donate.safesurfin.org Open in urlscan Pro
76.76.21.21  Public Scan

Submitted URL: https://donate.safesurfin.org/
Effective URL: https://donate.safesurfin.org/pg_a60nZottoG-safe-surfin-foundation
Submission: On October 17 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

#

<form action="#" class="sc-eLgNKc foXUdM">
  <div class="sc-crrszt jZhoks">
    <div class="sc-crrszt sc-dQoVA etIhEr kLtnvU"><svg width="16" height="18" viewBox="0 0 16 18" fill="none" xmlns="http://www.w3.org/2000/svg">
        <circle cx="8" cy="5.625" r="4.875" fill="#fff" stroke="#2F2F4B" stroke-width="1.5"></circle>
        <path d="M15 17H1c0-3.314 3.134-6 7-6s7 2.686 7 6z" fill="#fff" stroke="#2F2F4B" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path>
      </svg>
      <div class="sc-hBEYId fBNvSQ">Donor Information</div>
    </div>
    <div class="sc-bqyKOL bgoDsC">
      <div class="sc-crrszt bCkboc"><label for="address.firstName" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">First Name</label><input value="" name="address.firstName" autocomplete="given-name" autocapitalize="off"
          autocorrect="off" spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div class="sc-crrszt bCkboc"><label for="address.lastName" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Last Name</label><input value="" name="address.lastName" autocomplete="family-name" autocapitalize="off"
          autocorrect="off" spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div class="sc-crrszt dYCWtK"><label for="email" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Email</label><input value="" name="email" autocomplete="email" autocapitalize="off" autocorrect="off" spellcheck="false"
          aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div class="sc-crrszt bCkboc"><label for="address.addressLine1" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Street Address</label><input value="" name="address.addressLine1" autocomplete="billing address-line1"
          autocapitalize="off" autocorrect="off" spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div class="sc-crrszt bCkboc"><label for="address.addressLine2" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Apartment, suite, etc.</label>
        <div class="sc-fFucqa sc-iNqMzA gqIqjv sawMx">optional</div><input value="" name="address.addressLine2" autocomplete="billing address-line2" autocapitalize="off" autocorrect="off" spellcheck="false" aria-invalid="false"
          class="sc-nFqVA iMOVec">
      </div>
      <div class="sc-crrszt bCkboc"><label for="address.city" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">City</label><input value="" name="address.city" autocomplete="billing address-level2" autocapitalize="off" autocorrect="off"
          spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div autocomplete="billing country-name" class="sc-crrszt bCkboc sc-fbkiRW foKZxS"><label style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Country</label><button type="button" aria-expanded="false" aria-controls="id-4"
          aria-haspopup="menu" aria-invalid="false" class="sc-clsFYl fsXPbU">United States<svg width="10" height="6" viewBox="0 0 10 6" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path d="M5.372 4.587a.5.5 0 01-.744 0L1.251.834A.5.5 0 011.623 0h6.754a.5.5 0 01.372.834L5.372 4.587z" fill="currentColor"></path>
          </svg></button></div>
      <div id="id-4" hidden="" style="display: none; min-width: 317px;" role="menu" tabindex="-1" data-dialog="true" aria-orientation="vertical" aria-label="Actions" class="sc-lcuiOb uHcUw"><button id="id-4-1" tabindex="0" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Afghanistan</button><button id="id-4-2" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Åland Islands</button><button id="id-4-3"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Albania</button><button id="id-4-4" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Algeria</button><button id="id-4-5" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">American Samoa</button><button id="id-4-6" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Andorra</button><button id="id-4-7" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Angola</button><button id="id-4-8" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Anguilla</button><button id="id-4-9" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Antarctica</button><button
          id="id-4-10" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Antigua and Barbuda</button><button id="id-4-11" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Argentina</button><button id="id-4-12" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Armenia</button><button id="id-4-13" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Aruba</button><button id="id-4-14" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Australia</button><button id="id-4-15" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Austria</button><button id="id-4-16" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Azerbaijan</button><button
          id="id-4-17" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bahamas</button><button id="id-4-18" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Bahrain</button><button id="id-4-19" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bangladesh</button><button id="id-4-20" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Barbados</button><button id="id-4-21" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Belarus</button><button id="id-4-22" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Belgium</button><button id="id-4-23" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Belize</button><button id="id-4-24"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Benin</button><button id="id-4-25" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bermuda</button><button
          id="id-4-26" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bhutan</button><button id="id-4-27" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Bolivia</button><button id="id-4-28" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bosnia and Herzegovina</button><button id="id-4-29" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Botswana</button><button id="id-4-30" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Bouvet Island</button><button id="id-4-31" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Brazil</button><button id="id-4-32" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">British Indian Ocean
          Territory</button><button id="id-4-33" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Brunei Darussalam</button><button id="id-4-34" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Bulgaria</button><button id="id-4-35" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Burkina Faso</button><button id="id-4-36" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Burundi</button><button id="id-4-37" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cambodia</button><button
