aidsunited.org Open in urlscan Pro
35.202.39.121  Public Scan

Submitted URL: http://url4964.aidsunited.org/ls/click?upn=Fzl9kMYDRDb1wdDW0VurmZ3OXQyocMTEe8nYjHVm72xv2iYImFv4Kw3IRKaMfc32AKfqRT191cONmRUuvFM...
Effective URL: https://aidsunited.org/anniversary/?hsCtaTracking=94ecafb1-2123-4435-9208-0f7c66c146e2|ae87e557-a985-44a9-9f46-e0d7cd81...
Submission Tags: falconsandbox
Submission: On February 14 via api from US — Scanned from DE

Form analysis 3 forms found in the DOM

POST https://secure.engageddonor.com/form.ashx?id=111&url=https%3a%2f%2faidsunited.org%2fanniversary%2f%3fhsCtaTracking%3d94ecafb1-2123-4435-9208-0f7c66c146e2%7cae87e557-a985-44a9-9f46-e0d7cd810970%26engageddonorid%3dddd6f507-2c58-4760-972a-bedc0ea451a1&c=3C6C4007-DD79-4FA2-9029-CE596895092D

<form id="benforminput" method="post" enctype="multipart/form-data"
  action="https://secure.engageddonor.com/form.ashx?id=111&amp;url=https%3a%2f%2faidsunited.org%2fanniversary%2f%3fhsCtaTracking%3d94ecafb1-2123-4435-9208-0f7c66c146e2%7cae87e557-a985-44a9-9f46-e0d7cd810970%26engageddonorid%3dddd6f507-2c58-4760-972a-bedc0ea451a1&amp;c=3C6C4007-DD79-4FA2-9029-CE596895092D"
  novalidate="novalidate">
  <div id="doncntrl266" class="benformelement benformdon">
    <div style="margin: 10px 0px;">
      <script type="text/javascript">
        jQuery(document).ready(function() {
          var d = 'none';
          if (jQuery('#cbxShowOnHonorRoll').prop('checked')) {
            d = '';
          }
          jQuery('#honorrolldiv').css('display', d);
        });
      </script>
      <div class="heading3" style="display: none;"> 10 Year Anniversary </div>
      <div class="bentableheading"> Donation</div>
      <div>
        <table id="rblLevels" class="bendonlevels" style="font-size:13px;font-weight:bold;">
          <tbody>
            <tr>
              <td><input id="rblLevels_0" type="radio" name="doncntrl266$rblLevels" value="500" onclick="jQuery('#ben_DonationAmount').val(jQuery(this).val());updatePaymentTotalsNew(this);"><label for="rblLevels_0">$500</label></td>
              <td><input id="rblLevels_1" type="radio" name="doncntrl266$rblLevels" value="100" onclick="jQuery('#ben_DonationAmount').val(jQuery(this).val());updatePaymentTotalsNew(this);"><label for="rblLevels_1">$100</label></td>
              <td><input id="rblLevels_2" type="radio" name="doncntrl266$rblLevels" value="75" onclick="jQuery('#ben_DonationAmount').val(jQuery(this).val());updatePaymentTotalsNew(this);"><label for="rblLevels_2">$75</label></td>
              <td><input id="rblLevels_3" type="radio" name="doncntrl266$rblLevels" value="50" onclick="jQuery('#ben_DonationAmount').val(jQuery(this).val());updatePaymentTotalsNew(this);"><label for="rblLevels_3">$50</label></td>
              <td><input id="rblLevels_4" type="radio" name="doncntrl266$rblLevels" value="25" onclick="jQuery('#ben_DonationAmount').val(jQuery(this).val());updatePaymentTotalsNew(this);"><label for="rblLevels_4">$25</label></td>
              <td><input id="rblLevels_5" type="radio" name="doncntrl266$rblLevels" value="0"><label for="rblLevels_5">Other</label></td>
            </tr>
          </tbody>
        </table>
      </div>
      <div class="bentable form benmobile">
        <div>
          <div>Donation Amount:</div>
          <div style="position: relative;">
            <div style="position: absolute; left: -5px; top: 2px; display: none;">$</div>
            <input name="doncntrl266$ben_DonationAmount" type="text" autocomplete="off" id="ben_DonationAmount" class="benformdonationamount" minimum="0"
              onchange="updatePaymentTotalsNew(this); jB('#rblLevels input[type=radio]').prop('checked', ''); jB('#rblLevels input[value=0]').prop('checked', true);"
              onkeyup="updatePaymentTotalsNew(this); jB('#rblLevels input[type=radio]').prop('checked', ''); jB('#rblLevels input[value=0]').prop('checked', true);">
            <input type="hidden" name="doncntrl266$ben_hdfDonationOverride" id="doncntrl266_ben_hdfDonationOverride">
          </div>
        </div>
      </div>
      <div class="benrecurring">
        <div style="margin-top: 8px;">
          <input name="doncntrl266$cbxRecurring" type="checkbox" id="doncntrl266_cbxRecurring" onchange="var r='none'; if (jQuery(this).prop('checked')){r='';} jQuery('#recurringdiv').css('display',r); updatePaymentTotalsNew(this);">
