www.plannedparenthood.org
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104.16.14.208
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Submitted URL: http://ppink.org/
Effective URL: https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaii-alaska-indiana-kentuck
Submission: On December 12 via api from BR — Scanned from DE
Effective URL: https://www.plannedparenthood.org/planned-parenthood-great-northwest-hawaii-alaska-indiana-kentuck
Submission: On December 12 via api from BR — Scanned from DE
Form analysis 5 forms found in the DOM
GET /search
<form action="/search" method="GET" class="site-search min-margin" id="site-search" novalidate="">
<label class="search-label" for="site-search-field">Search</label>
<div class="search-field-wrap">
<input type="search" name="q" class="site-search-field" id="site-search-field" aria-invalid="false" maxlength="300" required="">
<button type="submit" class="button site-search-find-button">Find</button>
</div>
</form>GET /search
<form action="/search" method="GET" class="site-search min-margin" id="mobile-site-search" novalidate="">
<label class="search-label" for="site-search-field">Search</label>
<div class="search-field-wrap">
<input type="search" name="q" class="site-search-field" id="site-search-field" aria-invalid="false" maxlength="300" required="">
<button type="submit" class="button site-search-find-button">Find</button>
</div>
</form>GET /health-center
<form id="healthcenter_search_form-5ca63b67-d15b-48a8-80fb-0549437d81ec" action="/health-center" method="GET" class="location-search service-search" novalidate="" data-abide="" data-test="find-health-center-form" data-e="rxuj4e-e">
<div class="location-search-error">We couldn't access your location, please search for a location.</div>
<h2>Find a Health Center</h2>
<div class="service-search-input-container" data-formtype="full with filters">
<div class="service-search-section">
<div class="service-search-location" id="focus_id" tabindex="0">
<div class="field input-group">
<label for="id_location_5ca63b67-d15b-48a8-80fb-0549437d81ec">Zip, City, or State</label>
<span class="twitter-typeahead" style="position: relative; display: inline-block;"><input type="text" role="combobox" class="location-search-field asl-redirect-location-field tt-hint" value="" aria-autocomplete="list" aria-expanded="false"
aria-owns="state-typeahead-results city-typeahead-results" readonly="" autocomplete="off" spellcheck="false" tabindex="-1"
style="position: absolute; top: 0px; left: 0px; border-color: transparent; box-shadow: none; opacity: 1; background: none 0% 0% / auto repeat scroll padding-box border-box rgb(255, 255, 255);" dir="ltr"><input type="text"
role="combobox" class="location-search-field asl-redirect-location-field form-control" name="location" id="id_location_5ca63b67-d15b-48a8-80fb-0549437d81ec" value="" required="" aria-autocomplete="list" aria-expanded="false"
aria-owns="state-typeahead-results city-typeahead-results" autocomplete="off" spellcheck="false" dir="auto" style="position: relative; vertical-align: top; background-color: transparent;">
<pre aria-hidden="true"
style="position: absolute; visibility: hidden; white-space: pre; font-family: "Avenir Next W01", Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 500; word-spacing: 0px; letter-spacing: 0px; text-indent: 0px; text-rendering: geometricprecision; text-transform: none;"></pre>
<div class="typeahead-list" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none;">
<div class="tt-dataset tt-dataset-State"></div>
<div class="tt-dataset tt-dataset-City"></div>
</div>
</span>
<div class="form-error-abide-ignore"> Please enter a valid 5-digit zip code or city or state. </div>
</div>
<span class="form-error" id="error_text">Please fill out this field.</span>
</div>
<div class="service-search-select">
<label for="service_select">Service</label>
<select name="service" class="service_select" id="service_select">
<option value="">All Services</option>
<option value="abortionservice"> Abortion </option>
<option value="abortionreferralsservice"> Abortion Referrals </option>
<option value="birthcontrolservice"> Birth Control </option>
<option value="covid-19-vaccine"> COVID-19 Vaccine </option>
<option value="hivtestingservice"> HIV Services </option>
<option value="menshealthservice"> Men's Health Care </option>
<option value="mental-health"> Mental Health </option>
<option value="emergencycontraceptionservice"> Morning-After Pill (Emergency Contraception) </option>
<option value="pregnancyservice"> Pregnancy Testing & Services </option>
<option value="generalhealthservice"> Primary Care </option>
<option value="stdservice"> STD Testing, Treatment & Vaccines </option>
<option value="lgbtservice"> Transgender Hormone Therapy </option>
<option value="womanshealthservice"> Women's Health Care </option>
</select>
</div>
</div>
<div class="service-search-type">
<fieldset aria-label="Filter By" role="radiogroup">
<legend>Filter By</legend>
<input value="any" type="radio" id="any" name="channel" checked="">
<label for="any">All</label>
<input value="telehealth" type="radio" id="telehealth" name="channel">
<label for="telehealth">Telehealth</label>
<input value="onsite" type="radio" id="onsite" name="channel">
<label for="onsite">In-person</label>
</fieldset>
</div>
<div class="input-group-button filtered-search">
<button type="submit" class="button location-search-button" id="button-submit" data-hc-srchobj="full">Search</button>
</div>
</div>
<div class="asl-search-redirect" style="display: none;">
<p class="asl-search-redirect__info">Please enter your age and the first day of your last period for more accurate abortion options. Your information is private and anonymous.</p>
<div class="asl-search-redirect__input-container">
<div class="asl-search-redirect__lmp-date">
<div class="qs-datepicker-section" id="asl-date">
<div name="datepicker-asl" class="react-datepicker-div" data-trackfields="true" id="datepicker-asl" data-messagenotsure="I'm not sure" data-label="FIRST DAY OF YOUR LAST PERIOD"
data-analyics-event-no-lmp="entry hcs to asl selected not sure lmp checkbox" data-analyics-event="entry hcs to asl form field entered">
<div class="react-datepicker__container react-datepicker__readonly" id="datepicker-container" data-testid="ASLDatepickerContainer"><label>FIRST DAY OF YOUR LAST PERIOD</label>
