donorbox.org Open in urlscan Pro
2606:4700:10::6816:33f9  Public Scan

Submitted URL: https://www.lunchmoney.feedbhm.org/
Effective URL: https://donorbox.org/lunchmoney
Submission: On July 30 via automatic, source certstream-suspicious — Scanned from US

Form analysis 1 forms found in the DOM

POST https://donorbox.org/donation

<form data-ga-org-id="17311" data-ga-form-id="258019" data-ga-form-name="Become a Sustaining Member!" data-ga-org-name="Grace Klein Community" data-ga-org-category="nonprofit | " data-send-billing-address-to-stripe="false"
  data-controller="ecommerce-tracking" data-ecommerce-tracking-default-currency-value="usd" class="donation-form" id="new_donation" novalidate="novalidate" action="https://donorbox.org/donation" accept-charset="UTF-8" data-remote="true"
  method="post">
  <input autocomplete="off" type="hidden" value="258019" name="donation[form_id]" id="donation_form_id">
  <input autocomplete="off" type="hidden" name="donation[sms_message_id]" id="donation_sms_message_id">
  <input value="1.0" autocomplete="off" type="hidden" name="donation[form_version]" id="donation_form_version">
  <input type="hidden" name="currency" id="currency" value="usd" autocomplete="off">
  <input type="hidden" name="slug" id="slug" value="lunchmoney" autocomplete="off">
  <input type="hidden" name="bf" id="bf" autocomplete="off">
  <input type="hidden" name="sf" id="sf" autocomplete="off">
  <input type="hidden" name="idempotency_key_index" id="idempotency_key_index" autocomplete="off">
  <input type="hidden" name="new_indian_regulation" id="new_indian_regulation" value="false" autocomplete="off">
  <input type="hidden" name="upsell_max_value" id="upsell_max_value" value="{&quot;usd&quot;:200}" autocomplete="off">
  <input type="hidden" name="upsell_50_value" id="upsell_50_value" value="{&quot;usd&quot;:25}" autocomplete="off">
  <input type="hidden" name="upsell_25_value" id="upsell_25_value" value="{&quot;usd&quot;:75}" autocomplete="off">
  <input type="hidden" name="s" id="s" value="MTcyMjM" autocomplete="off">
  <input type="hidden" name="t" id="t" value="xNTY4NQ" autocomplete="off">
  <input type="hidden" name="donation_type" id="donation_type" autocomplete="off">
  <input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_source]" id="donation_utm_params_attributes_utm_source">
  <input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_medium]" id="donation_utm_params_attributes_utm_medium">
  <input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_campaign]" id="donation_utm_params_attributes_utm_campaign">
  <input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_term]" id="donation_utm_params_attributes_utm_term">
  <input autocomplete="off" type="hidden" name="donation[utm_params_attributes][utm_content]" id="donation_utm_params_attributes_utm_content">
  <input type="hidden" name="fee_amount" id="fee_amount" value="0" autocomplete="off">
  <input type="hidden" name="enable_upsell_one_time_donors" id="enable_upsell_one_time_donors" value="false" autocomplete="off">
  <input type="hidden" id="currency-symbol" value="$">
  <div class="tabs-content">
    <div class="content step-1 active" data-ecommerce-tracking-target="step1Content" id="donor-form-step-1">
      <div class="donation-type-tab-section is-active" id="standard-donation-section">
        <div id="plan_durations_selectors" class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col">
            <p class="cta-message">Become a Sustaining Member! </p>
            <div class="mdl-btn-group active-basic-color-background">
              <fieldset><input type="radio" name="plan_duration" id="plan_duration_one_time" value="" class="pd_radio" tabindex="0" role="button" data-interval="one_time"><label class="plan_duration"
                  for="plan_duration_one_time">One-time</label><input type="radio" name="plan_duration" id="plan_duration_monthly" value="1 M" class="pd_radio" tabindex="0" role="button" data-interval="monthly" checked="checked"><label
                  class="plan_duration" for="plan_duration_monthly"><svg width="9" height="8" viewBox="0 0 9 8" fill="none" xmlns="http://www.w3.org/2000/svg" class="heart">
                    <path
                      d="M2.36258 0C1.05796 0 0 1.01525 0 2.26766C0 4.81412 2.67526 5.48178 4.49962 8C6.22592 5.49916 9 4.73229 9 2.26766C9 1.01525 7.94128 0 6.63666 0C5.6911 0 4.87717 0.535149 4.49962 1.30709C4.12283 0.535149 3.30852 0 2.36258 0Z"
                      fill="#fff">
                    </path>
                  </svg> Monthly</label></fieldset>
            </div>
          </div>
        </div>
        <div class="recurring msg no-opacity">
          <div class="mdl-tooltip mdl-tooltip--top" for="donor_account_info" data-upgraded=",MaterialTooltip">A donor account is created automatically for recurring donations. Account setup info will be emailed to you.</div><span
            class="tooltip-wrapper"><span class="tooltip-wrapper-span apply-opacity">You can log in to edit your recurring donation any time</span><span class="tooltip-wrapper-span"><span class="help-hint" id="donor_account_info"
                tabindex="0"></span></span></span>
