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Submitted URL: https://cld6s04.na1.hubspotlinks.com/Ctc/DJ+113/clD6s04/VWml6f462sCsW1NWvdG2QjMzvW5j5c_V4Ln1HyN2XT7495nKv_V3Zsc37CgRZcW6JsxlB8qWwNRVk...
Effective URL: https://support.womenforwomen.org/donate/ukraine-crisis-women-need-0?src=LBRR22032A&utm_campaign=Webinar%20%7C%20The%20Elizabeth%2...
Submission: On June 17 via api from IE — Scanned from DE
Effective URL: https://support.womenforwomen.org/donate/ukraine-crisis-women-need-0?src=LBRR22032A&utm_campaign=Webinar%20%7C%20The%20Elizabeth%2...
Submission: On June 17 via api from IE — Scanned from DE
Form analysis 1 forms found in the DOM
POST /donate/ukraine-crisis-women-need-0?utm_campaign=Webinar%20%7C%20The%20Elizabeth%20Holmes%20Effect%3A%20Understanding%20Unconscious%20Bias%20in%20Investigations&utm_medium=email&utm_source=hs_email
<form class="webform-client-form form-layouts one-column fundraiser-donation-form jquery-once-9-processed" enctype="multipart/form-data"
action="/donate/ukraine-crisis-women-need-0?utm_campaign=Webinar%20%7C%20The%20Elizabeth%20Holmes%20Effect%3A%20Understanding%20Unconscious%20Bias%20in%20Investigations&utm_medium=email&utm_source=hs_email" method="post"
id="webform-client-form-1186" accept-charset="UTF-8" novalidate="novalidate"><input type="hidden" name="submitted[ms]" value="" placeholder="">
<fieldset class="webform-component-fieldset form-wrapper has-call-out" id="webform-component-donation">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurs-monthly">
<div id="edit-submitted-donation-recurs-monthly">
<div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group">
<input type="radio" id="edit-submitted-donation-recurs-monthly-1" name="submitted[donation][recurs_monthly]" value="NO_RECURR" checked="checked" placeholder=""> <label class="option" for="edit-submitted-donation-recurs-monthly-1">One-time
</label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group">
<input type="radio" id="edit-submitted-donation-recurs-monthly-2" name="submitted[donation][recurs_monthly]" value="recurs" placeholder=""> <label class="option" for="edit-submitted-donation-recurs-monthly-2">Monthly </label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-markup control-group" id="webform-component-donation--call-out">
<p>Monthly donations allow us to spring into action when women need us most. Be the one constant for women in the midst of chaos.</p>
</div>
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount">
<div id="edit-submitted-donation-amount">
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="50" placeholder=""> <label class="option" for="edit-submitted-donation-amount-1">$50 <span class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="100" checked="checked" placeholder=""> <label class="option" for="edit-submitted-donation-amount-2">$100 <span
class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="250" placeholder=""> <label class="option" for="edit-submitted-donation-amount-3">$250 <span class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="500" placeholder=""> <label class="option" for="edit-submitted-donation-amount-4">$500 <span class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="1000" placeholder=""> <label class="option" for="edit-submitted-donation-amount-5">$1,000 <span class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group">
<input type="radio" id="edit-submitted-donation-amount-6" name="submitted[donation][amount]" value="2000" placeholder=""> <label class="option" for="edit-submitted-donation-amount-6">$2,000 <span class="form-required">*</span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group other">
<input type="radio" id="edit-submitted-donation-amount-7" name="submitted[donation][amount]" value="other" placeholder=""> <label class="option" for="edit-submitted-donation-amount-7">Other <span class="form-required">*</span></label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurring-amount" style="display: none;">
<div id="edit-submitted-donation-recurring-amount">
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-1" name="submitted[donation][recurring_amount]" value="20" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-1">$20 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-2" name="submitted[donation][recurring_amount]" value="35" checked="checked" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-2">$35
</label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-3" name="submitted[donation][recurring_amount]" value="50" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-3">$50 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-4" name="submitted[donation][recurring_amount]" value="75" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-4">$75 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-5" name="submitted[donation][recurring_amount]" value="100" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-5">$100 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group">
<input type="radio" id="edit-submitted-donation-recurring-amount-6" name="submitted[donation][recurring_amount]" value="250" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-6">$250 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group other">
<input type="radio" id="edit-submitted-donation-recurring-amount-7" name="submitted[donation][recurring_amount]" value="other" placeholder=""> <label class="option" for="edit-submitted-donation-recurring-amount-7">Other </label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount">
<label for="edit-submitted-donation-other-amount">Other </label>
<div class="field-prefix">$</div><input class="input-medium form-text other-field" type="text" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" placeholder="Other">
