donate.cancer.org
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13.65.37.122
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URL:
https://donate.cancer.org/?campaign=default&lang=en
Submission: On May 11 via api from IE — Scanned from DE
Submission: On May 11 via api from IE — Scanned from DE
Form analysis 8 forms found in the DOM
<form><span class="fieldset">
<p><input type="checkbox" value="check" id="chkMain" checked="checked" class="legacy-group-status optanon-status-checkbox"><label for="chkMain">Active</label></p>
</span></form><form id="donate_amount" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="section-title" data-type="onetime" style="margin-bottom: -10px;"> Choose Your Donation Amount </div>
<div class="section-title" data-type="monthly" style="margin-bottom: -10px; display: none;"> Choose Your Monthly Donation Amount </div>
<div class="amount-container gift_array_4" data-type="onetime" data-customlabel="default">
<div class="values-container">
<div class="amount-item" data-paymentamount="50" data-paymentfrequency="onetime" tabindex="0">$50</div>
<div class="amount-item active" data-paymentamount="100" data-paymentfrequency="onetime" tabindex="0">$100</div>
<div class="amount-item" data-paymentamount="250" data-paymentfrequency="onetime" tabindex="0">$250</div>
<div class="amount-item" data-paymentamount="500" data-paymentfrequency="onetime" tabindex="0">$500</div>
</div>
<div class="other-container amount-error">
<div class="amount-item entry" data-paymentamount="other" data-paymentfrequency="onetime" tabindex="0">
<div class="entry-label"> Other </div>
<div class="input">
<input name="onetime_other" type="number" inputmode="decimal" step="any" tabindex="-1" data-bv-field="onetime_other">
<i class="icon left fa fa-dollar-sign"></i>
</div>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="onetime_other" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Amount.</small><small class="help-block" data-bv-validator="between"
data-bv-for="onetime_other" data-bv-result="NOT_VALIDATED" style="display: none;">The value must be greater than or equal to $5 and less than or equal to $1000000.</small><small class="help-block" data-bv-validator="numeric"
data-bv-for="onetime_other" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid float number</small>
</div>
</div>
<div class="amount-container gift_array_4" data-type="monthly" style="display: none;" data-customlabel="default">
<div class="values-container">
<div class="amount-item" data-paymentamount="15" data-paymentfrequency="monthly" tabindex="0">$15</div>
<div class="amount-item" data-paymentamount="25" data-paymentfrequency="monthly" tabindex="0">$25</div>
<div class="amount-item" data-paymentamount="50" data-paymentfrequency="monthly" tabindex="0">$50</div>
<div class="amount-item" data-paymentamount="100" data-paymentfrequency="monthly" tabindex="0">$100</div>
</div>
<div class="other-container amount-error">
<div class="amount-item entry active" data-paymentamount="other" data-paymentfrequency="monthly" tabindex="0">
<div class="entry-label"> Other </div>
<div class="input">
<input name="monthly_other" type="number" inputmode="decimal" step="any" tabindex="-1" data-bv-field="monthly_other">
<i class="icon left fa fa-dollar-sign"></i>
</div>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="monthly_other" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Amount.</small><small class="help-block" data-bv-validator="between"
data-bv-for="monthly_other" data-bv-result="NOT_VALIDATED" style="display: none;">The value must be greater than or equal to $5 and less than or equal to $1000000.</small><small class="help-block" data-bv-validator="numeric"
data-bv-for="monthly_other" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid float number</small>
</div>
</div>
</form><form id="donate_match" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div>
<div class="field-title">Search for My Company</div>
<div class="entry-container">
<div class="input">
<span class="twitter-typeahead" style="position: relative; display: inline-block;"><input type="text" class="form-control typeahead focusedInput tt-hint" autocomplete="off" data-bv-field="employer_name" readonly="" spellcheck="false"
tabindex="-1" dir="ltr" style="position: absolute; top: 0px; left: 0px; border-color: transparent; box-shadow: none; opacity: 1; background: none 0% 0% / auto repeat scroll padding-box border-box rgb(255, 255, 255);"><input
