connect.clickandpledge.com Open in urlscan Pro
2600:9000:2156:3000:15:a715:1180:93a1  Public Scan

Submitted URL: https://ww2.gaycenter.org/e/528002/68a569bf57b-638485368156270432/hv3q7t/1389905244/h/p758cDxIoj-JVxARdXUfooDk3oVOKZpAVZum...
Effective URL: https://connect.clickandpledge.com/w/Form/eab9822d-8bc1-4b9b-b0d6-e68a569bf57b?638485368156270432
Submission Tags: falconsandbox
Submission: On July 02 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST ./eab9822d-8bc1-4b9b-b0d6-e68a569bf57b?638485368156270432

<form method="post" action="./eab9822d-8bc1-4b9b-b0d6-e68a569bf57b?638485368156270432" id="ctl01" class="mainform">
  <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
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TUsIDI1NSwgMjU1KTsgYm9yZGVyLWNvbG9yOiByZ2IoMjQ4LCAyNDQsIDI0NSk7Ij48ZGl2IGNsYXNzPSJmci13cmFwcGVyIiBkaXI9ImF1dG8iPjxkaXYgY2xhc3M9ImZyLWVsZW1lbnQgZnItdmlldyIgZGlyPSJhdXRvIiBjb250ZW50ZWRpdGFibGVfZHVtPSJ0cnVlIiBhcmlhLWRpc2FibGVkPSJmYWxzZSIgc3BlbGxjaGVjaz0idHJ1ZSI+PGRpdiBjbGFzcz0iZm9ybS1zaWRlYmFyLWR1bW15Ij48aDI+PHN0cm9uZz48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLCBzYW5zLXNlcmlmOyBjb2xvcjogcmdiKDM4LCAzNSwgNzcpOyI+Q2VudGVyIE1lbWJlcnNoaXA8L3NwYW4+PC9zdHJvbmc+PC9oMj48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij5UaGUgQ2VudGVyIHN0YW5kcyBhcyBhIG1vbnVtZW50IG9mIHByaWRlIGFuZCBzdHJlbmd0aCBmb3IgTmV3IFlvcmvigJlzIExHQlRRIGNvbW11bml0eSwgbWFkZSBwb3NzaWJsZSBieSB0aGUgcGFzc2lvbmF0ZSBjb21taXRtZW50IG9mIG91ciBDZW50ZXIgTWVtYmVycywgYSBkZWRpY2F0ZWQgZ3JvdXAgdGhhdCB1cGhvbGRzIG91ciBtaXNzaW9uIHRvIGVtcG93ZXIgcGVvcGxlIHRvIGxlYWQgaGVhbHRoeSBhbmQgc3VjY2Vzc2Z1bCBsaXZlcy4gQ2VudGVyIE1lbWJlcnNoaXAgYmVnaW5zIHdpdGggYSBnaWZ0IG9mICQzNS48L3NwYW4+PC9wPjxwPjxzcGFuIHN0eWxlPSJmb250LWZhbWlseTogQXJpYWwsc2Fucy1zZXJpZjsiPlRha2UgcHJpZGUgaW4gam9pbmluZyB0aGUgdGhvdXNhbmRzIG9mIHBlb3BsZSB3aG8gZGVjbGFyZSDigJxJ4oCZbSBhIENlbnRlciBNZW1iZXIh4oCdPC9zcGFuPjwvcD48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij5DZW50ZXIgTWVtYmVycyBhcmUgcGFydG5lcnMgaW4gb3VyIHdvcmsgd2hvc2UgZ2VuZXJvc2l0eSBzdXBwb3J0cyBvdXIgbGlmZS1jaGFuZ2luZyBwcm9ncmFtcyBhbmQgc2VydmljZXMgYW5kIGVuc3VyZXMgVGhlIENlbnRlciByZW1haW5zIGRlZGljYXRlZCB0byBvdXIgY29tbXVuaXR54oCZcyBhZHZvY2FjeSBhbmQgc2FmZXR5IGZvciB5ZWFycyB0byBjb21lLiBGb3IgbW9yZSBpbmZvcm1hdGlvbiwgZW1haWwgPGEgZGF0YS1mci1saW5rZWQ9InRydWUiIGhyZWY9Im1haWx0bzptZW1iZXJzaGlwQGdheWNlbnRlci5vcmciIGFyaWEtbGFiZWw9Im1lbWJlcnNoaXBAZ2F5Y2VudGVyLm9yZyI+bWVtYmVyc2hpcEBnYXljZW50ZXIub3JnPC9hPi48L3NwYW4+PC9wPjxoMz48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij48c3Ryb25nPjxzcGFuIHN0eWxlPSJjb2xvcjogcmdiKDM4LCAzNSwgNzcpOyI+TGV2ZWxzICZhbXA7IEJlbmVmaXRzPC9zcGFuPjwvc3Ryb25nPjwvc3Bhbj48L2gzPjxwPjxzcGFuIHN0eWxlPSJmb250LWZhbWlseTogQXJpYWwsc2Fucy1zZXJpZjsiPjxzdHJvbmc+SW5kaXZpZHVhbCAkMzU8L3N0cm9uZz48YnI+TWVtYmVyc2hpcCBJRCBDYXJkczxicj5TdWJzY3JpcHRpb24gdG8gQ2VudGVyIEhhcHBlbmluZ3MsIG91ciBiaS13ZWVrbHkgZS1uZXdzbGV0dGVyPGJyPkRpc2NvdW50ZWQgdGlja2V0cyB0byBHYXJkZW4gUGFydHk8YnI+SW52aXRhdGlvbnMgdG8gQ2VudGVyIGV2ZW50cyB5ZWFyLXJvdW5kPC9zcGFuPjwvcD48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij48c3Ryb25nPkR1YWwvRmFtaWx5ICQ2MCAoJDUvbW9udGgpPC9zdHJvbmc+PGJyPkluZGl2aWR1YWwgbGV2ZWwgYmVuZWZpdHMgZm9yIDIgcGVvcGxlIG9yIGhvdXNlaG9sZDwvc3Bhbj48L3A+PHA+PHNwYW4gc3R5bGU9ImZvbnQtZmFtaWx5OiBBcmlhbCxzYW5zLXNlcmlmOyI+PHN0cm9uZz5GcmllbmQgJDc1ICgkNi4yNS9tb250aCk8L3N0cm9uZz48YnI+SW5kaXZpZHVhbCBsZXZlbCBiZW5lZml0cyBmb3IgMiBwZW9wbGUgb3IgaG91c2Vob2xkPC9zcGFuPjwvcD48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij48c3Ryb25nPlN1cHBvcnRlciAkMTUwICgkMTIuNTAvbW9udGgpPC9zdHJvbmc+PGJyPkluZGl2aWR1YWwgbGV2ZWwgYmVuZWZpdHMgZm9yIDIgcGVvcGxlIG9yIGhvdXNlaG9sZDwvc3Bhbj48L3A+PHA+PHNwYW4gc3R5bGU9ImZvbnQtZmFtaWx5OiBBcmlhbCxzYW5zLXNlcmlmOyI+PHN0cm9uZz5BZHZvY2F0ZSAkMzAwICgkMjUvbW9udGgpPC9zdHJvbmc+PGJyPlN1cHBvcnRlciBsZXZlbCBiZW5lZml0cywgcGx1cyBWSVAgc3BlY2lhbCBldmVudCBpbnZpdGF0aW9uczwvc3Bhbj48L3A+PHA+PHNwYW4gc3R5bGU9ImZvbnQtZmFtaWx5OiBBcmlhbCxzYW5zLXNlcmlmOyI+PHN0cm9uZz5CZW5lZmFjdG9yICQ2MDAgKCQ1MC9tb250aCk8L3N0cm9uZz48YnI+QWR2b2NhdGUgbGV2ZWwgYmVuZWZpdHMsIHBsdXMgMSBjb21wbGltZW50YXJ5IFZJUCB0aWNrZXQgdG8gR2FyZGVuIFBhcnR5PC9zcGFuPjwvcD48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij48c3Ryb25nPkNoYW1waW9uICQxLDAwMCAoJDEwMC9tb250aCk8L3N0cm9uZz48YnI+QWR2b2NhdGUgbGV2ZWwgYmVuZWZpdHMsIHBsdXMgMiBjb21wbGltZW50YXJ5IFZJUCB0aWNrZXRzIHRvIEdhcmRlbiBQYXJ0eTwvc3Bhbj48L3A+PGhyPjxwPjxzcGFuIHN0eWxlPSJmb250LWZhbWlseTogQXJpYWwsc2Fucy1zZXJpZjsiPjxzdHJvbmc+PHNwYW4gc3R5bGU9ImNvbG9yOiByZ2IoMzgsIDM1LCA3Nyk7IGZvbnQtc2l6ZTogMzJweDsiPldheXMgVG8gU3VwcG9ydDwvc3Bhbj48L3N0cm9uZz48L3NwYW4+PC9wPjxwPjxhIGhyZWY9Imh0dHBzOi8vY29ubmVjdC5jbGlja2FuZHBsZWRnZS5jb20vdy9Gb3JtLzRlODg5NmJhLTRmNWUtNGViMi05OTcyLWI3ZjQ4MWE5NTQxOT82MzgxNzk0MjQ1Mzc4NDQyODQiIGFyaWEtbGFiZWw9IkNlbnRlciBNZW1iZXJzaGlwIj48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij5DZW50ZXIgTWVtYmVyc2hpcDwvc3Bhbj48L2E+PC9wPjxwPjxzcGFuIHN0eWxlPSJmb250LWZhbWlseTogQXJpYWwsc2Fucy1zZXJpZjsiPjxhIGhyZWY9Imh0dHBzOi8vY29ubmVjdC5jbGlja2FuZHBsZWRnZS5jb20vdy9Gb3JtL2E2MzIwYjM4LWZkYjgtNGVkMy1hMDE0LWEzZDJlODFhOTg4Yj82MzgxNzk0MjY3MjcxMDQxMTciIGFyaWEtbGFiZWw9IkRvbmF0ZSI+RG9uYXRlPC9hPjwvc3Bhbj48L3A+PHA+PHNwYW4gc3R5bGU9ImZvbnQtZmFtaWx5OiBBcmlhbCxzYW5zLXNlcmlmOyI+PGEgaHJlZj0iaHR0cHM6Ly9jb25uZWN0LmNsaWNrYW5kcGxlZGdlLmNvbS93L0Zvcm0vMzMyN2MwYTEtZTI1Yy00MzM0LTlkMDItNzEwZmRiOTFmY2IzPzYzODE3OTQyOTQ5OTkwNTA1MyIgYXJpYS1sYWJlbD0iTGVhZGVyc2hpcCBTb2NpZXR5Ij5MZWFkZXJzaGlwIFNvY2lldHk8L2E+PC9zcGFuPjwvcD48cD48c3BhbiBzdHlsZT0iZm9udC1mYW1pbHk6IEFyaWFsLHNhbnMtc2VyaWY7Ij48YSBocmVmPSJodHRwczovL2Nvbm5lY3QuY2xpY2thbmRwbGVkZ2UuY29tL3cvRm9ybS84NDEyYWUyZi05ZjhiLTQ1ZmMtOGQ4Yi00NzY4YzRiOGVlM2E/NjM4MTc5NDMxOTgxNzQzMTY0IiBhcmlhLWxhYmVsPSJZb3VuZyBMZWFkZXJzIj5Zb3VuZyBMZWFkZXJzPC9hPjwvc3Bhbj48L3A+PHA+PHNwYW4gc3R5bGU9ImZvbnQtZmFtaWx5OiBBcmlhbCxzYW5zLXNlcmlmOyI+PGEgaHJlZj0iaHR0cHM6Ly9nYXljZW50Z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    <input type="hidden" id="accountAlias" value="gaycenter">
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    <input type="hidden" id="MinLift" value="0">
    <input type="hidden" id="MaxLift" name="MaxLift" value="0">
    <input type="hidden" id="sfCampaign" name="sfCampaign" value="">
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    <input type="hidden" name="hdnAmountBtnBorderRadius" id="hdnAmountBtnBorderRadius" value="25">
    <input type="hidden" name="hdnAmountBtnMousehoverBorderRadius" id="hdnAmountBtnMousehoverBorderRadius" value="25">
    <input type="hidden" name="hdnSubmitBtnBorderRadius" id="hdnSubmitBtnBorderRadius" value="35">
    <input type="hidden" name="hdnSubmitBtnMousehoverBorderRadius" id="hdnSubmitBtnMousehoverBorderRadius" value="35">
    <!-- PRELOADER -->
    <div id="loading" style="display: none;">
      <div id="loading_center">
        <div id="loading_center_absolute">
          <div id="object"></div>
        </div>
      </div>
    </div>
    <!-- /PRELOADER -->
    <a href="#" id="scrolltop" style="height: 0px;"></a>
    <div data-validate="parsley" id="donationform" style="display: block;">
      <div id="divPageContent">
        <div id="divConstantContactStatus" style="display: none;">
        </div>
        <!-- End of ty-overlay -->
        <!-- / THANK YOU MESSAGE ============================================ -->
        <div class="ty_redirect" id="divredirect_url" style="display:none;">
          <div class="ty_redirect_sub">
            <h3>Advanced Redirect</h3>
            <p>The patron will be redirect to the following pages based on the authorized result.</p>
            <p><b>Important Note:</b></p>
            <ul>
              <li>The redirect pages have to be secure otherwise no redirect will occur.</li>
              <li>If your server is offline for any reason the redirect will fail, resulting in error. If the patron experiences a page not found based on your server’s availability it may result to double charges</li>
            </ul>
            <p>
            </p>
            <p>Use complete URL including <b>https://</b> </p>
            <div class="form-group">
              <label class="control-label text-bold">
                <b>Success landing page <span style="color: red;">*</span> :</b>
              </label>
              <input name="txtThankyouSuccessRedirectURL" value="https://" id="txtThankyouSuccessRedirectURL" type="text" class="form-control" placeholder="https://" onkeypress="return event.keyCode != 13;">
            </div>
            <div class="form-group">
              <label class="control-label text-bold">
                <b>Declined landing page <span style="color: red;">*</span> :</b>
              </label>
              <input name="txtThankyouDeclineRedirecturl" value="https://" id="txtThankyouDeclineRedirecturl" type="text" class="form-control" placeholder="https://" onkeypress="return event.keyCode != 13;">
            </div>
            <hr>
            <p>The following URL parameters are included in the response and may be used on the landing page via custom programming: </p>
            <p><b>Example Success URL:</b> <br> https://yourpageurl.com/success-page<u>?on=123456&amp;result=success&amp;response=authorized&amp;t=totalamount&amp;refid=referenceid&amp;trk=tracker</u></p>
            <ul>
              <li>on = OrderNumber</li>
              <li>result = success</li>
              <li>response = authorized</li>
              <li>t = totalamount</li>
              <li>refid = referenceid</li>
              <li>trk = tracker</li>
            </ul>
            <p><b>Example Decline URL:</b> <br> https://yourpageurl.com/decline-page<u>?on=123456&amp;result=failure&amp;response=dcl&amp;t=totalamount</u></p>
            <ul>
              <li>on = OrderNumber</li>
              <li>result = failure</li>
              <li>response = dcl</li>
              <li>t = totalamount</li>
            </ul>
            <div class="clearfix"></div>
          </div>
        </div>
        <!-- End of Redirect -->
        <!-- / Advanced Redirect popUp  ============================================ -->
        <div id="Main_header">
          <div id="header" class="header accessibilityfocuswithin" style="background-color: rgb(255, 255, 255);" tabindex="10000" role="tab" aria-labelledby="header">
            <div id="headereditor" class="fr-box fr-inline">
              <div class="fr-wrapper" dir="auto">
                <div class="fr-element fr-view" dir="auto" contenteditable="false" aria-disabled="false" spellcheck="false">
                  <p>
                    <a href="https://gaycenter.org" rel="noopener noreferrer" target="_blank" title="" aria-label="" class="accessibilityfocuswithin"><img src="https://aws.cause.clickandpledge.com/accounts/31538/connect/images/638059375228813778_center_logo_full.png" style="width: 200px;" class="fr-fic fr-dib fr-draggable" alt="Image2"></a>
                  </p>
                </div>
              </div>
            </div>
          </div>
        </div>
        <!-- WIDGET 01 ******************************************************************************* -->
        <div id="divfbMain" class="container row widget-container" style="max-width: 1124px;">
          <div id="main_bodyeditor" class="accessibilityfocuswithin">
            <div class="texteditor-append fr-box fr-inline" id="top_body" style="display: block;" role="application" tabindex="20000" aria-describedby="top_body">
              <div class="fr-wrapper" dir="auto">
                <div class="fr-element fr-view" dir="auto" contenteditable="false" aria-disabled="false" spellcheck="false">
                  <h1 style="text-align: left;"><strong><span style="color: rgb(38, 35, 77); font-family: Arial, sans-serif;">Happy Pride!</span></strong></h1>
                  <p>Please donate to The Center this Pride to fuel our work of celebrating and supporting New York's LGBTQ+ community. All gifts of $35 and above entitle you to a Center Membership. To donate through your Donor Advised Fund, please
                    <a href="https://gaycenter.org/donate/donor-advised-fund/" shape="rect" target="_blank" rel="noopener noreferrer" title="click here" aria-label="click here" tabindex="20001" class="accessibilityfocuswithin">click here</a>. Thank
                    you!</p>
                  <div contenteditable="false"
                    style="position: fixed; top: 0; left: -9999px; height: 100%; width: 0; word-break: break-all; overflow:hidden; z-index: 2147483647; line-height: 140%; -moz-user-select: text; -webkit-user-select: text; -ms-user-select: text; user-select: text;"
                    tabindex="-1">
                    <div>JOIN &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; RENEW</div>
                    <div><br></div>
                    <div><br></div>
                    <div>Center Members are partners in our work whose generosity supports our life-changing programs and services. All Center Members receive membership ID cards and a subscription to Center Happenings, our biweekly e-newsletter.
                      Members at the Benefactor and Champion levels receive VIP special event invitations. For more information, email membership@gaycenter.org.</div>
                    <div><br></div>
                  </div>
                  <div contenteditable="false"
                    style="position: fixed; top: 0; left: -9999px; height: 100%; width: 0; word-break: break-all; overflow:hidden; z-index: 2147483647; line-height: 140%; -moz-user-select: text; -webkit-user-select: text; -ms-user-select: text; user-select: text;"
                    tabindex="-1">Please donate to The Center this Pride to fuel our work of celebrating and supporting New York's LGBTQ+ community. All gifts of $35 and above entitle you to a Center Membership. Thank you!</div>
                </div>
              </div>
            </div>
          </div>
          <div id="form_wrapper" class="col-xs-12">
            <div id="formbackgroundColor" class="dw-inner-container" style="background-color: rgb(255, 255, 255);">
              <div class="dw-content">
                <div id="formtitle1" class="formtitle accessibilityfocuswithin" style="display: none;">
                  <fieldset tabindex="" class="" id="formtitletop">
                    <div class="field">
                      <div id="form_title_background" class="dw-title title-background" style="border-color: rgb(38, 35, 77); background-color: rgb(38, 35, 77);">
                        <div class="form_title-wrapper">
                          <h2 id="Yourdonationtitle" contenteditable="false" class="form_title title-color custom-font content-editable form_title_fs" style="color: rgb(255, 255, 255); font-size: 20px; font-family: Arial;">Your donation:</h2>
                        </div>
                        <div id="form_title_amount" class="donation-amount title-background title-color custom-font title_amount_fs title_amount_btm_instal" style="font-family: Arial; color: rgb(255, 255, 255); font-size: 20px;">$104.10</div>
                      </div>
                    </div>
                  </fieldset>
                </div>
                <div class="dwf-sortable dw-form ui-sortable">
                  <div id="divtop"></div>
                  <div id="divbeforeRecurringSection"></div>
                  <div id="divbeforeBillingSection"></div>