<div class="description">Minimum payment $5.00.</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--recurring-other-amount" style="display: none;">
<label for="edit-submitted-donation-recurring-other-amount">Other </label>
<div class="field-prefix">$</div><input class="input-medium form-text other-field" type="text" id="edit-submitted-donation-recurring-other-amount" name="submitted[donation][recurring_other_amount]" value="" size="10" maxlength="128"
placeholder="Other">
<div class="description">Minimum payment $2.00.</div>
</div>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-donation--processing-fee">
<div id="edit-submitted-donation-processing-fee">
<div class="form-item form-type-checkbox form-item-submitted-donation-processing-fee-1 control-group">
<input type="checkbox" id="edit-submitted-donation-processing-fee-1" name="submitted[donation][processing_fee][1]" value="1" class="form-checkbox" placeholder=""> <label class="option" for="edit-submitted-donation-processing-fee-1">I
would like to cover processing fees and other expenses to ensure Women for Women Intl. receives more of my contribution.</label>
</div>
</div>
</div>
</div>
</fieldset>
<input type="hidden" name="submitted[cid]" value="7013i000000l0bDAAQ" placeholder="">
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donor-information">
<legend><span class="fieldset-legend">Your Information</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name">
<input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required" placeholder="First Name *"><label
for="edit-submitted-donor-information-first-name" class="replaced">First Name <span class="form-required" title="This field is required.">*</span></label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name">
<input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required" placeholder="Last Name *"><label
for="edit-submitted-donor-information-last-name" class="replaced">Last Name <span class="form-required" title="This field is required.">*</span></label>
</div>
<div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail">
<input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60" placeholder="E-mail address *"><label for="edit-submitted-donor-information-mail"
class="replaced">E-mail address <span class="form-required" title="This field is required.">*</span></label>
</div>
</div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address">
<input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" class="form-text required" placeholder="Address *"><label
for="edit-submitted-billing-information-address" class="replaced">Address <span class="form-required" title="This field is required.">*</span></label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2">
<input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" class="form-text" placeholder="Address Line 2 "><label
for="edit-submitted-billing-information-address-line-2" class="replaced">Address Line 2 </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip">
<input class="input-medium form-text required springboard-ztc-processed" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10"
placeholder="ZIP/Postal Code *"><label for="edit-submitted-billing-information-zip" class="replaced">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label>
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country">
<label for="edit-submitted-billing-information-country">Country <span class="form-required" title="This field is required.">*</span></label>
<div class="select-wrapper"><select id="edit-submitted-billing-information-country" name="submitted[billing_information][country]" class="form-select required ajax-processed" placeholder="">
<option value="AF">Afghanistan</option>
<option value="AX">Aland 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="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="BQ">Caribbean Netherlands</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 (Brazzaville)</option>
<option value="CD">Congo (Kinshasa)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</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="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 Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong S.A.R., China</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</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="CI">Ivory Coast</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="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 S.A.R., China</option>
<option value="MK">Macedonia</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</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="AN">Netherlands Antilles</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="MP">Northern Mariana Islands</option>
<option value="KP">North Korea</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 Territory</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">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</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</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="KR">South Korea</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="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</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="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US" selected="selected">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</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 class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city">
<input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" placeholder="City *"><label
