www.rockthevote.org Open in urlscan Pro
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Form analysis
2 forms found in the DOM

GET https://www.rockthevote.org/

<form role="search" method="get" class="et-search-form" action="https://www.rockthevote.org/">
  <input type="search" class="et-search-field" placeholder="Search …" value="" name="s" title="Search for:">
</form>

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div class="at-markup FastAction" id="NVContributionForm1450849-FastAction">
    <div class="fastaction-block">
      <div class="fastAction clearfix">
        <p>
          <span class="fa-cta">
            <a href="#fastaction-login" class="profile-link" aria-label="FastAction">
          <img class="profile-link-fa-image" src="//static.everyaction.com/ea-actiontag/assets/images/fast-action.svg"> 
        </a>
            <span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
          </span>
          <span class="fa-lead"> Take future action with a single click.<br>
            <a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a>&nbsp;or&nbsp;<a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a>&nbsp;for <i>Fast</i><b>Action</b>
          </span>
        </p>
      </div>
    </div>
  </div>
  <ol class="at-steps clearfix">
    <li data-step="0" class="at-step active">
      <a title="" href="#ContributionInformation">
                    <span class="step-title">Amount</span>
                </a>
    </li>
    <li data-step="1" class="at-step ">
      <a title="" href="#ContactInformation">
                    <span class="step-title">Details</span>
                </a>
    </li>
    <li data-step="2" class="at-step ">
      <a title="" href="#PaymentInformation">
                    <span class="step-title">Payment</span>
                </a>
    </li>
  </ol>
  <div class="at-error-console"></div>
  <div data-name="undefined" data-subview="submit_view" data-subview-index="3"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1450849-ContributionInformation">
    <legend class="at-legend">Amount</legend>
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1450849-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$10">
                  <input name="SelectAmount" type="radio" value="10.00"> $10 <a></a> </label><label class="label-amount" title="$20">
                  <input name="SelectAmount" type="radio" value="20.00"> $20 <a></a> </label><label class="label-amount" title="$35">
                  <input name="SelectAmount" type="radio" value="35.00"> $35 <a></a> </label><label class="label-amount" title="$50">
                  <input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$100">
                  <input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$250">
                  <input name="SelectAmount" type="radio" value="250.00"> $250 <a></a> </label><label class="label-amount" title="$500">
                  <input name="SelectAmount" type="radio" value="500.00"> $500 <a></a> </label><label class="label-amount" title="$1,000">
                  <input name="SelectAmount" type="radio" value="1000.00"> $1,000 <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div>
      <div class="at-recurring"><label class="at-check  IsRecurring" id="NVContributionForm1450849-ContributionInformation-IsRecurring"><input type="checkbox" name="IsRecurring" aria-label="Check this box to make this contribution: Monthly"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1450849-ContributionInformation-IsRecurring-label">Check this box to make this contribution:</span></span>
        </label><label class="at-select SelectedFrequency" id="NVContributionForm1450849-ContributionInformation-SelectedFrequency"><kbd>Frequency <small>(Optional)</small></kbd><select autocomplete="on" title="Frequency" name="SelectedFrequency"
            class="" id="NVContributionForm1450849-ContributionInformation-SelectedFrequency-select">
            <option value="">- Frequency -</option>
            <option value="4">Monthly</option>
            <option value="5">Quarterly</option>
            <option value="6">Yearly</option>
          </select>
        </label></div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation hideStep" id="NVContributionForm1450849-ContactInformation" style="display: block;">
    <legend class="at-legend">Details</legend>
    <div class="at-fields">
      <div class="at-row FirstName LastName"><label class="at-text   FirstName" id="NVContributionForm1450849-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
            title="First Name (required)" name="FirstName" value="" maxlength="20">
        </label><label class="at-text   LastName" id="NVContributionForm1450849-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
            value="" maxlength="25">
        </label></div>
      <div class="at-row at-row-solo AddressLine1"><label class="at-text   AddressLine1" id="NVContributionForm1450849-ContactInformation-AddressLine1">Street Address<input type="text" autocomplete="address-line1" x-autocompletetype="address-line1"
            required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row Country PostalCode City StateProvince"><label class="at-select Country" id="NVContributionForm1450849-ContactInformation-Country">Country <small>(Optional)</small><select autocomplete="country-name"
