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Submitted URL: https://t.e2ma.net/click/778lmj/3g51dutc/3wxiebb
Effective URL: https://www.nae.org/give-now/
Submission: On July 18 via api from US — Scanned from DE
Effective URL: https://www.nae.org/give-now/
Submission: On July 18 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST /give-now/
<form method="post" enctype="multipart/form-data" id="gform_21" action="/give-now/" data-formid="21">
<div class="gform-body gform_body">
<div id="gform_fields_21" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_21_19" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_19">
<h3 class="gsection_title">Gift Information</h3>
</div>
<fieldset id="field_21_23"
class="gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full givebtn gfield_price gfield_price_21_23 gfield_product_21_23 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_21_23">
<legend class="gfield_label gform-field-label">Gift Amount<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_21_23">
<div class="gchoice gchoice_21_23_0">
<input class="gfield-choice-input" name="input_23" type="radio" value="$50|50" id="choice_21_23_0" onchange="gformToggleRadioOther( this )">
<label for="choice_21_23_0" id="label_21_23_0" class="gform-field-label gform-field-label--type-inline">$50</label>
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<div class="gchoice gchoice_21_23_1">
<input class="gfield-choice-input" name="input_23" type="radio" value="$100|100" checked="checked" id="choice_21_23_1" onchange="gformToggleRadioOther( this )">
<label for="choice_21_23_1" id="label_21_23_1" class="gform-field-label gform-field-label--type-inline">$100</label>
</div>
<div class="gchoice gchoice_21_23_2">
<input class="gfield-choice-input" name="input_23" type="radio" value="$250|250" id="choice_21_23_2" onchange="gformToggleRadioOther( this )">
<label for="choice_21_23_2" id="label_21_23_2" class="gform-field-label gform-field-label--type-inline">$250</label>
</div>
<div class="gchoice gchoice_21_23_3">
<input class="gfield-choice-input" name="input_23" type="radio" value="Other|0" id="choice_21_23_3" onchange="gformToggleRadioOther( this )">
<label for="choice_21_23_3" id="label_21_23_3" class="gform-field-label gform-field-label--type-inline">Other</label>
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</div>
</div>
</fieldset>
<div id="field_21_8"
class="gfield gfield--type-product gfield--input-type-price gfield--width-half gfield_price gfield_price_21_8 gfield_product_21_8 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_21_8" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_21_8">Gift Amount<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_product_price">
<input name="input_8" id="input_21_8" type="text" value="" class="large ginput_amount" placeholder="$" aria-required="true" aria-invalid="false" disabled="disabled">
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</div>
<div id="field_21_10" class="gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_10"><label
class="gfield_label gform-field-label" for="input_21_10">Gift Frequency<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select">
<div class="dropdown-select-wrapper"><select name="input_10" id="input_21_10" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="One-Time">One-Time</option>
<option value="Annually">Annually</option>
<option value="Monthly">Monthly</option>
</select></div>
</div>
</div>
<fieldset id="field_21_18" class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_18">
<legend class="gfield_label gform-field-label">My Gift in Support of:</legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_21_18">
<div class="gchoice gchoice_21_18_0">
<input class="gfield-choice-input" name="input_18" type="radio" value="Where most needed" checked="checked" id="choice_21_18_0" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_0" id="label_21_18_0" class="gform-field-label gform-field-label--type-inline">Where most needed</label>
</div>
<div class="gchoice gchoice_21_18_1">
<input class="gfield-choice-input" name="input_18" type="radio" value="Equipping Leaders" id="choice_21_18_1" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_1" id="label_21_18_1" class="gform-field-label gform-field-label--type-inline">Equipping Leaders</label>
</div>
<div class="gchoice gchoice_21_18_2">
<input class="gfield-choice-input" name="input_18" type="radio" value="Strengthening Churches and Denominations" id="choice_21_18_2" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_2" id="label_21_18_2" class="gform-field-label gform-field-label--type-inline">Strengthening Churches and Denominations</label>
</div>
<div class="gchoice gchoice_21_18_3">
<input class="gfield-choice-input" name="input_18" type="radio" value="Resourcing and Educating Evangelicals for Thoughtful Action" id="choice_21_18_3" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_3" id="label_21_18_3" class="gform-field-label gform-field-label--type-inline">Resourcing and Educating Evangelicals for Thoughtful Action</label>
