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Submitted URL: https://donate.paruresis.org/
Effective URL: https://web.charityengine.net/Donate_IPA/
Submission: On August 02 via api from US — Scanned from US
Effective URL: https://web.charityengine.net/Donate_IPA/
Submission: On August 02 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
POST /Donate_IPA/
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<div class="aspNetHidden">
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<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
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</div>
<script type="text/javascript">
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var theForm = document.forms['aspnetForm'];
if (!theForm) {
theForm = document.aspnetForm;
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function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
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</script>
<script src="/ScriptResource.axd?d=dwY9oWetJoJoVpgL6Zq8OEAZmkzvUzjP13RZ7U7T5MfE5_Vt0ULPCuQ_VK6SNoM_Yq_97GSacJArlNrUYcDEsEH-GkeLnA01hnQr1pfYq_hJPCz9717odefjlL1yjgHgAC4IbbIaRumydrH6hdT_WNAyyDBPHw7vKlrdWd5nNJ41&t=74258c30" type="text/javascript">
</script>
<script src="api/WebFormsAjaxEndpoint.svc/js" type="text/javascript"></script>
<script src="api/LocationUIHelper.asmx/js" type="text/javascript"></script>
<script type="text/javascript">
//<![CDATA[
function WebForm_OnSubmit() {
if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;
return true;
}
//]]>
</script>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="CA0B0334">
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">
</div>
<script type="text/javascript">
//<![CDATA[
Sys.WebForms.PageRequestManager._initialize('ctl00$mp_scriptManager', 'aspnetForm', [], [], [], 90, 'ctl00');
//]]>
</script>
<input type="hidden" id="uniquePostId" name="uniquePostId" value="510217_20240802_072927197_GET_PRWF01_162_245_206_246_zqvy40c1hfz01g3ixfjsz1ir_Default_aspx_webFormFriendlyUrlToken_Donate_IPA">
<input type="text" id="ahp_contact_email" name="ahp_contact_email" class="coreContactEmailEntryFields" tabindex="-1" autocomplete="off" style="display:none;">
<input type="hidden" name="ctl00$mainFormContentArea$processingFeeAmount" id="ctl00_mainFormContentArea_processingFeeAmount" value="0">
<script type="text/javascript">
var gl_overrideValidatorsHiddenFieldId = 'ctl00_mainFormContentArea_ts_override_validators';
var gl_nextButtonId = 'ctl00_nextButt';
var gl_paypalMode = 'production'; //DEPRECATED - DO NOT USE (8.9.2023)
var gl_paypalAccount_id = 825; //DEPRECATED - DO NOT USE (8.9.2023)
var gl_form_id = 29129;
</script>
<script type="text/javascript">
document.addEventListener('DOMContentLoaded', function() {
//checking for iframe and compatibility
console.log('verify iframe & implemenation compatibility (warning: iframes are only allowed, but not recommended, with a vanity domain name that matches your website\'s domain name');
if (window.location != window.parent.location && getCurrentPageRootDomainName() != extractRootDomain(window.parent.location.hostname)) {
console.log('iFrame detected with mismatched domain names - incompatible implementation (app root domain: ' + getCurrentPageRootDomainName() + ', parent root domain: ' + extractRootDomain(window.parent.location.hostname) + ')');
document.write(
'Using this app inside of an iframe is not recommended and using it without a matching domain name will break certain functionality as a result of recent secuirty protocols implemented by the major browsers. <a href="https://help.charityengine.net/Iframe-Donation-Forms-Browser-Security-Settings/">Click here</a> and review documentation for proper implementation options and best practices.'
);
}
});
</script>
<script type="text/javascript">
function heartBeatManager() {
//1 minute
handleLogActiveUserHeartbeat();
setTimeout(heartBeatManager, 60000)
}
function handleLogActiveUserHeartbeat() {
getJsonUrlAsync('/api/WebAppUIAjaxEndpoint.svc/RegisterActiveUserHeartbeat', function(result) {
console.log('active user heartbeat registered');
}, function(error) {
console.log('fatal logging active user heartbeat exception: ' + error);
});
}
document.addEventListener('DOMContentLoaded', function() {
heartBeatManager();
});
</script>
<input type="hidden" name="ctl00$mainFormContentArea$themeStateStorageField" id="ctl00_mainFormContentArea_themeStateStorageField">
<script type="text/javascript">
var gl_themeStateStorageElementId = 'ctl00_mainFormContentArea_themeStateStorageField';
</script>
<script type="text/javascript">
function ts_custFields_replaceCharacters() {
var retVal = true;
var elemObj;
elemObj = document.getElementById('ctl00_textBox_1035642');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
elemObj.value = elemObj.value.replace('$', '');
}
elemObj = document.getElementById('ctl00_textBox_1035658');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035659');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035661');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035662');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035663');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035664');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035666');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035668');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035671');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035675');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035676');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035677');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035678');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035679');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035682');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035683');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035684');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_textBox_1035685');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeName_1035645');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckFirstName_1035646');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckLastName_1035647');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckAddress1_1035648');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckAddress2_1035649');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckPostalCode_1035650');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckCity_1035651');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckEmailAddress_1035654');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
elemObj = document.getElementById('ctl00_tb_sysTributeAckPersonalMessage_1035655');
if (elemObj != undefined) {
elemObj.value = ts_clapi_escapeSpecialCharacterPatterns(elemObj.value);
}
return retVal;
}
function client_cust_req_validationForField_1035670(sender, args) {
var areAnyChecked_1035670 = false;
var valObjRef_1035670 = null;
for (var x = 0; x < 5; x++) {
valObjRef_1035670 = document.getElementById('ctl00_radioButtonList_1035670_' + x);
if (valObjRef_1035670.checked) {
areAnyChecked_1035670 = true;
}
}
sender.errormessage = 'Payment Method required';
args.IsValid = areAnyChecked_1035670;
}
function client_cust_ccNum_validationForField_1035671(sender, args) {
var valObjRef_1035671 = document.getElementById('ctl00_textBox_1035671');
if (valObjRef_1035671 && ts_api_isElementVisible(valObjRef_1035671)) {
args.IsValid = isValidCreditCardNumber(valObjRef_1035671.value);
if (!args.IsValid) {
sender.errormessage = 'Card Number invalid format';
}
}
}
function client_cust_account_validationForField_1035677(sender, args) {
var valObjRef_1035677 = document.getElementById('ctl00_textBox_1035677');
if (valObjRef_1035677 && ts_api_isElementVisible(valObjRef_1035677)) {
args.IsValid = isValidBankAccountNumber(valObjRef_1035677.value);
if (!args.IsValid) {
sender.errormessage = 'Account Number invalid format';
}
}
}
function client_cust_routing_validationForField_1035678(sender, args) {
var valObjRef_1035678 = document.getElementById('ctl00_textBox_1035678');
if (valObjRef_1035678 && ts_api_isElementVisible(valObjRef_1035678)) {
args.IsValid = isValidRoutingNumber(valObjRef_1035678.value);
if (!args.IsValid) {
sender.errormessage = 'Routing Number invalid format';
}
}
}
function client_cust_req_validationForField_1035680(sender, args) {
var areAnyChecked_1035680 = false;
var valObjRef_1035680 = null;
for (var x = 0; x < 2; x++) {
valObjRef_1035680 = document.getElementById('ctl00_radioButtonList_1035680_' + x);
if (valObjRef_1035680.checked) {
areAnyChecked_1035680 = true;
}
}
sender.errormessage = 'Account Type required';
args.IsValid = areAnyChecked_1035680;
}
function ts_clientCustom_onSubmit_preValidation_encapsulate() {
if (typeof ts_clapi_onSubmit_preValidation == 'function') ts_clapi_onSubmit_preValidation();
}
function ts_clientCustom_onSubmit_encapsulate(sender, args) {
cleanValidatedInputFields();
args.IsValid = true;
for (i = 0; i < Page_Validators.length; i++) {
if (!Page_Validators[i].isvalid) {
if (document.getElementById(Page_Validators[i].controltovalidate) != null) console.log('validator ' + Page_Validators[i].id + ' failed for control ' + document.getElementById(Page_Validators[i].controltovalidate).id + ' with value: ' +
document.getElementById(Page_Validators[i].controltovalidate).value);
else console.log('validator ' + Page_Validators[i].id + ' referencing undefined control: ' + Page_Validators[i].controltovalidate);
args.IsValid = false;
}
}
if (args.IsValid && typeof validateDonationAmountGreaterThanMinAmount !== 'undefined') {
var amountValid = validateDonationAmountGreaterThanMinAmount(5);
args.IsValid = amountValid;
if (!amountValid) {
addErrorMessageToSummary('Thank you for your understanding regarding our minimum charge amount of $5.00.')
args.ErrorMessage = 'Thank you for your understanding regarding our minimum charge amount of $5.00.';
}
}
//first call custom framework onsubmit override and set validation properties
if (args.IsValid) {
if (typeof ts_clapi_onSubmit_postValidation == 'function') args.IsValid = ts_clapi_onSubmit_postValidation();
if (typeof ts_clientCustom_onSubmit == 'function') args.IsValid = ts_clientCustom_onSubmit();
}
ts_custFields_replaceCharacters();
if (typeof(ts_global_jsFw_ticketElements) != 'undefined' && ts_global_jsFw_ticketElements != null) {
ts_clapi_calculateFormTicketValuesEnterResultInSystemTicketFields(ts_global_jsFw_ticketElements);
}
//next check client side validator controls and perform enable/disable logic
//enable/disable submit button
if (!args.IsValid) {
Form.ShowNextButton();
} else {
Form.HideNextButton();
}
Form.trySaveFormUIState();
}
</script>
<input type="hidden" name="ctl00$mainFormContentArea$ts_override_validators" id="ctl00_mainFormContentArea_ts_override_validators"
value="ctl00_reqFieldVal_1035677=disabled|ctl00_reqFieldVal_1035678=disabled|ctl00_reqFieldVal_1035677=disabled|ctl00_reqFieldVal_1035678=disabled|ctl00_reqFieldVal_1035682=disabled|ctl00_reqFieldVal_1035684=disabled|ctl00_reqFieldVal_1035685=disabled|ctl00_reqFieldVal_1035686=disabled|ctl00_reqFieldVal_1035687=disabled">
<div id="topErrorMessage" class="error" style="display:none;" data-originaloffsetwidth="0" data-originaloffsetheight="0" data-originaldisplaystyle="none"></div>
<div id="ctl00_mainFormContentArea_valSummary" class="tsValidationSummaryMessages" style="display:none;">
</div>
<ul class="tsCustomValidationSummaryMessages errormessage hidden"></ul>
<!--START FORM HEADER-->
<div class="tsPageCustomHeaders" id="tsLandingPageHeader">
<p style="text-align: center;"><span style="font-size: 24pt;"><strong><span style="font-family: tahoma, arial, helvetica, sans-serif; color: #d35400;">INTERNATIONAL PARURESIS ASSOCIATION</span></strong></span></p>
<p><img src="https://media2.charityengine.net/WF/_transactionServerFiles/1154/NewNewDonationpagegraphicforCE-03.png" alt="New donation page header v3"><br><br>Thank you for considering a donation to the International Paruresis Association.
Whether you are here to support your own recovery, or in recognition of a family member or friend, your investment in us is not taken for granted. We consider all donations anonymous and never sell or share our contact list. Give in complete
confidence. When you make a donation of $100 or more, we recognize you as a member of the IPA which entitles you to access our "members only" resources, special events, and discounts on workshops. <span>We are 100% individual donor-supported
and please know that all gifts of any amount are appreciated!</span></p>
</div><!--END FORM HEADER--><!--START FORM CONTENT-->
<div class="tsPageMainFormContent" id="tsPageMainFormContent">
<input name="ctl00$mainFormContentArea$transDuplicateErrorPresented" type="hidden" id="ctl00_mainFormContentArea_transDuplicateErrorPresented" value="0">
<script type="text/javascript">
document.addEventListener('DOMContentLoaded', function() {
if (typeof(ts_global_jsFw_systemField_customerCountry) != 'undefined') {
var cCntDD = document.getElementById(ts_global_jsFw_systemField_customerCountry);
if (cCntDD != null) {
//toggle on page load
togglePostalCodeValidationForCountryChangeEvent(cCntDD);
//bind change event
cCntDD.addEventListener('change', function() {
togglePostalCodeValidationForCountryChangeEvent(this);
})
}
}
if (typeof(ts_global_jsFw_systemField_billingCountry) != 'undefined') {
var bCntDD = document.getElementById(ts_global_jsFw_systemField_billingCountry);
if (bCntDD != null) {
//toggle on page load
togglePostalCodeValidationForCountryChangeEvent(bCntDD);
//bind change event
bCntDD.addEventListener('change', function() {
togglePostalCodeValidationForCountryChangeEvent(this);
})
}
}
setBodyIfPreviewingStep();
document.getElementById('topErrorMessage').vanish();
});
function processFormDupeGoBack() {
processFormGoBack('backButtDupe');
}
function processFormGoBack(triggerElementId) {
__doPostBack(triggerElementId, '');
}
function handleFailBackButtonClick() {
if (document.getElementById('ctl00_mainFormContentArea_transDuplicateErrorPresented').getValue() == 1) processFormDupeGoBack();
else processFormGoBack('backButtFail');
}
</script>
<input type="hidden" name="ctl00$mainFormContentArea$payPalApiVersionId" id="ctl00_mainFormContentArea_payPalApiVersionId" value="0">
<input type="hidden" name="ctl00$mainFormContentArea$payPalPaymentSourceId" id="ctl00_mainFormContentArea_payPalPaymentSourceId" value="0">
<input type="hidden" name="ctl00$mainFormContentArea$PaypalGatewayToken" id="ctl00_mainFormContentArea_PaypalGatewayToken" value="">
<input type="hidden" name="ctl00$mainFormContentArea$paypalGatewayPayerId" id="ctl00_mainFormContentArea_paypalGatewayPayerId" value="">
<script type="text/javascript">
var ppConfig = {
"PayPalLegacyButtonContainerDomId": 'ctl00_paypalecButtonContainer_1035688_legacyButton',
"PayPalNewButtonContainerDomId": 'ctl00_paypalecButtonContainer_1035688_currentButton',
"PayPalMerchantGatewayId": 825,
"PayPalAccountMode": 'production',
"CharityEngineAppRecordId": 29129,
"PaypalVenmoCheckOutEnabled": true,
"GetChargeAmountFunction": Form.getTransactionAmount,
"GetRecurringFrequencyIdFunction": Form.GetRecurringFrequencyId,
"UIValidationCallBackFunction": payPalUIValidation
};
var payPalApi = getPayPalApi(ppConfig);
function payPalUIValidation() {
console.log('PayPal ui validation call back function');
var payPalUIValidationIsValid = Page_ClientValidate();
if (!payPalUIValidationIsValid) Form.HideNextButton();
return payPalUIValidationIsValid;
}
</script>
<script src="https://www.paypal.com/sdk/js?client-id=BAA7eu2scn1miGZG5jhMTQrw4zQbW4b2G16zsqZgZ_hMWts2oIyK8M4iJlaUFPPjFBAa6Zw8Ht_GcvygXg&enable-funding=venmo" data-uid-auto="uid_zrxjysaoztxtlngissdjhttpumbzdh"></script>
<script src="/_includes/_thirdparty/paypal/checkout.js?v=1" type="text/javascript" data-version-4=""></script>
<script type="text/javascript">
payPalApi.RegisterTokenReceivedCallBack(handlePayPalTokenReceived);
payPalApi.RegisterPaymentAuthorizedCallBack(handlePaypalPaymentAuthorized);
//TODO: move paypal scripts to shared location
document.addEventListener('DOMContentLoaded', function() {
console.log('Initialize paypal native button');
document.getElementById('ctl00_mainFormContentArea_payPalApiVersionId').setValue('0');
document.getElementById('ctl00_mainFormContentArea_payPalPaymentSourceId').setValue('0');
document.getElementById('ctl00_mainFormContentArea_PaypalGatewayToken').setValue('');
document.getElementById('ctl00_mainFormContentArea_paypalGatewayPayerId').setValue('');
payPalApi.Initialize();
});
function handlePayPalTokenReceived(result) {
console.log('paypal token received: ' + JSON.stringify(result));
document.getElementById('ctl00_mainFormContentArea_payPalApiVersionId').setValue(result.ApiVersion);
document.getElementById('ctl00_mainFormContentArea_payPalPaymentSourceId').setValue(result.PaymentSourceId);
document.getElementById('ctl00_mainFormContentArea_PaypalGatewayToken').setValue(result.PayPalToken);
}
function handlePaypalPaymentAuthorized(result) {
console.log('paypal payment authorized: ' + JSON.stringify(result));
document.getElementById('ctl00_mainFormContentArea_paypalGatewayPayerId').setValue(result.PayPalGatewayPayerId);
Form.DisablePaymentFieldValidators();
//show processing message or hide button?