                  <div id="divbeforeCustomQuestionSection"></div>
                  <div id="divbeforeDedicationSection"></div>
                  <!-- MODULE ***** -->
                  <!-- MODULE ***** -->
                  <div>
                    <div class="dwf-content dw-amount-section FB_Sections clearfix accessibilityfocuswithin" id="divAmountSection">
                      <fieldset class="fb_tbindex_sections" title="Donation Amount" tabindex="30000">
                        <div class="dw-content-title">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="DonationAmountstitle">Donation Amount</legend>
                        </div>
                        <div class="clearfix"></div>
                        <div role="radiogroup" class="amount-buttons row margin-top-10" id="amount_buttons_OTO" style="display: block;">
                          <div class="clsamountError padding-left-15" id="AmountErrorOTO"></div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdoamount_btns_fsDefaultOTO">
                              <input type="radio" tabindex="30001" data-required-message="Donation Amount is required" data-error-container="#AmountErrorOTO" required="" id="rdoamount_btns_fsDefaultOTO"
                                class="required rdoamount_btn rdoamount_btns_OTO" value="1000" name="amount_btn_OTO">
                              <div id="amount_btns_fsDefaultOTO" cnpid="1" class="amount_text amount_btn amount_btn_OTO amount_btns_fs FB_Buttons  notselected0" value="1000" title="$1000" aria-label="Dollar1000" style="border-radius: 25px;">$1000
                              </div>
                            </label>
                          </div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdoAmtbuttonOTO3">
                              <input type="radio" tabindex="30002" id="rdoAmtbuttonOTO3" class="rdoamount_btn rdoamount_btns_OTO" value="500" name="amount_btn_OTO">
                              <div id="AmtbuttonOTO3" cnpid="3" class="amount_text amount_btn amount_btn_OTO amount_btns_fs FB_Buttons  notselected1" value="500" title="$500" aria-label="Dollar500" style="border-radius: 25px;">$500</div>
                            </label>
                          </div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdoAmtbuttonOTO4">
                              <input type="radio" tabindex="30003" id="rdoAmtbuttonOTO4" class="rdoamount_btn rdoamount_btns_OTO" value="250" name="amount_btn_OTO">
                              <div id="AmtbuttonOTO4" cnpid="4" class="amount_text amount_btn amount_btn_OTO amount_btns_fs FB_Buttons  notselected2" value="250" title="$250" aria-label="Dollar250" style="border-radius: 25px;">$250</div>
                            </label>
                          </div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdoAmtbuttonOTO5">
                              <input type="radio" tabindex="30004" id="rdoAmtbuttonOTO5" class="rdoamount_btn rdoamount_btns_OTO" value="100" name="amount_btn_OTO" checked="checked">
                              <div id="AmtbuttonOTO5" cnpid="5" class="amount_text amount_btn amount_btn_OTO amount_btns_fs FB_Buttons  amount-btn-selected notselected3" value="100" title="$100" aria-label="Dollar100" style="border-radius: 25px;">
                                $100</div>
                            </label>
                          </div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdoAmtbuttonOTO6">
                              <input type="radio" tabindex="30005" id="rdoAmtbuttonOTO6" class="rdoamount_btn rdoamount_btns_OTO" value="40" name="amount_btn_OTO">
                              <div id="AmtbuttonOTO6" cnpid="6" class="amount_text amount_btn amount_btn_OTO amount_btns_fs FB_Buttons  notselected4" value="40" title="$40" aria-label="Dollar40" style="border-radius: 25px;">$40</div>
                            </label>
                          </div>
                          <div class="field col-xl-6 col-lg-6 col-md-6 col-sm-6 col-xs-6">
                            <label class="cnp-btn-full-wid" for="rdootherradioOTO">
                              <input type="radio" tabindex="30006" required="" id="rdootherradioOTO" class="required rdoamount_btn amount_btn_other rdoamount_btns_OTO" value="0" name="amount_btn_OTO">
                              <div id="otherradioOTO" cnpid="0" class="amount_text amount_btn_other amount_btn amount_btn_OTO amount_btn_other amount_btns_fs FB_Buttons " value="0" title="Other" style="border-radius: 25px;">Other</div>
                            </label>
                          </div>
                          <div class="field">
                            <div class="amount-custom amount_custom_OTO col-xs-12" style="display:none;">
                              <div class="form-group">
                                <div class="input-group">
                                  <span class="input-group-addon helper-color helper-bg FB_Helpers" for="otherOTO">$</span>
                                  <input type="text" min="-1" max="-1" data-maxmin="min" "="" required="" data-min-message=" Please select an amount greater than $ 0" class="required form-control other_amount_input2 multiple_amount_OTO" title="Other"
                                    name="othertextipsum" onclick="this.focus();this.select();" cnpid="0" id="otherOTO" placeholder="$0 " onkeypress="return AmountValidation(this, event);" value="0" tabindex="" maxlength="10">
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div class="field">
                          <div class="margin-top-20" style="display:none;">
                            <input id="repeat_auto_monthlyOTO" type="checkbox" name="repeat_auto_monthlyOTO" title="repeatAutoMonthly" tabindex="" value="repeatAutoMonthly">
                            <label class="form-label labels_fs" for="repeat_auto_monthlyOTO"> Automatically repeat this gift every month</label>
                          </div>
                        </div>
                      </fieldset>
                    </div>
                  </div>
                  <div class="" style="">
                    <div class="dwf-content dw-recurring-section FB_Sections accessibilityfocuswithin" id="divRecurringSection" style="display:none;"></div>
                  </div>
                  <!-- Convenience Fee MODULE ***** -->
                  <!-- MODULE ***** -->
                  <div>
                    <div id="divBillingSection" class="dwf-content dw-billing-section FB_Sections accessibilityfocuswithin">
                      <fieldset class="row fb_tbindex_sections" title="Billing and Contact Information" tabindex="40000">
                        <div class="dw-content-title col-md-12 margin-bottom-10 ">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="BillingContactInfotitle">Billing and Contact Information</legend>
                        </div>
                        <div class="field col-lg-4 col-md-6 col-sm-12 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" id="lblfirst_name" for="txtfirstName">First Name:<span class="compulsory-field"> *</span> </label>
                            <input id="txtfirstName" name="txtfirstName" data-required="true" type="text" data-title="First Name" title="First Name" class="required form-control" data-trigger="change" data-rangelength="[2,40]" maxlength="40"
                              tabindex="40001" style="">
                          </div>
                        </div>
                        <div class="field col-lg-3 col-md-6 col-sm-12 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" id="lblMi_name" for="txtmi">Middle Initial:</label>
                            <input id="txtmi" name="txtmi" type="text" data-title="Middle Initial" title="Middle Initial" class="form-control" maxlength="1" onkeypress="return lettersOnly(event);" tabindex="40002">
                          </div>
                        </div>
                        <div class="field col-lg-5 col-md-12 col-sm-12 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" id="lbllast_name" for="txtlastName">Last Name:<span class="compulsory-field"> *</span> </label>
                            <input id="txtlastName" name="txtlastName" data-title="Last Name" title="Last Name" data-required="true" type="text" class="required form-control" data-trigger="change" data-rangelength="[2,50]" maxlength="50"
                              tabindex="40003">
                          </div>
                        </div>
                        <div class="field col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="txtemail">Email:<span class="compulsory-field"> *</span> </label>
                            <input data-required="true" id="txtemail" data-title="Email" title="Email" name="txtemail" onchange="trimemail()" onkeypress="return AvoidSpace(event)" data-type="email" type="text" class="required form-control"
                              data-rangelength="[2,50]" maxlength="50" tabindex="40004">
                          </div>
                        </div>
                        <div class="field col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="selectcountry">Country:<span class="compulsory-field"> *</span> </label>
                            <select id="selectcountry" name="selectcountry" data-title="Country" title="Country" runat="server" data-required="true" data-placeholder="Please select..." tabindex="40005" class="required  form-control"
                              selected="selected">
                              <option value="004">Afghanistan</option>
                              <option value="248">Aland Islands</option>
                              <option value="008">Albania</option>
                              <option value="012">Algeria</option>
                              <option value="016">American Samoa</option>
                              <option value="020">Andorra</option>
                              <option value="024">Angola</option>
                              <option value="660">Anguilla</option>
                              <option value="010">Antarctica</option>
                              <option value="028">Antigua and Barbuda</option>
                              <option value="032">Argentina</option>
                              <option value="051">Armenia</option>
                              <option value="533">Aruba</option>
                              <option value="036">Australia</option>
                              <option value="040">Austria</option>
                              <option value="031">Azerbaijan</option>
                              <option value="044">Bahamas</option>
                              <option value="048">Bahrain</option>
                              <option value="050">Bangladesh</option>
                              <option value="052">Barbados</option>
                              <option value="112">Belarus</option>
                              <option value="056">Belgium</option>
                              <option value="084">Belize</option>
                              <option value="204">Benin</option>
                              <option value="060">Bermuda</option>
                              <option value="064">Bhutan</option>
                              <option value="068">Bolivia, Plurinational State of</option>
                              <option value="535">Bonaire, Sint Eustatius and Saba</option>
                              <option value="070">Bosnia and Herzegovina</option>
                              <option value="072">Botswana</option>
                              <option value="074">Bouvet Island</option>
                              <option value="076">Brazil</option>
                              <option value="086">British Indian Ocean Territory</option>
                              <option value="096">Brunei Darussalam</option>
                              <option value="100">Bulgaria</option>
                              <option value="854">Burkina Faso</option>
                              <option value="108">Burundi</option>
                              <option value="116">Cambodia</option>
                              <option value="120">Cameroon</option>
                              <option value="124">Canada</option>
                              <option value="132">Cabo Verde</option>
                              <option value="136">Cayman Islands</option>
                              <option value="140">Central African Republic</option>
                              <option value="148">Chad</option>
                              <option value="152">Chile</option>
                              <option value="156">China</option>
                              <option value="162">Christmas Island</option>
                              <option value="166">Cocos, Keeling Islands</option>
                              <option value="170">Colombia</option>
                              <option value="174">Comoros</option>
                              <option value="180">Congo, the Democratic Republic of the</option>
                              <option value="178">Congo</option>
                              <option value="184">Cook Islands</option>
                              <option value="188">Costa Rica</option>
                              <option value="384">Cote d'Ivoire</option>
                              <option value="191">Croatia</option>
                              <option value="192">Cuba</option>
                              <option value="531">Curacao</option>
                              <option value="196">Cyprus</option>
                              <option value="203">Czechia</option>
                              <option value="208">Denmark</option>
                              <option value="262">Djibouti</option>
                              <option value="212">Dominica</option>
                              <option value="214">Dominican Republic</option>
                              <option value="218">Ecuador</option>
                              <option value="818">Egypt</option>
                              <option value="222">El Salvador</option>
                              <option value="226">Equatorial Guinea</option>
                              <option value="232">Eritrea</option>
                              <option value="233">Estonia</option>
                              <option value="748">Eswatini</option>
                              <option value="231">Ethiopia</option>
                              <option value="238">Falkland Islands [Malvinas]</option>
                              <option value="234">Faroe Islands</option>
                              <option value="242">Fiji</option>
                              <option value="246">Finland</option>
                              <option value="250">France</option>
                              <option value="254">French Guiana</option>
                              <option value="258">French Polynesia</option>
                              <option value="260">French Southern Territories</option>