            x-autocompletetype="country" title="Country" name="Country" class="select2-hidden-accessible" id="NVContributionForm1450849-ContactInformation-Country-select" tabindex="-1" aria-hidden="true">
            <option value="">- Select -</option>
            <option value="AF">Afghanistan</option>
            <option value="AX">Åland Islands</option>
            <option value="AL">Albania</option>
            <option value="DZ">Algeria</option>
            <option value="AD">Andorra</option>
            <option value="AO">Angola</option>
            <option value="AI">Anguilla</option>
            <option value="AQ">Antarctica</option>
            <option value="AG">Antigua and Barbuda</option>
            <option value="AR">Argentina</option>
            <option value="AM">Armenia</option>
            <option value="AW">Aruba</option>
            <option value="AU">Australia</option>
            <option value="AT">Austria</option>
            <option value="AZ">Azerbaijan</option>
            <option value="BS">Bahamas</option>
            <option value="BH">Bahrain</option>
            <option value="BD">Bangladesh</option>
            <option value="BB">Barbados</option>
            <option value="BY">Belarus</option>
            <option value="BE">Belgium</option>
            <option value="BZ">Belize</option>
            <option value="BJ">Benin</option>
            <option value="BM">Bermuda</option>
            <option value="BT">Bhutan</option>
            <option value="BO">Bolivia (Plurinational State of)</option>
            <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
            <option value="BA">Bosnia and Herzegovina</option>
            <option value="BW">Botswana</option>
            <option value="BV">Bouvet Island</option>
            <option value="BR">Brazil</option>
            <option value="IO">British Indian Ocean Territory</option>
            <option value="VG">British Virgin Islands</option>
            <option value="BN">Brunei Darussalam</option>
            <option value="BG">Bulgaria</option>
            <option value="BF">Burkina Faso</option>
            <option value="BI">Burundi</option>
            <option value="CV">Cabo Verde</option>
            <option value="KH">Cambodia</option>
            <option value="CM">Cameroon</option>
            <option value="CA">Canada</option>
            <option value="KY">Cayman Islands</option>
            <option value="CF">Central African Republic</option>
            <option value="TD">Chad</option>
            <option value="CL">Chile</option>
            <option value="CN">China</option>
            <option value="CX">Christmas Island</option>
            <option value="CC">Cocos (Keeling) Islands</option>
            <option value="CO">Colombia</option>
            <option value="KM">Comoros</option>
            <option value="CG">Congo</option>
            <option value="CD">Congo (Democratic Republic of the)</option>
            <option value="CK">Cook Islands</option>
            <option value="CR">Costa Rica</option>
            <option value="CI">Côte d'Ivoire</option>
            <option value="HR">Croatia</option>
            <option value="CU">Cuba</option>
            <option value="CW">Curaçao</option>
            <option value="CY">Cyprus</option>
            <option value="CZ">Czechia</option>
            <option value="DK">Denmark</option>
            <option value="DJ">Djibouti</option>
            <option value="DM">Dominica</option>
            <option value="DO">Dominican Republic</option>
            <option value="EC">Ecuador</option>
            <option value="EG">Egypt</option>
            <option value="SV">El Salvador</option>
            <option value="GQ">Equatorial Guinea</option>
            <option value="ER">Eritrea</option>
            <option value="EE">Estonia</option>
            <option value="SZ">Eswatini</option>
            <option value="ET">Ethiopia</option>
            <option value="FK">Falkland Islands (Malvinas)</option>
            <option value="FO">Faroe Islands</option>
            <option value="FJ">Fiji</option>
            <option value="FI">Finland</option>
            <option value="FR">France</option>
            <option value="GF">French Guiana</option>
            <option value="PF">French Polynesia</option>
            <option value="TF">French Southern Territories</option>
            <option value="GA">Gabon</option>
            <option value="GM">Gambia</option>
            <option value="GE">Georgia</option>
            <option value="DE">Germany</option>
            <option value="GH">Ghana</option>
            <option value="GI">Gibraltar</option>
            <option value="GR">Greece</option>
            <option value="GL">Greenland</option>
            <option value="GD">Grenada</option>
            <option value="GP">Guadeloupe</option>
            <option value="GT">Guatemala</option>
            <option value="GG">Guernsey</option>
            <option value="GN">Guinea</option>
            <option value="GW">Guinea-Bissau</option>
            <option value="GY">Guyana</option>
            <option value="HT">Haiti</option>
            <option value="HM">Heard Island and McDonald Islands</option>
            <option value="VA">Holy See</option>
            <option value="HN">Honduras</option>
