0 0 47 25" width="47" xmlns="http://www.w3.org/2000/svg"><path d="m44.8708 1.23923c-.1985 2.17306.1509 4.31063.5767 6.3163.4053 2.34599.811 4.69147 1.1399 7.16947.2584 1.3809-1.8997 2.071-2.29.6136-.4613-2.5539-.7905-5.0317-1.3278-7.45376-.2028-1.17299-.3498-2.13756-.5522-3.31056-8.5142 14.44232-25.53 19.22492-41.30035 20.32602-1.436871.0504-1.502211-2.275-.06538-2.3255 14.25683-.9193 29.66313-5.0476 38.18663-17.37253-2.7269 1.06541-5.885 1.35379-8.9821.62155-1.4164-.28989-.8015-2.57438.5389-2.15259 4.1732 1.00164 8.7532-.2257 11.866-3.17978.7976-.771214 2.3464-.4049069 2.2089.74759z" fill="#e00267"/></svg> </div> </div> </div> </div> </div> <div class="en__component en__component--row en__component--row--1"> <div class="en__component en__component en__component--column"> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--radio en__field--withOther en__field--619370 en__field--donationAmt en__mandatory"> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="500" name="transaction.donationAmt" id="en__field_transaction_donationAmt0" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt0">$500</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="250" name="transaction.donationAmt" id="en__field_transaction_donationAmt1" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt1">$250</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="100" name="transaction.donationAmt" id="en__field_transaction_donationAmt2" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt2">$100</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="50" name="transaction.donationAmt" id="en__field_transaction_donationAmt3" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt3">$50</label> </div> <div class="en__field__item"> <input checked type="radio" class="en__field__input en__field__input--radio" value="36" name="transaction.donationAmt" id="en__field_transaction_donationAmt4" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt4">$36</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="18" name="transaction.donationAmt" id="en__field_transaction_donationAmt5" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt5">$18</label> </div> <div class="en__field__item"> <input type="radio" class="en__field__input en__field__input--radio" value="Other" name="transaction.donationAmt" id="en__field_transaction_donationAmt6" /> <label class="en__field__label en__field__label--item" for="en__field_transaction_donationAmt6">Enter Your Own Amount</label> </div> <div class="en__field__item en__field__item--other en__field__item--hidden"> <input class="en__field__input en__field__input--other" type="text" name="transaction.donationAmt.other" value="" /> </div> </div> </div> <div class="en__field en__field--checkbox en__field--626095 en__field--feeCover"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_transaction_feeCover" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.feeCover" /> <label for="en__field_transaction_feeCover" class="en__field__label en__field__label--item" >Please add 3% to cover transaction fees so more of my donation goes toward helping refugees and asylum seekers.</label> </div> </div> </div> </div> <div class="en__component en__component--copyblock" style=" " > <h2>Your Information</h2> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--text en__field--619355 en__field--firstName en__mandatory"> <label for="en__field_supporter_firstName" class="en__field__label" style="">First Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_firstName" type="text" class="en__field__input en__field__input--text" name="supporter.firstName" value="" /> </div> </div> <div class="en__field en__field--text en__field--619357 en__field--lastName en__mandatory"> <label for="en__field_supporter_lastName" class="en__field__label" style="">Last Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_lastName" type="text" class="en__field__input en__field__input--text" name="supporter.lastName" value="" /> </div> </div> <div class="en__field en__field--text en__field--619356 en__field--emailAddress en__mandatory"> <label for="en__field_supporter_emailAddress" class="en__field__label" style="">Email Address</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_emailAddress" type="text" class="en__field__input en__field__input--text" name="supporter.emailAddress" value="" /> </div> </div> </div> <div class="en__component en__component--formblock address" style=""> <div class="en__field en__field--select en__field--667621 en__field--country en__mandatory"> <label for="en__field_supporter_country" class="en__field__label