        </div><input autocomplete="off" type="hidden" value="0.00" name="donation[fmv_payment_attributes][amount]" id="donation_fmv_payment_attributes_amount"><input autocomplete="off" type="hidden"
          name="donation[fmv_payment_attributes][description]" id="donation_fmv_payment_attributes_description"><input autocomplete="off" type="hidden" name="donation[suggested_text]" id="donation_suggested_text" value="">
        <div class="suggested-amount-boxes">
          <fieldset>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="5.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_1" tabindex="0" type="radio" value="5.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_1"><span class="box-item mc_el usd  len-1" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">5</span></span></label></div>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="10.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_2" tabindex="0" type="radio" value="10.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_2"><span class="box-item mc_el usd  len-2" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">10</span></span></label></div>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="20.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_3" tabindex="0" type="radio" value="20.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_3"><span class="box-item mc_el usd  len-2" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">20</span></span></label></div>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="50.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_4" tabindex="0" type="radio" value="50.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_4"><span class="box-item mc_el usd  len-2" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">50</span></span></label></div>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="75.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_5" tabindex="0" type="radio" value="75.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_5"><span class="box-item mc_el usd  len-2" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">75</span></span></label></div>
            <div class="suggested-amount-box amount"><input class="box-input suggested-amount mc_input" data-usd="100.0" data-fmv-usd="0.0" id="donation_suggested_amount_amount_6" tabindex="0" type="radio" value="100.0"
                name="donation[suggested_amount]"><label class="box-label" data-action="ecommerce-tracking#selectItem" for="donation_suggested_amount_amount_6"><span class="box-item mc_el usd  len-3" role="button"><span
                    class="box-currency symbol_first">$</span><span class="box-amount mc_amount symbol_first">100</span></span></label></div>
          </fieldset>
        </div>
        <div class="donorbox-custom-amount"><span class="custom-amount-text mc_el usd ">$</span><input inputmode="decimal" class="custom-amount-input suggested-amount" placeholder="Custom Amount" tabindex="0" aria-label="Custom Amount" maxlength="10"
            type="text" name="donation[custom_amount]" id="donation_custom_amount" style="padding-left: 30px;"></div>
        <fieldset>
          <legend>Employer Donation Matching</legend>
          <script src="https://doublethedonation.com/api/js/ddplugin.js"></script>
          <link href="https://doublethedonation.com/api/css/ddplugin.css" rel="stylesheet">
          <label for="dd-company-name-input">Matching Company Name</label>
          <div id="dd-company-name-input" data-doublethedonation-widget-id="G__2">
            <div class="dtd-streamlined-plugin"><input type="hidden" name="doubledonation_status" value="no_interaction"><input type="hidden" name="doublethedonation_status" value="no_interaction"><input type="hidden"
                name="doublethedonation_entered_text"><input type="hidden" name="doubledonation_company_id"><input type="hidden" name="doublethedonation_company_id"><input type="hidden" name="doubledonation_company_name"><input type="hidden"
                name="doublethedonation_company_name">
              <div class="dtd-search-box" style="width: 100%; margin-bottom: 0px;">
                <div aria-live="assertive" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div>
                <div aria-live="polite" style="display: block; font-size: 0px; color: rgb(255, 255, 255); opacity: 0; position: absolute; height: 0px; margin: 0px; z-index: -99999;"></div><input role="combobox" aria-expanded="false"
                  name="doublethedonation_company_name_input" autocomplete="new-password" type="text" id="dd-input" class="dtd-search-input form-control BBFormTextbox" style="width: 100%;" placeholder="Search for company..."
                  aria-label="Search for company...">
              </div>
            </div>
          </div>
          <small>Type in your employer's name to find out if they can match your donations</small><br>
        </fieldset>
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="honor_in_memory" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
                type="checkbox" name="honor_in_memory" id="honor_in_memory" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Dedicate my donation in honor or in memory of someone</span><span