                              <option value="266">Gabon</option>
                              <option value="270">Gambia</option>
                              <option value="268">Georgia</option>
                              <option value="276">Germany</option>
                              <option value="288">Ghana</option>
                              <option value="292">Gibraltar</option>
                              <option value="300">Greece</option>
                              <option value="304">Greenland</option>
                              <option value="308">Grenada</option>
                              <option value="312">Guadeloupe</option>
                              <option value="316">Guam</option>
                              <option value="320">Guatemala</option>
                              <option value="831">Guernsey</option>
                              <option value="324">Guinea</option>
                              <option value="624">Guinea-Bissau</option>
                              <option value="328">Guyana</option>
                              <option value="332">Haiti</option>
                              <option value="334">Heard Island and McDonald Islands</option>
                              <option value="336">Holy See</option>
                              <option value="340">Honduras</option>
                              <option value="344">Hong Kong</option>
                              <option value="348">Hungary</option>
                              <option value="352">Iceland</option>
                              <option value="356">India</option>
                              <option value="360">Indonesia</option>
                              <option value="364">Iran, Islamic Republic of</option>
                              <option value="368">Iraq</option>
                              <option value="372">Ireland</option>
                              <option value="833">Isle of Man</option>
                              <option value="376">Israel</option>
                              <option value="380">Italy</option>
                              <option value="388">Jamaica</option>
                              <option value="392">Japan</option>
                              <option value="832">Jersey</option>
                              <option value="400">Jordan</option>
                              <option value="398">Kazakhstan</option>
                              <option value="404">Kenya</option>
                              <option value="296">Kiribati</option>
                              <option value="408">Korea, Democratic People's Republic of</option>
                              <option value="410">Korea, Republic of</option>
                              <option value="414">Kuwait</option>
                              <option value="417">Kyrgyzstan</option>
                              <option value="418">Lao People's Democratic Republic</option>
                              <option value="428">Latvia</option>
                              <option value="422">Lebanon</option>
                              <option value="426">Lesotho</option>
                              <option value="430">Liberia</option>
                              <option value="434">Libya</option>
                              <option value="438">Liechtenstein</option>
                              <option value="440">Lithuania</option>
                              <option value="442">Luxembourg</option>
                              <option value="446">Macao</option>
                              <option value="807">North Macedonia</option>
                              <option value="450">Madagascar</option>
                              <option value="454">Malawi</option>
                              <option value="458">Malaysia</option>
                              <option value="462">Maldives</option>
                              <option value="466">Mali</option>
                              <option value="470">Malta</option>
                              <option value="584">Marshall Islands</option>
                              <option value="474">Martinique</option>
                              <option value="478">Mauritania</option>
                              <option value="480">Mauritius</option>
                              <option value="175">Mayotte</option>
                              <option value="484">Mexico</option>
                              <option value="583">Micronesia, Federated States of</option>
                              <option value="498">Moldova, the Republic of</option>
                              <option value="492">Monaco</option>
                              <option value="496">Mongolia</option>
                              <option value="499">Montenegro</option>
                              <option value="500">Montserrat</option>
                              <option value="504">Morocco</option>
                              <option value="508">Mozambique</option>
                              <option value="104">Myanmar</option>
                              <option value="516">Namibia</option>
                              <option value="520">Nauru</option>
                              <option value="524">Nepal</option>
                              <option value="528">Netherlands</option>
                              <option value="540">New Caledonia</option>
                              <option value="554">New Zealand</option>
                              <option value="558">Nicaragua</option>
                              <option value="562">Niger</option>
                              <option value="566">Nigeria</option>
                              <option value="570">Niue</option>
                              <option value="574">Norfolk Island</option>
                              <option value="580">Northern Mariana Islands</option>
                              <option value="578">Norway</option>
                              <option value="512">Oman</option>
                              <option value="586">Pakistan</option>
                              <option value="585">Palau</option>
                              <option value="275">Palestine, State of</option>
                              <option value="591">Panama</option>
                              <option value="598">Papua New Guinea</option>
                              <option value="600">Paraguay</option>
                              <option value="604">Peru</option>
                              <option value="608">Philippines</option>
                              <option value="612">Pitcairn</option>
                              <option value="616">Poland</option>
                              <option value="620">Portugal</option>
                              <option value="630">Puerto Rico</option>
                              <option value="634">Qatar</option>
                              <option value="638">Reunion</option>
                              <option value="642">Romania</option>
                              <option value="643">Russian Federation</option>
                              <option value="646">Rwanda</option>
                              <option value="652">Saint Barthelemy</option>
                              <option value="654">Saint Helena, Ascension and Tristan da Cunha</option>
                              <option value="659">Saint Kitts and Nevis</option>
                              <option value="662">Saint Lucia</option>
                              <option value="663">Saint Martin, French part</option>
                              <option value="666">Saint Pierre and Miquelon</option>
                              <option value="670">Saint Vincent and the Grenadines</option>
                              <option value="882">Samoa</option>
                              <option value="674">San Marino</option>
                              <option value="678">Sao Tome and Principe</option>
                              <option value="682">Saudi Arabia</option>
                              <option value="686">Senegal</option>
                              <option value="688">Serbia</option>
                              <option value="690">Seychelles</option>
                              <option value="694">Sierra Leone</option>
                              <option value="702">Singapore</option>
                              <option value="534">Sint Maarten, Dutch part</option>
                              <option value="703">Slovakia</option>
                              <option value="705">Slovenia</option>
                              <option value="090">Solomon Islands</option>
                              <option value="706">Somalia</option>
                              <option value="710">South Africa</option>
                              <option value="239">South Georgia and the South Sandwich Islands</option>
                              <option value="728">South Sudan</option>
                              <option value="724">Spain</option>
                              <option value="144">Sri Lanka</option>
                              <option value="729">Sudan</option>
                              <option value="740">Suriname</option>
                              <option value="744">Svalbard and Jan Mayen</option>
                              <option value="752">Sweden</option>
                              <option value="756">Switzerland</option>
                              <option value="760">Syrian Arab Republic</option>
                              <option value="158">Taiwan</option>
                              <option value="762">Tajikistan</option>
                              <option value="834">Tanzania, the United Republic of</option>
                              <option value="764">Thailand</option>
                              <option value="626">Timor-Leste</option>
                              <option value="768">Togo</option>
                              <option value="772">Tokelau</option>
                              <option value="776">Tonga</option>
                              <option value="780">Trinidad and Tobago</option>
                              <option value="788">Tunisia</option>
                              <option value="792">Turkey</option>
                              <option value="795">Turkmenistan</option>
                              <option value="796">Turks and Caicos Islands</option>
                              <option value="798">Tuvalu</option>
                              <option value="800">Uganda</option>
                              <option value="804">Ukraine</option>
                              <option value="784">United Arab Emirates</option>
                              <option value="826">United Kingdom of Great Britain and Northern Ireland</option>
                              <option value="581">United States Minor Outlying Islands</option>
                              <option value="840">United States</option>
                              <option value="858">Uruguay</option>
                              <option value="860">Uzbekistan</option>
                              <option value="548">Vanuatu</option>
                              <option value="862">Venezuela, Bolivarian Republic of</option>
                              <option value="704">Viet Nam</option>
                              <option value="850">Virgin Islands, U.S.</option>
                              <option value="092">Virgin Islands, British</option>
                              <option value="876">Wallis and Futuna</option>
                              <option value="732">Western Sahara</option>
                              <option value="887">Yemen</option>
                              <option value="894">Zambia</option>
                              <option value="716">Zimbabwe</option>
                            </select>
                          </div>
                        </div>
                        <div class="field col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="txtaddress">Address:<span class="compulsory-field"> *</span> </label>
                            <input id="txtaddress" name="txtaddress" data-title="Address" title="Address" data-required="true" type="text" class="required form-control" data-rangelength="[2,100]" maxlength="100" tabindex="40006">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="txtcity">City:<span class="compulsory-field"> *</span> </label>
                            <input id="txtcity" name="txtcity" data-title="City" title="City" data-required="true" type="text" class="required form-control" data-rangelength="[2,50]" maxlength="50" tabindex="40007">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12" id="divState" style="display: block;">
                          <div class="form-group">
                            <label class="labels_fs" for="selectstate">State:<span class="compulsory-field"> *</span> </label>
                            <select id="selectstate" name="selectstate" data-title="State" title="State" data-required="true" data-placeholder="Please select..." class="required form-control" tabindex="40008">
                              <option value="">Select State</option>
                              <option value="Baden-Wurttemberg">Baden-Wurttemberg</option>
                              <option value="Bavaria">Bavaria</option>
                              <option value="Berlin">Berlin</option>
                              <option value="Brandenburg">Brandenburg</option>
                              <option value="Bremen">Bremen</option>
                              <option value="Hamburg">Hamburg</option>
                              <option value="Hesse">Hesse</option>
                              <option value="Lower Saxony">Lower Saxony</option>
                              <option value="Mecklenburg-Western Pomerania">Mecklenburg-Western Pomerania</option>
                              <option value="North Rhine-Westphalia">North Rhine-Westphalia</option>
                              <option value="Rhineland-Palatinate">Rhineland-Palatinate</option>
                              <option value="Saarland">Saarland</option>
                              <option value="Saxony">Saxony</option>
                              <option value="Saxony-Anhalt">Saxony-Anhalt</option>
                              <option value="Schleswig-Holstein">Schleswig-Holstein</option>
                              <option value="Thuringia">Thuringia</option>
                            </select>
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12" id="divProvince" style="display: none;">
                          <div class="form-group">
                            <label class="labels_fs" for="txtprovince">Province: </label>
                            <input id="txtprovince" name="txtprovince" data-title="Province" title="Province" type="text" class="form-control" data-rangelength="[2,50]" maxlength="50" tabindex="40009" disabled="disabled">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="txtzipcode">Zip/PostalCode:<span class="compulsory-field" id="spanzipostalcode"> *</span> </label>
