help.rescue.org
Open in
urlscan Pro
151.101.130.130
Public Scan
Submitted URL: https://go.rescue.org/e/937243/donate-afghanistan/3t44n/129859861?h=5mkVBlywgovWlFyM2heJ5Dk2hK9sMVhmWaeOh7REYpg
Effective URL: https://help.rescue.org/donate/afghanistan
Submission: On June 22 via manual from US — Scanned from DE
Effective URL: https://help.rescue.org/donate/afghanistan
Submission: On June 22 via manual from US — Scanned from DE
Form analysis 3 forms found in the DOM
POST /donate/afghanistan
<form class="webform-client-form form-layouts one-column fundraiser-donation-form submit-valid-processed submit-progress-processed jquery-once-12-processed" enctype="multipart/form-data" action="/donate/afghanistan" method="post"
id="webform-client-form-7624" accept-charset="UTF-8" novalidate="novalidate">
<div class="step-group fieldset-step active" id="step-1">
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-donation">
<legend><span class="fieldset-legend">Donation</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurs-monthly" tabindex="0" role="tablist" aria-label="One-Time Donation / Monthly Donation">
<div id="edit-submitted-donation-recurs-monthly">
<div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurs-monthly-1" name="submitted[donation][recurs_monthly]" value="NO_RECURR" checked="checked" role="radio"> <label class="option" for="edit-submitted-donation-recurs-monthly-1"
aria-selected="false" role="tab">One-time donation </label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurs-monthly control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurs-monthly-2" name="submitted[donation][recurs_monthly]" value="recurs" role="radio"> <label class="option" for="edit-submitted-donation-recurs-monthly-2" aria-selected="false"
role="tab">Monthly donation </label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--recurring-amount" style="display: none;">
<label for="edit-submitted-donation-recurring-amount" aria-selected="false" role="tab">Monthly tax-deductible gift amount </label>
<div id="edit-submitted-donation-recurring-amount">
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-1" name="submitted[donation][recurring_amount]" value="36" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-1" aria-selected="false"
role="tab">$36 per month<span> can help us get key information to refugees </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group selected" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-2" name="submitted[donation][recurring_amount]" value="60" checked="checked" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-2"
aria-selected="false" role="tab">$60 per month<span> can provide an emergency kit for one family </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-3" name="submitted[donation][recurring_amount]" value="108" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-3" aria-selected="false"
role="tab">$108 per month<span> can provide 8 families with temporary shelter </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-4" name="submitted[donation][recurring_amount]" value="190" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-4" aria-selected="false"
role="tab">$190 per month<span> can provide medical care for 10 children </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-5" name="submitted[donation][recurring_amount]" value="500" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-5" aria-selected="false"
role="tab">$500 per month<span> can equip 1 mobile clinic </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-recurring-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-recurring-amount-6" name="submitted[donation][recurring_amount]" value="other" role="radio"> <label class="option" for="edit-submitted-donation-recurring-amount-6" aria-selected="false"
role="tab">Other per month </label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-donation--amount">
<label for="edit-submitted-donation-amount" aria-selected="false" role="tab">One-time tax-deductible gift amount <span class="form-required">*</span></label>
<div id="edit-submitted-donation-amount">
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-1" name="submitted[donation][amount]" value="54" role="radio"> <label class="option" for="edit-submitted-donation-amount-1" aria-selected="false" role="tab">$54<span> can provide 4
temporary shelters </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-2" name="submitted[donation][amount]" value="73" role="radio"> <label class="option" for="edit-submitted-donation-amount-2" aria-selected="false" role="tab">$73<span> can feed 83
children </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group selected" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-3" name="submitted[donation][amount]" value="114" checked="checked" role="radio"> <label class="option" for="edit-submitted-donation-amount-3" aria-selected="false"
role="tab">$114<span> can provide medical care for 6 children </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-4" name="submitted[donation][amount]" value="250" role="radio"> <label class="option" for="edit-submitted-donation-amount-4" aria-selected="false" role="tab">$250<span> can provide
critical protection services </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-5" name="submitted[donation][amount]" value="500" role="radio"> <label class="option" for="edit-submitted-donation-amount-5" aria-selected="false" role="tab">$500<span> can equip 1
mobile clinic </span></label>
</div>
<div class="form-item form-type-radio form-item-submitted-donation-amount control-group" tabindex="0">
<input type="radio" id="edit-submitted-donation-amount-6" name="submitted[donation][amount]" value="other" role="radio"> <label class="option" for="edit-submitted-donation-amount-6" aria-selected="false" role="tab">Other </label>
</div>
</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--other-amount">
<label for="edit-submitted-donation-other-amount" aria-selected="false" role="tab">Other </label>
<div class="field-prefix">$</div><input class="input-medium form-text" type="number" id="edit-submitted-donation-other-amount" name="submitted[donation][other_amount]" value="" size="10" maxlength="128" inputmode="numeric" tabindex="-1">
<div class="description">Minimum payment $10.00.</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donation--recurring-other-amount" style="display: none;">
<label for="edit-submitted-donation-recurring-other-amount" aria-selected="false" role="tab">Other </label>
<div class="field-prefix">$</div><input class="input-medium form-text" type="number" id="edit-submitted-donation-recurring-other-amount" name="submitted[donation][recurring_other_amount]" value="" size="10" maxlength="128"
inputmode="numeric" tabindex="-1">
<div class="description">Minimum payment $10.00.</div>
</div>
</div>
</fieldset>
<div class="progress-buttons"><span class="step continue" data-step-current="step-1" data-step-next="step-2" tabindex="0">Payment Information</span></div>
</div>
<input type="hidden" name="submitted[ms]" value="">
<input type="hidden" name="submitted[cid]" value="70167000001ZswNAAS">
<div class="step-group fieldset-step" id="step-2">
<fieldset class="webform-component-fieldset form-wrapper donor-message-processed" id="webform-component-payment-information">
<div class="donation-message">Your <span style="font-weight: 700" class="donation-frequency">one-time</span> donation of <span class="donation-message-amount">$114</span> <strong>USD</strong> will be processed securely. Every gift counts, thank
you!</div>
<legend><span class="fieldset-legend">Payment Information</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-radios control-group" id="webform-component-payment-information--payment-method">
<label for="edit-submitted-payment-information-payment-method" aria-selected="false" role="tab">Payment Method <span class="form-required" title="This field is required.">*</span></label>
<div id="edit-submitted-payment-information-payment-method">
