www.steptember.org.au
Open in
urlscan Pro
52.63.170.3
Public Scan
URL:
https://www.steptember.org.au/fundraisers/TomStock
Submission: On August 26 via manual from NZ
Submission: On August 26 via manual from NZ
Form analysis 1 forms found in the DOM
POST https://www.steptember.org.au/sponsor/fundraiser/TomStock/au
<form method="post" class="form-horizontal funraisin-form" id="ProfileDonationForm" action="https://www.steptember.org.au/sponsor/fundraiser/TomStock/au" novalidate="novalidate">
<input type="hidden" name="CSRFToken" value="6709b1bce0ae6a375ad20e58e809c636">
<input type="hidden" name="mandatory" id="mandatory" value="d_receipt,d_fname,d_lname,d_email,payment_method,d_amount">
<input type="hidden" name="token" id="token">
<input type="hidden" name="payment_intent_id" id="payment_intent_id">
<input type="hidden" name="card_brand" id="card_brand">
<input type="hidden" name="card_country" id="card_country">
<input type="hidden" name="donation_frequency" id="donation_frequency">
<input type="hidden" name="donation_period" id="donation_period">
<input type="hidden" name="d_amount" id="d_amount" value="62.1">
<input type="hidden" name="d_amount_sel" id="d_amount_sel" value="60">
<input type="hidden" name="d_fee" id="d_fee" value="2.1">
<input type="hidden" name="initial_amount" id="initial_amount" value="60">
<input type="hidden" name="is_profile_donation" id="is_profile_donation" value="Y">
<input type="hidden" name="d_photo" id="d_photo" value="">
<input type="hidden" name="fbuser_id" id="fbuser_id" value="">
<input type="hidden" name="fbuser_pic" id="fbuser_pic" value="">
<input type="hidden" name="event_id" id="event_id" value="8">
<div class="sidebar-form-panel text-center active" id="chooseamount">
<h4>
<strong>Select amount to donate</strong>
</h4>
<div class="donationHandlers minimal">
<div class="copy-text text-center" style="">
<div class="row vertical-align pt20 pb20">
<div class="col-xs-12"><img src="https://d1ycj7j4cqq4r8.cloudfront.net/1epg79x8ys6cc.jpg"></div>
<div class="col-xs-12 text-center pl0"><span class="color-primary"></span> Will help purchase specially designed toys to assist the learning and development of children with limited motor skills</div>
</div>
</div>
<div class="radio selected bg-primary border-primary col-xs-3" data-rel="60" data-image="https://d1ycj7j4cqq4r8.cloudfront.net/1epg79x8ys6cc.jpg">
<div class="arrow-top border-primary"></div>
<a class="radio-text">
<span class="radio-wrap">
<span class="radio-copy hidden">Will help purchase specially designed toys to assist the learning and development of children with limited motor skills</span>
<span class="radio-amount"><span>$60</span></span>
</span>
</a>
</div>
<script>
$(document).ready(function() {
$('#d_amount,#initial_amount,#d_amount_sel').val(60);
calculateDonation();
var donationtext = "Will help purchase specially designed toys to assist the learning and development of children with limited motor skills";
$('.copy-text').hide().html(
'<div class="row vertical-align pt20 pb20"><div class="col-xs-12"><img src="https://d1ycj7j4cqq4r8.cloudfront.net/1epg79x8ys6cc.jpg"/></div><div class="col-xs-12 text-center pl0"><span class="color-primary"></span> ' +
donationtext + '</div></div>').fadeIn(300);
$('.donation-steps').removeClass('visibleout');
$('.donation-steps input,.donation-steps select').removeAttr('disabled');
$('.donation-steps .bootstrap-select').removeClass('disabled');
});
</script>
<div class="radio col-xs-3" data-rel="140" data-image="https://d1ycj7j4cqq4r8.cloudfront.net/2604wph5ar.jpg">
<div class="arrow-top border-primary"></div>
<a class="radio-text">
<span class="radio-wrap">
<span class="radio-copy hidden">Will help customise a wheelchair, providing life-changing independence to a child with cerebral palsy</span>
<span class="radio-amount"><span>$140</span></span>
</span>
</a>
</div>
<div class="radio col-xs-3" data-rel="166" data-image="https://d1ycj7j4cqq4r8.cloudfront.net/3414ly6k8yioog.jpg">
<div class="arrow-top border-primary"></div>
<a class="radio-text">
<span class="radio-wrap">
