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Submitted URL: http://civicscenter.us/register2vote
Effective URL: https://secure.everyaction.com/VKaJgva4PkeLHBiUHPaEkA2
Submission: On September 06 via manual from US — Scanned from US
Effective URL: https://secure.everyaction.com/VKaJgva4PkeLHBiUHPaEkA2
Submission: On September 06 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMPOST
<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
<div class="at-markup FastAction" id="NVContributionForm1370017-FastAction">
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<div class="fastAction clearfix">
<p>
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<a href="#fastaction-login" class="profile-link" aria-label="FastAction">
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<span><a href="https://fastaction.ngpvan.com##whats-this" class="circle" id="fastaction-whatsthis" data-popup="true" data-popup-width="515" data-popup-height="540" target="_blank">?</a></span>
</span>
<span class="fa-lead"> Take future action with a single click.<br>
<a href="#fastaction-login" class="call-modal" id="fastaction-widget-login">Log in</a> or <a href="#fastaction-signup" class="call-modal" id="fastaction-widget-signup">Sign up</a> for <i>Fast</i><b>Action</b>
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<ol class="at-steps clearfix">
<li data-step="0" class="at-step active">
<a title="" href="#ContributionInformation">
<span class="step-title">Amount</span>
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<li data-step="1" class="at-step ">
<a title="" href="#ContactInformation">
<span class="step-title">Details</span>
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<li data-step="2" class="at-step ">
<a title="" href="#PaymentInformation">
<span class="step-title">Payment</span>
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<div class="at-error-console"></div>
<div data-name="undefined" data-subview="submit_view" data-subview-index="3"></div>
<fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1370017-ContributionInformation">
<legend class="at-legend">Amount</legend>
<div class="at-fields">
<div class="at-row at-row-full ">
<input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
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<div class="at-row at-row-full ">
<div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1370017-ContributionInformation-SelectAmount">
<div class="at-row SelectAmount OtherAmount NonRecurringButtons">
<div class="at-radio">
<div class="at-radios clearfix">
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<input name="SelectAmount" type="radio" value="5.00"> $5 <a></a> </label><label class="label-amount" title="$10">
<input name="SelectAmount" type="radio" value="10.00"> $10 <a></a> </label><label class="label-amount" title="$25">
<input name="SelectAmount" type="radio" value="25.00"> $25 <a></a> </label><label class="label-amount" title="$50">
<input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$75">
<input name="SelectAmount" type="radio" value="75.00"> $75 <a></a> </label><label class="label-amount label-otheramount" title="Other">
<input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
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<span class="label-otheramount-prefix">$</span>
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<div class="at-recurring"><label class="at-check IsRecurring" id="NVContributionForm1370017-ContributionInformation-IsRecurring"><input type="checkbox" name="IsRecurring"
aria-label="Make this contribution monthly through election day 2022! Monthly"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1370017-ContributionInformation-IsRecurring-label">Make this
contribution monthly through election day 2022!</span></span>
</label><label class="at-select SelectedFrequency select-collapse" id="NVContributionForm1370017-ContributionInformation-SelectedFrequency"><label for="edit-selectedfrequency"> Frequency <small>(Optional)</small></label>
<span class="at-select SelectedFrequency select-collapse" name="SelectedFrequency" id="NVContributionForm1370017-ContributionInformation-SelectedFrequency-label"> Monthly </span>
</label></div><label class="at-check CoverCostsAmount" id="NVContributionForm1370017-ContributionInformation-CoverCostsAmount"><input type="checkbox" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
class="at-checkbox-title" id="NVContributionForm1370017-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation</span></span>
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<fieldset class="at-fieldset ContactInformation hideStep" id="NVContributionForm1370017-ContactInformation" style="display: block;">
<legend class="at-legend">Details</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName" id="NVContributionForm1370017-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName" id="NVContributionForm1370017-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
value="" maxlength="25">
</label></div>