<div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group credit" tabindex="0">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-1" name="submitted[payment_information][payment_method]" value="credit" checked="checked" role="radio"> <label class="option"
for="edit-submitted-payment-information-payment-method-1" aria-selected="false" role="tab">Credit Card </label>
</div>
<div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group paypal" tabindex="0">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-3" name="submitted[payment_information][payment_method]" value="paypal" role="radio"> <label class="option"
for="edit-submitted-payment-information-payment-method-3" aria-selected="false" role="tab">Paypal </label>
</div>
<div class="form-item form-type-radio form-item-submitted-payment-information-payment-method control-group bank-account" tabindex="0">
<input class="fundraiser-payment-methods" type="radio" id="edit-submitted-payment-information-payment-method-4" name="submitted[payment_information][payment_method]" value="bank account" role="radio"> <label class="option"
for="edit-submitted-payment-information-payment-method-4" aria-selected="false" role="tab">Bank Account </label>
</div>
</div>
</div>
<div class="webform-component-fieldset form-wrapper" id="webform-component-payment-information--payment-fields">
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-credit">
<div class="fieldset-wrapper">
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-number control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-number" aria-selected="false" role="tab">Credit card number <span class="form-required">*</span></label>
<input class="input-large form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-number" name="submitted[payment_information][payment_fields][credit][card_number]" value="" size="20" maxlength="128"
autocomplete="off" role="textbox" inputmode="numeric" pattern="[0-9]*">
</div>
<div class="expiration-date-wrapper clear-block">
<div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month" aria-selected="false" role="tab">Expiration date <span class="form-required">*</span></label>
<div class="select-wrapper"><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-month"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_month]" aria-selected="true" tabindex="0" role="listbox" aria-expanded="false">
<option value="1" aria-label="January" id="January" role="option">January</option>
<option value="2" aria-label="February" id="February" role="option">February</option>
<option value="3" aria-label="March" id="March" role="option">March</option>
<option value="4" aria-label="April" id="April" role="option">April</option>
<option value="5" aria-label="May" id="May" role="option">May</option>
<option value="6" selected="selected" aria-label="June" id="June" role="option">June</option>
<option value="7" aria-label="July" id="July" role="option">July</option>
<option value="8" aria-label="August" id="August" role="option">August</option>
<option value="9" aria-label="September" id="September" role="option">September</option>
<option value="10" aria-label="October" id="October" role="option">October</option>
<option value="11" aria-label="November" id="November" role="option">November</option>
<option value="12" aria-label="December" id="December" role="option">December</option>
</select></div>
<div class="select-wrapper"><select class="input-small form-select" id="edit-submitted-payment-information-payment-fields-credit-expiration-date-card-expiration-year"
name="submitted[payment_information][payment_fields][credit][expiration_date][card_expiration_year]" aria-selected="true" tabindex="0" role="listbox" aria-expanded="false">
<option value="2022" selected="selected" aria-label="2022" id="2022" role="option">2022</option>
<option value="2023" aria-label="2023" id="2023" role="option">2023</option>
<option value="2024" aria-label="2024" id="2024" role="option">2024</option>
<option value="2025" aria-label="2025" id="2025" role="option">2025</option>
<option value="2026" aria-label="2026" id="2026" role="option">2026</option>
<option value="2027" aria-label="2027" id="2027" role="option">2027</option>
<option value="2028" aria-label="2028" id="2028" role="option">2028</option>
<option value="2029" aria-label="2029" id="2029" role="option">2029</option>
<option value="2030" aria-label="2030" id="2030" role="option">2030</option>
<option value="2031" aria-label="2031" id="2031" role="option">2031</option>
<option value="2032" aria-label="2032" id="2032" role="option">2032</option>
<option value="2033" aria-label="2033" id="2033" role="option">2033</option>
<option value="2034" aria-label="2034" id="2034" role="option">2034</option>
<option value="2035" aria-label="2035" id="2035" role="option">2035</option>
<option value="2036" aria-label="2036" id="2036" role="option">2036</option>
<option value="2037" aria-label="2037" id="2037" role="option">2037</option>
</select></div>
</div>
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-credit-card-cvv control-group">
<label for="edit-submitted-payment-information-payment-fields-credit-card-cvv" aria-selected="false" role="tab">CVV <span class="form-required">*</span></label>
<input class="input-small form-text" type="text" id="edit-submitted-payment-information-payment-fields-credit-card-cvv" name="submitted[payment_information][payment_fields][credit][card_cvv]" value="" size="6" maxlength="128"
autocomplete="off" role="textbox" inputmode="numeric" pattern="[0-9]*">
</div><input type="hidden" name="submitted[payment_information][payment_fields][credit][card_type]" value="">
<div class="metrix-container">
<div style="background:url(https://h.online-metrix.net/fp/clear.png?org_id=1gqehjqy&session_id=rescu-369607346091&m=1)"></div><img
src="https://h.online-metrix.net/fp/clear.png?org_id=1gqehjqy&session_id=rescu-369607346091&m=2"><object type="application/x-shockwave-flash"
data="https://h.online-metrix.net/fp/fp.swf?org_id=1gqehjqy&session_id=rescu-369607346091" width="1" height="1">
<param name="movie" value="https://h.online-metrix.net/fp/fp.swf?org_id=1gqehjqy&session_id=rescu-369607346091">
<param name="wmode" value="transparent">
<div></div>
</object>
</div><input type="hidden" name="submitted[payment_information][payment_fields][credit][session_id]" value="rescu-369607346091">
</div>
</fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay" style="display: none;">
<div class="fieldset-wrapper">
<div id="payment-details" class="form-wrapper">
<div id="braintree-payment-form-outer">
<div class="braintree-payment-form form-wrapper" id="edit-submitted-payment-information-payment-fields-applepay-braintree-new"><input type="hidden" name="payment_method_nonce" value="">
</div>
</div>
</div><input type="hidden" name="braintree[errors]" value="">
<input type="hidden" name="payment_method_nonce" value="">
<input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_card_type]" value="">
<input type="hidden" name="submitted[payment_information][payment_fields][applepay][braintree_last4]" value="">
</div>
</fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-paypal" style="display: none;">
<div class="fieldset-wrapper">
<div id="paypal-container" class="form-wrapper">
<div id="braintree-paypal-loggedin" class="form-wrapper"><span id="bt-pp-name">PayPal</span><span id="bt-pp-email"></span><button id="bt-pp-cancel">Cancel</button></div>
</div><input type="hidden" name="payment_method_nonce" value="">
<input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_card_type]" value="">
<input type="hidden" name="submitted[payment_information][payment_fields][paypal][braintree_last4]" value="">
</div>
</fieldset>
<fieldset class="fundraiser-payment-fields form-wrapper" id="edit-submitted-payment-information-payment-fields-bank-account" style="display: none;">
<div class="fieldset-wrapper">