id="employer_name" name="employer_name" type="text" class="form-control typeahead focusedInput tt-input" placeholder="Participating Employers" autocomplete="disabled" data-bv-field="employer_name" spellcheck="false" dir="auto"
style="position: relative; vertical-align: top; background-color: transparent;">
<pre aria-hidden="true"
style="position: absolute; visibility: hidden; white-space: pre; font-family: "Source Sans Pro"; font-size: 16px; font-style: normal; font-variant: normal; font-weight: 400; word-spacing: 0px; letter-spacing: 0px; text-indent: 5px; text-rendering: auto; text-transform: none;"></pre>
<div class="tt-menu" style="position: absolute; top: 100%; left: 0px; z-index: 100; display: none;">
<div class="tt-dataset tt-dataset-employers"></div>
</div>
</span>
<input id="employer_id" name="employer_id" type="hidden">
<i class="icon right fa fa-search"></i>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="employer_name" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Employer.</small>
</div>
</div>
<div id="donate_match_upsell" style="display:none;">
<div>The match minimum for <span id="match_name"></span> is <span id="match_minimum" class="bold"></span>. Consider increasing your donation to double your impact.</div>
</div>
</form><form id="donate_dedicate" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="card-selection">
<div class="card-selection-fields">
<div>
<div class="field-title">My Donation Is in</div>
<div class="entry-container">
<select class="form-control" id="honor_type" name="honor_type" data-bv-field="honor_type">
<option disabled="disabled" selected="selected" value=""></option>
<option value="memory">Memory</option>
<option value="honor">Honor</option>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="honor_type" data-bv-result="NOT_VALIDATED" style="display: none;">Please select a Dedication Type.</small>
</div>
</div>
<div>
<div class="field-title">First Name</div>
<div class="entry-container">
<input id="honor_fname" name="honor_fname" value="" type="text" class="form-control" autocomplete="off" data-bv-field="honor_fname">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="honor_fname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid First Name.</small><small class="help-block" data-bv-validator="regexp"
data-bv-for="honor_fname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid First Name.</small>
</div>
</div>
<div>
<div class="field-title">Last Name</div>
<div class="entry-container">
<input id="honor_lname" name="honor_lname" value="" type="text" class="form-control" autocomplete="off" data-bv-field="honor_lname">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="honor_lname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Last Name.</small><small class="help-block" data-bv-validator="regexp"
data-bv-for="honor_lname" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Last Name.</small>
</div>
</div>
</div>
<div class="card-selection-sample">
<img src="https://donate-assets.azureedge.net/img/SampleCard.png">
</div>
</div>
<div class="card-selection-text" data-type="onetime" style="">You'll be able to send an ecard or a paper card after you complete your donation.</div>
<div class="card-selection-text" data-type="monthly" style="display:none">You'll be able to send an ecard after you complete your donation.</div>
</form><form id="card_form" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="payment-info-container">
<div>
<div class="field-title">Credit Card Number</div>
<div class="entry-container">
<div class="flex-container flex-number-container flex-microform"><iframe hspace="0" vspace="0" frameborder="0" scrolling="no" allowtransparency="true" marginwidth="0" marginheight="0" title="secure payment field"
src="https://flex.cybersource.com/cybersource/assets/microform/0.11.6/iframe.html?keyId=04Uhi3DiAO3jjj77roQIgHdpbikOQQfW#{"microformId":"285cf605-fbda-448c-8a3d-fd874c7e673d","fieldId":"0ef629d2-5f66-47c8-b639-ddf6c11ef3e6","jwt":"eyJraWQiOiJ3ZiIsImFsZyI6IlJTMjU2In0.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.Hh_biCkEjMtxFdf9q8Bflkstqt5HswtgKW7bWfhP5KTcuuoK6UU-HSTswrHeMx0woBhiAHez-CIKjBCCjla7fdFA5TNcRJ3HLvR-Rl2c-nqNfgTv2O1gSoORvhXiLE1gz2L9I52NzIJosTAeBq79I7Y2s_2qWYCmNHcNtO_a4u0OxIKnakqcFeXU0yZ0ELfKRmXjTmKwZM-vsg5C6FoOz6rq1KBGPQq7rPUn__GW0Htr07xrU6i3H7Lg2gXPQ8_tgyb8PkK3Wj9XAFbJ0uBL-8Hp2h3vPsPZ91AYEyy6QRXEuakY8hIFwI_PDGgEIo6ydX97Yc4QoC8amwHzTuOkBQ","microformConfig":{"styles":{"input":{"font-size":"16px !important","font-family":"\"Source Sans Pro\", \"Open Sans\", Monsterrat, \"Courier New\", sans-serif","color":"#404040"}}},"config":{},"fieldType":"number"}"