en__field__label--positionabove" style="">Country</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_country" class="en__field__input en__field__input--select" name="supporter.country" > <option selected="selected" value="US">United States</option> <option value="CA">Canada</option> <option value="GB">United Kingdom</option> <option value="AF">Afghanistan</option> <option value="AX">脜land 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, Plurinational State of</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="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">C么te d'Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CW">Cura莽ao</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="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'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">Libya</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="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="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">R茅union</option> <option value="RO">Romania</option> <option value="RU">Russian Federation</option> <option value="RW">Rwanda</option> <option value="BL">Saint Barth茅lemy</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="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="UM">United States Minor Outlying Islands</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VU">Vanuatu</option> <option value="VE">Venezuela, Bolivarian Republic of</option> <option value="VN">Viet Nam</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="en__field en__field--text en__field--667616 en__field--postcode en__mandatory"> <label for="en__field_supporter_postcode" class="en__field__label en__field__label--positionabove" style="">Zip or Postal Code</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_postcode" type="text" class="en__field__input en__field__input--text" name="supporter.postcode" value="" /> </div> </div> <div class="en__field en__field--text en__field--667619 en__field--address1 en__mandatory"> <label for="en__field_supporter_address1" class="en__field__label en__field__label--positionabove" style="">Street</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_address1" type="text" class="en__field__input en__field__input--text" name="supporter.address1" value="" /> </div> </div> <div class="en__field en__field--text en__field--667618 en__field--city en__mandatory"> <label for="en__field_supporter_city" class="en__field__label en__field__label--positionabove" style="">City</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_city" type="text" class="en__field__input en__field__input--text" name="supporter.city" value="" /> </div> </div> <div class="en__field en__field--select en__field--667620 en__field--region en__mandatory"> <label for="en__field_supporter_region" class="en__field__label en__field__label--positionabove" style="">State</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_region" class="en__field__input en__field__input--select" name="supporter.region" > <option value="Please Select">Please Select</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</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="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="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</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="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="AB">Alberta</option> <option value="BC">British Columbia</option> <option value="MB">Manitoba</option> <option value="NB">New Brunswick</option> <option value="NL">Newfoundland and Labrador</option> <option value="NS">Nova Scotia</option> <option value="ON">Ontario</option> <option value="PE">Prince Edward Island</option> <option value="QC">Quebec</option> <option value="SK">Saskatchewan</option> <option value="NT">Northwest Territories</option> <option value="NU">Nunavut</option> <option value="YT">Yukon</option> <option value="Outside of the U.S.">Outside of the U.S.</option> </select> </div> </div> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--text en__field--667613 en__field--phoneNumber"> <label for="en__field_supporter_phoneNumber" class="en__field__label" style="">Mobile Phone</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_phoneNumber" type="text" class="en__field__input en__field__input--text" name="supporter.phoneNumber" value="" /> </div> </div> <div class="en__field en__field--radio en__field--question en__field--41464 en__field--fundraising-opt-in"> <label for="en__field_supporter_questions_41464" class="en__field__label" style="">Fundraising Solicitations</label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_supporter_questions_414640" checked type="radio" class="en__field__input en__field__input--radio" value="Y" name="supporter.questions.41464" /> <label for="en__field_supporter_questions_414640" class="en__field__label en__field__label--item" >Yes, I'd like to receive fundraising messages.