                            <input id="txtzipcode" name="txtzipcode" data-title="Zip/PostalCode" title="Zip/PostalCode" data-required="true" type="text" class="required form-control parsley-validated" data-rangelength="[2,20]" maxlength="20"
                              tabindex="40010">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12">
                          <div class="form-group">
                            <label class="labels_fs" for="txtphone">Phone:<span class="compulsory-field">*</span> </label>
                            <input id="txtphone" name="txtphone" data-title="Phone" title="Phone" data-required="true" type="text" class="required form-control" data-rangelength="[10,20]" maxlength="20" tabindex="40011">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12" style="display:none;">
                          <div class="form-group">
                            <label class="labels_fs" for="phoneType" style="display:none">&nbsp; phoneType</label>
                            <select id="phoneType" class="form-control" data-title="phoneType" title="phoneType" tabindex="">
                              <option value="Home">Home </option>
                              <option value="Work">Work </option>
                              <option value="Mobile">Mobile </option>
                            </select>
                          </div>
                        </div>
                        <div class="field col-xs-12" style="display:none;">
                          <div class="form-group">
                            <label class="labels_fs" for="txtfullname">Full Name</label>
                            <input id="txtfullname" name="txtfullname" type="text" data-title="Full Name" title="Full Name" class="form-control" data-rangelength="[0,50]" maxlength="50" autocomplete="etelpmocotua_tnuoma" tabindex="">
                          </div>
                        </div>
                        <div class="field col-lg-6 col-md-6 col-sm-6 col-xs-12"></div>
                      </fieldset>
                    </div>
                  </div>
                  <div class="" style="">
                    <div class="dwf-content dw-payment-section FB_Sections accessibilityfocuswithin" id="divbeforeAmountSection" style="display: block;">
                      <fieldset class="fb_tbindex_sections" title="Additional Fee" tabindex="50000">
                        <div class="dw-content-title">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="ConvenienceFeeTitle">Additional Fee</legend>
                        </div>
                        <div class="row margin-top-10">
                          <span id="additionalspan" class="cnp_span_labels">You can choose to pay an additional Dollar4.1 to cover credit card processing fees.</span>
                          <label id="lblCFInstructions" aria-hidden="true" class="col-xs-12 form-label labels_fs">You can choose to pay an additional $4.1 to cover credit card processing fees.</label>
                          <div class="col-xs-12">
                            <input id="radioOpt-Out" aria-labelledby="radioOpt-Out" type="radio" cnpid="radioOpt-Out" tabindex="50001" name="ConvenienceFee" value="I prefer not to cover the processing fees."
                              aria-label="I prefer not to cover the processing fees.">
                            <label id="lblCFOut" class="form-label labels_fs" aria-hidden="true" for="radioOpt-Out">I prefer not to cover the processing fees.</label><br>
                            <input id="radioOpt-In" aria-labelledby="radioOpt-In" type="radio" cnpid="radioOpt-In" tabindex="50002" name="ConvenienceFee" value="Yes, please add {AdditionalFee} to my donation to cover processing fees."
                              checked="Checked" aria-label="Yes, please add Dollar4.1 to my donation to cover processing fees.">
                            <label id="lblCFIn" class="form-label labels_fs" aria-hidden="true" for="radioOpt-In">Yes, please add $4.1 to my donation to cover processing fees.</label>
                          </div>
                        </div>
                      </fieldset>
                    </div>
                  </div>
                  <!-- MODULE ***** -->
                  <div>
                    <div id="divPeerToPeer" class="dwf-content dw-PeerToPeer-section" style="border-radius: 0px; display: none; background-color: rgb(255, 255, 255); border-color: rgb(255, 255, 255);">
                      <fieldset class="row fb_tbindex_sections" title="Peer-to-Peer" tabindex="60000">
                        <div class="dw-content-title col-md-12 margin-bottom-10 ">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="PeerToPeertitle">Peer-to-Peer</legend>
                        </div>
                        <div class="field col-xs-12" style="display: none;">
                          <div class="form-group">
                            <label class="labels_fs" for="selectteam">Team:</label>
                            <select id="selectteam" name="selectteam" data-title="Team:" title="Team:" runat="server" data-placeholder="Please select..." tabindex="60001" class="form-control" style="display: block;">
                              <option value="0">Select</option>
                            </select>
                            <input id="txtPtPTeams" data-title="Team" title="Team" name="txtPtPTeams" type="text" class="form-control" tabindex="60001" value="Select" style="display: none;">
                          </div>
                        </div>
                        <div class="field col-xs-12" style="display: none;">
                          <div class="form-group">
                            <label class="labels_fs" for="selectfundraiser" id="selectfundraiserlabel">Fundraiser: <span class="compulsory-field" style="display:none;" id="spanselectfundraiser"> *</span> </label>
                            <select id="selectfundraiser" name="selectfundraiser" data-required="true" data-title="Fundraiser" title="Fundraiser" runat="server" data-placeholder="Please select..." tabindex="60002" class="form-control"
                              style="display: block;">
                              <option value="0">Select</option>
                            </select>
                            <input id="txtPtPFundraiser" data-title="Fundraiser" title="Fundraiser" name="txtPtPFundraiser" type="text" class="form-control" tabindex="60002" value="Select" style="display: none;">
                          </div>
                        </div>
                        <div class="field col-xs-12" style="display: none;">
                          <div class="form-group">
                            <label class="labels_fs" for="selectrelationship">Relationship:</label>
                            <select id="selectrelationship" name="selectrelationship" data-title="Relationship" title="Relationship" runat="server" data-placeholder="Please select..." tabindex="60003" class="form-control" disabled="disabled">
                              <option value="">Select</option>
                            </select>
                          </div>
                        </div>
                      </fieldset>
                    </div>
                  </div>
                  <!-- MODULE ***** -->
                  <div>
                    <div id="divCustomQuestionSection" class="dwf-content dw-cq-section FB_Sections accessibilityfocuswithin">
                      <fieldset class="fb_tbindex_sections" id="divCQFieldSet" title="Additional Information" tabindex="70000">
                        <div class="dw-content-title">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="CustomQuestionstitle">Additional Information</legend>
                        </div>
                        <div class="field">
                          <div class="CQSection margin-bottom-10 "></div>
                        </div>
                        <div class="field">
                          <div class=""><label class="form-label labels_fs display_block " for="GiveBig_91585">Spouse/Partner name (optional)</label></div>
                          <div class="clearfix"></div>
                          <div class="margin-bottom-10 "><input type="text" maxlength="100" cfield="cfield" cfieldid="91585" title="Spouse/Partner name (optional)" data-title="Spouse/Partner name (optional)" class="form-control  cfield "
                              tabindex="70001" id="GiveBig_91585"></div>
                        </div>
                        <div class="field">
                          <div class="CQSection margin-bottom-10 "></div>
                        </div>
                        <fieldset title="Sign up to receive SMS messages from The Center about ways you can support. Message frequency will vary. Message and data rates may apply. You can unsubscribe at any time. Reply STOP to opt out." tabindex="">
                          <legend style="border-bottom: 0px !important;margin-bottom: 5px;">
                            <div class=""><label class="form-label labels_fs  ">Sign up to receive SMS messages from The Center about ways you can support. Message frequency will vary. Message and data rates may apply. You can unsubscribe at any
                                time. Reply STOP to opt out.<span class="lblCustErrors" id="lblCustRdoError1"></span></label></div>
                          </legend>
                          <div role="radiogroup" aria-label="RadioButton" class="radio_custom_question margin-bottom-10   "><input cfield="cfield" ftype="chk" cfieldid="147116_0" id="GiveBig_147116_0" name="147116" type="radio" value="147116"
                              data-label="Yes, I would like to subscribe to SMS messages." class="cfield RB147116" checked="checked" defradioval="true" tabindex="70002"><label class="form-label labels_fs" for="GiveBig_147116_0">Yes, I would like to
                              subscribe to SMS messages.</label><input cfield="cfield" ftype="chk" cfieldid="147116_1" id="GiveBig_147116_1" name="147116" type="radio" value="147116" data-label="No, I do not wish to receive SMS messages."
                              class="cfield RB147116" tabindex="70003"><label class="form-label labels_fs" for="GiveBig_147116_1">No, I do not wish to receive SMS messages.</label></div>
                        </fieldset>
                        <div class="field">
                          <div class="CQSection margin-bottom-10 "></div>
                        </div>
                        <fieldset title="Additional Info" tabindex="">
                          <lagend>
                            <div class=""><label class="form-label labels_fs  ">Additional Info<span class="lblCustErrors" id="lblCustChkError2"></span> </label></div>
                          </lagend>
                          <div role="group" aria-label="CheckBox" class="margin-bottom-10 "><input cfield="cfield" ftype="chk" cfieldid="91586_0" id="GiveBig_91586_0" type="checkbox" name="91586" value="91586"
                              data-label="I prefer to make this donation anonymously" class="cfield CB91586" tabindex="70004"><label class="form-label labels_fs" for="GiveBig_91586_0">I prefer to make this donation anonymously</label><input
                              cfield="cfield" ftype="chk" cfieldid="91586_1" id="GiveBig_91586_1" type="checkbox" name="91586" value="91586" data-label="My employer will match my gift" class="cfield CB91586" tabindex="70005"><label
                              class="form-label labels_fs" for="GiveBig_91586_1">My employer will match my gift</label></div>
                        </fieldset>
                      </fieldset>
                    </div>
                  </div>
                  <!-- MODULE ***** -->
                  <div>
                    <div id="divDedicationSection" class="dwf-content dw-dedication-section snippet" style="display: none; border-radius: 0px; background-color: rgb(255, 255, 255); border-color: rgb(255, 255, 255);">
                      <div class="dw-content-title">
                        <h3 id="MemorialGiftstitle" contenteditable="false" class="section-title section_title_fs" style="font-size: 20px; color: rgb(33, 37, 41);">Honor/Memorial Gifts</h3>
                      </div>
                      <div class="margin-top-10">
                        <input id="memorial_checkbox" type="checkbox" name="memorial" value="" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                        <label class="form-label labels_fs" for="memorial_checkbox" style="color: rgb(33, 37, 41);">I want to dedicate my donation to someone:</label>
                      </div>
                      <div class="clearfix"></div>
                      <div class="dedication-wrapper">
                        <div class="margin-top-20">
                          <input id="in_honor_of" type="radio" name="memorial_radios" value="InHonorOf" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                          <label class="form-label labels_fs" for="in_honor_of" style="color: rgb(33, 37, 41);">In Honor Of</label>
                          <input id="in_memory_of" type="radio" name="memorial_radios" value="InMemoryOf" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                          <label class="form-label labels_fs" for="in_memory_of" style="color: rgb(33, 37, 41);">In Memory Of</label>
                          <input id="tribute_to" type="radio" name="memorial_radios" value="TributeTo" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                          <label class="form-label labels_fs" for="tribute_to" style="color: rgb(33, 37, 41);">Tribute To</label>
                        </div>
                        <div class="clearfix"></div>
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication-label-color labels_fs" style="color: rgb(33, 37, 41);">In Memory Of:</label>
                              <input type="text" class="form-control" id="in_memory_of1" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication-label-color labels_fs" style="color: rgb(33, 37, 41);">Honoree Name:</label>
                              <input type="text" class="form-control" id="honoree_name" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div class="form-group">
                          <label class="dedication-label-color labels_fs" style="color: rgb(33, 37, 41);">Send Email acknowledgement to:</label>
                          <input type="email" class="form-control" id="dedication_recipient_email" placeholder="@Email Address" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                        </div>
                        <div class="clearfix"></div>
                        <p class="margin-top-20 form-label labels_fs" style="color: rgb(33, 37, 41);">Send Postal Mail acknowledgement:</p>
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication_recipient_first_name labels_fs" style="color: rgb(33, 37, 41);">First Name:</label>