          id="id-4-38" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cameroon</button><button id="id-4-39" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Canada</button><button id="id-4-40" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cape Verde</button><button id="id-4-41" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cayman Islands</button><button id="id-4-42" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Central African Republic</button><button
          id="id-4-43" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Chad</button><button id="id-4-44" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Chile</button><button id="id-4-45" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">China</button><button id="id-4-46" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Christmas Island</button><button id="id-4-47" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cocos (Keeling) Islands</button><button id="id-4-48"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Colombia</button><button id="id-4-49" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Comoros</button><button id="id-4-50" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Congo</button><button id="id-4-51" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Congo, The Democratic Republic of the</button><button id="id-4-52" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cook Islands</button><button id="id-4-53"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Costa Rica</button><button id="id-4-54" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cote
          D'Ivoire</button><button id="id-4-55" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Croatia</button><button id="id-4-56" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Cuba</button><button id="id-4-57" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Cyprus</button><button id="id-4-58" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Czech Republic</button><button id="id-4-59" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Denmark</button><button id="id-4-60" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Djibouti</button><button id="id-4-61" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Dominica</button><button
          id="id-4-62" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Dominican Republic</button><button id="id-4-63" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Ecuador</button><button id="id-4-64" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Egypt</button><button id="id-4-65" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">El Salvador</button><button id="id-4-66" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Equatorial Guinea</button><button id="id-4-67" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Eritrea</button><button id="id-4-68" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Estonia</button><button
          id="id-4-69" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Ethiopia</button><button id="id-4-70" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Falkland Islands (Malvinas)</button><button id="id-4-71" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Faroe Islands</button><button id="id-4-72" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Fiji</button><button id="id-4-73" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Finland</button><button id="id-4-74"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">France</button><button id="id-4-75" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">French
          Guiana</button><button id="id-4-76" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">French Polynesia</button><button id="id-4-77" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">French Southern Territories</button><button id="id-4-78" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Gabon</button><button id="id-4-79" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Gambia</button><button id="id-4-80" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Georgia</button><button id="id-4-81"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Germany</button><button id="id-4-82" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Ghana</button><button
          id="id-4-83" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Gibraltar</button><button id="id-4-84" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Greece</button><button id="id-4-85" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Greenland</button><button id="id-4-86" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Grenada</button><button id="id-4-87" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guadeloupe</button><button id="id-4-88" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guam</button><button id="id-4-89" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guatemala</button><button id="id-4-90"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guernsey</button><button id="id-4-91" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Guinea</button><button id="id-4-92" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guinea-Bissau</button><button id="id-4-93" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guyana</button><button id="id-4-94" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Haiti</button><button id="id-4-95" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Heard Island and Mcdonald Islands</button><button id="id-4-96" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Holy See
          (Vatican City State)</button><button id="id-4-97" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Honduras</button><button id="id-4-98" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Hong Kong</button><button id="id-4-99" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Hungary</button><button id="id-4-100" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Iceland</button><button id="id-4-101" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">India</button><button
          id="id-4-102" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Indonesia</button><button id="id-4-103" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Iran, Islamic Republic Of</button><button id="id-4-104" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Iraq</button><button id="id-4-105" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Ireland</button><button id="id-4-106" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Isle of Man</button><button