<div class="form-item form-type-select form-item-submitted-payment-information-payment-fields-bank account-accType control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-acctype" class="hidden" aria-selected="false" role="tab">Account type </label>
<div class="select-wrapper"><select id="edit-submitted-payment-information-payment-fields-bank-account-acctype" name="submitted[payment_information][payment_fields][bank account][accType]" class="form-select" aria-selected="true"
tabindex="0" role="listbox" aria-expanded="false">
<option value="Checking" aria-label="Checking" id="Checking" role="option">Checking</option>
<option value="Savings" aria-label="Savings" id="Savings" role="option">Savings</option>
<option value="Corporate" aria-label="Corporate" id="Corporate" role="option">Corporate</option>
<option value="Corp Savings" aria-label="Corp Savings" id="Corp Savings" role="option">Corp Savings</option>
</select></div>
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-routingNum control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-routingnum" aria-selected="false" role="tab">Routing number </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-routingnum" name="submitted[payment_information][payment_fields][bank account][routingNum]" value="" size="20" maxlength="128" class="form-text"
role="textbox">
</div>
<div class="form-item form-type-textfield form-item-submitted-payment-information-payment-fields-bank account-accNum control-group">
<label for="edit-submitted-payment-information-payment-fields-bank-account-accnum" aria-selected="false" role="tab">Account number </label>
<input type="text" id="edit-submitted-payment-information-payment-fields-bank-account-accnum" name="submitted[payment_information][payment_fields][bank account][accNum]" value="" size="30" maxlength="128" class="form-text"
role="textbox">
</div>
<div class="metrix-container">
<div style="background:url(https://h.online-metrix.net/fp/clear.png?org_id=1gqehjqy&session_id=rescu-369607346091&m=1)"></div><img
src="https://h.online-metrix.net/fp/clear.png?org_id=1gqehjqy&session_id=rescu-369607346091&m=2"><object type="application/x-shockwave-flash"
data="https://h.online-metrix.net/fp/fp.swf?org_id=1gqehjqy&session_id=rescu-369607346091" width="1" height="1">
<param name="movie" value="https://h.online-metrix.net/fp/fp.swf?org_id=1gqehjqy&session_id=rescu-369607346091">
<param name="wmode" value="transparent">
<div></div>
</object>
</div><input type="hidden" name="submitted[payment_information][payment_fields][bank account][session_id]" value="">
</div>
</fieldset>
</div>
<div class="form-item webform-component webform-component-checkboxes control-group" id="webform-component-payment-information--processing-fee" style="display: block;">
<label for="edit-submitted-payment-information-processing-fee" aria-selected="false" role="tab">Processing fee </label>
<div id="edit-submitted-payment-information-processing-fee">
<div class="form-item form-type-checkbox form-item-submitted-payment-information-processing-fee-1 control-group"
aria-label="Checkbox option: I want to help the IRC’s mission even more by covering the processing fees and other costs associated with my donation." tabindex="0">
<input type="checkbox" id="edit-submitted-payment-information-processing-fee-1" name="submitted[payment_information][processing_fee][1]" value="1" class="form-checkbox" tabindex="-1" role="checkbox"> <label class="option"
for="edit-submitted-payment-information-processing-fee-1" aria-selected="false" role="tab">I want to help the IRC’s mission even more by covering the processing fees and other costs associated with my donation.</label>
</div>
</div>
</div><input type="hidden" name="submitted[payment_information][processing_fee_amount]" value="">
</div>
</fieldset>
<div class="progress-buttons"><span class="step continue" data-step-current="step-2" data-step-next="step-3" tabindex="0">Your Information</span><span id="compact-submit" class="step submit" style="display: none;">Make a one-time donation >
</span></div>
<div class="fundraiser_submit_message compact-disclaimer" style="display: none;"><img typeof="foaf:Image" src="https://help.rescue.org/sites/all/modules/springboard/fundraiser/modules/fundraiser_webform/images/padlock.png" alt="">Here is my gift
to the IRC to provide support where it is needed most</div>
</div>
<div class="step-group fieldset-step" id="step-3">
<fieldset class="webform-component-fieldset form-wrapper donor-message-processed" id="webform-component-donor-information">
<div class="donation-message">Your <span style="font-weight: 700" class="donation-frequency">one-time</span> donation of <span class="donation-message-amount">$114</span> <strong>USD</strong> will be processed securely. Every gift counts, thank
you!</div>
<legend><span class="fieldset-legend">Your Information</span></legend>
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--first-name">
<label for="edit-submitted-donor-information-first-name" aria-selected="false" role="tab">First Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-first-name" name="submitted[donor_information][first_name]" value="" size="60" maxlength="128" class="form-text required" role="textbox">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-donor-information--last-name">
<label for="edit-submitted-donor-information-last-name" aria-selected="false" role="tab">Last Name <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-donor-information-last-name" name="submitted[donor_information][last_name]" value="" size="60" maxlength="128" class="form-text required" role="textbox">
</div>
<div class="form-item webform-component webform-component-email control-group" id="webform-component-donor-information--mail">
<label for="edit-submitted-donor-information-mail" aria-selected="false" role="tab">E-mail address <span class="form-required" title="This field is required.">*</span></label>
<input class="email form-text form-email required" type="email" id="edit-submitted-donor-information-mail" name="submitted[donor_information][mail]" size="60">
</div>
</div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-email-optin">
<div class="fieldset-wrapper"></div>
</fieldset>
<fieldset class="webform-component-fieldset form-wrapper" id="webform-component-billing-information">
<div class="fieldset-wrapper">
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address">
<label for="edit-submitted-billing-information-address" aria-selected="false" role="tab">Address <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-billing-information-address" name="submitted[billing_information][address]" value="" size="60" maxlength="128" class="form-text required" role="textbox">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--address-line-2">
<label for="edit-submitted-billing-information-address-line-2" aria-selected="false" role="tab">Address Line 2 </label>
<input type="text" id="edit-submitted-billing-information-address-line-2" name="submitted[billing_information][address_line_2]" value="" size="60" maxlength="128" class="form-text" role="textbox">
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--city">
<label for="edit-submitted-billing-information-city" aria-selected="false" role="tab">City <span class="form-required" title="This field is required.">*</span></label>
<input type="text" id="edit-submitted-billing-information-city" name="submitted[billing_information][city]" value="" size="60" maxlength="128" class="form-text required" role="textbox">
</div>
<div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--country">
<label for="edit-submitted-billing-information-country" aria-selected="false" role="tab" class="hidden">Country <span class="form-required" title="This field is required.">*</span></label>
<div class="select-wrapper"><select id="edit-submitted-billing-information-country" name="submitted[billing_information][country]" class="form-select required ajax-processed" aria-selected="true" tabindex="0" role="listbox"
aria-expanded="false">
<option value="AF" aria-label="Afghanistan" id="Afghanistan" role="option">Afghanistan</option>
