www.jafina.org
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Submitted URL: http://www.jafina.org/
Effective URL: https://www.jafina.org/
Submission: On September 11 via api from US — Scanned from NL
Effective URL: https://www.jafina.org/
Submission: On September 11 via api from US — Scanned from NL
Form analysis 4 forms found in the DOM
GET https://www.jafina.org/
<form role="search" id="searchform" action="https://www.jafina.org/" class="qode_search_form" method="get">
<div class="container">
<div class="container_inner default_template_holder clearfix page_container_inner">
<div class="vc_row wpb_row section vc_row-fluid custom-form-header">
<div class="wpb_column vc_column_container vc_col-sm-12 vc_col-md-3 custom-form-header-logo">
<div class="vc_column-inner">
<div class="wpb_wrapper">
<img itemprop="image" class="mobile" src="/wp-content/uploads/2019/02/The_Jewish_Agency_Logo-COLOR.svg" alt="Logo" style="height: 100%;">
</div>
</div>
</div>
<div class="wpb_column vc_column_container vc_col-sm-10 vc_col-md-8 custom-form-header-input">
<div class="vc_column-inner">
<div class="wpb_wrapper">
<i class="qode_icon_font_awesome fa fa-search qode_icon_in_search"></i> <input type="text" placeholder="Search" name="s" class="qode_search_field" autocomplete="off"><input type="submit" value="Search">
</div>
</div>
</div>
<div class="wpb_column vc_column_container vc_col-sm-2 vc_col-md-1 custom-form-header-icon-close">
<div class="vc_column-inner">
<div class="wpb_wrapper">
<div class="qode_search_close">
<a href="#">
<span data-type="normal" class="qode_icon_shortcode q_font_awsome_icon">
<span aria-hidden="true" class="qode_icon_font_elegant icon_close qode_icon_element" style=""></span>
</span>
</a>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form>POST
<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
<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="#TributeGift">
<span class="step-title">Tribute Card</span>
</a>
</li>
<li data-step="2" class="at-step ">
<a title="" href="#ContactInformation">
<span class="step-title">Details</span>
</a>
</li>
<li data-step="3" 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="0"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm813614-ContributionInformation" style="border: none;">
<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="NVContributionForm813614-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
<label class="label-amount" title="$18">
<input name="SelectAmount" type="radio" value="18.00"> $18 <a></a> </label><label class="label-amount" title="$36">
<input name="SelectAmount" type="radio" value="36.00"> $36 <a></a> </label><label class="label-amount" title="$54">
<input name="SelectAmount" type="radio" value="54.00"> $54 <a></a> </label><label class="label-amount" title="$72">
<input name="SelectAmount" type="radio" value="72.00"> $72 <a></a> </label><label class="label-amount" title="$180">
<input name="SelectAmount" type="radio" value="180.00"> $180 <a></a> </label><label class="label-amount" title="$360">
<input name="SelectAmount" type="radio" value="360.00"> $360 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
placeholder="Enter a different amount">
<span class="label-otheramount-prefix" style="display: none;">$</span>
</label>
</div>
</div>
</div>
</div>
</div>
<div class="at-recurring"><label class="at-check IsRecurring" id="NVContributionForm813614-ContributionInformation-IsRecurring"><input type="checkbox" name="IsRecurring" aria-label="Make this contribution Monthly"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm813614-ContributionInformation-IsRecurring-label">Make this contribution</span></span>
</label><label class="at-select SelectedFrequency" id="NVContributionForm813614-ContributionInformation-SelectedFrequency"><kbd>Frequency <small>(Optional)</small></kbd><select autocomplete="on" title="Frequency" name="SelectedFrequency"
class="" id="NVContributionForm813614-ContributionInformation-SelectedFrequency-select">
<option value="">- Frequency -</option>
<option value="4">Monthly</option>
<option value="6">Yearly</option>
</select>
</label></div><label class="at-check CoverCostsAmount" id="NVContributionForm813614-ContributionInformation-CoverCostsAmount" style="display: none;"><input type="checkbox" name="CoverCostsAmount"> <span
class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm813614-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation</span></span>
</label>
</div>
</fieldset>
<fieldset class="at-fieldset TributeGift hideStep" id="NVContributionForm813614-TributeGift" style="display: block;">
<div class="at-fields">
<div class="at-row at-row-full EnableTributeGift">