style="overflow: hidden; position: relative; border: none; width: 100%; height: 100%;"></iframe></div>
<small class="help-block" data-validator="cardInvalid" style="display:none;">Please enter a valid Credit Card Number.</small>
</div>
</div>
<div>
<div class="field-title">Expiration Date</div>
<div class="entry-container dates">
<div class="date-group">
<div class="date-container">
<select id="payment_card_expire_month" name="card_date_month" class="form-control" data-bv-field="card_date_month">
<option disabled="" selected=""></option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="card_date_month" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Expiration Date.</small>
</div>
<div class="date-container">
<select id="payment_card_expire_year" name="card_date_year" class="form-control" data-bv-field="card_date_year">
<option disabled="" selected=""></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>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="card_date_year" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Expiration Date.</small>
</div>
</div>
</div>
</div>
<div>
<div class="field-title">CVV</div>
<div class="entry-container">
<div class="flex-container flex-security-container flex-microform"><iframe hspace="0" vspace="0" frameborder="0" scrolling="no" allowtransparency="true" marginwidth="0" marginheight="0" title="secure payment field"
src="https://flex.cybersource.com/cybersource/assets/microform/0.11.6/iframe.html?keyId=04Uhi3DiAO3jjj77roQIgHdpbikOQQfW#{"microformId":"285cf605-fbda-448c-8a3d-fd874c7e673d","fieldId":"21ae515f-fd92-421d-830b-a1a0c32fab68","jwt":"eyJraWQiOiJ3ZiIsImFsZyI6IlJTMjU2In0.eyJmbHgiOnsicGF0aCI6Ii9mbGV4L3YyL3Rva2VucyIsImRhdGEiOiJpSlBabTlUWXFzZHpadjIrNDBhbFJSQUFFQnQzTFpWYStRSEZCTEgwemdVZFBkM0ViVjk2bnl5ek1IbWRaaWU0YVRsb3hOZk9FTTUrOVBiUkg5NmQ3T0I1V1pZYWs3dXNia0hjZnZyYVB1QXJxQm5GcmxDbWRySUlzL1VKQ09zMUcvWXUiLCJvcmlnaW4iOiJodHRwczovL2ZsZXguY3liZXJzb3VyY2UuY29tIiwiandrIjp7Imt0eSI6IlJTQSIsImUiOiJBUUFCIiwidXNlIjoiZW5jIiwibiI6ImljdktMaGZnV2M4cC13aExfM0ZfdGhrdk8xd0JwNDFlM2kxMElMMENMMC0zNnhYaC0wak1XR1pXRHlQaVBseGx0dE9SckJ6cXZvbC1ZOGNxZ0xzT0NoSjhNTkQ0clFZUWVQanEtZkNrV1UzYVdLUHFtZGI4Y3J4XzltSDZuVzE2TzEzUHU2dWFCcVFCLUVLdzkzN2tJYVhONlNQMmxPaGhGbnVFbDNTOXBMZXVWbEthc0RHaFZtZzN5eVk0T29oSkQ1MVk1WlJ6LXoyT293dTYzc0FwOEhDRHpaUDl1TE9VR2M5eHF3MC1vRm8xOUVQY0VSeEZycHZNdmRZOEtaTlFoOTJOR1NUU1N1d2lDV2Q4VkVjY2t3ZlNSNUw3SEs0a1Y1Qy1ydjY3SkxvRWdZOHV5ZUEwVlM1NWY4NzJoZE9xODNNNFkySi1scnEyeFdWNnA2LTduUSIsImtpZCI6IjA0VWhpM0RpQU8zampqNzdyb1FJZ0hkcGJpa09RUWZXIn19LCJjdHgiOlt7ImRhdGEiOnsidGFyZ2V0T3JpZ2lucyI6WyJodHRwczovL2RvbmF0ZTMuY2FuY2VyLm9yZyIsImh0dHBzOi8vZG9uYXRlLmNhbmNlci5vcmciXSwibWZPcmlnaW4iOiJodHRwczovL2ZsZXguY3liZXJzb3VyY2UuY29tIn0sInR5cGUiOiJtZi0wLjExLjAifV0sImlzcyI6IkZsZXggQVBJIiwiZXhwIjoxNjgzNzcwNjA5LCJpYXQiOjE2ODM3Njk3MDksImp0aSI6ImNoWXVIOEdYWmhCeExxbnQifQ.Hh_biCkEjMtxFdf9q8Bflkstqt5HswtgKW7bWfhP5KTcuuoK6UU-HSTswrHeMx0woBhiAHez-CIKjBCCjla7fdFA5TNcRJ3HLvR-Rl2c-nqNfgTv2O1gSoORvhXiLE1gz2L9I52NzIJosTAeBq79I7Y2s_2qWYCmNHcNtO_a4u0OxIKnakqcFeXU0yZ0ELfKRmXjTmKwZM-vsg5C6FoOz6rq1KBGPQq7rPUn__GW0Htr07xrU6i3H7Lg2gXPQ8_tgyb8PkK3Wj9XAFbJ0uBL-8Hp2h3vPsPZ91AYEyy6QRXEuakY8hIFwI_PDGgEIo6ydX97Yc4QoC8amwHzTuOkBQ","microformConfig":{"styles":{"input":{"font-size":"16px !important","font-family":"\"Source Sans Pro\", \"Open Sans\", Monsterrat, \"Courier New\", sans-serif","color":"#404040"}}},"config":{"maxLength":4},"fieldType":"securityCode"}"
style="overflow: hidden; position: relative; border: none; width: 100%; height: 100%;"></iframe></div>
<small class="help-block" data-validator="cvvInvalid" style="display:none;">Please enter a valid CVV.</small>
</div>
</div>
</div>
</form><form id="contact_form" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="step-counter">3</div>
<div class="text-section-title">Your Information</div>
<div class="section">
<div class="name-container">
<div>
<div class="field-title">First Name</div>
<div class="entry-container">
<input id="contact_first_name" name="contact_first_name" type="text" class="form-control" placeholder="First Name" autocomplete="off" data-bv-field="contact_first_name">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_first_name" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid First Name.</small><small class="help-block" data-bv-validator="stringLength"
data-bv-for="contact_first_name" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid First Name.</small><small class="help-block" data-bv-validator="regexp" data-bv-for="contact_first_name"