</label> </div> <div class="en__field__item"> <input id="en__field_supporter_questions_414641" type="radio" class="en__field__input en__field__input--radio" value="N" name="supporter.questions.41464" /> <label for="en__field_supporter_questions_414641" class="en__field__label en__field__label--item" >No thank you, I don't wish to receive fundraising messages.</label> </div> </div> </div> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--checkbox en__field--question en__field--388126 en__field--mobile-opt-in"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_supporter_questions_388126" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="supporter.questions.388126" /> <label for="en__field_supporter_questions_388126" class="en__field__label en__field__label--item" >Yes, I'd like to receive occasional text message alerts from HIAS.</label> </div> </div> </div> <div class="en__field en__field--radio en__field--question en__field--658308 en__field--regular-updates"> <label for="en__field_supporter_questions_658308" class="en__field__label" style=""><h3>Regular Updates</h3> <p><em>You’ll receive all the breaking news, updates on your impact as a HIAS supporter, opportunities to take action to support refugees and asylum seekers, and more.</em></p> </label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_supporter_questions_6583080" checked type="radio" class="en__field__input en__field__input--radio" value="Y" name="supporter.questions.658308" /> <label for="en__field_supporter_questions_6583080" class="en__field__label en__field__label--item" >Yes</label> </div> <div class="en__field__item"> <input id="en__field_supporter_questions_6583081" type="radio" class="en__field__input en__field__input--radio" value="N" name="supporter.questions.658308" /> <label for="en__field_supporter_questions_6583081" class="en__field__label en__field__label--item" >No</label> </div> </div> </div> <div class="en__field en__field--radio en__field--question en__field--41466 en__field--monthly-newsletter"> <label for="en__field_supporter_questions_41466" class="en__field__label" style=""><h3>Monthly Newsletter</h3> <p><em>Once a month, we’ll send you our newsletter, Global Update, with the latest updates on HIAS’ work and your impact as a supporter. </em></p> </label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_supporter_questions_414660" checked type="radio" class="en__field__input en__field__input--radio" value="Y" name="supporter.questions.41466" /> <label for="en__field_supporter_questions_414660" class="en__field__label en__field__label--item" >Yes</label> </div> <div class="en__field__item"> <input id="en__field_supporter_questions_414661" type="radio" class="en__field__input en__field__input--radio" value="N" name="supporter.questions.41466" /> <label for="en__field_supporter_questions_414661" class="en__field__label en__field__label--item" >No</label> </div> </div> </div> <div class="en__field en__field--radio en__field--question en__field--658309 en__field--events-webinars"> <label for="en__field_supporter_questions_658309" class="en__field__label" style=""><h3>Events & Webinars</h3> <p><em>Occasionally, we’ll send you the latest updates on HIAS’ events and webinars. </em></p> </label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_supporter_questions_6583090" checked type="radio" class="en__field__input en__field__input--radio" value="Y" name="supporter.questions.658309" /> <label for="en__field_supporter_questions_6583090" class="en__field__label en__field__label--item" >Yes</label> </div> <div class="en__field__item"> <input id="en__field_supporter_questions_6583091" type="radio" class="en__field__input en__field__input--radio" value="N" name="supporter.questions.658309" /> <label for="en__field_supporter_questions_6583091" class="en__field__label en__field__label--item" >No</label> </div> </div> </div> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--checkbox en__field--619383 en__field--inmem"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_transaction_inmem" type="checkbox" class="en__field__input en__field__input--checkbox" value="Y" name="transaction.inmem" /> <label for="en__field_transaction_inmem" class="en__field__label en__field__label--item" >I鈥檇 like to make this gift in honor of or in memory of someone special.