<label class="at-check EnableTributeGift" id="NVContributionForm813614-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm813614-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
</label>
</div>
<div class="at-row">
<div class="at-tribute-gift" style="display:none">
<div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm813614-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm813614-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
Gift?</label>
<div class="radios" role="radiogroup" aria-labelledby="NVContributionForm813614-TributeGift-InHonorOrInMemoryOf">
<label title="In honor of" class="at-radio-label-2" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
<input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
</div>
</div><label class="at-text HonoreeName" id="NVContributionForm813614-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
maxlength="100">
</label>
</div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset RecipientInformation hideStep" id="NVContributionForm813614-RecipientInformation" style="display: none;">
<div class="at-fields">
<div class="at-row">
<label class="at-check IncludeRecipient" id="NVContributionForm813614-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
id="NVContributionForm813614-RecipientInformation-IncludeRecipient-label">I'd like to send a tribute card.</span></span>
</label>
</div>
<div class="at-recipient-info" style="display: none;">
<div class="at-title">Tribute Card</div>
<div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml">
<div class="at-markup RecipientInfoHeaderHtml" id="NVContributionForm813614-RecipientInformation-RecipientInfoHeaderHtml">A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a
personal message.</div>
</div>
<div class="at-row RecipientFirstName RecipientLastName"><label class="at-text RecipientFirstName" id="NVContributionForm813614-RecipientInformation-RecipientFirstName">First Name<input type="text" autocomplete="on" required=""
title="First Name (required)" name="RecipientFirstName" value="" maxlength="50">
</label><label class="at-text RecipientLastName" id="NVContributionForm813614-RecipientInformation-RecipientLastName">Last Name<input type="text" autocomplete="on" required="" title="Last Name (required)" name="RecipientLastName" value=""
maxlength="50">
</label></div>
<div class="at-row at-row-solo RecipientEmailAddress"><label class="at-text RecipientEmailAddress" id="NVContributionForm813614-RecipientInformation-RecipientEmailAddress">Email<input type="email" autocomplete="on"
pattern="^([\w!#$%&'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&'*+\-\/=?\^`\{\|\}~]+@((((([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="RecipientEmailAddress" value="" maxlength="100">
</label></div>
<div class="at-row at-row-solo NotificationMessage"><label class="at-area NotificationMessage" id="NVContributionForm813614-RecipientInformation-NotificationMessage"></label></div>
</div>
<div class="at-row">
<div class="at-recipient-msg" style="display: none;"><label class="at-area NotificationMessage" id="NVContributionForm813614-RecipientInformation-NotificationMessage">Message<textarea required="" title="Message (required)"
name="NotificationMessage" maxlength="4000"></textarea>
</label></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset ContactInformation hideStep" id="NVContributionForm813614-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="NVContributionForm813614-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="NVContributionForm813614-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="NVContributionForm813614-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="NVContributionForm813614-ContactInformation-Country">Country<select required="" autocomplete="country-name" x-autocompletetype="country"
title="Country" name="Country" class="required select2-hidden-accessible" id="NVContributionForm813614-ContactInformation-Country-select" tabindex="-1" aria-hidden="true">
<option value="" disabled="">- 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: 100px;"><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-NVContributionForm813614-ContactInformation-Country-select-container"><span class="select2-selection__rendered"
id="select2-NVContributionForm813614-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="NVContributionForm813614-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="NVContributionForm813614-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="NVContributionForm813614-ContactInformation-StateProvince">State/Province <small>(Optional)</small><select autocomplete="address-level1" x-autocompletetype="administrative-area"