                class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center"
                data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
        </div>
        <fieldset id="honor-fieldset" style="display: none;">
          <legend>In honor / memoriam</legend>
          <div class="mdl-grid">
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-grid radio">
                <div class="radio"><label class="mdl-radio__label mdl-radio mdl-js-radio is-checked is-upgraded" for="donation_donation_honor_attributes_honor_type_honor" data-upgraded=",MaterialRadio"><input class="mdl-radio__button"
                      onclick="toggleField()" type="radio" value="honor" checked="checked" name="donation[donation_honor_attributes][honor_type]" id="donation_donation_honor_attributes_honor_type_honor"> In honor of<span
                      class="mdl-radio__outer-circle"></span><span class="mdl-radio__inner-circle"></span></label></div>
                <div class="radio"><label style="margin-left: 20px" class="mdl-radio__label mdl-radio mdl-js-radio is-upgraded" for="donation_donation_honor_attributes_honor_type_memory" data-upgraded=",MaterialRadio"><input class="mdl-radio__button"
                      onclick="toggleField()" type="radio" value="memory" name="donation[donation_honor_attributes][honor_type]" id="donation_donation_honor_attributes_honor_type_memory"> In memory of<span class="mdl-radio__outer-circle"></span><span
                      class="mdl-radio__inner-circle"></span></label></div>
              </div>
            </div>
          </div>
          <div class="mdl-grid" data-honoree-label="Honoree Name" data-memorial-label="In memoriam of">
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true"
                  type="text" name="donation[donation_honor_attributes][honoree_name]" id="donation_donation_honor_attributes_honoree_name"><label class="mdl-textfield__label" for="donation_donation_honor_attributes_honoree_name">Honoree Name</label>
              </div>
            </div>
          </div>
          <div class="mdl-grid notify"><label class="mdl-cell mdl-cell--12-col" for="donation_donation_honor_attributes_notify_person">Person to notify</label>
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" aria-required="false" type="text"
                  name="donation[donation_honor_attributes][recipient_name]" id="donation_donation_honor_attributes_recipient_name"><label class="mdl-textfield__label" for="donation_donation_honor_attributes_recipient_name">Recipient Name</label>
              </div>
            </div>
          </div>
          <div class="mdl-grid"><label style="margin-bottom: 8px" class="mdl-cell mdl-cell--12-col" for="donation_donation_honor_attributes_notify_type">Notify this person by</label>
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-grid radio" style="margin: 0;">
                <div class="radio"><label class="mdl-radio__label mdl-radio mdl-js-radio is-checked is-upgraded" for="donation_donation_honor_attributes_notify_type_email" data-upgraded=",MaterialRadio"><input class="mdl-radio__button dh-notify-type"
                      type="radio" value="email" checked="checked" name="donation[donation_honor_attributes][notify_type]" id="donation_donation_honor_attributes_notify_type_email"> Email<span class="mdl-radio__outer-circle"></span><span
                      class="mdl-radio__inner-circle"></span></label></div>
                <div class="radio"><label style="margin-left: 20px" class="mdl-radio__label mdl-radio mdl-js-radio is-upgraded" for="donation_donation_honor_attributes_notify_type_postal" data-upgraded=",MaterialRadio"><input
                      class="mdl-radio__button dh-notify-type" type="radio" value="postal" name="donation[donation_honor_attributes][notify_type]" id="donation_donation_honor_attributes_notify_type_postal"> Postal mail<span
                      class="mdl-radio__outer-circle"></span><span class="mdl-radio__inner-circle"></span></label></div>
              </div>
            </div>
          </div>
          <div class="mdl-grid" id="recipient-email-section">
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="email" required="required"
                  aria-required="true" type="email" name="donation[donation_honor_attributes][recipient_email]" id="donation_donation_honor_attributes_recipient_email"><label class="mdl-textfield__label"
                  for="donation_donation_honor_attributes_recipient_email">Recipient Email</label></div>
            </div>
          </div>
          <div class="mdl-grid" id="recipient-address-section" style="display: none">
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-textfield mdl-js-textfield is-upgraded" data-upgraded=",MaterialTextfield"><textarea rows="1" class="mdl-textfield__input" name="donation[donation_honor_attributes][recipient_address]"
                  id="donation_donation_honor_attributes_recipient_address"></textarea><label class="mdl-textfield__label" for="donation_donation_honor_attributes_recipient_address">Recipient Address</label></div>
            </div>
          </div>