<div class="at-row at-row-solo AddressLine1"><label class="at-text AddressLine1" id="NVContributionForm1370017-ContactInformation-AddressLine1">Street Address<input type="text" autocomplete="address-line1" x-autocompletetype="address-line1"
required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
</label></div>
<div class="at-row PostalCode City StateProvince"><label class="at-text PostalCode" id="NVContributionForm1370017-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code"
pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
</label><label class="at-text City" id="NVContributionForm1370017-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)" name="City" value=""
maxlength="25">
</label><label class="at-select StateProvince" id="NVContributionForm1370017-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
name="StateProvince" class=" required" id="NVContributionForm1370017-ContactInformation-StateProvince-select">
<option value="" disabled="">- State -</option>
<option value="AK">AK</option>
<option value="AL">AL</option>
<option value="AR">AR</option>
<option value="AZ">AZ</option>
<option value="CA">CA</option>
<option value="CO">CO</option>
<option value="CT">CT</option>
<option value="DC">DC</option>
<option value="DE">DE</option>
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<option value="GA">GA</option>
<option value="HI">HI</option>
<option value="IA">IA</option>
<option value="ID">ID</option>
<option value="IL">IL</option>
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<option value="KS">KS</option>
<option value="KY">KY</option>
<option value="LA">LA</option>
<option value="MA">MA</option>
<option value="MD">MD</option>
<option value="ME">ME</option>
<option value="MI">MI</option>
<option value="MN">MN</option>
<option value="MO">MO</option>
<option value="MS">MS</option>
<option value="MT">MT</option>
<option value="NC">NC</option>
<option value="ND">ND</option>
<option value="NE">NE</option>
<option value="NH">NH</option>
<option value="NJ">NJ</option>
<option value="NM">NM</option>
<option value="NV">NV</option>
<option value="NY">NY</option>
<option value="OH">OH</option>
<option value="OK">OK</option>
<option value="OR">OR</option>
<option value="PA">PA</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="VA">VA</option>
<option value="VT">VT</option>
<option value="WA">WA</option>
<option value="WI">WI</option>
<option value="WV">WV</option>
<option value="WY">WY</option>
<option value="AS">AS</option>
<option value="FM">FM</option>
<option value="GU">GU</option>
<option value="MH">MH</option>
<option value="MP">MP</option>
<option value="PR">PR</option>
<option value="PW">PW</option>
<option value="VI">VI</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
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</label></div>
<div class="at-row EmailAddress HomePhone MobilePhone"><label class="at-text EmailAddress" id="NVContributionForm1370017-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`{|}~]+\.)*[\w!#$%&'*+\-\/=?\^`{|}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
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</label><label class="at-text MobilePhone" id="NVContributionForm1370017-ContactInformation-MobilePhone">Mobile Phone <small>(Optional)</small>
<div class="intl-tel-input iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-1__country-listbox" aria-owns="iti-1__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-1__item-us-preferred">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
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<div class="at-row at-row-solo SmsSubscribeMobilePhone"><input id="SmsSubscribeMobilePhone_Value" type="hidden" name="SmsSubscribeMobilePhone.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer">
<div class="at-markup SmsLegalDisclaimer at-legal" id="NVContributionForm1370017-ContactInformation-SmsLegalDisclaimer">
<p>By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.</p>
</div>
</div>
<div class="at-row at-row-solo YesSignMeUpForUpdatesForBinder"><input id="YesSignMeUpForUpdatesForBinder_Value" type="hidden" name="YesSignMeUpForUpdatesForBinder.Value" value="true"></div>
<div class="at-row "><label class="at-text PersonalUrl" id="NVContributionForm1370017-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
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<fieldset class="at-fieldset PaymentInformation hideStep" id="NVContributionForm1370017-PaymentInformation" style="display: block;">
<legend class="at-legend">Payment</legend>
<div class="at-row">
<div class="at-payment-method-buttons" id="NVContributionForm1370017-PaymentInformation-PaymentMethod"></div>
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<div class="at-fields">
<div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1370017-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
<div class="cc-type unknown"></div>
<input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
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<div id="vgs-Account-1370017" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