                              <input type="text" class="form-control" id="dedication_recipient_first_name" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication_recipient_last_name labels_fs" style="color: rgb(33, 37, 41);">Last Name:</label>
                              <input type="text" class="form-control" id="dedication_recipient_last_name" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication_recipient_address1 labels_fs" style="color: rgb(33, 37, 41);">Address Line 1:</label>
                              <input type="text" class="form-control" id="dedication_recipient_address1" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="dedication_recipient_address2 labels_fs" style="color: rgb(33, 37, 41);">Address Line 2:</label>
                              <input type="text" class="form-control" id="dedication_recipient_address2" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="labels_fs" style="color: rgb(33, 37, 41);">City:</label>
                              <input type="text" class="form-control" id="dedication_recipient_city" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="labels_fs" style="color: rgb(33, 37, 41);">State:</label>
                              <select id="dedication_recipient_state" class="form-control" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                                <option value="">-- Select -- </option>
                                <option value="Alabama">Alabama </option>
                                <option value="Alaska">Alaska </option>
                                <option value="Arizona">Arizona </option>
                                <option value="Arkansas">Arkansas </option>
                                <option value="Armed Forces- Africa">Armed Forces- Africa </option>
                                <option value="Armed Forces- Americas">Armed Forces- Americas </option>
                                <option value="Armed Forces- Canada">Armed Forces- Canada </option>
                                <option value="Armed Forces- Europe">Armed Forces- Europe </option>
                                <option value="Armed Forces- Middle East">Armed Forces- Middle East </option>
                                <option value="Armed Forces- Pacific">Armed Forces- Pacific </option>
                                <option value="California">California </option>
                                <option value="Colorado">Colorado </option>
                                <option value="Connecticut">Connecticut </option>
                                <option value="Delaware">Delaware </option>
                                <option value="District of Columbia">District of Columbia </option>
                                <option value="Federated States of Micronesia">Federated States of Micronesia </option>
                                <option value="Florida">Florida </option>
                                <option value="Georgia">Georgia </option>
                                <option value="Guam">Guam </option>
                                <option value="Hawaii">Hawaii </option>
                                <option value="Idaho">Idaho </option>
                                <option value="Illinois">Illinois </option>
                                <option value="Indiana">Indiana </option>
                                <option value="Iowa">Iowa </option>
                                <option value="Kansas">Kansas </option>
                                <option value="Kentucky">Kentucky </option>
                                <option value="Louisiana">Louisiana </option>
                                <option value="Maine">Maine </option>
                                <option value="Maryland">Maryland </option>
                                <option value="Massachusetts">Massachusetts </option>
                                <option value="Michigan">Michigan </option>
                                <option value="Minnesota">Minnesota </option>
                                <option value="Mississippi">Mississippi </option>
                                <option value="Missouri">Missouri </option>
                                <option value="Montana">Montana </option>
                                <option value="Nebraska">Nebraska </option>
                                <option value="Nevada">Nevada </option>
                                <option value="New Hampshire">New Hampshire </option>
                                <option value="New Jersey">New Jersey </option>
                                <option value="New Mexico">New Mexico </option>
                                <option value="New York">New York </option>
                                <option value="North Carolina">North Carolina </option>
                                <option value="North Dakota">North Dakota </option>
                                <option value="Northern Mariana Islands">Northern Mariana Islands </option>
                                <option value="Ohio">Ohio </option>
                                <option value="Oklahoma">Oklahoma </option>
                                <option value="Oregon">Oregon </option>
                                <option value="Palau">Palau </option>
                                <option value="Pennsylvania">Pennsylvania </option>
                                <option value="Puerto Rico">Puerto Rico </option>
                                <option value="Rhode Island">Rhode Island </option>
                                <option value="South Carolina">South Carolina </option>
                                <option value="South Dakota">South Dakota </option>
                                <option value="Tennessee">Tennessee </option>
                                <option value="Texas">Texas </option>
                                <option value="Utah">Utah </option>
                                <option value="Vermont">Vermont </option>
                                <option value="Virgin Islands- US">Virgin Islands- US </option>
                                <option value="Virginia">Virginia </option>
                                <option value="Washington">Washington </option>
                                <option value="West Virginia">West Virginia </option>
                                <option value="Wisconsin">Wisconsin </option>
                                <option value="Wyoming">Wyoming </option>
                              </select>
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div class="row">
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="labels_fs" style="color: rgb(33, 37, 41);">Zip/Postal Code:</label>
                              <input type="text" class="form-control" id="dedication_recipient_zip" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                            </div>
                          </div>
                          <div class="col-xs-12 col-sm-6">
                            <div class="form-group">
                              <label class="labels_fs" style="color: rgb(33, 37, 41);">Country:</label>
                              <select id="dedication_recipient_country" class="form-control" style="background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);">
                                <option value="">-- Select -- </option>
                                <option value="004">Afghanistan </option>
                                <option value="008">Albania </option>
                                <option value="012">Algeria </option>
                                <option value="016">American Samoa </option>
                                <option value="020">Andorra </option>
                                <option value="024">Angola </option>
                                <option value="010">Antarctica </option>
                                <option value="028">Antigua and Barbuda </option>
                                <option value="032">Argentina </option>
                                <option value="051">Armenia </option>
                                <option value="533">Aruba </option>
                                <option value="036">Australia </option>
                                <option value="040">Austria </option>
                                <option value="031">Azerbaijan Rep. </option>
                                <option value="044">Bahamas </option>
                                <option value="048">Bahrain </option>
                                <option value="050">Bangladesh </option>
                                <option value="052">Barbados </option>
                                <option value="112">Belarus </option>
                                <option value="056">Belgium </option>
                                <option value="084">Belize </option>
                                <option value="204">Benin </option>
                                <option value="060">Bermuda </option>
                                <option value="064">Bhutan </option>
                                <option value="068">Bolivia </option>
                                <option value="070">Bosnia </option>
                                <option value="072">Botswana </option>
                                <option value="076">Brazil </option>
                                <option value="096">Brunei </option>
                                <option value="100">Bulgaria </option>
                                <option value="854">Burkina Faso </option>
                                <option value="108">Burundi </option>
                                <option value="116">Cambodia </option>
                                <option value="120">Cameroon </option>
                                <option value="124">Canada </option>
                                <option value="132">Cape Verde Islands </option>
                                <option value="136">Cayman Islands </option>
                                <option value="140">Central African Republic </option>
                                <option value="148">Chad </option>
                                <option value="152">Chile </option>
                                <option value="156">China People's Republic </option>
                                <option value="170">Columbia </option>
                                <option value="174">Comoros </option>
                                <option value="178">Congo </option>
                                <option value="184">Cook Islands </option>
                                <option value="188">Costa Rica </option>
                                <option value="191">Croatia </option>
                                <option value="192">Cuba </option>
                                <option value="196">Cyprus </option>
                                <option value="203">Czech Republic </option>
                                <option value="208">Denmark </option>
                                <option value="262">Djibouti </option>
                                <option value="214">Dominican Republic </option>
                                <option value="218">Ecuador </option>
                                <option value="818">Egypt </option>
                                <option value="222">El Salvador </option>
                                <option value="226">Equatorial Guinea Malabo </option>
                                <option value="232">Eritrea </option>
                                <option value="233">Estonia </option>
                                <option value="231">Ethiopia </option>
                                <option value="242">Fiji Islands </option>
                                <option value="246">Finland </option>
                                <option value="250">France </option>
                                <option value="254">French Guiana </option>
                                <option value="258">French Polynesia </option>
                                <option value="266">Gabon </option>
                                <option value="270">Gambia </option>
                                <option value="268">Georgia </option>
                                <option value="276">Germany </option>
                                <option value="288">Ghana </option>
                                <option value="292">Gibraltar </option>
                                <option value="300">Greece </option>
                                <option value="304">Greenland </option>
                                <option value="308">Grenada </option>
                                <option value="312">Guadeloupe </option>
                                <option value="316">Guam </option>
                                <option value="320">Guatemala </option>
                                <option value="324">Guinea </option>
                                <option value="328">Guyana </option>
                                <option value="332">Haiti </option>
                                <option value="340">Honduras </option>
                                <option value="344">Hong Kong </option>
                                <option value="348">Hungary </option>
                                <option value="352">Iceland </option>
                                <option value="356">India </option>
                                <option value="360">Indonesia </option>
                                <option value="364">Iran </option>
                                <option value="368">Iraq </option>
                                <option value="372">Ireland </option>
                                <option value="376">Israel </option>
                                <option value="380">Italy </option>
                                <option value="388">Jamaica </option>
                                <option value="392">Japan </option>
                                <option value="400">Jordan </option>
                                <option value="398">Kazakhstan </option>
                                <option value="404">Kenya </option>
                                <option value="296">Kiribati </option>
                                <option value="410">Korea, Republic of </option>
                                <option value="414">Kuwait </option>
                                <option value="417">Kyrgystan </option>
                                <option value="428">Latvia </option>
                                <option value="422">Lebanon </option>
                                <option value="426">Lesotho </option>
                                <option value="430">Liberia </option>
                                <option value="434">Libya </option>
                                <option value="438">Liechtenstein </option>
                                <option value="440">Lithuania </option>
                                <option value="442">Luxembourg </option>
                                <option value="446">Macao </option>
                                <option value="807">Macedonia </option>
