frontend-tickets--gift-state-colors.donate-review.torproject.net Open in urlscan Pro
2620:7:6002:0:466:39ff:fe2f:dd1b  Public Scan

URL: https://frontend-tickets--gift-state-colors.donate-review.torproject.net/
Submission: On April 15 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form class="form donate-form" method="POST" id="donateForm" data-donation="0" novalidate="true">
  <input type="hidden" name="csrfmiddlewaretoken" value="GUrkyxDSKxWifn5TKboDKX2c4FdTMeniVmipe3DRE8baQVL6BqbxiU0WLbzx4oaS">
  <div class="Card Card--Mid Card--Contiguous bg-purple-10">
    <h5>Amount</h5>
    <p>All donations charged in $USD. See our <a href="#">Donor FAQ</a> for more details.</p>
    <div id="pricegrid" data-frequency="single">
      <div id="pricegrid_single" class="row g-1 gy-1 toggleablePrice mb-2">
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_0_single" value="500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_0_single">$5.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_1_single" value="2500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_1_single">$25.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_2_single" value="7500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_2_single">$75.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_3_single" value="12500" autocomplete="off" checked="">
          <label class="btn btn-secondary w-100" for="id_donation_amount_3_single">$125.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_4_single" value="50000" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_4_single">$500.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_5_single" value="100000" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_5_single">$1000.00</label>
        </div>
      </div>
      <div id="pricegrid_monthly" class="row g-1 gy-1 hidden toggleablePrice mb-2">
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_0_monthly" value="500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_0_monthly">$5.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_1_monthly" value="1500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_1_monthly">$15.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_2_monthly" value="2500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_2_monthly">$25.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_3_monthly" value="5000" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_3_monthly">$50.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_4_monthly" value="7500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_4_monthly">$75.00</label>
        </div>
        <div class="col-6 col-sm-4">
          <input type="radio" class="btn-check" name="donation_amount" id="id_donation_amount_5_monthly" value="12500" autocomplete="off">
          <label class="btn btn-secondary w-100" for="id_donation_amount_5_monthly">$125.00</label>
        </div>
      </div>
      <div class="input-group mb-3 customDonation-container">
        <span class="input-group-text">$</span>
        <input type="text" name="custom_donation" class="form-control w-100" id="customDonation" placeholder="Custom amount" value="125">
        <span class="input-group-text">USD</span>
        <div class="invalid-feedback"> Please enter a donation of at least $2.00. </div>
      </div>
    </div>
    <h5>How often?</h5>
    <p>Giving regularly keeps Tor strong.</p>
    <div class="btn-group frequencyToggle" role="group" aria-label="Frequency of donation">
      <input type="radio" class="btn-check" name="single_or_monthly" id="id_single_or_monthly_0" value="single" autocomplete="off" checked="checked">
      <label class="btn btn-outline-primary" for="id_single_or_monthly_0" data-toggles_to="single" data-toggles_price="#pricegrid_single"><i class="ph ph-radio-button"></i><i class="ph ph-circle"></i><span>Give once</span></label>
      <input type="radio" class="btn-check" name="single_or_monthly" id="id_single_or_monthly_1" value="monthly" autocomplete="off">
      <label class="btn btn-outline-primary" for="id_single_or_monthly_1" data-toggles_to="monthly" data-toggles_price="#pricegrid_monthly"><i class="ph ph-radio-button"></i><i class="ph ph-circle"></i><span>Repeat monthly</span></label>
    </div>
  </div>
  <div class="Card Card--Mid Card-gift bg-neutral">
    <h4>Your gift</h4>
    <div class="form-check noPerk">
      <input name="no_gift" class="form-check-input" type="checkbox" id="noPerkCheckbox" checked="checked">
      <label class="form-check-label small" for="no_gift"> No thanks, I don't want a gift. <span class="subtext">I want 100% of my donation to support Tor.</span>
      </label>
    </div>
    <div class="row g-1 gy-1 Perk container single">
      <div class="Perk-frame">
        <div class="Perk-selection Perk-active" data-price-tier-single="2500" data-price-tier-monthly="1500">
          <input type="radio" name="perk" value="4723d3f8-fe1d-4f19-8d19-358ece677ec1" class="btn-check" id="id_perk_0">
          <label class="Perk-label" for="id_perk_0">
            <div class="Perk-caption" data-mh="perk-caption" style="height: 163.594px;">
              <h5>Sticker pack</h5>
              <p>Get a collection of your favorite Tor stickers to decorate your stuff.</p>
            </div>
            <div class="Perk-imgButton" data-mh="perk-imgBtn" style="height: 227.156px;">