<div class="react-datepicker__container">
<div class="react-datepicker-wrapper react-datepicker__readonly">
<div class="react-datepicker__input-container"><button type="button" class="datepicker datepicker-button datepicker-button--placeholder" data-testid="datepicker" id="datepicker" placeholder=""></button></div>
</div>
</div>
<div class="react-datepicker-checkbox"><input type="checkbox" data-testid="noLMP" id="noLMP-checkbox"><span class="checkbox-label react-datepicker-checkbox-label">I'm not sure</span></div>
</div>
</div>
</div>
</div>
<div class="asl-search-redirect__age-input">
<label for="age">AGE</label>
<input name="age" class="asl-redirect-age-field" type="number" id="age" aria-describedby="error-message-age">
<span class="form-error" aria-live="polite" role="alert">This field is required.</span>
</div>
<button class="asl-search-redirect__submit button" type="submit">Find Abortion Provider</button>
</div>
</div>
<script src="/static/js/aslDatepicker.bundle.82c6bdcc8599.js" id="#datepicker-asl"></script>
</form>GET /health-center
<form id="healthcenter_search_form-9da8284c-dc80-4eb1-a4a2-61b8d1a5644c" action="/health-center" method="GET" class="location-search" novalidate="" data-abide="" data-test="find-health-center-form" data-e="5r8plo-e">
<div class="location-search-error">We couldn't access your location, please search for a location.</div>
<div class="service-search-input-container" data-formtype="landing page footer">
<div class="service-search-section">
<div class="service-search-location">
<div class="field input-group">
<label for="id_location_9da8284c-dc80-4eb1-a4a2-61b8d1a5644c">Zip, City, or State</label>
<span class="twitter-typeahead" style="position: relative; display: inline-block;"><input type="text" role="combobox" class="location-search-field asl-redirect-location-field tt-hint" value="" aria-autocomplete="list" aria-expanded="false"
aria-owns="state-typeahead-results city-typeahead-results" readonly="" autocomplete="off" spellcheck="false" tabindex="-1"
style="position: absolute; top: 0px; left: 0px; border-color: transparent; box-shadow: none; opacity: 1; background: none 0% 0% / auto repeat scroll padding-box border-box rgb(255, 255, 255);" dir="ltr"><input type="text"
role="combobox" class="location-search-field asl-redirect-location-field form-control" name="location" id="id_location_9da8284c-dc80-4eb1-a4a2-61b8d1a5644c" value="" required="" aria-autocomplete="list" aria-expanded="false"
aria-owns="state-typeahead-results city-typeahead-results" autocomplete="off" spellcheck="false" dir="auto" style="position: relative; vertical-align: top; background-color: transparent;">
<pre aria-hidden="true"
style="position: absolute; visibility: hidden; white-space: pre; font-family: "Avenir Next W01", Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 500; word-spacing: 0px; letter-spacing: 0px; text-indent: 0px; text-rendering: geometricprecision; text-transform: none;"></pre>
<div class="typeahead-list" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none;">
<div class="tt-dataset tt-dataset-State"></div>
<div class="tt-dataset tt-dataset-City"></div>
</div>
</span>
<div class="form-error-abide-ignore"> Please enter a valid 5-digit zip code or city or state. </div>
</div>
<span class="form-error" aria-label="Please fill out this field.">Please fill out this field.</span>
</div>
<div class="service-search-select">
<label for="service_select">Service</label>
<select name="service" class="service_select" id="service_select">
<option value="">All Services</option>
<option value="abortionservice"> Abortion </option>
<option value="abortionreferralsservice"> Abortion Referrals </option>
<option value="birthcontrolservice"> Birth Control </option>
<option value="covid-19-vaccine"> COVID-19 Vaccine </option>
<option value="hivtestingservice"> HIV Services </option>
<option value="menshealthservice"> Men's Health Care </option>
<option value="mental-health"> Mental Health </option>
<option value="emergencycontraceptionservice"> Morning-After Pill (Emergency Contraception) </option>
<option value="pregnancyservice"> Pregnancy Testing & Services </option>
<option value="generalhealthservice"> Primary Care </option>
<option value="stdservice"> STD Testing, Treatment & Vaccines </option>
<option value="lgbtservice"> Transgender Hormone Therapy </option>
<option value="womanshealthservice"> Women's Health Care </option>
</select>
</div>
</div>
<div class="service-search-type">
<fieldset aria-label="Filter By" role="radiogroup">
<label>Filter By</label>
<input value="any" type="radio" id="any-footer" name="channel" checked="">
<label for="any-footer">All</label>
<input value="telehealth" type="radio" id="telehealth-footer" name="channel">
<label for="telehealth-footer">Telehealth</label>
<input value="onsite" type="radio" id="onsite-footer" name="channel">
<label for="onsite-footer">In-person</label>
</fieldset>
</div>
<div class="input-group-button filtered-search">
<button type="submit" class="button location-search-button" data-hc-srchobj="footer">Search</button>
</div>
<div class="asl-search-redirect" style="display: none;">
<p class="asl-search-redirect__info">Please enter your age and the first day of your last period for more accurate abortion options. Your information is private and anonymous.</p>
<div class="asl-search-redirect__input-container">
<div class="asl-search-redirect__lmp-date">
<div class="qs-datepicker-section" id="asl-date">
<div name="datepicker-asl-footer" class="react-datepicker-div" data-trackfields="true" id="datepicker-asl-footer" data-messagenotsure="I'm not sure" data-label="FIRST DAY OF YOUR LAST PERIOD"
data-analyics-event-no-lmp="entry hcs to asl selected not sure lmp checkbox" data-analyics-event="entry hcs to asl form field entered">
<div class="react-datepicker__container react-datepicker__readonly" id="datepicker-container" data-testid="ASLDatepickerContainer"><label>FIRST DAY OF YOUR LAST PERIOD</label>
<div class="react-datepicker__container">
<div class="react-datepicker-wrapper react-datepicker__readonly">
<div class="react-datepicker__input-container"><button type="button" class="datepicker datepicker-button datepicker-button--placeholder" data-testid="datepicker" id="datepicker" placeholder=""></button></div>