//payPalApi.HideButton();
Form.GetNextButton().click();
}
</script>
<input type="hidden" name="ctl00$mainFormContentArea$walletTypeId" id="ctl00_mainFormContentArea_walletTypeId" value="0">
<input type="hidden" name="ctl00$mainFormContentArea$walletToken" id="ctl00_mainFormContentArea_walletToken">
<input type="hidden" name="ctl00$mainFormContentArea$tokenExpirationMonth" id="ctl00_mainFormContentArea_tokenExpirationMonth">
<input type="hidden" name="ctl00$mainFormContentArea$tokenExpirationYear" id="ctl00_mainFormContentArea_tokenExpirationYear">
<input type="hidden" name="ctl00$mainFormContentArea$walletCreditCardTypeId" id="ctl00_mainFormContentArea_walletCreditCardTypeId" value="0">
<input type="hidden" name="ctl00$mainFormContentArea$walletEciIndicator" id="ctl00_mainFormContentArea_walletEciIndicator">
<input type="hidden" name="ctl00$mainFormContentArea$tokenCryptogram" id="ctl00_mainFormContentArea_tokenCryptogram">
<script type="text/javascript">
var gpConfig = {
"GooglePayButtonContainerId": 'fieldset_87391',
"GooglePayEnvironment": 'PRODUCTION',
"GooglePayGateway": 'charityengine',
"GooglePayGatewayMerchantID": 'charityengine',
"GooglePayMerchantID": 'BCR2DN4TZLJ2HLJC',
"OrganizationName": 'International Paruresis Association',
"GetChargeAmountFunction": Form.GetTransactionAmount,
"GetRecurringAmountFunction": Form.GetRecurringAmountIfRecurringGift,
"GetCurrencyCodeFunction": Form.GetCurrencyCode,
"GetCountryCodeFunction": Form.GetCustomerCountryCode,
"UIValidationCallBackFunction": googlePalUIValidation
};
var googlePayApi = getGooglePayApi(gpConfig);
function googlePalUIValidation() {
console.log('GooglePal ui validation call back function');
var googlePayUIValidationIsValid = Page_ClientValidate();
if (!googlePayUIValidationIsValid) Form.HideNextButton();
return googlePayUIValidationIsValid;
}
</script>
<script type="text/javascript">
//googlePayApi.RegisterInitializedCallBack();
googlePayApi.RegisterButtonAddedCallBack(tryInitiateGooglePayThemeCallBack);
googlePayApi.RegisterPaymentAuthorizedCallBack(handleGooglePayPaymentAuthorized);
var gl_initiateGooglePayThemeCallBackCount = 0;
function tryInitiateGooglePayThemeCallBack() {
if ((typeof(themeLoaded) == 'undefined' || !themeLoaded) && gl_initiateGooglePayThemeCallBackCount < 5) {
console.log('tryInitiateGooglePayThemeCallBack schedule recursive call back (' + gl_initiateGooglePayThemeCallBackCount + ')');
gl_initiateGooglePayThemeCallBackCount++;
setTimeout(function() {
tryInitiateGooglePayThemeCallBack();
}, 1000);
} else if (typeof(themeLoaded) != 'undefined' && themeLoaded && typeof(themeGooglePayButtonRenderHandler) == 'function') {
console.log('tryInitiateGooglePayThemeCallBack fire theme call back');
themeGooglePayButtonRenderHandler();
}
}
function handleGooglePayPaymentAuthorized(paymentData) {
console.log('googlepay wallet token decrypted successfully');
Form.DisablePaymentFieldValidators();
//currently, google pay only supports CC
Form.paymentSection.setPaymentMethod(PAYMENT_METHODS.CREDIT_CARD.toString(), WALLET_TYPES.GOOGLE_PAY.toString());
//console.log('GPP: ' + paymentData.paymentMethodDetails.pan);
//console.log('GPP EXPM: ' + paymentData.paymentMethodDetails.expirationMonth);
//console.log('GPP EXPY: ' + paymentData.paymentMethodDetails.expirationYear.toString().substr(-2));
//populate credit card fields
Form.SetCreditCardNumber(paymentData.paymentMethodDetails.pan);
Form.SetCreditCardExpirationMonth(paymentData.paymentMethodDetails.expirationMonth);
Form.SetCreditCardExpirationYear(paymentData.paymentMethodDetails.expirationYear.toString().substr(-2));
console.log('form validated - simulate next click');
document.getElementById('ctl00_mainFormContentArea_walletTypeId').setValue('1');
//Form.paymentSection.setPaymentMethod(PAYMENT_METHODS.CREDIT_CARD.toString(), WALLET_TYPES.APPLE_PAY.toString());
//
//document.getElementById('ctl00_mainFormContentArea_walletTypeId').setValue('2');
////Test 1: Mastercard
//document.getElementById('ctl00_mainFormContentArea_walletToken').setValue('5105105105105100');
//document.getElementById('ctl00_mainFormContentArea_walletCreditCardTypeId').setValue(2); //1=visa, 2=mastercard, 3=amex, 4=discover
//document.getElementById('ctl00_mainFormContentArea_walletEciIndicator').setValue(5); //required for first transaction (MC is 5, others are 7)
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationMonth').setValue(12);
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationYear').setValue(25);
////Test 2: Discover
//document.getElementById('ctl00_mainFormContentArea_walletToken').setValue('6011000994462780');
//document.getElementById('ctl00_mainFormContentArea_walletCreditCardTypeId').setValue(4); //1=visa, 2=mastercard, 3=amex, 4=discover
//document.getElementById('ctl00_mainFormContentArea_walletEciIndicator').setValue(5); //required for first transaction (MC is 5, others are 7)
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationMonth').setValue(12);
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationYear').setValue(25);
////Test 3: Visa
//document.getElementById('ctl00_mainFormContentArea_walletToken').setValue('4111111111111111');
//document.getElementById('ctl00_mainFormContentArea_walletCreditCardTypeId').setValue(1); //1=visa, 2=mastercard, 3=amex, 4=discover
//document.getElementById('ctl00_mainFormContentArea_walletEciIndicator').setValue(7); //required for first transaction (MC is 5, others are 7)
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationMonth').setValue(12);
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationYear').setValue(25);
////Test 4: Amex
//document.getElementById('ctl00_mainFormContentArea_walletToken').setValue('371449635398431');
//document.getElementById('ctl00_mainFormContentArea_walletCreditCardTypeId').setValue(3); //1=visa, 2=mastercard, 3=amex, 4=discover
//document.getElementById('ctl00_mainFormContentArea_walletEciIndicator').setValue(7); //required for first transaction (MC is 5, others are 7)
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationMonth').setValue(12);
//document.getElementById('ctl00_mainFormContentArea_tokenExpirationYear').setValue(25);
//show processing message or hide button?
//googlePayApi.HideButton();
Form.GetNextButton().click();
}
function onGooglePayLoaded() {
console.log('Google Pay Javascript API Loaded Event Fired');
googlePayApi.Initialize(); //initializeGooglePayButton();
}
</script>
<script src="https://pay.google.com/gp/p/js/pay.js?v=20248272927213" onload="onGooglePayLoaded()" async=""></script>
<script type="text/javascript">
var apConfig = {
"ApplePayButtonContainerId": 'fieldset_87391',
"OrganizationName": 'International Paruresis Association',
"UserCenterUrl": 'https://usercenter.charityengine.net/internationalparuresisassociation/',
"GetChargeAmountFunction": Form.GetTransactionAmount,
"GetRecurringAmountFunction": Form.GetRecurringAmountIfRecurringGift,
"GetCurrencyCodeFunction": Form.GetCurrencyCode,
"GetCountryCodeFunction": Form.GetCustomerCountryCode,
"UIValidationCallBackFunction": applePayUIValidation
};
var applePayApi = getApplePayApi(apConfig);
function applePayUIValidation() {
console.log('ApplePay ui validation call back function');
var applePayUIValidationIsValid = Page_ClientValidate();
if (!applePayUIValidationIsValid) Form.HideNextButton();
return applePayUIValidationIsValid;
}
</script>
<link rel="stylesheet" href="/_includes/_thirdparty/applepay/applepaybuttonstyle.css">
<script type="text/javascript">
applePayApi.RegisterPaymentAuthorizedCallBack(handleApplePayPaymentAuthorized);
function handleApplePayPaymentAuthorized(result) {
console.log('ApplePay Web Forms Payment Authorized Call Back: ' + result);
document.getElementById('ctl00_mainFormContentArea_walletTypeId').setValue('2');
document.getElementById('ctl00_mainFormContentArea_walletToken').setValue(result.ApplePayToken);
document.getElementById('ctl00_mainFormContentArea_walletCreditCardTypeId').setValue(result.CardType_Id);
document.getElementById('ctl00_mainFormContentArea_walletEciIndicator').setValue(result.ApplePayTokenEciIndicator); //required for first transaction
document.getElementById('ctl00_mainFormContentArea_tokenExpirationMonth').setValue(result.ExpirationMonth);
document.getElementById('ctl00_mainFormContentArea_tokenExpirationYear').setValue(result.ExpirationYear);
document.getElementById('ctl00_mainFormContentArea_tokenCryptogram').setValue(result.ApplePayCryptogram);
Form.DisablePaymentFieldValidators();
//show processing message or hide button?
//applePayApi.HideButton();
//console.log('TEMPORARY BLOCKING OF SUBMISSION FOR DEV TESTING');
Form.GetNextButton().click();
}
</script>
<script type="text/javascript">
document.addEventListener('DOMContentLoaded', function() {
console.log('Initialize ApplePay API');
applePayApi.Initialize();
tryInitiateApplePayThemeCallBack();
});
var gl_initiateApplePayThemeCallBackCount = 0;
function tryInitiateApplePayThemeCallBack() {
if ((typeof(themeLoaded) == 'undefined' || !themeLoaded) && gl_initiateApplePayThemeCallBackCount < 5) {
console.log('tryInitiateApplePayThemeCallBack schedule recursive call back (' + gl_initiateApplePayThemeCallBackCount + ')');
gl_initiateApplePayThemeCallBackCount++;
setTimeout(function() {
tryInitiateApplePayThemeCallBack();
}, 1000);
} else if (typeof(themeLoaded) != 'undefined' && themeLoaded && typeof(themeApplePayButtonRenderHandler) == 'function') {
console.log('tryInitiateApplePayThemeCallBack fire theme call back');
themeApplePayButtonRenderHandler();
}
}
</script>
<input type="hidden" name="ctl00$processedTransactionId" id="processedTransactionId"><input type="hidden" name="ctl00$donorPeerToPeerTeamPageId" id="donorPeerToPeerTeamPageId">
<fieldset id="fieldset_87388" class="tsFieldSets ce-fieldset DonationSectionContainer">
<legend id="legend_87388" class="tsLegends ce-legend">Gift</legend>
<div id="ctl00_tsFormRow_1" class="tsFormRows">
<label for="ctl00_dropDownList_1035641" id="ctl00_label_1035641" class="tsFormLabels ce-label Frequency" title="Frequency" data-originaloffsetwidth="66" data-originaloffsetheight="22" data-originaldisplaystyle="inline-block"
style="display: none;">Frequency</label><input id="ctl00_dropDownList_1035641_selectedIndexValue" name="ctl00_dropDownList_1035641_selectedIndexValue" type="hidden" value="0"><span class="frequencyOptionsContainer"><input
class="frequencyOptions" id="phantom_frequency_onetime" type="radio" name="frequencyOption"><label id="phantom_frequency_onetime_btn" for="phantom_frequency_onetime">One Time</label></span><span class="frequencyOptionsContainer"><input
class="frequencyOptions" id="phantom_frequency_recurring" type="radio" name="frequencyOption"><label id="phantom_frequency_recurring_btn" for="phantom_frequency_recurring">Recurring</label></span><select name="ctl00$dropDownList_1035641"
id="ctl00_dropDownList_1035641" class="tsDropDownLists isRecurringFrequency Frequency ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""
onchange="document.getElementById('ctl00_dropDownList_1035641_selectedIndexValue').value = this.selectedIndex" data-originaloffsetwidth="1044" data-originaloffsetheight="40" data-originaldisplaystyle="block" style="display: none;">
<option selected="selected" value="0" fieldoption_id="1015692" data-originaloffsetwidth="0" data-originaloffsetheight="0" data-originaldisplaystyle="block" style="display: none;">One-Time</option>
<option value="4" fieldoption_id="1015693">Monthly</option>
<option value="7" fieldoption_id="1015694">Annually</option>
</select><span id="ctl00_reqFieldVal_1035641" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="oneTimeGiftAmountContainer" data-originaloffsetwidth="1044" data-originaloffsetheight="120" data-originaldisplaystyle="block" style="display: block;"><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(25)"
data-value="25" data-currency="$">25</span><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(50)" data-value="50" data-currency="$">50</span><span class="giftAmountBtn active" onclick="updateAmountTextBoxOnBtnClick(100)"
data-value="100" data-currency="$">100 | Make a gift of $100 or more for added member benefits</span><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(250)" data-value="250" data-currency="$">250</span></div>
<div id="monthlyGiftAmountContainer" data-originaloffsetwidth="1044" data-originaloffsetheight="120" data-originaldisplaystyle="block" style="display: none;"><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(10)"
data-value="10" data-currency="$">10 | Yearly giving of $100 or more earns added member benefits</span><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(25)" data-value="25" data-currency="$">25</span><span
class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(50)" data-value="50" data-currency="$">50</span><span class="giftAmountBtn active" onclick="updateAmountTextBoxOnBtnClick(100)" data-value="100" data-currency="$">100</span></div>
<div id="annualGiftAmountContainer" data-originaloffsetwidth="1044" data-originaloffsetheight="0" data-originaldisplaystyle="block" style="display: none;"><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(50)" data-value="50"
data-currency="$">50</span><span class="giftAmountBtn active" onclick="updateAmountTextBoxOnBtnClick(100)" data-value="100" data-currency="$">100 | Make a gift of $100 or more for added member benefits</span><span class="giftAmountBtn"
onclick="updateAmountTextBoxOnBtnClick(250)" data-value="250" data-currency="$">250</span><span class="giftAmountBtn" onclick="updateAmountTextBoxOnBtnClick(500)" data-value="500" data-currency="$">500</span></div>
<div id="ctl00_tsFormRow_3" class="tsFormRows">
<span id="amountCurrencyAddon">$</span><input name="ctl00$textBox_1035642" type="text" id="ctl00_textBox_1035642" class="tsTextBoxes ce-input isCost isTaxDeductibleAmount isRecurringAmount isRecurringTaxDeductibleAmount Amount"
placeholder="0.00" style="padding-left: 18px !important;"><span id="ctl00_regexFieldValCost_1035642" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_4" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="40" data-originaldisplaystyle="block" style="display: none;">
<input id="ctl00_currencySelection_1035643_selectedIndexValue" name="ctl00_currencySelection_1035643_selectedIndexValue" type="hidden" value="0"><select name="ctl00$currencySelection_1035643" id="ctl00_currencySelection_1035643"
class="tsDropDownLists tsCurrencySelectors Currency ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""
onchange="document.getElementById('ctl00_currencySelection_1035643_selectedIndexValue').value = this.selectedIndex">
<option selected="selected" value="15">USD</option>
</select><span id="ctl00_reqFieldVal_1035643" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
</fieldset>
<fieldset id="fieldset_87390" class="tsFieldSets ce-fieldset Contact InfoSectionContainer">
<legend id="legend_87390" class="tsLegends ce-legend">Contact Info</legend>
<div id="ctl00_tsFormRow_7" class="tsFormRows half first">
<label for="ctl00_textBox_1035658" id="ctl00_label_1035658" class="tsFormLabels ce-label FirstName" title="First Name">First Name</label><input name="ctl00$textBox_1035658" type="text" id="ctl00_textBox_1035658"
class="tsTextBoxes ce-input isDonorFirstName FirstName ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message="" placeholder="First Name"><span id="ctl00_reqFieldVal_1035658" class="tsVal_itemMarker"
style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_8" class="tsFormRows half last">
<label for="ctl00_textBox_1035659" id="ctl00_label_1035659" class="tsFormLabels ce-label LastName" title="Last Name">Last Name</label><input name="ctl00$textBox_1035659" type="text" id="ctl00_textBox_1035659"
class="tsTextBoxes ce-input isDonorLastName LastName ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message="" placeholder="Last Name"><span id="ctl00_reqFieldVal_1035659" class="tsVal_itemMarker"
style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_9" class="tsFormRows">
<label for="ctl00_sysCountries_1035660" id="ctl00_label_1035660" class="tsFormLabels ce-label Country" title="Country">Country</label><select name="ctl00$sysCountries_1035660" id="ctl00_sysCountries_1035660"
class="tsDropDownLists Country ts_requiredField tsDropDownLists_countries isDonorCountry_id" aria-required="true" aria-invalid="false" data-validation-message="" onchange="setState(this,'36');">
<option value=""></option>
<option value="United States" fieldoption_id="36">United States</option>
<option value="Afghanistan" fieldoption_id="37">Afghanistan</option>
<option value="Albania" fieldoption_id="38">Albania</option>
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<option value="Rhode Island" fieldoption_id="46" data-state-abrv="RI">Rhode Island</option>
<option value="South Carolina" fieldoption_id="20" data-state-abrv="SC">South Carolina</option>
<option value="South Dakota" fieldoption_id="18" data-state-abrv="SD">South Dakota</option>
<option value="Tennessee" fieldoption_id="27" data-state-abrv="TN">Tennessee</option>
<option value="Texas" fieldoption_id="11" data-state-abrv="TX">Texas</option>
<option value="United States Minor Outlying Islands" fieldoption_id="64" data-state-abrv="UM">United States Minor Outlying Islands</option>
<option value="Utah" fieldoption_id="47" data-state-abrv="UT">Utah</option>
<option value="Vermont" fieldoption_id="32" data-state-abrv="VT">Vermont</option>
<option value="Virgin Islands" fieldoption_id="63" data-state-abrv="VI">Virgin Islands</option>
<option value="Virginia" fieldoption_id="3" data-state-abrv="VA">Virginia</option>
<option value="Washington" fieldoption_id="48" data-state-abrv="WA">Washington</option>
<option value="West Virginia" fieldoption_id="49" data-state-abrv="WV">West Virginia</option>