</label> </div> </div> </div> <div class="en__field en__field--select en__field--619382 en__field--trbopts en__mandatory"> <label for="en__field_transaction_trbopts" class="en__field__label" style="">Gift Type</label> <div class="en__field__element en__field__element--select"> <select id="en__field_transaction_trbopts" class="en__field__input en__field__input--select" name="transaction.trbopts" > <option value="In Honor Of">In Honor Of</option> <option value="In Memory Of">In Memory Of</option> </select> </div> </div> <div class="en__field en__field--select en__field--641046 en__field--infadd2"> <label for="en__field_transaction_infadd2" class="en__field__label" style="">In Memoriam Honoree Title</label> <div class="en__field__element en__field__element--select"> <select id="en__field_transaction_infadd2" class="en__field__input en__field__input--select" name="transaction.infadd2" > <option selected="selected" value="">- Title -</option> <option value="Mr.">Mr.</option> <option value="Ms.">Ms.</option> <option value="Mrs.">Mrs.</option> <option value="Mx.">Mx.</option> <option value="Miss">Miss</option> <option value="Rabbi">Rabbi</option> <option value="Dr.">Dr.</option> <option value="Reb.">Rev.</option> <option value="Cantor">Cantor</option> </select> </div> </div> <div class="en__field en__field--text en__field--623096 en__field--honname en__mandatory"> <label for="en__field_transaction_honname" class="en__field__label" style="">Honoree First Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_honname" type="text" class="en__field__input en__field__input--text" name="transaction.honname" value="" /> </div> </div> <div class="en__field en__field--text en__field--649816 en__field--othamt3 en__mandatory"> <label for="en__field_transaction_othamt3" class="en__field__label" style="">Honoree Last Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_othamt3" type="text" class="en__field__input en__field__input--text" name="transaction.othamt3" value="" /> </div> </div> <div class="en__field en__field--checkbox en__field--619421 en__field--NOT_TAGGED_139"> <div class="en__field__element en__field__element--checkbox " > <div class="en__field__item"> <input id="en__field_supporter_NOT_TAGGED_139" type="checkbox" class="en__field__input en__field__input--checkbox" value="y" name="supporter.NOT_TAGGED_139" /> <label for="en__field_supporter_NOT_TAGGED_139" class="en__field__label en__field__label--item" >I'd like to notify someone of this contribution.</label> </div> </div> </div> <div class="en__field en__field--select en__field--619525 en__field--NOT_TAGGED_141 en__mandatory"> <label for="en__field_supporter_NOT_TAGGED_141" class="en__field__label" style="">Notification Method</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_NOT_TAGGED_141" class="en__field__input en__field__input--select" name="supporter.NOT_TAGGED_141" > <option value="digital">Send an e-card by email.</option> <option value="physical">Send a card by mail.</option> </select> </div> </div> <div class="en__field en__field--text en__field--619536 en__field--NOT_TAGGED_125 en__mandatory"> <label for="en__field_supporter_NOT_TAGGED_125" class="en__field__label" style="">eCard Design</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_NOT_TAGGED_125" type="text" class="en__field__input en__field__input--text" name="supporter.NOT_TAGGED_125" value="" /> </div> </div> <div class="en__field en__field--email en__field--619521 en__field--NOT_TAGGED_140 en__mandatory"> <label for="en__field_supporter_NOT_TAGGED_140" class="en__field__label" style="">Recipient's Email Address</label> <div class="en__field__element en__field__element--email"> <input id="en__field_supporter_NOT_TAGGED_140" type="email" autocomplete="email" class="en__field__input en__field__input--email" name="supporter.NOT_TAGGED_140" value="" /> </div> </div> <div class="en__field en__field--text en__field--649827 en__field--infname en__mandatory"> <label for="en__field_transaction_infname" class="en__field__label" style="">Recipient First Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_infname" type="text" class="en__field__input en__field__input--text" name="transaction.infname" value="" /> </div> </div> <div class="en__field en__field--text en__field--649817 en__field--othamt1 en__mandatory"> <label for="en__field_transaction_othamt1" class="en__field__label" style="">Recipient Last Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_othamt1" type="text" class="en__field__input en__field__input--text" name="transaction.othamt1" value="" /> </div> </div> <div class="en__field en__field--text