                                <option value="450">Madagascar </option>
                                <option value="454">Malawi </option>
                                <option value="458">Malaysia </option>
                                <option value="462">Maldives </option>
                                <option value="466">Mali </option>
                                <option value="470">Malta </option>
                                <option value="584">Marshall Islands </option>
                                <option value="474">Martinique </option>
                                <option value="478">Mauritania </option>
                                <option value="480">Mauritius </option>
                                <option value="484">Mexico </option>
                                <option value="583">Micronesia </option>
                                <option value="498">Moldova </option>
                                <option value="492">Monaco </option>
                                <option value="496">Mongolia </option>
                                <option value="499">Montenegro </option>
                                <option value="500">Montserrat </option>
                                <option value="504">Morocco </option>
                                <option value="508">Mozambique </option>
                                <option value="104">Myanmar </option>
                                <option value="516">Namibia </option>
                                <option value="520">Nauru </option>
                                <option value="524">Nepal </option>
                                <option value="528">Netherlands </option>
                                <option value="530">Netherlands Antilles </option>
                                <option value="540">New Caledonia </option>
                                <option value="554">New Zealand </option>
                                <option value="558">Nicaragua </option>
                                <option value="562">Niger </option>
                                <option value="566">Nigeria </option>
                                <option value="570">Niue </option>
                                <option value="580">Northern Mariana Islands </option>
                                <option value="578">Norway </option>
                                <option value="512">Oman </option>
                                <option value="586">Pakistan </option>
                                <option value="585">Palau </option>
                                <option value="591">Panama </option>
                                <option value="598">Papua New Guinea </option>
                                <option value="600">Paraguay </option>
                                <option value="604">Peru </option>
                                <option value="608">Phillippines </option>
                                <option value="616">Poland </option>
                                <option value="620">Portugal </option>
                                <option value="634">Qatar </option>
                                <option value="642">Romania </option>
                                <option value="643">Russian Federation </option>
                                <option value="646">Rwanda </option>
                                <option value="654">Saint Helena </option>
                                <option value="659">Saint Kitts and Nevis </option>
                                <option value="666">Saint Pierre and Miquelon </option>
                                <option value="674">San Marino </option>
                                <option value="678">Sao Tome and Principe </option>
                                <option value="682">Saudi Arabia </option>
                                <option value="686">Senegal </option>
                                <option value="688">Serbia </option>
                                <option value="690">Seychelles </option>
                                <option value="694">Sierra Leone </option>
                                <option value="702">Singapore </option>
                                <option value="703">Slovakia </option>
                                <option value="705">Slovenia </option>
                                <option value="090">Solomon Islands </option>
                                <option value="706">Somalia </option>
                                <option value="710">South Africa </option>
                                <option value="724">Spain </option>
                                <option value="144">Sri Lanka </option>
                                <option value="736">Sudan </option>
                                <option value="740">Suriname </option>
                                <option value="748">Swaziland </option>
                                <option value="752">Sweden </option>
                                <option value="756">Switzerland </option>
                                <option value="760">Syria </option>
                                <option value="158">Taiwan </option>
                                <option value="762">Tajikistan </option>
                                <option value="834">Tanzania </option>
                                <option value="764">Thailand </option>
                                <option value="772">Tokelau </option>
                                <option value="768">Tonga </option>
                                <option value="780">Trinidad and Tobago </option>
                                <option value="788">Tunisia </option>
                                <option value="792">Turkey </option>
                                <option value="795">Turkmenistan </option>
                                <option value="798">Tuvalu </option>
                                <option value="800">Uganda </option>
                                <option value="804">Ukraine </option>
                                <option value="784">United Arab Emirates </option>
                                <option value="826">United Kingdom </option>
                                <option value="840">United States of America </option>
                                <option value="858">Uruguay </option>
                                <option value="860">Uzbekistan </option>
                                <option value="548">Vanuatu </option>
                                <option value="336">Vatican City </option>
                                <option value="862">Venzuela </option>
                                <option value="704">Vietnam </option>
                                <option value="876">Wallis and Futuna </option>
                                <option value="016">Western Samoa </option>
                                <option value="887">Yemen, People's Demo. Rep. Of </option>
                                <option value="807">Yugoslavia </option>
                                <option value="894">Zambia </option>
                                <option value="716">Zimbabwe </option>
                              </select>
                            </div>
                          </div>
                        </div>
                        <div class="clearfix"></div>
                        <div>
                          <label class="labels_fs" style="color: rgb(33, 37, 41);">Dedication Message:</label>
                          <textarea class="form-control" rows="3" style="height: 80px; background-color: rgb(248, 244, 245); border-color: rgb(13, 80, 109); border-radius: 0px; color: rgb(33, 37, 41);"></textarea>
                        </div>
                      </div>
                      <div class="clearfix"></div>
                    </div>
                  </div>
                  <!-- MODULE ***** -->
                  <div>
                    <div class="dwf-content dw-payment-section FB_Sections accessibilityfocuswithin" id="divPaymentSection">
                      <fieldset class="fb_tbindex_sections" title="Payment Details" tabindex="80000">
                        <div class="dw-content-title">
                          <legend contenteditable="false" class="section-title section_title_fs FB_SectionTitle" id="PaymentDetailstitle">Payment Details</legend>
                        </div>
                        <div id="radio_payment" class="radio_payment" style="display: none;"><input id="radioCreditCard" type="radio" name="paymenttype" value="1" checked="checked" class="paymentRdo" tabindex="">
                          <label class="form-label labels_fs" for="radioCreditCard">Credit Card</label>
                        </div>
                        <div class="clearfix"></div>
                        <div id="divACH" class="payment-echeck-wrapper" style="display: none;">
                          <div class="field">
                            <div class="form-group" id="divsubmitDonation_ACHPay" style="display:none;padding-bottom:10px;max-width: 750px;margin: auto;"><button type="button" class="btn-block margin-top-10 btn btn-dark p-2 btn-achpay"
                                id="submitDonation_ach_link_account" tabindex=""><i class="icon-bank"></i>&nbsp; Pay with Bank Account </button>
                            </div>
                          </div>
                          <div class="field margin-top-10">
                            <div role="group" id="divchkBankAccount" style="display:none"> <input id="chkBankAccount" name="chkBankAccount" type="checkbox" value="chkBankAccount" tabindex=""><label class="form-label labels_fs" for="chkBankAccount">By
                                clicking [accept], you authorize LGBT Community Center - NYC to debit the bank account specified for any amount owed for charges arising from this charge. You may amend or cancel this authorization at any time by
                                providing notice to LGBT Community Center - NYC with 30 (thirty) days notice.<div class="margin-top-10 fr-view" style="display:none" id="pbankaccountrecurring">You further authorize LGBT Community Center - NYC to debit
                                  your bank account as part of your recurring commitment. Payments that fall outside of the regular debits authorized above will only be debited after your authorization is obtained.</div></label></div>
                          </div>
                          <div style="display:block;" id="divACH_Old">
                            <div class="field">
                              <div class="form-group">
                                <label class="labels_fs" id="lblroutingNumber" for="txtroutingNumber">Routing Number:<strong><span class="compulsory-field"> *</span></strong></label>
                                <input type="text" class="required form-control parsley-validated" id="txtroutingNumber" title="Routing Number" name="txtroutingNumber" data-rangelength="[9,9]" maxlength="9" onkeypress="return DigitValidation(event);"
                                  tabindex="">
                              </div>
                            </div>
                            <div class="field">
                              <div class="form-group">
                                <label class="labels_fs" id="lblaccountNumber" for="txtaccountNumber">Account Number:<strong><span class="compulsory-field"> *</span></strong></label>
                                <input type="text" class="required form-control parsley-validated" id="txtaccountNumber" title="Account Number" name="txtaccountNumber" data-rangelength="[1,17]" maxlength="17"
                                  onkeypress="return DigitValidation(event);" tabindex="">
                              </div>
                            </div>
                            <div class="field">
                              <div class="form-group">
                                <label class="labels_fs" id="lblcheckNumber" for="txtcheckNumber">Check Number:<strong><span class="compulsory-field"> *</span></strong></label>
                                <input type="text" class="required form-control parsley-validated" id="txtcheckNumber" title="Check Number" name="txtcheckNumber" data-rangelength="[1,10]" maxlength="10" onkeypress="return DigitValidation(event);"
                                  tabindex="">
                              </div>
                            </div>
                            <div class="row">
                              <div class="field col-xs-12 col-sm-6">
                                <div class="form-group">
                                  <label class="labels_fs" id="lblselectaccountType" for="selectaccountType">Account Type:<strong><span class="compulsory-field"> *</span></strong></label>
                                  <select class="form-control" id="selectaccountType" title="Account Type" tabindex="" "="">
                              <option value=" Checking">Checking Account </option>
                                    <option value="Saving">Savings Account </option>
                                  </select>
                                </div>
                              </div>
                              <div class="field col-xs-12 col-sm-6">
                                <div class="form-group">
                                  <label class="labels_fs" id="lblcheck_type" for="check_type">Check Type:<strong><span class="compulsory-field"> *</span></strong></label>
                                  <select class="form-control" id="check_type" title="Check Type" tabindex="" "="">
                              <option value=" Company">Company </option>
                                    <option value="Personal">Personal </option>
                                  </select>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div id="divApplePay" class="payment-card-wrapper">
                        </div>
                        <div id="divCreditCard" class="payment-card-wrapper">
                          <div class="field">
                            <div class="form-group">
                              <label class="labels_fs display_block" id="lblNameOnCard" for="txtNameOnCard">Name on Card:<strong><span class="compulsory-field"> *</span></strong></label>
                              <input type="text" class="required form-control parsley-validated" id="txtNameOnCard" title="Name on Card" data-title="Name on Card" name="txtNameOnCard" data-rangelength="[2,50]" maxlength="50" tabindex="80002">
                            </div>
                          </div>
                          <div class="clearfix"></div>
                          <ul class="card-types">
                            <li><i class="cnp_sprite cnp_cardamex" title="we accept american express"></i></li>
                            <li><i class="cnp_sprite cnp_cardmaster" title="we accept master card"></i></li>
                            <li><i class="cnp_sprite cnp_cardvisa" title="we accept visa"></i></li>
                            <li><i class="cnp_sprite cnp_carddiscover" title="we accept discover"></i></li>