<option value="Wisconsin" fieldoption_id="16" data-state-abrv="WI">Wisconsin</option>
<option value="Wyoming" fieldoption_id="50" data-state-abrv="WY">Wyoming</option>
</select><span id="ctl00_reqFieldVal_1035665" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_15" class="tsFormRows">
<label for="ctl00_textBox_1035666" id="ctl00_label_1035666" class="tsFormLabels ce-label PhoneNumber" title="Phone Number">Phone Number</label><input name="ctl00$textBox_1035666" type="text" id="ctl00_textBox_1035666"
class="tsTextBoxes ce-input isPhone PhoneNumber ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message="" placeholder="Phone Number"><span id="ctl00_reqFieldVal_1035666" class="tsVal_itemMarker"
style="display:none;">*</span><span id="ctl00_regexFieldValPhone_1035666" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_17" class="tsFormRows">
<label for="ctl00_textBox_1035668" id="ctl00_label_1035668" class="tsFormLabels ce-label EmailAddress" title="Email Address">Email Address</label><input name="ctl00$textBox_1035668" type="text" maxlength="250" id="ctl00_textBox_1035668"
class="tsTextBoxes ce-input isEmail EmailAddress ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message="" placeholder="Email Address"><span id="ctl00_reqFieldVal_1035668" class="tsVal_itemMarker"
style="display:none;">*</span><span id="ctl00_regexFieldValEmail_1035668" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_18" class="tsFormRows">
<label for="ctl00_checkBoxList_1035669" id="ctl00_label_1035669" class="tsFormLabels ce-label Yes,Iwouldliketoreceiveemailcommunications. ce-radio-checkbox-set-label" title="Yes, I would like to receive email communications.">Yes, I would
like to receive email communications.</label><span id="ctl00_checkBoxList_1035669" class="tsCheckBoxLists isEmailOptIn Yes,Iwouldliketoreceiveemailcommunications."><span fieldoption_id="1011661"><input id="ctl00_checkBoxList_1035669_0"
type="checkbox" name="ctl00$checkBoxList_1035669$0" checked="checked" value="1"><label for="ctl00_checkBoxList_1035669_0">Yes, I would like to receive email communications.</label></span></span>
</div>
</fieldset>
<fieldset id="fieldset_87391" class="tsFieldSets ce-fieldset Payment InfoSectionContainer">
<legend id="legend_87391" class="tsLegends ce-legend">Payment</legend>
<div id="paymentToggleRow" class="tsFormRows"><span class="paymentTypeContainer"><input id="ccToggle" class="paymentTypes active" type="radio" data-paymentid="1"><label id="ccToggleLabel" for="ccToggle" class="active">Credit
Card</label></span><span class="paymentTypeContainer"><input id="achToggle" class="paymentTypes" type="radio" data-paymentid="2"><label id="achToggleLabel" for="achToggle">Bank Account</label></span><span
class="paymentTypeContainer"><input id="paypalToggle" class="paymentTypes" type="radio" data-paymentid="9"><label id="paypalToggleLabel" for="paypalToggle">PayPal/Venmo</label></span><span id="googlePayToggleContainer"
class="paymentTypeContainer"><input id="googlePayToggle" class="paymentTypes" type="radio" data-paymentid="1" data-wallettypeid="1"><label id="googlePayToggleLabel" for="googlePayToggle">Google Pay</label></span></div>
<div id="ctl00_tsFormRow_19" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="152" data-originaldisplaystyle="block" style="display: none;">
<input id="ctl00_radioButtonList_1035670_selectedIndexValue" name="ctl00_radioButtonList_1035670_selectedIndexValue" type="hidden" value="0"><span id="ctl00_radioButtonList_1035670"
class="tsRadioButtonLists isPaymentType_id PaymentMethod ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message="" data-value="1"><span fieldoption_id="1011662"
onchange="on_radioButtonList_1035670_changed(this);" data-index="0" data-parent="ctl00_radioButtonList_1035670"><input id="ctl00_radioButtonList_1035670_0" type="radio" name="ctl00$radioButtonList_1035670" value="1" checked="checked"
onclick="document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = 0;"><label for="ctl00_radioButtonList_1035670_0">Credit Card</label></span><span fieldoption_id="1011663"
onchange="on_radioButtonList_1035670_changed(this);" data-index="1" data-parent="ctl00_radioButtonList_1035670"><input id="ctl00_radioButtonList_1035670_1" type="radio" name="ctl00$radioButtonList_1035670" value="2"
onclick="document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = 1;"><label for="ctl00_radioButtonList_1035670_1">ACH</label></span><span fieldoption_id="1011664"
onchange="on_radioButtonList_1035670_changed(this);" data-index="2" data-parent="ctl00_radioButtonList_1035670"><input id="ctl00_radioButtonList_1035670_2" type="radio" name="ctl00$radioButtonList_1035670" value="9"
onclick="document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = 2;"><label for="ctl00_radioButtonList_1035670_2">PayPal</label></span><span fieldoption_id="1011665"
onchange="on_radioButtonList_1035670_changed(this);" data-index="3" data-parent="ctl00_radioButtonList_1035670"><input id="ctl00_radioButtonList_1035670_3" type="radio" name="ctl00$radioButtonList_1035670" value="0"
onclick="document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = 3;" style="display: none;"><label for="ctl00_radioButtonList_1035670_3" style="display: none;">OneClick</label></span><span
fieldoption_id="1011666" onchange="on_radioButtonList_1035670_changed(this);" data-index="4" data-parent="ctl00_radioButtonList_1035670"><input id="ctl00_radioButtonList_1035670_4" type="radio" name="ctl00$radioButtonList_1035670"
value="7" onclick="document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = 4;"><label for="ctl00_radioButtonList_1035670_4">Other</label></span></span>
<script>
function on_radioButtonList_1035670_changed(elem) {
var parentElem = document.getElementById(elem.getAttribute('data-parent'));
if (parentElem) {
var currentChecked = parentElem.querySelector('input[type="radio"]:checked');
if (currentChecked) {
document.getElementById('ctl00_radioButtonList_1035670_selectedIndexValue').value = elem.getAttribute('data-index');
parentElem.setAttribute('data-value', currentChecked.value);
}
}
}
(function on_radioButtonList_1035670_loaded() {
//IE11 polyfill for dispatchEvent
(function() {
if (typeof window.Event === 'function') return false;
function Event(event, params) {
params = params || {
bubbles: false,
cancelable: false,
detail: null
};
var evt = document.createEvent('Event');
evt.initEvent('change', true, true);
return evt;
}
window.Event = Event;
})();
var elem = document.getElementById('ctl00_radioButtonList_1035670');
if (elem) {
var defaultChecked = elem.querySelector('input:checked')
if (defaultChecked) elem.setAttribute('data-value', defaultChecked.value)
elem.getValue = function() {
return document.getElementById('ctl00_radioButtonList_1035670').getAttribute('data-value');
}
//Set value
elem.setValue = function(value) {
//get control ref
var me = document.getElementById('ctl00_radioButtonList_1035670');
//get radio that matches the given value
var matchedOption = me.querySelector('input[type="radio"][value="' + value + '"]');
if (matchedOption) {
matchedOption.checked = true;
me.setAttribute('data-value', value);
matchedOption.dispatchEvent(new Event('change'));
//clear previous highlighted
var prevChecked = me.querySelector('label.active');
if (prevChecked) {
prevChecked.classList.remove('active');
}
//highlight new value
var matchedOptionLabel = me.querySelector('label[for="' + matchedOption.id + '"]');
if (matchedOptionLabel) {
matchedOptionLabel.classList.add('active');
}
}
}
//Set value by the label
elem.setValueFor = function(label, value) {
var me = document.getElementById('ctl00_radioButtonList_1035670');
var givenLabel = document.evaluate('//label[text()="' + label + '"]', me, null, XPathResult.ANY_TYPE, null).iterateNext();
if (givenLabel) {
var matchedOption = document.getElementById(givenLabel.getAttribute('for'));
if (matchedOption) {
matchedOption.checked = true;
me.setAttribute('data-value', value);
matchedOption.dispatchEvent(new Event('change'));
//clear previous highlighted
var prevChecked = me.querySelector('label.active');
if (prevChecked) {
prevChecked.classList.remove('active');
}
//highlight new value
var matchedOptionLabel = me.querySelector('label[for="' + matchedOption.id + '"]');
if (matchedOptionLabel) {
matchedOptionLabel.classList.add('active');
}
}
} else {
console.error('cant find option "' + label + '" on control ctl00_radioButtonList_1035670');
}
}
}
})();
</script><span id="ctl00_customReqVal_1035670" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_20" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: block;">
<label for="ctl00_textBox_1035671" id="ctl00_label_1035671" class="tsFormLabels ce-label CardNumber" title="Card Number">Card Number</label><input name="ctl00$textBox_1035671" type="text" id="ctl00_textBox_1035671"
class="tsTextBoxes ce-input transCC CardNumber ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035671" class="tsVal_itemMarker" style="display: none;"
data-originaloffsetwidth="10" data-originaloffsetheight="36" data-originaldisplaystyle="block">*</span><span id="ctl00_customCcNumNumVal_1035671" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_21" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="0" data-originaldisplaystyle="block" style="display: block; margin-bottom: 0px;">
<label for="ctl00_sysCreditCardTypes_1035672" id="ctl00_label_1035672" class="tsFormLabels ce-label CardType" title="Card Type">Card Type</label>
<div id="cc-type-images-container"><select name="ctl00$sysCreditCardTypes_1035672" id="ctl00_sysCreditCardTypes_1035672" class="tsDropDownLists CardType ts_requiredField tsDropDownLists_creditCardTypes cc-type-images" aria-required="true"
aria-invalid="false" data-validation-message="">
<option value="1">Visa</option>
<option value="2">MasterCard</option>
<option value="3">AmericanExpress</option>
<option value="4">Discover</option>
</select>
<ul id="cc-images">
<li><img src="../_sysimages/visa-off.png" id="visa" alt="Visa"></li>
<li><img src="../_sysimages/mc-off.png" id="mastercard" alt="Mastercard"></li>
<li><img src="../_sysimages/amex-off.png" id="amex" alt="American Express"></li>
<li><img src="../_sysimages/discover-off.jpg" id="discover" alt="Discover"></li>
</ul>
</div><span id="ctl00_reqFieldVal_1035672" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_22" class="tsFormRows half first" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: block;">
<label for="ctl00_sysCreditCardExpirationMonths_1035673" id="ctl00_label_1035673" class="tsFormLabels ce-label ExpirationMonth" title="Expiration Month">Expiration Month</label><select name="ctl00$sysCreditCardExpirationMonths_1035673"
id="ctl00_sysCreditCardExpirationMonths_1035673" class="tsDropDownLists ExpirationMonth ts_requiredField tsDropDownLists_creditCardExpirationMonths" aria-required="true" aria-invalid="false" data-validation-message="">
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select><span id="ctl00_reqFieldVal_1035673" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_23" class="tsFormRows half last" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: block;">
<label for="ctl00_sysCreditCardExpirationYears_1035674" id="ctl00_label_1035674" class="tsFormLabels ce-label ExpirationYear" title="Expiration Year">Expiration Year</label><select name="ctl00$sysCreditCardExpirationYears_1035674"
id="ctl00_sysCreditCardExpirationYears_1035674" class="tsDropDownLists ExpirationYear ts_requiredField tsDropDownLists_creditCardExpirationYears" aria-required="true" aria-invalid="false" data-validation-message="">
<option value="24">2024</option>
<option value="25">2025</option>
<option value="26">2026</option>
<option value="27">2027</option>
<option value="28">2028</option>
<option value="29">2029</option>
<option value="30">2030</option>
<option value="31">2031</option>
<option value="32">2032</option>
<option value="33">2033</option>
<option value="34">2034</option>
<option value="35">2035</option>
<option value="36">2036</option>
<option value="37">2037</option>
<option value="38">2038</option>
<option value="39">2039</option>
</select><span id="ctl00_reqFieldVal_1035674" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_24" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: block;">
<label for="ctl00_textBox_1035675" id="ctl00_label_1035675" class="tsFormLabels ce-label NameOnCard" title="Name On Card">Name On Card<span style="color:#818a91"> (not required)</span></label><input name="ctl00$textBox_1035675"
type="text" id="ctl00_textBox_1035675" class="tsTextBoxes ce-input nameOnCard NameOnCard">
</div>
<div id="ctl00_tsFormRow_25" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: block;">
<label for="ctl00_textBox_1035676" id="ctl00_label_1035676" class="tsFormLabels ce-label CVVCode" title="CVV Code">CVV Code</label><input name="ctl00$textBox_1035676" type="text" id="ctl00_textBox_1035676"
class="tsTextBoxes ce-input isCcCvvCode CVVCode ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035676" class="tsVal_itemMarker" style="display: none;"
data-originaloffsetwidth="10" data-originaloffsetheight="36" data-originaldisplaystyle="block">*</span>
</div>
<div id="ctl00_tsFormRow_26" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: none;">
<label for="ctl00_textBox_1035677" id="ctl00_label_1035677" class="tsFormLabels ce-label AccountNumber" title="Account Number">Account Number</label><input name="ctl00$textBox_1035677" type="text" id="ctl00_textBox_1035677"
class="tsTextBoxes ce-input isAchAccountNumber AccountNumber ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035677" class="tsVal_itemMarker"
style="display:none;">*</span><span id="ctl00_customAccountNumVal_1035677" class="tsVal_itemMarker" style="display:none;">*</span>
<div class="ach-help-tip-container"><span class="ach-help-tip help-tip">
<p><img src="../../_sysimages/achhelper.png"></p>
</span></div>
</div>
<div id="ctl00_tsFormRow_27" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: none;">
<label for="ctl00_textBox_1035678" id="ctl00_label_1035678" class="tsFormLabels ce-label RoutingNumber" title="Routing Number">Routing Number</label><input name="ctl00$textBox_1035678" type="text" id="ctl00_textBox_1035678"
class="tsTextBoxes ce-input isAchRoutingNumber RoutingNumber ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035678" class="tsVal_itemMarker"
style="display:none;">*</span><span id="ctl00_customRoutingNumVal_1035678" class="tsVal_itemMarker" style="display:none;">*</span>
<div class="ach-help-tip-container"><span class="ach-help-tip help-tip">
<p><img src="../../_sysimages/achhelper.png"></p>
</span></div>
</div>
<div id="ctl00_tsFormRow_28" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="69" data-originaldisplaystyle="block" style="display: none;">
<label for="ctl00_textBox_1035679" id="ctl00_label_1035679" class="tsFormLabels ce-label NameOnAccount" title="Name On Account">Name On Account<span style="color:#818a91"> (not required)</span></label><input name="ctl00$textBox_1035679"
type="text" id="ctl00_textBox_1035679" class="tsTextBoxes ce-input isAchNameOnAccount NameOnAccount">
</div>
<div id="ctl00_tsFormRow_29" class="tsFormRows" data-originaloffsetwidth="1044" data-originaloffsetheight="52" data-originaldisplaystyle="block" style="display: none;">
<label for="ctl00_radioButtonList_1035680" id="ctl00_label_1035680" class="tsFormLabels ce-label AccountType ce-radio-checkbox-set-label" title="Account Type">Account Type</label><input id="ctl00_radioButtonList_1035680_selectedIndexValue"
name="ctl00_radioButtonList_1035680_selectedIndexValue" type="hidden" value="0"><span id="ctl00_radioButtonList_1035680" class="tsRadioButtonLists isAchBankAccountType_id AccountType ts_requiredField" aria-required="true"
aria-invalid="false" data-validation-message="" data-value="2"><span fieldoption_id="1011667" onchange="on_radioButtonList_1035680_changed(this);" data-index="0" data-parent="ctl00_radioButtonList_1035680"><label
for="ctl00_radioButtonList_1035680_0">Checking</label><input id="ctl00_radioButtonList_1035680_0" type="radio" name="ctl00$radioButtonList_1035680" value="2" checked="checked"
onclick="document.getElementById('ctl00_radioButtonList_1035680_selectedIndexValue').value = 0;"></span><span fieldoption_id="1011668" onchange="on_radioButtonList_1035680_changed(this);" data-index="1"
data-parent="ctl00_radioButtonList_1035680"><label for="ctl00_radioButtonList_1035680_1">Savings</label><input id="ctl00_radioButtonList_1035680_1" type="radio" name="ctl00$radioButtonList_1035680" value="1"
onclick="document.getElementById('ctl00_radioButtonList_1035680_selectedIndexValue').value = 1;"></span></span>
<script>
function on_radioButtonList_1035680_changed(elem) {
var parentElem = document.getElementById(elem.getAttribute('data-parent'));
if (parentElem) {
var currentChecked = parentElem.querySelector('input[type="radio"]:checked');
if (currentChecked) {
document.getElementById('ctl00_radioButtonList_1035680_selectedIndexValue').value = elem.getAttribute('data-index');
parentElem.setAttribute('data-value', currentChecked.value);
}
}
}
(function on_radioButtonList_1035680_loaded() {
//IE11 polyfill for dispatchEvent
(function() {
if (typeof window.Event === 'function') return false;
function Event(event, params) {
params = params || {
bubbles: false,
cancelable: false,
detail: null
};
var evt = document.createEvent('Event');
evt.initEvent('change', true, true);
return evt;
}
window.Event = Event;
})();
var elem = document.getElementById('ctl00_radioButtonList_1035680');
if (elem) {
var defaultChecked = elem.querySelector('input:checked')
if (defaultChecked) elem.setAttribute('data-value', defaultChecked.value)
elem.getValue = function() {
return document.getElementById('ctl00_radioButtonList_1035680').getAttribute('data-value');
}
//Set value