en__field--619385 en__field--infadd1 en__mandatory"> <label for="en__field_transaction_infadd1" class="en__field__label" style="">Recipient's Address</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_infadd1" type="text" class="en__field__input en__field__input--text" name="transaction.infadd1" value="" /> </div> </div> <div class="en__field en__field--text en__field--619387 en__field--infcity en__mandatory"> <label for="en__field_transaction_infcity" class="en__field__label" style="">Recipient's City</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_infcity" type="text" class="en__field__input en__field__input--text" name="transaction.infcity" value="" /> </div> </div> <div class="en__field en__field--select en__field--619391 en__field--infreg en__mandatory"> <label for="en__field_transaction_infreg" class="en__field__label" style="">Recipient's State/Province</label> <div class="en__field__element en__field__element--select"> <select id="en__field_transaction_infreg" class="en__field__input en__field__input--select" name="transaction.infreg" > <option selected="selected" value="- State -">- State -</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</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="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="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</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="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="AB">Alberta</option> <option value="BC">British Columbia</option> <option value="MB">Manitoba</option> <option value="NB">New Brunswick</option> <option value="NL">Newfoundland and Labrador</option> <option value="NS">Nova Scotia</option> <option value="ON">Ontario</option> <option value="PE">Prince Edward Island</option> <option value="QC">Quebec</option> <option value="SK">Saskatchewan</option> <option value="NT">Northwest Territories</option> <option value="NU">Nunavut</option> <option value="YT">Yukon</option> </select> </div> </div> <div class="en__field en__field--select en__field--623098 en__field--infcountry en__mandatory"> <label for="en__field_transaction_infcountry" class="en__field__label" style="">Recipient Country</label> <div class="en__field__element en__field__element--select"> <select id="en__field_transaction_infcountry" class="en__field__input en__field__input--select" name="transaction.infcountry" > <option selected="selected" value="- Country -">- Country -</option> <option value="US">United States</option> <option value="CA">Canada</option> <option value="AF">Afghanistan</option> <option value="AX">脜land 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, Plurinational State of</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="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">C么te d'Ivoire</option> <option value="HR">Croatia</option> <option value="CU">Cuba</option> <option value="CW">Cura莽ao</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="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'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">Libya</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="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="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">R茅union</option> <option value="RO">Romania</option> <option value="RU">Russian Federation</option> <option value="RW">Rwanda</option> <option value="BL">Saint Barth茅lemy</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="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="UM">United States Minor Outlying Islands</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VU">Vanuatu</option> <option value="VE">Venezuela, Bolivarian Republic of</option> <option value="VN">Viet Nam</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="en__field en__field--text en__field--619389 en__field--infpostcd en__mandatory"> <label for="en__field_transaction_infpostcd" class="en__field__label" style="">Recipient's Zip Code</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_infpostcd" type="text" class="en__field__input en__field__input--text" name="transaction.infpostcd" value="" /> </div> </div> <div class="en__field en__field--textarea en__field--619390 en__field--othamt4 en__mandatory"> <label for="en__field_transaction_othamt4" class="en__field__label" style="">Personal Message to Recipient</label> <div class="en__field__element en__field__element--textarea"> <textarea id="en__field_transaction_othamt4" class="en__field__input en__field__input--textarea" name="transaction.othamt4" maxlength="2000"></textarea> </div> </div> </div> <div