title="State/Province" name="StateProvince" class=" " id="NVContributionForm813614-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>
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<option value="SC">SC</option>
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<option value="TN">TN</option>
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<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>
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<legend class="at-legend">Finish</legend>
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<div class="at-row at-row-full CustomFormFieldQuestion_8895698625703151_MappedCustomFormFieldQuestion_593">
<label class="at-select CustomFormFieldQuestion_8895698625703151_MappedCustomFormFieldQuestion_593" id="NVContributionForm813614-Interests-CustomFormFieldQuestion_8895698625703151_MappedCustomFormFieldQuestion_593">Where would you like your
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id="NVContributionForm813614-Interests-CustomFormFieldQuestion_8895698625703151_MappedCustomFormFieldQuestion_593-select">
<option value="" disabled="">- Select -</option>
<option value="42">Where it is most needed</option>
<option value="41">Victims of Terror</option>
<option value="49">Emergency Assistance to Druze community of Majdal Shams</option>
<option value="10">Amigour</option>
<option value="6">Absorption Centers</option>
<option value="5">248</option>
<option value="7">Aliyah</option>
<option value="8">Aliyah of Rescue</option>
<option value="9">Aliyah Preparation</option>
<option value="11">Baby Futures</option>
<option value="12">Birthright</option>
<option value="13">Camping - Day Camps in Former Soviet Union</option>
<option value="14">Camping - Summer/Winter Camps in Former Soviet Union</option>
<option value="15">Crisis in Ukraine</option>
<option value="16">Crowd.IL</option>
<option value="17">Emergency Assistance Fund</option>
<option value="18">Ethiopian Aliyah & Absorption</option>
<option value="19">G2</option>
<option value="20">Germany Programs</option>
<option value="21">Israel Campus Fellows</option>
<option value="22">Israel Tech Challenge</option>
<option value="23">La'ad</option>
<option value="24">Machon - Young Leadership Training</option>
<option value="25">Makom</option>
<option value="26">Masa</option>
<option value="27">Nativ</option>
<option value="28">Net@</option>
<option value="29">Nitzana</option>
<option value="30">Onward Israel</option>
<option value="31">Partnership 2Gether</option>
<option value="32">Pre Army Academy - Mechinot</option>
<option value="33">Project TEN</option>
<option value="34">Scholarships</option>
<option value="35">School Twinning</option>
<option value="36">ShinShinim</option>
<option value="37">Shlichim</option>
<option value="38">Shlichut Institute</option>
<option value="39">Small Business Loan Funds</option>
<option value="40">Unity and Pluralism</option>
<option value="43">Wings</option>
<option value="44">Yesodot</option>
<option value="45">Young Adult Absorption Programs</option>
<option value="46">Young Communities</option>
<option value="47">Youth Futures</option>
<option value="48">Youth Villages</option>
</select>
</label>
</div>
</div>
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</form><form id="planned_giving_form">
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<div class="col-6">
<div class="form-group">
<input type="text" placeholder="Name" name="name" required="required" class="form-control">
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<div class="form-group"><input type="email" placeholder="E-mail" name="email" required="required" class="form-control email"></div>
</div>
</div>
<div class="row">
<div class="col-6">
<div class="form-group">
<input type="phone" placeholder="Phone" name="phone" required="required" class="form-control allownumericwithoutdecimal">
</div>
</div>
<div class="col-6">
<div class="form-group">
<input type="text" placeholder="ZIP" name="zip" required="required" class="form-control">
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Where would you like your donation to go?- Select -Where it is most
neededVictims of TerrorEmergency Assistance to Druze community of Majdal
ShamsAmigourAbsorption Centers248AliyahAliyah of RescueAliyah PreparationBaby
FuturesBirthrightCamping - Day Camps in Former Soviet UnionCamping -
Summer/Winter Camps in Former Soviet UnionCrisis in UkraineCrowd.ILEmergency
Assistance FundEthiopian Aliyah & AbsorptionG2Germany ProgramsIsrael Campus
FellowsIsrael Tech ChallengeLa'adMachon - Young Leadership
TrainingMakomMasaNativNet@NitzanaOnward IsraelPartnership 2GetherPre Army
Academy - MechinotProject TENScholarshipsSchool
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