<span class="radio-copy hidden">Will support very young babies to access vital early intervention therapy</span>
<span class="radio-amount"><span>$166</span></span>
</span>
</a>
</div>
<div class="radio col-xs-3" data-rel="265" data-image="https://d1ycj7j4cqq4r8.cloudfront.net/ix0a7u9ldq1n.jpg">
<div class="arrow-top border-primary"></div>
<a class="radio-text">
<span class="radio-wrap">
<span class="radio-copy hidden">Will help research to prevent viruses that can cause cerebral palsy in some babies</span>
<span class="radio-amount"><span>$265</span></span>
</span>
</a>
</div>
<script>
$('.radio').click(function() {
$('#d_amount_free').val('');
console.log($(this).attr('data-rel'));
$('#d_amount,#initial_amount').val($(this).attr('data-rel'));
$('#d_amount_sel').val($(this).attr('data-rel'));
//$('.amountdonating').html($(this).find('.radio-amount').attr('data-rel'));
calculateDonation();
$('.radio').removeClass('selected bg-primary border-primary');
$('.radio').addClass('notselected');
$(this).removeClass('notselected');
$(this).addClass('selected bg-primary border-primary');
if ($(this).attr('data-image')) {
if ($(this).find('.radio-copy').html() != "") {
$('.copy-text').hide().html('<div class="row vertical-align pt20 pb20"><div class="col-xs-12"><img src="' + $(this).attr('data-image') + '"/></div><div class="col-xs-12 text-center pl0"><span class="color-primary"></span> ' + $(
this).find('.radio-copy').html() + '</div></div>').fadeIn(300);
} else {
$('.copy-text').hide().html('<div class="row vertical-align pt20 pb20"><div class="col-xs-12 pl0 pr0"><img src="' + $(this).attr('data-image') + '"/></div></div>').fadeIn(300);
}
} else {
if ($(this).find('.radio-copy').html() != "") {
$('.copy-text').hide().html('<div class="row pt20 pb20"><span class="color-primary"></span> ' + $(this).find('.radio-copy').html() + '</div>').fadeIn(300);
}
}
//calculateDonation();
$('.donation-steps').removeClass('visibleout');
$('.donation-steps input,.donation-steps select').removeAttr('disabled');
$('.donation-steps .bootstrap-select').removeClass('disabled');
return false;
});
</script>
<div class="clear"></div>
</div>
<div class="form-group">
<div class="col-xs-12">
<div class="input-group">
<span class="input-group-addon bg-primary">$</span>
<input class="form-control" type="text" name="d_amount_free" id="d_amount_free"
onfocus="$('#d_amount,#initial_amount').val(0);$('#d_amount_sel').val('');$('.copy-text').hide();$('.radio').removeClass('selected bg-primary border-primary').removeClass('notselected');$(this).parent().find('.input-group-addon').addClass('border-primary bg-primary').removeClass('color-primary transparent');$(this).addClass('bg-primary');this.placeholder = ''"
onkeyup="RemoveJunk(this,'nofloat','');"
onblur="calculateDonation();$('.donation-steps').removeClass('visibleout');$('.donation-steps input,.donation-steps select').removeAttr('disabled');$('.donation-steps .bootstrap-select').removeClass('disabled');$(this).parent().find('.input-group-addon').removeClass('border-primary bg-primary').addClass('color-primary transparent');$(this).removeClass('bg-primary');"
autocomplete="off">
</div>
</div>
</div>
<div class="form-group text-center">
<div class="col-sm-3"></div>
<div class="col-sm-6">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="personaldetails">Donate</a>
</div>
</div>
</div>
<div class="sidebar-form-panel" id="personaldetails">
<div class="col-md-12">
<script>
function receiptKeydown(event) {
// Check to see if space or enter were pressed
if (event.key === " " || event.key === "Enter" || event.key === "Spacebar") { // "Spacebar" for IE11 support
// Prevent the default action to stop scrolling when space is pressed
event.preventDefault();
$(event.target).trigger('click');
$('#d_receipt_container .toggle-btn').attr('aria-pressed', 'false');
event.target.setAttribute("aria-pressed", "true");
}
}
</script>
<div class="text-center Mandatory toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-6 toggle-btn"
onclick="$('#OrganisationInfo').slideUp(300);$('#mandatory').val($('#mandatory').val().replace(',d_organisation',''));$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('.giftAidBlock').visibleIn();"