          <div class="mdl-grid ">
            <div class="mdl-cell mdl-cell--12-col">
              <div class="mdl-textfield mdl-js-textfield is-upgraded" data-upgraded=",MaterialTextfield"><textarea rows="1" class="mdl-textfield__input" style="min-height: 50px; height: 50px; overflow-y: hidden;"
                  name="donation[donation_honor_attributes][recipient_message]" id="donation_donation_honor_attributes_recipient_message"></textarea><label class="mdl-textfield__label"
                  for="donation_donation_honor_attributes_recipient_message">Message for the recipient (optional)</label></div>
            </div>
          </div>
        </fieldset>
        <div id="custom-question-117614" class="mdl-grid custom-dropdown">
          <div class="mdl-cell mdl-cell--12-col"><input autocomplete="off" type="hidden" value="117614" name="donation[donation_additional_questions_attributes][0][form_additional_question_id]"
              id="donation_donation_additional_questions_attributes_0_form_additional_question_id">
            <div class="a11y-dropdown question-select-dropdown sfd-native">
              <label class="hint" for="donation_donation_additional_questions_attributes_0_question_value">If donating $20 or more you can request a t-shirt. What is your t-shirt size? </label>
              <select tabindex="0" data-prompt="Small" class="autocomplete__input" name="donation[donation_additional_questions_attributes][0][question_value]" id="donation_donation_additional_questions_attributes_0_question_value">
                <option value="">Small</option>
                <option value="No, Thank You">No, Thank You</option>
                <option value="Small">Small</option>
                <option value="Medium">Medium</option>
                <option value="Large">Large</option>
                <option value="X-Large">X-Large</option>
                <option value="XX-Large">XX-Large</option>
                <option value="XXX-Large">XXX-Large</option>
              </select>
            </div>
          </div>
        </div>
        <div class="mdl-grid leave_a_comment height_auto">
          <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="leave_a_comment" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
                type="checkbox" name="leave_a_comment" id="leave_a_comment" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Write us a comment</span><span class="mdl-checkbox__focus-helper"></span><span
                class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span
                  class="mdl-ripple"></span></span></label></div>
        </div>
        <div class="mdl-grid comment">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="mdl-textfield mdl-js-textfield is-upgraded" style="display: none;" data-upgraded=",MaterialTextfield"><textarea id="ty-msg" rows="1" data-id="comment" class="mdl-textfield__input" tabindex="0"
                name="donation[comment]"></textarea><label for="ty-msg" class="mdl-textfield__label">Your comment</label></div>
          </div>
        </div>
        <div class="donor-wall-options">
          <div class="mdl-grid donor-wall-option height_auto">
            <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="show_comment_in_donor_wall"
                data-upgraded=",MaterialCheckbox,MaterialRipple"><input type="checkbox" name="show_comment_in_donor_wall" id="show_comment_in_donor_wall" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Display
                  your donation &amp; comment on the donor wall</span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
                  class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
          </div>
          <div class="mdl-grid donor-wall-option extra height_auto" style="display: none;">
            <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="display_first_name" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
                  type="checkbox" name="donation[donor_wall_option_attributes][only_first_name]" id="display_first_name" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Display your first name instead of full
                  name</span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
                  class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
          </div>
          <div class="mdl-grid donor-wall-option extra height_auto" style="display: none;">
            <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="hide_donation_amount" data-upgraded=",MaterialCheckbox,MaterialRipple"><input
                  type="checkbox" name="donation[donor_wall_option_attributes][hide_donation_amount]" id="hide_donation_amount" class="mdl-checkbox__input" tabindex="0"><span class="mdl-checkbox__label" role="button">Hide donation amount</span><span
                  class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center"
                  data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
          </div>
        </div>
      </div>
    </div>
    <style type="text/css">
      .cta-message {
        text-align: center;
        font-size: 16px;
        color: #000;
        margin-bottom: 17px
      }