          id="id-4-107" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Israel</button><button id="id-4-108" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Italy</button><button id="id-4-109" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Jamaica</button><button id="id-4-110" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Japan</button><button id="id-4-111" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Jersey</button><button id="id-4-112" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Jordan</button><button id="id-4-113" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kazakhstan</button><button
          id="id-4-114" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kenya</button><button id="id-4-115" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Kiribati</button><button id="id-4-116" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Korea, Democratic People'S Republic of</button><button id="id-4-117" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Korea, Republic of</button><button id="id-4-118" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kuwait</button><button
          id="id-4-119" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kyrgyzstan</button><button id="id-4-120" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Lao
          People'S Democratic Republic</button><button id="id-4-121" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Latvia</button><button id="id-4-122" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Lebanon</button><button id="id-4-123" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Lesotho</button><button id="id-4-124" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Liberia</button><button id="id-4-125" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Libyan Arab
          Jamahiriya</button><button id="id-4-126" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Liechtenstein</button><button id="id-4-127" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Lithuania</button><button id="id-4-128" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Luxembourg</button><button id="id-4-129" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Macao</button><button id="id-4-130" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Macedonia, The Former Yugoslav
          Republic of</button><button id="id-4-131" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Madagascar</button><button id="id-4-132" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Malawi</button><button id="id-4-133" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Malaysia</button><button id="id-4-134" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Maldives</button><button id="id-4-135" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mali</button><button id="id-4-136" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Malta</button><button id="id-4-137" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Marshall Islands</button><button
          id="id-4-138" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Martinique</button><button id="id-4-139" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Mauritania</button><button id="id-4-140" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mauritius</button><button id="id-4-141" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mayotte</button><button id="id-4-142" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mexico</button><button id="id-4-143" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Micronesia, Federated States of</button><button id="id-4-144" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Moldova,
          Republic of</button><button id="id-4-145" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Monaco</button><button id="id-4-146" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Mongolia</button><button id="id-4-147" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Montserrat</button><button id="id-4-148" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Morocco</button><button id="id-4-149" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mozambique</button><button id="id-4-150" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Myanmar</button><button id="id-4-151" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Namibia</button><button
          id="id-4-152" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Nauru</button><button id="id-4-153" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Nepal</button><button id="id-4-154" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Netherlands</button><button id="id-4-155" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Netherlands Antilles</button><button id="id-4-156" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">New Caledonia</button><button id="id-4-157"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">New Zealand</button><button id="id-4-158" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Nicaragua</button><button id="id-4-159" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Niger</button><button id="id-4-160" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Nigeria</button><button id="id-4-161" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Niue</button><button id="id-4-162" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Norfolk Island</button><button id="id-4-163" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Northern Mariana
          Islands</button><button id="id-4-164" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Norway</button><button id="id-4-165" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Oman</button><button id="id-4-166" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Pakistan</button><button id="id-4-167" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Palau</button><button id="id-4-168" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Palestinian Territory, Occupied</button><button
          id="id-4-169" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Panama</button><button id="id-4-170" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Papua
          New Guinea</button><button id="id-4-171" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Paraguay</button><button id="id-4-172" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Peru</button><button id="id-4-173" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Philippines</button><button id="id-4-174" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Pitcairn</button><button id="id-4-175" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Poland</button><button id="id-4-176" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Portugal</button><button id="id-4-177" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Puerto Rico</button><button
          id="id-4-178" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Qatar</button><button id="id-4-179" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Reunion</button><button id="id-4-180" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Romania</button><button id="id-4-181" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Russian Federation</button><button id="id-4-182" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">RWANDA</button><button id="id-4-183"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Saint Helena</button><button id="id-4-184" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Saint Kitts and