              <img name="Perk-img" src="/static/images/fpo/stickerpack-1.png">
              <span class="btn btn-tertiary small bold w-100">Choose this gift</span>
              <span class="btn btn-unmet unmet-single small bold w-100">Donate $25 instead</span>
              <span class="btn btn-unmet unmet-monthly small bold w-100">Donate $15 instead</span>
            </div>
          </label>
        </div>
      </div>
      <div class="Perk-frame">
        <div class="Perk-selection Perk-active" data-price-tier-single="7500" data-price-tier-monthly="2500">
          <input type="radio" name="perk" value="dc1dc9a6-ca65-4aef-b223-87d270c0b97f" class="btn-check" id="id_perk_1">
          <label class="Perk-label" for="id_perk_1">
            <div class="Perk-caption" data-mh="perk-caption" style="height: 163.594px;">
              <h5>T-shirt</h5>
              <p>Get this year’s Powered by Privacy T-shirt.</p>
            </div>
            <div class="Perk-imgButton" data-mh="perk-imgBtn" style="height: 227.156px;">
              <img name="Perk-img" src="/static/images/fpo/yec-tee-web.png">
              <span class="btn btn-tertiary small bold w-100">Choose this gift</span>
              <span class="btn btn-unmet unmet-single small bold w-100">Donate $75 instead</span>
              <span class="btn btn-unmet unmet-monthly small bold w-100">Donate $25 instead</span>
            </div>
          </label>
        </div>
      </div>
      <div class="Perk-frame">
        <div class="Perk-selection Perk-active" data-price-tier-single="12500" data-price-tier-monthly="5000">
          <input type="radio" name="perk" value="afe082b3-c681-492e-8919-851ef7a89e53" class="btn-check" id="id_perk_2">
          <label class="Perk-label" for="id_perk_2">
            <div class="Perk-caption" data-mh="perk-caption" style="height: 163.594px;">
              <h5>T-shirt pack</h5>
              <p>Get this year’s Tor Onions and Powered by Privacy t-shirts.</p>
            </div>
            <div class="Perk-imgButton" data-mh="perk-imgBtn" style="height: 227.156px;">
              <img name="Perk-img" src="/static/images/fpo/yec-combo-tee-web.png">
              <span class="btn btn-tertiary small bold w-100">Choose this gift</span>
              <span class="btn btn-unmet unmet-single small bold w-100">Donate $125 instead</span>
              <span class="btn btn-unmet unmet-monthly small bold w-100">Donate $50 instead</span>
            </div>
          </label>
        </div>
      </div>
      <div class="Perk-frame">
        <div class="Perk-selection Perk-inactive" data-price-tier-single="50000" data-price-tier-monthly="10000">
          <input type="radio" name="perk" value="6ad405f9-7844-4cf8-9879-340c58dd54c8" class="btn-check" id="id_perk_3" disabled="disabled">
          <label class="Perk-label" for="id_perk_3">
            <div class="Perk-caption" data-mh="perk-caption" style="height: 163.594px;">
              <h5>Hoodie</h5>
              <p>Your generous support of Tor gets you this high quality zip hoodie.</p>
            </div>
            <div class="Perk-imgButton" data-mh="perk-imgBtn" style="height: 227.156px;">
              <img name="Perk-img" src="/static/images/fpo/forever-hoodie.png">
              <span class="btn btn-tertiary small bold w-100">Choose this gift</span>
              <span class="btn btn-unmet unmet-single small bold w-100">Donate $500 instead</span>
              <span class="btn btn-unmet unmet-monthly small bold w-100">Donate $100 instead</span>
            </div>
          </label>
        </div>
      </div>
    </div>
  </div>
  <div class="Card Card--Mid bg-neutral">
    <h4>Your details</h4>
    <div class="row mb-0 mb-sm-5">
      <div class="col-12 col-sm-6 form-group mb-3 mb-sm-0">
        <label class="control-label required" for="id_first_name">First name</label>
        <input type="text" name="first_name" class="mt-2 form-control" required="" id="id_first_name">
        <div class="invalid-feedback"> Please enter a first name. </div>
      </div>
      <div class="col-12 col-sm-6 form-group mb-3 mb-sm-0">
        <label class="control-label required" for="id_last_name">Last name</label>
        <input type="text" name="last_name" class="mt-2 form-control" required="" id="id_last_name">
        <div class="invalid-feedback"> Please enter a last name. </div>
      </div>
    </div>
    <div class="mb-3 mb-sm-2">
      <label class="control-label required" for="id_email_address">Email address</label>
      <input type="email" name="email_address" class="mt-2 mb-2 form-control" required="" id="id_email_address">
      <div class="invalid-feedback"> Please enter a valid email address. </div>
    </div>
    <div class="mb-3 mb-sm-5 donate-form--emailUpdates">
      <div class="form-group">
        <div class="">
          <div class="checkbox">
            <label>
              <input type="checkbox" name="email_updates" id="id_email_updates"> <span>Send me updates from the Tor Project</span>
            </label>
          </div>
        </div>
      </div>
    </div>
    <div class="mb-3 mb-sm-5">
      <label class="control-label required" for="id_country">Country</label>
      <select name="country" class="mt-2 form-control" required="required" id="id_country">
