secure.jewishcommunalfund.org
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208.89.96.69
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URL:
https://secure.jewishcommunalfund.org/
Submission: On July 13 via automatic, source certstream-suspicious — Scanned from DE
Submission: On July 13 via automatic, source certstream-suspicious — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form1 — POST https://secure.jewishcommunalfund.org/cc_collection.php
<form name="form1" method="post" action="https://secure.jewishcommunalfund.org/cc_collection.php" id="form1" onsubmit="javascript:return ValidateScreen();">
<div>
<table width="700px" style="margin-left:auto;margin-right:auto;text-align:left">
<tbody>
<tr>
<td>
<table style="width: 100%;" border="0">
<tbody>
<tr>
<td colspan="3">
<table style="width: 100%;" border="0">
<tbody>
<tr>
<td width="25%">
<img src="https://secure.jewishcommunalfund.org/JCF-LOGO.png" width="300" id="Header1_imgLogo" border="0">
</td>
<td width="75%">
<table border="0" width="100%">
<tbody>
<tr>
<td style="width:13%"></td>
<td style="width:auto"> For personal assistance call 1-212-752-8277 <br> Monday - Thursday, 9:00am - 5:00pm ET <br> Friday, 9:00am - 4:00pm ET <br>
<a href="mailto:info@jewishcommunalfund.org">or Email JCF</a>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td colspan="3">
<hr>
</td>
</tr>
<tr>
<td colspan="3">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="25%" valign="top">
<h2>JCF Credit Card Form</h2>
</td>
<td width="75%" align="right" valign="top">
<div style="text-align:right">
<table width="100%" style="text-align:right" cellpadding="0" cellspacing="0" border="0">
<tbody>
<tr>
<td style="text-align:right; vertical-align:text-top">
<span style="color:Red"></span>
</td>
</tr>
</tbody>
</table>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="1%" align="right"> </td>
<td width="25%"> I want to: </td>
<td width="74%">
<input type="radio" id="jcfIWantTo" name="jcfIWantTo" value="AddToMyFund"> Add to my fund <input type="radio" id="jcfIWantTo" name="jcfIWantTo" value="DonateToAFund"> Donate to a fund
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Fund Name and/or Number: </td>
<td width="74%">
<input id="order_desc" name="order_desc" type="text" size="69" maxlength="64" value="">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="99%" align="left">
<span style="text-align:right">Amount:</span>
</td>
<td width="1%" align="right">
<span style="text-align:right">$</span>
</td>
</tr>
</tbody>
</table>
</td>
<td width="74%">
<input id="total_amt" name="total_amt" type="text" onkeypress="return OnlyNumbersAndDecimals(event)" size="17" maxlength="12" value="">
</td>
</tr>
<tr>
<td width="1%"> </td>
<td width="25%"> Purpose or Person(s) <br>to Acknowledge: </td>
<td width="74%"><!-- use same visual size as the order_desc field -->
<textarea id="jcfPurpose" name="jcfPurpose" rows="2" cols="60" onkeyup="limitText(this, 200);" onkeydown="limitText(this, 200);"></textarea>
</td>
</tr>
<tr>
<td colspan="3">
<hr>
</td>
</tr>
<tr>
<td colspan="3">
<h2>Billing Address</h2>
</td>
</tr>
<tr>
<td width="1%"> </td>
<td width="25%"> </td>
<td width="74%">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="30%">
<font style="font-size:x-small">First name</font>
</td>
<td width="30%">
<font style="font-size:x-small">Last name</font>
</td>
<td width="40%"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Name: </td>
<td width="74%">
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="30%">
<input id="customer_firstname" name="customer_firstname" type="text" value="" size="20" maxlength="30">
</td>
<td width="30%">
<input id="customer_lastname" name="customer_lastname" type="text" value="" size="20" maxlength="30">
</td>
<td width="40%"> </td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Address 1: </td>
<td width="74%">
<input id="customer_address" name="customer_address" type="text" size="35" maxlength="30" value="">
</td>
</tr>
<tr>
<td width="1%"> </td>
<td width="25%"> Address 2 (optional): </td>
<td width="74%">
<input id="customer_address2" name="customer_address2" size="35" maxlength="30" type="text">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> City: </td>
<td width="74%">
<input id="customer_city" name="customer_city" type="text" size="25" maxlength="20" value="">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> State/Province/Region: </td>
<td width="74%">
<input id="customer_state" name="customer_state" type="text" value="" size="2" maxlength="2">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Zip Code: </td>
<td width="74%">