</div>
</div>
<div class="react-datepicker-checkbox"><input type="checkbox" data-testid="noLMP" id="noLMP-checkbox"><span class="checkbox-label react-datepicker-checkbox-label">I'm not sure</span></div>
</div>
</div>
</div>
</div>
<div class="asl-search-redirect__age-input">
<label for="age">AGE</label>
<input name="age" class="asl-redirect-age-field" type="number" id="age" aria-describedby="error-message-age">
<span class="form-error" aria-live="polite" role="alert">This field is required.</span>
</div>
<button class="asl-search-redirect__submit button" type="submit">Find Abortion Provider</button>
</div>
</div>
<script src="/static/js/aslDatepicker.bundle.82c6bdcc8599.js" id="#datepicker-asl-footer"></script>
</div>
</form>POST
<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
<div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1182832-ContributionInformation" style="border: none;">
<legend class="at-legend">Gift Information</legend>
<div class="at-fields">
<div class="at-row at-row-full ">
<div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1182832-ContributionInformation-SelectedFrequency">
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1182832-ContributionInformation-SelectedFrequency">
<label title="One-Time" class="at-radio-label-0" role="radio">
<input type="radio" name="SelectedFrequency" checked="" value="0"> One-Time </label><label title="Monthly" class="at-radio-label-4" role="radio">
<input type="radio" name="SelectedFrequency" value="4"> Monthly </label>
<div class="radio-description radio-description-value-0">A monthly gift does even more to protect reproductive rights</div>
</div>
</div>
</div>
<div class="at-row at-row-full ">
<input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
</div>
<div class="at-row at-row-full ">
<div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1182832-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
<label class="label-amount" title="$200">
<input name="SelectAmount" type="radio" value="200.00"> $200 <a></a> </label><label class="label-amount" title="$100">
<input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$60">
<input name="SelectAmount" type="radio" value="60.00"> $60 <a></a> </label><label class="label-amount" title="$35">
<input name="SelectAmount" type="radio" value="35.00"> $35 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
placeholder="0.00">
<span class="label-otheramount-prefix">$</span>
</label>
</div>
</div>
</div>
</div>
</div><label class="at-check CoverCostsAmount" id="NVContributionForm1182832-ContributionInformation-CoverCostsAmount"><input type="checkbox" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my contribution</span><span>I'd like to cover the processing fees, making my total gift <span
class="contr">$103.25</span>, so <span class="amCon">$100.00</span> goes to protect reproductive health.</span></span>
</label>
</div>
</fieldset>
<fieldset class="at-fieldset TributeGift" id="NVContributionForm1182832-TributeGift">
<div class="at-fields">
<div class="at-row at-row-full EnableTributeGift">
<label class="at-check EnableTributeGift" id="NVContributionForm1182832-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-TributeGift-EnableTributeGift-label">I'd like to make this gift in honor or in memory of someone special</span></span>
</label>
</div>
<div class="at-row">
<div class="at-tribute-gift" style="display:none">
<div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
Gift?</label>
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1182832-TributeGift-InHonorOrInMemoryOf">
<label title="In honor of" class="at-radio-label-2" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
</div>
</div><label class="at-text HonoreeName" id="NVContributionForm1182832-TributeGift-HonoreeName">Honoree Name<input type="text" autocomplete="on" required="" title="Honoree Name (required)" name="HonoreeName" value="" maxlength="100">
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1182832-RecipientInformation" style="display: none;">
<div class="at-fields">
<div class="at-row">
<label class="at-check IncludeRecipient" id="NVContributionForm1182832-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm1182832-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this contribution</span></span>
</label>
</div>
<div class="at-recipient-info" style="display: none;">
<div class="mail-checks radios at-row">
<div class="email-container">
<label class="email-tile clicked" for="email">
<input type="checkbox" name="email" id="email" value="email">
<i class="fas fa-2x fa-paper-plane" aria-hidden="true"> </i><br>
<span class="mail-text">I'd like an e-card to be sent via email</span>
</label>
<div class="deliv"> (delivered instantly or on a specific date of your choosing) </div>
</div>
<div class="mail-container">
<label class="mail-tile" for="mail">
<input type="checkbox" name="mail" id="mail" value="mail">
<i class="far fa-2x fa-envelope" aria-hidden="true"> </i><br>
<span class="mail-text">I'd like a physical card to be sent via the mail</span>
</label>
<div class="deliv">(delivered within 2 - 3 weeks)</div>
</div>
</div>
<div class="at-title basic-info">Who would you like to notify?</div>
<div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml basic-info">
<div class="at-markup RecipientInfoHeaderHtml basic-info" id="NVContributionForm1182832-RecipientInformation-RecipientInfoHeaderHtml">
<p>We will send an email notification to the email address you provide below. We are unable to send anonymous notifications — the recipient will see your name and email address.</p>
</div>
</div>
<div class="at-row RecipientFirstName RecipientLastName basic-info"><label class="at-text RecipientFirstName" id="NVContributionForm1182832-RecipientInformation-RecipientFirstName">First Name*<input type="text" autocomplete="on" required=""
title="First Name* (required)" name="RecipientFirstName" value="" maxlength="50">
</label><label class="at-text RecipientLastName" id="NVContributionForm1182832-RecipientInformation-RecipientLastName">Last Name*<input type="text" autocomplete="on" required="" title="Last Name* (required)" name="RecipientLastName"
value="" maxlength="50">
</label></div>