          Nevis</button><button id="id-4-185" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Saint Lucia</button><button id="id-4-186" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Saint Pierre and Miquelon</button><button id="id-4-187" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Saint Vincent and the Grenadines</button><button id="id-4-188"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Samoa</button><button id="id-4-189" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">San
          Marino</button><button id="id-4-190" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Sao Tome and Principe</button><button id="id-4-191" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Saudi Arabia</button><button id="id-4-192" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Senegal</button><button id="id-4-193" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Serbia and Montenegro</button><button id="id-4-194" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Seychelles</button><button id="id-4-195" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Sierra Leone</button><button id="id-4-196" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Singapore</button><button id="id-4-197" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Slovakia</button><button id="id-4-198" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Slovenia</button><button id="id-4-199" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Solomon Islands</button><button
          id="id-4-200" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Somalia</button><button id="id-4-201" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">South
          Africa</button><button id="id-4-202" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">South Georgia and the South Sandwich Islands</button><button id="id-4-203" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Spain</button><button id="id-4-204" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Sri Lanka</button><button id="id-4-205" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Sudan</button><button id="id-4-206" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Surilabel</button><button
          id="id-4-207" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Svalbard and Jan Mayen</button><button id="id-4-208" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Swaziland</button><button id="id-4-209" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Sweden</button><button id="id-4-210" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Switzerland</button><button id="id-4-211" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Syrian Arab Republic</button><button id="id-4-212"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Taiwan, Province of China</button><button id="id-4-213" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Tajikistan</button><button id="id-4-214" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Tanzania, United Republic of</button><button id="id-4-215" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Thailand</button><button id="id-4-216" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Timor-Leste</button><button
          id="id-4-217" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Togo</button><button id="id-4-218" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Tokelau</button><button id="id-4-219" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Tonga</button><button id="id-4-220" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Trinidad and Tobago</button><button id="id-4-221" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Tunisia</button><button id="id-4-222"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Turkey</button><button id="id-4-223" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Turkmenistan</button><button id="id-4-224" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Turks and Caicos Islands</button><button id="id-4-225" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Tuvalu</button><button id="id-4-226" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Uganda</button><button
          id="id-4-227" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Ukraine</button><button id="id-4-228" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">United
          Arab Emirates</button><button id="id-4-229" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">United Kingdom</button><button id="id-4-230" tabindex="-1" aria-selected="true" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">United States</button><button id="id-4-231" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">United States Minor Outlying Islands</button><button id="id-4-232"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Uruguay</button><button id="id-4-233" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Uzbekistan</button><button id="id-4-234" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Vanuatu</button><button id="id-4-235" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Venezuela</button><button id="id-4-236" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Viet Nam</button><button id="id-4-237" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Virgin Islands, British</button><button id="id-4-238" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Virgin Islands,
          U.S.</button><button id="id-4-239" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Wallis and Futuna</button><button id="id-4-240" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Western Sahara</button><button id="id-4-241" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Yemen</button><button id="id-4-242" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Zambia</button><button id="id-4-243" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Zimbabwe</button></div>
      <div class="sc-crrszt bCkboc"><label for="address.zip" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">ZIP</label><input value="" name="address.zip" autocomplete="billing postal-code" autocapitalize="off" autocorrect="off"
          spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
      <div autocomplete="billing address-level1" class="sc-crrszt bCkboc sc-fbkiRW foKZxS"><label style="display:block;text-align:left" class="sc-fFucqa dtIUoq">State</label><button type="button" aria-expanded="false" aria-controls="id-6"
          aria-haspopup="menu" aria-invalid="false" class="sc-clsFYl fsXPbU">
          <div color="var(--kindest-slate-gray)" class="sc-fFucqa grKhET">Select a State</div><svg width="10" height="6" viewBox="0 0 10 6" fill="none" xmlns="http://www.w3.org/2000/svg">