for="edit-submitted-billing-information-city" class="replaced">City <span class="form-required" title="This field is required.">*</span></label>
</div>
<div id="zone-select-wrapper">
<div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state">
<label for="edit-submitted-billing-information-state">State/Province <span class="form-required" title="This field is required.">*</span></label>
<div class="select-wrapper"><select id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" class="form-select required" placeholder="">
<option value="" selected="selected">- Select -</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</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="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="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</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="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>
<option value=" ">--</option>
<option value="AA">Armed Forces (Americas)</option>
<option value="AE">Armed Forces (Europe, Canada, Middle East, Africa)</option>
<option value="AP">Armed Forces (Pacific)</option>
<option value="AS">American Samoa</option>
<option value="FM">Federated States of Micronesia</option>
<option value="GU">Guam</option>
<option value="MH">Marshall Islands</option>
<option value="MP">Northern Mariana Islands</option>
<option value="PW">Palau</option>
<option value="PR">Puerto Rico</option>
<option value="VI">Virgin Islands</option>
</select></div>
</div>
</div>
</div>
</fieldset>
<input type="hidden" name="submitted[referrer]" value="" placeholder="">
<input type="hidden" name="submitted[initial_referrer]" value="" placeholder="">
<input type="hidden" name="submitted[search_engine]" value="" placeholder="">
<input type="hidden" name="submitted[search_string]" value="" placeholder="">
<input type="hidden" name="submitted[user_agent]" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/102.0.5005.115 Safari/537.36" class="marketsource-processed" placeholder="">
<input type="hidden" name="submitted[device_type]" value="" placeholder="">
<input type="hidden" name="submitted[springboard_cookie_autofilled]" value="disabled" placeholder="">
<input type="hidden" name="submitted[content_override_id]" value="" placeholder="">
<input type="hidden" name="submitted[device_name]" value="" placeholder="">
<input type="hidden" name="submitted[device_os]" value="" placeholder="">
<input type="hidden" name="submitted[device_browser]" value="" placeholder="">
<input type="hidden" name="submitted[origin_nid]" value="" placeholder="">
<input type="hidden" name="submitted[origin_form_name]" value="" placeholder="">
<input type="hidden" name="submitted[secure_prepop_autofilled]" value="0" placeholder="">
<input type="hidden" name="submitted[utm_source]" value="hs_email" class="marketsource-processed" placeholder="">
<input type="hidden" name="submitted[gs_flag]" value="None" placeholder="">
<input type="hidden" name="submitted[utm_medium]" value="email" class="marketsource-processed" placeholder="">
<input type="hidden" name="submitted[field_sbp_referrer_long]" value="" placeholder="">
<input type="hidden" name="submitted[utm_term]" value="" placeholder="">
<input type="hidden" name="submitted[field_sbp_initial_referrer_long]" value="" placeholder="">
<input type="hidden" name="submitted[utm_content]" value="216762107" class="marketsource-processed" placeholder="">
<input type="hidden" name="submitted[field_form]" value="" placeholder="">
<input type="hidden" name="submitted[utm_campaign]" value="Webinar | The Elizabeth Holmes Effect: Understanding Unconscious Bias in Investigations" class="marketsource-processed" placeholder="">
<input type="hidden" name="submitted[field_form_url]" value="" placeholder="">
<input type="hidden" name="submitted[eml_name]" value="" placeholder="">
<input type="hidden" name="submitted[eml_id]" value="" placeholder="">
<input type="hidden" name="submitted[social_referer_transaction]" value="" placeholder="">
<input type="hidden" name="submitted[p2p_pcid]" value="" placeholder="">
<input type="hidden" name="submitted[sbp_zip_plus_four]" value="" placeholder="">
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-payment-information">
<legend><span class="fieldset-legend">Payment Information</span></legend>
<div class="fieldset-wrapper"><input class="fundraiser-payment-methods" type="hidden" name="submitted[payment_information][payment_method]" value="credit" placeholder="">
<div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields">
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit">
<div class="fieldset-wrapper">
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group">
<input class="input-large form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128"
placeholder="Credit card number *" autocomplete="off"><label for="edit-submitted-payment-information-payment-fields-credit-card-number" class="replaced">Credit card number <span class="form-required">*</span></label>
</div>
<div class="expiration-date-wrapper clear-block">
<div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month">Expiration date <span class="form-required">*</span></label>
<div class="select-wrapper"><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]" placeholder="">
<option value="1">January</option>
<option value="2">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6" selected="selected">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select></div>
<div class="select-wrapper"><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]" placeholder="">
<option value="2022" selected="selected">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
</select></div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group">