<div class="at-row at-row-solo RecipientStreetAddress mail" style="display: none;"><label class="at-text RecipientStreetAddress mail" id="NVContributionForm1182832-RecipientInformation-RecipientStreetAddress" style="display: none;">Street
Address*<input type="text" autocomplete="on" required="" title="Street Address* (required)" name="RecipientStreetAddress" value="" maxlength="100">
</label></div>
<div class="at-row RecipientCountry RecipientPostalCode RecipientCity RecipientStateProvince mail" style="display: none;"><label class="at-select RecipientCountry mail" id="NVContributionForm1182832-RecipientInformation-RecipientCountry"
style="">Country*<select required="" autocomplete="on" title="Country*" name="RecipientCountry" class="required select2-hidden-accessible" id="NVContributionForm1182832-RecipientInformation-RecipientCountry-select" tabindex="-1"
aria-hidden="true">
<option value="" disabled="">- Select -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</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="VG">British Virgin Islands</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo (Democratic Republic of the)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="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</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="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="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="MK">North Macedonia</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="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania (United Republic of)</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Viet Nam</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><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Country*" tabindex="0" aria-labelledby="select2-NVContributionForm1182832-RecipientInformation-RecipientCountry-select-container"><span class="select2-selection__rendered"
id="select2-NVContributionForm1182832-RecipientInformation-RecipientCountry-select-container" title="United States">United States</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-text RecipientPostalCode" id="NVContributionForm1182832-RecipientInformation-RecipientPostalCode">Postal Code*<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required=""
title="Postal Code* (required)" name="RecipientPostalCode" value="" maxlength="10">
</label><label class="at-text RecipientCity" id="NVContributionForm1182832-RecipientInformation-RecipientCity">City*<input type="text" autocomplete="on" required="" title="City* (required)" name="RecipientCity" value="" maxlength="25">
</label><label class="at-select RecipientStateProvince" id="NVContributionForm1182832-RecipientInformation-RecipientStateProvince">State/Province*<select required="" autocomplete="on" title="State/Province*" name="RecipientStateProvince"
class="required" id="NVContributionForm1182832-RecipientInformation-RecipientStateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row at-row-solo RecipientEmailAddress e-mail"><label class="at-text RecipientEmailAddress e-mail" id="NVContributionForm1182832-RecipientInformation-RecipientEmailAddress">Email* <small>(Optional)</small><input type="email"
autocomplete="on" pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false=""
title="Email*" name="RecipientEmailAddress" value="" maxlength="100">
</label></div>
<div class="at-row at-row-solo Ecard">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1182832-RecipientInformation-Ecard"></div>
</div>
<div class="at-row at-row-solo NotificationSendDate"><label class="at-date notificationsenddate" id="NVContributionForm1182832-RecipientInformation-NotificationSendDate"></label></div>
<div class="at-row at-row-solo NotificationMessage"><label class="at-area NotificationMessage" id="NVContributionForm1182832-RecipientInformation-NotificationMessage"></label></div>
</div>
<div class="at-row ecard-section e-mail">
<div class="at-recipient-msg" style="display: none;">
<div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1182832-RecipientInformation-Ecard">
<div class="at-title"> Select an Ecard </div>
<div class="at-ecards clearfix">
<div class="at-ecard selected IHO-card iho-msg-1">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-1.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-1.gif" checked="">
</div>
<div class="at-ecard IHO-card iho-msg-2">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-2.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-2.gif">
</div>
<div class="at-ecard IHO-card iho-msg-3">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-3.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-3.gif">
</div>
<div class="at-ecard IHO-card iho-msg-4">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-4.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-4.gif">
</div>
<div class="at-ecard IHO-card iho-msg-5">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-5.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-5.gif">
</div>
<div class="at-ecard IHO-card iho-msg-6">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-6.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-iho-msg-6.gif">
</div>
<div class="at-ecard IMO-card imo-msg-1 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-1.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-1.gif">
</div>
<div class="at-ecard IMO-card imo-msg-2 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-2.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-2.gif">
</div>
<div class="at-ecard IMO-card imo-msg-3 card-hidden">
<div class="at-ecard-img">
<img src="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-3.gif" alt="A generous contribution has been made in your honor.">
</div>
<input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/AV/PPFA/1/11607/images/Online%20Actions/E-Card/ecard-imo-msg-3.gif">
</div>
<button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
</div>
</div><label class="at-date notificationsenddate" id="NVContributionForm1182832-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1702416967309">
</label><label class="at-area NotificationMessage" id="NVContributionForm1182832-RecipientInformation-NotificationMessage" style="display: block;">Message* <small>(Optional)</small><textarea false="" title="Message*"