<option value="AX" aria-label="Aland Islands" id="Aland Islands" role="option">Aland Islands</option>
<option value="AL" aria-label="Albania" id="Albania" role="option">Albania</option>
<option value="DZ" aria-label="Algeria" id="Algeria" role="option">Algeria</option>
<option value="AS" aria-label="American Samoa" id="American Samoa" role="option">American Samoa</option>
<option value="AD" aria-label="Andorra" id="Andorra" role="option">Andorra</option>
<option value="AO" aria-label="Angola" id="Angola" role="option">Angola</option>
<option value="AI" aria-label="Anguilla" id="Anguilla" role="option">Anguilla</option>
<option value="AQ" aria-label="Antarctica" id="Antarctica" role="option">Antarctica</option>
<option value="AG" aria-label="Antigua and Barbuda" id="Antigua and Barbuda" role="option">Antigua and Barbuda</option>
<option value="AR" aria-label="Argentina" id="Argentina" role="option">Argentina</option>
<option value="AM" aria-label="Armenia" id="Armenia" role="option">Armenia</option>
<option value="AW" aria-label="Aruba" id="Aruba" role="option">Aruba</option>
<option value="AU" aria-label="Australia" id="Australia" role="option">Australia</option>
<option value="AT" aria-label="Austria" id="Austria" role="option">Austria</option>
<option value="AZ" aria-label="Azerbaijan" id="Azerbaijan" role="option">Azerbaijan</option>
<option value="BS" aria-label="Bahamas" id="Bahamas" role="option">Bahamas</option>
<option value="BH" aria-label="Bahrain" id="Bahrain" role="option">Bahrain</option>
<option value="BD" aria-label="Bangladesh" id="Bangladesh" role="option">Bangladesh</option>
<option value="BB" aria-label="Barbados" id="Barbados" role="option">Barbados</option>
<option value="BY" aria-label="Belarus" id="Belarus" role="option">Belarus</option>
<option value="BE" aria-label="Belgium" id="Belgium" role="option">Belgium</option>
<option value="BZ" aria-label="Belize" id="Belize" role="option">Belize</option>
<option value="BJ" aria-label="Benin" id="Benin" role="option">Benin</option>
<option value="BM" aria-label="Bermuda" id="Bermuda" role="option">Bermuda</option>
<option value="BT" aria-label="Bhutan" id="Bhutan" role="option">Bhutan</option>
<option value="BO" aria-label="Bolivia" id="Bolivia" role="option">Bolivia</option>
<option value="BA" aria-label="Bosnia and Herzegovina" id="Bosnia and Herzegovina" role="option">Bosnia and Herzegovina</option>
<option value="BW" aria-label="Botswana" id="Botswana" role="option">Botswana</option>
<option value="BV" aria-label="Bouvet Island" id="Bouvet Island" role="option">Bouvet Island</option>
<option value="BR" aria-label="Brazil" id="Brazil" role="option">Brazil</option>
<option value="IO" aria-label="British Indian Ocean Territory" id="British Indian Ocean Territory" role="option">British Indian Ocean Territory</option>
<option value="VG" aria-label="British Virgin Islands" id="British Virgin Islands" role="option">British Virgin Islands</option>
<option value="BN" aria-label="Brunei" id="Brunei" role="option">Brunei</option>
<option value="BG" aria-label="Bulgaria" id="Bulgaria" role="option">Bulgaria</option>
<option value="BF" aria-label="Burkina Faso" id="Burkina Faso" role="option">Burkina Faso</option>
<option value="BI" aria-label="Burundi" id="Burundi" role="option">Burundi</option>
<option value="KH" aria-label="Cambodia" id="Cambodia" role="option">Cambodia</option>
<option value="CM" aria-label="Cameroon" id="Cameroon" role="option">Cameroon</option>
<option value="CA" aria-label="Canada" id="Canada" role="option">Canada</option>
<option value="CV" aria-label="Cape Verde" id="Cape Verde" role="option">Cape Verde</option>
<option value="BQ" aria-label="Caribbean Netherlands" id="Caribbean Netherlands" role="option">Caribbean Netherlands</option>
<option value="KY" aria-label="Cayman Islands" id="Cayman Islands" role="option">Cayman Islands</option>
<option value="CF" aria-label="Central African Republic" id="Central African Republic" role="option">Central African Republic</option>
<option value="TD" aria-label="Chad" id="Chad" role="option">Chad</option>
<option value="CL" aria-label="Chile" id="Chile" role="option">Chile</option>
<option value="CN" aria-label="China" id="China" role="option">China</option>
<option value="CX" aria-label="Christmas Island" id="Christmas Island" role="option">Christmas Island</option>
<option value="CC" aria-label="Cocos (Keeling) Islands" id="Cocos (Keeling) Islands" role="option">Cocos (Keeling) Islands</option>
<option value="CO" aria-label="Colombia" id="Colombia" role="option">Colombia</option>
<option value="KM" aria-label="Comoros" id="Comoros" role="option">Comoros</option>
<option value="CG" aria-label="Congo (Brazzaville)" id="Congo (Brazzaville)" role="option">Congo (Brazzaville)</option>
<option value="CD" aria-label="Congo (Kinshasa)" id="Congo (Kinshasa)" role="option">Congo (Kinshasa)</option>
<option value="CK" aria-label="Cook Islands" id="Cook Islands" role="option">Cook Islands</option>
<option value="CR" aria-label="Costa Rica" id="Costa Rica" role="option">Costa Rica</option>
<option value="HR" aria-label="Croatia" id="Croatia" role="option">Croatia</option>
<option value="CU" aria-label="Cuba" id="Cuba" role="option">Cuba</option>
<option value="CW" aria-label="Curaçao" id="Curaçao" role="option">Curaçao</option>
<option value="CY" aria-label="Cyprus" id="Cyprus" role="option">Cyprus</option>
<option value="CZ" aria-label="Czech Republic" id="Czech Republic" role="option">Czech Republic</option>
<option value="DK" aria-label="Denmark" id="Denmark" role="option">Denmark</option>
<option value="DJ" aria-label="Djibouti" id="Djibouti" role="option">Djibouti</option>
<option value="DM" aria-label="Dominica" id="Dominica" role="option">Dominica</option>
<option value="DO" aria-label="Dominican Republic" id="Dominican Republic" role="option">Dominican Republic</option>
<option value="EC" aria-label="Ecuador" id="Ecuador" role="option">Ecuador</option>
<option value="EG" aria-label="Egypt" id="Egypt" role="option">Egypt</option>
<option value="SV" aria-label="El Salvador" id="El Salvador" role="option">El Salvador</option>
<option value="GQ" aria-label="Equatorial Guinea" id="Equatorial Guinea" role="option">Equatorial Guinea</option>
<option value="ER" aria-label="Eritrea" id="Eritrea" role="option">Eritrea</option>
<option value="EE" aria-label="Estonia" id="Estonia" role="option">Estonia</option>
<option value="ET" aria-label="Ethiopia" id="Ethiopia" role="option">Ethiopia</option>
<option value="FK" aria-label="Falkland Islands" id="Falkland Islands" role="option">Falkland Islands</option>
<option value="FO" aria-label="Faroe Islands" id="Faroe Islands" role="option">Faroe Islands</option>
<option value="FJ" aria-label="Fiji" id="Fiji" role="option">Fiji</option>
<option value="FI" aria-label="Finland" id="Finland" role="option">Finland</option>
<option value="FR" aria-label="France" id="France" role="option">France</option>
<option value="GF" aria-label="French Guiana" id="French Guiana" role="option">French Guiana</option>
<option value="PF" aria-label="French Polynesia" id="French Polynesia" role="option">French Polynesia</option>
<option value="TF" aria-label="French Southern Territories" id="French Southern Territories" role="option">French Southern Territories</option>
<option value="GA" aria-label="Gabon" id="Gabon" role="option">Gabon</option>
<option value="GM" aria-label="Gambia" id="Gambia" role="option">Gambia</option>
<option value="GE" aria-label="Georgia" id="Georgia" role="option">Georgia</option>
<option value="DE" aria-label="Germany" id="Germany" role="option">Germany</option>
<option value="GH" aria-label="Ghana" id="Ghana" role="option">Ghana</option>
<option value="GI" aria-label="Gibraltar" id="Gibraltar" role="option">Gibraltar</option>
<option value="GR" aria-label="Greece" id="Greece" role="option">Greece</option>
<option value="GL" aria-label="Greenland" id="Greenland" role="option">Greenland</option>
