pages.donately.com
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151.101.1.91
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URL:
https://pages.donately.com/theredfordcenter/donate
Submission: On January 20 via manual from US — Scanned from DE
Submission: On January 20 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
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<div class="donately-secure-fields donately-payment-types ptype-card donately-hide" style="display: none;">
<label class="button-label" for="ptype-card" tabindex="0">Pay by Credit Card</label>
<!-- insert Stripe Card Elements here -->
<div class="donately-secure-footer secure-lock"><span>SSL encrypted and secure</span></div>
</div>
<div class="donately-secure-fields donately-payment-types ptype-wallet donately-hide" style="display: none;">
<label class="button-label" for="ptype-wallet" tabindex="0">Pay by Mobile Wallet</label>
<div class="wallet-connected donately-hide">
<fieldset class="donately-fields connected-wallet-fields">
<label class="field-label" for="connected-wallet">Connected Wallet Type</label> <span class="wallet-type">Personal Wallet</span>
</fieldset>
<fieldset class="donately-fields connected-wallet-fields">
<label class="field-label" for="connected-wallet">Payer Name</label> <span class="wallet-name">Payer Name</span>
</fieldset>
<div class="donately-secure-footer"><a href="#">Connect to a different mobile wallet</a></div>
</div>
<div class="wallet-disconnected">
<div id="donately-wallet-button-container"><!-- insert Stripe Wallet Elements here --></div>
<div class="donately-secure-footer secure-lock"><span>SSL encrypted and secure</span></div>
</div>
</div>
<fieldset class="donately-fields donately-logged-in-fields donately-hide" id="custom-fields-location-authname" style="display: none;">
<div class="donately-logged-in-message"> Donating as <strong class="donately-email-when-logged-in"></strong>. <a class="donately-log-out" href="#">I want to use another email</a>
</div>
</fieldset>
<fieldset class="donately-fields donately-ecard-fields donately-hide" id="custom-fields-location-ecard" style="display: none;">
<div id="donately-ecard-toggle">
<label class="field-label sr-only" for="donately-send-an-ecard">Send an eCard with this donation</label>
<input class="donately-checkbox-input" id="donately-send-an-ecard" type="checkbox" value="true">
<span class="field-label checkbox" for="donately-send-an-ecard">Send an eCard with this donation</span>
</div>
<div id="donately-ecard-container" style="display: none;">
<div id="donately-ecard-top">
<div class="donately-ecard-topleft-group">
<div class="donately-ecard-type-group">
<label class="field-label" for="donately-ecard-type">Select an eCard Type</label>
<select id="donately-ecard-type" class="donately-select">
<option value="honor">In Honor Of</option>
<option value="memory">In Memory Of</option>
</select>
</div>
<div class="donately-ecard-honor-memory-of-group">
<label class="field-label" for="donately-ecard-honor-of">In Honor Of Name</label>
<label class="field-label" for="donately-ecard-memory-of" style="display: none;">In Memory Of Name</label>
<input class="donately-text-input" id="donately-ecard-honor-memory-of" type="text" placeholder="In Honor Of Name">
</div>
<div class="donately-ecard-from-group">
<label class="field-label" for="donately-ecard-from">From Name</label>
<input class="donately-text-input" id="donately-ecard-from" type="text" autocomplete="name" x-autocompletetype="name" placeholder="From Name">
</div>
<div class="donately-ecard-hideamount-group">
<label class="field-label sr-only" for="donately-ecard-hideamount">Hide the amount of my gift</label>
<input class="donately-checkbox-input" id="donately-ecard-hideamount" type="checkbox" value="true">
<span class="field-label checkbox" for="donately-ecard-hideamount">Hide the amount of my gift</span>
</div>
<div class="donately-ecard-notifyme-group">
<label class="field-label sr-only" for="donately-ecard-notifyme">Notify me when sent</label>
<input class="donately-checkbox-input" id="donately-ecard-notifyme" type="checkbox" value="true">
<span class="field-label checkbox" for="donately-ecard-notifyme">Notify me when sent</span>
</div>
</div>
<div class="donately-ecard-topright-group" style="display: none;">
<div class="donately-ecard-topright-upper-group">
<label class="field-label" for="donately-ecard-choose-design">Choose an eCard Design</label>
<img class="donately-ecard-alt active img-alt1" src="" tabindex="0" aria-selected="false" role="tab">
<img class="donately-ecard-alt img-alt2" src="" tabindex="0" aria-selected="false" role="tab">
<img class="donately-ecard-alt img-alt3" src="" tabindex="0" aria-selected="false" role="tab">
