habitatnola.givecloud.co
Open in
urlscan Pro
2606:4700:10::ac43:16d4
Public Scan
Submitted URL: https://r20.rs6.net/tn.jsp?f=001ch9F02jTm67P7JVznukm61iotBu0VcM29ZnmT5w4i4C-mKEPlWD_x42HsWYaTHOSwldSXivQneFfwKVQJfI0...
Effective URL: https://habitatnola.givecloud.co/giving
Submission: On April 12 via manual from US — Scanned from DE
Effective URL: https://habitatnola.givecloud.co/giving
Submission: On April 12 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST https://habitatnola.givecloud.co/account/login
<form action="https://habitatnola.givecloud.co/account/login" method="post">
<input type="hidden" name="_token" value="kQbUGwHIVVlRLolHzAakHOjqoSOKtOMlKakWNhzD">
<div class="form-group labelify">
<label><i class="fa fa-envelope-o"></i> Email</label>
<input type="email" name="email" autocomplete="username" class="form-control">
</div>
<div class="form-group labelify">
<label><i class="fa fa-lock"></i> Password</label>
<input type="password" name="password" autocomplete="current-password" class="form-control">
</div>
<div class="custom-control custom-checkbox mt-0 mb-3">
<input type="checkbox" class="custom-control-input" id="rememberMeInput" name="remember_me" value="1">
<label class="custom-control-label" for="rememberMeInput">Remember me</label>
</div>
<div class="text-center mb-2">
<button type="submit" class="btn btn-block btn-pill btn-primary"><i class="fa fa-log-in"></i> Sign-In</button>
<div class="text-center mt-2 text-sm">
<a href="/account/reset-password">I Forgot My Password</a>
</div>
</div>
<hr>
<div class="text-sm text-center">
<a href="/account/register" class="btn btn-block btn-pill btn-secondary"><i class="fa fa-log-in"></i> Create an Account</a>
</div>
</form>
POST
<form data-vv-scope="pay" method="post" novalidate="novalidate" class="" style="">
<div class="container mt-n5">
<div class="row">
<div class="col-12">
<div class="card my-4 card-shipping ">
<div class="card-body">
<h4 class="text-left d-block mb-3"> Change Lives For Generations. Please select the fund(s) you would like to support: </h4>
<hr>
<div><!---->
<div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
<div class="fund-thumb my-2 my-md-0" style="background-image: url("https://cdn.givecloud.co/s/files/2/0000/1465/files/donation-banner-1_300x_cropped_top.jpg");"></div>
<div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
<h5 class="mb-1"><span>Change Lives for Generations</span></h5>
<p class="mb-1">Give where it is needed most.</p> <!---->
</div>
<div class="ml-md-auto">
<div class="btn-group-toggle form-primary d-inline-block price-presets">
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
<div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
style="width: 120px;"></div>
</div>
</div> <!---->
</div>
</div>
<div>
<hr>
<div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
<div class="fund-thumb my-2 my-md-0" style="background-image: url("https://cdn.givecloud.co/s/files/2/0000/1465/files/disaster-relief-smallerer_300x_cropped_top.jpg");"></div>
<div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
<h5 class="mb-1"><span>Disaster Relief & Recovery Fund</span></h5>
<p class="mb-1">Provide support to those affected by local disasters.</p> <!---->
</div>
<div class="ml-md-auto">
<div class="btn-group-toggle form-primary d-inline-block price-presets">
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
<div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
style="width: 120px;"></div>
</div>
</div> <!---->
</div>
</div>
<div>
<hr>
<div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
<div class="fund-thumb my-2 my-md-0" style="background-image: url("https://cdn.givecloud.co/s/files/2/0000/1465/files/image001-1_300x_cropped_top.jpg");"></div>
<div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
<h5 class="mb-1"><span>Rising Oaks</span></h5>
<p class="mb-1">Help build the Rising Oaks community, a transformational community for more than 150 families.</p> <!---->
</div>
<div class="ml-md-auto">
<div class="btn-group-toggle form-primary d-inline-block price-presets">
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
<div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
style="width: 120px;"></div>
</div>
</div> <!---->
</div>
</div>
<div>
<hr>
<div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
<div class="fund-thumb my-2 my-md-0" style="background-image: url("https://cdn.givecloud.co/s/files/2/0000/1465/files/new-orleans-rendering-red-cropped-1-1_300x_cropped_top.jpg");"></div>
<div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
<h5 class="mb-1"><span>Jean Lafitte Rebuilding Fund</span></h5>
<p class="mb-1">Support rebuilding efforts in Jean Lafitte, a community south of New Orleans hard-hit by Hurricane Ida.</p> <!---->
</div>
<div class="ml-md-auto">
<div class="btn-group-toggle form-primary d-inline-block price-presets">
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
<div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
style="width: 120px;"></div>
</div>
</div> <!---->