<option value="GD" aria-label="Grenada" id="Grenada" role="option">Grenada</option>
<option value="GP" aria-label="Guadeloupe" id="Guadeloupe" role="option">Guadeloupe</option>
<option value="GU" aria-label="Guam" id="Guam" role="option">Guam</option>
<option value="GT" aria-label="Guatemala" id="Guatemala" role="option">Guatemala</option>
<option value="GG" aria-label="Guernsey" id="Guernsey" role="option">Guernsey</option>
<option value="GN" aria-label="Guinea" id="Guinea" role="option">Guinea</option>
<option value="GW" aria-label="Guinea-Bissau" id="Guinea-Bissau" role="option">Guinea-Bissau</option>
<option value="GY" aria-label="Guyana" id="Guyana" role="option">Guyana</option>
<option value="HT" aria-label="Haiti" id="Haiti" role="option">Haiti</option>
<option value="HM" aria-label="Heard Island and McDonald Islands" id="Heard Island and McDonald Islands" role="option">Heard Island and McDonald Islands</option>
<option value="HN" aria-label="Honduras" id="Honduras" role="option">Honduras</option>
<option value="HK" aria-label="Hong Kong S.A.R., China" id="Hong Kong S.A.R., China" role="option">Hong Kong S.A.R., China</option>
<option value="HU" aria-label="Hungary" id="Hungary" role="option">Hungary</option>
<option value="IS" aria-label="Iceland" id="Iceland" role="option">Iceland</option>
<option value="IN" aria-label="India" id="India" role="option">India</option>
<option value="ID" aria-label="Indonesia" id="Indonesia" role="option">Indonesia</option>
<option value="IR" aria-label="Iran" id="Iran" role="option">Iran</option>
<option value="IQ" aria-label="Iraq" id="Iraq" role="option">Iraq</option>
<option value="IE" aria-label="Ireland" id="Ireland" role="option">Ireland</option>
<option value="IM" aria-label="Isle of Man" id="Isle of Man" role="option">Isle of Man</option>
<option value="IL" aria-label="Israel" id="Israel" role="option">Israel</option>
<option value="IT" aria-label="Italy" id="Italy" role="option">Italy</option>
<option value="CI" aria-label="Ivory Coast" id="Ivory Coast" role="option">Ivory Coast</option>
<option value="JM" aria-label="Jamaica" id="Jamaica" role="option">Jamaica</option>
<option value="JP" aria-label="Japan" id="Japan" role="option">Japan</option>
<option value="JE" aria-label="Jersey" id="Jersey" role="option">Jersey</option>
<option value="JO" aria-label="Jordan" id="Jordan" role="option">Jordan</option>
<option value="KZ" aria-label="Kazakhstan" id="Kazakhstan" role="option">Kazakhstan</option>
<option value="KE" aria-label="Kenya" id="Kenya" role="option">Kenya</option>
<option value="KI" aria-label="Kiribati" id="Kiribati" role="option">Kiribati</option>
<option value="KW" aria-label="Kuwait" id="Kuwait" role="option">Kuwait</option>
<option value="KG" aria-label="Kyrgyzstan" id="Kyrgyzstan" role="option">Kyrgyzstan</option>
<option value="LA" aria-label="Laos" id="Laos" role="option">Laos</option>
<option value="LV" aria-label="Latvia" id="Latvia" role="option">Latvia</option>
<option value="LB" aria-label="Lebanon" id="Lebanon" role="option">Lebanon</option>
<option value="LS" aria-label="Lesotho" id="Lesotho" role="option">Lesotho</option>
<option value="LR" aria-label="Liberia" id="Liberia" role="option">Liberia</option>
<option value="LY" aria-label="Libya" id="Libya" role="option">Libya</option>
<option value="LI" aria-label="Liechtenstein" id="Liechtenstein" role="option">Liechtenstein</option>
<option value="LT" aria-label="Lithuania" id="Lithuania" role="option">Lithuania</option>
<option value="LU" aria-label="Luxembourg" id="Luxembourg" role="option">Luxembourg</option>
<option value="MO" aria-label="Macao S.A.R., China" id="Macao S.A.R., China" role="option">Macao S.A.R., China</option>
<option value="MK" aria-label="Macedonia" id="Macedonia" role="option">Macedonia</option>
<option value="MG" aria-label="Madagascar" id="Madagascar" role="option">Madagascar</option>
<option value="MW" aria-label="Malawi" id="Malawi" role="option">Malawi</option>
<option value="MY" aria-label="Malaysia" id="Malaysia" role="option">Malaysia</option>
<option value="MV" aria-label="Maldives" id="Maldives" role="option">Maldives</option>
<option value="ML" aria-label="Mali" id="Mali" role="option">Mali</option>
<option value="MT" aria-label="Malta" id="Malta" role="option">Malta</option>
<option value="MH" aria-label="Marshall Islands" id="Marshall Islands" role="option">Marshall Islands</option>
<option value="MQ" aria-label="Martinique" id="Martinique" role="option">Martinique</option>
<option value="MR" aria-label="Mauritania" id="Mauritania" role="option">Mauritania</option>
<option value="MU" aria-label="Mauritius" id="Mauritius" role="option">Mauritius</option>
<option value="YT" aria-label="Mayotte" id="Mayotte" role="option">Mayotte</option>
<option value="MX" aria-label="Mexico" id="Mexico" role="option">Mexico</option>
<option value="FM" aria-label="Micronesia" id="Micronesia" role="option">Micronesia</option>
<option value="MD" aria-label="Moldova" id="Moldova" role="option">Moldova</option>
<option value="MC" aria-label="Monaco" id="Monaco" role="option">Monaco</option>
<option value="MN" aria-label="Mongolia" id="Mongolia" role="option">Mongolia</option>
<option value="ME" aria-label="Montenegro" id="Montenegro" role="option">Montenegro</option>
<option value="MS" aria-label="Montserrat" id="Montserrat" role="option">Montserrat</option>
<option value="MA" aria-label="Morocco" id="Morocco" role="option">Morocco</option>
<option value="MZ" aria-label="Mozambique" id="Mozambique" role="option">Mozambique</option>
<option value="MM" aria-label="Myanmar" id="Myanmar" role="option">Myanmar</option>
<option value="NA" aria-label="Namibia" id="Namibia" role="option">Namibia</option>
<option value="NR" aria-label="Nauru" id="Nauru" role="option">Nauru</option>
<option value="NP" aria-label="Nepal" id="Nepal" role="option">Nepal</option>
<option value="NL" aria-label="Netherlands" id="Netherlands" role="option">Netherlands</option>
<option value="AN" aria-label="Netherlands Antilles" id="Netherlands Antilles" role="option">Netherlands Antilles</option>
<option value="NC" aria-label="New Caledonia" id="New Caledonia" role="option">New Caledonia</option>
<option value="NZ" aria-label="New Zealand" id="New Zealand" role="option">New Zealand</option>
<option value="NI" aria-label="Nicaragua" id="Nicaragua" role="option">Nicaragua</option>
<option value="NE" aria-label="Niger" id="Niger" role="option">Niger</option>
<option value="NG" aria-label="Nigeria" id="Nigeria" role="option">Nigeria</option>
<option value="NU" aria-label="Niue" id="Niue" role="option">Niue</option>
<option value="NF" aria-label="Norfolk Island" id="Norfolk Island" role="option">Norfolk Island</option>
<option value="MP" aria-label="Northern Mariana Islands" id="Northern Mariana Islands" role="option">Northern Mariana Islands</option>
<option value="KP" aria-label="North Korea" id="North Korea" role="option">North Korea</option>
<option value="NO" aria-label="Norway" id="Norway" role="option">Norway</option>
<option value="OM" aria-label="Oman" id="Oman" role="option">Oman</option>
<option value="PK" aria-label="Pakistan" id="Pakistan" role="option">Pakistan</option>
<option value="PW" aria-label="Palau" id="Palau" role="option">Palau</option>
<option value="PS" aria-label="Palestinian Territory" id="Palestinian Territory" role="option">Palestinian Territory</option>
<option value="PA" aria-label="Panama" id="Panama" role="option">Panama</option>
<option value="PG" aria-label="Papua New Guinea" id="Papua New Guinea" role="option">Papua New Guinea</option>
<option value="PY" aria-label="Paraguay" id="Paraguay" role="option">Paraguay</option>
<option value="PE" aria-label="Peru" id="Peru" role="option">Peru</option>
<option value="PH" aria-label="Philippines" id="Philippines" role="option">Philippines</option>
<option value="PN" aria-label="Pitcairn" id="Pitcairn" role="option">Pitcairn</option>