data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid First Name.</small>
</div>
</div>
<div>
<div class="field-title">Last Name</div>
<div class="entry-container">
<input id="contact_last_name" name="contact_last_name" type="text" class="form-control" placeholder="Last Name" autocomplete="off" data-bv-field="contact_last_name">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_last_name" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Last Name.</small><small class="help-block" data-bv-validator="stringLength"
data-bv-for="contact_last_name" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Last Name.</small><small class="help-block" data-bv-validator="regexp" data-bv-for="contact_last_name"
data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Last Name.</small>
</div>
</div>
</div>
<div class="email-container">
<div class="field-title">Email Address</div>
<div class="entry-container">
<input id="contact_email" name="contact_email" type="email" class="form-control" placeholder="Email Address" autocomplete="off" data-bv-field="contact_email">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_email" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Email Address.</small><small class="help-block" data-bv-validator="regexp"
data-bv-for="contact_email" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Email Address.</small><small class="help-block" data-bv-validator="emailAddress" data-bv-for="contact_email"
data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
</div>
<div class="checkbox-container">
<label> You'll receive email updates from the American Cancer Society. You can unsubscribe at any time. </label>
</div>
</div>
</div>
<div class="section">
<div class="recognition-checkbox checkbox-container">
<input id="chk_want_to_change_recognition" type="checkbox" autocomplete="off">
<span class="checkmark" tabindex="0"></span>
<div class="has-info info-container">
<label for="chk_want_to_change_recognition">
<b>Change your recognition preferences (optional).</b>
<i class="fa fa-info-circle info-pop"></i>
</label>
<div class="info-content-container info-hidden">
<ul>
<li>By default, your gift will be acknowledged on the receipt using the cardholder's billing name.</li>
<li>Your preferred recognition name can be first and last name, family name, nickname, etc.</li>
</ul>
<div class="arrow"></div>
</div>
</div>
</div>
<div class="recognition-container" style="display:none;">
<div class="field-title">How would you like for your donation to be acknowledged on the donation receipt?</div>
<div class="entry-container">
<input id="recognition_replacement" name="recognition_replacement" type="text" class="form-control" placeholder="First and last name, family name, etc." data-bv-field="recognition_replacement">
<small class="help-block" data-bv-validator="stringLength" data-bv-for="recognition_replacement" data-bv-result="NOT_VALIDATED" style="display: none;">Maximum length is 65 characters.</small><small class="help-block"
data-bv-validator="regexp" data-bv-for="recognition_replacement" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Recognition value.</small><small class="help-block" data-bv-validator="remote"
data-bv-for="recognition_replacement" data-bv-result="NOT_VALIDATED" style="display: none;">Recognition value contains inappropriate content.</small>
</div>
</div>
</div>
<div class="text-section-title">Billing Address</div>
<div id="billing_info" class="section">
<div class="address-container">
<div>
<div class="field-title">Address</div>
<div class="entry-container">
<input id="contact_address_line1" name="contact_address_line1" type="text" class="form-control" placeholder="Address Line 1" autocomplete="off" data-bv-field="contact_address_line1">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_address_line1" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Address.</small><small class="help-block" data-bv-validator="stringLength"
data-bv-for="contact_address_line1" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Address.</small><small class="help-block" data-bv-validator="regexp" data-bv-for="contact_address_line1"
data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Address.</small><small class="help-block" data-bv-validator="callback" data-bv-for="contact_address_line1" data-bv-result="NOT_VALIDATED"
style="display: none;">Please enter a valid value</small>
</div>
</div>
<div>
<div class="field-title">Address 2 (Optional)</div>
