habitatnola.givecloud.co Open in urlscan Pro
2606:4700:10::ac43:16d4  Public Scan

Submitted URL: https://r20.rs6.net/tn.jsp?f=001sQWj73k9EU2zH04jZQxcqvDA6cpoRSGNGAVlg8zVrZFYOekuqt9Fu0itxDJfE_us9dx91mD421pIlzxmR9jc...
Effective URL: https://habitatnola.givecloud.co/giving
Submission: On August 08 via manual from US — Scanned from DE

Form analysis 2 forms found in the DOM

POST https://habitatnola.givecloud.co/account/login

<form action="https://habitatnola.givecloud.co/account/login" method="post">
  <input type="hidden" name="_token" value="rnvYapCvGyOE1xuyYXfhuLFkl8lTYmUjJCkGmGuU">
  <div class="form-group labelify">
    <label><i class="fa fa-envelope-o"></i> Email</label>
    <input type="email" name="email" autocomplete="username" class="form-control">
  </div>
  <div class="form-group labelify">
    <label><i class="fa fa-lock"></i> Password</label>
    <input type="password" name="password" autocomplete="current-password" class="form-control">
  </div>
  <div class="custom-control custom-checkbox mt-0 mb-3">
    <input type="checkbox" class="custom-control-input" id="rememberMeInput" name="remember_me" value="1">
    <label class="custom-control-label" for="rememberMeInput">Remember me</label>
  </div>
  <div class="text-center mb-2">
    <button type="submit" class="btn btn-block btn-pill btn-primary"><i class="fa fa-log-in"></i> Sign-In</button>
    <div class="text-center mt-2 text-sm">
      <a href="/account/reset-password">I Forgot My Password</a>
    </div>
  </div>
  <hr>
  <div class="text-sm text-center">
    <a href="/account/register" class="btn btn-block btn-pill btn-secondary"><i class="fa fa-log-in"></i> Create an Account</a>
  </div>
</form>

POST

<form data-vv-scope="pay" method="post" novalidate="novalidate" class="" style="">
  <div class="container mt-n5">
    <div class="row">
      <div class="col-12">
        <div class="card my-4 card-shipping ">
          <div class="card-body">
            <h4 class="text-left d-block mb-3"> Change Lives For Generations. Please select the fund(s) you would like to support: </h4>
            <hr>
            <div><!---->
              <div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
                <div class="fund-thumb my-2 my-md-0" style="background-image: url(&quot;https://cdn.givecloud.co/s/files/2/0000/1465/files/donation-banner-1_300x_cropped_top.jpg&quot;);"></div>
                <div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
                  <h5 class="mb-1"><span>Change Lives for Generations</span></h5>
                  <p class="mb-1">Give where it is needed most.</p> <!---->
                </div>
                <div class="ml-md-auto">
                  <div class="btn-group-toggle form-primary d-inline-block price-presets">
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
                    <div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
                        style="width: 120px;"></div>
                  </div>
                </div> <!---->
              </div>
            </div>
            <div>
              <hr>
              <div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
                <div class="fund-thumb my-2 my-md-0" style="background-image: url(&quot;https://cdn.givecloud.co/s/files/2/0000/1465/files/disaster-relief-smallerer_300x_cropped_top.jpg&quot;);"></div>
                <div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
                  <h5 class="mb-1"><span>Disaster Relief &amp; Recovery Fund</span></h5>
                  <p class="mb-1">Provide support to those affected by local disasters.</p> <!---->
                </div>
                <div class="ml-md-auto">
                  <div class="btn-group-toggle form-primary d-inline-block price-presets">
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
                    <div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
                        style="width: 120px;"></div>
                  </div>
                </div> <!---->
              </div>
            </div>
            <div>
              <hr>
              <div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
                <div class="fund-thumb my-2 my-md-0" style="background-image: url(&quot;https://cdn.givecloud.co/s/files/2/0000/1465/files/logo-1-jpg-1_300x_cropped_top.jpg&quot;);"></div>
                <div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
                  <h5 class="mb-1"><span>Rising Oaks</span></h5>
                  <p class="mb-1">Help build the Rising Oaks community, a transformational community for more than 150 families.</p> <!---->
                </div>
                <div class="ml-md-auto">
                  <div class="btn-group-toggle form-primary d-inline-block price-presets">
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
                    <div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
                        style="width: 120px;"></div>
                  </div>
                </div> <!---->
              </div>
            </div>
            <div>
              <hr>