<option value="PL" aria-label="Poland" id="Poland" role="option">Poland</option>
<option value="PT" aria-label="Portugal" id="Portugal" role="option">Portugal</option>
<option value="PR" aria-label="Puerto Rico" id="Puerto Rico" role="option">Puerto Rico</option>
<option value="QA" aria-label="Qatar" id="Qatar" role="option">Qatar</option>
<option value="RE" aria-label="Reunion" id="Reunion" role="option">Reunion</option>
<option value="RO" aria-label="Romania" id="Romania" role="option">Romania</option>
<option value="RU" aria-label="Russia" id="Russia" role="option">Russia</option>
<option value="RW" aria-label="Rwanda" id="Rwanda" role="option">Rwanda</option>
<option value="BL" aria-label="Saint Barthélemy" id="Saint Barthélemy" role="option">Saint Barthélemy</option>
<option value="SH" aria-label="Saint Helena" id="Saint Helena" role="option">Saint Helena</option>
<option value="KN" aria-label="Saint Kitts and Nevis" id="Saint Kitts and Nevis" role="option">Saint Kitts and Nevis</option>
<option value="LC" aria-label="Saint Lucia" id="Saint Lucia" role="option">Saint Lucia</option>
<option value="MF" aria-label="Saint Martin (French part)" id="Saint Martin (French part)" role="option">Saint Martin (French part)</option>
<option value="PM" aria-label="Saint Pierre and Miquelon" id="Saint Pierre and Miquelon" role="option">Saint Pierre and Miquelon</option>
<option value="VC" aria-label="Saint Vincent and the Grenadines" id="Saint Vincent and the Grenadines" role="option">Saint Vincent and the Grenadines</option>
<option value="WS" aria-label="Samoa" id="Samoa" role="option">Samoa</option>
<option value="SM" aria-label="San Marino" id="San Marino" role="option">San Marino</option>
<option value="ST" aria-label="Sao Tome and Principe" id="Sao Tome and Principe" role="option">Sao Tome and Principe</option>
<option value="SA" aria-label="Saudi Arabia" id="Saudi Arabia" role="option">Saudi Arabia</option>
<option value="SN" aria-label="Senegal" id="Senegal" role="option">Senegal</option>
<option value="RS" aria-label="Serbia" id="Serbia" role="option">Serbia</option>
<option value="SC" aria-label="Seychelles" id="Seychelles" role="option">Seychelles</option>
<option value="SL" aria-label="Sierra Leone" id="Sierra Leone" role="option">Sierra Leone</option>
<option value="SG" aria-label="Singapore" id="Singapore" role="option">Singapore</option>
<option value="SX" aria-label="Sint Maarten" id="Sint Maarten" role="option">Sint Maarten</option>
<option value="SK" aria-label="Slovakia" id="Slovakia" role="option">Slovakia</option>
<option value="SI" aria-label="Slovenia" id="Slovenia" role="option">Slovenia</option>
<option value="SB" aria-label="Solomon Islands" id="Solomon Islands" role="option">Solomon Islands</option>
<option value="SO" aria-label="Somalia" id="Somalia" role="option">Somalia</option>
<option value="ZA" aria-label="South Africa" id="South Africa" role="option">South Africa</option>
<option value="GS" aria-label="South Georgia and the South Sandwich Islands" id="South Georgia and the South Sandwich Islands" role="option">South Georgia and the South Sandwich Islands</option>
<option value="KR" aria-label="South Korea" id="South Korea" role="option">South Korea</option>
<option value="SS" aria-label="South Sudan" id="South Sudan" role="option">South Sudan</option>
<option value="ES" aria-label="Spain" id="Spain" role="option">Spain</option>
<option value="LK" aria-label="Sri Lanka" id="Sri Lanka" role="option">Sri Lanka</option>
<option value="SD" aria-label="Sudan" id="Sudan" role="option">Sudan</option>
<option value="SR" aria-label="Suriname" id="Suriname" role="option">Suriname</option>
<option value="SJ" aria-label="Svalbard and Jan Mayen" id="Svalbard and Jan Mayen" role="option">Svalbard and Jan Mayen</option>
<option value="SZ" aria-label="Swaziland" id="Swaziland" role="option">Swaziland</option>
<option value="SE" aria-label="Sweden" id="Sweden" role="option">Sweden</option>
<option value="CH" aria-label="Switzerland" id="Switzerland" role="option">Switzerland</option>
<option value="SY" aria-label="Syria" id="Syria" role="option">Syria</option>
<option value="TW" aria-label="Taiwan" id="Taiwan" role="option">Taiwan</option>
<option value="TJ" aria-label="Tajikistan" id="Tajikistan" role="option">Tajikistan</option>
<option value="TZ" aria-label="Tanzania" id="Tanzania" role="option">Tanzania</option>
<option value="TH" aria-label="Thailand" id="Thailand" role="option">Thailand</option>
<option value="TL" aria-label="Timor-Leste" id="Timor-Leste" role="option">Timor-Leste</option>
<option value="TG" aria-label="Togo" id="Togo" role="option">Togo</option>
<option value="TK" aria-label="Tokelau" id="Tokelau" role="option">Tokelau</option>
<option value="TO" aria-label="Tonga" id="Tonga" role="option">Tonga</option>
<option value="TT" aria-label="Trinidad and Tobago" id="Trinidad and Tobago" role="option">Trinidad and Tobago</option>
<option value="TN" aria-label="Tunisia" id="Tunisia" role="option">Tunisia</option>
<option value="TR" aria-label="Turkey" id="Turkey" role="option">Turkey</option>
<option value="TM" aria-label="Turkmenistan" id="Turkmenistan" role="option">Turkmenistan</option>
<option value="TC" aria-label="Turks and Caicos Islands" id="Turks and Caicos Islands" role="option">Turks and Caicos Islands</option>
<option value="TV" aria-label="Tuvalu" id="Tuvalu" role="option">Tuvalu</option>
<option value="VI" aria-label="U.S. Virgin Islands" id="U.S. Virgin Islands" role="option">U.S. Virgin Islands</option>
<option value="UG" aria-label="Uganda" id="Uganda" role="option">Uganda</option>
<option value="UA" aria-label="Ukraine" id="Ukraine" role="option">Ukraine</option>
<option value="AE" aria-label="United Arab Emirates" id="United Arab Emirates" role="option">United Arab Emirates</option>
<option value="GB" aria-label="United Kingdom" id="United Kingdom" role="option">United Kingdom</option>
<option value="US" selected="selected" aria-label="United States" id="United States" role="option">United States</option>
<option value="UM" aria-label="United States Minor Outlying Islands" id="United States Minor Outlying Islands" role="option">United States Minor Outlying Islands</option>
<option value="UY" aria-label="Uruguay" id="Uruguay" role="option">Uruguay</option>
<option value="UZ" aria-label="Uzbekistan" id="Uzbekistan" role="option">Uzbekistan</option>
<option value="VU" aria-label="Vanuatu" id="Vanuatu" role="option">Vanuatu</option>
<option value="VA" aria-label="Vatican" id="Vatican" role="option">Vatican</option>
<option value="VE" aria-label="Venezuela" id="Venezuela" role="option">Venezuela</option>
<option value="VN" aria-label="Vietnam" id="Vietnam" role="option">Vietnam</option>
<option value="WF" aria-label="Wallis and Futuna" id="Wallis and Futuna" role="option">Wallis and Futuna</option>
<option value="EH" aria-label="Western Sahara" id="Western Sahara" role="option">Western Sahara</option>
<option value="YE" aria-label="Yemen" id="Yemen" role="option">Yemen</option>
<option value="ZM" aria-label="Zambia" id="Zambia" role="option">Zambia</option>
<option value="ZW" aria-label="Zimbabwe" id="Zimbabwe" role="option">Zimbabwe</option>
</select></div>
</div>
<div id="zone-select-wrapper">
<div class="form-item webform-component webform-component-select control-group" id="webform-component-billing-information--state">
<label for="edit-submitted-billing-information-state" aria-selected="false" role="tab" class="hidden">State/Province <span class="form-required" title="This field is required.">*</span></label>
<div class="select-wrapper"><select id="edit-submitted-billing-information-state" name="submitted[billing_information][state]" class="form-select required" aria-selected="true" tabindex="0" role="listbox" aria-expanded="false">
<option value="AL" aria-label="Alabama" id="Alabama" role="option">Alabama</option>
<option value="AK" aria-label="Alaska" id="Alaska" role="option">Alaska</option>