class="en__component en__component--copyblock" style=" " > <h2>Payment Information</h2> </div> <div class="en__component en__component--codeblock"><div class="payment-types-proxy proxy-ach"> <div class="payment-type-proxy"> <input type="radio" id="payment-types-proxy--bank" name="payment-types-proxy" value="ach"> <label for="payment-types-proxy--bank"> Pay with Bank Account </label> </div> <div class="payment-type-proxy proxy-paypal"> <input type="radio" id="payment-types-proxy--paypal" name="payment-types-proxy" value="Paypal"> <label for="payment-types-proxy--paypal"> <img class="inactive" src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/paypal.png?v=1681841641000" /> <img class="active" src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/paypal-white.png?v=1681841641000" /> </label> </div> <div class="payment-type-proxy proxy-card"> <input type="radio" id="payment-types-proxy--card" name="payment-types-proxy" value="card"> <label for="payment-types-proxy--card"> Pay with Credit Card </label> </div> </div> <style> #en__digitalWallet__formblock { display: block; } #en__digitalWallet__formblock div#en__digitalWallet__stripeButtons__container { overflow: hidden; } #en__digitalWallet__formblock div#en__digitalWallet { margin-bottom: 15px !important; border-radius: 25px; border: 1px solid var(--c-hias-blue); overflow: hidden; height: 50px; padding-top: 10px; } #en__digitalWallet__formblock div#en__digitalWallet__stripeButtons { padding-bottom: 3px; max-width: 90%; margin: 0 auto; } #en__digitalWallet__formblock iframe { scale: 1.5 !important; } </style> <script> window.addEventListener("load", function() { let walletContainer = document.getElementById('en__digitalWallet__stripeButtons__container'); if (!walletContainer) { return; } function checkForDigitalWalletPaymentMethod () { if (!walletContainer.querySelector('.__PrivateStripeElement')) { return false; } walletContainer.closest('.en__component.en__component--formblock').id = 'en__digitalWallet__formblock'; return true; } if (checkForDigitalWalletPaymentMethod()) { return; } // If we didn't see a payment method, let's watch for any subsequent changes, in case stripe execution is delayed / async today. function callback (mutations) { for (let mutation of mutations) { if (mutation.type === 'childList') { if (checkForDigitalWalletPaymentMethod()) { observer.disconnect(); } } } } let observer = new MutationObserver(callback); observer.observe(walletContainer, { childList: true }); }); </script></div> <div class="en__component en__component--formblock" style=""> <div id="en__digitalWallet" style="justify-content: flex-start"> <div id="en__digitalWallet__stripeButtons" class="en__digitalWallet__button" style="width: 100%;" data-theme="light"> <div id="en__digitalWallet__stripeButtons__container" class="en__digitalWallet__container" style="margin: 0 0 5px 0"></div> </div> <div style="flex-basis:100%; height:0;"></div> <div id="en__digitalWallet__paypalTouch" class="en__digitalWallet__button" style="width: 100%;" data-theme="gold"> <div id="en__digitalWallet__paypalTouch__container" class="en__digitalWallet__container" style="margin: 0 0 5px 0"></div> </div> <div style="flex-basis:100%; height:0;"></div> <div id="en__digitalWallet__chariot" class="en__digitalWallet__button" style="width: 100%;" data-theme=""> <div id="en__digitalWallet__chariot__container" class="en__digitalWallet__container"></div> </div> </div> </div> <div class="en__component en__component--formblock" style=""> <div class="en__field en__field--radio en__field--667603 en__field--paymenttype en__mandatory"> <label for="en__field_transaction_paymenttype" class="en__field__label" style="">Payment Type</label> <div class="en__field__element en__field__element--radio " > <div class="en__field__item"> <input id="en__field_transaction_paymenttype0" type="radio" class="en__field__input en__field__input--radio" value="VI" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype0" class="en__field__label en__field__label--item" >Visa</label> </div> <div class="en__field__item"> <input id="en__field_transaction_paymenttype1" type="radio" class="en__field__input en__field__input--radio" value="MC" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype1" class="en__field__label en__field__label--item" >Mastercard</label> </div> <div class="en__field__item"> <input id="en__field_transaction_paymenttype2" type="radio" class="en__field__input en__field__input--radio" value="DI" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype2" class="en__field__label en__field__label--item" >Discover</label> </div> <div class="en__field__item"> <input