      .donation-widget .donation-form .mdl-grid.gift-aid-block {
        margin-top: 20px
      }

      #gift-aid-block .mdl-checkbox {
        height: initial !important
      }

      #gift-aid-block .mdl-checkbox p {
        display: block;
        line-height: 20px;
        margin-bottom: 12px;
        letter-spacing: 0.01em
      }

      #gift-aid-block .mdl-checkbox small {
        display: block;
        line-height: 13px;
        font-size: 11px;
        font-family: "Open Sans", sans-serif;
        text-transform: initial
      }
    </style>
    <div class="content step-2" id="donor-form-step-2">
      <div class="error" id="dw-message-0"></div>
      <div id="donation-info">
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--6-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
              <div class="input-with-icon"><span class="icon"><i class="torso-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true" type="text" name="donation[first_name]"
                  id="donation_first_name"></div><label class="mdl-textfield__label" for="donation_first_name">First Name</label>
            </div>
          </div>
          <div class="mdl-cell mdl-cell--6-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true"
                type="text" name="donation[last_name]" id="donation_last_name"><label class="mdl-textfield__label" for="donation_last_name">Last Name</label></div>
          </div>
        </div>
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col"><label class="mdl-checkbox mdl-js-checkbox mdl-js-ripple-effect mdl-js-ripple-effect--ignore-events is-upgraded" for="donation_anonymous_donation"
              data-upgraded=",MaterialCheckbox,MaterialRipple"><input name="donation[anonymous_donation]" type="hidden" value="off" autocomplete="off"><input class="anonymous_donation mdl-checkbox__input" type="checkbox" value="on"
                name="donation[anonymous_donation]" id="donation_anonymous_donation"><span class="mdl-checkbox__label">Make donation anonymous</span><span id="anonymous_tooltip" class="help-hint" tabindex="0"></span><span for="anonymous_tooltip"
                class="mdl-tooltip mdl-tooltip--top " data-upgraded=",MaterialTooltip"><span id="anonymous_tooltip_text">The organization will always keep your personal information private. This option will further mark your donation as Anonymous in
                  their donation records.</span></span><span class="mdl-checkbox__focus-helper"></span><span class="mdl-checkbox__box-outline"><span class="mdl-checkbox__tick-outline"></span></span><span
                class="mdl-checkbox__ripple-container mdl-js-ripple-effect mdl-ripple--center" data-upgraded=",MaterialRipple"><span class="mdl-ripple"></span></span></label></div>
        </div>
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
              <div class="input-with-icon"><span class="icon"><i class="email-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="email" required="required" aria-required="true" type="email" name="donation[email]"
                  id="donation_email"></div><label class="mdl-textfield__label" for="donation_email">Email</label>
            </div>
          </div>
        </div>
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
              <div class="input-with-icon"><span class="icon"><i class="telephone-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="telephone" required="required" aria-required="true" type="tel" name="donation[phone]"
                  id="donation_phone"></div><label class="mdl-textfield__label" for="donation_phone">Phone</label>
            </div>
          </div>
        </div>
        <div class="mdl-grid ">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="a11y-dropdown accessible-dropdown">
              <label class="hint" for="donation_country">Choose your country</label>
              <div>
                <div class="autocomplete__wrapper">
                  <div style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin-bottom: -1px; margin-right: -1px; overflow: hidden; padding: 0px; position: absolute; white-space: nowrap; width: 1px;">
                    <div id="donation_country__status--A" role="status" aria-atomic="true" aria-live="polite"></div>
                    <div id="donation_country__status--B" role="status" aria-atomic="true" aria-live="polite"></div>
                  </div><input aria-expanded="false" aria-owns="donation_country__listbox" aria-autocomplete="both" aria-describedby="donation_country__assistiveHint" autocomplete="off" class="autocomplete__input autocomplete__input--show-all-values"
                    id="donation_country" name="" placeholder="" type="text" role="combobox">
                  <div class="autocomplete__dropdown-arrow-down-wrapper"><span class="autocomplete__dropdown-arrow-down" role="presentation"></span></div>
                  <ul class="autocomplete__menu autocomplete__menu--overlay autocomplete__menu--hidden" id="donation_country__listbox" role="listbox">
                    <li aria-selected="false" class="autocomplete__option" id="donation_country__option--0" role="option" tabindex="-1" aria-posinset="1" aria-setsize="1">United States</li>