          <label for="doncntrl266_cbxRecurring" style="font-size: 18px;">Make this a recurring gift</label>
        </div>
        <div>Your gift will automatically repeat until you decide to cancel it.</div>
        <div id="recurringdiv" class="table form" style="display: none; margin-top: 4px;">
          <table id="doncntrl266_rblRecurring" onchange="updatePaymentTotalsNew(this);">
            <tbody>
              <tr>
                <td><input id="doncntrl266_rblRecurring_0" type="radio" name="doncntrl266$rblRecurring" value="Weekly"><label for="doncntrl266_rblRecurring_0">Weekly</label></td>
                <td><input id="doncntrl266_rblRecurring_1" type="radio" name="doncntrl266$rblRecurring" value="Monthly"><label for="doncntrl266_rblRecurring_1">Monthly</label></td>
                <td><input id="doncntrl266_rblRecurring_2" type="radio" name="doncntrl266$rblRecurring" value="Quarterly"><label for="doncntrl266_rblRecurring_2">Quarterly</label></td>
                <td><input id="doncntrl266_rblRecurring_3" type="radio" name="doncntrl266$rblRecurring" value="Annually"><label for="doncntrl266_rblRecurring_3">Annually</label></td>
              </tr>
            </tbody>
          </table>
        </div>
      </div>
      <div class="bentable form benmobile">
        <div id="doncntrl266_46" class="benfield " style="display:none;">
          <div>
            <span id="doncntrl266_46_lbl">I wish to cover the credit card processing fee</span>
            <span id="doncntrl266_46_rfcfee" class="rfcfee"> - $0.00</span>
          </div>
          <div>
            <input name="doncntrl266$46$46_cbxprocessingfee" type="checkbox" id="doncntrl266_46_46_cbxprocessingfee" fieldtype="9" defaultvalue="" fieldid="46" maxquantity="0" fee="0" showquantity="0" onchange="updateConditionsNew(this);" rdfid="0"
              checked="checked">
          </div>
          <div>
            <span class="benfieldquantitylabel" style="display: none;">Quantity: </span>
            <select name="doncntrl266$46$ddlQuantity" id="doncntrl266_46_ddlQuantity" class="benfieldquantity" onchange="updateConditionsNew(this);" style="display: none;">
            </select>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div id="concntrl265" class="benformelement benformcon">
    <div class="bentableheading">Personal Information</div>
    <div class="bentable form benmobile">
      <div id="concntrl265_ctl00_benrow">
        <div>
          <span id="concntrl265_ctl00_lbl" class="ben_name">First Name</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl00$txt" type="text" id="concntrl265_ctl00_txt" bfirstname="" onchange="benPrepopHonorRollName();" class="ben_name" required="required" req="">
        </div>
      </div>
      <div id="concntrl265_ctl01_benrow">
        <div>
          <span id="concntrl265_ctl01_lbl" class="ben_name">Last Name</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl01$txt" type="text" id="concntrl265_ctl01_txt" blastname="" onchange="benPrepopHonorRollName();" class="ben_name" required="required" req="">
        </div>
      </div>
      <div id="ctl02_benrow">
        <div>
          <span id="ctl02_lbl">Email</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl02$txt" type="text" id="ctl02_txt" onclick="jB('#ctl02_txt').rules('add', 'email');" required="">
        </div>
      </div>
      <div id="ctl03_benrow">
        <div>
          <span id="ctl03_lbl">Phone</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl03$txt" type="text" id="ctl03_txt" required="">
          <script type="text/javascript">
            jB('#ctl03_txt').mask('(999) 999-9999? x99999');
          </script>
        </div>
      </div>
      <div id="concntrl265_ctl04_benrow">
        <div>
          <span id="concntrl265_ctl04_lbl">Address Line 1</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl04$txt" type="text" id="concntrl265_ctl04_txt" required="">
        </div>
      </div>
      <div id="concntrl265_ctl05_benrow">
        <div>
          <span id="concntrl265_ctl05_lbl">City</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl05$txt" type="text" id="concntrl265_ctl05_txt" required="">
        </div>
      </div>
      <div id="concntrl265_ctl06_benrow">
        <div>
          <span id="concntrl265_ctl06_lbl">Province/State</span>
          <span class="required">*</span>
        </div>
        <div>