</div>
</div>
<div>
<hr>
<div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
<div class="fund-thumb my-2 my-md-0" style="background-image: url("https://cdn.givecloud.co/s/files/2/0000/1465/files/fundraising-banner-narrow_300x_cropped_top.jpg");"></div>
<div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
<h5 class="mb-1"><span>Tribute Gifts</span></h5>
<p class="mb-1">To make a gift in honor or in memory of someone you love, select this option, then include in the Special Notes section below which fund(s) you wish to contribute to.</p> <!---->
</div>
<div class="ml-md-auto">
<div class="btn-group-toggle form-primary d-inline-block price-presets">
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
<div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $NaN</div>
</div>
</div> <!---->
</div>
</div> <!---->
<div class="mt-3 pt-3 border-top"><!---->
<div class="row d-flex align-items-center no-gutters">
<div class="col-12 col-lg-8 text-center text-lg-left my-3 my-lg-0"></div>
<div class="col-12 col-lg-4 my-3 my-lg-0">
<div class="row no-gutters font-weight-bold text-center text-lg-right">
<div class="col-6">
<h4 class="cart-heading">Total</h4>
</div>
<div class="col-6">$0.00</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="card my-4 card-shipping ">
<div class="card-body">
<h4 class="text-left d-block mb-3">How often?</h4>
<hr>
<div class="row">
<div class="col-md-12">
<div class="form-group mb-3">
<div class="btn-group-toggle btn-group-checked d-inline-block">
<div class="btn btn-outline-secondary mb-1 mr-1 active">One-Time</div>
<div class="btn btn-outline-secondary mb-1 mr-1">Recurring Bi-Weekly</div>
<div class="btn btn-outline-secondary mb-1 mr-1">Recurring Monthly</div>
</div>
</div>
</div>
</div> <!----> <!----> <!---->
</div>
</div>
<div class="row">
<div class="col-12">
<div class="card mb-4 card-shipping ">
<div class="card-body">
<h4 class="text-left d-block mb-3">Billing</h4>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<div class="btn-group-toggle mb-3"><label class="btn btn-outline-dark active"><input type="radio" name="account_type_id" value="1"> Individual </label><label class="btn btn-outline-dark"><input type="radio"
name="account_type_id" value="2"> Organization </label></div>
</div>
<div class="row gutter-sm">
<div class="col-4">
<div class="form-group labelify"><label for="inputBillingFirstName">First Name</label> <input type="text" id="inputBillingFirstName" name="billing_first_name" class="form-control"></div>
</div>
<div class="col">
<div class="form-group labelify"><label for="inputBillingLastName">Last Name</label> <input type="text" id="inputBillingLastName" name="billing_last_name" class="form-control"></div>
</div>
</div>
<hr>
<div class="form-group labelify has-errors"><label for="inputBillingEmail"><i class="fa fa-envelope-o"></i> Email</label> <input id="inputBillingEmail" type="text" name="billing_email" x-autocompletetype="email"
autocompletetype="email" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
<div class="form-group">
<div class="custom-control custom-checkbox"><input id="inputEmailOptIn" type="checkbox" class="custom-control-input"> <label for="inputEmailOptIn" class="custom-control-label">Send me emails and updates.</label></div>
</div>
<div class="form-group labelify"><label for="inputBillingPhone"><i class="fa fa-phone"></i> Phone</label> <input id="inputBillingPhone" type="text" name="billing_phone" x-autocompletetype="phone-full" autocompletetype="tel"
autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control"></div> <!---->
</div>
<div class="col-md-6">
<div>
<div class="form-group labelify">
<div><label for="inputBillingAddress1">Address</label><input id="inputBillingAddress1" name="billing_address1" type="text" placeholder="Street and number, P.O. box, c/o." required="required" x-autocompletetype="address-line1"
autocompletetype="address-line1" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control pac-target-input" autocomplete="off"></div>
</div>
<div class="form-group labelify"><label for="inputBillingAddress2">Address 2</label> <input id="inputBillingAddress2" type="text" placeholder="Apartment, suite, unit, building, floor, etc." name="billing_address2"
x-autocompletetype="address-line2" autocompletetype="address-line2" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control"></div>
<div class="form-row">
<div class="form-group col-8 labelify has-errors"><label for="inputBillingCity">City</label> <input id="inputBillingCity" type="text" name="billing_city" x-autocompletetype="city" autocompletetype="city" autocorrect="off"
spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
<div class="form-group col-4 labelify has-errors"><label for="inputBillingZip">ZIP</label> <input id="inputBillingZip" type="text" name="billing_zip" x-autocompletetype="postal-code" autocompletetype="postal-code"
autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
</div>
<div class="form-row">