<option value="AZ" aria-label="Arizona" id="Arizona" role="option">Arizona</option>
<option value="AR" aria-label="Arkansas" id="Arkansas" role="option">Arkansas</option>
<option value="CA" aria-label="California" id="California" role="option">California</option>
<option value="CO" aria-label="Colorado" id="Colorado" role="option">Colorado</option>
<option value="CT" aria-label="Connecticut" id="Connecticut" role="option">Connecticut</option>
<option value="DE" aria-label="Delaware" id="Delaware" role="option">Delaware</option>
<option value="DC" aria-label="District of Columbia" id="District of Columbia" role="option">District of Columbia</option>
<option value="FL" aria-label="Florida" id="Florida" role="option">Florida</option>
<option value="GA" aria-label="Georgia" id="Georgia" role="option">Georgia</option>
<option value="HI" aria-label="Hawaii" id="Hawaii" role="option">Hawaii</option>
<option value="ID" aria-label="Idaho" id="Idaho" role="option">Idaho</option>
<option value="IL" aria-label="Illinois" id="Illinois" role="option">Illinois</option>
<option value="IN" aria-label="Indiana" id="Indiana" role="option">Indiana</option>
<option value="IA" aria-label="Iowa" id="Iowa" role="option">Iowa</option>
<option value="KS" aria-label="Kansas" id="Kansas" role="option">Kansas</option>
<option value="KY" aria-label="Kentucky" id="Kentucky" role="option">Kentucky</option>
<option value="LA" aria-label="Louisiana" id="Louisiana" role="option">Louisiana</option>
<option value="ME" aria-label="Maine" id="Maine" role="option">Maine</option>
<option value="MD" aria-label="Maryland" id="Maryland" role="option">Maryland</option>
<option value="MA" aria-label="Massachusetts" id="Massachusetts" role="option">Massachusetts</option>
<option value="MI" aria-label="Michigan" id="Michigan" role="option">Michigan</option>
<option value="MN" aria-label="Minnesota" id="Minnesota" role="option">Minnesota</option>
<option value="MS" aria-label="Mississippi" id="Mississippi" role="option">Mississippi</option>
<option value="MO" aria-label="Missouri" id="Missouri" role="option">Missouri</option>
<option value="MT" aria-label="Montana" id="Montana" role="option">Montana</option>
<option value="NE" aria-label="Nebraska" id="Nebraska" role="option">Nebraska</option>
<option value="NV" aria-label="Nevada" id="Nevada" role="option">Nevada</option>
<option value="NH" aria-label="New Hampshire" id="New Hampshire" role="option">New Hampshire</option>
<option value="NJ" aria-label="New Jersey" id="New Jersey" role="option">New Jersey</option>
<option value="NM" aria-label="New Mexico" id="New Mexico" role="option">New Mexico</option>
<option value="NY" aria-label="New York" id="New York" role="option">New York</option>
<option value="NC" aria-label="North Carolina" id="North Carolina" role="option">North Carolina</option>
<option value="ND" aria-label="North Dakota" id="North Dakota" role="option">North Dakota</option>
<option value="OH" aria-label="Ohio" id="Ohio" role="option">Ohio</option>
<option value="OK" aria-label="Oklahoma" id="Oklahoma" role="option">Oklahoma</option>
<option value="OR" aria-label="Oregon" id="Oregon" role="option">Oregon</option>
<option value="PA" aria-label="Pennsylvania" id="Pennsylvania" role="option">Pennsylvania</option>
<option value="RI" aria-label="Rhode Island" id="Rhode Island" role="option">Rhode Island</option>
<option value="SC" aria-label="South Carolina" id="South Carolina" role="option">South Carolina</option>
<option value="SD" aria-label="South Dakota" id="South Dakota" role="option">South Dakota</option>
<option value="TN" aria-label="Tennessee" id="Tennessee" role="option">Tennessee</option>
<option value="TX" aria-label="Texas" id="Texas" role="option">Texas</option>
<option value="UT" aria-label="Utah" id="Utah" role="option">Utah</option>
<option value="VT" aria-label="Vermont" id="Vermont" role="option">Vermont</option>
<option value="VA" aria-label="Virginia" id="Virginia" role="option">Virginia</option>
<option value="WA" aria-label="Washington" id="Washington" role="option">Washington</option>
<option value="WV" aria-label="West Virginia" id="West Virginia" role="option">West Virginia</option>
<option value="WI" aria-label="Wisconsin" id="Wisconsin" role="option">Wisconsin</option>
<option value="WY" aria-label="Wyoming" id="Wyoming" role="option">Wyoming</option>
<option value=" " aria-label="--" id="--" role="option">--</option>
<option value="AA" aria-label="Armed Forces (Americas)" id="Armed Forces (Americas)" role="option">Armed Forces (Americas)</option>
<option value="AE" aria-label="Armed Forces (Europe, Canada, Middle East, Africa)" id="Armed Forces (Europe, Canada, Middle East, Africa)" role="option">Armed Forces (Europe, Canada, Middle East, Africa)</option>
<option value="AP" aria-label="Armed Forces (Pacific)" id="Armed Forces (Pacific)" role="option">Armed Forces (Pacific)</option>
<option value="AS" aria-label="American Samoa" id="American Samoa" role="option">American Samoa</option>
<option value="FM" aria-label="Federated States of Micronesia" id="Federated States of Micronesia" role="option">Federated States of Micronesia</option>
<option value="GU" aria-label="Guam" id="Guam" role="option">Guam</option>
<option value="MH" aria-label="Marshall Islands" id="Marshall Islands" role="option">Marshall Islands</option>
<option value="MP" aria-label="Northern Mariana Islands" id="Northern Mariana Islands" role="option">Northern Mariana Islands</option>
<option value="PW" aria-label="Palau" id="Palau" role="option">Palau</option>
<option value="PR" aria-label="Puerto Rico" id="Puerto Rico" role="option">Puerto Rico</option>
<option value="VI" aria-label="Virgin Islands" id="Virgin Islands" role="option">Virgin Islands</option>
</select></div>
</div>
</div>
<div class="form-item webform-component webform-component-textfield control-group" id="webform-component-billing-information--zip">
<label for="edit-submitted-billing-information-zip" aria-selected="false" role="tab">ZIP/Postal Code <span class="form-required" title="This field is required.">*</span></label>
<input class="input-medium form-text required" type="text" id="edit-submitted-billing-information-zip" name="submitted[billing_information][zip]" value="" size="10" maxlength="10" role="textbox">
</div>
</div>
</fieldset>
<div class="progress-buttons"><span class="step submit" tabindex="0">Make a one-time donation > </span></div>
<div class="fundraiser_submit_message"><img typeof="foaf:Image" src="https://help.rescue.org/sites/all/modules/springboard/fundraiser/modules/fundraiser_webform/images/padlock.png" alt="">Here is my gift to the IRC to provide support where it is
needed most</div>
</div>
<input type="hidden" name="submitted[referrer]" value="">
<input type="hidden" name="submitted[initial_referrer]" value="">
<input type="hidden" name="submitted[search_engine]" value="">
<input type="hidden" name="submitted[search_string]" value="">
<input type="hidden" name="submitted[user_agent]" value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/103.0.5060.53 Safari/537.36" class="marketsource-processed">
<input type="hidden" name="submitted[device_type]" value="">
<input type="hidden" name="submitted[device_name]" value="">
<input type="hidden" name="submitted[springboard_cookie_autofilled]" value="disabled">
<input type="hidden" name="submitted[content_override_id]" value="">
<input type="hidden" name="submitted[device_os]" value="">
<input type="hidden" name="submitted[device_browser]" value="">
<input type="hidden" name="submitted[utm_source]" value="">
<input type="hidden" name="submitted[utm_medium]" value="">
<input type="hidden" name="submitted[secure_prepop_autofilled]" value="0">
<input type="hidden" name="submitted[utm_term]" value="">
<input type="hidden" name="submitted[gs_flag]" value="None">
<input type="hidden" name="submitted[utm_content]" value="">
<input type="hidden" name="submitted[field_sbp_referrer_long]" value="">