id="en__field_transaction_paymenttype3" type="radio" class="en__field__input en__field__input--radio" value="AX" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype3" class="en__field__label en__field__label--item" >American Express</label> </div> <div class="en__field__item"> <input id="en__field_transaction_paymenttype4" type="radio" class="en__field__input en__field__input--radio" value="ach" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype4" class="en__field__label en__field__label--item" >Pay with Bank Account</label> </div> <div class="en__field__item"> <input id="en__field_transaction_paymenttype5" type="radio" class="en__field__input en__field__input--radio" value="Paypal" name="transaction.paymenttype" /> <label for="en__field_transaction_paymenttype5" class="en__field__label en__field__label--item" >Paypal</label> </div> </div> </div> <div class="en__field en__field--vgs en__field--667604 en__field--ccnumber en__mandatory"> <label for="en__field_transaction_ccnumber" class="en__field__label" style="">Card Number</label> <div class="en__field__element en__field__element--vgs"> <input type="hidden" name="transaction.ccnumber" /> <div id="en__field_transaction_ccnumber" class="en__field__input en__field__input--vgs"> </div> </div> </div> <div class="en__field en__field--splitselect en__field--667615 en__field--ccexpire en__mandatory"> <label for="en__field_transaction_ccexpire" class="en__field__label" style="">Expiration</label> <div class="en__field__element en__field__element--splitselect"> <input type="hidden" name="transaction.ccexpire.delimiter" value=""> <div class="en__field__item"> <select id="en__field_transaction_ccexpire" class="en__field__input en__field__input--splitselect" name="transaction.ccexpire" > <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="en__field__item"> <select class="en__field__input en__field__input--splitselect" name="transaction.ccexpire" > <option selected="selected" value="23">2023</option> <option value="24">2024</option> <option value="25">2025</option> <option value="26">2026</option> <option value="27">2027</option> <option value="28">2028</option> <option value="29">2029</option> <option value="30">2030</option> <option value="31">2031</option> <option value="32">2032</option> <option value="33">2033</option> <option value="34">2034</option> <option value="35">2035</option> <option value="36">2036</option> <option value="37">2037</option> <option value="38">2038</option> <option value="39">2039</option> <option value="40">2040</option> <option value="41">2041</option> </select> </div> </div> </div> <div class="en__field en__field--vgs en__field--667605 en__field--ccvv en__mandatory"> <label for="en__field_transaction_ccvv" class="en__field__label" style="">CVV Code</label> <div class="en__field__element en__field__element--vgs"> <input type="hidden" name="transaction.ccvv" /> <div id="en__field_transaction_ccvv" class="en__field__input en__field__input--vgs"> </div> </div> </div> <div class="en__field en__field--text en__field--667606 en__field--othamt2 en__mandatory"> <label for="en__field_transaction_othamt2" class="en__field__label" style="">Bank Name</label> <div class="en__field__element en__field__element--text"> <input id="en__field_transaction_othamt2" type="text" class="en__field__input en__field__input--text" name="transaction.othamt2" value="" /> </div> </div> <div class="en__field en__field--select en__field--667609 en__field--bankAccountType en__mandatory"> <label for="en__field_supporter_bankAccountType" class="en__field__label" style="">Account Type</label> <div class="en__field__element en__field__element--select"> <select id="en__field_supporter_bankAccountType" class="en__field__input en__field__input--select" name="supporter.bankAccountType" > <option value="">-- Please Select --</option> <option value="Checking">Checking</option> <option value="Savings">Savings</option> </select> </div> </div> <div class="en__field en__field--text en__field--667608 en__field--bankAccountNumber en__mandatory"> <label for="en__field_supporter_bankAccountNumber" class="en__field__label" style="">Account Number</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_bankAccountNumber" type="text" class="en__field__input en__field__input--text" name="supporter.bankAccountNumber" value="" /> </div> </div> <div class="en__field en__field--text en__field--667607 en__field--bankRoutingNumber en__mandatory"> <label for="en__field_supporter_bankRoutingNumber" class="en__field__label" style="">Routing Number</label> <div class="en__field__element