<div class="form-group col-7 labelify"><label for="inputBillingCountry">Country</label> <select id="inputBillingCountry" name="billing_country_code" class="form-control pristine untouched valid" aria-required="true"
aria-invalid="false">
<option></option>
<option value="CA">Canada</option>
<option value="US">United States</option>
<option value="">--------</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua & 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="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia & Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="BQ">Caribbean Netherlands</option>
<option value="KY">Cayman Islands</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="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands</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 & McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</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="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Laos</option>
<option value="LV">Latvia</option>
<option value="LS">Lesotho</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao SAR China</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia</option>
<option value="MD">Moldova</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="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="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">North Macedonia</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territories</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 Islands</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RW">Rwanda</option>
<option value="RE">Réunion</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia & South Sandwich Islands</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="BL">St. Barthélemy</option>
<option value="SH">St. Helena</option>
<option value="KN">St. Kitts & Nevis</option>
<option value="LC">St. Lucia</option>
<option value="MF">St. Martin</option>
<option value="PM">St. Pierre & Miquelon</option>
<option value="VC">St. Vincent & Grenadines</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard & Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="ST">São Tomé & Príncipe</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad & Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks & Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UM">U.S. Outlying Islands</option>
<option value="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican City</option>
<option value="VN">Vietnam</option>
<option value="WF">Wallis & Futuna</option>
<option value="EH">Western Sahara</option>
<option value="ZM">Zambia</option>
<option value="AX">Åland Islands</option>
</select></div>
<div class="form-group col-5 labelify has-errors"><label for="inputBillingProvince">State</label> <select id="inputBillingProvince" name="billing_province_code" class="form-control pristine untouched invalid"
aria-required="true" aria-invalid="true">
<option></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AE">Armed Forces of Europe</option>
<option value="AA">Armed Forces of the Americas</option>
<option value="AP">Armed Forces of the Pacific</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VI">Virgin Islands</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select></div>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-6 create-account-wrapper">
<h5 class="mb-3"> Create Account </h5>
<p>Enter a password and we'll save your info for next time.</p>
<div class="form-group labelify"><label for="inputPassword"><i class="fa fa-lock"></i> Password</label> <input id="inputPassword" type="password" name="password" autocomplete="new-password"
class="form-control pristine untouched valid" aria-required="false" aria-invalid="false"></div>
</div>
<div class="col-md-6">
<h5>Special Notes</h5>
<p><small>Leave a note or special instructions.</small></p>
<div class="form-group"><textarea name="notes" rows="2" class="form-control form-control-sm"></textarea></div>
</div>
<div class="col-12 mt-4">
<h5 class="mb-3"> How'd you hear about us? </h5>
<div class="form-group">
<div class="btn-group-toggle mb-3"><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source" value="Facebook"> Facebook </label><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio"
name="referral_source" value="Instagram"> Instagram </label><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source" value="Twitter"> Twitter </label><label
class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source" value="Website"> Website </label><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source"
value="Friend/Family"> Friend/Family </label><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source" value="Event"> Event </label><label class="btn btn-outline-dark mr-1 mb-1"><input
type="radio" name="referral_source" value="Email"> Email </label><label class="btn btn-outline-dark mr-1 mb-1"><input type="radio" name="referral_source" value="other"> Other </label></div>
</div> <!---->
</div>
</div>
</div>
</div>
<div class="card mb-4">
