givingday.jdrf.org.au Open in urlscan Pro
13.239.81.80  Public Scan

Submitted URL: https://go.jdrf.org.au/e/597071/2023-05-25/3jtdwf/967053387?h=LQd83WENctYAyp9gr0LQKF9u82zvMsdxLDs4NkqXPUo
Effective URL: https://givingday.jdrf.org.au/event/givingday/
Submission: On May 26 via manual from AU — Scanned from AU

Form analysis 1 forms found in the DOM

POST https://givingday.jdrf.org.au/processeventdonation

<form action="https://givingday.jdrf.org.au/processeventdonation" method="post" id="DonationForm_8653" class="lump-donationform form-cards form-slick form-horizontal  form-validation-inline form-label-top" novalidate="novalidate">
  <input type="hidden" name="page_id" id="page_id" value="190">
  <input type="hidden" name="mandatory" id="mandatory" value="d_fname,d_lname,d_email{email},d_amount{amount},d_receipt">
  <input type="hidden" name="d_amount" id="d_amount" value="">
  <input type="hidden" name="d_amount_sel" id="d_amount_sel" value="">
  <input type="hidden" name="d_fee" id="d_fee" value="">
  <input type="hidden" name="initial_amount" id="initial_amount" value="">
  <input type="hidden" name="donation_frequency" id="donation_frequency" value="">
  <input type="hidden" name="CSRFToken" value="82b5ab1454a68c8e24f6b6efc3de377d">
  <input type="hidden" name="stripe_key" id="stripe_key_8653" value="pk_live_d7kGPmbcbEBTIw1KEwQ2eW2s">
  <input type="hidden" name="token" id="token_8653" value="">
  <input type="hidden" name="payment_intent_id" id="payment_intent_id_8653">
  <input type="hidden" name="card_brand" id="card_brand">
  <input type="hidden" name="card_country" id="card_country">
  <input type="hidden" name="elements_donation_type" id="elements_donation_type" value="donation">
  <input type="hidden" name="elements_refresh" id="elements_refresh" value="">
  <input type="hidden" name="event_id" id="event_id" value="8">
  <input type="hidden" name="elements_payment_method" id="elements_payment_method" value="card">
  <p id="error" class="text-center error" style="display:none">
    <b></b>
  </p>
  <script>
    $('.donation_frequency_toggle label').click(function() {
      $('.donation_frequency_toggle label').removeClass('active');
      $(this).parent().addClass('active');
      $('#donation_frequency').val($(this).data('rel'));
      $('#donatingfrequency').html($(this).data('rel'));
    });
  </script>
  <section class="donation-form-top">
    <div class="steps-nav text-center steps-numbers">
      <ul>
        <li class="active" id="amountdetailstab">1</li>
        <li id="personaldetailstab">2</li>
        <li id="paymentdetailstab">3</li>
      </ul>
    </div>
    <div class="donation-form-top-content">
      <div class="container">
      </div>
    </div>
  </section>
  <div class="donation-steps slick-initialized slick-slider">
    <div class="slick-list draggable" style="height: 349.375px;">
      <div class="slick-track" style="opacity: 1; width: 1380px;">
        <section id="amountdetails" class="section slick-slide slick-current slick-active" data-slick-index="0" style="position: relative; width: 460px; left: 0px; top: 0px; z-index: 999; opacity: 1;" aria-hidden="false">
          <div class="handles-container handles-layout-default">
            <section id="frequencydetails">
              <div class="container">
                <div class="row">
                  <div class="col-xs-12 col-12">
                    <h3 class="text-center">I'd like to make this donation</h3>
                  </div>
                </div>
                <div class="donation_frequency_toggle text-center list-inline row toggle-switch">
                  <label class="col-xs-6 toggle-btn bg-primary border-primary" data-rel="">Once</label>
                  <label class="col-xs-6 toggle-btn " data-rel="monthly">Monthly</label>
                </div>
              </div>
            </section>
            <script>
              $(document).ready(function() {
                $('#DropdownFrequency').on('change', function() {
                  var frequency = $(this).val();
                  $('#DonationForm_8653 #donation_frequency').val(frequency);
                  $('#DonationForm_8653 #donatingfrequency').html(frequency);
                  if (frequency != '') {
                    if ($('#DonationForm_8653 .radio-panel[data-frequency=' + frequency + ']').length) {
                      $('#DonationForm_8653 .recurringdonationHandlers .radio-panel').each(function() {
                        if ($(this).data('frequency') == frequency) {
                          $(this).show();
                        } else {
                          $(this).hide();
                        }
                      });
                      $('#DonationForm_8653 .recurringdonationHandlers').show();
                      $('#DonationForm_8653 .oneoffdonationHandlers').hide();
                    } else {
                      $('#DonationForm_8653 .recurringdonationHandlers').hide();
                      $('#DonationForm_8653 .oneoffdonationHandlers').show();
                    }
                    if ($('#DonationForm_8653 #initial_amount').val() != '') {
                      $('#DonationForm_8653 .btn-give').text('Donate $' + $('#DonationForm_8653 #initial_amount').val() + ' ' + frequency);
                    }
                  } else {
                    $('#DonationForm_8653 .recurringdonationHandlers').hide();
                    $('#DonationForm_8653 .oneoffdonationHandlers').show();