<input type="hidden" name="submitted[utm_campaign]" value="">
<input type="hidden" name="submitted[field_sbp_initial_referrer_long]" value="">
<input type="hidden" name="submitted[eml_name]" value="">
<input type="hidden" name="submitted[field_form]" value="">
<input type="hidden" name="submitted[eml_id]" value="">
<input type="hidden" name="submitted[field_form_url]" value="">
<input type="hidden" name="submitted[social_referer_transaction]" value="">
<input type="hidden" name="submitted[p2p_pcid]" value="">
<input type="hidden" name="submitted[sbp_zip_plus_four]" value="">
<input type="hidden" name="submitted[sbp_twitter_screen_name]" value="">
<input type="hidden" name="submitted[sbp_twitter_id_str]" value="">
<input type="hidden" name="submitted[sbp_twitter_status_count]" value="">
<input type="hidden" name="submitted[sbp_twitter_following_count]" value="">
<input type="hidden" name="submitted[sbp_twitter_followers_count]" value="">
<input type="hidden" name="submitted[sbp_twitter_created_at]" value="">
<div class="form-item webform-component webform-component-markup control-group" id="webform-component-form-header-image"> /files/irc/upload/111020_ChildSurvival01.jpg </div><input type="hidden" name="submitted[initialms]" value="">
<input type="hidden" name="submitted[des]" value="">
<input type="hidden" name="details[sid]">
<input type="hidden" name="details[page_num]" value="1">
<input type="hidden" name="details[page_count]" value="1">
<input type="hidden" name="details[finished]" value="0">
<input type="hidden" name="form_build_id" value="form-1WDx9NtSqABvLbuJb6CxRwI94KEgSgLWzyixXD1nnAg">
<input type="hidden" name="form_id" value="webform_client_form_7624">
<a name="payment-section"></a><input type="hidden" name="springboard_fraud_token" value="" class="springboardFraudToken-processed">
<input type="hidden" name="springboard_fraud_js_detect" value="1">
<div class="form-actions form-wrapper" id="edit-actions"><input class="btn jquery-once-11-processed" type="submit" id="edit-submit" name="op" value="Make a one-time donation">
<div class="donation-processing-wrapper" style="display: none;">
<p class="donation-processing">Processing <span class="donation-processing-spinner"></span></p>
</div>
</div>
<fieldset class="form-wrapper" id="edit-recent-donations-block">
<div class="fieldset-wrapper"></div>
</fieldset>
</form>GET https://help.rescue.org/signup
<form action="https://help.rescue.org/signup" class="emailFormStuff" method="get" _lpchecked="1" novalidate="novalidate">
<input id="email-form" name="mail" onblur="if(this.value=='')this.value='Your email address';" onfocus="if(this.value=='Your email address')this.value='';" size="17" unselectable="off" value="Your email address" aria-label="Join our mailing list"
role="textbox"><input id="email-button" name="submit" unselectable="on" value="Subscribe" type="submit">
</form>GET https://tr.snapchat.com/cm/i
<form method="GET" action="https://tr.snapchat.com/cm/i" target="snap02839491227259847" accept-charset="utf-8" style="display: none;"><iframe id="snap02839491227259847" name="snap02839491227259847"></iframe><input name="pid"></form>Text Content
Skip to main content IRC HELP FAMILIES IN AFGHANISTAN AND WORLDWIDE Donate now to help us support children and families in Afghanistan and in crisis zones worldwide. SUPPORT OUR EMERGENCY RESPONSE IN AFGHANISTAN. The IRC has worked in Afghanistan through three decades of crisis, providing millions of people with shelter, education, clean water, health support and other aid. We are committed to remaining in Afghanistan and helping those in need. Donate now to help us support children and families in Afghanistan and in crisis zones worldwide. Your gift allows us to deliver comprehensive help to people affected by humanitarian crises and will be used where and when most needed. And, when combined with those of other donors, your gift becomes a powerful means to support our vital work, including education, health care, emergency support and job training for families in crisis worldwide. Large Button Text: Donate Now Large Button Subtext: Support the IRC's work around the world 123 Donation One-time donation Monthly donation Monthly tax-deductible gift amount $36 per month can help us get key information to refugees $60 per month can provide an emergency kit for one family $108 per month can provide 8 families with temporary shelter $190 per month can provide medical care for 10 children $500 per month can equip 1 mobile clinic Other per month One-time tax-deductible gift amount * $54 can provide 4 temporary shelters $73 can feed 83 children $114 can provide medical care for 6 children $250 can provide critical protection services $500 can equip 1 mobile clinic Other Other $ Minimum payment $10.00. Other $ Minimum payment $10.00. Payment Information Your one-time donation of $114 USD will be processed securely. Every gift counts, thank you! Payment Information Payment Method * Credit Card Paypal Bank Account Credit card number * Expiration date * JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 2022202320242025202620272028202920302031203220332034203520362037 CVV * PayPalCancel Account type CheckingSavingsCorporateCorp Savings Routing number Account number Processing fee I want to help the IRC’s mission even more by covering the processing fees and other costs associated with my donation. Your InformationMake a one-time donation > Here is my gift to the IRC to provide support where it is needed most Your one-time donation of $114 USD will be processed securely. Every gift counts, thank you! Your Information First Name * Last Name * E-mail address * Address * Address Line 2 City * Country * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe State/Province * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands ZIP/Postal Code * Make a one-time donation > Here is my gift to the IRC to provide support where it is needed most /files/irc/upload/111020_ChildSurvival01.jpg Processing SUPPORT OUR EMERGENCY RESPONSE IN AFGHANISTAN. The IRC has worked in Afghanistan through three decades of crisis, providing millions of people with shelter, education, clean water, health support and other aid. We are committed to remaining in Afghanistan and helping those in need. Donate now to help us support children and families in Afghanistan and in crisis zones worldwide. Donate now to help us support children and families in Afghanistan and in crisis zones worldwide. Your gift allows us to deliver comprehensive help to people affected by humanitarian crises and will be used where and when most needed. And, when combined with those of other donors, your gift becomes a powerful means to support our vital work, including education, health care, emergency support and job training for families in crisis worldwide. Your gift allows us to deliver comprehensive help to people affected by humanitarian crises and will be used where and when most needed. And, when combined with those of other donors, your gift becomes a powerful means to support our vital work, including education, health care, emergency support and job training for families in crisis worldwide. Donations are 100% Secure & Tax Deductible Give with confidence Donate by phone:1-855-9RESCUE To give by check, mail to International Rescue Committee P.O. Box 6068, Albert Lea, MN 56007-9847 * Make a tribute gift * Donor Advised Funds * Employee Matching * Donor FAQs * Contact Donor Services Our efficiency maximizes your gift's impact * 87% Programs * 8% Administration * 5% Fundraising 87 cents of every dollar we spend worldwide goes directly to help refugees and others in desperate need. Join our mailing list Follow us Twitter Facebook Instagram YouTube International Rescue Committee is a 501(c)(3) not-for-profit organization. EIN number 13-5660870. Copyright International Rescue Committee, 2022. * Global Affiliates: IRC UK | Stichting Vluchteling * Privacy Policy * Terms and Conditions Now processing Please wait while we process your donation. show