        <option value="Afghanistan" data-countryid="1">Afghanistan</option>
        <option value="Aland Islands" data-countryid="2">Aland Islands</option>
        <option value="Albania" data-countryid="3">Albania</option>
        <option value="Algeria" data-countryid="4">Algeria</option>
        <option value="American Samoa" data-countryid="5">American Samoa</option>
        <option value="Andorra" data-countryid="6">Andorra</option>
        <option value="Angola" data-countryid="7">Angola</option>
        <option value="Anguilla" data-countryid="8">Anguilla</option>
        <option value="Antarctica" data-countryid="9">Antarctica</option>
        <option value="Antigua And Barbuda" data-countryid="10">Antigua And Barbuda</option>
        <option value="Argentina" data-countryid="11">Argentina</option>
        <option value="Armenia" data-countryid="12">Armenia</option>
        <option value="Aruba" data-countryid="13">Aruba</option>
        <option value="Australia" data-countryid="14">Australia</option>
        <option value="Austria" data-countryid="15">Austria</option>
        <option value="Azerbaijan" data-countryid="16">Azerbaijan</option>
        <option value="Bahrain" data-countryid="18">Bahrain</option>
        <option value="Bangladesh" data-countryid="19">Bangladesh</option>
        <option value="Barbados" data-countryid="20">Barbados</option>
        <option value="Belarus" data-countryid="21">Belarus</option>
        <option value="Belgium" data-countryid="22">Belgium</option>
        <option value="Belize" data-countryid="23">Belize</option>
        <option value="Benin" data-countryid="24">Benin</option>
        <option value="Bermuda" data-countryid="25">Bermuda</option>
        <option value="Bhutan" data-countryid="26">Bhutan</option>
        <option value="Bolivia" data-countryid="27">Bolivia</option>
        <option value="Bonaire, Sint Eustatius and Saba" data-countryid="155">Bonaire, Sint Eustatius and Saba</option>
        <option value="Bosnia and Herzegovina" data-countryid="28">Bosnia and Herzegovina</option>
        <option value="Botswana" data-countryid="29">Botswana</option>
        <option value="Bouvet Island" data-countryid="30">Bouvet Island</option>
        <option value="Brazil" data-countryid="31">Brazil</option>
        <option value="British Indian Ocean Territory" data-countryid="32">British Indian Ocean Territory</option>
        <option value="Brunei" data-countryid="33">Brunei</option>
        <option value="Bulgaria" data-countryid="34">Bulgaria</option>
        <option value="Burkina Faso" data-countryid="35">Burkina Faso</option>
        <option value="Burundi" data-countryid="36">Burundi</option>
        <option value="Cambodia" data-countryid="37">Cambodia</option>
        <option value="Cameroon" data-countryid="38">Cameroon</option>
        <option value="Canada" data-countryid="39">Canada</option>
        <option value="Cape Verde" data-countryid="40">Cape Verde</option>
        <option value="Cayman Islands" data-countryid="41">Cayman Islands</option>
        <option value="Central African Republic" data-countryid="42">Central African Republic</option>
        <option value="Chad" data-countryid="43">Chad</option>
        <option value="Chile" data-countryid="44">Chile</option>
        <option value="China" data-countryid="45">China</option>
        <option value="Christmas Island" data-countryid="46">Christmas Island</option>
        <option value="Cocos (Keeling) Islands" data-countryid="47">Cocos (Keeling) Islands</option>
        <option value="Colombia" data-countryid="48">Colombia</option>
        <option value="Comoros" data-countryid="49">Comoros</option>
        <option value="Congo" data-countryid="50">Congo</option>
        <option value="Cook Islands" data-countryid="52">Cook Islands</option>
        <option value="Costa Rica" data-countryid="53">Costa Rica</option>
        <option value="Cote D'Ivoire (Ivory Coast)" data-countryid="54">Cote D'Ivoire (Ivory Coast)</option>
        <option value="Croatia" data-countryid="55">Croatia</option>
        <option value="Cuba" data-countryid="56">Cuba</option>
        <option value="Curaçao" data-countryid="249">Curaçao</option>
        <option value="Cyprus" data-countryid="57">Cyprus</option>
        <option value="Czech Republic" data-countryid="58">Czech Republic</option>
        <option value="Democratic Republic of the Congo" data-countryid="51">Democratic Republic of the Congo</option>
        <option value="Denmark" data-countryid="59">Denmark</option>
        <option value="Djibouti" data-countryid="60">Djibouti</option>
        <option value="Dominica" data-countryid="61">Dominica</option>
        <option value="Dominican Republic" data-countryid="62">Dominican Republic</option>
        <option value="East Timor" data-countryid="63">East Timor</option>
        <option value="Ecuador" data-countryid="64">Ecuador</option>
        <option value="Egypt" data-countryid="65">Egypt</option>
        <option value="El Salvador" data-countryid="66">El Salvador</option>
        <option value="Equatorial Guinea" data-countryid="67">Equatorial Guinea</option>
        <option value="Eritrea" data-countryid="68">Eritrea</option>