<img class="donately-ecard-alt last img-alt4" src="" tabindex="0" aria-selected="false" role="tab">
</div>
<div class="donately-ecard-topright-under-group">
<img id="donately-ecard-src" src=""><br>
<input id="donately-ecard-url" type="hidden">
</div>
</div>
</div>
<div class="donately-ecard-message-group">
<label class="field-label" for="donately-ecard-message">Your Personal Message</label>
<textarea class="donately-textarea" id="donately-ecard-message" type="text"></textarea>
</div>
<div class="donately-ecard-sendto-group">
<div class="donately-radio-option donately-custom-radio donately-ecard-sendto-honoree">
<label class="sr-only" for="honoree">Send to honoree</label>
<input class="donately-radio-input" id="send-to-honoree" name="donately-ecard-sendto" value="honoree" type="radio" checked="checked">
<span class="field-label" for="honoree">Send to honoree</span>
</div>
<div class="donately-radio-option donately-custom-radio donately-ecard-sendto-else">
<label class="sr-only" for="else">Send to someone else</label>
<input class="donately-radio-input" id="send-to-else" name="donately-ecard-sendto" value="else" type="radio">
<span class="field-label" for="else">Send to someone else</span>
</div>
</div>
<div class="donately-ecard-recipient-group">
<div class="donately-ecard-recipient-name-group" style="display: none;">
<label class="field-label" for="donately-ecard-recipient-name">Recipient Name</label>
<input class="donately-text-input" id="donately-ecard-recipient-name" type="text" placeholder="Recipient Name">
</div>
<div class="donately-ecard-recipient-email-group">
<label class="field-label" for="donately-ecard-recipient-email">Recipient Email</label>
<input class="donately-text-input" id="donately-ecard-recipient-email" type="text" placeholder="Recipient Email">
</div>
</div>
<div class="donately-ecard-sendwhen-group">
<div class="donately-ecard-sendwhen-options-group">
<select id="donately-ecard-sendwhen" class="donately-select">
<option value="immediately">Send eCard Immediately</option>
<option value="schedule">Schedule for...</option>
</select>
</div>
<div class="donately-ecard-sendwhen-date-group" style="display: none;">
<input class="donately-text-input" id="donately-ecard-sendwhen-date" placeholder="YYYY-MM-DD" type="text" autocomplete="chrome-off" aria-label="Use the arrow keys to pick a date">
<p class="donately-hide" id="donately-ecard-sendwhen-date-error" style="display: none;">Date must be within 1 year</p>
</div>
</div>
</div>
</fieldset>
<fieldset class="donately-fields donately-thank-you donately-hide" id="custom-fields-location-confirmation" style="display: none;">
<div class="confirmation-container">
<div id="checkmark"></div>
<div>
<p class="donately-thank-you-header"></p>
<p class="donately-receipt-header"></p>
</div>
<div class="social-share-container">
<div class="donately-share-header">Sharing can increase your impact</div>
<p class="donately-share-button-text">Copy this link to share on other popular platforms</p>
<div class="donately-social-share-buttons">
<a class="donately-social-btn-right donately-facebook-btn-right">
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<a class="donately-social-btn-right donately-email-btn-right">
<svg aria-hidden="true" data-icon="envelope" class="fa-envelope fa-w-16" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" style="width: 100%;">
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</div>
<div class="hr"></div>
<p class="donately-share-button-text">Copy this link to share on other popular platforms</p>
<div class="donately-share-link-container">
<input class="donately-share-link">
<span class="donately-copy-share-link" onclick="Donately.confirmation.copyShareLink()">Copy Link</span>
</div>
<div class="donately-social-share-images-container">
<a href="https://www.instagram.com" target="_blank">
<svg style="enable-background:new 0 0 512 512; width: 100%" version="1.1" viewBox="0 0 512 512" xml:space="preserve" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">
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<div class="donately-error-message-overlay donately-hide" style="display: none;">
<div id="donately-error-message">Error Message</div>
</div>
<fieldset class="donately-fields donately-layout-step" id="layout-step-1" style="">
<fieldset class="donately-fields donately-preset-fields" id="custom-fields-location-presets" style=""><label class="fieldset-label donately-preset-label">Choose a Donation Amount</label>
<ul class="donately-preset-amounts">
<li id="donately-preset-option-1" class="" data-amount="5000"><input type="radio" name="donately-preset" class="donately-radio-input" value="5000" tabindex="0"><label class="button-label" aria-selected="false" role="tab"