                    if ($('#DonationForm_8653 #initial_amount').val() != '') {
                      $('#DonationForm_8653 .btn-give').text('Donate $' + $('#DonationForm_8653 #initial_amount').val());
                    }
                  }
                });
                $('#DonationForm_8653 .donation_frequency_toggle label').click(function() {
                  console.log($(this).data('rel'));
                  if ($(this).data('rel')) {
                    console.log('this');
                    $('#DonationForm_8653 #donation_frequency_toggle li').removeClass('bg-primary border-primary');
                    $('#DonationForm_8653 #donation_frequency').val($(this).data('rel'));
                    $('#DonationForm_8653 #donatingfrequency').html($(this).data('rel'));
                    if ($('#DonationForm_8653 #payment_method').val() == 'paypal' || $('#DonationForm_8653 #payment_method').val() == 'eft') {
                      $('#DonationForm_8653 #elements_credit_card').trigger('click');
                    }
                    $('#DonationForm_8653 #elements_direct_debit').show();
                    $('#DonationForm_8653 .frequency-label').html($(this).text() + ' <i class="fa-solid fa-chevron-down"></i>');
                    var frequency = $(this).data('rel');
                    if ($('#DonationForm_8653 #initial_amount').val() != '') {
                      $('#DonationForm_8653 .btn-give').text('Donate $' + $('#DonationForm_8653 #initial_amount').val() + ' ' + frequency);
                    }
                    if ($('#DonationForm_8653 #payment_method').val() == 'paypal' || $('#DonationForm_8653 #payment_method').val() == 'eft') {
                      $('#DonationForm_8653 #elements_credit_card').trigger('click');
                    }
                    $('#DonationForm_8653 #elements_direct_debit').show();
                    $('#DonationForm_8653 #elements_paypal,.btn-pay-eft').hide();
                  } else {
                    $('#DonationForm_8653 .recurringdonationHandlers').hide();
                    $('#DonationForm_8653 .oneoffdonationHandlers').show();
                    $('#DonationForm_8653 #donation_frequency').val('');
                    $('#DonationForm_8653 #donatingfrequency').html('');
                    if ($('#DonationForm_8653 #initial_amount').val() != '') {
                      $('#DonationForm_8653 .btn-give').text('Donate $' + $('#DonationForm_8653 #initial_amount').val());
                    }
                    if ($('#DonationForm_8653 #payment_method').val() == 'directdebit') {
                      $('#DonationForm_8653 #elements_credit_card').trigger('click');
                    }
                    $('#DonationForm_8653 #elements_direct_debit').hide();
                    $('#DonationForm_8653 #elements_paypal,.btn-pay-eft').show();
                  }
                });
              });
            </script>
            <div class="container" style="padding:0 30px;">
            </div>
            <div class="container">
              <div class="copy-text text-center"></div>
            </div>
            <div class="donationHandlers oneoffdonationHandlers">
              <div class="row vertical-align justify-center">
                <div class="radio-panel" data-id="1129">
                  <div class="radio has-image has-text " data-amount="25" role="button" aria-pressed="false" tabindex="0" aria-label="Donate $25" onkeydown="handleBtnKeyDown(event)"
                    data-image="https://d28fnohu4ybmz2.cloudfront.net/eb4259bf6d9055bb409da11756eb2737.png">
                    <div class="arrow-top border-primary"></div>
                    <div class="radio-border">
                      <div class="radio-image">
                        <img src="https://d28fnohu4ybmz2.cloudfront.net/eb4259bf6d9055bb409da11756eb2737.png" alt="">
                      </div>
                      <div class="radio-content">
                        <div class="radio-amount has-image has-text"> $25 </div>
                        <div class="radio-text">
                          <span class="radio-copy">Can test blood sugar levels in a child participating in an ‘artificial pancreas’ trial.</span>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
                <div class="radio-panel" data-id="1130">
                  <div class="radio has-image has-text " data-amount="50" role="button" aria-pressed="false" tabindex="0" aria-label="Donate $50" onkeydown="handleBtnKeyDown(event)"
                    data-image="https://d28fnohu4ybmz2.cloudfront.net/d6c3364d9965258a27ce308286ba8913.png">
                    <div class="arrow-top border-primary"></div>
                    <div class="radio-border">
                      <div class="radio-image">
                        <img src="https://d28fnohu4ybmz2.cloudfront.net/d6c3364d9965258a27ce308286ba8913.png" alt="">
                      </div>
                      <div class="radio-content">
                        <div class="radio-amount has-image has-text"> $50 </div>
                        <div class="radio-text">
                          <span class="radio-copy">Can test whether a baby or child is likely to get T1D in a world-first screening study.</span>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
                <div class="radio-panel" data-id="1131">