name="NotificationMessage" maxlength="4000"></textarea>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentMethodSection" id="NVContributionForm1182832-PaymentMethodSection">
<div class="at-fields">
<div class="at-row at-row-full PaymentMethod">
<div class="at-payment-method-buttons" id="NVContributionForm1182832-PaymentMethodSection-PaymentMethod">
<div class="at-radio-set at-radio-set-buttons at-align-flex-right">
<div class="at-btn-radio-wrapper at-credit-card-button-wrapper">
<input id="creditcard_radio_1182832" type="radio" name="PaymentMethod" value="creditcard">
<label for="creditcard_radio_1182832" class="at-btn-radio large" tabindex="0">Credit Card</label>
</div>
<div class="at-btn-radio-wrapper at-eft-button-wrapper">
<input id="eft_radio_1182832" type="radio" name="PaymentMethod" value="eft">
<label for="eft_radio_1182832" class="at-btn-radio large" tabindex="0"> Pay with Bank Account </label>
</div>
<div class="at-btn-radio-wrapper at-paypal-button-wrapper">
<input id="paypal_radio_1182832" type="radio" name="PaymentMethod" value="paypal">
<label for="paypal_radio_1182832" class="at-btn-radio small at-paypal-button" title="Pay with PayPal" aria-label="Pay with PayPal" tabindex="0">
<span aria-hidden="true"> </span>
</label>
</div>
</div>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset ContactInformation" id="NVContributionForm1182832-ContactInformation" style="display: none;">
<legend class="at-legend">Billing Information</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVContributionForm1182832-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVContributionForm1182832-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row AddressLine1 AddressLine2"><label class="at-text AddressLine1" id="NVContributionForm1182832-ContactInformation-AddressLine1">Street Address<input type="text" autocomplete="address-line1" x-autocompletetype="address-line1"
required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
</label><label class="at-text AddressLine2" id="NVContributionForm1182832-ContactInformation-AddressLine2">Address Line 2 <small>(Optional)</small><input type="text" autocomplete="address-line2" x-autocompletetype="address-line2" false=""
title="Address Line 2" name="AddressLine2" value="" maxlength="99">
</label></div>
<div class="at-row Country PostalCode City StateProvince"><label class="at-select Country" id="NVContributionForm1182832-ContactInformation-Country">Country <small>(Optional)</small><select autocomplete="country-name"
x-autocompletetype="country" title="Country" name="Country" class="select2-hidden-accessible" id="NVContributionForm1182832-ContactInformation-Country-select" tabindex="-1" aria-hidden="true">
<option value="">- Select -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Åland Islands</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</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="VG">British Virgin Islands</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="CV">Cabo Verde</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo (Democratic Republic of the)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Côte d'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czechia</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="SZ">Eswatini</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="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</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="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="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="MK">North Macedonia</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="QA">Qatar</option>
<option value="RE">Réunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania (United Republic of)</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela (Bolivarian Republic of)</option>
<option value="VN">Viet Nam</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><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 267px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
aria-expanded="false" title="Country" tabindex="0" aria-labelledby="select2-NVContributionForm1182832-ContactInformation-Country-select-container"><span class="select2-selection__rendered"
id="select2-NVContributionForm1182832-ContactInformation-Country-select-container" title="United States">United States</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</label><label class="at-text PostalCode" id="NVContributionForm1182832-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required=""
title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City" id="NVContributionForm1182832-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value=""
maxlength="25">
</label><label class="at-select StateProvince" id="NVContributionForm1182832-ContactInformation-StateProvince">Province/State<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="Province/State"
name="StateProvince" class=" required" id="NVContributionForm1182832-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
<option value="FL">FL</option>
<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
<option value="IN">IN</option>
<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</option>
<option value="RI">RI</option>
<option value="SC">SC</option>
<option value="SD">SD</option>
<option value="TN">TN</option>
<option value="TX">TX</option>
<option value="UT">UT</option>
<option value="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select>
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress" id="NVContributionForm1182832-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone" id="NVContributionForm1182832-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone">
</label></div>
<div class="at-row at-row-solo SmsSubscribeMobilePhone"><input id="SmsSubscribeMobilePhone_Value" type="hidden" name="SmsSubscribeMobilePhone.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer">
<div class="at-markup SmsLegalDisclaimer at-legal" id="NVContributionForm1182832-ContactInformation-SmsLegalDisclaimer">By providing your cell phone number, you agree to receive calls and texts to that number from Planned Parenthood
organizations that may be automatically dialed or prerecorded on Planned Parenthood issues and other ways to get involved. Msg freq varies. STOP to quit. Msg & Data Rates May Apply.