en__field__element--text"> <input id="en__field_supporter_bankRoutingNumber" type="text" class="en__field__input en__field__input--text" name="supporter.bankRoutingNumber" value="" /> </div> </div> <input type="hidden" class="en__field__input en__field__input--hidden" name="supporter.NOT_TAGGED_71" value="By submitting this form you agree to allow this organization to take funds from your account monthly." /> <input type="hidden" class="en__field__input en__field__input--hidden" name="transaction.paycurrency" value="USD" /> <div class="en__submit"><button style="">Donate</button></div> </div> <div class="en__component en__component--codeblock"><script></script></div> <div class="en__component en__component--copyblock" style=" " > <div class="charity-badges"><img alt="Charity Badges" src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/Badges.png?v=1681413427000" /></div> <p>By submitting this form you will be added to our mailing list to receive periodic updates from HIAS under the terms of our <a href="https://hias.org/privacy-policy/" target="_blank">privacy policy</a>. You may unsubscribe at any time.</p> <hr /> <h3>Prefer to donate by mail?</h3> <p>If you would like to mail a check, please send to:</p> <p>HIAS<br /> P.O. Box 97077<br /> Washington, D.C. 20090-7077</p> <hr /> <p>HIAS is a nonpartisan, 501(c)(3) refugee protection organization. Your donation is tax-deductible to the fullest extent allowable under the law. Our federal tax ID number is 13-5633307.</p> </div> </div> </div> </form> </article> </main> <footer class="page-footer"></footer> </div> <script> // Set monthly strings here for now, their inclusion in the JS file is causing complications. window.onetime_strings = window.onetime_strings || []; window.monthly_strings = window.monthly_strings || [ 100, 50, 36, 25, 18, 10 ]; window.monthly_preselect = window.monthly_preselect || 2; // Index of $36 window.onetime_preselect = window.onetime_preselect || 1; // Index of $36 </script> <style> @media (max-width: 480px) { .en__field__item:has(+.en__field__item--other) { grid-row: auto; } } </style> <script src="https://acb0a5d73b67fccd4bbe-c2d8138f0ea10a18dd4c43ec3aa4240a.ssl.cf5.rackcdn.com/10027/main.js?v=1731621574001"></script>  <script type="text/javascript"> document.onreadystatechange = () => { if (document.readyState === "complete") { if(typeof pageJson != "undefined" && typeof dataLayer != "undefined"){ console.log('GA4 vF2'); if(pageJson.pageNumber == 1 && document.getElementsByName("transaction.donationAmt").length > 0){ ga4ViewItem(); } if(pageJson.giftProcess){ ga4purchase(); } } } }; var ga4ViewItem = function(){ // check for a default value on the form var defaultVal = 'unknown'; var donateEls = document.getElementsByName('transaction.donationAmt'); for (var i = 0; i < donateEls.length; i++) { if(donateEls[i].checked == 1) defaultVal = donateEls[i].value; } var extra = { templateVersion: document.body.classList.contains('redesign') ? 'redesign' : 'multistep', defaultVal: defaultVal, }; // setup dataLayer object var obj = { 'event': 'viewItem', 'defaultFormVal': extra.defaultVal, 'templateVersion':extra.templateVersion, ecommerce: { items: [{ 'item_id': pageJson.campaignPageId, 'item_name': pageJson.pageName, 'item_category2': extra.templateVersion, 'item_category3': extra.defaultVal, 'quantity': 1 }] } }; dataLayer.push({ ecommerce: null }); // Clear the previous ecommerce object. dataLayer.push(obj); }; var ga4purchase = function(){ var frequency = '{receipt_data~recurringFrequency}'.toLowerCase(); // expecting monthly or annual var extra = { giftVariant: pageJson.recurring == false ? 'onetime' : frequency, // one of: onetime, monthly, annual amt: pageJson.amount.toString(), templateVersion: document.body.classList.contains('redesign') ? 'redesign' : 'multistep' }; var obj = { 'event': 'donateSuccess', 'templateVersion':extra.templateVersion, 'ecommerce': { 'transaction_id': pageJson.donationLogId, 'value': extra.amt, 'tax': 0.00, 'shipping': 0.00, 'currency': pageJson.currency, 'items': [{ 'item_name': pageJson.pageName, 'item_id': pageJson.campaignPageId, 'item_variant': extra.giftVariant, 'item_category': pageJson.transactionType, 'item_category2': extra.templateVersion, 'price': extra.amt, 'quantity': 1 }] } }; dataLayer.push({ ecommerce: null }); // Clear the previous ecommerce object. dataLayer.push(obj); }; </script>  <div id="userAgentWarningWrap"> <div id="userAgentWarning"> <p>We're sorry, your browser is unsupported. Older browsers are often slower, less secure, and don't support modern features. 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