                  <div class="radio has-image has-text " data-amount="125" role="button" aria-pressed="false" tabindex="0" aria-label="Donate $125" onkeydown="handleBtnKeyDown(event)"
                    data-image="https://d28fnohu4ybmz2.cloudfront.net/3941ad988819a5ee4250cbc374c6efcb.png">
                    <div class="arrow-top border-primary"></div>
                    <div class="radio-border">
                      <div class="radio-image">
                        <img src="https://d28fnohu4ybmz2.cloudfront.net/3941ad988819a5ee4250cbc374c6efcb.png" alt="">
                      </div>
                      <div class="radio-content">
                        <div class="radio-amount has-image has-text"> $125 </div>
                        <div class="radio-text">
                          <span class="radio-copy">Can pay the daily salary of a mid-career T1D researcher to make their ground-breaking findings.</span>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
                <div class="radio-panel" data-id="1132">
                  <div class="radio has-image has-text " data-amount="250" role="button" aria-pressed="false" tabindex="0" aria-label="Donate $250" onkeydown="handleBtnKeyDown(event)"
                    data-image="https://d28fnohu4ybmz2.cloudfront.net/c09e221c95398cc74a76dd0f969127eb.png">
                    <div class="arrow-top border-primary"></div>
                    <div class="radio-border">
                      <div class="radio-image">
                        <img src="https://d28fnohu4ybmz2.cloudfront.net/c09e221c95398cc74a76dd0f969127eb.png" alt="">
                      </div>
                      <div class="radio-content">
                        <div class="radio-amount has-image has-text"> $250 </div>
                        <div class="radio-text">
                          <span class="radio-copy">Can pay for a participant in a trial to investigate a cutting-edge T1D prevention drug.</span>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div><!--row -->
            </div><!-- donationHandlers -->
            <div class="container">
              <div class="row pb20 other-amount">
                <div class="col-xs-12 col-12 error-absolute">
                  <div class="input-group float-center">
                    <span class="input-group-addon border-radius-left white color-primary size-125"> $ </span>
                    <input type="text" class="form-control bl-none size-1em  pl10 pr0 height-auto" name="d_amount_free" id="d_amount_free" value="" autocomplete="donation-amount" placeholder=" Other Amount" aria-label=" Other Amount" tabindex="0">
                    <script>
                      $('#DonationForm_8653 #d_amount_free').on('focus', function() {
                        $('#DonationForm_8653 #d_amount,#initial_amount').val(0);
                        $('#DonationForm_8653 #d_amount_sel').val('');
                        $('#DonationForm_8653 .radio').removeClass('selected').removeClass('notselected');
                        $(this).parent().find('.input-group-addon').addClass('border-primary');
                        this.placeholder = '';
                      });
                      $('#DonationForm_8653 #d_amount_free').on('keypress', function() {
                        $('#DonationForm_8653 #d_amount,#initial_amount').val(0);
                        $('#DonationForm_8653 #d_amount_sel').val('');
                        $('#DonationForm_8653 .radio').removeClass('selected').removeClass('notselected');
                        $(this).parent().find('.input-group-addon').addClass('border-primary');
                        this.placeholder = '';
                      });
                      $('#DonationForm_8653 #d_amount_free').on('keyup', function() {
                        RemoveJunk(this, 'nofloat', '');
                        if ($('#DonationForm_8653 #donation_frequency').val() != '') {
                          $('#DonationForm_8653 .btn-give').text('Donate $' + $(this).val() + ' ' + $('#DonationForm_8653 #donation_frequency').val());
                        } else {
                          $('#DonationForm_8653 .btn-give').text('Donate $' + $(this).val());
                        }
                      });
                      $('#DonationForm_8653 #d_amount_free').on('blur', function() {
                        freeAmountBlur()
                      });

                      function freeAmountBlur() {
                        if ($('#DonationForm_8653 #d_amount_free').val() > 0) {
                          doFreeAmount();
                          calculateDonation_8653();
                        }
                        $('#DonationForm_8653 #d_amount_free').parent().find('.input-group-addon').removeClass('border-primary');
                        $('#DonationForm_8653 #d_amount_free').removeClass('bg-primary');
                        this.placeholder = ' Other Amount';
                      }
                    </script>
                  </div>
                </div>
              </div>
              <div>
                <div class="container">
                  <div class="row pt10">
                    <div>
                      <div class="text-center">
                        <button type="button" class="btn btn-primary btn-block btn-xl btn-next btn-give" rel="amountdetails" tabindex="0"><span>Donate<span class="donate_amount"></span></span></button>