<div class="entry-container">
<input id="contact_address_line2" name="contact_address_line2" type="text" class="form-control" placeholder="Address Line 2" autocomplete="off" data-bv-field="contact_address_line2">
<small class="help-block" data-bv-validator="stringLength" data-bv-for="contact_address_line2" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Address 2.</small><small class="help-block" data-bv-validator="regexp"
data-bv-for="contact_address_line2" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Address 2.</small>
</div>
</div>
</div>
<div class="address-container address-wrap">
<div>
<div class="field-title">City</div>
<div class="entry-container">
<input id="contact_address_city" name="contact_address_city" type="text" class="form-control" placeholder="City" autocomplete="off" data-bv-field="contact_address_city">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_address_city" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid City.</small><small class="help-block" data-bv-validator="stringLength"
data-bv-for="contact_address_city" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid City.</small><small class="help-block" data-bv-validator="regexp" data-bv-for="contact_address_city"
data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid City.</small>
</div>
</div>
<div>
<div class="field-title">State</div>
<div class="entry-container">
<select id="contact_address_state" name="contact_address_state" class="form-control bfh-states" placeholder="State" autocomplete="off" data-country="US" style="max-width: 160px;" data-bv-field="contact_address_state">
<option value=""></option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="AF">Armed Forces Africa</option>
<option value="AA">Armed Forces Americas</option>
<option value="AC">Armed Forces Canada</option>
<option value="AE">Armed Forces Europe</option>
<option value="AM">Armed Forces Middle East</option>
<option value="AP">Armed Forces Pacific</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="FM">Federated States Of Micronesia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</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="MH">Marshall Islands</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="MP">Northern Mariana Islands</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PW">Palau</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</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="VI">Virgin Islands</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>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_address_state" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid State.</small>
</div>
</div>
<div>
<div class="field-title">Zip</div>
<div class="entry-container">
<input id="contact_address_zip" name="contact_address_zip" type="text" class="form-control" placeholder="Zip" autocomplete="off" style="max-width: 110px;" data-bv-field="contact_address_zip">
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_address_zip" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Zip.</small><small class="help-block" data-bv-validator="zipCode"
data-bv-for="contact_address_zip" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Zip.</small>
</div>
</div>
</div>
<div class="address-container">
<div>
<div class="field-title">Country</div>
<div class="entry-container">
<select id="contact_address_country" name="contact_address_country" class="bfh-countries form-control" placeholder="Country" autocomplete="off" data-country="US"
data-available="DZ,AR,AU,AT,AZ,BS,BD,BB,BE,BO,BR,BG,CM,CA,CL,CN,CO,CR,CY,CZ,DK,DO,EC,EG,SV,ET,FI,FR,DE,GH,GR,GU,GT,HN,HK,HU,IN,ID,IQ,IE,IL,IT,JM,JP,JO,KE,KW,LB,MY,MT,MX,MA,NP,NL,NZ,NI,NG,NO,OM,PK,PS,PA,PY,PE,PH,PL,PT,PR,QA,RO,RU,SA,SG,SK,ZA,KR,ES,LK,SD,SE,CH,TW,TZ,TH,TT,TN,TR,VI,UG,UA,AE,GB,US,UY,VE,VN,ZM,ZW"
data-blank="false" data-bv-field="contact_address_country">
<option value="DZ">Algeria</option>
<option value="AR">Argentina</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BE">Belgium</option>
<option value="BO">Bolivia</option>
<option value="BR">Brazil</option>
<option value="BG">Bulgaria</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CO">Colombia</option>
<option value="CR">Costa Rica</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</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="ET">Ethiopia</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GR">Greece</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KE">Kenya</option>