              <div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
                <div class="fund-thumb my-2 my-md-0" style="background-image: url(&quot;https://cdn.givecloud.co/s/files/2/0000/1465/files/new-orleans-rendering-red-cropped-1-1_300x_cropped_top.jpg&quot;);"></div>
                <div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
                  <h5 class="mb-1"><span>Jean Lafitte Rebuilding Fund</span></h5>
                  <p class="mb-1">Support rebuilding efforts in Jean Lafitte, a community south of New Orleans hard-hit by Hurricane Ida.</p> <!---->
                </div>
                <div class="ml-md-auto">
                  <div class="btn-group-toggle form-primary d-inline-block price-presets">
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
                    <div class="form-group d-inline-block mb-1 mr-1 labelify bs-validate"><label>Other</label> <input type="number" step="0.01" name="other_amount" value="" class="font-weight-bold form-control form-control-outline"
                        style="width: 120px;"></div>
                  </div>
                </div> <!---->
              </div>
            </div>
            <div>
              <hr>
              <div class="d-flex flex-column text-center text-md-left flex-md-row w-100 align-items-center justify-content-center justify-content-left ">
                <div class="fund-thumb my-2 my-md-0" style="background-image: url(&quot;https://cdn.givecloud.co/s/files/2/0000/1465/files/fundraising-banner-narrow_300x_cropped_top.jpg&quot;);"></div>
                <div class="flex-1 mx-3 mt-2 mt-md-0 mb-3 mb-md-0">
                  <h5 class="mb-1"><span>Tribute Gifts</span></h5>
                  <p class="mb-1">To make a gift in honor or in memory of someone you love, select this option, then include in the Special Notes section below which fund(s) you wish to contribute to.</p> <!---->
                </div>
                <div class="ml-md-auto">
                  <div class="btn-group-toggle form-primary d-inline-block price-presets">
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $10</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $25</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $50</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $100</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $500</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $1,000</div>
                    <div class="btn btn-lg btn-outline-primary mb-1 mr-1"> $NaN</div>
                  </div>
                </div> <!---->
              </div>
            </div> <!---->
            <div class="mt-3 pt-3 border-top"><!---->
              <div class="row d-flex align-items-center no-gutters">
                <div class="col-12 col-lg-8 text-center text-lg-left my-3 my-lg-0"></div>
                <div class="col-12 col-lg-4 my-3 my-lg-0">
                  <div class="row no-gutters font-weight-bold text-center text-lg-right">
                    <div class="col-6">
                      <h4 class="cart-heading">Total</h4>
                    </div>
                    <div class="col-6">$0.00</div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
        <div class="card my-4 card-shipping ">
          <div class="card-body">
            <h4 class="text-left d-block mb-3">How often?</h4>
            <hr>
            <div class="row">
              <div class="col-md-12">
                <div class="form-group mb-3">
                  <div class="btn-group-toggle btn-group-checked d-inline-block">
                    <div class="btn btn-outline-secondary mb-1 mr-1 active">One-Time</div>
                    <div class="btn btn-outline-secondary mb-1 mr-1">Recurring Bi-Weekly</div>
                    <div class="btn btn-outline-secondary mb-1 mr-1">Recurring Monthly</div>
                  </div>
                </div>
              </div>
            </div> <!----> <!----> <!---->
          </div>
        </div>
        <div class="row">
          <div class="col-12">
            <div class="card mb-4 card-shipping ">
              <div class="card-body">
                <h4 class="text-left d-block mb-3">Billing</h4>
                <div class="row">
                  <div class="col-md-6">
                    <div class="form-group">
                      <div class="btn-group-toggle mb-3"><label class="btn btn-outline-dark active"><input type="radio" name="account_type_id" value="1"> Individual </label><label class="btn btn-outline-dark"><input type="radio"
                            name="account_type_id" value="2"> Organization </label></div>
                    </div>
                    <div class="row gutter-sm">
                      <div class="col-4">
                        <div class="form-group labelify"><label for="inputBillingFirstName">First Name</label> <input type="text" id="inputBillingFirstName" name="billing_first_name" class="form-control"></div>
                      </div>
                      <div class="col">