                        <div class="height-20"></div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div dir="ltr" class="resize-sensor" style="pointer-events: none; position: absolute; inset: 0px; overflow: hidden; z-index: -1; visibility: hidden; max-width: 100%;">
            <div class="resize-sensor-expand" style="pointer-events: none; position: absolute; inset: 0px; overflow: hidden; z-index: -1; visibility: hidden; max-width: 100%;">
              <div style="position: absolute; left: 0px; top: 0px; transition: all 0s ease 0s; width: 470px; height: 359px;"></div>
            </div>
            <div class="resize-sensor-shrink" style="pointer-events: none; position: absolute; inset: 0px; overflow: hidden; z-index: -1; visibility: hidden; max-width: 100%;">
              <div style="position: absolute; left: 0px; top: 0px; transition: all 0s ease 0s; width: 200%; height: 200%;"></div>
            </div>
          </div>
        </section>
        <section class="section slick-slide" id="personaldetails" data-slick-index="1" aria-hidden="true" style="width: 460px; position: relative; left: -460px; top: 0px; z-index: 998; opacity: 0;" tabindex="-1">
          <div class="container">
            <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');
                  $('#DonationForm_8653 #d_receipt_container .toggle-btn').attr('aria-pressed', 'false');
                  event.target.setAttribute("aria-pressed", "true");
                }
              }
            </script>
            <h3 class="text-center pb10">Your Details</h3>
            <div class="row">
              <div class="col-xs-12 col-12" id="d_receipt_container">
                <div class="form-group">
                  <div class="col-12 col-xs-12 col-12">
                    <div class="text-center toggle-switch">
                      <label class="bg-primary border-primary col-xs-6 col-6 toggle-btn"
                        onclick="$('#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');$('#gift_aid').parent().parent().visibleIn();"
                        role="button" aria-pressed="true" tabindex="0" onkeydown="receiptKeydown(event)">
                        <input type="radio" name="d_receipt" value="personal" checked="checked" tabindex="-1"> Individual </label>
                      <label class="col-xs-6 col-6 toggle-btn"
                        onclick="$('#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');$('#gift_aid').attr('checked',false);$('#gift_aid').parent().parent().visibleOut();"
                        tabindex="0" role="button" aria-pressed="false" onkeydown="handleBtnKeyDown(event)">
                        <input type="radio" name="d_receipt" value="business" tabindex="-1"> Organisation </label>
                    </div>
                  </div>
                </div>
              </div>
              <div class="clearfix"></div>
              <div class="col-xs-12 col-12">
                <div class="form-group" id="OrganisationInfo" style="display:none;">
                  <label class="col-xs-12 col-12 " for="d_organisation">Organisation Name *</label>
                  <div class="col-xs-12 col-12">
                    <input type="text" class="form-control" name="d_organisation" id="d_organisation" value="" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="clearfix"></div>
              <div class="col-xs-12 col-12 col-sm-6">
                <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" required="" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="col-xs-12 col-12 col-sm-6">
                <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" required="" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="col-sm-12 col-xs-12 col-12">
                <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" required="" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="clearfix"></div>
              <label class="col-sm-12 pt10 pb10">Postal Address <a href="javascript:;" class="expand-address pull-right" tabindex="-1"><small>(enter manually)</small></a></label>
              <div class="address-lookup col-sm-12 col-xs-12 col-12">
                <div class="form-group">
                  <div class="col-sm-12 position-relative">
                    <input type="text" class="form-control" name="d_address" id="d_address" value="" placeholder="Please enter your street address" autocomplete="noprefill" tabindex="-1">
                    <div class="loqate-marker position-relative"></div>
                  </div>
                  <div class="loqate-container" style="width: 100%; position: absolute; display: none;">
                    <div class="loqate-item loqate-item-template">
                      <span class="loqate-icon loqate-icon-marker"></span><span class="loqate-item-query"></span>
                    </div>
                  </div>
                </div>
                <script>
                  $(document).ready(function() {
                    selectedaddress = false;
                    addresstimer = false;
                    $('#d_address').focus(function() {
                      selectedaddress = false;
                    });
                    $('#d_address').blur(function() {
                      setTimeout(function() {
                        $('.loqate-container').hide();
                      }, 300);
                    });
                    $('#d_address').keyup(function() {
                      console.log('test');
                      clearTimeout(addresstimer);