<input class="input-small form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128"
placeholder="CVV *" autocomplete="off"><label for="edit-submitted-payment-information-payment-fields-credit-card-cvv" class="replaced">CVV <span class="form-required">*</span></label>
</div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="" placeholder="">
<input type="hidden" name="submitted[payment_information][payment_fields][credit][device_fingerprint_id]" value="" placeholder="">
</div>
</fieldset>
</div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="" placeholder="">
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--yes-i-would-like-to-receive-email-updates">
<div id="edit-submitted-payment-information-yes-i-would-like-to-receive-email-updates">
<div class="form-item form-type-checkbox form-item-submitted-payment-information-yes-i-would-like-to-receive-email-updates-1 control-group">
<input type="checkbox" id="edit-submitted-payment-information-yes-i-would-like-to-receive-email-updates-1" name="submitted[payment_information][yes_i_would_like_to_receive_email_updates][1]" value="1" checked="checked"
class="form-checkbox" placeholder=""> <label class="option" for="edit-submitted-payment-information-yes-i-would-like-to-receive-email-updates-1">Yes, I would like to receive email updates. </label>
</div>
</div>
</div>
</div>
</fieldset>
<input type="hidden" name="submitted[e_mail_opt_in_method]" value="Online Donation" placeholder="">
<input type="hidden" name="submitted[ecard_image_paths]"
value="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsor-hero.jpg, https://womenforwomen.gospringboard.com/files/womenforwomen/donate_0.jpg, https://womenforwomen.gospringboard.com/files/womenforwomen/sponsorship.jpg"
placeholder="">
<input type="hidden" name="submitted[src]" value="LBRR22032A" class="marketsource-processed" placeholder="">
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-giving">
<div id="edit-submitted-tribute-giving">
<div class="form-item form-type-checkbox form-item-submitted-tribute-giving-Tribute control-group">
<input type="checkbox" id="edit-submitted-tribute-giving-1" name="submitted[tribute_giving][Tribute]" value="Tribute" class="form-checkbox" placeholder=""> <label class="option" for="edit-submitted-tribute-giving-1">My gift today is in memory
or in honor of someone </label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-tribute-wrapper--tribute-type">
<div id="edit-submitted-tribute-wrapper-tribute-type">
<div class="form-item form-type-radio form-item-submitted-tribute-wrapper-tribute-type control-group">
<input type="radio" id="edit-submitted-tribute-wrapper-tribute-type-1" name="submitted[tribute_wrapper][tribute_type]" value="honor" checked="checked" placeholder=""> <label class="option"
for="edit-submitted-tribute-wrapper-tribute-type-1">In Honor Of </label>
</div>
<div class="form-item form-type-radio form-item-submitted-tribute-wrapper-tribute-type control-group">
<input type="radio" id="edit-submitted-tribute-wrapper-tribute-type-2" name="submitted[tribute_wrapper][tribute_type]" value="memory" placeholder=""> <label class="option" for="edit-submitted-tribute-wrapper-tribute-type-2">In Memory Of
</label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--honoree-tributee-name">
<input type="text" id="edit-submitted-tribute-wrapper-honoree-tributee-name" name="submitted[tribute_wrapper][honoree_tributee_name]" value="" size="60" maxlength="128" class="form-text" placeholder="My gift is in honor/memory of "><label
for="edit-submitted-tribute-wrapper-honoree-tributee-name" class="replaced">My gift is in honor/memory of </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--occasion" style="display: block;">
<input type="text" id="edit-submitted-tribute-wrapper-occasion" name="submitted[tribute_wrapper][occasion]" value="" size="60" maxlength="128" class="form-text" placeholder="Enter Occasion "><label
for="edit-submitted-tribute-wrapper-occasion" class="replaced">Enter Occasion </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--this-gift-is-from">
<input type="text" id="edit-submitted-tribute-wrapper-this-gift-is-from" name="submitted[tribute_wrapper][this_gift_is_from]" value="" size="60" maxlength="128" class="form-text" placeholder="This gift is from "><label
for="edit-submitted-tribute-wrapper-this-gift-is-from" class="replaced">This gift is from </label>
</div>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-wrapper--gift-notification">
<label for="edit-submitted-tribute-wrapper-gift-notification">Gift notification </label>
<div id="edit-submitted-tribute-wrapper-gift-notification">
<div class="form-item form-type-checkbox form-item-submitted-tribute-wrapper-gift-notification-1 control-group">
<input type="checkbox" id="edit-submitted-tribute-wrapper-gift-notification-1" name="submitted[tribute_wrapper][gift_notification][1]" value="1" class="form-checkbox" placeholder=""> <label class="option"
for="edit-submitted-tribute-wrapper-gift-notification-1"> Would you like to notify someone of your gift? </label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper--notifications" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-wrapper--notifications--ecard">
<div id="edit-submitted-tribute-wrapper-notifications-ecard">
<div class="form-item form-type-checkbox form-item-submitted-tribute-wrapper-notifications-ecard-ecard control-group">
<input type="checkbox" id="edit-submitted-tribute-wrapper-notifications-ecard-1" name="submitted[tribute_wrapper][notifications][ecard][ecard]" value="ecard" class="form-checkbox" placeholder=""> <label class="option"