                        <div class="form-group labelify"><label for="inputBillingLastName">Last Name</label> <input type="text" id="inputBillingLastName" name="billing_last_name" class="form-control"></div>
                      </div>
                    </div>
                    <hr>
                    <div class="form-group labelify has-errors"><label for="inputBillingEmail"><i class="fa fa-envelope-o"></i> Email</label> <input id="inputBillingEmail" type="text" name="billing_email" x-autocompletetype="email"
                        autocompletetype="email" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
                    <div class="form-group">
                      <div class="custom-control custom-checkbox"><input id="inputEmailOptIn" type="checkbox" class="custom-control-input"> <label for="inputEmailOptIn" class="custom-control-label">Send me emails and updates.</label></div>
                    </div>
                    <div class="form-group labelify"><label for="inputBillingPhone"><i class="fa fa-phone"></i> Phone</label> <input id="inputBillingPhone" type="text" name="billing_phone" x-autocompletetype="phone-full" autocompletetype="tel"
                        autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control"></div> <!---->
                  </div>
                  <div class="col-md-6">
                    <div>
                      <div class="form-group labelify">
                        <div><label for="inputBillingAddress1">Address</label><input id="inputBillingAddress1" name="billing_address1" type="text" placeholder="Street and number, P.O. box, c/o." required="required" x-autocompletetype="address-line1"
                            autocompletetype="address-line1" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control"></div>
                      </div>
                      <div class="form-group labelify"><label for="inputBillingAddress2">Address 2</label> <input id="inputBillingAddress2" type="text" placeholder="Apartment, suite, unit, building, floor, etc." name="billing_address2"
                          x-autocompletetype="address-line2" autocompletetype="address-line2" autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control"></div>
                      <div class="form-row">
                        <div class="form-group col-8 labelify has-errors"><label for="inputBillingCity">City</label> <input id="inputBillingCity" type="text" name="billing_city" x-autocompletetype="city" autocompletetype="city" autocorrect="off"
                            spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
                        <div class="form-group col-4 labelify has-errors"><label for="inputBillingZip">ZIP</label> <input id="inputBillingZip" type="text" name="billing_zip" x-autocompletetype="postal-code" autocompletetype="postal-code"
                            autocorrect="off" spellcheck="true" autocapitalize="off" class="form-control pristine untouched invalid" aria-required="true" aria-invalid="true"></div>
                      </div>
                      <div class="form-row">
                        <div class="form-group col-7 labelify"><label for="inputBillingCountry">Country</label> <select id="inputBillingCountry" name="billing_country_code" class="form-control pristine untouched valid" aria-required="true"
                            aria-invalid="false">
                            <option></option>
                            <option value="CA">Canada</option>
                            <option value="US">United States</option>
                            <option value="">--------</option>
                            <option value="AF">Afghanistan</option>
                            <option value="AL">Albania</option>
                            <option value="DZ">Algeria</option>
                            <option value="AS">American Samoa</option>
                            <option value="AD">Andorra</option>
                            <option value="AO">Angola</option>
                            <option value="AI">Anguilla</option>
                            <option value="AQ">Antarctica</option>
                            <option value="AG">Antigua &amp; Barbuda</option>
                            <option value="AR">Argentina</option>
                            <option value="AM">Armenia</option>
                            <option value="AW">Aruba</option>
                            <option value="AU">Australia</option>
                            <option value="AT">Austria</option>
                            <option value="AZ">Azerbaijan</option>
                            <option value="BS">Bahamas</option>
                            <option value="BH">Bahrain</option>
                            <option value="BD">Bangladesh</option>
                            <option value="BB">Barbados</option>
                            <option value="BE">Belgium</option>
                            <option value="BZ">Belize</option>
                            <option value="BJ">Benin</option>
                            <option value="BM">Bermuda</option>
                            <option value="BT">Bhutan</option>