                      if ($('#d_address').val() != '') {
                        if (selectedaddress) {
                          $('#kw_postcode_results').html('').addClass('hidden');
                        } else {
                          addresstimer = setTimeout(function() {
                            $('#kw_postcode_results').html('').addClass('hidden');
                            $('#postcodelookup').html('<i class="fa fa-spinner"></i>');
                            $.getJSON("/funraisin/searchaddressfromloqate/AU?term=" + encodeURI($('#d_address').val()), function(result) {
                              if (result) {
                                if (result.status == 'SUCCESS') {
                                  var lookupContainer = $('#d_address').closest('.address-lookup');
                                  lookupContainer.find('.loqate-container .loqate-item-result,.loqate-valid').remove();
                                  for (var i = 0; i < Math.min(result.payload.length, 9); i++) {
                                    var item = lookupContainer.find('.loqate-container .loqate-item-template').clone();
                                    item.removeClass('loqate-item-template');
                                    item.addClass('loqate-item-result');
                                    item.find('.loqate-item-query').html(result.payload[i].fullAddress);
                                    item.attr('data-id', result.payload[i].id);
                                    item.click(function() {
                                      lookupContainer.find('.loqate-container .loqate-item-result').remove();
                                      $('#d_address').val($(this).find('.loqate-item-query').html());
                                      $.getJSON("/funraisin/getaddressfromloqate/AU/?id=" + $(this).attr('data-id'), function(result) {
                                        if (result) {
                                          if (result.status == 'SUCCESS') {
                                            console.log(result);
                                            $('#d_address_street').val(result.streetNumber + " " + result.street);
                                            $('#d_address_2').val(result.subdwelling);
                                            $('#d_address_suburb').val(result.suburb);
                                            $('#d_address_pcode').val(result.postcode);
                                            $('#d_address_state').val(result.state);
                                            if (typeof result.dpid !== 'undefined') {
                                              $('#d_address_dpid').val(result.dpid);
                                            }
                                            if ($('.address-expand').hasClass('hidden')) {
                                              //$('.expand-address').click();
                                              $('#d_address').after('<span class="loqate-valid"><i class="fa fa-check"></i></span>');
                                            }
                                          }
                                        }
                                        console.log(result);
                                      });
                                    });
                                    lookupContainer.find('.loqate-container').prependTo(lookupContainer.find(".loqate-marker"));
                                    lookupContainer.find('.loqate-container').append(item);
                                    lookupContainer.find('.loqate-container').show();
                                  }
                                }
                              }
                            });
                          }, 300);
                        }
                      }
                    });
                  });
                </script>
              </div>
              <div class="hidden addressdetails address-expand">
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5">Address Line 1 </label>
                    <div class="col-sm-12">
                      <input class="form-control g_address_street" type="text" name="d_address_street" id="d_address_street" value="" placeholder="Street address, P.O. box" data-geo="route" data-stripe="address_line1" autocomplete="address-line1"
                        tabindex="-1">
                    </div>
                  </div>
                </div>
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5">Address Line 2 </label>
                    <div class="col-sm-12">
                      <input class="form-control g_address_2" type="text" name="d_address_2" id="d_address_2" value="" placeholder="Apartment, suite, unit, building, floor etc" data-stripe="address_line2" autocomplete="address-line2" tabindex="-1">
                    </div>
                  </div>
                </div>
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5" for="d_address_suburb">Town/Suburb </label>
                    <div class="col-sm-12">
                      <input type="text" class="form-control g_address_suburb" name="d_address_suburb" id="d_address_suburb" value="" data-geo="locality" data-stripe="address_city" tabindex="-1">
                    </div>
                  </div>
                </div>
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5" for="d_address_pcode">Postcode </label>