<option value="KW">Kuwait</option>
<option value="LB">Lebanon</option>
<option value="MY">Malaysia</option>
<option value="MT">Malta</option>
<option value="MX">Mexico</option>
<option value="MA">Morocco</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NG">Nigeria</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PS">Palestine</option>
<option value="PA">Panama</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russia</option>
<option value="SA">Saudi Arabia</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="ZA">South Africa</option>
<option value="KR">South Korea</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="TW">Taiwan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="BS">The Bahamas</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="VI">US 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="UY">Uruguay</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="contact_address_country" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Country.</small>
</div>
</div>
</div>
</div>
</form><form id="donate_review" autocomplete="off" novalidate="novalidate" class="bv-form"><button type="submit" class="bv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
<div class="review-container">
<div class="submit-container">
<div>
<div class="field-title white">Frequency</div>
<div class="entry-container">
<select id="frequency-review">
<option disabled="" selected=""></option>
<option value="onetime">One Time</option>
<option value="monthly">Monthly</option>
</select>
</div>
</div>
<div>
<div class="field-title white">Amount</div>
<div class="entry-container">
<input id="amount-review" name="amount_review" type="number" inputmode="decimal" step="any" data-bv-field="amount_review">
</div>
</div>
</div>
<small class="help-block" data-bv-validator="notEmpty" data-bv-for="amount_review" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid Amount.</small><small class="help-block" data-bv-validator="between"
data-bv-for="amount_review" data-bv-result="NOT_VALIDATED" style="display: none;">The value must be greater than or equal to $5 and less than or equal to $1000000.</small><small class="help-block" data-bv-validator="numeric"
data-bv-for="amount_review" data-bv-result="NOT_VALIDATED" style="display: none;">Please enter a valid float number</small>
</div>
<div class="button-container">
<button id="submit_button" type="button">Send Donation</button>
</div>
</form>POST
<form id="fileUploadForm" enctype="multipart/form-data" method="post" target="fileUploadIframe"><input type="file" id="fileSelector" name="file" style="display: none;"><input name="filename" type="hidden"></form>Text Content
Cookie Notice This website uses cookies that help the website function and that help us understand how you interact with it. You can manage cookie settings using the Manage Cookies link and can read more about our use of cookies by reviewing our Terms of Use Close Accept Cookies Manage Cookies * Your Privacy * Strictly Necessary Cookies * Performance Cookies * Functional Cookies * Targeting Cookies * More Information Privacy Preference Center Active Always Active Save Settings Allow All DONATE TODAY AND HELP US END CANCER AS WE KNOW IT, FOR EVERYONE. Other Ways to Donate Call 1-800-227-2345 · More donation options There are multiple ways you can donate to the American Cancer Society, including crypto, stocks, donor-advised funds, and many more. 1 Donation Amount Frequency One Time Monthly Choose Your Donation Amount Choose Your Monthly Donation Amount $50 $100 $250 $500 Other Please enter a valid Amount.The value must be greater than or equal to $5 and less than or equal to $1000000.Please enter a valid float number $15 $25 $50 $100 Other Please enter a valid Amount.The value must be greater than or equal to $5 and less than or equal to $1000000.Please enter a valid float number I'll add $5.50 to cover processing fees, and other expenses to ensure the cause receives my entire contribution. See if your Employer will match your gift. Search for My Company Please enter a valid Employer. The match minimum for is . Consider increasing your donation to double your impact. I want to dedicate my donation. Dedicate a donation in honor or memory of a loved one and send a card to the honoree or family notifying them of your gift. You'll be able to send an ecard or a paper card after you complete your donation. Dedicate a donation in honor or memory of a loved one and send a card to the honoree or family notifying them of your