<a href="https://www.plannedparenthood.org/terms-use" target="_blank">Terms</a>.<br><br>
</div>
</div>
<div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check YesSignMeUpForUpdatesForBinder" id="NVContributionForm1182832-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
checked="" required="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1182832-ContactInformation-YesSignMeUpForUpdatesForBinder-label">You'll receive
emails from Planned Parenthood organizations. You may unsubscribe at any time.</span></span>
</label></div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVContributionForm1182832-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
<div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" id="NVContributionForm1182832-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
src="https://secure.everyaction.com/v1/Track/rx5reicYUE2nDzFRtAobGg2?formSessionId=c8883c2e-7ae1-4b5a-9000-3cd65fe648b8&bName=chrome&dType=desktop&formVersion=11/30/2023 4:43:49 PM|7/24/2023 8:29:23 PM&fUrl=aHR0cHM6Ly93d3cucGxhbm5lZHBhcmVudGhvb2Qub3JnL3BsYW5uZWQtcGFyZW50aG9vZC1ncmVhdC1ub3J0aHdlc3QtaGF3YWlpLWFsYXNrYS1pbmRpYW5hLWtlbnR1Y2s%3D&fRef="
style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1182832-PaymentInformation" style="display: none;">
<legend class="at-legend">Payment Information</legend>
<div class="at-fields">
<div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1182832-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
<div class="cc-type unknown"></div>
<input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
</div>
<div id="vgs-Account-1182832" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&type=card-number&validations%5B0%5D=validCardNumber&validations%5B1%5D=required&autoComplete=cc-number&formId=randomId1206420557640569677&fieldId=randomId1209955112198169427&createdAt=1702416967851&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=830f1772-33be-4f7d-9595-00d7fc39c5ae&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId1209955112198169427" form-id="randomId1206420557640569677" data-gtm-yt-inspected-666187_821="true" data-gtm-yt-inspected-61934708_454="true"></iframe></div>
</label><label class="at-text at-cc-expiration" id="NVContributionForm1182832-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
<input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
</div>
<div id="vgs-ExpirationDate-1182832" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&placeholder=MM%20%2F%20YY&type=card-expiration-date&serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&validations%5B0%5D=validCardExpirationDate&validations%5B1%5D=required&autoComplete=cc-exp&formId=randomId1206420557640569677&fieldId=randomId12045240928425003113&createdAt=1702416967853&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=830f1772-33be-4f7d-9595-00d7fc39c5ae&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
frameborder="0" scrolling="0" allowtransparency="true" id="randomId12045240928425003113" form-id="randomId1206420557640569677" data-gtm-yt-inspected-666187_821="true" data-gtm-yt-inspected-61934708_454="true"></iframe></div>
</label></div>
<div class="at-row">
<div class="at-paypal-accepted-here" style="display: none;">
<div class="at-payment-integration-container" style="display: none;">
<img src="//d3rse9xjbp8270.cloudfront.net/assets/images/paypal-logo.png" alt="PayPal">
<p>You’ve authorized this payment through PayPal.</p>
<div>Contribution Amount: <b class="at-paypal-amount"></b></div>
<div>Account: <b class="at-paypal-account-info"></b></div>
</div>
<label class="paypal-label">
<input type="hidden" name="paypalNonce" value="">
</label>
</div>
</div>
<div class="at-row">
<div class="at-eft-accepted-here" style="display: none;">
<label class="account-type-label">Account Type <select title="Account Type" name="bankAccountType" id="bankAccountType" style="width:50%;" class="eft-input">
<option value="Checking">Checking</option>
<option value="Savings">Savings</option>
</select>
</label>
<label class="routing-number-label at-row-half">Routing Number <a class="at-whatsthis" tabindex="0">What's This?</a>
<input type="tel" name="routingNumber" id="routingNumber" placeholder="•••••••••" style="width:100%;" maxlength="9" class="eft-input">
</label>
<label class="account-number-label at-row-half">Account Number <a class="at-whatsthis" tabindex="0">What's This?</a>
<input type="tel" name="bankAccountNumber" id="bankAccountNumber" placeholder="•••••••••••••••••" style="width:100%;" maxlength="17" class="eft-input">
</label>
<label class="confirm-account-number-label at-row-half">Confirm Account Number <input type="tel" name="confirmBankAccountNumber" id="confirmBankAccountNumber" placeholder="•••••••••••••••••" style="width:100%;" maxlength="17"
class="eft-input">
</label>
<label class="at-check authorize-payment-label">
<input type="checkbox" name="authorizePayment" id="authorizePayment" class="eft-input">
<span>I authorize the use of my bank account as a payment method and authorize this organization to debit my bank account via the Automated Clearing House system to fulfill my donation commitment. This authority will remain in effect
until revoked in writing by the account holder.</span>