          <select name="concntrl265$ctl06$ddlState" id="concntrl265_ctl06_ddlState" class="dropdown ben_state" rftid="1" required="">
            <option value=""></option>
            <option value="AL">AL</option>
            <option value="AK">AK</option>
            <option value="AZ">AZ</option>
            <option value="AR">AR</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DE">DE</option>
            <option value="DC">DC</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="GU">GU</option>
            <option value="HI">HI</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="IA">IA</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="ME">ME</option>
            <option value="MD">MD</option>
            <option value="MA">MA</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MS">MS</option>
            <option value="MO">MO</option>
            <option value="MT">MT</option>
            <option value="NE">NE</option>
            <option value="NV">NV</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NY">NY</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="PR">PR</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WV">WV</option>
            <option value="WI">WI</option>
            <option value="WY">WY</option>
          </select>
          <script type="text/javascript">
            benLoadStates('1');
          </script>
        </div>
      </div>
      <div id="concntrl265_ctl07_benrow">
        <div>
          <span id="concntrl265_ctl07_lbl">Postal Code</span>
          <span class="required">*</span>
        </div>
        <div>
          <input name="concntrl265$ctl07$txt" type="text" id="concntrl265_ctl07_txt" required="">
        </div>
      </div>
    </div>
  </div>
  <div id="paymentcntrl_benformpayment" class="benformpayment" style="margin: 10px 0px; display: none;">
    <div class="bentableheading">Payment Information</div>
    <div id="benpaymentcreditcard">
      <div class="form">
        <div>
          <div>
            <label for="ben-card-element"> Enter Credit or Debit Card Here </label>
          </div>
          <div>
            <div id="ben-card-element" class="StripeElement StripeElement--empty">
              <div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
                <iframe name="__privateStripeFrame7145" frameborder="0" allowtransparency="true" scrolling="no" allow="payment *"
                  src="https://js.stripe.com/v3/elements-inner-card-b24c8a12d3b22905c1bb60c9717ec974.html#wait=false&amp;mids[guid]=NA&amp;mids[muid]=NA&amp;mids[sid]=NA&amp;hidePostalCode=true&amp;style[base][fontSize]=16px&amp;style[base][lineHeight]=24px&amp;rtl=false&amp;componentName=card&amp;keyMode=live&amp;apiKey=pk_live_DDcLb9503TA0Rm00cHiKBbgl&amp;referrer=https%3A%2F%2Faidsunited.org%2Fanniversary%2F%3FhsCtaTracking%3D94ecafb1-2123-4435-9208-0f7c66c146e2%7Cae87e557-a985-44a9-9f46-e0d7cd810970%26engageddonorid%3Dddd6f507-2c58-4760-972a-bedc0ea451a1&amp;controllerId=__privateStripeController7141"
                  title="Secure card payment input frame"
                  style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: normal !important; height: 24px;"></iframe><input
                  class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
                  style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
              </div>
            </div>
          </div>
          <div id="ben-card-errors" style="color: red; font-weight: bold;"></div>
        </div>
      </div>
      <div id="ben-payment-request-button" style="margin-top: 12px;" class="StripeElement">
        <div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;"><iframe
            name="__privateStripeFrame71410" frameborder="0" allowtransparency="true" scrolling="no" allow="payment *"
            src="https://js.stripe.com/v3/elements-inner-payment-request-5e88b9ad2bfd050868059ff2b6963850.html#wait=false&amp;mids[guid]=NA&amp;mids[muid]=NA&amp;mids[sid]=NA&amp;rtl=false&amp;componentName=paymentRequestButton&amp;keyMode=live&amp;apiKey=pk_live_DDcLb9503TA0Rm00cHiKBbgl&amp;referrer=https%3A%2F%2Faidsunited.org%2Fanniversary%2F%3FhsCtaTracking%3D94ecafb1-2123-4435-9208-0f7c66c146e2%7Cae87e557-a985-44a9-9f46-e0d7cd810970%26engageddonorid%3Dddd6f507-2c58-4760-972a-bedc0ea451a1&amp;controllerId=__privateStripeController7141"
            title="Secure payment button frame"