role="button" aria-pressed="true" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="personal" checked="checked"> Personal Donation </label>
<label class="col-xs-6 toggle-btn"
onclick="$('#OrganisationInfo').slideDown(300);$('#mandatory').val($('#mandatory').val() +',d_organisation');$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');$('#gift_aid').attr('checked',false);$('.giftAidBlock').visibleOut();"
role="button" aria-pressed="false" tabindex="0" onkeydown="receiptKeydown(event)">
<input type="radio" name="d_receipt" value="business"> Company Donation </label>
</div>
</div>
</div>
<div class="col-md-12">
<div class="form-group" style="display:none;" id="OrganisationInfo">
<label class="col-sm-12">Organisation Name *</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_organisation" id="d_organisation" value="" autocomplete="organization">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_fname">First Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_fname" id="d_fname" value="" autocomplete="given-name">
</div>
</div>
</div>
<div class="col-md-6 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_lname">Last Name*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_lname" id="d_lname" value="" autocomplete="family-name">
</div>
</div>
</div>
<div class="col-md-12 Mandatory">
<div class="form-group">
<label class="col-sm-12" for="d_email">Email Address*</label>
<div class="col-sm-12">
<input type="text" class="form-control" name="d_email" id="d_email" value="" autocomplete="email">
</div>
</div>
</div>
<input type="hidden" name="d_optin_text" value="I'm happy to hear more from the STEPtember team">
<div class="col-sm-12">
<div class="col-xs-12 pl0 pr0" style="font-size:86%;">
<div class="text-center toggle-switch right col-xs-4 pl0 pr0">
<label class="col-xs-6 toggle-btn d_optin" data-rel="Y" onclick="$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_optin" value="Y"> Yes </label>
<label class="col-xs-6 toggle-btn d_optin" data-rel="N" onclick="$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_optin" value="N"> No </label>
</div> I'm happy to hear more from the STEPtember team
</div>
</div>
<div class="clear"></div>
<div class="height-20"></div>
<div class="col-md-12">
<div class="height-10"></div>
<div class="text-center toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-6 toggle-btn" onclick="$('.d_comment').slideDown(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="Y" checked="checked"> Leave a message </label>
<label class="col-xs-6 toggle-btn" onclick="$('.d_comment').slideUp(300);$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="d_leave_message" value="N"> No Message </label>
</div>
</div>
<div class="height-20"></div>
<div class="form-group d_comment">
<label class="col-sm-12" for="d_comments">Message to Tom Stock (Optional)</label>
<div class="col-sm-12">
<textarea class="form-control" name="d_comments" id="d_comments" rows="4" cols="30"></textarea>
</div>
</div>
<div class="form-group d_comment">
<label class="col-sm-12" for="d_display_name">Name to appear on page</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="d_display_name" id="d_display_name" autocomplete="name">
</div>
</div>
<div class="form-group">
<div class="col-sm-12">
<input type="checkbox" name="d_anonymous" value="Y" aria-label="I'd like to remain anonymous to the fundraiser"> <span style="font-size:86%;">I'd like to remain anonymous to the fundraiser</span>
</div>
</div>
<div class="height-20"></div>
<div class="form-group text-center">
<div class="col-sm-3"></div>
<div class="col-sm-6">
<a href="javascript:;" class="btn btn-tertiary btn-next btn-block" rel="paymentdetails" id="personaldetailsbutton">Next</a>
</div>
</div>
</div>
</div>
<div class="sidebar-form-panel col-sm-12" id="paymentdetails">
<p id="error" class="text-center error" style="display:none">
<b></b>
</p>
<div class="text-center toggle-switch form-group">
<div class="col-xs-12">
<label class="bg-primary border-primary col-xs-4 toggle-btn"