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation" id="NVContributionForm1182832-AdditionalInformation" style="display: none;">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFieldHeaderHtml">
<div class="at-markup CustomFieldHeaderHtml" id="NVContributionForm1182832-AdditionalInformation-CustomFieldHeaderHtml" style="display: none;"></div>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39">
<label class="at-text CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39">Organization
<small>(Optional)</small><input type="text" autocomplete="on" false="" title="Organization" name="CustomFormFieldQuestion_6308388360774211_MappedCustomFormFieldQuestion_39" value="" maxlength="75">
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40">
<label class="at-text CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40">Percentage
<small>(Optional)</small><input type="text" autocomplete="on" pattern="^(\d+(\.\d{0,2})?)|((\.\d{1,2}))$" false="" title="Percentage" name="CustomFormFieldQuestion_3612949719869257_MappedCustomFormFieldQuestion_40" value="" maxlength="">
</label>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46">
<label class="at-text CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46" id="NVContributionForm1182832-AdditionalInformation-CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46">Salesforce Code
<small>(Optional)</small><input type="text" autocomplete="on" false="" title="Salesforce Code" name="CustomFormFieldQuestion_7757137705401395_MappedCustomFormFieldQuestion_46" value="" maxlength="75">
</label>
</div>
<div class="at-row at-row-full CustomFieldFooterHtml">
<div class="at-markup CustomFieldFooterHtml" id="NVContributionForm1182832-AdditionalInformation-CustomFieldFooterHtml" style="display: none;"></div>
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Donate Now" class="at-submit btn-at btn-at-primary" style="display: none;">
</div>
</form>Text Content
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EXPANDED VASECTOMY SERVICES
We are proud to announce expanded access to vasectomy services in Indiana.
Vasectomy consultations are now available in Hammond and Mishawaka.
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NO SURPRISE ACT NOTICE
You have the right to receive a ‘Good Faith Estimate’ explaining how much your
medical care will cost.
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INFECTION PREVENTION IN OUR HEALTH CENTERS
As part of our commitment to keep our communities healthy, we’ve updated our
health centers to help limit the spread of the infectious illness.
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PATIENT RESOURCES
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HEALTH CARE SERVICES
From birth control to cancer screening, we offer high-quality, affordable health
care.
Our Services
PATIENT PORTAL
Message your provider, see lab results, or review your medical history.
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TELEHEALTH
Can't get to us? Let us come to you. Birth control and UTI treatment direct to
you.
Telehealth Options
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AFFORDABLE HEALTH CARE
Learn about discounted care, payment plans, and financial assistance to help
make your visit more affordable.
Paying for your care
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HEALTH CENTER LOCATIONS
We have 35 health centers in Alaska, Hawaiʻi, Idaho, Indiana, Kentucky, and
western Washington.
Find a health center
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INSURANCE ACCEPTED
We accept most major insurance plans, including Medicaid.
Insurance Plans
GENDER AFFIRMING HORMONE CARE
After a temporary pause, we are gradually re-opening appointments for new
patients seeking this service. We have worked diligently behind-the-scenes to
expand capacity in our health centers and thank you for your understanding
during this time. Know that we deeply value services for transgender and
non-binary patients, including gender affirming hormone care, and we look
forward to seeing new patients once again.
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GET INVOLVED
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PLANNED PARENTHOOD ALLIANCE ADVOCATES
Take action with our advocacy and political arm.
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JOBS & VOLUNTEERING
Our staff and volunteers are on a mission.
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DONATE LOCALLY
When you give to PPGNHAIK, you support your local Planned Parenthood affiliate.
Ways to Give
GLOBAL PROGRAMS
Our Global Programs partners with organizations in low and middle income
countries that work to improve sexual and reproductive health outcomes for
youth, women, and other often overlooked groups.
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GIVING TUESDAY EXTENDED! GIVE BY MIDNIGHT.
From the Supreme Court to statehouses nationwide, the right to control our
bodies is under attack like never before. Together, we must protect and restore
access to sexual and reproductive health care, including abortion.
Help Planned Parenthood stand up for patients and protect our rights. Rush your
Giving Tuesday gift today.