            style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: normal !important; height: 40px;"></iframe><input
            class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
            style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
        </div>
      </div>
      <script type="text/javascript">
        benLoadStripePayment('benforminput', 'pk_live_DDcLb9503TA0Rm00cHiKBbgl', 'acct_1Esu8GLj0495jZtL');
      </script><input type="hidden" name="paymentcntrl$hdfStripeToken" id="paymentcntrl_hdfStripeToken">
      <div style="margin: 8px 0px;">
        <input id="paymentcntrl_cbxSavePaymentMethod" type="checkbox" name="paymentcntrl$cbxSavePaymentMethod"><label for="paymentcntrl_cbxSavePaymentMethod">Securely store my credit card information for future use</label>
      </div>
      <div class="bentableheading" style="display: none;">Billing Information</div>
      <div class="" style="display: none;">
        <div>
          <div>Address Line 1:</div>
          <div>
            <input name="paymentcntrl$ben_billingaddressline1" type="text" id="paymentcntrl_ben_billingaddressline1" class="textbox">
          </div>
        </div>
        <div>
          <div>City:</div>
          <div>
            <input name="paymentcntrl$ben_billingcity" type="text" id="paymentcntrl_ben_billingcity" class="textbox">
          </div>
        </div>
        <div>
          <div>State:</div>
          <div>
            <select name="paymentcntrl$ben_billingstate" id="paymentcntrl_ben_billingstate" class="dropdown">
              <option value=""></option>
              <option value="AL">AL</option>
              <option value="AK">AK</option>
              <option value="AZ">AZ</option>
              <option value="AR">AR</option>
              <option value="CA">CA</option>
              <option value="CO">CO</option>
              <option value="CT">CT</option>
              <option value="DE">DE</option>
              <option value="DC">DC</option>
              <option value="FL">FL</option>
              <option value="GA">GA</option>
              <option value="HI">HI</option>
              <option value="ID">ID</option>
              <option value="IL">IL</option>
              <option value="IN">IN</option>
              <option value="IA">IA</option>
              <option value="KS">KS</option>
              <option value="KY">KY</option>
              <option value="LA">LA</option>
              <option value="ME">ME</option>
              <option value="MD">MD</option>
              <option value="MA">MA</option>
              <option value="MI">MI</option>
              <option value="MN">MN</option>
              <option value="MS">MS</option>
              <option value="MO">MO</option>
              <option value="MT">MT</option>
              <option value="NE">NE</option>
              <option value="NV">NV</option>
              <option value="NH">NH</option>
              <option value="NJ">NJ</option>
              <option value="NM">NM</option>
              <option value="NY">NY</option>
              <option value="NC">NC</option>
              <option value="ND">ND</option>
              <option value="OH">OH</option>
              <option value="OK">OK</option>
              <option value="OR">OR</option>
              <option value="PA">PA</option>
              <option value="PR">PR</option>
              <option value="RI">RI</option>
              <option value="SC">SC</option>
              <option value="SD">SD</option>
              <option value="TN">TN</option>
              <option value="TX">TX</option>
              <option value="UT">UT</option>
              <option value="VT">VT</option>
              <option value="VA">VA</option>
              <option value="WA">WA</option>
              <option value="WV">WV</option>
              <option value="WI">WI</option>
              <option value="WY">WY</option>
            </select>
          </div>
        </div>
        <div>
          <div>Province:</div>
          <div>
            <input name="paymentcntrl$ben_billingprovince" type="text" id="paymentcntrl_ben_billingprovince" class="textbox">
          </div>
        </div>
        <div>
          <div>Zip/Postal Code:</div>
          <div>
            <input name="paymentcntrl$ben_billingzipcode" type="text" id="paymentcntrl_ben_billingzipcode" class="textbox">
          </div>
        </div>
      </div>