                  </ul><span id="donation_country__assistiveHint" style="display: none;">When autocomplete results are available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures.</span>
                </div>
              </div><select skip_default_ids="false" allow_method_names_outside_object="false" data-postal-code="true" name="donation[country]" id="donation_country-select" style="display: none;">
                <option value="">Select your country</option>
                <option selected="selected" value="US">United States</option>
                <option value="CA">Canada</option>
                <option value="GB">United Kingdom</option>
                <option value="AU">Australia</option>
                <option disabled="disabled" value="---------------">---------------</option>
                <option value="AF">Afghanistan</option>
                <option value="AX">Åland Islands</option>
                <option value="AL">Albania</option>
                <option value="DZ">Algeria</option>
                <option value="AS">American Samoa</option>
                <option value="AD">Andorra</option>
                <option value="AO">Angola</option>
                <option value="AI">Anguilla</option>
                <option value="AQ">Antarctica</option>
                <option value="AG">Antigua and Barbuda</option>
                <option value="AR">Argentina</option>
                <option value="AM">Armenia</option>
                <option value="AW">Aruba</option>
                <option value="AU">Australia</option>
                <option value="AT">Austria</option>
                <option value="AZ">Azerbaijan</option>
                <option value="BS">Bahamas</option>
                <option value="BH">Bahrain</option>
                <option value="BD">Bangladesh</option>
                <option value="BB">Barbados</option>
                <option value="BY">Belarus</option>
                <option value="BE">Belgium</option>
                <option value="BZ">Belize</option>
                <option value="BJ">Benin</option>
                <option value="BM">Bermuda</option>
                <option value="BT">Bhutan</option>
                <option value="BO">Bolivia</option>
                <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
                <option value="BA">Bosnia and Herzegovina</option>
                <option value="BW">Botswana</option>
                <option value="BV">Bouvet Island</option>
                <option value="BR">Brazil</option>
                <option value="IO">British Indian Ocean Territory</option>
                <option value="BN">Brunei Darussalam</option>
                <option value="BG">Bulgaria</option>
                <option value="BF">Burkina Faso</option>
                <option value="BI">Burundi</option>
                <option value="CV">Cabo Verde</option>
                <option value="KH">Cambodia</option>
                <option value="CM">Cameroon</option>
                <option value="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, The 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="GU">Guam</option>
                <option value="GT">Guatemala</option>
                <option value="GG">Guernsey</option>
                <option value="GN">Guinea</option>
                <option value="GW">Guinea-Bissau</option>
                <option value="GY">Guyana</option>
                <option value="HT">Haiti</option>
                <option value="HM">Heard Island and McDonald Islands</option>
                <option value="VA">Holy See (Vatican City State)</option>
                <option value="HN">Honduras</option>
                <option value="HK">Hong Kong</option>
                <option value="HU">Hungary</option>
                <option value="IS">Iceland</option>
                <option value="IN">India</option>
                <option value="ID">Indonesia</option>
                <option value="IR">Iran, Islamic Republic of</option>
                <option value="IQ">Iraq</option>
                <option value="IE">Ireland</option>
                <option value="IM">Isle of Man</option>
                <option value="IL">Israel</option>
                <option value="IT">Italy</option>
                <option value="JM">Jamaica</option>
                <option value="JP">Japan</option>
                <option value="JE">Jersey</option>
                <option value="JO">Jordan</option>
                <option value="KZ">Kazakhstan</option>
                <option value="KE">Kenya</option>
                <option value="KI">Kiribati</option>
                <option value="KP">Korea, Democratic People's Republic of</option>
                <option value="KR">Korea, Republic of</option>
                <option value="XK">Kosovo</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="MH">Marshall Islands</option>
                <option value="MQ">Martinique</option>
                <option value="MR">Mauritania</option>
                <option value="MU">Mauritius</option>