</div>
<div class="gchoice gchoice_21_18_4">
<input class="gfield-choice-input" name="input_18" type="radio" value="Transforming Social and Political Engagement" id="choice_21_18_4" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_4" id="label_21_18_4" class="gform-field-label gform-field-label--type-inline">Transforming Social and Political Engagement</label>
</div>
<div class="gchoice gchoice_21_18_5">
<input class="gfield-choice-input" name="input_18" type="radio" value="Uniting for Global Impact" id="choice_21_18_5" onchange="gformToggleRadioOther( this )">
<label for="choice_21_18_5" id="label_21_18_5" class="gform-field-label gform-field-label--type-inline">Uniting for Global Impact</label>
</div>
</div>
</div>
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<div id="field_21_21" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_21">
<h3 class="gsection_title">Personal Information</h3>
</div>
<fieldset id="field_21_1" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_1">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name has_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row" id="input_21_1">
<span id="input_21_1_2_container" class="name_prefix name_prefix_select gform-grid-col gform-grid-col--size-auto">
<div class="dropdown-select-wrapper"><select name="input_1.2" id="input_21_1_2" aria-required="false">
<option value="">Please select</option>
<option value="Dr.">Dr.</option>
<option value="Miss">Miss</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Prof.">Prof.</option>
<option value="Rev.">Rev.</option>
</select></div>
<label for="input_21_1_2" class="gform-field-label gform-field-label--type-sub ">Title (optional)</label>
</span>
<span id="input_21_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_21_1_3" value="" aria-required="true">
<label for="input_21_1_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_21_1_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.6" id="input_21_1_6" value="" aria-required="true">
<label for="input_21_1_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
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<legend class="gfield_label gform-field-label gfield_label_before_complex">Billing Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row" id="input_21_2">
<span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_21_2_1_container">
<input type="text" name="input_2.1" id="input_21_2_1" value="" aria-required="true">
<label for="input_21_2_1" id="input_21_2_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2 gform-grid-col" id="input_21_2_2_container">
<input type="text" name="input_2.2" id="input_21_2_2" value="" aria-required="false">
<label for="input_21_2_2" id="input_21_2_2_label" class="gform-field-label gform-field-label--type-sub ">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_21_2_3_container">
<input type="text" name="input_2.3" id="input_21_2_3" value="" aria-required="true">
<label for="input_21_2_3" id="input_21_2_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
</span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_21_2_4_container">
<input type="text" name="input_2.4" id="input_21_2_4" value="" aria-required="true">
<label for="input_21_2_4" id="input_21_2_4_label" class="gform-field-label gform-field-label--type-sub ">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_21_2_5_container">
<input type="text" name="input_2.5" id="input_21_2_5" value="" aria-required="true">
<label for="input_21_2_5" id="input_21_2_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country gform-grid-col" id="input_21_2_6_container">
<div class="dropdown-select-wrapper"><select name="input_2.6" id="input_21_2_6" aria-required="true">
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini">Eswatini</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select></div>
<label for="input_21_2_6" id="input_21_2_6_label" class="gform-field-label gform-field-label--type-sub ">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_21_3" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_3"><label
class="gfield_label gform-field-label" for="input_21_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_21_3" type="text" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_21_4" class="gfield gfield--type-phone gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_4"><label
class="gfield_label gform-field-label" for="input_21_4">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_21_4" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_21_26" class="gfield gfield--type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_26"><label
class="gfield_label gform-field-label" for="input_21_26">Type</label>
<div class="ginput_container ginput_container_select">