for="edit-submitted-tribute-wrapper-notifications-ecard-1">I would like to have you send an ecard </label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper--notifications--ecard-components" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-tribute-wrapper--notifications--ecard-components--ecard-image">
<label for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image">Select ecard option </label>
<div id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image">
<div class="form-item form-type-radio form-item-submitted-tribute-wrapper-notifications-ecard-components-ecard-image control-group">
<input type="radio" id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-1" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_image]" value="sponsor-hero" checked="checked"
placeholder="" data-image="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsor-hero.jpg"> <label class="option" for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-1"><img
src="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsor-hero.jpg">ecard1 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-tribute-wrapper-notifications-ecard-components-ecard-image control-group">
<input type="radio" id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-2" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_image]" value="donate_1" placeholder=""
data-image="https://womenforwomen.gospringboard.com/files/womenforwomen/donate_0.jpg"> <label class="option" for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-2"><img
src="https://womenforwomen.gospringboard.com/files/womenforwomen/donate_0.jpg">ecard2 </label>
</div>
<div class="form-item form-type-radio form-item-submitted-tribute-wrapper-notifications-ecard-components-ecard-image control-group">
<input type="radio" id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-3" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_image]" value="sponsorship" placeholder=""
data-image="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsorship.jpg"> <label class="option" for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-image-3"><img
src="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsorship.jpg">ecard3 </label>
</div>
</div>
<div class="active-ecard"><img src="https://womenforwomen.gospringboard.com/files/womenforwomen/sponsor-hero.jpg"></div>
</div>
<div class="form-item webform-component webform-component-email control-group" id="webform-component-tribute-wrapper--notifications--ecard-components--ecard-email-address">
<input class="email form-text form-email" type="email" id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-email-address" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_email_address]"
size="60" placeholder="Send ecard to this email address "><label for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-email-address" class="replaced">Send ecard to this email address </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--ecard-components--ecard-subject">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-subject" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_subject]" value="" size="60" maxlength="128" class="form-text"
placeholder="Subject line "><label for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-subject" class="replaced">Subject line </label>
</div>
<div class="form-item webform-component webform-component-textarea control-group" id="webform-component-tribute-wrapper--notifications--ecard-components--ecard-message">
<textarea id="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-message" name="submitted[tribute_wrapper][notifications][ecard_components][ecard_message]" cols="60" rows="5" class="form-textarea"
placeholder="Enter message "></textarea><label for="edit-submitted-tribute-wrapper-notifications-ecard-components-ecard-message" class="replaced">Enter message </label>
</div>
</div>
</fieldset>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-tribute-wrapper--notifications--letter">
<div id="edit-submitted-tribute-wrapper-notifications-letter">
<div class="form-item form-type-checkbox form-item-submitted-tribute-wrapper-notifications-letter-letter control-group">
<input type="checkbox" id="edit-submitted-tribute-wrapper-notifications-letter-1" name="submitted[tribute_wrapper][notifications][letter][letter]" value="letter" class="form-checkbox" placeholder=""> <label class="option"
for="edit-submitted-tribute-wrapper-notifications-letter-1">I would prefer to notify someone of this gift with a mailed letter </label>
</div>
</div>
</div>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-tribute-wrapper--notifications--honoree-details" style="display: none;">
<legend><span class="fieldset-legend">Send Notification To…</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--recipients-name">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-honoree-details-recipients-name" name="submitted[tribute_wrapper][notifications][honoree_details][recipients_name]" value="" size="60" maxlength="128"
class="form-text" placeholder="Recipient’s Name "><label for="edit-submitted-tribute-wrapper-notifications-honoree-details-recipients-name" class="replaced">Recipient’s Name </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--honoree-address">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-address" name="submitted[tribute_wrapper][notifications][honoree_details][honoree_address]" value="" size="60" maxlength="128"
class="form-text" placeholder="Address "><label for="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-address" class="replaced">Address </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--honoree-city">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-city" name="submitted[tribute_wrapper][notifications][honoree_details][honoree_city]" value="" size="60" maxlength="128" class="form-text"