gift. You'll be able to send an ecard after you complete your donation. My Donation Is in Memory Honor Please select a Dedication Type. First Name Please enter a valid First Name.Please enter a valid First Name. Last Name Please enter a valid Last Name.Please enter a valid Last Name. You'll be able to send an ecard or a paper card after you complete your donation. You'll be able to send an ecard after you complete your donation. $100.00 will be charged to your account on the 15th of every month (until you ask us to stop). Continue 2 Payment Information Select Payment Type Credit Card Apple Pay PayPal Venmo Credit Card Apple Pay PayPal Or Use Click To Pay Credit Card Number Please enter a valid Credit Card Number. Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 Please enter a valid Expiration Date. 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 Please enter a valid Expiration Date. CVV Please enter a valid CVV. Continue You'll have a chance to review your donation before this transaction is complete. 3 Your Information First Name Please enter a valid First Name.Please enter a valid First Name.Please enter a valid First Name. Last Name Please enter a valid Last Name.Please enter a valid Last Name.Please enter a valid Last Name. Email Address Please enter a valid Email Address.Please enter a valid Email Address.Please enter a valid email address You'll receive email updates from the American Cancer Society. You can unsubscribe at any time. Change your recognition preferences (optional). * By default, your gift will be acknowledged on the receipt using the cardholder's billing name. * Your preferred recognition name can be first and last name, family name, nickname, etc. How would you like for your donation to be acknowledged on the donation receipt? Maximum length is 65 characters.Please enter a valid Recognition value.Recognition value contains inappropriate content. Billing Address Address Please enter a valid Address.Please enter a valid Address.Please enter a valid Address.Please enter a valid value Address 2 (Optional) Please enter a valid Address 2.Please enter a valid Address 2. City Please enter a valid City.Please enter a valid City.Please enter a valid City. State AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AfricaArmed Forces AmericasArmed Forces CanadaArmed Forces EuropeArmed Forces Middle EastArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States Of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Please enter a valid State. Zip Please enter a valid Zip.Please enter a valid Zip. Country AlgeriaArgentinaAustraliaAustriaAzerbaijanBangladeshBarbadosBelgiumBoliviaBrazilBulgariaCameroonCanadaChileChinaColombiaCosta RicaCyprusCzech RepublicDenmarkDominican RepublicEcuadorEgyptEl SalvadorEthiopiaFinlandFranceGermanyGhanaGreeceGuamGuatemalaHondurasHong KongHungaryIndiaIndonesiaIraqIrelandIsraelItalyJamaicaJapanJordanKenyaKuwaitLebanonMalaysiaMaltaMexicoMoroccoNepalNetherlandsNew ZealandNicaraguaNigeriaNorwayOmanPakistanPalestinePanamaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaSaudi ArabiaSingaporeSlovakiaSouth AfricaSouth KoreaSpainSri LankaSudanSwedenSwitzerlandTaiwanTanzaniaThailandThe BahamasTrinidad and TobagoTunisiaTurkeyUS Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayVenezuelaVietnamZambiaZimbabwe Please enter a valid Country. Send Your Donation Please review or modify your donation to join the fight against cancer below. Send Your Monthly Donation Please review or modify your monthly donation to join the fight against cancer below. You will be charged on the 15th of every month. Frequency One Time Monthly Amount Please enter a valid Amount.The value must be greater than or equal to $5 and less than or equal to $1000000.Please enter a valid float number Send Donation Donation FAQS How is my donation used? The American Cancer Society makes significant investments in cancer research, advocacy, and patient support, including information and education on prevention and early detection as well as treatment options. A smaller portion of our resources are used to fund our management and general expenses, as well as fundraising expenses. Are donations made to the American Cancer Society tax deductible? Yes, monetary donations to our organization are tax deductible to the full extent of the law. However, certain donations in which the donor receives a good or service in return for a donation are not tax deductible or may be only partially deductible. This would apply to American