onclick="$('.creditcard').removeClass('hidden');$('.eft').addClass('hidden');$('.creditcard').visibleIn();$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="payment_method" value="credit card" checked="checked"> Credit Card </label>
<label class="col-xs-4 toggle-btn"
onclick="$('.creditcard').removeClass('hidden');$('.eft').addClass('hidden');$('.creditcard').visibleOut();$(this).parent().parent().find('label').removeClass('bg-primary border-primary');$(this).addClass('bg-primary border-primary');">
<input type="radio" name="payment_method" value="paypal"> <i class="fa fa-paypal" aria-hidden="true"></i> PayPal </label>
</div>
</div>
<div class="row eft hidden">
<div class="form-group">
<div class="col-sm-12 pt20 pb20"> If you wish to pay via Electronic Funds Transfer, please define a reference below to be used during the funds' transfer. Keep the value entered to a combination of numbers and letters. Upon submission, you
will receive an email with payment instructions which will include the value to be transferred, our bank details, and your reference number for payment. </div>
</div>
<div class="form-group">
<label class="col-sm-12">Your Reference</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="eft_reference" id="eft_reference">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_name">Name on Card</label>
<div class="col-sm-12">
<input class="form-control" type="text" name="card_name" id="card_name" data-stripe="name" autocomplete="cc-name" x-autocompletetype="cc-name">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12" for="card_number">Card Number</label>
<div class="col-sm-12">
<input class="form-control" type="text" id="card_number" name="card_number" data-eway-encrypt-name="EWAY_CARDNUMBER" data-braintree-name="number" data-stripe="number" autocomplete="cc-number" x-autocompletetype="cc-number">
</div>
</div>
</div>
<div class="row creditcard">
<div class="form-group">
<label class="col-sm-12">Card Expiry</label>
<div class="col-xs-6">
<input class="form-control" type="text" id="card_expiry_month" name="card_expiry_month" maxlength="2" placeholder="MM" data-braintree-name="expiration_month" data-stripe="exp_month" aria-label="card_expiry_month">
</div>
<div class="col-xs-6">
<input class="form-control" type="text" id="card_expiry_year" name="card_expiry_year" maxlength="2" placeholder="YY" data-braintree-name="expiration_year" data-stripe="exp_year" aria-label="card_expiry_year">
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<label class="col-sm-8 creditcard" for="card_cvv">CVV</label>
<label class="col-xs-4">Donation</label>
<div class="clear"></div>
<div class="col-xs-4 creditcard">
<input class="form-control" type="text" id="card_cvv" name="card_cvv" value="" maxlength="4" data-eway-encrypt-name="EWAY_CARDCVN" data-braintree-name="cvv" data-stripe="cvc" autocomplete="off">
</div>
<div class="col-xs-4 creditcard">
<img src="/funraisin.4.1/images/cvv.png" style="width:55px;margin-top:-10px;">
</div>
<div class="col-sm-4">
<span class="currency">$</span><span class="amountdonating">60.00</span>
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<div class="col-sm-12" style="font-size: 16px; line-height: 24px;">
<input type="checkbox" name="d_optin_fees" id="d_optin_fees" value="Y" checked="checked" aria-label="I'd like to add 3.5% to help cover transaction fees so that more of my donation goes to life-changing cerebral palsy research."> I'd like
to add 3.5% to help cover transaction fees so that more of my donation goes to life-changing cerebral palsy research. <span id="amountfees">This will add $2.10 to your donation.</span>
</div>
</div>
</div>
<div class="form-group text-center">
<button type="submit" class="btn btn-tertiary"><span>Donate now</span></button>
</div>
</div><!-- end panel //-->
</form>Text Content
* Home
*
* The Challenge
* The Cause
* Get Involved+
* Organisations
* Resources
* Supporting Partners
* Get Inspired+
* Hints and Tips
* Meet Our Trainers
* Leaderboards
* Search
* FAQs
* Donate
* Register Interest
* Register
Login
*
* The Challenge
* The Cause
* Get Involved
* [Mega Nav]
Organisations
Information about how organisations can participate by stepping and
fundraising.