elem.setValue = function(value) {
//get control ref
var me = document.getElementById('ctl00_radioButtonList_1035680');
//get radio that matches the given value
var matchedOption = me.querySelector('input[type="radio"][value="' + value + '"]');
if (matchedOption) {
matchedOption.checked = true;
me.setAttribute('data-value', value);
matchedOption.dispatchEvent(new Event('change'));
//clear previous highlighted
var prevChecked = me.querySelector('label.active');
if (prevChecked) {
prevChecked.classList.remove('active');
}
//highlight new value
var matchedOptionLabel = me.querySelector('label[for="' + matchedOption.id + '"]');
if (matchedOptionLabel) {
matchedOptionLabel.classList.add('active');
}
}
}
//Set value by the label
elem.setValueFor = function(label, value) {
var me = document.getElementById('ctl00_radioButtonList_1035680');
var givenLabel = document.evaluate('//label[text()="' + label + '"]', me, null, XPathResult.ANY_TYPE, null).iterateNext();
if (givenLabel) {
var matchedOption = document.getElementById(givenLabel.getAttribute('for'));
if (matchedOption) {
matchedOption.checked = true;
me.setAttribute('data-value', value);
matchedOption.dispatchEvent(new Event('change'));
//clear previous highlighted
var prevChecked = me.querySelector('label.active');
if (prevChecked) {
prevChecked.classList.remove('active');
}
//highlight new value
var matchedOptionLabel = me.querySelector('label[for="' + matchedOption.id + '"]');
if (matchedOptionLabel) {
matchedOptionLabel.classList.add('active');
}
}
} else {
console.error('cant find option "' + label + '" on control ctl00_radioButtonList_1035680');
}
}
}
})();
</script><span id="ctl00_customReqVal_1035680" class="tsVal_itemMarker" style="display:none;">*</span>
</div><input type="hidden" name="ctl00$hiddenField_1035681" id="ctl00_hiddenField_1035681" value="3">
<div id="billingDiffToggleContainer" class="tsFormRows"><input id="billingDiffToggle" type="checkbox"><label for="billingDiffToggle">Is your billing info different?</label></div>
<div id="BillingSection" style="overflow: hidden; display: none;">
<div id="ctl00_tsFormRow_31" class="tsFormRows half first">
<label for="ctl00_textBox_1035682" id="ctl00_label_1035682" class="tsFormLabels ce-label BillingAddress1" title="Billing Address 1">Billing Address 1</label><input name="ctl00$textBox_1035682" type="text" id="ctl00_textBox_1035682"
class="tsTextBoxes ce-input isBillingStreetAddress1 BillingAddress1 ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035682" class="tsVal_itemMarker"
style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_32" class="tsFormRows half last">
<label for="ctl00_textBox_1035683" id="ctl00_label_1035683" class="tsFormLabels ce-label BillingAddress2" title="Billing Address 2">Billing Address 2<span style="color:#818a91"> (not required)</span></label><input
name="ctl00$textBox_1035683" type="text" id="ctl00_textBox_1035683" class="tsTextBoxes ce-input isBillingStreetAddress2 BillingAddress2">
</div>
<div id="ctl00_tsFormRow_33" class="tsFormRows half first">
<label for="ctl00_textBox_1035684" id="ctl00_label_1035684" class="tsFormLabels ce-label BillingPostalCode" title="Billing Postal Code">Billing Postal Code</label><input name="ctl00$textBox_1035684" type="text" id="ctl00_textBox_1035684"
class="tsTextBoxes ce-input isZip BillingPostalCode ts_requiredField PopulateCityStateEnabled" aria-required="true" aria-invalid="false" data-validation-message="" onchange="populateCityState(this);"><span id="ctl00_reqFieldVal_1035684"
class="tsVal_itemMarker" style="display:none;">*</span><span id="ctl00_regexFieldValZip_1035684" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_34" class="tsFormRows half last">
<label for="ctl00_textBox_1035685" id="ctl00_label_1035685" class="tsFormLabels ce-label BillingCity" title="Billing City">Billing City</label><input name="ctl00$textBox_1035685" type="text" id="ctl00_textBox_1035685"
class="tsTextBoxes ce-input isCity BillingCity ts_requiredField" aria-required="true" aria-invalid="false" data-validation-message=""><span id="ctl00_reqFieldVal_1035685" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_35" class="tsFormRows half first">
<label for="ctl00_sysUsStates_1035686" id="ctl00_label_1035686" class="tsFormLabels ce-label BillingState" title="Billing State">Billing State</label><select name="ctl00$sysUsStates_1035686" id="ctl00_sysUsStates_1035686"
class="tsDropDownLists BillingState ts_requiredField tsDropDownLists_usStates isState" aria-required="true" aria-invalid="false" data-validation-message="">
<option value=""></option>
<option value="Alabama" fieldoption_id="5" data-state-abrv="AL">Alabama</option>
<option value="Alaska" fieldoption_id="4" data-state-abrv="AK">Alaska</option>
<option value="American Samoa" fieldoption_id="53" data-state-abrv="AS">American Samoa</option>
<option value="Arizona" fieldoption_id="29" data-state-abrv="AZ">Arizona</option>
<option value="Arkansas" fieldoption_id="13" data-state-abrv="AR">Arkansas</option>
<option value="Armed Forces Europe" fieldoption_id="60" data-state-abrv="AE">Armed Forces Europe</option>
<option value="Armed Forces Pacific" fieldoption_id="61" data-state-abrv="AP">Armed Forces Pacific</option>
<option value="Armed Forces the Americas" fieldoption_id="59" data-state-abrv="AA">Armed Forces the Americas</option>
<option value="California" fieldoption_id="10" data-state-abrv="CA">California</option>
<option value="Colorado" fieldoption_id="34" data-state-abrv="CO">Colorado</option>
<option value="Connecticut" fieldoption_id="14" data-state-abrv="CT">Connecticut</option>
<option value="Delaware" fieldoption_id="35" data-state-abrv="DE">Delaware</option>
<option value="District of Columbia" fieldoption_id="2" data-state-abrv="DC">District of Columbia</option>
<option value="Fed. States of Micronesia" fieldoption_id="54" data-state-abrv="FM">Fed. States of Micronesia</option>
<option value="Florida" fieldoption_id="21" data-state-abrv="FL">Florida</option>
<option value="Georgia" fieldoption_id="30" data-state-abrv="GA">Georgia</option>
<option value="Guam" fieldoption_id="55" data-state-abrv="GU">Guam</option>
<option value="Hawaii" fieldoption_id="9" data-state-abrv="HI">Hawaii</option>
<option value="Idaho" fieldoption_id="36" data-state-abrv="ID">Idaho</option>
<option value="Illinois" fieldoption_id="25" data-state-abrv="IL">Illinois</option>
<option value="Indiana" fieldoption_id="26" data-state-abrv="IN">Indiana</option>
<option value="Iowa" fieldoption_id="37" data-state-abrv="IA">Iowa</option>
<option value="Kansas" fieldoption_id="8" data-state-abrv="KS">Kansas</option>
<option value="Kentucky" fieldoption_id="28" data-state-abrv="KY">Kentucky</option>
<option value="Louisiana" fieldoption_id="38" data-state-abrv="LA">Louisiana</option>
<option value="Maine" fieldoption_id="39" data-state-abrv="ME">Maine</option>
<option value="Marshall Islands" fieldoption_id="56" data-state-abrv="MH">Marshall Islands</option>
<option value="Maryland" fieldoption_id="1" data-state-abrv="MD">Maryland</option>
<option value="Massachusetts" fieldoption_id="41" data-state-abrv="MA">Massachusetts</option>
<option value="Michigan" fieldoption_id="6" data-state-abrv="MI">Michigan</option>
<option value="Minnesota" fieldoption_id="42" data-state-abrv="MN">Minnesota</option>
<option value="Mississippi" fieldoption_id="7" data-state-abrv="MS">Mississippi</option>
<option value="Missouri" fieldoption_id="12" data-state-abrv="MO">Missouri</option>
<option value="Montana" fieldoption_id="40" data-state-abrv="MT">Montana</option>
<option value="Nebraska" fieldoption_id="43" data-state-abrv="NE">Nebraska</option>
<option value="Nevada" fieldoption_id="44" data-state-abrv="NV">Nevada</option>
<option value="New Hampshire" fieldoption_id="31" data-state-abrv="NH">New Hampshire</option>
<option value="New Jersey" fieldoption_id="23" data-state-abrv="NJ">New Jersey</option>
<option value="New Mexico" fieldoption_id="45" data-state-abrv="NM">New Mexico</option>
<option value="New York" fieldoption_id="24" data-state-abrv="NY">New York</option>
<option value="North Carolina" fieldoption_id="19" data-state-abrv="NC">North Carolina</option>
<option value="North Dakota" fieldoption_id="17" data-state-abrv="ND">North Dakota</option>
<option value="Northern Mariana Is." fieldoption_id="57" data-state-abrv="NP">Northern Mariana Is.</option>
<option value="Northern Mariana Islands" fieldoption_id="62" data-state-abrv="MP">Northern Mariana Islands</option>
<option value="Ohio" fieldoption_id="33" data-state-abrv="OH">Ohio</option>
<option value="Oklahoma" fieldoption_id="52" data-state-abrv="OK">Oklahoma</option>
<option value="Oregon" fieldoption_id="15" data-state-abrv="OR">Oregon</option>
<option value="Palau" fieldoption_id="58" data-state-abrv="PW">Palau</option>
<option value="Pennsylvania" fieldoption_id="22" data-state-abrv="PA">Pennsylvania</option>
<option value="Puerto Rico" fieldoption_id="51" data-state-abrv="PR">Puerto Rico</option>
<option value="Rhode Island" fieldoption_id="46" data-state-abrv="RI">Rhode Island</option>
<option value="South Carolina" fieldoption_id="20" data-state-abrv="SC">South Carolina</option>
<option value="South Dakota" fieldoption_id="18" data-state-abrv="SD">South Dakota</option>
<option value="Tennessee" fieldoption_id="27" data-state-abrv="TN">Tennessee</option>
<option value="Texas" fieldoption_id="11" data-state-abrv="TX">Texas</option>
<option value="United States Minor Outlying Islands" fieldoption_id="64" data-state-abrv="UM">United States Minor Outlying Islands</option>
<option value="Utah" fieldoption_id="47" data-state-abrv="UT">Utah</option>
<option value="Vermont" fieldoption_id="32" data-state-abrv="VT">Vermont</option>
<option value="Virgin Islands" fieldoption_id="63" data-state-abrv="VI">Virgin Islands</option>
<option value="Virginia" fieldoption_id="3" data-state-abrv="VA">Virginia</option>
<option value="Washington" fieldoption_id="48" data-state-abrv="WA">Washington</option>
<option value="West Virginia" fieldoption_id="49" data-state-abrv="WV">West Virginia</option>
<option value="Wisconsin" fieldoption_id="16" data-state-abrv="WI">Wisconsin</option>
<option value="Wyoming" fieldoption_id="50" data-state-abrv="WY">Wyoming</option>
</select><span id="ctl00_reqFieldVal_1035686" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
<div id="ctl00_tsFormRow_36" class="tsFormRows half last">
<label for="ctl00_sysCountries_1035687" id="ctl00_label_1035687" class="tsFormLabels ce-label BillingCountry" title="Billing Country">Billing Country</label><select name="ctl00$sysCountries_1035687" id="ctl00_sysCountries_1035687"
class="tsDropDownLists BillingCountry ts_requiredField tsDropDownLists_countries isCountry" aria-required="true" aria-invalid="false" data-validation-message="" onchange="setState(this,'36');">
<option value=""></option>
<option value="United States" fieldoption_id="36">United States</option>
<option value="Afghanistan" fieldoption_id="37">Afghanistan</option>
<option value="Albania" fieldoption_id="38">Albania</option>
<option value="Algeria" fieldoption_id="39">Algeria</option>
<option value="American Samoa" fieldoption_id="40">American Samoa</option>
<option value="Andorra" fieldoption_id="41">Andorra</option>
<option value="Angola" fieldoption_id="42">Angola</option>
<option value="Anguilla" fieldoption_id="43">Anguilla</option>
<option value="Antarctica" fieldoption_id="44">Antarctica</option>
<option value="Antigua and Barbuda" fieldoption_id="45">Antigua and Barbuda</option>
<option value="Argentina" fieldoption_id="46">Argentina</option>
<option value="Armenia" fieldoption_id="47">Armenia</option>
<option value="Aruba" fieldoption_id="48">Aruba</option>
<option value="Australia" fieldoption_id="49">Australia</option>
<option value="Austria" fieldoption_id="50">Austria</option>
<option value="Azerbaijan" fieldoption_id="51">Azerbaijan</option>
<option value="Bahamas" fieldoption_id="52">Bahamas</option>
<option value="Bahrain" fieldoption_id="53">Bahrain</option>
<option value="Bangladesh" fieldoption_id="54">Bangladesh</option>
<option value="Barbados" fieldoption_id="55">Barbados</option>
<option value="Belarus" fieldoption_id="56">Belarus</option>
<option value="Belgium" fieldoption_id="57">Belgium</option>
<option value="Belize" fieldoption_id="58">Belize</option>
<option value="Benin" fieldoption_id="59">Benin</option>
<option value="Bermuda" fieldoption_id="60">Bermuda</option>
<option value="Bhutan" fieldoption_id="61">Bhutan</option>
<option value="Bolivia" fieldoption_id="62">Bolivia</option>
<option value="Bosnia and Herzegovina" fieldoption_id="63">Bosnia and Herzegovina</option>
<option value="Botswana" fieldoption_id="64">Botswana</option>
<option value="Brazil" fieldoption_id="65">Brazil</option>
<option value="British Indian Ocean Territory" fieldoption_id="66">British Indian Ocean Territory</option>
<option value="Brunei" fieldoption_id="67">Brunei</option>
<option value="Bulgaria" fieldoption_id="68">Bulgaria</option>
<option value="Burkina Faso" fieldoption_id="69">Burkina Faso</option>
<option value="Burundi" fieldoption_id="70">Burundi</option>
<option value="Cambodia" fieldoption_id="71">Cambodia</option>
<option value="Cameroon" fieldoption_id="72">Cameroon</option>
<option value="Canada" fieldoption_id="73">Canada</option>
<option value="Cape Verde" fieldoption_id="74">Cape Verde</option>
<option value="Cayman Islands" fieldoption_id="75">Cayman Islands</option>
<option value="Central African Republic" fieldoption_id="76">Central African Republic</option>
<option value="Chad" fieldoption_id="77">Chad</option>
<option value="Chile" fieldoption_id="78">Chile</option>
<option value="China" fieldoption_id="79">China</option>
<option value="Christmas Islands" fieldoption_id="80">Christmas Islands</option>
<option value="Cocos (Keeling) Islands" fieldoption_id="81">Cocos (Keeling) Islands</option>
<option value="Colombia" fieldoption_id="82">Colombia</option>
<option value="Comoros" fieldoption_id="83">Comoros</option>
<option value="Congo" fieldoption_id="84">Congo</option>
<option value="Congo, Democratic Republic of" fieldoption_id="85">Congo, Democratic Republic of</option>
<option value="Cook Island" fieldoption_id="86">Cook Island</option>
<option value="Costa Rica" fieldoption_id="87">Costa Rica</option>
<option value="Cote Divoire" fieldoption_id="88">Cote Divoire</option>
<option value="Croatia" fieldoption_id="89">Croatia</option>
<option value="Cuba" fieldoption_id="90">Cuba</option>
<option value="Cyprus" fieldoption_id="91">Cyprus</option>
<option value="Czech Republic" fieldoption_id="92">Czech Republic</option>
<option value="Denmark" fieldoption_id="93">Denmark</option>
<option value="Djibouti" fieldoption_id="94">Djibouti</option>
<option value="Dominica" fieldoption_id="95">Dominica</option>
<option value="Dominican Republic" fieldoption_id="96">Dominican Republic</option>
<option value="East Timor" fieldoption_id="97">East Timor</option>
<option value="Egypt" fieldoption_id="98">Egypt</option>
<option value="El Salvador" fieldoption_id="99">El Salvador</option>
<option value="Equador" fieldoption_id="100">Equador</option>
<option value="Equatorial Guinea" fieldoption_id="101">Equatorial Guinea</option>
<option value="Eritrea" fieldoption_id="102">Eritrea</option>
<option value="Estonia" fieldoption_id="103">Estonia</option>
<option value="Ethiopia" fieldoption_id="104">Ethiopia</option>
<option value="Falkland Islands" fieldoption_id="105">Falkland Islands</option>
<option value="Faroe Islands" fieldoption_id="106">Faroe Islands</option>
<option value="Federated States of Micronesia" fieldoption_id="107">Federated States of Micronesia</option>
<option value="Fiji" fieldoption_id="108">Fiji</option>
<option value="Finland" fieldoption_id="109">Finland</option>
<option value="France" fieldoption_id="110">France</option>
<option value="French Guiana" fieldoption_id="111">French Guiana</option>
<option value="French Polynesia" fieldoption_id="112">French Polynesia</option>
<option value="French Southern Territories" fieldoption_id="113">French Southern Territories</option>
<option value="Gabon" fieldoption_id="114">Gabon</option>
<option value="Gambia" fieldoption_id="115">Gambia</option>
<option value="Georgia" fieldoption_id="116">Georgia</option>
<option value="Germany" fieldoption_id="117">Germany</option>
<option value="Ghana" fieldoption_id="118">Ghana</option>
<option value="Gibraltar" fieldoption_id="119">Gibraltar</option>
<option value="Greece" fieldoption_id="120">Greece</option>
<option value="Greenland" fieldoption_id="121">Greenland</option>
<option value="Grenada" fieldoption_id="122">Grenada</option>
<option value="Guadeloupe" fieldoption_id="123">Guadeloupe</option>
<option value="Guam" fieldoption_id="124">Guam</option>
<option value="Guatemala" fieldoption_id="125">Guatemala</option>
<option value="Guinea" fieldoption_id="126">Guinea</option>
<option value="Guinea-Bissau" fieldoption_id="127">Guinea-Bissau</option>
<option value="Guyana" fieldoption_id="128">Guyana</option>
<option value="Haiti" fieldoption_id="129">Haiti</option>
<option value="Heard and Macdonald Islands" fieldoption_id="130">Heard and Macdonald Islands</option>
<option value="Honduras" fieldoption_id="131">Honduras</option>
<option value="Hong Kong" fieldoption_id="132">Hong Kong</option>
<option value="Hungary" fieldoption_id="133">Hungary</option>
<option value="Iceland" fieldoption_id="134">Iceland</option>
<option value="India" fieldoption_id="135">India</option>
<option value="Indonesia" fieldoption_id="136">Indonesia</option>
<option value="Iran" fieldoption_id="137">Iran</option>
<option value="Iraq" fieldoption_id="138">Iraq</option>
<option value="Ireland" fieldoption_id="139">Ireland</option>