<div class="card-body pb-1">
<h4 class="text-left d-block">Or Check Out Our Special Events</h4>
<div class="left-left mt-3">
<p style="text-align: center;">
<a href="http://www.habitat-nola.org/sponsorastud" target="_blank" rel="noopener"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/sponsor-a-stud-close-up.jpg" alt="" width="223" height="177" style="display: block; margin-left: auto; margin-right: auto;"></a>
<a href="http://www.habitat-nola.org/womenbuild" target="_blank" rel="noopener"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/women-build-logo-e-stacked.jpg" alt="" width="227" height="177"></a> <a href="http://www.habitat-nola.org/pridebuild" target="_blank" rel="noopener"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/pride-build-noahh-2022.jpg" alt="" width="192" height="173"> </a><a href="http://www.habitat-nola.org/benchandbarbuild"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/bench-and-bar-blue.jpg" alt="" width="200"></a><a href="http://www.habitat-nola.org/unitybuild"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/ub-logo-touchup.jpg" alt="" width="230" height="181"></a>
<a href="http://www.habitat-nola.org/golf"><img src="https://cdn.givecloud.co/s/files/1/0000/1465/files/habitat-golf-small.jpg" alt="" width="259" height="167"></a></p>
<p style="text-align: center;"><span style="color: rgb(255, 103, 31);"><strong><a href="http://www.habitat-nola.org/sponsorastud" target="_blank" rel="noopener" style="color: rgb(255, 103, 31);">Sponsor-A-Stud</a> <span
style="color: rgb(0, 0, 0);">|</span> <a href="https://www.habitat-nola.org/womenbuild" target="_blank" rel="noopener" style="color: rgb(255, 103, 31);">Women Build</a> <span style="color: rgb(0, 0, 0);">|</span>
<a href="https://www.habitat-nola.org/pridebuild" target="_blank" rel="noopener" style="color: rgb(255, 103, 31);">Pride Build</a> <span style="color: rgb(0, 0, 0);">|</span>
<a href="https://www.habitat-nola.org/benchandbarbuild" style="color: rgb(255, 103, 31);">Bench and Bar Build</a> <span style="color: rgb(0, 0, 0);">|</span>
<a href="https://www.habitat-nola.org/unitybuild" style="color: rgb(255, 103, 31);">Unity Build</a> <span style="color: rgb(0, 0, 0);">|</span>
<a href="https://www.habitat-nola.org/golf" style="color: rgb(255, 103, 31);">Golf Tournament</a> <span style="color: rgb(0, 0, 0);">|</span>
<a href="http://www.habitat-nola.org/wp-content/uploads/2023/03/2022-2023-NOAHH-Event-Sponsorship-Package-2.pdf" style="color: rgb(255, 103, 31);">All Events</a> </strong></span></p> <noscript><iframe
src="https://www.googletagmanager.com/ns.html?id=GTM-MNC84H6" height="0" width="0" style="display: none; visibility: hidden;"></iframe></noscript>
</div>
</div>
</div> <!---->
<div class="card mb-4 card-payment">
<div class="card-body">
<h4 class="text-left d-block mb-3">Payment</h4>
<div class="row">
<div class="col-12 col-lg-8 offset-lg-2">
<div>
<nav class="nav nav nav-pills nav-fill mb-3"><button type="button" class="btn btn-link nav-item nav-link active"><i class="fa fa-credit-card"></i> Credit / Debit </button> <button type="button"
class="btn btn-link nav-item nav-link"><i class="fa fa-bank"></i> Bank </button> <!----> <!----></nav>
<div class="credit-card-fields">
<div class="form-group labelify payment-number-input has-errors"><label for="inputPaymentNumber">Credit Card Number</label>
<div><input type="tel" id="inputPaymentNumber" maxlength="19" placeholder="0000 0000 0000 0000" name="number" x-autocompletetype="cc-number" autocompletetype="cc-number" autocorrect="off" spellcheck="true"
autocapitalize="off" class="form-control monospace" aria-required="true" aria-invalid="true"></div> <!---->
</div>
<div class="form-row">
<div class="form-group col-6 labelify has-errors"><label for="inputPaymentExpiry">MM / YY</label>
<div><input type="tel" id="inputPaymentExpiry" maxlength="7" placeholder="MM / YY" name="exp" x-autocompletetype="cc-exp" autocompletetype="cc-exp" autocorrect="off" spellcheck="true" autocapitalize="off"
class="form-control monospace" aria-required="true" aria-invalid="true"></div>
</div>
<div class="form-group col-6 labelify has-errors"><label for="inputPaymentCVV">CVV</label>
<div><input type="tel" id="inputPaymentCVV" maxlength="4" placeholder="000" name="cvv" x-autocompletetype="cc-csc" autocompletetype="cc-csc" autocorrect="off" spellcheck="true" autocapitalize="off"
class="form-control monospace" aria-required="true" aria-invalid="true"></div>
</div>
</div>
<div class="form-group">
<div class="custom-control custom-checkbox"><input type="checkbox" id="inputSavePaymentMethod" name="save_payment_method" class="custom-control-input"> <label for="inputSavePaymentMethod"
class="custom-control-label"><i class="fa fa-lock"></i> Save this payment information securely. </label></div>
</div>
<div class="supported-cardtypes mt-1 text-center"><strong>We support:</strong> <img alt="" src="https://cdn.givecloud.co/npm/payment-icons@1.1.0/min/flat/amex.svg"> <!----> <img alt=""