<div class="dropdown-select-wrapper"><select name="input_26" id="input_21_26" class="large gfield_select" aria-invalid="false">
<option value="Home">Home</option>
<option value="Work">Work</option>
<option value="Mobile">Mobile</option>
</select></div>
</div>
</div>
<div id="field_21_24" class="gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_24">
<h3 class="gsection_title">Payment Information</h3>
</div>
<fieldset id="field_21_11" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_21_11">
<legend class="gfield_label gform-field-label">Payment Type<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_21_11">
<div class="gchoice gchoice_21_11_0">
<input class="gfield-choice-input" name="input_11" type="radio" value="Credit Card" checked="checked" id="choice_21_11_0" onchange="gformToggleRadioOther( this )">
<label for="choice_21_11_0" id="label_21_11_0" class="gform-field-label gform-field-label--type-inline">Credit Card</label>
</div>
<div class="gchoice gchoice_21_11_1">
<input class="gfield-choice-input" name="input_11" type="radio" value="Virtual Check/Savings Transaction" id="choice_21_11_1" onchange="gformToggleRadioOther( this )">
<label for="choice_21_11_1" id="label_21_11_1" class="gform-field-label gform-field-label--type-inline">Virtual Check/Savings Transaction</label>
</div>
</div>
</div>
</fieldset>
<fieldset id="field_21_12" class="gfield gfield--type-creditcard gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_12" data-conditional-logic="visible">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Credit Card Information</legend>
<div class="ginput_complex ginput_container ginput_container_creditcard gform-grid-row" id="input_21_12"><span class="ginput_full gform-grid-col" id="input_21_12_1_container">
<div class="gform_card_icon_container">
<div class="gform_card_icon gform_card_icon_amex">American Express</div>
<div class="gform_card_icon gform_card_icon_discover">Discover</div>
<div class="gform_card_icon gform_card_icon_mastercard">MasterCard</div>
<div class="gform_card_icon gform_card_icon_visa">Visa</div><span class="screen-reader-text" id="field_21_12_supported_creditcards">Supported Credit Cards: American Express, Discover, MasterCard, Visa</span>
</div>
<input type="text" name="input_12.1" id="input_21_12_1" value="" onchange="gformMatchCard("input_21_12_1");" onkeyup="gformMatchCard("input_21_12_1");" aria-required="false" data-conditional-logic="visible">
<label for="input_21_12_1" id="input_21_12_1_label" class="gform-field-label gform-field-label--type-sub ">Card Number</label>
</span><span class="ginput_full ginput_cardextras gform-grid-col gform-grid-row" id="input_21_12_2_container">
<fieldset class="ginput_cardinfo_left gform-grid-col" id="input_21_12_2_cardinfo_left">
<legend class="gform-field-label gform-field-label--type-sub ">Expiration Date</legend>
<span class="ginput_card_expiration_container ginput_card_field gform-grid-row">
<span class="ginput_card_expiration_month_container gform-grid-col">
<label for="input_21_12_2_month" class="gform-field-label gform-field-label--type-sub screen-reader-text">Month</label>
<div class="dropdown-select-wrapper"><select name="input_12.2[]" id="input_21_12_2_month" class="ginput_card_expiration ginput_card_expiration_month" aria-required="false" data-conditional-logic="visible">
<option value="">Month</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select></div>
</span>
<span class="ginput_card_expiration_year_container gform-grid-col">
<label for="input_21_12_2_year" class="gform-field-label gform-field-label--type-sub screen-reader-text">Year</label>
<div class="dropdown-select-wrapper"><select name="input_12.2[]" id="input_21_12_2_year" class="ginput_card_expiration ginput_card_expiration_year" aria-required="false" data-conditional-logic="visible">
<option value="">Year</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
</select></div>
</span>
</span>
</fieldset><span class="ginput_cardinfo_right gform-grid-col" id="input_21_12_2_cardinfo_right">
<input type="text" name="input_12.3" id="input_21_12_3" class="ginput_card_security_code" value="" aria-required="false" data-conditional-logic="visible">
<span class="ginput_card_security_code_icon"> </span>
<label for="input_21_12_3" class="gform-field-label gform-field-label--type-sub ">Security Code</label>
</span>
</span><span class="ginput_full gform-grid-col" id="input_21_12_5_container">
<input type="text" name="input_12.5" id="input_21_12_5" value="" aria-required="false" data-conditional-logic="visible">
<label for="input_21_12_5" id="input_21_12_5_label" class="gform-field-label gform-field-label--type-sub ">Cardholder Name</label>
</span> </div>
</fieldset>
<div id="field_21_13" class="gfield gfield--type-etap_eft gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_13"
data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_21_13">EFT Information<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container" id="input_21_13"><span class="ginput_full" id="input_21_13_4_container">