            <option value="HK">Hong Kong</option>
            <option value="HU">Hungary</option>
            <option value="IS">Iceland</option>
            <option value="IN">India</option>
            <option value="ID">Indonesia</option>
            <option value="IR">Iran (Islamic Republic of)</option>
            <option value="IQ">Iraq</option>
            <option value="IE">Ireland</option>
            <option value="IM">Isle of Man</option>
            <option value="IL">Israel</option>
            <option value="IT">Italy</option>
            <option value="JM">Jamaica</option>
            <option value="JP">Japan</option>
            <option value="JE">Jersey</option>
            <option value="JO">Jordan</option>
            <option value="KZ">Kazakhstan</option>
            <option value="KE">Kenya</option>
            <option value="KI">Kiribati</option>
            <option value="KP">Korea (Democratic People's Republic of)</option>
            <option value="KR">Korea (Republic of)</option>
            <option value="KW">Kuwait</option>
            <option value="KG">Kyrgyzstan</option>
            <option value="LA">Lao People's Democratic Republic</option>
            <option value="LV">Latvia</option>
            <option value="LB">Lebanon</option>
            <option value="LS">Lesotho</option>
            <option value="LR">Liberia</option>
            <option value="LY">Libya</option>
            <option value="LI">Liechtenstein</option>
            <option value="LT">Lithuania</option>
            <option value="LU">Luxembourg</option>
            <option value="MO">Macao</option>
            <option value="MG">Madagascar</option>
            <option value="MW">Malawi</option>
            <option value="MY">Malaysia</option>
            <option value="MV">Maldives</option>
            <option value="ML">Mali</option>
            <option value="MT">Malta</option>
            <option value="MQ">Martinique</option>
            <option value="MR">Mauritania</option>
            <option value="MU">Mauritius</option>
            <option value="YT">Mayotte</option>
            <option value="MX">Mexico</option>
            <option value="FM">Micronesia (Federated States of)</option>
            <option value="MD">Moldova (Republic of)</option>
            <option value="MC">Monaco</option>
            <option value="MN">Mongolia</option>
            <option value="ME">Montenegro</option>
            <option value="MS">Montserrat</option>
            <option value="MA">Morocco</option>
            <option value="MZ">Mozambique</option>
            <option value="MM">Myanmar</option>
            <option value="NA">Namibia</option>
            <option value="NR">Nauru</option>
            <option value="NP">Nepal</option>
            <option value="NL">Netherlands</option>
            <option value="NC">New Caledonia</option>
            <option value="NZ">New Zealand</option>
            <option value="NI">Nicaragua</option>
            <option value="NE">Niger</option>
            <option value="NG">Nigeria</option>
            <option value="NU">Niue</option>
            <option value="NF">Norfolk Island</option>
            <option value="MK">North Macedonia</option>
            <option value="NO">Norway</option>
            <option value="OM">Oman</option>
            <option value="PK">Pakistan</option>
            <option value="PW">Palau</option>
            <option value="PS">Palestine (State of)</option>
            <option value="PA">Panama</option>
            <option value="PG">Papua New Guinea</option>
            <option value="PY">Paraguay</option>
            <option value="PE">Peru</option>
            <option value="PH">Philippines</option>
            <option value="PN">Pitcairn</option>
            <option value="PL">Poland</option>
            <option value="PT">Portugal</option>
            <option value="QA">Qatar</option>
            <option value="RE">Réunion</option>
            <option value="RO">Romania</option>
            <option value="RU">Russian Federation</option>
            <option value="RW">Rwanda</option>
            <option value="BL">Saint Barthélemy</option>
            <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
            <option value="KN">Saint Kitts and Nevis</option>
            <option value="LC">Saint Lucia</option>
            <option value="MF">Saint Martin (French part)</option>
            <option value="PM">Saint Pierre and Miquelon</option>
            <option value="VC">Saint Vincent and the Grenadines</option>
            <option value="WS">Samoa</option>
            <option value="SM">San Marino</option>
            <option value="ST">Sao Tome and Principe</option>
            <option value="SA">Saudi Arabia</option>
            <option value="SN">Senegal</option>
            <option value="RS">Serbia</option>
            <option value="SC">Seychelles</option>
            <option value="SL">Sierra Leone</option>
            <option value="SG">Singapore</option>
            <option value="SX">Sint Maarten (Dutch part)</option>
            <option value="SK">Slovakia</option>
            <option value="SI">Slovenia</option>
            <option value="SB">Solomon Islands</option>
            <option value="SO">Somalia</option>
            <option value="ZA">South Africa</option>