        <option value="Estonia" data-countryid="69">Estonia</option>
        <option value="Ethiopia" data-countryid="70">Ethiopia</option>
        <option value="Falkland Islands" data-countryid="71">Falkland Islands</option>
        <option value="Faroe Islands" data-countryid="72">Faroe Islands</option>
        <option value="Fiji Islands" data-countryid="73">Fiji Islands</option>
        <option value="Finland" data-countryid="74">Finland</option>
        <option value="France" data-countryid="75">France</option>
        <option value="French Guiana" data-countryid="76">French Guiana</option>
        <option value="French Polynesia" data-countryid="77">French Polynesia</option>
        <option value="French Southern Territories" data-countryid="78">French Southern Territories</option>
        <option value="Gabon" data-countryid="79">Gabon</option>
        <option value="Gambia The" data-countryid="80">Gambia The</option>
        <option value="Georgia" data-countryid="81">Georgia</option>
        <option value="Germany" data-countryid="82">Germany</option>
        <option value="Ghana" data-countryid="83">Ghana</option>
        <option value="Gibraltar" data-countryid="84">Gibraltar</option>
        <option value="Greece" data-countryid="85">Greece</option>
        <option value="Greenland" data-countryid="86">Greenland</option>
        <option value="Grenada" data-countryid="87">Grenada</option>
        <option value="Guadeloupe" data-countryid="88">Guadeloupe</option>
        <option value="Guam" data-countryid="89">Guam</option>
        <option value="Guatemala" data-countryid="90">Guatemala</option>
        <option value="Guernsey and Alderney" data-countryid="91">Guernsey and Alderney</option>
        <option value="Guinea" data-countryid="92">Guinea</option>
        <option value="Guinea-Bissau" data-countryid="93">Guinea-Bissau</option>
        <option value="Guyana" data-countryid="94">Guyana</option>
        <option value="Haiti" data-countryid="95">Haiti</option>
        <option value="Heard Island and McDonald Islands" data-countryid="96">Heard Island and McDonald Islands</option>
        <option value="Honduras" data-countryid="97">Honduras</option>
        <option value="Hong Kong S.A.R." data-countryid="98">Hong Kong S.A.R.</option>
        <option value="Hungary" data-countryid="99">Hungary</option>
        <option value="Iceland" data-countryid="100">Iceland</option>
        <option value="India" data-countryid="101">India</option>
        <option value="Indonesia" data-countryid="102">Indonesia</option>
        <option value="Iran" data-countryid="103">Iran</option>
        <option value="Iraq" data-countryid="104">Iraq</option>
        <option value="Ireland" data-countryid="105">Ireland</option>
        <option value="Israel" data-countryid="106">Israel</option>
        <option value="Italy" data-countryid="107">Italy</option>
        <option value="Jamaica" data-countryid="108">Jamaica</option>
        <option value="Japan" data-countryid="109">Japan</option>
        <option value="Jersey" data-countryid="110">Jersey</option>
        <option value="Jordan" data-countryid="111">Jordan</option>
        <option value="Kazakhstan" data-countryid="112">Kazakhstan</option>
        <option value="Kenya" data-countryid="113">Kenya</option>
        <option value="Kiribati" data-countryid="114">Kiribati</option>
        <option value="Kosovo" data-countryid="248">Kosovo</option>
        <option value="Kuwait" data-countryid="117">Kuwait</option>
        <option value="Kyrgyzstan" data-countryid="118">Kyrgyzstan</option>
        <option value="Laos" data-countryid="119">Laos</option>
        <option value="Latvia" data-countryid="120">Latvia</option>
        <option value="Lebanon" data-countryid="121">Lebanon</option>
        <option value="Lesotho" data-countryid="122">Lesotho</option>
        <option value="Liberia" data-countryid="123">Liberia</option>
        <option value="Libya" data-countryid="124">Libya</option>
        <option value="Liechtenstein" data-countryid="125">Liechtenstein</option>
        <option value="Lithuania" data-countryid="126">Lithuania</option>
        <option value="Luxembourg" data-countryid="127">Luxembourg</option>
        <option value="Macau S.A.R." data-countryid="128">Macau S.A.R.</option>
        <option value="Madagascar" data-countryid="130">Madagascar</option>
        <option value="Malawi" data-countryid="131">Malawi</option>
        <option value="Malaysia" data-countryid="132">Malaysia</option>
        <option value="Maldives" data-countryid="133">Maldives</option>
        <option value="Mali" data-countryid="134">Mali</option>
        <option value="Malta" data-countryid="135">Malta</option>
        <option value="Man (Isle of)" data-countryid="136">Man (Isle of)</option>
        <option value="Marshall Islands" data-countryid="137">Marshall Islands</option>
        <option value="Martinique" data-countryid="138">Martinique</option>
        <option value="Mauritania" data-countryid="139">Mauritania</option>
        <option value="Mauritius" data-countryid="140">Mauritius</option>
        <option value="Mayotte" data-countryid="141">Mayotte</option>
        <option value="Mexico" data-countryid="142">Mexico</option>
        <option value="Micronesia" data-countryid="143">Micronesia</option>