      <div id="paymentcntrl_pnlLogInButton" style="margin: 8px 0px;">
        <a href="javascript: void(0);" onclick="benShowPopup('beninlinelogin');">Sign in to select saved payment methods</a>
      </div>
    </div>
    <div id="benpaymentwallet" style="display: none; padding: 10px 0px;">
      <select name="paymentcntrl$ddlWalletCards" id="paymentcntrl_ddlWalletCards" class="benddlpaymentwallet">
        <option value="">Select a card</option>
      </select>
      <span class="required" aria-required="true">*</span>
      <div style="padding-top: 10px;">
        <a href="javascript: void(0);" onclick="jB('#benpaymentwallet').hide();jB('#benpaymentcreditcard').show();jB('.benddlpaymentwallet').val('0');jB('.benddlpaymentwallet').rules('remove', 'required');jB('.benddlpaymentwallet').val('');">Enter a new credit card number</a>
      </div>
    </div>
    <div id="beninlinelogin" style="visibility: hidden;" class="hideshow">
      <div class="benfade">
      </div>
      <div class="popup_block" style="padding: 5px; top: 50px; width: 400px; margin: 0 0 0 -205px;">
        <div class="popup" style="position: relative; text-align: center;">
          <iframe id="beninlineloginiframe" src="https://secure.engageddonor.com/p2p/login.aspx?c=3C6C4007-DD79-4FA2-9029-CE596895092D" style="height: 340px; width: 340px; border-collapse: collapse; border: 0;" frameborder="0"
            seamless="seamless"></iframe>
          <div style="text-align: right;">
            <a class="button" href="javascript: void(0);" onclick="benLoadPayment();">Close</a>
          </div>
        </div>
      </div>
    </div>
    <script type="text/javascript">
      jQuery(document).ready(function() {
        //so popup element is at highest level in DOM so it appears on top of everything
        //benMoveToBodyElement("#beninlinelogin");
      });
    </script>
  </div>
  <input type="hidden" name="hdfDiscountCode" id="hdfDiscountCode">
  <div id="benformprocessingfee" style="display: none;">
    <input type="checkbox" onchange="jB('input[fieldtype=9]').prop('checked', jB(this).prop('checked'));updateConditionsNew();"><span id="benformprocessingfeelabel">I wish to cover the credit card processing fee - $0.00</span>
  </div>
  <div class="table full">
    <div>
      <div class="benformtotalwrapper" style="display: none;">Total: <span class="benformtotal" style="font-weight: bold;">$0.00 </span></div>
      <div style="text-align: right;">
        <span id="lblMisc"></span><span id="lblError" class="benformerror" style="color:Red;"></span>&nbsp;&nbsp; <input name="b_form_submit" type="button" class="button" value="Submit" onclick="benValidateAndSubmit(this);">
      </div>
    </div>
  </div>
  <span id="lblTotalAmountCharged"></span>
  <div id="ben-g-recaptcha" class="g-recaptcha" data-sitekey="6LeLOCgUAAAAANXrCyQ5detYN8WXVPpqmDSOXToj" data-callback="benSubmitFormRecaptcha" data-size="invisible">
  </div>
  <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?render=explicit" async="" defer=""></script>
</form>

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10 years ago AIDS Action merged with the National AIDS Fund to form AIDS United.
Continuing the hard work that had started in the 1980s, AIDS United set out to
strengthen the health, well-being and human rights of those living with or
vulnerable to HIV.

The mission of AIDS United is to end the HIV epidemic in the United States.

Our path has been directed by the voices of those living with HIV and by
community-driven actions from disproportionately affected populations, including
gay and bisexual men, communities of color, women and people living in the Deep
South. We have directly funded more than $104 million in grants to community
initiatives and leveraged more than $117 million in additional investments for
care access, harm reduction, capacity building, prevention, policy and advocacy.

Our policy team in Washington, D.C., informed by our Public Policy Council,
gathers and leads the HIV field.


WHERE YOUR MONEY GOES:

90% of every dollar supports our policy & advocacy, leadership, development,
capacity-building and grant making programs.

You can make your AU 10th Anniversary gift – or any gift! – a Memorial or a
Commemoration via our Honor Garden.

Join our Anniversary effort by becoming a fundraiser in our Circle of Support!




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