            <option value="GS">South Georgia and the South Sandwich Islands</option>
            <option value="SS">South Sudan</option>
            <option value="ES">Spain</option>
            <option value="LK">Sri Lanka</option>
            <option value="SD">Sudan</option>
            <option value="SR">Suriname</option>
            <option value="SJ">Svalbard and Jan Mayen</option>
            <option value="SE">Sweden</option>
            <option value="CH">Switzerland</option>
            <option value="SY">Syrian Arab Republic</option>
            <option value="TW">Taiwan</option>
            <option value="TJ">Tajikistan</option>
            <option value="TZ">Tanzania (United Republic of)</option>
            <option value="TH">Thailand</option>
            <option value="TL">Timor-Leste</option>
            <option value="TG">Togo</option>
            <option value="TK">Tokelau</option>
            <option value="TO">Tonga</option>
            <option value="TT">Trinidad and Tobago</option>
            <option value="TN">Tunisia</option>
            <option value="TR">Turkey</option>
            <option value="TM">Turkmenistan</option>
            <option value="TC">Turks and Caicos Islands</option>
            <option value="TV">Tuvalu</option>
            <option value="UG">Uganda</option>
            <option value="UA">Ukraine</option>
            <option value="AE">United Arab Emirates</option>
            <option value="GB">United Kingdom</option>
            <option value="US">United States</option>
            <option value="UM">United States Minor Outlying Islands</option>
            <option value="UY">Uruguay</option>
            <option value="UZ">Uzbekistan</option>
            <option value="VU">Vanuatu</option>
            <option value="VE">Venezuela (Bolivarian Republic of)</option>
            <option value="VN">Viet Nam</option>
            <option value="WF">Wallis and Futuna</option>
            <option value="EH">Western Sahara</option>
            <option value="YE">Yemen</option>
            <option value="ZM">Zambia</option>
            <option value="ZW">Zimbabwe</option>
          </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 208px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                aria-expanded="false" title="Country" tabindex="0" aria-labelledby="select2-NVContributionForm1450849-ContactInformation-Country-select-container"><span class="select2-selection__rendered"
                  id="select2-NVContributionForm1450849-ContactInformation-Country-select-container" title="United States">United States</span><span class="select2-selection__arrow"
                  role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </label><label class="at-text   PostalCode" id="NVContributionForm1450849-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required=""
            title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City" id="NVContributionForm1450849-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value=""
            maxlength="25">
        </label><label class="at-select StateProvince" id="NVContributionForm1450849-ContactInformation-StateProvince">State/Province <small>(Optional)</small><select autocomplete="address-level1" x-autocompletetype="administrative-area"
            title="State/Province" name="StateProvince" class=" " id="NVContributionForm1450849-ContactInformation-StateProvince-select">
            <option value="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row EmailAddress MobilePhone"><label class="at-text   EmailAddress" id="NVContributionForm1450849-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label><label class="at-text   MobilePhone" id="NVContributionForm1450849-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
          <div class="intl-tel-input iti iti--allow-dropdown">
            <div class="iti__flag-container">
              <div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
                <div class="iti__flag iti__us"></div>
                <div class="iti__arrow"></div>
              </div>
            </div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone" data-intl-tel-input-id="0">
          </div>
        </label></div>
      <div class="at-row at-row-solo at-row-full SmsSubscribeMobilePhone"><label class="at-check  SmsSubscribeMobilePhone" id="NVContributionForm1450849-ContactInformation-SmsSubscribeMobilePhone"><input type="checkbox"
            name="SmsSubscribeMobilePhone"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1450849-ContactInformation-SmsSubscribeMobilePhone-label">Sign me up for SMS messages.</span></span>
        </label></div>
      <div class="at-row at-row-solo at-row-full SmsLegalDisclaimer at-indented">
        <div class="at-markup SmsLegalDisclaimer at-legal" id="NVContributionForm1450849-ContactInformation-SmsLegalDisclaimer">
          <p><em>By signing up, you consent to receive periodic text messages from Rock the Vote (788663). Text HELP for help or STOP to end. Msg &amp; Data Rates May Apply. No purchase necessary. See
              <a href="https://www.rockthevote.org/mobile-terms-and-conditions/">terms and conditions</a> and <a href="https://www.rockthevote.org/privacy-policy/">privacy policy</a>.</em></p>
        </div>
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