tabindex="0">$5,000</label></li>
<li id="donately-preset-option-2" class="" data-amount="1000"><input type="radio" name="donately-preset" class="donately-radio-input" value="1000" tabindex="null"><label class="button-label" aria-selected="false" role="tab"
tabindex="0">$1,000</label></li>
<li id="donately-preset-option-3" class="" data-amount="500"><input type="radio" name="donately-preset" class="donately-radio-input" value="500" tabindex="null"><label class="button-label" aria-selected="false" role="tab"
tabindex="0">$500</label></li>
<li id="donately-preset-option-4" class="" data-amount="100"><input type="radio" name="donately-preset" class="donately-radio-input" value="100" tabindex="null"><label class="button-label" aria-selected="false" role="tab"
tabindex="0">$100</label></li>
<li id="donately-preset-option-5" class="" data-amount="20"><input type="radio" name="donately-preset" class="donately-radio-input" value="20" tabindex="null"><label class="button-label" aria-selected="false" role="tab"
tabindex="0">$20</label></li>
</ul>
</fieldset>
<fieldset class="donately-fields" id="custom-fields-location-amount" style="">
<label class="fieldset-label donately-amount-label donately-hide" style="display: none;">Donation Amount</label>
<div id="donately-amount-value"></div>
<div class="donately-donation-amount" for="donately-amount">
<div id="donately-currency-symbol-container">
<span class="donately-currency-symbol-span">
<div class="donately-currency-symbol">$</div>
</span>
</div>
<div id="donately-payment-frequency">
<span id="donately-amount-overlay">50</span>
<span class="donately-hide" id="donately-payment-frequency-text">/One time donation</span>
</div>
<div id="donately-text-input-container">
<label class="sr-only" for="donately-amount">Donation Amount</label>
<input class="donately-text-input donately-required" data-numeric="" id="donately-amount" placeholder="50" type="number" step="any" min="1" onwheel="this.blur()" tabindex="0" required="true">
</div>
<div id="donately-currency-container">
<div class="donately-currency-abbr" tabindex="-1" role="button" aria-pressed="false" onfocus="Donately.currency.onDropdownFocus()" onkeydown="Donately.currency.handleCurrencyKeyDown(event)">
<div id="donately-currency-dropdown-toggle" style="cursor: default;">
<span class="donately-selected-currency">USD</span>
<div class="donately-select-arrows donately-hide" style="display: none;"></div>
</div>
<div class="donately-currency-dropdown donately-hide" style="display: none;">
<div class="donately-currency-options">
<ul id="currency-option-list"></ul>
</div>
</div>
</div>
</div>
</div>
<input class="donately-hide" id="donately-transaction-fees" tabindex="-1" type="hidden" value="0">
<span class="donately-inline-error donately-amount-inline-error"></span>
</fieldset>
<fieldset class="donately-fields" id="custom-fields-location-donorpaysfees" for="donately-donor-pays-fees"><label class="sr-only" for="donately-donor-pays-fees">Round up my donation so the processing fees are covered.</label><input tabindex="0"
type="checkbox" id="donately-donor-pays-fees" class="donately-toggle-input">
<div class="donately-toggle-parent">
<div class="donately-toggle-elements">
<div class="donately-toggle-background"></div>
<div class="donately-toggle-button"></div>
</div><span for="donately-donor-pays-fees" class="checkbox">Round up my donation so the processing fees are covered.</span>
</div>
</fieldset>
<fieldset class="donately-fields donately-recurring-fields" id="custom-fields-location-recurringgroup" style="">
<div class="donately-donation-frequency">
<label id="donately-frequency-label" class="fieldset-label">Frequency</label>
<div class="donately-radio-option donately-hide" id="recurring-option-1" style="display: none;">
<label id="recurring-donation-label-1" class="sr-only" for="donately-one-time-donation"></label>
<input checked="" class="donately-radio-input" id="donately-one-time-donation" name="donately-recurring" type="radio" value="0">
<span id="donately-recurring-donation-label-1" class="field-label" for="donately-one-time-donation"></span>
</div>
<div class="donately-radio-option donately-hide" id="recurring-option-2" style="display: none;">
<label id="recurring-donation-label-2" class="sr-only" for="donately-recurring-donation"></label>
<input class="donately-radio-input" id="donately-recurring-donation" name="donately-recurring" type="radio">
<span id="donately-recurring-donation-label-2" class="field-label donately-hide" for="donately-recurring-donation"></span>
</div>
<div class="donately-radio-option donately-frequency-option">