        <option value="Moldova" data-countryid="144">Moldova</option>
        <option value="Monaco" data-countryid="145">Monaco</option>
        <option value="Mongolia" data-countryid="146">Mongolia</option>
        <option value="Montenegro" data-countryid="147">Montenegro</option>
        <option value="Montserrat" data-countryid="148">Montserrat</option>
        <option value="Morocco" data-countryid="149">Morocco</option>
        <option value="Mozambique" data-countryid="150">Mozambique</option>
        <option value="Myanmar" data-countryid="151">Myanmar</option>
        <option value="Namibia" data-countryid="152">Namibia</option>
        <option value="Nauru" data-countryid="153">Nauru</option>
        <option value="Nepal" data-countryid="154">Nepal</option>
        <option value="Netherlands" data-countryid="156">Netherlands</option>
        <option value="New Caledonia" data-countryid="157">New Caledonia</option>
        <option value="New Zealand" data-countryid="158">New Zealand</option>
        <option value="Nicaragua" data-countryid="159">Nicaragua</option>
        <option value="Niger" data-countryid="160">Niger</option>
        <option value="Nigeria" data-countryid="161">Nigeria</option>
        <option value="Niue" data-countryid="162">Niue</option>
        <option value="Norfolk Island" data-countryid="163">Norfolk Island</option>
        <option value="North Korea" data-countryid="115">North Korea</option>
        <option value="North Macedonia" data-countryid="129">North Macedonia</option>
        <option value="Northern Mariana Islands" data-countryid="164">Northern Mariana Islands</option>
        <option value="Norway" data-countryid="165">Norway</option>
        <option value="Oman" data-countryid="166">Oman</option>
        <option value="Pakistan" data-countryid="167">Pakistan</option>
        <option value="Palau" data-countryid="168">Palau</option>
        <option value="Palestinian Territory Occupied" data-countryid="169">Palestinian Territory Occupied</option>
        <option value="Panama" data-countryid="170">Panama</option>
        <option value="Papua new Guinea" data-countryid="171">Papua new Guinea</option>
        <option value="Paraguay" data-countryid="172">Paraguay</option>
        <option value="Peru" data-countryid="173">Peru</option>
        <option value="Philippines" data-countryid="174">Philippines</option>
        <option value="Pitcairn Island" data-countryid="175">Pitcairn Island</option>
        <option value="Poland" data-countryid="176">Poland</option>
        <option value="Portugal" data-countryid="177">Portugal</option>
        <option value="Puerto Rico" data-countryid="178">Puerto Rico</option>
        <option value="Qatar" data-countryid="179">Qatar</option>
        <option value="Reunion" data-countryid="180">Reunion</option>
        <option value="Romania" data-countryid="181">Romania</option>
        <option value="Russia" data-countryid="182">Russia</option>
        <option value="Rwanda" data-countryid="183">Rwanda</option>
        <option value="Saint Helena" data-countryid="184">Saint Helena</option>
        <option value="Saint Kitts And Nevis" data-countryid="185">Saint Kitts And Nevis</option>
        <option value="Saint Lucia" data-countryid="186">Saint Lucia</option>
        <option value="Saint Pierre and Miquelon" data-countryid="187">Saint Pierre and Miquelon</option>
        <option value="Saint Vincent And The Grenadines" data-countryid="188">Saint Vincent And The Grenadines</option>
        <option value="Saint-Barthelemy" data-countryid="189">Saint-Barthelemy</option>
        <option value="Saint-Martin (French part)" data-countryid="190">Saint-Martin (French part)</option>
        <option value="Samoa" data-countryid="191">Samoa</option>
        <option value="San Marino" data-countryid="192">San Marino</option>
        <option value="Sao Tome and Principe" data-countryid="193">Sao Tome and Principe</option>
        <option value="Saudi Arabia" data-countryid="194">Saudi Arabia</option>
        <option value="Senegal" data-countryid="195">Senegal</option>
        <option value="Serbia" data-countryid="196">Serbia</option>
        <option value="Seychelles" data-countryid="197">Seychelles</option>
        <option value="Sierra Leone" data-countryid="198">Sierra Leone</option>
        <option value="Singapore" data-countryid="199">Singapore</option>
        <option value="Sint Maarten (Dutch part)" data-countryid="250">Sint Maarten (Dutch part)</option>
        <option value="Slovakia" data-countryid="200">Slovakia</option>
        <option value="Slovenia" data-countryid="201">Slovenia</option>
        <option value="Solomon Islands" data-countryid="202">Solomon Islands</option>
        <option value="Somalia" data-countryid="203">Somalia</option>
        <option value="South Africa" data-countryid="204">South Africa</option>
        <option value="South Georgia" data-countryid="205">South Georgia</option>
        <option value="South Korea" data-countryid="116">South Korea</option>
        <option value="South Sudan" data-countryid="206">South Sudan</option>
        <option value="Spain" data-countryid="207">Spain</option>
        <option value="Sri Lanka" data-countryid="208">Sri Lanka</option>