            <path d="M5.372 4.587a.5.5 0 01-.744 0L1.251.834A.5.5 0 011.623 0h6.754a.5.5 0 01.372.834L5.372 4.587z" fill="currentColor"></path>
          </svg>
        </button></div>
      <div id="id-6" hidden="" style="display: none; min-width: 317px;" role="menu" tabindex="-1" data-dialog="true" aria-orientation="vertical" aria-label="Actions" class="sc-lcuiOb uHcUw"><button id="id-6-1" tabindex="0" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Alabama</button><button id="id-6-2" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Alaska</button><button id="id-6-3" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">American Samoa</button><button id="id-6-4" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Arizona</button><button
          id="id-6-5" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Arkansas</button><button id="id-6-6" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">California</button><button id="id-6-7" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Colorado</button><button id="id-6-8" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Connecticut</button><button id="id-6-9" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Delaware</button><button id="id-6-10" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">District Of Columbia</button><button id="id-6-11" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Federated States Of
          Micronesia</button><button id="id-6-12" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Florida</button><button id="id-6-13" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Georgia</button><button id="id-6-14" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Guam</button><button id="id-6-15" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Hawaii</button><button id="id-6-16" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Idaho</button><button id="id-6-17" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Illinois</button><button id="id-6-18" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Indiana</button><button id="id-6-19" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Iowa</button><button id="id-6-20" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kansas</button><button id="id-6-21"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Kentucky</button><button id="id-6-22" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Louisiana</button><button id="id-6-23" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Maine</button><button id="id-6-24" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Marshall Islands</button><button id="id-6-25" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Maryland</button><button id="id-6-26"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Massachusetts</button><button id="id-6-27" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Michigan</button><button id="id-6-28" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Minnesota</button><button id="id-6-29" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Mississippi</button><button id="id-6-30" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Missouri</button><button id="id-6-31" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Montana</button><button id="id-6-32" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Nebraska</button><button
          id="id-6-33" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Nevada</button><button id="id-6-34" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">New
          Hampshire</button><button id="id-6-35" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">New Jersey</button><button id="id-6-36" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">New Mexico</button><button id="id-6-37" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">New York</button><button id="id-6-38" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">North Carolina</button><button id="id-6-39" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">North Dakota</button><button id="id-6-40"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Northern Mariana Islands</button><button id="id-6-41" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Ohio</button><button id="id-6-42" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Oklahoma</button><button id="id-6-43" tabindex="-1" aria-selected="false" role="menuitem"
          type="button" class="sc-gGmKaI jlPQyp">Oregon</button><button id="id-6-44" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Palau</button><button id="id-6-45" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Pennsylvania</button><button id="id-6-46" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Puerto Rico</button><button id="id-6-47"
          tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Rhode Island</button><button id="id-6-48" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">South
          Carolina</button><button id="id-6-49" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">South Dakota</button><button id="id-6-50" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Tennessee</button><button id="id-6-51" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Texas</button><button id="id-6-52" tabindex="-1" aria-selected="false"
          role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Utah</button><button id="id-6-53" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Vermont</button><button id="id-6-54" tabindex="-1"
          aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Virgin Islands</button><button id="id-6-55" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Virginia</button><button
          id="id-6-56" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Washington</button><button id="id-6-57" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">West
          Virginia</button><button id="id-6-58" tabindex="-1" aria-selected="false" role="menuitem" type="button" class="sc-gGmKaI jlPQyp">Wisconsin</button><button id="id-6-59" tabindex="-1" aria-selected="false" role="menuitem" type="button"
          class="sc-gGmKaI jlPQyp">Wyoming</button></div>
      <div class="sc-crrszt bCkboc"><label for="address.phone" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Phone</label>
        <div class="sc-fFucqa sc-iNqMzA gqIqjv sawMx">optional</div><input value="" name="address.phone" autocomplete="tel" autocapitalize="off" autocorrect="off" spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec">
      </div>
      <div class="sc-crrszt dYCWtK"><label for="comment" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Comment</label>
        <div class="sc-fFucqa sc-iNqMzA gqIqjv sawMx">optional</div><textarea name="comment" aria-invalid="false" class="sc-higWrZ sc-ehSDrC ePrguf fYgqna" style="height: 70px !important;"></textarea>
      </div>
      <div class="sc-bqyKOL dtQLVG">