<input class="donately-hide" id="donately-recurring-frequency" name="donately-recurring" type="hidden" value="false">
<select id="donately-frequency" class="donately-select">
<option value="false">One time donation</option>
<option value="1.month">Monthly recurring donation</option>
<option value="6.month">Recurring every 6 months</option>
</select>
</div>
</div>
<div class="donately-recurring-date-container donately-hide">
<div class="donately-recurring-start-group donately-hide" style="display: none;">
<label class="field-label" for="donately-recurring-start">Start Date</label>
<input class="donately-text-input" id="donately-recurring-start" placeholder="YYYY-MM-DD" type="text" autocomplete="chrome-off" onchange="Donately.recurringOptions.showRecurringDateErrors()" data-gtm-form-interact-field-id="0">
<p class="donately-hide" id="donately-start-date-error" style="display: none;">Start Date must be before Stop Date</p>
</div>
<div class="donately-recurring-stop-group donately-hide" style="display: none;">
<label class="field-label" for="donately-recurring-stop">Stop Date</label>
<input class="donately-text-input" id="donately-recurring-stop" placeholder="Until Cancelled" type="text" autocomplete="chrome-off" onchange="Donately.recurringOptions.showRecurringDateErrors()">
<p class="donately-hide" id="donately-stop-date-error" style="display: none;"></p>
</div>
<div class="donately-hide" id="donately-plan-details" style="display: none;"></div>
</div>
</fieldset>
<fieldset class="donately-fields donately-payment-fields" id="custom-fields-location-paymentmethods" style="">
<label class="fieldset-label" for="payment-method">Payment Method</label>
<ul class="donately-payment-options">
<li id="donately-payment-option-cc" class="donately-hide" style="display: none;"><input class="donately-radio-input" name="donately-payment" type="radio" value="cc"><label tabindex="0" class="button-label cc-label active">Pay by Credit
Card</label></li>
<div class="donately-secure-fields donately-payment-types ptype-cc" style="">
<label class="button-label" for="ptype-cc" tabindex="0">Pay by Credit Card</label>
<fieldset class="donately-fields card-number-fields">
<div class="donately-stripe-card-fields"><label class="field-label donately-card-number-label" for="donately-card-number">Card Number</label>
<div id="donately-stripe-card-element" aria-label="Card Number" class="donately-stripe-card-element StripeElement StripeElement--empty">
<div class="__PrivateStripeElement"
style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important; --stripeElementWidth: 459px;">
<iframe name="__privateStripeFrame7196" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-83a1f6ec2add025c6764220583162b79.html#locale=en&wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&style[base][iconColor]=rgba(51%2C+51%2C+51%2C+1)&style[base][color]=rgba(51%2C+51%2C+51%2C+1)&style[base][fontWeight]=500&style[base][fontFamily]='Arial'%2C'Helvetica'%2Csans-serif&style[base][fontSize]=14px&style[base][fontSmoothing]=antialiased&style[base][::placeholder][color]=rgba(191%2C+191%2C+191%2C+1)&style[invalid][iconColor]=rgba(235%2C+69%2C+68%2C+1)&style[invalid][color]=rgba(235%2C+69%2C+68%2C+1)&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51JrGtwQtxpS6tZchbzjgUKEzXqFVCrZb07jDJTUv1pp9Sn6uWtYoZzB8KkdeBhTp1pM23iIwqy7LZ7dA1BphJx6900tT2pGFvv&referrer=https%3A%2F%2Fpages.donately.com%2Ftheredfordcenter%2Fdonate&controllerId=__privateStripeController7191"
title="Secure card payment input frame"
style="border: none !important; margin-top: 0px; margin-right: 0px !important; margin-bottom: 0px !important; margin-left: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
<div
style="display: block !important; position: absolute !important; top: 50% !important; right: -11px !important; width: 0px !important; margin: -20px 0px 0px !important; padding: 0px !important; border: 0px !important; background: none !important; opacity: 1 !important; overflow: hidden !important; height: 39px !important; transition: width 0s ease 0.4s !important;">
<iframe name="cardButton7199" frameborder="0" allowtransparency="true" scrolling="no"
src="https://js.stripe.com/v3/elements-inner-link-button-for-card-40c4a4a3595c8955f45a376f8dcccc0c.html#locale=en&style[foregroundColor]=rgba(51%2C+51%2C+51%2C+1)&frameId=__privateStripeFrame7196&publishableKey=pk_live_51JrGtwQtxpS6tZchbzjgUKEzXqFVCrZb07jDJTUv1pp9Sn6uWtYoZzB8KkdeBhTp1pM23iIwqy7LZ7dA1BphJx6900tT2pGFvv&stripeJsId=8a596146-34a2-493c-93de-0b3c6254ebcc&mids[guid]=4aa26d96-7243-43b1-b27c-bca6946ddf3e4c933c&mids[muid]=ebfe2904-e2ce-4f83-9e35-ec64e96e21a6eced58&mids[sid]=5aae0e41-edeb-441f-abec-80a2b90c2907fc2ed6&component=card"