        <option value="Sudan" data-countryid="209">Sudan</option>
        <option value="Suriname" data-countryid="210">Suriname</option>
        <option value="Svalbard And Jan Mayen Islands" data-countryid="211">Svalbard And Jan Mayen Islands</option>
        <option value="Swaziland" data-countryid="212">Swaziland</option>
        <option value="Sweden" data-countryid="213">Sweden</option>
        <option value="Switzerland" data-countryid="214">Switzerland</option>
        <option value="Syria" data-countryid="215">Syria</option>
        <option value="Taiwan" data-countryid="216">Taiwan</option>
        <option value="Tajikistan" data-countryid="217">Tajikistan</option>
        <option value="Tanzania" data-countryid="218">Tanzania</option>
        <option value="Thailand" data-countryid="219">Thailand</option>
        <option value="The Bahamas" data-countryid="17">The Bahamas</option>
        <option value="Togo" data-countryid="220">Togo</option>
        <option value="Tokelau" data-countryid="221">Tokelau</option>
        <option value="Tonga" data-countryid="222">Tonga</option>
        <option value="Trinidad And Tobago" data-countryid="223">Trinidad And Tobago</option>
        <option value="Tunisia" data-countryid="224">Tunisia</option>
        <option value="Turkey" data-countryid="225">Turkey</option>
        <option value="Turkmenistan" data-countryid="226">Turkmenistan</option>
        <option value="Turks And Caicos Islands" data-countryid="227">Turks And Caicos Islands</option>
        <option value="Tuvalu" data-countryid="228">Tuvalu</option>
        <option value="Uganda" data-countryid="229">Uganda</option>
        <option value="Ukraine" data-countryid="230">Ukraine</option>
        <option value="United Arab Emirates" data-countryid="231">United Arab Emirates</option>
        <option value="United Kingdom" data-countryid="232">United Kingdom</option>
        <option value="United States" data-countryid="233" selected="selected">United States</option>
        <option value="United States Minor Outlying Islands" data-countryid="234">United States Minor Outlying Islands</option>
        <option value="Uruguay" data-countryid="235">Uruguay</option>
        <option value="Uzbekistan" data-countryid="236">Uzbekistan</option>
        <option value="Vanuatu" data-countryid="237">Vanuatu</option>
        <option value="Vatican City State (Holy See)" data-countryid="238">Vatican City State (Holy See)</option>
        <option value="Venezuela" data-countryid="239">Venezuela</option>
        <option value="Vietnam" data-countryid="240">Vietnam</option>
        <option value="Virgin Islands (British)" data-countryid="241">Virgin Islands (British)</option>
        <option value="Virgin Islands (US)" data-countryid="242">Virgin Islands (US)</option>
        <option value="Wallis And Futuna Islands" data-countryid="243">Wallis And Futuna Islands</option>
        <option value="Western Sahara" data-countryid="244">Western Sahara</option>
        <option value="Yemen" data-countryid="245">Yemen</option>
        <option value="Zambia" data-countryid="246">Zambia</option>
        <option value="Zimbabwe" data-countryid="247">Zimbabwe</option>
      </select>
      <div class="invalid-feedback"> Please select a country. </div>
      <div class="hidden shippingRestricted alert alert-primary mt-2">
        <p class="tiny">Due to shipping restrictions, we currently can not ship to Ukraine, or Russia. We apologize for the inconvenience.</p>
      </div>
    </div>
    <div class="row mb-0 mb-sm-5">
      <div class="col-12 col-sm-7 form-group mb-3 mb-sm-0">
        <label class="control-label required" for="id_street_address">Street address</label>
        <input type="text" name="street_address" class="mt-2 form-control" required="" id="id_street_address">
        <div class="invalid-feedback"> Please enter an address. </div>
      </div>
      <div class="col-12 col-sm-5 form-group mb-3 mb-sm-0">
        <div class="form-group">
          <label class="control-label  " for="id_apartment_number">Apartment number</label>
          <div class="">
            <input type="text" name="apartment_number" class="mt-2 form-control" id="id_apartment_number">
          </div>
        </div>
      </div>
    </div>
    <div class="mb-3 mb-sm-5">
      <label class="control-label required" for="id_city">City</label>
      <input type="text" name="city" class="mt-2 form-control" required="" id="id_city">
      <div class="invalid-feedback"> Please enter a city. </div>
    </div>
    <div class="row">
      <div class="col-12 col-sm-7 mb-3 mb-sm-0">
        <label class="control-label required" for="id_state">State</label>
        <select name="state" class="mt-2 form-control" required="required" id="id_state">
          <option disabled="true" selected="selected" value="">Select a state</option>
          <option value="Alabama">Alabama</option>
          <option value="Alaska">Alaska</option>
          <option value="American Samoa">American Samoa</option>
          <option value="Arizona">Arizona</option>
          <option value="Arkansas">Arkansas</option>
          <option value="Baker Island">Baker Island</option>
          <option value="California">California</option>
          <option value="Colorado">Colorado</option>