                          </ul>
                          <div class="clearfix"></div>
                          <div class="row">
                            <div class="field col-xs-12 col-sm-6">
                              <div class="form-group">
                                <label class="labels_fs" id="lblCreditCardNumber" for="txtCreditCardNumber">Credit Card Number:<strong><span class="compulsory-field"> *</span></strong></label>
                                <input type="text" class="required form-control parsley-validated" id="txtCreditCardNumber" title="Credit Card Number" data-title="Credit Card Number" name="txtCreditCardNumber" data-rangelength="[15,17]"
                                  maxlength="17" onkeyup="CreditCardOnchange();" onkeypress="return DigitValidation(event);" tabindex="80003">
                                <span id="lblcreditcarderror" style="color:red;font-size: 12px;display:none">Invalid Credit Card.</span>
                              </div>
                            </div>
                            <div class="field col-xs-12 col-sm-6">
                              <div class="form-group cvv-container">
                                <label class="labels_fs" id="lblCvv" for="txtCvv">Card Verification (CVV):<strong><span class="compulsory-field"> *</span></strong></label>
                                <div class="input-group">
                                  <input type="text" class="required form-control parsley-validated" id="txtCvv" title="Card Verification (CVV)" data-title="Card Verification (CVV)" name="txtCvv" data-rangelength="[3,4]" data-type="digits"
                                    maxlength="4" onkeyup="CvvOnChange();" onkeypress="return DigitValidation(event);" tabindex="80004">
                                  <span class="input-group-addon helper-color helper-bg FB_Helpers" id="cvv_help">?</span>
                                  <span id="lblcvverror" style="color:red;font-size: 12px;display:none">Invalid CVV.</span>
                                </div>
                                <div class="cvv_helper">
                                  <i class="cnp_sprite cnp_cvvhover" title="Card Verification Number"></i>
                                </div>
                              </div>
                            </div>
                          </div>
                          <div class="row">
                            <div class="field col-xs-12 col-sm-6">
                              <div class="form-group">
                                <label class="labels_fs" id="lblselectCardExpirationMonth" for="selectCardExpirationMonth">Expiration Date:<strong><span class="compulsory-field"> *</span></strong></label>
                                <select class="required form-control" id="selectCardExpirationMonth" title="Expiration Month" name="selectCardExpirationMonth" onchange="ExpireCreditCardChange()" tabindex="80005">
                                  <option value="1">January (01) </option>
                                  <option value="2">February (02) </option>
                                  <option value="3">March (03) </option>
                                  <option value="4">April (04) </option>
                                  <option value="5">May (05) </option>
                                  <option value="6">June (06) </option>
                                  <option value="7">July (07) </option>
                                  <option value="8">August (08) </option>
                                  <option value="9">September (09) </option>
                                  <option value="10">October (10) </option>
                                  <option value="11">November (11) </option>
                                  <option value="12">December (12) </option>
                                </select>
                                <span id="lblcreditcardExpiredError" style="color:red;font-size: 12px;display:none">Expired credit card.</span>
                              </div>
                            </div>
                            <div class="field col-xs-12 col-sm-6">
                              <div class="required form-group cvv-container">
                                <label class="labels_fs" id="lblselectCardExpirationYear" for="selectCardExpirationYear" style="visibility: hidden;">&nbsp; CardExpirationYear</label>
                                <select class="required form-control" id="selectCardExpirationYear" title="Expiration Year" name="selectCardExpirationYear" onchange="ExpireCreditCardChange()" tabindex="80006">
                                  <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>
                                  <option value="2043">2043</option>
                                  <option value="2044">2044</option>
                                </select>
                              </div>
                            </div>
                          </div>
                          <div class="row" style="display: none;">
                            <div class="field form-group">
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                    <h2><strong><span style="font-family: Arial, sans-serif; color: rgb(38, 35, 77);">Center Membership</span></strong></h2>
                    <p><span style="font-family: Arial,sans-serif;">The Center stands as a monument of pride and strength for New York’s LGBTQ community, made possible by the passionate commitment of our Center Members, a dedicated group that upholds
                        our mission to empower people to lead healthy and successful lives. Center Membership begins with a gift of $35.</span></p>
                    <p><span style="font-family: Arial,sans-serif;">Take pride in joining the thousands of people who declare “I’m a Center Member!”</span></p>
                    <p><span style="font-family: Arial,sans-serif;">Center Members are partners in our work whose generosity supports our life-changing programs and services and ensures The Center remains dedicated to our community’s advocacy and
                        safety for years to come. For more information, email <a data-fr-linked="true" href="mailto:membership@gaycenter.org" aria-label="membership@gaycenter.org" class="accessibilityfocuswithin">membership@gaycenter.org</a>.</span>
                    </p>
                    <h3><span style="font-family: Arial,sans-serif;"><strong><span style="color: rgb(38, 35, 77);">Levels &amp; Benefits</span></strong></span></h3>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Individual $35</strong><br>Membership ID Cards<br>Subscription to Center Happenings, our bi-weekly e-newsletter<br>Discounted tickets to Garden Party<br>Invitations to Center
                        events year-round</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Dual/Family $60 ($5/month)</strong><br>Individual level benefits for 2 people or household</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Friend $75 ($6.25/month)</strong><br>Individual level benefits for 2 people or household</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Supporter $150 ($12.50/month)</strong><br>Individual level benefits for 2 people or household</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Advocate $300 ($25/month)</strong><br>Supporter level benefits, plus VIP special event invitations</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Benefactor $600 ($50/month)</strong><br>Advocate level benefits, plus 1 complimentary VIP ticket to Garden Party</span></p>
                    <p><span style="font-family: Arial,sans-serif;"><strong>Champion $1,000 ($100/month)</strong><br>Advocate level benefits, plus 2 complimentary VIP tickets to Garden Party</span></p>
                    <hr>
                    <p><span style="font-family: Arial,sans-serif;"><strong><span style="color: rgb(38, 35, 77); font-size: 32px;">Ways To Support</span></strong></span></p>
                    <p>
                      <a href="https://connect.clickandpledge.com/w/Form/4e8896ba-4f5e-4eb2-9972-b7f481a95419?638179424537844284" aria-label="Center Membership" class="accessibilityfocuswithin"><span style="font-family: Arial,sans-serif;">Center Membership</span></a>
                    </p>
                    <p><span style="font-family: Arial,sans-serif;"><a href="https://connect.clickandpledge.com/w/Form/a6320b38-fdb8-4ed3-a014-a3d2e81a988b?638179426727104117" aria-label="Donate" class="accessibilityfocuswithin">Donate</a></span></p>
                    <p><span
                        style="font-family: Arial,sans-serif;"><a href="https://connect.clickandpledge.com/w/Form/3327c0a1-e25c-4334-9d02-710fdb91fcb3?638179429499905053" aria-label="Leadership Society" class="accessibilityfocuswithin">Leadership Society</a></span>
                    </p>
                    <p><span
                        style="font-family: Arial,sans-serif;"><a href="https://connect.clickandpledge.com/w/Form/8412ae2f-9f8b-45fc-8d8b-4768c4b8ee3a?638179431981743164" aria-label="Young Leaders" class="accessibilityfocuswithin">Young Leaders</a></span>
                    </p>
                    <p><span style="font-family: Arial,sans-serif;"><a href="https://gaycenter.org/support-the-center/legacy/#form" aria-label="Legacy &amp; Estate Gifts" class="accessibilityfocuswithin">Legacy &amp; Estate Gifts</a></span></p>
                    <p><span style="font-family: Arial,sans-serif;"><a href="https://gaycenter.org/support-the-center/fundraise/#form" aria-label="Fundraise for The Center" class="accessibilityfocuswithin">Fundraise for The Center</a></span></p>
                    <p><span
                        style="font-family: Arial,sans-serif;"><a href="https://connect.clickandpledge.com/w/Form/1abb5357-6cb1-49cc-83e3-01646ee9f975?638179433934977802" aria-label="In Memory/Honor Gifts" class="accessibilityfocuswithin">In Memory/Honor Gifts</a></span>
                    </p>
                    <p><span style="font-family: Arial,sans-serif;"><a href="https://gaycenter.org/support-the-center/stock-gift/#form" aria-label="Stock Donation" class="accessibilityfocuswithin">Stock Donation</a></span></p>
                    <p><span style="font-family: Arial,sans-serif;"><a href="https://gaycenter.org/support-the-center/volunteer/#form" aria-label="Volunteer" class="accessibilityfocuswithin">Volunteer</a></span></p>
                    <p><a href="https://gaycenter.org/support-the-center/corporate-partnerships/#form" aria-label="Corporate Partnerships" class="accessibilityfocuswithin"><span style="font-family: Arial,sans-serif;">Corporate Partnerships</span></a>
                    </p>
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                    style="position: fixed; top: 0; left: -9999px; height: 100%; width: 0; word-break: break-all; overflow:hidden; z-index: 2147483647; line-height: 140%; -moz-user-select: text; -webkit-user-select: text; -ms-user-select: text; user-select: text;"
                    tabindex="-1">
                    <div>The Center stands as a monument of pride and strength for New York’s LGBTQ community, made possible by the passionate commitment of our Center Members, a dedicated group that upholds our mission to empower people to lead
                      healthy and successful lives. Center Membership begins with a gift of $35.</div>
                    <div><br></div>
                    <div>Take pride in joining the thousands of people who declare “I’m a Center Member!”</div>
                    <div><br></div>
                    <div>Center Members are partners in our work whose generosity supports our life-changing programs and services and ensures The Center remains dedicated to our community’s advocacy and safety for years to come. For more
                      information, email membership@gaycenter.org.</div>
                  </div>
                  <div class="fr-line-breaker" style="top: 668.742px; left: 1233.83px; width: 323px;"><a class="fr-floating-btn accessibilityfocuswithin" tabindex="-1" title="Break" aria-label=""></a></div>
                  <div contenteditable_dum="true"
                    style="position: fixed; top: 0; left: -9999px; height: 100%; width: 0; word-break: break-all; overflow:hidden; z-index: 2147483647; line-height: 140%; -moz-user-select: text; -webkit-user-select: text; -ms-user-select: text; user-select: text;"
                    tabindex="-1">Now in our 40th Anniversary year, The Center stands as a monument of pride and strength for New York’s LGBTQ community. Our work is made possible by the passionate commitment of our Center Members, a dedicated group
                    that upholds our mission to empower people to lead healthy and successful lives. Center Membership begins with a gift of $35. If you’d like to make a donation by check, please make payable to “The LGBT Center” and mail to 208 W
                    13th St, New York NY 10011. Contact development@gaycenter.org to learn more about our 40th Anniversary.</div>
                  <div contenteditable_dum="true"
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                    <div>LEVELS AND BENEFITS</div>
                    <div>Individual $35</div>
                    <div>Membership ID Cards</div>
                    <div>Subscription to Center Happenings, our bi-weekly e-newsletter</div>
                    <div>Discounted tickets to Garden Party</div>
                    <div>Invitations to Center events year-round</div>
                    <div><br></div>
                    <div>Dual/Family $60 ($5/month)</div>
                    <div>Individual level benefits for 2 people or household</div>
                    <div><br></div>
                    <div>Friend $75 ($6.25/month)</div>
                    <div>Individual level benefits for 2 people or household</div>
                    <div><br></div>
                    <div>Supporter $150 ($12.50/month)</div>
                    <div>Individual level benefits for 2 people or household</div>
                    <div><br></div>
                    <div>Advocate $300 ($25/month)</div>
                    <div>Supporter level benefits, plus VIP special event invitations</div>
                    <div><br></div>
                    <div>Benefactor $600 ($50/month)</div>
                    <div>Advocate level benefits, plus 1 complimentary VIP ticket to Garden Party</div>
                    <div><br></div>
                    <div>Champion $1,000 ($100/month)</div>
                    <div>Advocate level benefits, plus 2 complimentary VIP tickets to Garden Party</div>
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      <iframe width="1" height="1" title="SecurityUrl" frameborder="0" scrolling="no" src="https://connect.clickandpledge.com/w/parentpage.aspx?id=93106e77-5942-4833-aaea-9b77ebf323b6"></iframe>
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  </div>
  <input id="paypaltoken" type="hidden">
  <script type="text/javascript">
    //<![CDATA[
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Text Content