style="margin: 0px !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; display: block !important; position: absolute !important; top: 0px !important; right: 0px !important; height: 39px !important; width: calc(var(--stripeElementWidth) + 22px) !important; padding: 0px !important; border: 0px !important; overflow: hidden !important; opacity: 1 !important; transition: visibility 0s ease 0.4s !important; visibility: hidden !important;"
tabindex="-1"></iframe></div>
</div>
</div>
</div>
</fieldset>
<!-- insert Stripe Card Elements here -->
<div class="donately-secure-footer secure-lock"><span>SSL encrypted and secure</span></div>
</div>
<li id="donately-payment-option-ach" class=""><input class="donately-radio-input" name="donately-payment" type="radio" value="ach"><label tabindex="0" class="button-label ach-label ">Pay by Bank Account</label></li>
<div class="donately-secure-fields donately-payment-types ptype-ach donately-hide" style="display: none;">
<div class="bank-account-connected donately-hide">
<label class="button-label" for="ptype-ach">Pay by Bank Account</label>
<fieldset class="donately-fields connected-account-fields">
<label class="field-label" for="connected-bank">Connected Bank</label> <span class="bank-name">Bank of America</span>
</fieldset>
<fieldset class="donately-fields connected-account-fields">
<label class="field-label" for="connected-account">Connected Account</label> <span class="account-name">Primary Checking</span>
</fieldset>
<div class="donately-secure-footer"><a href="#">Connect to a different bank account</a></div>
</div>
<div class="bank-account-disconnected">
<label class="button-label" for="ptype-ach">Pay by Bank Account</label>
<fieldset class="donately-fields connect-bank-account">
<input class="donately-btn plaid-connect" type="button" value="Connect Bank Account">
</fieldset>
<div class="donately-secure-footer secure-lock"><span>SSL encrypted and secure</span></div>
</div>
</div>
<li id="donately-payment-option-paypal" class=""><input class="donately-radio-input" name="donately-payment" type="radio" value="paypal"><label tabindex="0" class="button-label paypal-label ">Pay by PayPal</label></li>
<div class="donately-secure-fields donately-payment-types ptype-paypal donately-hide" style="display: none;">
<div class="paypal-authorized donately-hide">
<label class="button-label" for="ptype-paypal">Pay by PayPal</label>
<fieldset class="donately-fields connected-account-fields">
<label class="field-label" for="connected-email">Connected Email</label> <span class="paypal-email">paypal@email.com</span>
</fieldset>
<fieldset class="donately-fields connected-account-fields">
<label class="field-label" for="connected-name">Connected Name</label> <span class="paypal-name">PayPal Name</span>
</fieldset>
<div class="donately-secure-footer"><a href="#">Connect to a different PayPal account</a></div>
</div>
<div class="paypal-unauthorized">
<label class="button-label" for="ptype-paypal">Pay by PayPal</label>
<fieldset class="donately-fields connect-paypal">
<div class="paypal-button-container">
<div id="paypal-button"></div>
</div>
</fieldset>
<div class="donately-secure-footer secure-lock"><span>SSL encrypted and secure</span></div>
</div>
</div>
</ul>
</fieldset>
<fieldset class="donately-fields donately-logged-out-fields donately-name-fields" id="custom-fields-location-namegroup" style="">
<div class="donately-first-name-group">
<label class="field-label" for="donately-first-name">First Name</label>
<input autocomplete="given-name" x-autocompletetype="given-name" class="donately-text-input" id="donately-first-name" placeholder="First" type="text">
</div>
<div class="donately-last-name-group">
<label class="field-label" for="donately-last-name">Last Name</label>
<input autocomplete="family-name" x-autocompletetype="surname" class="donately-text-input" id="donately-last-name" placeholder="Last" type="text">
</div>
</fieldset>
<fieldset class="donately-fields donately-logged-out-fields donately-email-fields" id="custom-fields-location-email" style="">
<label class="field-label donately-required-label" for="donately-email">Email Address</label>
<input autocomplete="email" x-autocompletetype="email" class="donately-text-input donately-required" id="donately-email" placeholder="Email" type="email" required="true"> <span class="donately-inline-error donately-email-inline-error"></span>
</fieldset>
<fieldset class="donately-fields donately-logged-out-fields donately-address-fields donately-address-street-fields" id="custom-fields-location-addressgroup" style="">
<div class="donately-street-address-group">
<label class="field-label donately-required-label" for="donately-street-address">Street Address</label>