          <option value="Connecticut">Connecticut</option>
          <option value="Delaware">Delaware</option>
          <option value="District of Columbia">District of Columbia</option>
          <option value="Florida">Florida</option>
          <option value="Georgia">Georgia</option>
          <option value="Guam">Guam</option>
          <option value="Hawaii">Hawaii</option>
          <option value="Howland Island">Howland Island</option>
          <option value="Idaho">Idaho</option>
          <option value="Illinois">Illinois</option>
          <option value="Indiana">Indiana</option>
          <option value="Iowa">Iowa</option>
          <option value="Jarvis Island">Jarvis Island</option>
          <option value="Johnston Atoll">Johnston Atoll</option>
          <option value="Kansas">Kansas</option>
          <option value="Kentucky">Kentucky</option>
          <option value="Kingman Reef">Kingman Reef</option>
          <option value="Louisiana">Louisiana</option>
          <option value="Maine">Maine</option>
          <option value="Maryland">Maryland</option>
          <option value="Massachusetts">Massachusetts</option>
          <option value="Michigan">Michigan</option>
          <option value="Midway Atoll">Midway Atoll</option>
          <option value="Minnesota">Minnesota</option>
          <option value="Mississippi">Mississippi</option>
          <option value="Missouri">Missouri</option>
          <option value="Montana">Montana</option>
          <option value="Navassa Island">Navassa Island</option>
          <option value="Nebraska">Nebraska</option>
          <option value="Nevada">Nevada</option>
          <option value="New Hampshire">New Hampshire</option>
          <option value="New Jersey">New Jersey</option>
          <option value="New Mexico">New Mexico</option>
          <option value="New York">New York</option>
          <option value="North Carolina">North Carolina</option>
          <option value="North Dakota">North Dakota</option>
          <option value="Northern Mariana Islands">Northern Mariana Islands</option>
          <option value="Ohio">Ohio</option>
          <option value="Oklahoma">Oklahoma</option>
          <option value="Oregon">Oregon</option>
          <option value="Palmyra Atoll">Palmyra Atoll</option>
          <option value="Pennsylvania">Pennsylvania</option>
          <option value="Puerto Rico">Puerto Rico</option>
          <option value="Rhode Island">Rhode Island</option>
          <option value="South Carolina">South Carolina</option>
          <option value="South Dakota">South Dakota</option>
          <option value="Tennessee">Tennessee</option>
          <option value="Texas">Texas</option>
          <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
          <option value="United States Virgin Islands">United States Virgin Islands</option>
          <option value="Utah">Utah</option>
          <option value="Vermont">Vermont</option>
          <option value="Virginia">Virginia</option>
          <option value="Wake Island">Wake Island</option>
          <option value="Washington">Washington</option>
          <option value="West Virginia">West Virginia</option>
          <option value="Wisconsin">Wisconsin</option>
          <option value="Wyoming">Wyoming</option>
        </select>
        <div class="invalid-feedback"> Please select a state. </div>
      </div>
      <div class="col-12 col-sm-5">
        <label class="control-label required" for="id_postal_code">Postal code</label>
        <input type="text" name="postal_code" class="mt-2 form-control" required="" id="id_postal_code">
        <div class="invalid-feedback"> Please enter a postal code. </div>
      </div>
    </div>
    <div class="perk_options mt-5">
      <div class="perk_option hidden perk_option--dc1dc9a6-ca65-4aef-b223-87d270c0b97f row mb-5" data-perk="dc1dc9a6-ca65-4aef-b223-87d270c0b97f">
        <p class="w-100">Options for t-shirt</p>
        <div class="perk_option--T22-RCF col-12 col-sm-6 mb-3 mb-sm-0">
          <div class="form-group w-100">
            <select name="T22-RCF" class="form-control" id="T22-RCF">
              <option value="" disabled="true" selected="selected">Select one</option>
              <option value="T22-RCF-C01">Small</option>
              <option value="T22-RCF-C02">Medium</option>
              <option value="T22-RCF-C03">Large</option>
              <option value="T22-RCF-C04">XL</option>
              <option value="T22-RCF-C05">2XL</option>
              <option value="T22-RCF-C06">3XL</option>
              <option value="T22-RCF-C07">4XL</option>
            </select>
            <div class="invalid-feedback" data-mh="cc-feedback" style=""> Please select an option. </div>
          </div>
        </div>
      </div>
      <div class="perk_option hidden perk_option--afe082b3-c681-492e-8919-851ef7a89e53 row mb-5" data-perk="afe082b3-c681-492e-8919-851ef7a89e53">
        <p class="w-100">Options for t-shirt pack</p>
        <div class="perk_option--T23-RCF col-12 col-sm-6 mb-3 mb-sm-0">
          <div class="form-group w-100">
            <select name="T23-RCF" class="form-control" id="T23-RCF">
              <option value="" disabled="true" selected="selected">Select one</option>
              <option value="T23-RCF-C01">Small</option>