                            <option value="BO">Bolivia</option>
                            <option value="BA">Bosnia &amp; Herzegovina</option>
                            <option value="BW">Botswana</option>
                            <option value="BV">Bouvet Island</option>
                            <option value="BR">Brazil</option>
                            <option value="IO">British Indian Ocean Territory</option>
                            <option value="VG">British Virgin Islands</option>
                            <option value="BN">Brunei</option>
                            <option value="BG">Bulgaria</option>
                            <option value="BF">Burkina Faso</option>
                            <option value="KH">Cambodia</option>
                            <option value="CM">Cameroon</option>
                            <option value="CV">Cape Verde</option>
                            <option value="BQ">Caribbean Netherlands</option>
                            <option value="KY">Cayman Islands</option>
                            <option value="TD">Chad</option>
                            <option value="CL">Chile</option>
                            <option value="CN">China</option>
                            <option value="CX">Christmas Island</option>
                            <option value="CC">Cocos (Keeling) Islands</option>
                            <option value="CO">Colombia</option>
                            <option value="KM">Comoros</option>
                            <option value="CK">Cook Islands</option>
                            <option value="CR">Costa Rica</option>
                            <option value="HR">Croatia</option>
                            <option value="CW">Curaçao</option>
                            <option value="CY">Cyprus</option>
                            <option value="CZ">Czechia</option>
                            <option value="DK">Denmark</option>
                            <option value="DJ">Djibouti</option>
                            <option value="DM">Dominica</option>
                            <option value="DO">Dominican Republic</option>
                            <option value="EC">Ecuador</option>
                            <option value="EG">Egypt</option>
                            <option value="SV">El Salvador</option>
                            <option value="GQ">Equatorial Guinea</option>
                            <option value="ER">Eritrea</option>
                            <option value="EE">Estonia</option>
                            <option value="SZ">Eswatini</option>
                            <option value="ET">Ethiopia</option>
                            <option value="FK">Falkland Islands</option>
                            <option value="FO">Faroe Islands</option>
                            <option value="FJ">Fiji</option>
                            <option value="FI">Finland</option>
                            <option value="FR">France</option>
                            <option value="GF">French Guiana</option>
                            <option value="PF">French Polynesia</option>
                            <option value="TF">French Southern Territories</option>
                            <option value="GA">Gabon</option>
                            <option value="GM">Gambia</option>
                            <option value="GE">Georgia</option>
                            <option value="DE">Germany</option>
                            <option value="GH">Ghana</option>
                            <option value="GI">Gibraltar</option>
                            <option value="GR">Greece</option>
                            <option value="GL">Greenland</option>
                            <option value="GD">Grenada</option>
                            <option value="GP">Guadeloupe</option>
                            <option value="GU">Guam</option>
                            <option value="GT">Guatemala</option>
                            <option value="GG">Guernsey</option>
                            <option value="GN">Guinea</option>
                            <option value="GW">Guinea-Bissau</option>
                            <option value="GY">Guyana</option>
                            <option value="HT">Haiti</option>
                            <option value="HM">Heard &amp; McDonald Islands</option>
                            <option value="HN">Honduras</option>
                            <option value="HU">Hungary</option>
                            <option value="IS">Iceland</option>
                            <option value="IN">India</option>
                            <option value="ID">Indonesia</option>
                            <option value="IE">Ireland</option>
                            <option value="IM">Isle of Man</option>
                            <option value="IL">Israel</option>
                            <option value="IT">Italy</option>
                            <option value="JM">Jamaica</option>
                            <option value="JP">Japan</option>