<option value="Israel" fieldoption_id="140">Israel</option>
<option value="Italy" fieldoption_id="141">Italy</option>
<option value="Jamaica" fieldoption_id="142">Jamaica</option>
<option value="Japan" fieldoption_id="143">Japan</option>
<option value="Jordan" fieldoption_id="144">Jordan</option>
<option value="Kazakhstan" fieldoption_id="145">Kazakhstan</option>
<option value="Kenya" fieldoption_id="146">Kenya</option>
<option value="Kiribati" fieldoption_id="147">Kiribati</option>
<option value="Korea, North" fieldoption_id="148">Korea, North</option>
<option value="Korea, South" fieldoption_id="149">Korea, South</option>
<option value="Kuwait" fieldoption_id="150">Kuwait</option>
<option value="Kyrgyzstan" fieldoption_id="151">Kyrgyzstan</option>
<option value="Laos" fieldoption_id="152">Laos</option>
<option value="Latvia" fieldoption_id="153">Latvia</option>
<option value="Lebanon" fieldoption_id="154">Lebanon</option>
<option value="Lesotho" fieldoption_id="155">Lesotho</option>
<option value="Liberia" fieldoption_id="156">Liberia</option>
<option value="Libya" fieldoption_id="157">Libya</option>
<option value="Liechtenstein" fieldoption_id="158">Liechtenstein</option>
<option value="Lithuania" fieldoption_id="159">Lithuania</option>
<option value="Luxembourg" fieldoption_id="160">Luxembourg</option>
<option value="Macau" fieldoption_id="161">Macau</option>
<option value="Macedonia (Rep. of Fmr Yugoslav)" fieldoption_id="162">Macedonia (Rep. of Fmr Yugoslav)</option>
<option value="Madagascar" fieldoption_id="163">Madagascar</option>
<option value="Malawi" fieldoption_id="164">Malawi</option>
<option value="Malaysia" fieldoption_id="165">Malaysia</option>
<option value="Maldives" fieldoption_id="166">Maldives</option>
<option value="Mali" fieldoption_id="167">Mali</option>
<option value="Malta" fieldoption_id="168">Malta</option>
<option value="Marshall Islands" fieldoption_id="169">Marshall Islands</option>
<option value="Martinique" fieldoption_id="170">Martinique</option>
<option value="Mauritania" fieldoption_id="171">Mauritania</option>
<option value="Mauritius" fieldoption_id="172">Mauritius</option>
<option value="Mayotte" fieldoption_id="173">Mayotte</option>
<option value="Metropolitan France" fieldoption_id="174">Metropolitan France</option>
<option value="Mexico" fieldoption_id="175">Mexico</option>
<option value="Moldova" fieldoption_id="176">Moldova</option>
<option value="Monaco" fieldoption_id="177">Monaco</option>
<option value="Mongolia" fieldoption_id="178">Mongolia</option>
<option value="Montenegro" fieldoption_id="277">Montenegro</option>
<option value="Montserrat" fieldoption_id="179">Montserrat</option>
<option value="Morocco" fieldoption_id="180">Morocco</option>
<option value="Mozambique" fieldoption_id="181">Mozambique</option>
<option value="Myanmar" fieldoption_id="182">Myanmar</option>
<option value="Namibia" fieldoption_id="183">Namibia</option>
<option value="Nauru" fieldoption_id="184">Nauru</option>
<option value="Nepal" fieldoption_id="185">Nepal</option>
<option value="Netherlands" fieldoption_id="186">Netherlands</option>
<option value="Netherlands Antilles" fieldoption_id="187">Netherlands Antilles</option>
<option value="New Caledonia" fieldoption_id="188">New Caledonia</option>
<option value="New Zealand" fieldoption_id="189">New Zealand</option>
<option value="Nicaragua" fieldoption_id="190">Nicaragua</option>
<option value="Niger" fieldoption_id="192">Niger</option>
<option value="Nigeria" fieldoption_id="193">Nigeria</option>
<option value="Niue" fieldoption_id="191">Niue</option>
<option value="Norfolk Island" fieldoption_id="194">Norfolk Island</option>
<option value="Northern Mariana Islands" fieldoption_id="195">Northern Mariana Islands</option>
<option value="Norway" fieldoption_id="196">Norway</option>
<option value="Oman" fieldoption_id="197">Oman</option>
<option value="Pakistan" fieldoption_id="198">Pakistan</option>
<option value="Palau" fieldoption_id="199">Palau</option>
<option value="Palestinian Territory, Occupied" fieldoption_id="200">Palestinian Territory, Occupied</option>
<option value="Panama" fieldoption_id="201">Panama</option>
<option value="Papua New Guinea" fieldoption_id="202">Papua New Guinea</option>
<option value="Paraguay" fieldoption_id="203">Paraguay</option>
<option value="Peru" fieldoption_id="204">Peru</option>
<option value="Philippines" fieldoption_id="205">Philippines</option>
<option value="Pitcairn" fieldoption_id="206">Pitcairn</option>
<option value="Poland" fieldoption_id="207">Poland</option>
<option value="Portugal" fieldoption_id="208">Portugal</option>
<option value="Puerto Rico" fieldoption_id="209">Puerto Rico</option>
<option value="Qatar" fieldoption_id="210">Qatar</option>
<option value="Reunion" fieldoption_id="211">Reunion</option>
<option value="Romania" fieldoption_id="212">Romania</option>
<option value="Russia" fieldoption_id="213">Russia</option>
<option value="Rwanda" fieldoption_id="214">Rwanda</option>
<option value="S. Georgia and S. Sandwich Islands" fieldoption_id="215">S. Georgia and S. Sandwich Islands</option>
<option value="Samoa" fieldoption_id="216">Samoa</option>
<option value="San Marino" fieldoption_id="217">San Marino</option>
<option value="Sao Tome and Principe" fieldoption_id="218">Sao Tome and Principe</option>
<option value="Saudi Arabia" fieldoption_id="219">Saudi Arabia</option>
<option value="Senegal" fieldoption_id="220">Senegal</option>
<option value="Serbia" fieldoption_id="276">Serbia</option>
<option value="Seychelles" fieldoption_id="221">Seychelles</option>
<option value="Sierra Leone" fieldoption_id="222">Sierra Leone</option>
<option value="Singapore" fieldoption_id="223">Singapore</option>
<option value="Slovakia" fieldoption_id="224">Slovakia</option>
<option value="Slovenia" fieldoption_id="225">Slovenia</option>
<option value="Solomon Islands" fieldoption_id="226">Solomon Islands</option>
<option value="Somalia" fieldoption_id="227">Somalia</option>
<option value="South Africa" fieldoption_id="228">South Africa</option>
<option value="Spain" fieldoption_id="229">Spain</option>
<option value="Sri Lanka" fieldoption_id="230">Sri Lanka</option>
<option value="St Helena" fieldoption_id="231">St Helena</option>
<option value="St Kitts and Nevis" fieldoption_id="232">St Kitts and Nevis</option>
<option value="St Lucia" fieldoption_id="233">St Lucia</option>
<option value="St Pierre and Miquelon" fieldoption_id="234">St Pierre and Miquelon</option>
<option value="St Vincent and the Grenadines" fieldoption_id="235">St Vincent and the Grenadines</option>
<option value="Sudan" fieldoption_id="236">Sudan</option>
<option value="Suriname" fieldoption_id="237">Suriname</option>
<option value="Svalbard and Jan Mayen Islands" fieldoption_id="238">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland" fieldoption_id="239">Swaziland</option>
<option value="Sweden" fieldoption_id="240">Sweden</option>
<option value="Switzerland" fieldoption_id="241">Switzerland</option>
<option value="Syria" fieldoption_id="242">Syria</option>
<option value="Taiwan" fieldoption_id="243">Taiwan</option>
<option value="Tajikistan" fieldoption_id="244">Tajikistan</option>
<option value="Tanzania" fieldoption_id="245">Tanzania</option>
<option value="Thailand" fieldoption_id="246">Thailand</option>
<option value="Togo" fieldoption_id="247">Togo</option>
<option value="Tokelau" fieldoption_id="248">Tokelau</option>
<option value="Tonga" fieldoption_id="249">Tonga</option>
<option value="Trinidad and Tobago" fieldoption_id="250">Trinidad and Tobago</option>
<option value="Tunisia" fieldoption_id="251">Tunisia</option>
<option value="Turkey" fieldoption_id="252">Turkey</option>
<option value="Turkmenistan" fieldoption_id="253">Turkmenistan</option>
<option value="Turks and Caicos Islands" fieldoption_id="254">Turks and Caicos Islands</option>
<option value="Tuvalu" fieldoption_id="255">Tuvalu</option>
<option value="Uganda" fieldoption_id="256">Uganda</option>
<option value="Ukraine" fieldoption_id="257">Ukraine</option>
<option value="United Arab Emirates" fieldoption_id="258">United Arab Emirates</option>
<option value="United Kingdom" fieldoption_id="259">United Kingdom</option>
<option value="United States Minor Outlying Islands" fieldoption_id="260">United States Minor Outlying Islands</option>
<option value="Uruguay" fieldoption_id="261">Uruguay</option>
<option value="Uzbekistan" fieldoption_id="262">Uzbekistan</option>
<option value="Vanuatu" fieldoption_id="263">Vanuatu</option>
<option value="Vatican City" fieldoption_id="264">Vatican City</option>
<option value="Venezuela" fieldoption_id="265">Venezuela</option>
<option value="Vietnam" fieldoption_id="266">Vietnam</option>
<option value="Virgin Islands - British" fieldoption_id="267">Virgin Islands - British</option>
<option value="Virgin Islands - US" fieldoption_id="268">Virgin Islands - US</option>
<option value="Wallis and Futuna Islands" fieldoption_id="269">Wallis and Futuna Islands</option>
<option value="Western Sahara" fieldoption_id="270">Western Sahara</option>
<option value="Yemen" fieldoption_id="271">Yemen</option>
<option value="Yugoslavia" fieldoption_id="272">Yugoslavia</option>
<option value="Zaire" fieldoption_id="273">Zaire</option>
<option value="Zambia" fieldoption_id="274">Zambia</option>
<option value="Zimbabwe" fieldoption_id="275">Zimbabwe</option>
</select><span id="ctl00_reqFieldVal_1035687" class="tsVal_itemMarker" style="display:none;">*</span>
</div>
</div>
<div id="payProcessingFeeSystemSectionContainer"><input type="checkbox" id="payProcessingFeeOptInCheckbox"><label for="payProcessingFeeOptInCheckbox" id="payProcessingFeeOptInlabel">Yes, I'll help cover processing fees (+3%).</label><span
id="payProcessingFeeAmountlabel"></span></div>
<div id="ctl00_tsFormRow_37" class="tsFormRows payPalButtonsRow">
<div id="ctl00_paypalecButtonContainer_1035688" class="paypal-button-container" data-originaloffsetwidth="1044" data-originaloffsetheight="0" data-originaldisplaystyle="block" style="display: none;">
<div id="ctl00_paypalecButtonContainer_1035688_legacyButton" class="paypal-legacy-button-container">
<div id="zoid-paypal-button-13ca54ee45" class="paypal-button paypal-button-context-iframe paypal-button-label-paypal paypal-button-size-medium paypal-button-layout-horizontal" data-paypal-smart-button-version="4.0.336" style="">
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font-size: 0;
width: 100%;
overflow: hidden;
min-width: 75px;
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#zoid-paypal-button-13ca54ee45.paypal-button-size-responsive {
text-align: center;
}
#zoid-paypal-button-13ca54ee45>.zoid-outlet {
display: inline-block;
min-width: 75px;
max-width: 750px;
position: relative;
}
#zoid-paypal-button-13ca54ee45.paypal-button-layout-vertical>.zoid-outlet {
min-width: 75px;
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#zoid-paypal-button-13ca54ee45>.zoid-outlet {
width: 250px;
height: 35px;
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#zoid-paypal-button-13ca54ee45.paypal-button-size-responsive>.zoid-outlet {
width: 100%;
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#zoid-paypal-button-13ca54ee45>.zoid-outlet>iframe {
min-width: 100%;
max-width: 100%;
width: 75px;
height: 100%;
position: absolute;
top: 0;
left: 0;
}
#zoid-paypal-button-13ca54ee45>.zoid-outlet>iframe.zoid-component-frame {
z-index: 100;
}
#zoid-paypal-button-13ca54ee45>.zoid-outlet>iframe.zoid-prerender-frame {
transition: opacity .2s linear;
z-index: 200;
}
#zoid-paypal-button-13ca54ee45>.zoid-outlet>iframe.zoid-visible {
opacity: 1;
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#zoid-paypal-button-13ca54ee45>.zoid-outlet>iframe.zoid-invisible {
opacity: 0;
pointer-events: none;
}
</style>
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title="PayPal" scrolling="no" allowpaymentrequest="allowpaymentrequest"
src="https://www.paypal.com/smart/button?env=production&style.size=medium&style.color=blue&style.shape=rect&style.label=paypal&style.tagline=false&domain=web.charityengine.net&sessionID=uid_0c1d1bf4fa_mte6mjk6mjg&buttonSessionID=uid_275f6e92cc_mte6mjk6mjg&renderedButtons=paypal&storageID=uid_4b5463f712_mte6mjk6mjg&funding.disallowed=venmo&locale.x=en_US&logLevel=warn&sdkMeta=eyJ1cmwiOiJodHRwczovL3d3dy5wYXlwYWxvYmplY3RzLmNvbS9hcGkvY2hlY2tvdXQuNC4wLjMzNi5qcyJ9&uid=13ca54ee45&version=4.0.336&xcomponent=1"
style="background-color: transparent;"></iframe></div>
</div>
</div>
<div id="ctl00_paypalecButtonContainer_1035688_currentButton" class="paypal-current-button-container">
<div id="zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk" class="paypal-buttons paypal-buttons-context-iframe paypal-buttons-label-pay paypal-buttons-layout-horizontal" data-paypal-smart-button-version="5.0.453"
style="height: 0px; transition: 0.2s ease-in-out;">
<style nonce="">
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk {
position: relative;
display: inline-block;
width: 100%;
min-height: 25px;
min-width: 150px;
font-size: 0;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>iframe {
position: absolute;
top: 0;
left: 0;
width: 100%;
height: 100%;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>iframe.component-frame {
z-index: 100;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>iframe.prerender-frame {
transition: opacity .2s linear;
z-index: 200;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>iframe.visible {
opacity: 1;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>iframe.invisible {
opacity: 0;
pointer-events: none;
}
#zoid-paypal-buttons-uid_d6fb356482_mte6mjk6mjk>.smart-menu {
position: absolute;
z-index: 300;
top: 0;
left: 0;
width: 100%;
}
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__"
title="PayPal" allowpaymentrequest="allowpaymentrequest" scrolling="no" id="jsx-iframe-6b7f74916c" class="component-frame visible" style="background-color: transparent; border: none;"></iframe>
<div id="smart-menu" class="smart-menu"></div>
<div id="installments-modal" class="installments-modal"></div><iframe name="__detect_close_uid_18c341ad6f_mte6mjk6mjk__" style="display: none;"></iframe>
</div>
</div>
</div>
</div>
<div id="googlePayButtonContainer">
<div><button type="button" aria-label="Donate with GPay" class="gpay-button black donate en" id="gpay-button-online-api-id" data-originaloffsetwidth="240" data-originaloffsetheight="40" data-originaldisplaystyle="inline-block"
style="display: none;"></button></div>
</div>
<div id="applePayButtonContainer">
<div id="ceApplePay" class="apple-pay-button apple-pay-button-text-donate" lang="en" data-originaloffsetwidth="250" data-originaloffsetheight="40" data-originaldisplaystyle="inline-block" style="display: none;"></div>
</div>
</fieldset>
<div class="tsFormRows" id="tributeRow"><input id="tributeToggle" type="checkbox"><label for="tributeToggle">Dedicate this donation?</label></div>
<fieldset id="fieldset_87389" class="tsFieldSets ce-fieldset TributeSectionContainer" style="overflow: hidden;">
<legend id="legend_87389" class="tsLegends ce-legend">Tribute Info</legend>
<div id="ctl00_tsFormRow_38" class="tsFormRows">
<label for="ctl00_ddl_sysTributeType_1035644" id="ctl00_label_1035644" class="tsFormLabels ce-label TributeType" title="Tribute Type">Tribute Type<span style="color:#818a91"> (not required)</span></label><select
name="ctl00$ddl_sysTributeType_1035644" id="ctl00_ddl_sysTributeType_1035644" class="tsDropDownLists TributeType tsDropDownLists_sysTributeType">
<option value="1" fieldoption_id="1">In Honor of</option>
<option value="2" fieldoption_id="2">In Memory of</option>
<option value="3" fieldoption_id="3">On Behalf of</option>
</select>
</div>
<div id="ctl00_tsFormRow_39" class="tsFormRows">
<label for="ctl00_tb_sysTributeName_1035645" id="ctl00_label_1035645" class="tsFormLabels ce-label TributeName" title="Tribute Name">Tribute Name<span style="color:#818a91"> (not required)</span></label><input
name="ctl00$tb_sysTributeName_1035645" type="text" maxlength="150" id="ctl00_tb_sysTributeName_1035645" class="tsTextBoxes tsTextBoxes_sysTributeName TributeName">
</div>
<div id="announcementToggleRow" class="tsFormRows"><span class="announcementTypeContainer"><input id="noToggle" class="annoucementTypes" type="radio" data-mode="none" onclick="handleTributeAcknowledgementTypeClick(this)"><label
id="noToggleLabel" for="noToggle">No Announcement</label></span><span class="announcementTypeContainer"><input id="emailToggle" class="annoucementTypes" type="radio" data-mode="email"
onclick="handleTributeAcknowledgementTypeClick(this)"><label id="emailToggleLabel" for="emailToggle" class="active">Email Announcement</label></span><span class="announcementTypeContainer"><input id="mailToggle" class="annoucementTypes"
type="radio" data-mode="letter" onclick="handleTributeAcknowledgementTypeClick(this)"><label id="mailToggleLabel" for="mailToggle">Mail Announcement</label></span></div>
<div id="ctl00_tsFormRow_40" class="tsFormRows half first" style="display: block;">
<label for="ctl00_tb_sysTributeAckFirstName_1035646" id="ctl00_label_1035646" class="tsFormLabels ce-label RecipientFirstName" title="Recipient First Name">Recipient First Name<span style="color:#818a91"> (not
required)</span></label><input name="ctl00$tb_sysTributeAckFirstName_1035646" type="text" maxlength="100" id="ctl00_tb_sysTributeAckFirstName_1035646" class="tsTextBoxes tsTextBoxes_sysTributeAckFirstName RecipientFirstName">
</div>
<div id="ctl00_tsFormRow_41" class="tsFormRows half last" style="display: block;">
<label for="ctl00_tb_sysTributeAckLastName_1035647" id="ctl00_label_1035647" class="tsFormLabels ce-label RecipientLastName" title="Recipient Last Name">Recipient Last Name<span style="color:#818a91"> (not required)</span></label><input