src="https://cdn.givecloud.co/npm/payment-icons@1.1.0/min/flat/discover.svg"> <!----> <!----> <img alt="" src="https://cdn.givecloud.co/npm/payment-icons@1.1.0/min/flat/mastercard.svg"> <!----> <img alt=""
src="https://cdn.givecloud.co/npm/payment-icons@1.1.0/min/flat/visa.svg"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="text-center ">
<div class="mb-4 text-center">
<div class="d-inline-block">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Le_5R8TAAAAAOF5Yhh9gKB7wgo87ktsMeVYgN4w&co=aHR0cHM6Ly9oYWJpdGF0bm9sYS5naXZlY2xvdWQuY286NDQz&hl=de&v=6MY32oPwFCn9SUKWt8czDsDw&size=normal&cb=a07l338o6r8g"
width="304" height="78" role="presentation" name="a-1v2xkatycgn8" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div> <button class="btn btn-success btn-lg"><i class="fa fa-lock"></i> Donate $0.00</button>
<div class="text-center mt-3">
<div class="gc-lock"> Encrypted & Secure. Give with Confidence.<br><span
class="text-muted"><a href="https://givecloud.co/?utm_source=habitatnola&utm_medium=gc-secure" target="_blank" rel="noopener">Powered by Givecloud.</a></span></div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form>
Text Content
* * * * * * 504-861-2077 * info@habitat-nola.org * My Account MY ACCOUNT Login with Google Login with Microsoft Login with Facebook OR Email Password Remember me Sign-In I Forgot My Password -------------------------------------------------------------------------------- Create an Account Donate Home * ◀ Main Website * * Fundraisers * Donate * Home * ◀ Main Website * * Fundraisers * * * * My Account * * * * * * * * * 504-861-2077 * info@habitat-nola.org CHANGE LIVES FOR GENERATIONS. PLEASE SELECT THE FUND(S) YOU WOULD LIKE TO SUPPORT: -------------------------------------------------------------------------------- CHANGE LIVES FOR GENERATIONS Give where it is needed most. $10 $25 $50 $100 $500 $1,000 Other -------------------------------------------------------------------------------- DISASTER RELIEF & RECOVERY FUND Provide support to those affected by local disasters. $10 $25 $50 $100 $500 $1,000 Other -------------------------------------------------------------------------------- RISING OAKS Help build the Rising Oaks community, a transformational community for more than 150 families. $10 $25 $50 $100 $500 $1,000 Other -------------------------------------------------------------------------------- JEAN LAFITTE REBUILDING FUND Support rebuilding efforts in Jean Lafitte, a community south of New Orleans hard-hit by Hurricane Ida. $10 $25 $50 $100 $500 $1,000 Other -------------------------------------------------------------------------------- TRIBUTE GIFTS To make a gift in honor or in memory of someone you love, select this option, then include in the Special Notes section below which fund(s) you wish to contribute to. $10 $25 $50 $100 $500 $1,000 $NaN TOTAL $0.00 HOW OFTEN? -------------------------------------------------------------------------------- One-Time Recurring Bi-Weekly Recurring Monthly BILLING Individual Organization First Name Last Name -------------------------------------------------------------------------------- Email Send me emails and updates. Phone Address Address 2 City ZIP Country CanadaUnited States--------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoCambodiaCameroonCape VerdeCaribbean NetherlandsCayman IslandsChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHungaryIcelandIndiaIndonesiaIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLesothoLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSurinameSvalbard & Jan MayenSwedenSwitzerlandSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVietnamWallis & FutunaWestern SaharaZambiaÅland Islands State AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces of EuropeArmed Forces of the AmericasArmed Forces of the PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUnited States Minor Outlying IslandsUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming CREATE ACCOUNT Enter a password and we'll save your info for next time. Password SPECIAL NOTES Leave a note or special instructions. HOW'D YOU HEAR ABOUT US? Facebook Instagram Twitter Website Friend/Family Event Email Other OR CHECK OUT OUR SPECIAL EVENTS Sponsor-A-Stud | Women Build | Pride Build | Bench and Bar Build | Unity Build | Golf Tournament | All Events PAYMENT Credit / Debit Bank Credit Card Number MM / YY CVV Save this payment information securely. We support: Donate $0.00 Encrypted & Secure. Give with Confidence. Powered by Givecloud. × HELP COVER COSTS & FEES Online payments are one of the most cost effective ways for us to fundraise. Automation eliminates human error and streamlines our financial operations so we can focus on our mission. Help make the most of your donation by eliminating the very few remaining costs we incur when fundraising online, including: * Processing & Bank Fees * IT & Security Costs * Software Costs Close Encrypted & Secure. Give with Confidence. Powered by Givecloud. * Privacy Policy