<input autocomplete="address-line1" x-autocompletetype="address-line1" class="donately-text-input donately-required" id="donately-street-address" placeholder="Address" type="text" required="true">
</div>
<div class="donately-street-address-2-group">
<label class="field-label sr-only" for="donately-street-address-2">Street Address 2</label>
<input autocomplete="address-line2" x-autocompletetype="address-line2" class="donately-text-input" id="donately-street-address-2" placeholder="Address 2" type="text">
</div>
</fieldset>
<fieldset class="donately-fields donately-logged-out-fields donately-address-fields donately-address-city-and-state-fields" id="custom-fields-location-citygroup" style="">
<div class="donately-city-group">
<label class="field-label donately-required-label" for="donately-city">City</label>
<input autocomplete="address-level2" x-autocompletetype="city" class="donately-text-input donately-required" id="donately-city" placeholder="City" type="text" required="true">
</div>
<div class="donately-state-group">
<label class="field-label donately-required-label" for="donately-state">State</label>
<select autocomplete="address-level1" x-autocompletetype="state" id="donately-state" class="donately-select donately-required" data-country="US" required="true">
<option data-static="true" data-country="US" data-default="true" value="">State</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AA">Armed Forces of the Americas</option>
<option value="AE">Armed Forces of Europe</option>
<option value="AP">Armed Forces of the Pacific</option>
<option value="AS">American Samoa</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">District of Columbia</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MP">Northern Mariana Islands</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UT">Utah</option>
<option value="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
</select>
</div>
</fieldset>
<fieldset class="donately-fields donately-logged-out-fields donately-address-fields donately-address-zip-and-country-fields" id="custom-fields-location-countrygroup" style="">
<div class="donately-zip-code-group">
<label class="field-label donately-required-label" for="donately-zip-code">Zip Code</label>
<input autocomplete="postal-code" x-autocompletetype="postal-code" class="donately-text-input donately-required" id="donately-zip-code" placeholder="Zip" type="text" required="true">
</div>
<div class="donately-country-group">
<label class="field-label donately-required-label" for="donately-country">Country</label>
<select autocomplete="country" x-autocompletetype="country" id="donately-country" class="donately-select donately-required" required="true">
<option data-static="true" data-default="true" value="">Country</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AX">Åland Islands</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BY">Belarus</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia, Plurinational State of</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="BI">Burundi</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CA">Canada</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="CF">Central African Republic</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CG">Congo</option>
<option value="CD">Congo, The Democratic Republic of the</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CW">Curaçao</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="CI">Côte d'Ivoire</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GG">Guernsey</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran, Islamic Republic of</option>
<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JE">Jersey</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">Korea (KP)</option>
<option value="KR">Korea (KR)</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LB">Lebanon</option>
<option value="LS">Lesotho</option>
<option value="LR">Liberia</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MK">Macedonia, Republic of</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">Palestinian Territory, Occupied</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="RE">Réunion</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">Tanzania, United Republic of</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Turkey</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="US">United States</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela, Bolivarian Republic of</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="YE">Yemen</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
</select>
</div>
</fieldset>
<fieldset class="donately-fields donately-comment-fields" id="custom-fields-location-comment" style="">
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