name="ctl00$tb_sysTributeAckLastName_1035647" type="text" maxlength="100" id="ctl00_tb_sysTributeAckLastName_1035647" class="tsTextBoxes tsTextBoxes_sysTributeAckLastName RecipientLastName">
</div>
<div id="ctl00_tsFormRow_42" class="tsFormRows half first" style="display: none;">
<label for="ctl00_tb_sysTributeAckAddress1_1035648" id="ctl00_label_1035648" class="tsFormLabels ce-label AcknowledgeeAddress1" title="Acknowledgee Address 1">Acknowledgee Address 1<span style="color:#818a91"> (not
required)</span></label><input name="ctl00$tb_sysTributeAckAddress1_1035648" type="text" maxlength="100" id="ctl00_tb_sysTributeAckAddress1_1035648" class="tsTextBoxes tsTextBoxes_sysTributeAckAddress1 AcknowledgeeAddress1">
</div>
<div id="ctl00_tsFormRow_43" class="tsFormRows half last" style="display: none;">
<label for="ctl00_tb_sysTributeAckAddress2_1035649" id="ctl00_label_1035649" class="tsFormLabels ce-label AcknowledgeeAddress2" title="Acknowledgee Address 2">Acknowledgee Address 2<span style="color:#818a91"> (not
required)</span></label><input name="ctl00$tb_sysTributeAckAddress2_1035649" type="text" maxlength="100" id="ctl00_tb_sysTributeAckAddress2_1035649" class="tsTextBoxes tsTextBoxes_sysTributeAckAddress2 AcknowledgeeAddress2">
</div>
<div id="ctl00_tsFormRow_44" class="tsFormRows half first" style="display: none;">
<label for="ctl00_tb_sysTributeAckPostalCode_1035650" id="ctl00_label_1035650" class="tsFormLabels ce-label AcknowledgeePostalCode" title="Acknowledgee Postal Code">Acknowledgee Postal Code<span style="color:#818a91"> (not
required)</span></label><input name="ctl00$tb_sysTributeAckPostalCode_1035650" type="text" maxlength="20" id="ctl00_tb_sysTributeAckPostalCode_1035650"
class="tsTextBoxes tsTextBoxes_sysTributeAckPostalCode AcknowledgeePostalCode PopulateCityStateEnabled" onchange="populateCityState(this);">
</div>
<div id="ctl00_tsFormRow_45" class="tsFormRows half last" style="display: none;">
<label for="ctl00_tb_sysTributeAckCity_1035651" id="ctl00_label_1035651" class="tsFormLabels ce-label AcknowledgeeCity" title="Acknowledgee City">Acknowledgee City<span style="color:#818a91"> (not required)</span></label><input
name="ctl00$tb_sysTributeAckCity_1035651" type="text" maxlength="50" id="ctl00_tb_sysTributeAckCity_1035651" class="tsTextBoxes tsTextBoxes_sysTributeAckCity AcknowledgeeCity">
</div>
<div id="ctl00_tsFormRow_46" class="tsFormRows half first" style="display: none;">
<label for="ctl00_ddl_sysTributeAckState_1035652" id="ctl00_label_1035652" class="tsFormLabels ce-label AcknowledgeeState" title="Acknowledgee State">Acknowledgee State<span style="color:#818a91"> (not required)</span></label><select
name="ctl00$ddl_sysTributeAckState_1035652" id="ctl00_ddl_sysTributeAckState_1035652" class="tsDropDownLists AcknowledgeeState tsDropDownLists_sysTributeAckState">
<option value=""></option>
<option value="Armed Forces the Americas" fieldoption_id="59" data-state-abrv="AA">Armed Forces the Americas</option>
<option value="Armed Forces Europe" fieldoption_id="60" data-state-abrv="AE">Armed Forces Europe</option>
<option value="Alaska" fieldoption_id="4" data-state-abrv="AK">Alaska</option>
<option value="Alabama" fieldoption_id="5" data-state-abrv="AL">Alabama</option>
<option value="Armed Forces Pacific" fieldoption_id="61" data-state-abrv="AP">Armed Forces Pacific</option>
<option value="Arkansas" fieldoption_id="13" data-state-abrv="AR">Arkansas</option>
<option value="American Samoa" fieldoption_id="53" data-state-abrv="AS">American Samoa</option>
<option value="Arizona" fieldoption_id="29" data-state-abrv="AZ">Arizona</option>
<option value="California" fieldoption_id="10" data-state-abrv="CA">California</option>
<option value="Colorado" fieldoption_id="34" data-state-abrv="CO">Colorado</option>
<option value="Connecticut" fieldoption_id="14" data-state-abrv="CT">Connecticut</option>
<option value="District of Columbia" fieldoption_id="2" data-state-abrv="DC">District of Columbia</option>
<option value="Delaware" fieldoption_id="35" data-state-abrv="DE">Delaware</option>
<option value="Florida" fieldoption_id="21" data-state-abrv="FL">Florida</option>
<option value="Fed. States of Micronesia" fieldoption_id="54" data-state-abrv="FM">Fed. States of Micronesia</option>
<option value="Georgia" fieldoption_id="30" data-state-abrv="GA">Georgia</option>
<option value="Guam" fieldoption_id="55" data-state-abrv="GU">Guam</option>
<option value="Hawaii" fieldoption_id="9" data-state-abrv="HI">Hawaii</option>
<option value="Iowa" fieldoption_id="37" data-state-abrv="IA">Iowa</option>
<option value="Idaho" fieldoption_id="36" data-state-abrv="ID">Idaho</option>
<option value="Illinois" fieldoption_id="25" data-state-abrv="IL">Illinois</option>
<option value="Indiana" fieldoption_id="26" data-state-abrv="IN">Indiana</option>
<option value="Kansas" fieldoption_id="8" data-state-abrv="KS">Kansas</option>
<option value="Kentucky" fieldoption_id="28" data-state-abrv="KY">Kentucky</option>
<option value="Louisiana" fieldoption_id="38" data-state-abrv="LA">Louisiana</option>
<option value="Massachusetts" fieldoption_id="41" data-state-abrv="MA">Massachusetts</option>
<option value="Maryland" fieldoption_id="1" data-state-abrv="MD">Maryland</option>
<option value="Maine" fieldoption_id="39" data-state-abrv="ME">Maine</option>
<option value="Marshall Islands" fieldoption_id="56" data-state-abrv="MH">Marshall Islands</option>
<option value="Michigan" fieldoption_id="6" data-state-abrv="MI">Michigan</option>
<option value="Minnesota" fieldoption_id="42" data-state-abrv="MN">Minnesota</option>
<option value="Missouri" fieldoption_id="12" data-state-abrv="MO">Missouri</option>
<option value="Northern Mariana Islands" fieldoption_id="62" data-state-abrv="MP">Northern Mariana Islands</option>
<option value="Mississippi" fieldoption_id="7" data-state-abrv="MS">Mississippi</option>
<option value="Montana" fieldoption_id="40" data-state-abrv="MT">Montana</option>
<option value="North Carolina" fieldoption_id="19" data-state-abrv="NC">North Carolina</option>
<option value="North Dakota" fieldoption_id="17" data-state-abrv="ND">North Dakota</option>
<option value="Nebraska" fieldoption_id="43" data-state-abrv="NE">Nebraska</option>
<option value="New Hampshire" fieldoption_id="31" data-state-abrv="NH">New Hampshire</option>
<option value="New Jersey" fieldoption_id="23" data-state-abrv="NJ">New Jersey</option>
<option value="New Mexico" fieldoption_id="45" data-state-abrv="NM">New Mexico</option>
<option value="Northern Mariana Is." fieldoption_id="57" data-state-abrv="NP">Northern Mariana Is.</option>
<option value="Nevada" fieldoption_id="44" data-state-abrv="NV">Nevada</option>
<option value="New York" fieldoption_id="24" data-state-abrv="NY">New York</option>
<option value="Ohio" fieldoption_id="33" data-state-abrv="OH">Ohio</option>
<option value="Oklahoma" fieldoption_id="52" data-state-abrv="OK">Oklahoma</option>
<option value="Oregon" fieldoption_id="15" data-state-abrv="OR">Oregon</option>
<option value="Pennsylvania" fieldoption_id="22" data-state-abrv="PA">Pennsylvania</option>
<option value="Puerto Rico" fieldoption_id="51" data-state-abrv="PR">Puerto Rico</option>
<option value="Palau" fieldoption_id="58" data-state-abrv="PW">Palau</option>
<option value="Rhode Island" fieldoption_id="46" data-state-abrv="RI">Rhode Island</option>
<option value="South Carolina" fieldoption_id="20" data-state-abrv="SC">South Carolina</option>
<option value="South Dakota" fieldoption_id="18" data-state-abrv="SD">South Dakota</option>
<option value="Tennessee" fieldoption_id="27" data-state-abrv="TN">Tennessee</option>
<option value="Texas" fieldoption_id="11" data-state-abrv="TX">Texas</option>
<option value="United States Minor Outlying Islands" fieldoption_id="64" data-state-abrv="UM">United States Minor Outlying Islands</option>
<option value="Utah" fieldoption_id="47" data-state-abrv="UT">Utah</option>
<option value="Virginia" fieldoption_id="3" data-state-abrv="VA">Virginia</option>
<option value="Virgin Islands" fieldoption_id="63" data-state-abrv="VI">Virgin Islands</option>
<option value="Vermont" fieldoption_id="32" data-state-abrv="VT">Vermont</option>
<option value="Washington" fieldoption_id="48" data-state-abrv="WA">Washington</option>
<option value="Wisconsin" fieldoption_id="16" data-state-abrv="WI">Wisconsin</option>
<option value="West Virginia" fieldoption_id="49" data-state-abrv="WV">West Virginia</option>
<option value="Wyoming" fieldoption_id="50" data-state-abrv="WY">Wyoming</option>
</select>
</div>
<div id="ctl00_tsFormRow_47" class="tsFormRows half last" style="display: none;">
<label for="ctl00_ddl_sysTributeAckCountry_1035653" id="ctl00_label_1035653" class="tsFormLabels ce-label AcknowledgeeCountry" title="Acknowledgee Country">Acknowledgee Country<span style="color:#818a91"> (not
required)</span></label><select name="ctl00$ddl_sysTributeAckCountry_1035653" id="ctl00_ddl_sysTributeAckCountry_1035653" class="tsDropDownLists AcknowledgeeCountry tsDropDownLists_sysTributeAckCountry tsDropDownLists_countries"
onchange="setState(this,'36');">
<option value=""></option>
<option value="United States" fieldoption_id="36">United States</option>
<option value="Afghanistan" fieldoption_id="37">Afghanistan</option>
<option value="Albania" fieldoption_id="38">Albania</option>
<option value="Algeria" fieldoption_id="39">Algeria</option>
<option value="American Samoa" fieldoption_id="40">American Samoa</option>
<option value="Andorra" fieldoption_id="41">Andorra</option>
<option value="Angola" fieldoption_id="42">Angola</option>
<option value="Anguilla" fieldoption_id="43">Anguilla</option>
<option value="Antarctica" fieldoption_id="44">Antarctica</option>
<option value="Antigua and Barbuda" fieldoption_id="45">Antigua and Barbuda</option>
<option value="Argentina" fieldoption_id="46">Argentina</option>
<option value="Armenia" fieldoption_id="47">Armenia</option>
<option value="Aruba" fieldoption_id="48">Aruba</option>
<option value="Australia" fieldoption_id="49">Australia</option>
<option value="Austria" fieldoption_id="50">Austria</option>
<option value="Azerbaijan" fieldoption_id="51">Azerbaijan</option>
<option value="Bahamas" fieldoption_id="52">Bahamas</option>
<option value="Bahrain" fieldoption_id="53">Bahrain</option>
<option value="Bangladesh" fieldoption_id="54">Bangladesh</option>
<option value="Barbados" fieldoption_id="55">Barbados</option>
<option value="Belarus" fieldoption_id="56">Belarus</option>
<option value="Belgium" fieldoption_id="57">Belgium</option>
<option value="Belize" fieldoption_id="58">Belize</option>
<option value="Benin" fieldoption_id="59">Benin</option>
<option value="Bermuda" fieldoption_id="60">Bermuda</option>
<option value="Bhutan" fieldoption_id="61">Bhutan</option>
<option value="Bolivia" fieldoption_id="62">Bolivia</option>
<option value="Bosnia and Herzegovina" fieldoption_id="63">Bosnia and Herzegovina</option>
<option value="Botswana" fieldoption_id="64">Botswana</option>
<option value="Brazil" fieldoption_id="65">Brazil</option>
<option value="British Indian Ocean Territory" fieldoption_id="66">British Indian Ocean Territory</option>
<option value="Brunei" fieldoption_id="67">Brunei</option>
<option value="Bulgaria" fieldoption_id="68">Bulgaria</option>
<option value="Burkina Faso" fieldoption_id="69">Burkina Faso</option>
<option value="Burundi" fieldoption_id="70">Burundi</option>
<option value="Cambodia" fieldoption_id="71">Cambodia</option>
<option value="Cameroon" fieldoption_id="72">Cameroon</option>
<option value="Canada" fieldoption_id="73">Canada</option>
<option value="Cape Verde" fieldoption_id="74">Cape Verde</option>
<option value="Cayman Islands" fieldoption_id="75">Cayman Islands</option>
<option value="Central African Republic" fieldoption_id="76">Central African Republic</option>
<option value="Chad" fieldoption_id="77">Chad</option>
<option value="Chile" fieldoption_id="78">Chile</option>
<option value="China" fieldoption_id="79">China</option>
<option value="Christmas Islands" fieldoption_id="80">Christmas Islands</option>
<option value="Cocos (Keeling) Islands" fieldoption_id="81">Cocos (Keeling) Islands</option>
<option value="Colombia" fieldoption_id="82">Colombia</option>
<option value="Comoros" fieldoption_id="83">Comoros</option>
<option value="Congo" fieldoption_id="84">Congo</option>
<option value="Congo, Democratic Republic of" fieldoption_id="85">Congo, Democratic Republic of</option>
<option value="Cook Island" fieldoption_id="86">Cook Island</option>
<option value="Costa Rica" fieldoption_id="87">Costa Rica</option>
<option value="Cote Divoire" fieldoption_id="88">Cote Divoire</option>
<option value="Croatia" fieldoption_id="89">Croatia</option>
<option value="Cuba" fieldoption_id="90">Cuba</option>
<option value="Cyprus" fieldoption_id="91">Cyprus</option>
<option value="Czech Republic" fieldoption_id="92">Czech Republic</option>
<option value="Denmark" fieldoption_id="93">Denmark</option>
<option value="Djibouti" fieldoption_id="94">Djibouti</option>
<option value="Dominica" fieldoption_id="95">Dominica</option>
<option value="Dominican Republic" fieldoption_id="96">Dominican Republic</option>
<option value="East Timor" fieldoption_id="97">East Timor</option>
<option value="Egypt" fieldoption_id="98">Egypt</option>
<option value="El Salvador" fieldoption_id="99">El Salvador</option>
<option value="Equador" fieldoption_id="100">Equador</option>
<option value="Equatorial Guinea" fieldoption_id="101">Equatorial Guinea</option>
<option value="Eritrea" fieldoption_id="102">Eritrea</option>
<option value="Estonia" fieldoption_id="103">Estonia</option>
<option value="Ethiopia" fieldoption_id="104">Ethiopia</option>
<option value="Falkland Islands" fieldoption_id="105">Falkland Islands</option>
<option value="Faroe Islands" fieldoption_id="106">Faroe Islands</option>
<option value="Federated States of Micronesia" fieldoption_id="107">Federated States of Micronesia</option>
<option value="Fiji" fieldoption_id="108">Fiji</option>
<option value="Finland" fieldoption_id="109">Finland</option>
<option value="France" fieldoption_id="110">France</option>
<option value="French Guiana" fieldoption_id="111">French Guiana</option>
<option value="French Polynesia" fieldoption_id="112">French Polynesia</option>
<option value="French Southern Territories" fieldoption_id="113">French Southern Territories</option>
<option value="Gabon" fieldoption_id="114">Gabon</option>
<option value="Gambia" fieldoption_id="115">Gambia</option>
<option value="Georgia" fieldoption_id="116">Georgia</option>
<option value="Germany" fieldoption_id="117">Germany</option>
<option value="Ghana" fieldoption_id="118">Ghana</option>
<option value="Gibraltar" fieldoption_id="119">Gibraltar</option>
<option value="Greece" fieldoption_id="120">Greece</option>
<option value="Greenland" fieldoption_id="121">Greenland</option>
<option value="Grenada" fieldoption_id="122">Grenada</option>
<option value="Guadeloupe" fieldoption_id="123">Guadeloupe</option>
<option value="Guam" fieldoption_id="124">Guam</option>
<option value="Guatemala" fieldoption_id="125">Guatemala</option>
<option value="Guinea" fieldoption_id="126">Guinea</option>
<option value="Guinea-Bissau" fieldoption_id="127">Guinea-Bissau</option>
<option value="Guyana" fieldoption_id="128">Guyana</option>
<option value="Haiti" fieldoption_id="129">Haiti</option>
<option value="Heard and Macdonald Islands" fieldoption_id="130">Heard and Macdonald Islands</option>
<option value="Honduras" fieldoption_id="131">Honduras</option>
<option value="Hong Kong" fieldoption_id="132">Hong Kong</option>
<option value="Hungary" fieldoption_id="133">Hungary</option>
<option value="Iceland" fieldoption_id="134">Iceland</option>
<option value="India" fieldoption_id="135">India</option>
<option value="Indonesia" fieldoption_id="136">Indonesia</option>
<option value="Iran" fieldoption_id="137">Iran</option>
<option value="Iraq" fieldoption_id="138">Iraq</option>
<option value="Ireland" fieldoption_id="139">Ireland</option>
<option value="Israel" fieldoption_id="140">Israel</option>
<option value="Italy" fieldoption_id="141">Italy</option>
<option value="Jamaica" fieldoption_id="142">Jamaica</option>
<option value="Japan" fieldoption_id="143">Japan</option>
<option value="Jordan" fieldoption_id="144">Jordan</option>
<option value="Kazakhstan" fieldoption_id="145">Kazakhstan</option>
<option value="Kenya" fieldoption_id="146">Kenya</option>
<option value="Kiribati" fieldoption_id="147">Kiribati</option>
<option value="Korea, North" fieldoption_id="148">Korea, North</option>
<option value="Korea, South" fieldoption_id="149">Korea, South</option>
<option value="Kuwait" fieldoption_id="150">Kuwait</option>
<option value="Kyrgyzstan" fieldoption_id="151">Kyrgyzstan</option>
<option value="Laos" fieldoption_id="152">Laos</option>
<option value="Latvia" fieldoption_id="153">Latvia</option>
<option value="Lebanon" fieldoption_id="154">Lebanon</option>
<option value="Lesotho" fieldoption_id="155">Lesotho</option>
<option value="Liberia" fieldoption_id="156">Liberia</option>
<option value="Libya" fieldoption_id="157">Libya</option>
<option value="Liechtenstein" fieldoption_id="158">Liechtenstein</option>
<option value="Lithuania" fieldoption_id="159">Lithuania</option>
<option value="Luxembourg" fieldoption_id="160">Luxembourg</option>
<option value="Macau" fieldoption_id="161">Macau</option>
<option value="Macedonia (Rep. of Fmr Yugoslav)" fieldoption_id="162">Macedonia (Rep. of Fmr Yugoslav)</option>
<option value="Madagascar" fieldoption_id="163">Madagascar</option>
<option value="Malawi" fieldoption_id="164">Malawi</option>
<option value="Malaysia" fieldoption_id="165">Malaysia</option>
<option value="Maldives" fieldoption_id="166">Maldives</option>