ADVANCED REDIRECT

The patron will be redirect to the following pages based on the authorized
result.

Important Note:

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 * If your server is offline for any reason the redirect will fail, resulting in
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   availability it may result to double charges



Use complete URL including https://

Success landing page * :
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--------------------------------------------------------------------------------

The following URL parameters are included in the response and may be used on the
landing page via custom programming:

Example Success URL:
https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker

 * on = OrderNumber
 * result = success
 * response = authorized
 * t = totalamount
 * refid = referenceid
 * trk = tracker

Example Decline URL:
https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount

 * on = OrderNumber
 * result = failure
 * response = dcl
 * t = totalamount






HAPPY PRIDE!

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supporting New York's LGBTQ+ community. All gifts of $35 and above entitle you
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cards and a subscription to Center Happenings, our biweekly e-newsletter.
Members at the Benefactor and Champion levels receive VIP special event
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Please donate to The Center this Pride to fuel our work of celebrating and
supporting New York's LGBTQ+ community. All gifts of $35 and above entitle you
to a Center Membership. Thank you!


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LGBT Community Center - NYC with 30 (thirty) days notice.
You further authorize LGBT Community Center - NYC to debit your bank account as
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CENTER MEMBERSHIP

The Center stands as a monument of pride and strength for New York’s LGBTQ
community, made possible by the passionate commitment of our Center Members, a
dedicated group that upholds our mission to empower people to lead healthy and
successful lives. Center Membership begins with a gift of $35.

Take pride in joining the thousands of people who declare “I’m a Center Member!”

Center Members are partners in our work whose generosity supports our
life-changing programs and services and ensures The Center remains dedicated to
our community’s advocacy and safety for years to come. For more information,
email membership@gaycenter.org.


LEVELS & BENEFITS

Individual $35
Membership ID Cards
Subscription to Center Happenings, our bi-weekly e-newsletter
Discounted tickets to Garden Party
Invitations to Center events year-round

Dual/Family $60 ($5/month)
Individual level benefits for 2 people or household

Friend $75 ($6.25/month)
Individual level benefits for 2 people or household

Supporter $150 ($12.50/month)
Individual level benefits for 2 people or household

Advocate $300 ($25/month)
Supporter level benefits, plus VIP special event invitations

Benefactor $600 ($50/month)
Advocate level benefits, plus 1 complimentary VIP ticket to Garden Party

Champion $1,000 ($100/month)
Advocate level benefits, plus 2 complimentary VIP tickets to Garden Party

--------------------------------------------------------------------------------

Ways To Support

Center Membership

Donate

Leadership Society

Young Leaders

Legacy & Estate Gifts

Fundraise for The Center

In Memory/Honor Gifts

Stock Donation

Volunteer

Corporate Partnerships










The Center stands as a monument of pride and strength for New York’s LGBTQ
community, made possible by the passionate commitment of our Center Members, a
dedicated group that upholds our mission to empower people to lead healthy and
successful lives. Center Membership begins with a gift of $35.


Take pride in joining the thousands of people who declare “I’m a Center Member!”


Center Members are partners in our work whose generosity supports our
life-changing programs and services and ensures The Center remains dedicated to
our community’s advocacy and safety for years to come. For more information,
email membership@gaycenter.org.

Now in our 40th Anniversary year, The Center stands as a monument of pride and
strength for New York’s LGBTQ community. Our work is made possible by the
passionate commitment of our Center Members, a dedicated group that upholds our
mission to empower people to lead healthy and successful lives. Center
Membership begins with a gift of $35. If you’d like to make a donation by check,
please make payable to “The LGBT Center” and mail to 208 W 13th St, New York NY
10011. Contact development@gaycenter.org to learn more about our 40th
Anniversary.
LEVELS AND BENEFITS
Individual $35
Membership ID Cards
Subscription to Center Happenings, our bi-weekly e-newsletter
Discounted tickets to Garden Party
Invitations to Center events year-round


Dual/Family $60 ($5/month)
Individual level benefits for 2 people or household


Friend $75 ($6.25/month)
Individual level benefits for 2 people or household


Supporter $150 ($12.50/month)
Individual level benefits for 2 people or household


Advocate $300 ($25/month)
Supporter level benefits, plus VIP special event invitations


Benefactor $600 ($50/month)
Advocate level benefits, plus 1 complimentary VIP ticket to Garden Party


Champion $1,000 ($100/month)
Advocate level benefits, plus 2 complimentary VIP tickets to Garden Party

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