        <div class="sc-crrszt"><label class="sc-GqePz fExNuG"><input type="checkbox" aria-checked="false" name="anonymous" data-invalid="false" class="sc-fWSDcn iNzLDJ"><svg width="12" height="9" viewBox="0 0 12 9" fill="none"
              xmlns="http://www.w3.org/2000/svg">
              <path d="M1 3.475l3.89 3.889L11.252 1" stroke="#fff" stroke-width="1.5"></path>
            </svg>Make my donation anonymous</label></div>
        <div class="sc-crrszt"><label class="sc-GqePz fExNuG"><input type="checkbox" aria-checked="false" name="showDedication" data-invalid="false" class="sc-fWSDcn iNzLDJ"><svg width="12" height="9" viewBox="0 0 12 9" fill="none"
              xmlns="http://www.w3.org/2000/svg">
              <path d="M1 3.475l3.89 3.889L11.252 1" stroke="#fff" stroke-width="1.5"></path>
            </svg>Dedicate my donation in honor or in memory of someone</label></div>
      </div>
    </div>
  </div>
  <div class="sc-crrszt jZhoks">
    <div class="sc-crrszt sc-dQoVA etIhEr kLtnvU"><svg width="20" height="15" viewBox="0 0 20 15" fill="none" xmlns="http://www.w3.org/2000/svg">
        <rect x="1" y="1" width="18" height="13" rx="1" stroke="#2F2F4B" stroke-width="1.5"></rect>
        <path d="M1 5h17.5" stroke="#2F2F4B" stroke-width="1.5"></path>
        <path d="M4 9h4.5" stroke="#2F2F4B" stroke-width="1.5" stroke-linecap="round"></path>
      </svg>
      <div class="sc-hBEYId fBNvSQ">Billing Details</div>
    </div>
    <div class="sc-crrszt dbPCYR">
      <div class="sc-fFucqa dtIUoq">Pay With</div>
      <div id="id-7" role="radiogroup" aria-label="payment method" class="sc-jONnzC cDCUqr"><label class="sc-hlTwrV dzoQwl"><input type="radio" id="id-7-1" tabindex="0" value="card" name="id-7" aria-checked="true" checked="" class="sc-aemIz gxonej">
          Card</label><label class="sc-hlTwrV dzoQwl"><input type="radio" id="id-7-2" tabindex="-1" value="ach" name="id-7" aria-checked="false" class="sc-aemIz gxonej"> Bank Account</label><label class="sc-jHVedQ eyKnwC"><input id="id-7-3"
            tabindex="-1" type="radio" name="id-7" aria-checked="false" class="sc-dwfUuu ifocYR" value="other"> Other Method</label></div>
    </div>
    <div class="sc-bqyKOL bwfKyu">
      <div class="sc-crrszt bCkboc"><label style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Your Card</label>
        <div class="sc-dwfUuu ghiMjN StripeElement StripeElement--empty">
          <div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
            <iframe name="__privateStripeFrame4595" frameborder="0" allowtransparency="true" scrolling="no" allow="payment *"
              src="https://js.stripe.com/v3/elements-inner-card-0170a9c584b34b995d6eed5d7c81f237.html#fonts[0][family]=Graphik&amp;fonts[0][weight]=300&amp;fonts[0][src]=url(https%3A%2F%2Fkindest.com%2Ffonts%2Fgraphik-regular.woff)&amp;fonts[0][style]=normal&amp;fonts[0][__resolveFontRelativeTo]=https%3A%2F%2Fdonate.safesurfin.org%2Fpg_a60nZottoG-safe-surfin-foundation&amp;wait=false&amp;mids[guid]=NA&amp;mids[muid]=NA&amp;mids[sid]=NA&amp;hidePostalCode=true&amp;style[base][iconColor]=%238892b2&amp;style[base][color]=%232f2f4b&amp;style[base][fontFamily]=Graphik%2C+sans-serif&amp;style[base][fontSmoothing]=antialiased&amp;style[base][fontWeight]=300&amp;style[base][fontSize]=14px&amp;style[base][fontStyle]=normal&amp;style[base][::placeholder][color]=%238892b2&amp;iconStyle=default&amp;rtl=false&amp;componentName=card&amp;keyMode=live&amp;apiKey=pk_live_x6V7pELHQzkwqO7GS114u8Vg&amp;referrer=https%3A%2F%2Fdonate.safesurfin.org%2Fpg_a60nZottoG-safe-surfin-foundation&amp;controllerId=__privateStripeController4591"
              title="Secure card payment input frame"
              style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; will-change: transform !important; height: 16.8px;"></iframe><input
              class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
              style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
          </div>
        </div>
      </div>
      <div class="sc-crrszt bCkboc"><label for="cardholderName" style="display:block;text-align:left" class="sc-fFucqa dtIUoq">Cardholder Name</label><input value="" name="cardholderName" autocomplete="cc-name" autocapitalize="off" autocorrect="off"
          spellcheck="false" aria-invalid="false" class="sc-nFqVA iMOVec"></div>
    </div>
  </div>
  <div style="background:#F7F7F7" class="sc-crrszt eHSTig">
    <div class="sc-crrszt sc-dQoVA tKUYZ kLtnvU">
      <div class="sc-fFucqa gqIqjv">Total Charge</div>
      <div class="sc-fFucqa jmzoLH">$0</div>
    </div><button type="submit" disabled="" width="100%" class="sc-kEjbQP dLQAmK"><span>Donate Now</span></button>
  </div>
</form>

Text Content

My Donations

ShareTweet


DONATE TO SAFE SURFIN FOUNDATION

$
Once
OnceMonthly
Donor Information
First Name
Last Name
Email
Street Address
Apartment, suite, etc.
optional
City
CountryUnited States
AfghanistanÅland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook
IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong
KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic OfIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People'S Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People'S Democratic
RepublicLatviaLebanonLesothoLiberiaLibyan Arab
JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav
Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
ofMoldova, Republic
ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern
Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua
New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRWANDASaint HelenaSaint Kitts and
NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the
GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and
MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri
LankaSudanSurilabelSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab
RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic
ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe
ZIP
State
Select a State
AlabamaAlaskaAmerican
SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of
ColumbiaFederated States Of
MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall
IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana
IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin
IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming
Phone
optional
Comment
optional
Make my donation anonymous
Dedicate my donation in honor or in memory of someone
Billing Details
Pay With
Card Bank Account Other Method
Your Card

Cardholder Name
Total Charge
$0
Donate Now
Safe Surfin Foundation is a tax-exempt public charity (federal tax ID
#541987271). All contributions are tax deductible to the extent allowable by
law. No goods or services were provided in exchange for your generous financial
donation.
Donor SupportTerms of ServicePrivacy Policy
Kindest Inc. © 2021