<option value="Mali" fieldoption_id="167">Mali</option>
<option value="Malta" fieldoption_id="168">Malta</option>
<option value="Marshall Islands" fieldoption_id="169">Marshall Islands</option>
<option value="Martinique" fieldoption_id="170">Martinique</option>
<option value="Mauritania" fieldoption_id="171">Mauritania</option>
<option value="Mauritius" fieldoption_id="172">Mauritius</option>
<option value="Mayotte" fieldoption_id="173">Mayotte</option>
<option value="Metropolitan France" fieldoption_id="174">Metropolitan France</option>
<option value="Mexico" fieldoption_id="175">Mexico</option>
<option value="Moldova" fieldoption_id="176">Moldova</option>
<option value="Monaco" fieldoption_id="177">Monaco</option>
<option value="Mongolia" fieldoption_id="178">Mongolia</option>
<option value="Montenegro" fieldoption_id="277">Montenegro</option>
<option value="Montserrat" fieldoption_id="179">Montserrat</option>
<option value="Morocco" fieldoption_id="180">Morocco</option>
<option value="Mozambique" fieldoption_id="181">Mozambique</option>
<option value="Myanmar" fieldoption_id="182">Myanmar</option>
<option value="Namibia" fieldoption_id="183">Namibia</option>
<option value="Nauru" fieldoption_id="184">Nauru</option>
<option value="Nepal" fieldoption_id="185">Nepal</option>
<option value="Netherlands" fieldoption_id="186">Netherlands</option>
<option value="Netherlands Antilles" fieldoption_id="187">Netherlands Antilles</option>
<option value="New Caledonia" fieldoption_id="188">New Caledonia</option>
<option value="New Zealand" fieldoption_id="189">New Zealand</option>
<option value="Nicaragua" fieldoption_id="190">Nicaragua</option>
<option value="Niger" fieldoption_id="192">Niger</option>
<option value="Nigeria" fieldoption_id="193">Nigeria</option>
<option value="Niue" fieldoption_id="191">Niue</option>
<option value="Norfolk Island" fieldoption_id="194">Norfolk Island</option>
<option value="Northern Mariana Islands" fieldoption_id="195">Northern Mariana Islands</option>
<option value="Norway" fieldoption_id="196">Norway</option>
<option value="Oman" fieldoption_id="197">Oman</option>
<option value="Pakistan" fieldoption_id="198">Pakistan</option>
<option value="Palau" fieldoption_id="199">Palau</option>
<option value="Palestinian Territory, Occupied" fieldoption_id="200">Palestinian Territory, Occupied</option>
<option value="Panama" fieldoption_id="201">Panama</option>
<option value="Papua New Guinea" fieldoption_id="202">Papua New Guinea</option>
<option value="Paraguay" fieldoption_id="203">Paraguay</option>
<option value="Peru" fieldoption_id="204">Peru</option>
<option value="Philippines" fieldoption_id="205">Philippines</option>
<option value="Pitcairn" fieldoption_id="206">Pitcairn</option>
<option value="Poland" fieldoption_id="207">Poland</option>
<option value="Portugal" fieldoption_id="208">Portugal</option>
<option value="Puerto Rico" fieldoption_id="209">Puerto Rico</option>
<option value="Qatar" fieldoption_id="210">Qatar</option>
<option value="Reunion" fieldoption_id="211">Reunion</option>
<option value="Romania" fieldoption_id="212">Romania</option>
<option value="Russia" fieldoption_id="213">Russia</option>
<option value="Rwanda" fieldoption_id="214">Rwanda</option>
<option value="S. Georgia and S. Sandwich Islands" fieldoption_id="215">S. Georgia and S. Sandwich Islands</option>
<option value="Samoa" fieldoption_id="216">Samoa</option>
<option value="San Marino" fieldoption_id="217">San Marino</option>
<option value="Sao Tome and Principe" fieldoption_id="218">Sao Tome and Principe</option>
<option value="Saudi Arabia" fieldoption_id="219">Saudi Arabia</option>
<option value="Senegal" fieldoption_id="220">Senegal</option>
<option value="Serbia" fieldoption_id="276">Serbia</option>
<option value="Seychelles" fieldoption_id="221">Seychelles</option>
<option value="Sierra Leone" fieldoption_id="222">Sierra Leone</option>
<option value="Singapore" fieldoption_id="223">Singapore</option>
<option value="Slovakia" fieldoption_id="224">Slovakia</option>
<option value="Slovenia" fieldoption_id="225">Slovenia</option>
<option value="Solomon Islands" fieldoption_id="226">Solomon Islands</option>
<option value="Somalia" fieldoption_id="227">Somalia</option>
<option value="South Africa" fieldoption_id="228">South Africa</option>
<option value="Spain" fieldoption_id="229">Spain</option>
<option value="Sri Lanka" fieldoption_id="230">Sri Lanka</option>
<option value="St Helena" fieldoption_id="231">St Helena</option>
<option value="St Kitts and Nevis" fieldoption_id="232">St Kitts and Nevis</option>
<option value="St Lucia" fieldoption_id="233">St Lucia</option>
<option value="St Pierre and Miquelon" fieldoption_id="234">St Pierre and Miquelon</option>
<option value="St Vincent and the Grenadines" fieldoption_id="235">St Vincent and the Grenadines</option>
<option value="Sudan" fieldoption_id="236">Sudan</option>
<option value="Suriname" fieldoption_id="237">Suriname</option>
<option value="Svalbard and Jan Mayen Islands" fieldoption_id="238">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland" fieldoption_id="239">Swaziland</option>
<option value="Sweden" fieldoption_id="240">Sweden</option>
<option value="Switzerland" fieldoption_id="241">Switzerland</option>
<option value="Syria" fieldoption_id="242">Syria</option>
<option value="Taiwan" fieldoption_id="243">Taiwan</option>
<option value="Tajikistan" fieldoption_id="244">Tajikistan</option>
<option value="Tanzania" fieldoption_id="245">Tanzania</option>
<option value="Thailand" fieldoption_id="246">Thailand</option>
<option value="Togo" fieldoption_id="247">Togo</option>
<option value="Tokelau" fieldoption_id="248">Tokelau</option>
<option value="Tonga" fieldoption_id="249">Tonga</option>
<option value="Trinidad and Tobago" fieldoption_id="250">Trinidad and Tobago</option>
<option value="Tunisia" fieldoption_id="251">Tunisia</option>
<option value="Turkey" fieldoption_id="252">Turkey</option>
<option value="Turkmenistan" fieldoption_id="253">Turkmenistan</option>
<option value="Turks and Caicos Islands" fieldoption_id="254">Turks and Caicos Islands</option>
<option value="Tuvalu" fieldoption_id="255">Tuvalu</option>
<option value="Uganda" fieldoption_id="256">Uganda</option>
<option value="Ukraine" fieldoption_id="257">Ukraine</option>
<option value="United Arab Emirates" fieldoption_id="258">United Arab Emirates</option>
<option value="United Kingdom" fieldoption_id="259">United Kingdom</option>
<option value="United States Minor Outlying Islands" fieldoption_id="260">United States Minor Outlying Islands</option>
<option value="Uruguay" fieldoption_id="261">Uruguay</option>
<option value="Uzbekistan" fieldoption_id="262">Uzbekistan</option>
<option value="Vanuatu" fieldoption_id="263">Vanuatu</option>
<option value="Vatican City" fieldoption_id="264">Vatican City</option>
<option value="Venezuela" fieldoption_id="265">Venezuela</option>
<option value="Vietnam" fieldoption_id="266">Vietnam</option>
<option value="Virgin Islands - British" fieldoption_id="267">Virgin Islands - British</option>
<option value="Virgin Islands - US" fieldoption_id="268">Virgin Islands - US</option>
<option value="Wallis and Futuna Islands" fieldoption_id="269">Wallis and Futuna Islands</option>
<option value="Western Sahara" fieldoption_id="270">Western Sahara</option>
<option value="Yemen" fieldoption_id="271">Yemen</option>
<option value="Yugoslavia" fieldoption_id="272">Yugoslavia</option>
<option value="Zaire" fieldoption_id="273">Zaire</option>
<option value="Zambia" fieldoption_id="274">Zambia</option>
<option value="Zimbabwe" fieldoption_id="275">Zimbabwe</option>
</select>
</div>
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<label for="ctl00_tb_sysTributeAckEmailAddress_1035654" id="ctl00_label_1035654" class="tsFormLabels ce-label AcknowledgeeEmailAddress" title="Acknowledgee Email Address">Acknowledgee Email Address<span style="color:#818a91"> (not
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<div id="ctl00_tsFormRow_49" class="tsFormRows" style="display: block;">
<label for="ctl00_tb_sysTributeAckPersonalMessage_1035655" id="ctl00_label_1035655" class="tsFormLabels ce-label PersonalMessage" title="Personal Message">Personal Message<span style="color:#818a91"> (not required)</span></label><input
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<h3 class="mb-3" data-describe="description-headline" style="text-align: center;"><br><img src="https://media2.charityengine.net/WF/_transactionServerFiles/1154/Youarenotalonetest2_Proxy.png" alt="You are not alone circle transp v2" width="355"
height="349" style="float: right;"></h3>
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<p>IPA was founded in 1996 to raise public awareness about Paruresis, provide support, and give out the latest information. Most of IPA's members and leadership are treatment professionals, people suffering from Paruresis or recovering from it,
and their loved ones. Membership is open to anyone touched by Paruresis as well as those with an interest in supporting others with paruresis, advocating for their rights, and advancing scientific knowledge about the disorder.<span></span>
</p>
<p>After nearly 30 years, we're the leading international resource for people who find it difficult or impossible to urinate in the presence of others, either in their own home or in public facilities, for people who have difficulty under the
stress of time pressure, when being observed, when others are close by or when traveling on moving vehicles. We're 100% individual donor-supported. All gifts of any amount are appreciated!<br><br><em>Our US federal tax identification number
is 06-1509744. This organization is a 501(c)(3) tax exempt organization, IRS Section 170(b)(2)(iii) for both US federal and state tax purposes. Consult with your tax advisor regarding the deductibility of your contribution.</em><br><br><br>
</p>
</div>
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//document.addEventListener('DOMContentLoaded',function(){
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// Form.amountSection.onFrequencyChanged(function (eventData) {
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* GOOGLE TAG MANAGER
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* The Google Tag Manager code below can be modified or added to depending on what data you would like sent to Google
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document.addEventListener('DOMContentLoaded', function() {
//make sure the gift processed successfully
if (WebFormContext.Form.StepName == 'Process Step' && WebFormContext.Form.RenderedViewName == 'Success View') {
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ecommerce: {
purchase: {
actionField: {
id: '[[TRANSACTION.ID]]',
revenue: '[[TRANSACTION.AMOUNT (NO FORMATTING)]]'
},
products: [{
id: '[[TRANSACTION.ID]]',
name: '[[WEB FORM.NAME]]',
price: '[[TRANSACTION.AMOUNT (NO FORMATTING)]]',
category: 'Donation',
quantity: 1
}]
}
}
});
}
});
</script>
<script type="text/javascript">
console.log('preceding javascript injected by CharityEngine Web App (see app configuration)');
</script>
<!--End CharityEngine Web App Script Injection-->
</div><!--END FORM FOOTER-->
<script type="text/javascript">
//<![CDATA[
var Page_ValidationSummaries = new Array(document.getElementById("ctl00_mainFormContentArea_valSummary"));
var Page_Validators = new Array(document.getElementById("ctl00_reqFieldVal_1035641"), document.getElementById("ctl00_regexFieldValCost_1035642"), document.getElementById("ctl00_reqFieldVal_1035643"), document.getElementById(
"ctl00_reqFieldVal_1035658"), document.getElementById("ctl00_reqFieldVal_1035659"), document.getElementById("ctl00_reqFieldVal_1035660"), document.getElementById("ctl00_reqFieldVal_1035661"), document.getElementById(
"ctl00_reqFieldVal_1035663"), document.getElementById("ctl00_regexFieldValZip_1035663"), document.getElementById("ctl00_reqFieldVal_1035664"), document.getElementById("ctl00_reqFieldVal_1035665"), document.getElementById(
"ctl00_reqFieldVal_1035666"), document.getElementById("ctl00_regexFieldValPhone_1035666"), document.getElementById("ctl00_reqFieldVal_1035668"), document.getElementById("ctl00_regexFieldValEmail_1035668"), document.getElementById(
"ctl00_customReqVal_1035670"), document.getElementById("ctl00_reqFieldVal_1035671"), document.getElementById("ctl00_customCcNumNumVal_1035671"), document.getElementById("ctl00_reqFieldVal_1035672"), document.getElementById(
"ctl00_reqFieldVal_1035673"), document.getElementById("ctl00_reqFieldVal_1035674"), document.getElementById("ctl00_reqFieldVal_1035676"), document.getElementById("ctl00_reqFieldVal_1035677"), document.getElementById(
"ctl00_customAccountNumVal_1035677"), document.getElementById("ctl00_reqFieldVal_1035678"), document.getElementById("ctl00_customRoutingNumVal_1035678"), document.getElementById("ctl00_customReqVal_1035680"), document.getElementById(
"ctl00_reqFieldVal_1035682"), document.getElementById("ctl00_reqFieldVal_1035684"), document.getElementById("ctl00_regexFieldValZip_1035684"), document.getElementById("ctl00_reqFieldVal_1035685"), document.getElementById(
"ctl00_reqFieldVal_1035686"), document.getElementById("ctl00_reqFieldVal_1035687"), document.getElementById("ctl00_regexFieldValEmail_1035654"), document.getElementById("ctl00_submitFormCustomValidationJs"));
//]]>
</script>
<script type="text/javascript">
//<![CDATA[
var ctl00_mainFormContentArea_valSummary = document.all ? document.all["ctl00_mainFormContentArea_valSummary"] : document.getElementById("ctl00_mainFormContentArea_valSummary");
ctl00_mainFormContentArea_valSummary.headertext = "Please review all of the fields listed below:";
ctl00_mainFormContentArea_valSummary.displaymode = "List";
var ctl00_reqFieldVal_1035641 = document.all ? document.all["ctl00_reqFieldVal_1035641"] : document.getElementById("ctl00_reqFieldVal_1035641");
ctl00_reqFieldVal_1035641.controltovalidate = "ctl00_dropDownList_1035641";
ctl00_reqFieldVal_1035641.errormessage = "Frequency required";
ctl00_reqFieldVal_1035641.display = "Dynamic";
ctl00_reqFieldVal_1035641.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035641.initialvalue = "";
var ctl00_regexFieldValCost_1035642 = document.all ? document.all["ctl00_regexFieldValCost_1035642"] : document.getElementById("ctl00_regexFieldValCost_1035642");
ctl00_regexFieldValCost_1035642.controltovalidate = "ctl00_textBox_1035642";
ctl00_regexFieldValCost_1035642.errormessage = "Amount invalid format (value must be a currency unit)";
ctl00_regexFieldValCost_1035642.display = "Dynamic";
ctl00_regexFieldValCost_1035642.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValCost_1035642.validationexpression = "^\\d+(\\.\\d\\d)?$";
var ctl00_reqFieldVal_1035643 = document.all ? document.all["ctl00_reqFieldVal_1035643"] : document.getElementById("ctl00_reqFieldVal_1035643");
ctl00_reqFieldVal_1035643.controltovalidate = "ctl00_currencySelection_1035643";
ctl00_reqFieldVal_1035643.errormessage = "Currency required";
ctl00_reqFieldVal_1035643.display = "Dynamic";
ctl00_reqFieldVal_1035643.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035643.initialvalue = "";
var ctl00_reqFieldVal_1035658 = document.all ? document.all["ctl00_reqFieldVal_1035658"] : document.getElementById("ctl00_reqFieldVal_1035658");
ctl00_reqFieldVal_1035658.controltovalidate = "ctl00_textBox_1035658";
ctl00_reqFieldVal_1035658.errormessage = "First Name required";
ctl00_reqFieldVal_1035658.display = "Dynamic";
ctl00_reqFieldVal_1035658.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035658.initialvalue = "";
var ctl00_reqFieldVal_1035659 = document.all ? document.all["ctl00_reqFieldVal_1035659"] : document.getElementById("ctl00_reqFieldVal_1035659");
ctl00_reqFieldVal_1035659.controltovalidate = "ctl00_textBox_1035659";
ctl00_reqFieldVal_1035659.errormessage = "Last Name required";
ctl00_reqFieldVal_1035659.display = "Dynamic";
ctl00_reqFieldVal_1035659.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035659.initialvalue = "";
var ctl00_reqFieldVal_1035660 = document.all ? document.all["ctl00_reqFieldVal_1035660"] : document.getElementById("ctl00_reqFieldVal_1035660");
ctl00_reqFieldVal_1035660.controltovalidate = "ctl00_sysCountries_1035660";
ctl00_reqFieldVal_1035660.errormessage = "Country required";
ctl00_reqFieldVal_1035660.display = "Dynamic";
ctl00_reqFieldVal_1035660.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035660.initialvalue = "";
var ctl00_reqFieldVal_1035661 = document.all ? document.all["ctl00_reqFieldVal_1035661"] : document.getElementById("ctl00_reqFieldVal_1035661");
ctl00_reqFieldVal_1035661.controltovalidate = "ctl00_textBox_1035661";
ctl00_reqFieldVal_1035661.errormessage = "Address 1 required";
ctl00_reqFieldVal_1035661.display = "Dynamic";
ctl00_reqFieldVal_1035661.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035661.initialvalue = "";
var ctl00_reqFieldVal_1035663 = document.all ? document.all["ctl00_reqFieldVal_1035663"] : document.getElementById("ctl00_reqFieldVal_1035663");
ctl00_reqFieldVal_1035663.controltovalidate = "ctl00_textBox_1035663";
ctl00_reqFieldVal_1035663.errormessage = "Postal Code required";
ctl00_reqFieldVal_1035663.display = "Dynamic";
ctl00_reqFieldVal_1035663.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035663.initialvalue = "";
var ctl00_regexFieldValZip_1035663 = document.all ? document.all["ctl00_regexFieldValZip_1035663"] : document.getElementById("ctl00_regexFieldValZip_1035663");
ctl00_regexFieldValZip_1035663.controltovalidate = "ctl00_textBox_1035663";
ctl00_regexFieldValZip_1035663.errormessage = "Postal Code invalid format (value must be a zip code)";
ctl00_regexFieldValZip_1035663.display = "Dynamic";