                            <option value="JE">Jersey</option>
                            <option value="JO">Jordan</option>
                            <option value="KZ">Kazakhstan</option>
                            <option value="KE">Kenya</option>
                            <option value="KI">Kiribati</option>
                            <option value="KW">Kuwait</option>
                            <option value="KG">Kyrgyzstan</option>
                            <option value="LA">Laos</option>
                            <option value="LV">Latvia</option>
                            <option value="LS">Lesotho</option>
                            <option value="LI">Liechtenstein</option>
                            <option value="LT">Lithuania</option>
                            <option value="LU">Luxembourg</option>
                            <option value="MO">Macao SAR China</option>
                            <option value="MG">Madagascar</option>
                            <option value="MW">Malawi</option>
                            <option value="MY">Malaysia</option>
                            <option value="MV">Maldives</option>
                            <option value="MT">Malta</option>
                            <option value="MH">Marshall Islands</option>
                            <option value="MQ">Martinique</option>
                            <option value="MR">Mauritania</option>
                            <option value="MU">Mauritius</option>
                            <option value="YT">Mayotte</option>
                            <option value="MX">Mexico</option>
                            <option value="FM">Micronesia</option>
                            <option value="MD">Moldova</option>
                            <option value="MC">Monaco</option>
                            <option value="MN">Mongolia</option>
                            <option value="ME">Montenegro</option>
                            <option value="MS">Montserrat</option>
                            <option value="MA">Morocco</option>
                            <option value="MZ">Mozambique</option>
                            <option value="NA">Namibia</option>
                            <option value="NR">Nauru</option>
                            <option value="NP">Nepal</option>
                            <option value="NL">Netherlands</option>
                            <option value="NC">New Caledonia</option>
                            <option value="NZ">New Zealand</option>
                            <option value="NE">Niger</option>
                            <option value="NG">Nigeria</option>
                            <option value="NU">Niue</option>
                            <option value="NF">Norfolk Island</option>
                            <option value="MK">North Macedonia</option>
                            <option value="MP">Northern Mariana Islands</option>
                            <option value="NO">Norway</option>
                            <option value="OM">Oman</option>
                            <option value="PK">Pakistan</option>
                            <option value="PW">Palau</option>
                            <option value="PS">Palestinian Territories</option>
                            <option value="PA">Panama</option>
                            <option value="PG">Papua New Guinea</option>
                            <option value="PY">Paraguay</option>
                            <option value="PE">Peru</option>
                            <option value="PH">Philippines</option>
                            <option value="PN">Pitcairn Islands</option>
                            <option value="PL">Poland</option>
                            <option value="PT">Portugal</option>
                            <option value="PR">Puerto Rico</option>
                            <option value="QA">Qatar</option>
                            <option value="RO">Romania</option>
                            <option value="RW">Rwanda</option>
                            <option value="RE">Réunion</option>
                            <option value="WS">Samoa</option>
                            <option value="SM">San Marino</option>
                            <option value="SA">Saudi Arabia</option>
                            <option value="SN">Senegal</option>
                            <option value="SC">Seychelles</option>
                            <option value="SL">Sierra Leone</option>
                            <option value="SG">Singapore</option>
                            <option value="SX">Sint Maarten</option>
                            <option value="SK">Slovakia</option>
                            <option value="SI">Slovenia</option>
                            <option value="SB">Solomon Islands</option>
                            <option value="ZA">South Africa</option>
                            <option value="GS">South Georgia &amp; South Sandwich Islands</option>
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