src="https://js.verygoodvault.com/vgs-collect/2.14.0/lib/index.html#name=Account&placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&type=card-number&validations%5B0%5D=validCardNumber&validations%5B1%5D=required&autoComplete=cc-number&formId=randomId60705207462431682&fieldId=randomId602387665995509054&createdAt=1662494008399&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=25d0eb14-f89d-44b1-b40d-d5060b3e6d72&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
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</label><label class="at-text at-cc-expiration" id="NVContributionForm1370017-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
<input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
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<div id="vgs-ExpirationDate-1370017" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
src="https://js.verygoodvault.com/vgs-collect/2.14.0/lib/index.html#name=ExpirationDate&placeholder=MM%20%2F%20YY&type=card-expiration-date&serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&validations%5B0%5D=validCardExpirationDate&validations%5B1%5D=required&autoComplete=cc-exp&formId=randomId60705207462431682&fieldId=randomId6011169266874380135&createdAt=1662494008404&tnt=dG50dzFwem5sYW0%3D&env=bGl2ZQ%3D%3D&logLevel=default&satellitePort=&vgsCollectSessionId=25d0eb14-f89d-44b1-b40d-d5060b3e6d72&css%5BfontSize%5D=.875rem&css%5BfontFamily%5D=monospace&css%5BlineHeight%5D=1&css%5BbackgroundColor%5D=%23fff&css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
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<div class="at-row ">
<div class="at-markup UpdateMyProfile at-mode-person-only" id="NVContributionForm1370017-PaymentInformation-UpdateMyProfile">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
</div>
</fieldset>
<style>
.at .at-steps li {
width: 33.233333333333334%
}
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<div class="at-form-submit clearfix">
<input class="tabindex focusNextStep">
<div class="step-prevNext clearfix">
<div class="prevNext next">
<button class="submitStep btn-at btn-at-primary" style="display: none;">Contribute $25</button>
<a tabindex="0" class="nextStep btn-at btn-at-primary">Next</a>
</div>
<div class="prevNext prev">
<a class="prevStep btn-at btn-at-link" style="display: none;">Back</a>
</div>
</div> <input type="submit" value="Contribute $25" class="at-submit btn-at btn-at-primary" style="visibility: hidden; position: absolute;">
<footer class="at-markup FooterHtml clearfix" style="display: none;">
<p><em>The Civics Center is a non-profit, nonpartisan project of Community Partners, a 501(c)(3) organization. All donations are 100% tax-deductible.</em></p>
</footer>
</div>
</form>
Text Content
Support High School Voter Registration Week and Help Power Our Democracy! YOUR DONATION TODAY WILL HELP HIGH SCHOOL STUDENTS ACROSS THIS COUNTRY PLAN REGISTRATION DRIVES FOR HIGH SCHOOL VOTER REGISTRATION WEEK (HSVRW). THIS YEAR, HSVRW WILL TAKE PLACE SEPTEMBER 19-23. DURING THIS NATIONAL WEEK OF ACTION, STUDENTS HOLD NONPARTISAN VOTER REGISTRATION DRIVES AT HIGH SCHOOLS ACROSS THE COUNTRY. WE ARE RAISING MONEY TO FUND YOUTH LEADERSHIP PROGRAMS AND HIGH SCHOOL VOTER REGISTRATION DRIVES IN PREPARATION FOR HSVRW - AND WE NEED YOUR HELP! BY JOINING THE CIVICS CENTER THROUGH A ONE-TIME DONATION, YOUR GENEROSITY WILL POWER OUR WORK AND LAY THE FOUNDATION FOR YOUTH VOTER PARITY BY 2028. YOUR DONATION WILL GO TOWARDS FUNDING.... $75: HELP SPONSOR A TEXTBANK TO RAISE AWARENESS ABOUT HSVRW! $50: PROVIDE ONE DEMOCRACY IN A BOX TOOLKIT TO SUPPORT A STUDENT-RUN REGISTRATION DRIVE! $25: PROVIDE VOTER REGISTRATION POSTERS FOR A SCHOOL! $10: SEND 10 REGISTRATION STICKERS TO A STUDENT ORGANIZER! $5: REACH HUNDREDS OF YOUNG PEOPLE ON SOCIAL MEDIA TO ENCOURAGE THEM TO REGISTER AND VOTE! If you would like to make a donation by check, please make the check out to "Community Partners for The Civics Center." When mailing check through USPS: Community Partners P.O. Box 741265 Los Angeles, CA 90074-1265 When mailing check through UPS, FedEx, or other shipping service: Bank of America Lockbox Services Lockbox #741265 2706 Media Center Drive Los Angeles, CA 90065-1733 ? Take future action with a single click. Log in or Sign up for FastAction 1. Amount 2. Details 3. Payment Amount $5 $10 $25 $50 $75 Other $ Make this contribution monthly through election day 2022! Frequency (Optional) Monthly I'd like to help cover the transaction fees for my donation Details First Name Last Name Street Address Postal Code City State/Province- State -AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASFMGUMHMPPRPWVIAAAEAP Email Home Phone (Optional) Mobile Phone (Optional) By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages. (Optional) Payment Card Number Expiration Date Remember me so that I can use FastAction next time. Contribute $25 Next Back The Civics Center is a non-profit, nonpartisan project of Community Partners, a 501(c)(3) organization. All donations are 100% tax-deductible. SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Or sign up using Facebook or Twitter Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address Or log in using Facebook or Twitter Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. ×