placeholder="City "><label for="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-city" class="replaced">City </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--honoree-state">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-state" name="submitted[tribute_wrapper][notifications][honoree_details][honoree_state]" value="" size="60" maxlength="128" class="form-text"
placeholder="State "><label for="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-state" class="replaced">State </label>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--honoree-zip">
<input type="text" id="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-zip" name="submitted[tribute_wrapper][notifications][honoree_details][honoree_zip]" value="" size="60" maxlength="128" class="form-text"
placeholder="Zip Code "><label for="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-zip" class="replaced">Zip Code </label>
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-tribute-wrapper--notifications--honoree-details--honoree-country">
<label for="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-country">Country </label>
<div class="select-wrapper"><select id="edit-submitted-tribute-wrapper-notifications-honoree-details-honoree-country" name="submitted[tribute_wrapper][notifications][honoree_details][honoree_country]" class="form-select"
placeholder="">
<option value="" selected="selected">- None -</option>
<option value="AF">Afghanistan</option>
<option value="AX">Aland 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="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="VG">British Virgin Islands</option>
<option value="BN">Brunei</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="BQ">Caribbean Netherlands</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 (Brazzaville)</option>
<option value="CD">Congo (Kinshasa)</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</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="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 Island and McDonald Islands</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong S.A.R., China</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</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="CI">Ivory Coast</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="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 S.A.R., China</option>
<option value="MK">Macedonia</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</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="AN">Netherlands Antilles</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="MP">Northern Mariana Islands</option>
<option value="KP">North Korea</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 Territory</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">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena</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</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="KR">South Korea</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="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syria</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="VI">U.S. Virgin Islands</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VA">Vatican</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</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>
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Skip to main content UKRAINE CRISIS: WOMEN IN NEED The lives of Ukrainian women have been shattered by the Russian invasion. More than 11 million people have fled the war—most of them women and children. We are raising emergency funds to meet the needs of Ukrainian women facing this crisis through our Conflict Response Fund. We are working with partners on the ground and allocating resources to women in need. Your support right now is crucial. Your gift to the Conflict Response Fund will support women in Ukraine and crisis zones around the world. One-time Monthly Monthly donations allow us to spring into action when women need us most. Be the one constant for women in the midst of chaos. $50 * $100 * $250 * $500 * $1,000 * $2,000 * Other * $20 $35 $50 $75 $100 $250 Other Other $ Minimum payment $5.00. Other $ Minimum payment $2.00. I would like to cover processing fees and other expenses to ensure Women for Women Intl. receives more of my contribution. Your Information First Name * Last Name * E-mail address * Address * Address Line 2 ZIP/Postal Code * Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe City * State/Province * - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands Payment Information Credit card number * Expiration date * JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 2022202320242025202620272028202920302031203220332034203520362037 CVV * Yes, I would like to receive email updates. My gift today is in memory or in honor of someone In Honor Of In Memory Of My gift is in honor/memory of Enter Occasion This gift is from Gift notification Would you like to notify someone of your gift? I would like to have you send an ecard Select ecard option ecard1 ecard2 ecard3 Send ecard to this email address Subject line Enter message I would prefer to notify someone of this gift with a mailed letter Send Notification To… Recipient’s Name Address City State Zip Code Country - None -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe By clicking DONATE NOW your credit card will be securely processed. Processing Your donation will be used support women survivors of war and conflict where it is needed most across the countries we operate. Your support is crucial as women endure crisis and find the power to overcome hardship. Women for Women International is a nonprofit 501(c)(3) organization. EIN/Tax ID #52-183-8756 Dark