<input type="text" name="input_13.4" id="input_21_13_4_first" value="" style="display:inline-block;width:50%;min-width:150px;" placeholder="First" disabled="disabled"><input type="text" name="input_13.5" id="input_21_13_5_last" value=""
style="display:inline-block;width:50%;min-width:150px;" placeholder="Last" disabled="disabled"><br>
<label for="input_21_13_4" id="input_21_13_4_label">Name on Account</label>
</span><span class="ginput_full" id="input_21_13_2_container">
<input type="text" name="input_13.2" id="input_21_13_2" value="" title="Your bank name" disabled="disabled">
<label for="input_21_13_2" id="input_21_13_2_label">Bank Name</label>
</span><span class="ginput_full" id="input_21_13_1_container">
<input type="text" name="input_13.1" id="input_21_13_1" value="" disabled="disabled">
<label for="input_21_13_1" id="input_21_13_1_label">Routing Number</label></span><span class="ginput_full" id="input_21_13_3_container">
<input type="text" name="input_13.3" id="input_21_13_3" value="" title="The account number" disabled="disabled">
<label for="input_21_13_3" id="input_21_13_3_label">Account Number</label>
</span><span class="ginput_full" id="input_21_13_6_container">
<div class="dropdown-select-wrapper"><select name="input_13_6" id="input_21_13_6" disabled="disabled">
<option value="0">Checking</option>
<option value="1">Savings</option>
</select></div><label id="input_21_13_6_label" for="input_21_13_6">Account Type</label>
</span></div>
</div>
<div id="field_21_28" class="gfield gfield--type-html gfield--width-half givebox gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_21_28">
<h5>To give by check, please mail your gift to:</h5> National Association of Evangelicals <br>P.O. Box 23269 <br>Washington, D.C. 20026 <p> </p>
<h5>To give appreciated stock, please contact:</h5> Cullen Rodgers-Gates, director of development and membership, at 202.893.7821 or <a href="mailto:Cullen@NAE.org">Cullen@NAE.org</a>. <br>
<br>
<p>The NAE’s federal employer identification number (FEIN) is 53-0218653.</p>
</div>
<div class="spacer gfield" style="grid-column: span 6;"></div>
<div id="field_21_33" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_21_33"><label
class="gfield_label gform-field-label" for="input_21_33">Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_33" id="input_21_33" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<fieldset id="field_21_29" class="gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_21_29">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Untitled</legend>
<div class="ginput_container ginput_container_checkbox">
<div class="gfield_checkbox" id="input_21_29">
<div class="gchoice gchoice_21_29_1">
<input class="gfield-choice-input" name="input_29.1" type="checkbox" value="I'd like to cover the fee, so 100% of my contribution goes to the NAE." checked="checked" id="choice_21_29_1">
<label for="choice_21_29_1" id="label_21_29_1" class="gform-field-label gform-field-label--type-inline">I'd like to cover the fee, so 100% of my contribution goes to the NAE.</label>
</div>
</div>
</div>
</fieldset>
<div id="field_21_31"
class="gfield gfield--type-product gfield--input-type-calculation gfield--width-full gf_invisible gfield_price gfield_price_21_31 gfield_product_21_31 gfield_calculation field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible"
data-js-reload="field_21_31" data-conditional-logic="visible"><label class="gfield_label gform-field-label gfield_label_before_complex" for="input_21_31_1">Processing Fee</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_31.1" value="Processing Fee" class="gform_hidden" data-conditional-logic="visible">
<div id="ginput_product_price_21_31" class="ginput_product_price_wrapper">
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price_label">Price:</span>
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price" id="input_21_31">$2.00</span>
</div>
<input type="hidden" name="input_31.2" id="ginput_base_price_21_31" class="gform_hidden" value="$2.00" data-conditional-logic="visible">
<input type="hidden" name="input_31.3" value="1" class="ginput_quantity_21_31 gform_hidden" data-conditional-logic="visible">
</div>
</div>
<div id="field_21_30"
class="gfield gfield--type-product gfield--input-type-calculation gfield--width-full hidden gfield_price gfield_price_21_30 gfield_product_21_30 gfield_calculation field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
data-js-reload="field_21_30" data-conditional-logic="visible"><label class="gfield_label gform-field-label gfield_label_before_complex" for="input_21_30_1">Product Name</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_30.1" value="Product Name" class="gform_hidden" data-conditional-logic="visible">
<div id="ginput_product_price_21_30" class="ginput_product_price_wrapper">