Partners
See the organisations who have stepped up by partnering with STEPtember, or
dollar matching their staff fundraising.
Resources
Fundraising materials in one downloadable hub.
* Get Inspired
* [mega nav]
Meet our Trainers
Meet your STEPtember trainers, and find out how the STEP community is helping
kids like them.
Hints and Tips
Hints and tips to help make your fundraising easy.
Resources
Fundraising materials in one downloadable hub.
Leaderboards
See the top steppers and fundraisers who are leading the way this year.
* Register Interest
* Register
* Register Interest
* Register
* Donate
* The Challenge
* The Cause
* Get Involved
* [Mega Nav]
Organisations
Information about how organisations can participate by stepping and
fundraising.
Partners
See the organisations who have stepped up by partnering with STEPtember, or
dollar matching their staff fundraising.
Resources
Fundraising materials in one downloadable hub.
* Get Inspired
* [Mega Nav]
Meet our Trainers
Meet your STEPtember trainers, and find out how the STEP community is helping
kids like them.
Hints and Tips
Hints and tips to help make your fundraising easy.
Resources
Fundraising materials in one downloadable hub.
* Leaderboards
* Login
* Search
* Faqs
Login
Moethone Runners/Moet Hennessy
TOM STOCK
PLEASE HELP ME
REACH MY GOAL
RAISED
$0
MY GOAL
$500 TO GO
* $
*
*
SELECT AMOUNT TO DONATE
Will help purchase specially designed toys to assist the learning and
development of children with limited motor skills
Will help purchase specially designed toys to assist the learning and
development of children with limited motor skills $60
Will help customise a wheelchair, providing life-changing independence to a
child with cerebral palsy $140
Will support very young babies to access vital early intervention therapy $166
Will help research to prevent viruses that can cause cerebral palsy in some
babies $265
$
Donate
Personal Donation Company Donation
Organisation Name *
First Name*
Last Name*
Email Address*
Yes No
I'm happy to hear more from the STEPtember team
Leave a message No Message
Message to Tom Stock (Optional)
Name to appear on page
I'd like to remain anonymous to the fundraiser
Next
Credit Card PayPal
If you wish to pay via Electronic Funds Transfer, please define a reference
below to be used during the funds' transfer. Keep the value entered to a
combination of numbers and letters. Upon submission, you will receive an email
with payment instructions which will include the value to be transferred, our
bank details, and your reference number for payment.
Your Reference
Name on Card
Card Number
Card Expiry
CVV Donation
$60.00
I'd like to add 3.5% to help cover transaction fees so that more of my donation
goes to life-changing cerebral palsy research. This will add $2.10 to your
donation.
Donate now
FOR PEOPLE LIVING WITH CEREBRAL PALSY.
Taking 10,000 steps a day is one heck of a challenge! But every step will be
made easier knowing it's all for a very worthy cause. Every dollar I raise will
provide vital equipment, therapy and services to children and adults living with
cerebral palsy. Please help me support this great cause!
YOUR ACTIVITY TRACKING
SEPTEMBER
NOEMIE RICAUX (C)
TOM STOCK
OUR TEAM MEMBERS
NOEMIE RICAUX (C)
--------------------------------------------------------------------------------
TOM STOCK
--------------------------------------------------------------------------------
* THE CHALLENGE
THE CAUSE
* GET INVOLVED
* Organisations
* Resources
* GET INSPIRED
* Hints and Tips
* Leaderboards
* FAQs
Contact Us
Register
Donate
CONNECT WITH US
© Cerebral Palsy Alliance | Terms and Conditions | Privacy Policy |
Accessibility
Cerebral Palsy Alliance (ACN 000 062 288), previously incorporated as “The
Spastic Centre of New South Wales”, is a public benevolent institution
incorporated as a company limited by guarantee. Cerebral Palsy Alliance, as a
Charity, is Tax exempt and a registered Deductible Gift Recipient. All donations
to Cerebral Palsy Alliance over $2.00 are tax deductible.
--------------------------------------------------------------------------------