                <option value="YT">Mayotte</option>
                <option value="MX">Mexico</option>
                <option value="FM">Micronesia, Federated States of</option>
                <option value="MD">Moldova</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="MP">Northern Mariana Islands</option>
                <option value="NO">Norway</option>
                <option value="OM">Oman</option>
                <option value="PK">Pakistan</option>
                <option value="PW">Palau</option>
                <option value="PS">Palestine, State of</option>
                <option value="PA">Panama</option>
                <option value="PG">Papua New Guinea</option>
                <option value="PY">Paraguay</option>
                <option value="PE">Peru</option>
                <option value="PH">Philippines</option>
                <option value="PN">Pitcairn</option>
                <option value="PL">Poland</option>
                <option value="PT">Portugal</option>
                <option value="PR">Puerto Rico</option>
                <option value="QA">Qatar</option>
                <option value="RE">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</option>
                <option value="TH">Thailand</option>
                <option value="TL">Timor-Leste</option>
                <option value="TG">Togo</option>
                <option value="TK">Tokelau</option>
                <option value="TO">Tonga</option>
                <option value="TT">Trinidad and Tobago</option>
                <option value="TN">Tunisia</option>
                <option value="TR">Turkey</option>
                <option value="TM">Turkmenistan</option>
                <option value="TC">Turks and Caicos Islands</option>
                <option value="TV">Tuvalu</option>
                <option value="UG">Uganda</option>
                <option value="UA">Ukraine</option>
                <option value="AE">United Arab Emirates</option>
                <option value="GB">United Kingdom</option>
                <option value="UM">United States Minor Outlying Islands</option>
                <option value="US">United States</option>
                <option value="UY">Uruguay</option>
                <option value="UZ">Uzbekistan</option>
                <option value="VU">Vanuatu</option>
                <option value="VE">Venezuela</option>
                <option value="VN">Vietnam</option>
                <option value="VG">Virgin Islands, British</option>
                <option value="VI">Virgin Islands, U.S.</option>
                <option value="WF">Wallis and Futuna</option>
                <option value="EH">Western Sahara</option>
                <option value="YE">Yemen</option>
                <option value="ZM">Zambia</option>
                <option value="ZW">Zimbabwe</option>
              </select>
            </div>
          </div>
        </div>
        <div class="mdl-grid">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield">
              <div class="input-with-icon"><span class="icon"><i class="address-icon"></i></span><input class="mdl-textfield__input pac-target-input" tabindex="0" data-id="text" required="required" aria-required="true" data-hj-allow="" type="text"
                  name="donation[address]" id="donation_address" placeholder="" autocomplete="off"></div><label class="mdl-textfield__label" for="donation_address">Address</label>
            </div>
          </div>
        </div>
        <div class="mdl-grid">
          <div class="mdl-cell mdl-cell--12-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-upgraded" data-upgraded=",MaterialTextfield">
              <div class="input-with-icon"><span class="icon"><i class="address-icon"></i></span><input class="mdl-textfield__input" tabindex="0" data-id="text" aria-required="false" data-hj-allow="" type="text" name="donation[address_line_2]"
                  id="donation_address_line_2"></div><label class="mdl-textfield__label" for="donation_address_line_2">Address 2</label>
            </div>
          </div>
        </div>
        <div class="mdl-grid">
          <div class="mdl-cell mdl-cell--6-col" id="zip_code_container">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="" maxlength="10"
                aria-required="true" size="10" type="text" name="donation[zip_code]" id="donation_zip_code"><label class="mdl-textfield__label" for="donation_zip_code">Postal Code</label></div>
          </div>
          <div class="mdl-cell mdl-cell--6-col">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-invalid is-upgraded" data-upgraded=",MaterialTextfield"><input class="mdl-textfield__input" tabindex="0" data-id="text" required="required" aria-required="true"
                type="text" name="donation[city]" id="donation_city"><label class="mdl-textfield__label" for="donation_city">City</label></div>
          </div>
        </div>
        <div class="state-providence">
          <div class="mdl-grid" id="state_container">
            <div class="mdl-cell mdl-cell--12-col" id="state_cell">