                    <div class="col-sm-12">
                      <input type="text" class="form-control g_address_pcode" name="d_address_pcode" id="d_address_pcode" value="" data-geo="postal_code" data-stripe="address_zip" autocomplete="postal-code" tabindex="-1">
                    </div>
                  </div>
                </div>
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5" for="d_address_state">State </label>
                    <div class="col-sm-12">
                      <input class="form-control g_address_state ui-autocomplete-input" type="text" name="d_address_state" id="d_address_state" value="" data-geo="administrative_area_level_1_short" data-stripe="address_state" autocomplete="off"
                        tabindex="-1">
                    </div>
                  </div>
                </div>
                <div class="col-sm-6 col-12 col-xs-12">
                  <div class="form-group">
                    <label class="col-sm-12 pt10 pb5" for="d_address_country">Country </label>
                    <div class="col-sm-12">
                      <div class="dropdown bootstrap-select form-control g_address_country"><select name="d_address_country" id="d_address_country" class="form-control selectpicker g_address_country" data-stripe="address_country"
                          autocomplete="country" data-size="8" tabindex="-1">
                          <option value="Australia">Australia</option>
                          <option value="United States">United States</option>
                          <option value="United Kingdom">United Kingdom</option>
                          <option value="">---------------------</option>
                          <option value="Afghanistan">Afghanistan</option>
                          <option value="Albania">Albania</option>
                          <option value="Algeria">Algeria</option>
                          <option value="American Samoa">American Samoa</option>
                          <option value="Andorra">Andorra</option>
                          <option value="Angola">Angola</option>
                          <option value="Anguilla">Anguilla</option>
                          <option value="Antarctica">Antarctica</option>
                          <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                          <option value="Argentina">Argentina</option>
                          <option value="Armenia">Armenia</option>
                          <option value="Aruba">Aruba</option>
                          <option value="Australia" selected="selected">Australia</option>
                          <option value="Austria">Austria</option>
                          <option value="Azerbaijan">Azerbaijan</option>
                          <option value="Bahamas">Bahamas</option>
                          <option value="Bahrain">Bahrain</option>
                          <option value="Bangladesh">Bangladesh</option>
                          <option value="Barbados">Barbados</option>
                          <option value="Belarus">Belarus</option>
                          <option value="Belgium">Belgium</option>
                          <option value="Belize">Belize</option>
                          <option value="Benin">Benin</option>
                          <option value="Bermuda">Bermuda</option>
                          <option value="Bhutan">Bhutan</option>
                          <option value="Bolivia">Bolivia</option>
                          <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                          <option value="Botswana">Botswana</option>
                          <option value="Bouvet Island">Bouvet Island</option>
                          <option value="Brazil">Brazil</option>
                          <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
                          <option value="Brunei Darussalam">Brunei Darussalam</option>
                          <option value="Bulgaria">Bulgaria</option>
                          <option value="Burkina Faso">Burkina Faso</option>
                          <option value="Burundi">Burundi</option>
                          <option value="Cambodia">Cambodia</option>
                          <option value="Cameroon">Cameroon</option>
                          <option value="Canada">Canada</option>
                          <option value="Cape Verde">Cape Verde</option>
                          <option value="Caribbean Netherlands ">Caribbean Netherlands </option>
                          <option value="Cayman Islands">Cayman Islands</option>
                          <option value="Central African Republic">Central African Republic</option>
                          <option value="Chad">Chad</option>
                          <option value="Chile">Chile</option>
                          <option value="China">China</option>
                          <option value="Christmas Island">Christmas Island</option>
                          <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                          <option value="Colombia">Colombia</option>
                          <option value="Comoros">Comoros</option>
                          <option value="Congo">Congo</option>
                          <option value="Congo, Democratic Republic of">Congo, Democratic Republic of</option>
                          <option value="Cook Islands">Cook Islands</option>