              <option value="T23-RCF-C02">Medium</option>
              <option value="T23-RCF-C03">Large</option>
              <option value="T23-RCF-C04">XL</option>
              <option value="T23-RCF-C05">2XL</option>
              <option value="T23-RCF-C06">3XL</option>
              <option value="T23-RCF-C07">4XL</option>
            </select>
            <div class="invalid-feedback" data-mh="cc-feedback" style=""> Please select an option. </div>
          </div>
        </div>
        <div class="perk_option--T24-RCF col-12 col-sm-6 mb-3 mb-sm-0">
          <div class="form-group w-100">
            <select name="T24-RCF" class="form-control" id="T24-RCF">
              <option value="" disabled="true" selected="selected">Select one</option>
              <option value="T24-RCF-C01">Small</option>
              <option value="T24-RCF-C02">Medium</option>
              <option value="T24-RCF-C03">Large</option>
              <option value="T24-RCF-C04">XL</option>
              <option value="T24-RCF-C05">2XL</option>
              <option value="T24-RCF-C06">3XL</option>
              <option value="T24-RCF-C07">4XL</option>
            </select>
            <div class="invalid-feedback" data-mh="cc-feedback" style=""> Please select an option. </div>
          </div>
        </div>
      </div>
      <div class="perk_option hidden perk_option--6ad405f9-7844-4cf8-9879-340c58dd54c8 row mb-5" data-perk="6ad405f9-7844-4cf8-9879-340c58dd54c8">
        <p class="w-100">Options for hoodie</p>
        <div class="perk_option--T25-RCF col-12 col-sm-6 mb-3 mb-sm-0">
          <div class="form-group w-100">
            <select name="T25-RCF" class="form-control" id="T25-RCF">
              <option value="" disabled="true" selected="selected">Select one</option>
              <option value="T25-RCF-C01">Small</option>
              <option value="T25-RCF-C02">Medium</option>
              <option value="T25-RCF-C03">Large</option>
              <option value="T25-RCF-C04">XL</option>
              <option value="T25-RCF-C05">2XL</option>
              <option value="T25-RCF-C06">3XL</option>
              <option value="T25-RCF-C07">4XL</option>
            </select>
            <div class="invalid-feedback" data-mh="cc-feedback" style=""> Please select an option. </div>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group">
      <label class="control-label  required" for="id_captcha"></label>
      <div class="">
        <p>Are you human?</p>
        <p class="small">Enter the 4 characters displayed below (not case sensitive)</p>
        <div class="row mb-4">
          <div class="col-3 text-center">
            <img src="/captcha/image/22f678570fa8e380d46ca533f53f8e32cfe71c91/" alt="captcha" class="captcha">
          </div>
          <div class="col-9">
            <input type="hidden" name="captcha_0" value="22f678570fa8e380d46ca533f53f8e32cfe71c91" class=" form-control" required="" id="id_captcha_0" autocomplete="off"><input type="text" name="captcha_1" class=" form-control" required=""
              id="id_captcha_1" autocapitalize="off" autocomplete="off" autocorrect="off" spellcheck="false">
            <div class="invalid-feedback">Please enter a valid CAPTCHA.</div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="Card Card--LowerHalf bg-neutral">
    <h4>Complete payment</h4>
    <div id="result-message" class="alert alert-danger hidden"></div>
    <div id="checkout_card" class="toggleable">
      <div class="donate-form--cc" id="payment-element"></div>
      <button type="submit" id="btn-donateSubmit" class="btn btn-primary w-100 mt-5" data-checkout="stripe"> Donate <span></span> by credit card </button>
    </div>
    <div id="checkout_paypal" class="toggleable hidden single">
      <script src="https://www.paypal.com/sdk/js?client-id=ATRgGpitwhmV5P4QsvtBhp1O-MFaC5iiHpw8QX0nWoZhMQIswLGf2ziOxGQ8Dz49zZo6dDqzqteH8e9D&amp;currency=USD&amp;commit=true&amp;vault=false&amp;intent=capture" data-namespace="paypal_one_time"
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      <script src="https://www.paypal.com/sdk/js?client-id=ATRgGpitwhmV5P4QsvtBhp1O-MFaC5iiHpw8QX0nWoZhMQIswLGf2ziOxGQ8Dz49zZo6dDqzqteH8e9D&amp;currency=USD&amp;commit=true&amp;vault=true&amp;intent=subscription" data-namespace="paypal_subscriptions"
        data-uid-auto="uid_cbbigsijnomeafvyszdxxwmhhrbtjk"></script>
      <div id="paypal-button-container-single">
        <div id="zoid-paypal-buttons-uid_8528928102_mtc6nda6mze" class="paypal-buttons paypal-buttons-context-iframe paypal-buttons-label-unknown paypal-buttons-layout-vertical" data-paypal-smart-button-version="5.0.433"
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          <style nonce="">
            #zoid-paypal-buttons-uid_8528928102_mtc6nda6mze {
              position: relative;
              display: inline-block;
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            #zoid-paypal-buttons-uid_8528928102_mtc6nda6mze>iframe {
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            #zoid-paypal-buttons-uid_8528928102_mtc6nda6mze>iframe.component-frame {
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            #zoid-paypal-buttons-uid_8528928102_mtc6nda6mze>.smart-menu {
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