              <div class="a11y-dropdown accessible-dropdown"><label class="hint" for="donation_state">Choose your state / province</label>
                <div>
                  <div class="autocomplete__wrapper">
                    <div style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin-bottom: -1px; margin-right: -1px; overflow: hidden; padding: 0px; position: absolute; white-space: nowrap; width: 1px;">
                      <div id="donation_state__status--A" role="status" aria-atomic="true" aria-live="polite"></div>
                      <div id="donation_state__status--B" role="status" aria-atomic="true" aria-live="polite"></div>
                    </div><input aria-expanded="false" aria-owns="donation_state__listbox" aria-autocomplete="both" aria-describedby="donation_state__assistiveHint" autocomplete="off" class="autocomplete__input autocomplete__input--show-all-values"
                      id="donation_state" name="" placeholder="" type="text" role="combobox">
                    <div class="autocomplete__dropdown-arrow-down-wrapper"><span class="autocomplete__dropdown-arrow-down" role="presentation"></span></div>
                    <ul class="autocomplete__menu autocomplete__menu--overlay autocomplete__menu--hidden" id="donation_state__listbox" role="listbox"></ul><span id="donation_state__assistiveHint" style="display: none;">When autocomplete results are
                      available use up and down arrows to review and enter to select. Touch device users, explore by touch or with swipe gestures.</span>
                  </div>
                </div><select id="donation_state-select" name="donation[state]" required="" style="display: none;">
                  <option value="">Choose your state</option>
                  <option value="AL">Alabama</option>
                  <option value="AK">Alaska</option>
                  <option value="AS">American Samoa</option>
                  <option value="AZ">Arizona</option>
                  <option value="AR">Arkansas</option>
                  <option value="AA">Armed Forces Americas</option>
                  <option value="AE">Armed Forces Europe</option>
                  <option value="AP">Armed Forces Pacific</option>
                  <option value="CA">California</option>
                  <option value="CO">Colorado</option>
                  <option value="CT">Connecticut</option>
                  <option value="DE">Delaware</option>
                  <option value="DC">District of Columbia</option>
                  <option value="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">U.S. Outlying Islands</option>
                  <option value="VI">U.S. Virgin Islands</option>
                  <option value="UT">Utah</option>
                  <option value="VT">Vermont</option>
                  <option value="VA">Virginia</option>
                  <option value="WA">Washington</option>
                  <option value="WV">West Virginia</option>
                  <option value="WI">Wisconsin</option>
                  <option value="WY">Wyoming</option>
                </select>
              </div>
            </div>
          </div>
        </div>
        <div id="custom-question-117615" class="mdl-grid custom-text">
          <div class="mdl-cell mdl-cell--12-col"><input autocomplete="off" type="hidden" value="117615" name="donation[donation_additional_questions_attributes][3][form_additional_question_id]"
              id="donation_donation_additional_questions_attributes_3_form_additional_question_id">
            <div class="mdl-textfield mdl-js-textfield mdl-textfield--floating-label is-upgraded" data-upgraded=",MaterialTextfield"><label class="mdl-textfield__label__fulltext"
                for="donation_donation_additional_questions_attributes_3_question_value">Which company do you work for? Some will match!</label><input class="mdl-textfield__input" tabindex="0" type="text"
                name="donation[donation_additional_questions_attributes][3][question_value]" id="donation_donation_additional_questions_attributes_3_question_value"></div>
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Donate


BECOME A SUSTAINING MEMBER!




For as little as $5 per month, you can help Grace Klein Community feed the
hungry and stop food waste in Birmingham. 




Grab a lunchbox, pack your lunch, and take it to work.




By bringing your lunch to work one day each month, you can share what you would
have spent to #FEEDBHM. Maybe you even want to commit to bringing lunch to work
one day a week to quadruple or quintuple your impact. 




We appreciate you joining Lunch Money as a monthly contributor! We will be
sending you a fun sticker to put on your water bottle or computer as a reminder
to say a prayer for Grace Klein Community when you eat lunch. 




We will be expecting your best workdays to be LUNCH MONEY days, so email us at
info@gracekleincommunity.com when something cool happens! We would love to share
your story with others and be inspired together.





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Jennyfer

Thank you for all you do for our community!!!! 💚

Walter Crye

Thank you for all you do!