REMIND ME LATER
With reproductive health and rights on the line, it's going to take all of us to
step up and chip in however we can.
We understand now might not be the best time to give, but let us know how to get
in touch and we'll remind you to make a gift to Planned Parenthood later.
In the meantime, we'll keep sharing ways to give, take action, and get involved
to support Planned Parenthood and protect reproductive health and rights.
Give To Planned ParenthoodSpecific Giving
Your gift will go to the Planned Parenthood organization of your choice.
Patients need us, and we need you. Make your tax-deductible year-end gift today
so we can continue to protect and provide care, no matter what.
Organization- Select -Planned Parenthood Federation of AmericaPlanned Parenthood
Federation of America Global ProgramsAL - Planned Parenthood SoutheastAK -
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyAR -
Planned Parenthood Great PlainsAZ - Planned Parenthood ArizonaCA - Planned
Parenthood Los AngelesCA - Planned Parenthood Pasadena and San Gabriel ValleyCA
- Planned Parenthood of the Pacific SouthwestCA - Planned Parenthood Mar MonteCA
- Planned Parenthood of Orange & San Bernardino CountiesCA - Planned Parenthood
California Central CoastCA - Planned Parenthood Northern CaliforniaCO - Planned
Parenthood of the Rocky MountainsCT - Planned Parenthood of Southern New
EnglandDC - Planned Parenthood of Metropolitan Washington, DCDE - Planned
Parenthood of DelawareFL - Planned Parenthood of Southwest and Central FloridaFL
- Planned Parenthood of South, East and North FloridaGA - Planned Parenthood
SoutheastHI - Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana,
KentuckyIA - Planned Parenthood North Central StatesID - Planned Parenthood
Great Northwest, Hawai'i, Alaska, Indiana, KentuckyID - Planned Parenthood of
Greater Washington and North IdahoIL - Planned Parenthood of IllinoisIL -
Planned Parenthood of the St. Louis Region and Southwest MissouriIN - Planned
Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyKS - Planned
Parenthood Great PlainsKY - Planned Parenthood Great Northwest, Hawai'i, Alaska,
Indiana, KentuckyKY - Planned Parenthood Southwest Ohio RegionLA - Planned
Parenthood Gulf CoastMA - Planned Parenthood League of MassachusettsMD - Planned
Parenthood of MarylandMD - Planned Parenthood of Metropolitan Washington, DCME -
Planned Parenthood of Northern New EnglandMI - Planned Parenthood of MichiganMN
- Planned Parenthood North Central StatesMO - Planned Parenthood Great PlainsMO
- Planned Parenthood of the St. Louis Region and Southwest MissouriMS - Planned
Parenthood of Tennessee and North MississippiMS - Planned Parenthood SoutheastMT
- Planned Parenthood of MontanaNC - Planned Parenthood South AtlanticND -
Planned Parenthood North Central StatesNE - Planned Parenthood North Central
StatesNH - Planned Parenthood of Northern New EnglandNJ - Planned Parenthood of
Northern, Central, and Southern New JerseyNJ - Planned Parenthood of
Metropolitan New JerseyNM - Planned Parenthood of the Rocky MountainsNV -
Planned Parenthood Mar MonteNV - Planned Parenthood of the Rocky MountainsNY -
Upper Hudson Planned ParenthoodNY - Planned Parenthood of Central and Western
New YorkNY - Planned Parenthood of Greater New YorkNY - Planned Parenthood of
the North Country New YorkNY - Planned Parenthood Hudson PeconicOH - Planned
Parenthood of Greater OhioOH - Planned Parenthood Southwest Ohio RegionOK -
Planned Parenthood Great PlainsOR - Planned Parenthood of Southwestern OregonOR
- Planned Parenthood Columbia WillamettePA - Planned Parenthood Southeastern
PennsylvaniaPA - Planned Parenthood of Western PennsylvaniaPA - Planned
Parenthood KeystoneRI - Planned Parenthood of Southern New EnglandSC - Planned
Parenthood South AtlanticSD - Planned Parenthood North Central StatesTN -
Planned Parenthood of Tennessee and North MississippiTX - Planned Parenthood of
Greater TexasTX - Planned Parenthood Gulf CoastTX - Planned Parenthood South
TexasUT - Planned Parenthood Association of UtahVA - Planned Parenthood South
AtlanticVA - Planned Parenthood of Metropolitan Washington, DCVA - Virginia
League for Planned ParenthoodVT - Planned Parenthood of Northern New EnglandWA -
Mt. Baker Planned ParenthoodWA - Planned Parenthood Columbia WillametteWA -
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, KentuckyWA -
Planned Parenthood of Greater Washington and North IdahoWI - Planned Parenthood
of WisconsinWV - Planned Parenthood South AtlanticWY - Planned Parenthood of the
Rocky Mountains
Donate Online Today
Patients need us, and we need you. Make your tax-deductible year-end gift today
so we can continue to protect and provide care, no matter what.
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HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish
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VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta
RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
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KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic
People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia
(Federated States of)Moldova (Republic
of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
MacedoniaNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarRéunionRomaniaRussian
FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da
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the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
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