<input id="customer_postal_code" name="customer_postal_code" type="text" size="15" maxlength="10" value="">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Country: </td>
<td width="74%">
<select id="customer_country" name="customer_country">
<option value="USA" selected="">United States</option>
<option value="CAN">Canada</option>
<option value="GBR">United Kingdom</option>
<option value="ISR">Israel</option>
<option value="XXX">Other</option>
</select>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Phone: </td>
<td width="74%">
<input id="customer_phone" name="customer_phone" type="text" size="19" maxlength="14" value="">
</td>
</tr>
<tr>
<td width="1%"> </td>
<td width="25%"> Email Address: </td>
<td width="74%"><!-- use same visual size as the customer_address field -->
<input id="customer_email" name="customer_email" type="text" size="35" maxlength="50" value="">
</td>
</tr>
<!--
<tr>
<td colspan="3">
<span style="color: red; font-size: smaller">* denotes required fields</span>
</td>
</tr>
-->
<tr>
<td colspan="3">
<hr>
</td>
</tr>
<tr>
<td colspan="3">
<h2>Payment Information</h2>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Card Holder Name: </td>
<td width="74%">
<input type="text" name="name" id="name" autocomplete="off" value="">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Credit Card Type: </td>
<td width="74%">
<select name="card_type" id="card_type" class="creTypeField">
<option value="Visa">Visa</option>
<option value="MasterCard">MasterCard</option>
<option value="Discover">Discover</option>
<option value="American Express">American Express</option>
</select>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Credit Card Number: </td>
<td width="74%">
<input type="text" name="PAN" id="PAN" autocomplete="off">
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> Expiration Date: </td>
<td width="74%">
<select name="cresecure_cc_expires_month" id="cresecure_cc_expires_month">
<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select> <label for="cresecure_cc_expires_year"><select name="cresecure_cc_expires_year" id="cresecure_cc_expires_year">
<option value="22">2022</option>
<option value="23">2023</option>
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
<option value="33">2033</option>
</select>
</label>
</td>
</tr>
<tr>
<td width="1%" align="right"><span style="color:Red; text-align:right">*</span></td>
<td width="25%"> CVC Number: </td>
<td width="74%">
<input name="cv_data" type="text" id="cv_data" size="5" maxlength="4" autocomplete="off">
</td>
</tr>
<tr>
<td colspan="2">
<a href="https://www.jcfny.org/privacy-policy/" target="_blank">Privacy Policy</a>
</td>
<td>
<div>
<a href="//privacy.truste.com/privacy-seal/validation?rid=d6cbd88e-e7c6-4238-8ab5-6a1d7adf5405" target="_blank"><img style="border: none" src="//privacy-policy.truste.com/privacy-seal/seal?rid=d6cbd88e-e7c6-4238-8ab5-6a1d7adf5405" alt="TRUSTe"></a>
</div>
</td>
</tr>
<tr>
<td colspan="3">
<table>
<tbody>
<tr>
<td>
<div class="g-recaptcha" data-sitekey="6LdSriUTAAAAAPBVua32nTVv1Qt0Qcsx5Ol9wEIt">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-ru5s8ih7vync" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdSriUTAAAAAPBVua32nTVv1Qt0Qcsx5Ol9wEIt&co=aHR0cHM6Ly9zZWN1cmUuamV3aXNoY29tbXVuYWxmdW5kLm9yZzo0NDM.&hl=de&v=rKbTvxTxwcw5VqzrtN-ICwWt&size=normal&cb=j4nlhw9ued3d"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div><input type="submit" name="btnFormSubmit" value="Donate" id="btnFormSubmit">
</td>
<td> </td>
<td>
<div id="divError" style="display:none; color: red; font-weight:bold"></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div>
</form>Text Content
For personal assistance call 1-212-752-8277 Monday - Thursday, 9:00am - 5:00pm ET Friday, 9:00am - 4:00pm ET or Email JCF -------------------------------------------------------------------------------- JCF CREDIT CARD FORM I want to: Add to my fund Donate to a fund * Fund Name and/or Number: * Amount: $ Purpose or Person(s) to Acknowledge: -------------------------------------------------------------------------------- BILLING ADDRESS First name Last name * Name: * Address 1: Address 2 (optional): * City: * State/Province/Region: * Zip Code: * Country: United States Canada United Kingdom Israel Other * Phone: Email Address: -------------------------------------------------------------------------------- PAYMENT INFORMATION * Card Holder Name: * Credit Card Type: VisaMasterCardDiscoverAmerican Express * Credit Card Number: * Expiration Date: JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 202220232024202520262027202820292030203120322033 * CVC Number: Privacy Policy