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price_label">Price:</span>
<span class="gform-field-label gform-field-label--type-sub-large ginput_product_price" id="input_21_30">$0.00</span>
</div>
<input type="hidden" name="input_30.2" id="ginput_base_price_21_30" class="gform_hidden" value="$0.00" data-conditional-logic="visible">
<input type="hidden" name="input_30.3" value="1" class="ginput_quantity_21_30 gform_hidden" data-conditional-logic="visible">
</div>
</div>
<div id="field_21_17" class="gfield gfield--type-total gfield--width-full gfield_price gfield_price_21_ gfield_total gfield_total_21_ field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
aria-atomic="true" aria-live="polite" data-js-reload="field_21_17"><label class="gfield_label gform-field-label" for="input_21_17">Total</label>
<div class="ginput_container ginput_container_total">
<input type="text" readonly="" name="input_17" id="input_21_17" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_21">
</div>
</div>
<div id="field_21_32" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_21_32"><label
class="gfield_label gform-field-label" for="input_21_32">CAPTCHA</label>
<div id="input_21_32" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdJ1eIcAAAAAKWcJODN4x1sGtZmBQR38yZOJDKe" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdJ1eIcAAAAAKWcJODN4x1sGtZmBQR38yZOJDKe&co=aHR0cHM6Ly93d3cubmFlLm9yZzo0NDM.&hl=de&v=iZWPJyR27lB0cR4hL_xOX0GC&theme=light&size=normal&cb=k5m5gk3114rl"
width="304" height="78" role="presentation" name="a-b5in2p61uf6f" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_21" class="gform_button button" value="Submit Gift" onclick="if(window["gf_submitting_21"]){return false;} window["gf_submitting_21"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_21"]){return false;} window["gf_submitting_21"]=true; jQuery("#gform_21").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_21" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="21">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_21"
value="WyJ7XCIyM1wiOltcIjZhNzkzNzBiNGJiZDEyMTRiNTg4YTdhYjE0MzhjMDNlXCIsXCIxMjlmOTYwNGY1YmZlZTg5OGMwNWM2YjQ4NTc5OTVjZlwiLFwiNDkyZjk2OTYzYzFkMWUwMTJmYWQxMjJiZjVlMjZlZWVcIixcImZmZjdlMGE4ZDMyY2RlNzQ2OTQ0MTQxMWVmNzU2N2Q2XCJdfSIsIjgxYzA1ODg3ZDk1MTBiZGM4NzJlZjE3NTY0NjkxZGQ2Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_21" id="gform_target_page_number_21" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_21" id="gform_source_page_number_21" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>POST /give-now/
<form method="post" enctype="multipart/form-data" id="gform_1" action="/give-now/" data-formid="1">
<div class="gform-body gform_body">
<ul id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_1_1" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_1"><label
class="gfield_label gform-field-label" for="input_1_1">First Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" placeholder="First Name*" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_1_2" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_2"><label
class="gfield_label gform-field-label" for="input_1_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_1_2" type="text" value="" class="large" placeholder="Last Name*" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_1_3" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_3"><label
class="gfield_label gform-field-label" for="input_1_3">Email Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_1_3" type="text" value="" class="large" placeholder="Email Address*" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_1_4" class="gfield gfield--type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible" data-js-reload="field_1_4" data-conditional-logic="hidden"
style="display: none;"><label class="gfield_label gform-field-label" for="input_1_4">CAPTCHA</label>
<div id="input_1_4" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdJ1eIcAAAAAKWcJODN4x1sGtZmBQR38yZOJDKe" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdJ1eIcAAAAAKWcJODN4x1sGtZmBQR38yZOJDKe&co=aHR0cHM6Ly93d3cubmFlLm9yZzo0NDM.&hl=de&v=iZWPJyR27lB0cR4hL_xOX0GC&theme=light&size=normal&cb=9quhsfxd9m1x"
width="304" height="78" role="presentation" name="a-i61lv0ijgnge" frameborder="0" scrolling="no"
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class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</li>
<li id="field_1_5" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible" data-js-reload="field_1_5"><label
class="gfield_label gform-field-label" for="input_1_5">Name</label>
<div class="ginput_container"><input name="input_5" id="input_1_5" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_1_5">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Sign Up" onclick="if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} window["gf_submitting_1"]=true; jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="1">
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