Cancer Society initiatives such as the Cars For a Cure program, Golf Pass programs, and Discovery Shop purchases. Donors should consult with their tax advisors if they have questions about their deductions. Can I make a donation in honor or memory of someone? It’s easy to celebrate the life of a friend or loved one by making a donation to the American Cancer Society in their honor or memory. Simply select the checkbox to dedicate your donation and complete the dedication information on the donation form. Once you’ve completed the donation, you will have the opportunity to send a card to the honoree or family acknowledging your gift. Why should I donate monthly? Monthly giving to the American Cancer Society is simply the best investment you can make to help create a cancer-free future. It’s the most effective and manageable way to support our efforts to help save lives from cancer. Your support helps fund lifesaving research and provides essential programs for prevention and early detection, patient support, and the trusted information cancer patients and their families need. All monthly charges occur on the 15th of each month. Your first online gift won't be charged to your card until the 15th. All subsequent charges will occur on the 15th of each month. If you wish to change your monthly gift, simply call us at 1-800-227-2345 or click the chat icon to live chat with a donations specialist. Does the American Cancer Society have a matching gift program? Yes, we do have an employer matching gift program. Please check with your employer to determine if your gift is eligible to be matched. You can also call us at 1-800-227-2345 for more information. Can I donate by mail? Yes! To donate by mail, simply download the form, print it, and mail the completed donor form with your check to this address: American Cancer Society P.O. Box 6704 Hagerstown, MD 21741 Are there other ways I can donate to the American Cancer Society? Yes, and we appreciate donations in all forms! * Donate Crypto * Donate Securities * Make a Company Donation * Donate Your Car * Donate through Donor Advised Funds * Donate through IRA Charitable Rollover * Planned Giving To donate to the American Cancer Society by phone, call 1-800-227-2345. To donate by mail, simply download the form, print it, and mail the completed donor form with your check to this address: American Cancer Society P.O. Box 6704 Hagerstown, MD 21741 Can I make a donation on behalf of my Company or Business? Yes! Simply visit cancer.org/corporate to make a donation on behalf of your company, business or organization. What is your refund policy? Please contact us within 30 days from the date of your donation if you identify an error in the amount of payment or to report unauthorized use of your credit or debit card. We are available to assist you at 1-800-227-2345. I have a question about my donation, who should I contact? Call us at 1-800-227-2345 or click the chat icon to live chat with a donations specialist. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization and donations are tax-deductible to the full extent of the law. No goods or services were provided for this gift. Please consult your tax advisor regarding specific questions about your deductions. The American Cancer Society cares about and protects your privacy. The information you provide to the Society will only be used as described in our privacy policy. State Fundraising Notices. © 2023 American Cancer Society, Inc. All Rights Reserved. The American Cancer Society is a qualified 501(c)(3) tax-exempt organization. Cancer.org is provided courtesy of the Leo and Gloria Rosen family. × Ok CLOSE WILL YOU UPGRADE TO A MONTHLY GIFT? Thank you for your generosity. Before we process your donation, please consider making a monthly gift of just instead of your one-time gift. Your monthly gift will help save more lives. No, thanks Make a one-time gift of Yes Make a Your monthly gift will be processed on the 15th of each month, starting on × PAGE CONTENT IS SET TO EXPIRE SOON This page is set to refresh in 20 seconds. Would you like more time? Ok I need more time please × A Payment Problem Happened Thank you for your donation! We’re very sorry, but we are unable to process your donation using the information you provided. Please contact Donor Services at 800-227-2345 and reference the following Error Code: If you would like to try your donation again using a different payment method, please click here. Continue Live Chat:Live Chat Offline