ctl00_regexFieldValZip_1035663.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValZip_1035663.validationexpression = "^(\\d{5}-\\d{4}|\\d{5}|\\d{9})$|^([a-zA-Z]\\d[a-zA-Z] \\d[a-zA-Z]\\d)$";
var ctl00_reqFieldVal_1035664 = document.all ? document.all["ctl00_reqFieldVal_1035664"] : document.getElementById("ctl00_reqFieldVal_1035664");
ctl00_reqFieldVal_1035664.controltovalidate = "ctl00_textBox_1035664";
ctl00_reqFieldVal_1035664.errormessage = "City required";
ctl00_reqFieldVal_1035664.display = "Dynamic";
ctl00_reqFieldVal_1035664.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035664.initialvalue = "";
var ctl00_reqFieldVal_1035665 = document.all ? document.all["ctl00_reqFieldVal_1035665"] : document.getElementById("ctl00_reqFieldVal_1035665");
ctl00_reqFieldVal_1035665.controltovalidate = "ctl00_sysUsStates_1035665";
ctl00_reqFieldVal_1035665.errormessage = "State/Province required";
ctl00_reqFieldVal_1035665.display = "Dynamic";
ctl00_reqFieldVal_1035665.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035665.initialvalue = "";
var ctl00_reqFieldVal_1035666 = document.all ? document.all["ctl00_reqFieldVal_1035666"] : document.getElementById("ctl00_reqFieldVal_1035666");
ctl00_reqFieldVal_1035666.controltovalidate = "ctl00_textBox_1035666";
ctl00_reqFieldVal_1035666.errormessage = "Phone Number required";
ctl00_reqFieldVal_1035666.display = "Dynamic";
ctl00_reqFieldVal_1035666.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035666.initialvalue = "";
var ctl00_regexFieldValPhone_1035666 = document.all ? document.all["ctl00_regexFieldValPhone_1035666"] : document.getElementById("ctl00_regexFieldValPhone_1035666");
ctl00_regexFieldValPhone_1035666.controltovalidate = "ctl00_textBox_1035666";
ctl00_regexFieldValPhone_1035666.errormessage = "Phone Number invalid format (value must be a valid phone number)";
ctl00_regexFieldValPhone_1035666.display = "Dynamic";
ctl00_regexFieldValPhone_1035666.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValPhone_1035666.validationexpression = "^(?:\\+?1[-. ]?)?\\(?([2-9][0-8][0-9])\\)?[-. ]?([2-9][0-9]{2})[-. ]?([0-9]{4})|\\+?(?:[0-9-., ] ?){6,14}[0-9]$";
var ctl00_reqFieldVal_1035668 = document.all ? document.all["ctl00_reqFieldVal_1035668"] : document.getElementById("ctl00_reqFieldVal_1035668");
ctl00_reqFieldVal_1035668.controltovalidate = "ctl00_textBox_1035668";
ctl00_reqFieldVal_1035668.errormessage = "Email Address required";
ctl00_reqFieldVal_1035668.display = "Dynamic";
ctl00_reqFieldVal_1035668.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035668.initialvalue = "";
var ctl00_regexFieldValEmail_1035668 = document.all ? document.all["ctl00_regexFieldValEmail_1035668"] : document.getElementById("ctl00_regexFieldValEmail_1035668");
ctl00_regexFieldValEmail_1035668.controltovalidate = "ctl00_textBox_1035668";
ctl00_regexFieldValEmail_1035668.errormessage = "Email Address invalid format (value must be a valid email address)";
ctl00_regexFieldValEmail_1035668.display = "Dynamic";
ctl00_regexFieldValEmail_1035668.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValEmail_1035668.validationexpression = "^[a-zA-Z0-9\'._%+-]+@[a-zA-Z0-9.-]+\\.[a-zA-Z]{2,}$";
var ctl00_customReqVal_1035670 = document.all ? document.all["ctl00_customReqVal_1035670"] : document.getElementById("ctl00_customReqVal_1035670");
ctl00_customReqVal_1035670.errormessage = "Payment Method required";
ctl00_customReqVal_1035670.display = "Dynamic";
ctl00_customReqVal_1035670.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_customReqVal_1035670.clientvalidationfunction = "client_cust_req_validationForField_1035670";
var ctl00_reqFieldVal_1035671 = document.all ? document.all["ctl00_reqFieldVal_1035671"] : document.getElementById("ctl00_reqFieldVal_1035671");
ctl00_reqFieldVal_1035671.controltovalidate = "ctl00_textBox_1035671";
ctl00_reqFieldVal_1035671.errormessage = "Card Number required";
ctl00_reqFieldVal_1035671.display = "Dynamic";
ctl00_reqFieldVal_1035671.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035671.initialvalue = "";
var ctl00_customCcNumNumVal_1035671 = document.all ? document.all["ctl00_customCcNumNumVal_1035671"] : document.getElementById("ctl00_customCcNumNumVal_1035671");
ctl00_customCcNumNumVal_1035671.errormessage = "Card Number invalid format";
ctl00_customCcNumNumVal_1035671.display = "Dynamic";
ctl00_customCcNumNumVal_1035671.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_customCcNumNumVal_1035671.clientvalidationfunction = "client_cust_ccNum_validationForField_1035671";
var ctl00_reqFieldVal_1035672 = document.all ? document.all["ctl00_reqFieldVal_1035672"] : document.getElementById("ctl00_reqFieldVal_1035672");
ctl00_reqFieldVal_1035672.controltovalidate = "ctl00_sysCreditCardTypes_1035672";
ctl00_reqFieldVal_1035672.errormessage = "Card Type required";
ctl00_reqFieldVal_1035672.display = "Dynamic";
ctl00_reqFieldVal_1035672.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035672.initialvalue = "";
var ctl00_reqFieldVal_1035673 = document.all ? document.all["ctl00_reqFieldVal_1035673"] : document.getElementById("ctl00_reqFieldVal_1035673");
ctl00_reqFieldVal_1035673.controltovalidate = "ctl00_sysCreditCardExpirationMonths_1035673";
ctl00_reqFieldVal_1035673.errormessage = "Expiration Month required";
ctl00_reqFieldVal_1035673.display = "Dynamic";
ctl00_reqFieldVal_1035673.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035673.initialvalue = "";
var ctl00_reqFieldVal_1035674 = document.all ? document.all["ctl00_reqFieldVal_1035674"] : document.getElementById("ctl00_reqFieldVal_1035674");
ctl00_reqFieldVal_1035674.controltovalidate = "ctl00_sysCreditCardExpirationYears_1035674";
ctl00_reqFieldVal_1035674.errormessage = "Expiration Year required";
ctl00_reqFieldVal_1035674.display = "Dynamic";
ctl00_reqFieldVal_1035674.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035674.initialvalue = "";
var ctl00_reqFieldVal_1035676 = document.all ? document.all["ctl00_reqFieldVal_1035676"] : document.getElementById("ctl00_reqFieldVal_1035676");
ctl00_reqFieldVal_1035676.controltovalidate = "ctl00_textBox_1035676";
ctl00_reqFieldVal_1035676.errormessage = "CVV Code required";
ctl00_reqFieldVal_1035676.display = "Dynamic";
ctl00_reqFieldVal_1035676.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035676.initialvalue = "";
var ctl00_reqFieldVal_1035677 = document.all ? document.all["ctl00_reqFieldVal_1035677"] : document.getElementById("ctl00_reqFieldVal_1035677");
ctl00_reqFieldVal_1035677.controltovalidate = "ctl00_textBox_1035677";
ctl00_reqFieldVal_1035677.errormessage = "Account Number required";
ctl00_reqFieldVal_1035677.display = "Dynamic";
ctl00_reqFieldVal_1035677.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035677.initialvalue = "";
var ctl00_customAccountNumVal_1035677 = document.all ? document.all["ctl00_customAccountNumVal_1035677"] : document.getElementById("ctl00_customAccountNumVal_1035677");
ctl00_customAccountNumVal_1035677.errormessage = "Account Number invalid format";
ctl00_customAccountNumVal_1035677.display = "Dynamic";
ctl00_customAccountNumVal_1035677.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_customAccountNumVal_1035677.clientvalidationfunction = "client_cust_account_validationForField_1035677";
var ctl00_reqFieldVal_1035678 = document.all ? document.all["ctl00_reqFieldVal_1035678"] : document.getElementById("ctl00_reqFieldVal_1035678");
ctl00_reqFieldVal_1035678.controltovalidate = "ctl00_textBox_1035678";
ctl00_reqFieldVal_1035678.errormessage = "Routing Number required";
ctl00_reqFieldVal_1035678.display = "Dynamic";
ctl00_reqFieldVal_1035678.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035678.initialvalue = "";
var ctl00_customRoutingNumVal_1035678 = document.all ? document.all["ctl00_customRoutingNumVal_1035678"] : document.getElementById("ctl00_customRoutingNumVal_1035678");
ctl00_customRoutingNumVal_1035678.errormessage = "Routing Number invalid format";
ctl00_customRoutingNumVal_1035678.display = "Dynamic";
ctl00_customRoutingNumVal_1035678.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_customRoutingNumVal_1035678.clientvalidationfunction = "client_cust_routing_validationForField_1035678";
var ctl00_customReqVal_1035680 = document.all ? document.all["ctl00_customReqVal_1035680"] : document.getElementById("ctl00_customReqVal_1035680");
ctl00_customReqVal_1035680.errormessage = "Account Type required";
ctl00_customReqVal_1035680.display = "Dynamic";
ctl00_customReqVal_1035680.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_customReqVal_1035680.clientvalidationfunction = "client_cust_req_validationForField_1035680";
var ctl00_reqFieldVal_1035682 = document.all ? document.all["ctl00_reqFieldVal_1035682"] : document.getElementById("ctl00_reqFieldVal_1035682");
ctl00_reqFieldVal_1035682.controltovalidate = "ctl00_textBox_1035682";
ctl00_reqFieldVal_1035682.errormessage = "Billing Address 1 required";
ctl00_reqFieldVal_1035682.display = "Dynamic";
ctl00_reqFieldVal_1035682.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035682.initialvalue = "";
var ctl00_reqFieldVal_1035684 = document.all ? document.all["ctl00_reqFieldVal_1035684"] : document.getElementById("ctl00_reqFieldVal_1035684");
ctl00_reqFieldVal_1035684.controltovalidate = "ctl00_textBox_1035684";
ctl00_reqFieldVal_1035684.errormessage = "Billing Postal Code required";
ctl00_reqFieldVal_1035684.display = "Dynamic";
ctl00_reqFieldVal_1035684.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035684.initialvalue = "";
var ctl00_regexFieldValZip_1035684 = document.all ? document.all["ctl00_regexFieldValZip_1035684"] : document.getElementById("ctl00_regexFieldValZip_1035684");
ctl00_regexFieldValZip_1035684.controltovalidate = "ctl00_textBox_1035684";
ctl00_regexFieldValZip_1035684.errormessage = "Billing Postal Code invalid format (value must be a zip code)";
ctl00_regexFieldValZip_1035684.display = "Dynamic";
ctl00_regexFieldValZip_1035684.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValZip_1035684.validationexpression = "^(\\d{5}-\\d{4}|\\d{5}|\\d{9})$|^([a-zA-Z]\\d[a-zA-Z] \\d[a-zA-Z]\\d)$";
var ctl00_reqFieldVal_1035685 = document.all ? document.all["ctl00_reqFieldVal_1035685"] : document.getElementById("ctl00_reqFieldVal_1035685");
ctl00_reqFieldVal_1035685.controltovalidate = "ctl00_textBox_1035685";
ctl00_reqFieldVal_1035685.errormessage = "Billing City required";
ctl00_reqFieldVal_1035685.display = "Dynamic";
ctl00_reqFieldVal_1035685.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035685.initialvalue = "";
var ctl00_reqFieldVal_1035686 = document.all ? document.all["ctl00_reqFieldVal_1035686"] : document.getElementById("ctl00_reqFieldVal_1035686");
ctl00_reqFieldVal_1035686.controltovalidate = "ctl00_sysUsStates_1035686";
ctl00_reqFieldVal_1035686.errormessage = "Billing State required";
ctl00_reqFieldVal_1035686.display = "Dynamic";
ctl00_reqFieldVal_1035686.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035686.initialvalue = "";
var ctl00_reqFieldVal_1035687 = document.all ? document.all["ctl00_reqFieldVal_1035687"] : document.getElementById("ctl00_reqFieldVal_1035687");
ctl00_reqFieldVal_1035687.controltovalidate = "ctl00_sysCountries_1035687";
ctl00_reqFieldVal_1035687.errormessage = "Billing Country required";
ctl00_reqFieldVal_1035687.display = "Dynamic";
ctl00_reqFieldVal_1035687.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
ctl00_reqFieldVal_1035687.initialvalue = "";
var ctl00_regexFieldValEmail_1035654 = document.all ? document.all["ctl00_regexFieldValEmail_1035654"] : document.getElementById("ctl00_regexFieldValEmail_1035654");
ctl00_regexFieldValEmail_1035654.controltovalidate = "ctl00_tb_sysTributeAckEmailAddress_1035654";
ctl00_regexFieldValEmail_1035654.errormessage = "Acknowledgee Email Address invalid format (value must be a valid email address)";
ctl00_regexFieldValEmail_1035654.display = "Dynamic";
ctl00_regexFieldValEmail_1035654.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
ctl00_regexFieldValEmail_1035654.validationexpression = "^[a-zA-Z0-9\'._%+-]+@[a-zA-Z0-9.-]+\\.[a-zA-Z]{2,}$";
var ctl00_submitFormCustomValidationJs = document.all ? document.all["ctl00_submitFormCustomValidationJs"] : document.getElementById("ctl00_submitFormCustomValidationJs");
ctl00_submitFormCustomValidationJs.evaluationfunction = "CustomValidatorEvaluateIsValid";
ctl00_submitFormCustomValidationJs.clientvalidationfunction = "ts_clientCustom_onSubmit_encapsulate";
//]]>
</script>
<script type="text/javascript">
//<![CDATA[
(function(id) {
var e = document.getElementById(id);
if (e) {
e.dispose = function() {
Array.remove(Page_ValidationSummaries, document.getElementById(id));
}
e = null;
}
})('ctl00_mainFormContentArea_valSummary');
var Page_ValidationActive = false;
if (typeof(ValidatorOnLoad) == "function") {
ValidatorOnLoad();
}
function ValidatorOnSubmit() {
if (Page_ValidationActive) {
return ValidatorCommonOnSubmit();
} else {
return true;
}
}
document.getElementById('ctl00_reqFieldVal_1035641').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035641'));
}
document.getElementById('ctl00_regexFieldValCost_1035642').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_regexFieldValCost_1035642'));
}
document.getElementById('ctl00_reqFieldVal_1035643').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035643'));
}
document.getElementById('ctl00_reqFieldVal_1035658').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035658'));
}
document.getElementById('ctl00_reqFieldVal_1035659').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035659'));
}
document.getElementById('ctl00_reqFieldVal_1035660').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035660'));
}
document.getElementById('ctl00_reqFieldVal_1035661').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035661'));
}
document.getElementById('ctl00_reqFieldVal_1035663').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035663'));
}
document.getElementById('ctl00_regexFieldValZip_1035663').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_regexFieldValZip_1035663'));
}
document.getElementById('ctl00_reqFieldVal_1035664').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035664'));
}
document.getElementById('ctl00_reqFieldVal_1035665').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035665'));
}
document.getElementById('ctl00_reqFieldVal_1035666').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035666'));
}
document.getElementById('ctl00_regexFieldValPhone_1035666').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_regexFieldValPhone_1035666'));
}
document.getElementById('ctl00_reqFieldVal_1035668').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035668'));
}
document.getElementById('ctl00_regexFieldValEmail_1035668').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_regexFieldValEmail_1035668'));
}
document.getElementById('ctl00_customReqVal_1035670').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_customReqVal_1035670'));
}
document.getElementById('ctl00_reqFieldVal_1035671').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035671'));
}
document.getElementById('ctl00_customCcNumNumVal_1035671').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_customCcNumNumVal_1035671'));
}
document.getElementById('ctl00_reqFieldVal_1035672').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035672'));
}
document.getElementById('ctl00_reqFieldVal_1035673').dispose = function() {
Array.remove(Page_Validators, document.getElementById('ctl00_reqFieldVal_1035673'));
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</form>Text Content
INTERNATIONAL PARURESIS ASSOCIATION Thank you for considering a donation to the International Paruresis Association. Whether you are here to support your own recovery, or in recognition of a family member or friend, your investment in us is not taken for granted. We consider all donations anonymous and never sell or share our contact list. Give in complete confidence. When you make a donation of $100 or more, we recognize you as a member of the IPA which entitles you to access our "members only" resources, special events, and discounts on workshops. We are 100% individual donor-supported and please know that all gifts of any amount are appreciated! 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Georgia and S. Sandwich Islands Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Helena St Kitts and Nevis St Lucia St Pierre and Miquelon St Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands - British Virgin Islands - US Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Acknowledgee Email Address (not required)* Personal Message (not required) IPA was founded in 1996 to raise public awareness about Paruresis, provide support, and give out the latest information. Most of IPA's members and leadership are treatment professionals, people suffering from Paruresis or recovering from it, and their loved ones. Membership is open to anyone touched by Paruresis as well as those with an interest in supporting others with paruresis, advocating for their rights, and advancing scientific knowledge about the disorder. After nearly 30 years, we're the leading international resource for people who find it difficult or impossible to urinate in the presence of others, either in their own home or in public facilities, for people who have difficulty under the stress of time pressure, when being observed, when others are close by or when traveling on moving vehicles. We're 100% individual donor-supported. All gifts of any amount are appreciated! Our US federal tax identification number is 06-1509744. This organization is a 501(c)(3) tax exempt organization, IRS Section 170(b)(2)(iii) for both US federal and state tax purposes. Consult with your tax advisor regarding the deductibility of your contribution. 800-422-6873 PO Box 21237 Catonsville, Maryland 21228 getinfo@paruresis.org * * * Powered by