                          <option value="Costa Rica">Costa Rica</option>
                          <option value="Côte d'Ivoire">Côte d'Ivoire</option>
                          <option value="Croatia">Croatia</option>
                          <option value="Cuba">Cuba</option>
                          <option value="Curaçao">Curaçao</option>
                          <option value="Cyprus">Cyprus</option>
                          <option value="Czech Republic">Czech Republic</option>
                          <option value="Denmark">Denmark</option>
                          <option value="Djibouti">Djibouti</option>
                          <option value="Dominica">Dominica</option>
                          <option value="Dominican Republic">Dominican Republic</option>
                          <option value="Ecuador">Ecuador</option>
                          <option value="Egypt">Egypt</option>
                          <option value="El Salvador">El Salvador</option>
                          <option value="Equatorial Guinea">Equatorial Guinea</option>
                          <option value="Eritrea">Eritrea</option>
                          <option value="Estonia">Estonia</option>
                          <option value="Ethiopia">Ethiopia</option>
                          <option value="Falkland Islands">Falkland Islands</option>
                          <option value="Faroe Islands">Faroe Islands</option>
                          <option value="Fiji">Fiji</option>
                          <option value="Finland">Finland</option>
                          <option value="France">France</option>
                          <option value="French Guiana">French Guiana</option>
                          <option value="French Polynesia">French Polynesia</option>
                          <option value="French Southern Territories">French Southern Territories</option>
                          <option value="Gabon">Gabon</option>
                          <option value="Gambia">Gambia</option>
                          <option value="Georgia">Georgia</option>
                          <option value="Germany">Germany</option>
                          <option value="Ghana">Ghana</option>
                          <option value="Gibraltar">Gibraltar</option>
                          <option value="Greece">Greece</option>
                          <option value="Greenland">Greenland</option>
                          <option value="Grenada">Grenada</option>
                          <option value="Guadeloupe">Guadeloupe</option>
                          <option value="Guam">Guam</option>
                          <option value="Guatemala">Guatemala</option>
                          <option value="Guernsey">Guernsey</option>
                          <option value="Guinea">Guinea</option>
                          <option value="Guinea-Bissau">Guinea-Bissau</option>
                          <option value="Guyana">Guyana</option>
                          <option value="Haiti">Haiti</option>
                          <option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
                          <option value="Honduras">Honduras</option>
                          <option value="Hong Kong">Hong Kong</option>
                          <option value="Hungary">Hungary</option>
                          <option value="Iceland">Iceland</option>
                          <option value="India">India</option>
                          <option value="Indonesia">Indonesia</option>
                          <option value="Iran">Iran</option>
                          <option value="Iraq">Iraq</option>
                          <option value="Ireland">Ireland</option>
                          <option value="Isle of Man">Isle of Man</option>
                          <option value="Israel">Israel</option>
                          <option value="Italy">Italy</option>
                          <option value="Jamaica">Jamaica</option>
                          <option value="Japan">Japan</option>
                          <option value="Jersey">Jersey</option>
                          <option value="Jordan">Jordan</option>
                          <option value="Kazakhstan">Kazakhstan</option>
                          <option value="Kenya">Kenya</option>
                          <option value="Kiribati">Kiribati</option>
                          <option value="Kuwait">Kuwait</option>
                          <option value="Kyrgyzstan">Kyrgyzstan</option>
                          <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
                          <option value="Latvia">Latvia</option>
                          <option value="Lebanon">Lebanon</option>
                          <option value="Lesotho">Lesotho</option>
                          <option value="Liberia">Liberia</option>
                          <option value="Libya">Libya</option>
                          <option value="Liechtenstein">Liechtenstein</option>
                          <option value="Lithuania">Lithuania</option>
                          <option value="Luxembourg">Luxembourg</option>
                          <option value="Macau">Macau</option>
                          <option value="Macedonia">Macedonia</option>
                          <option value="Madagascar">Madagascar</option>
                          <option value="Malawi">Malawi</option>
                          <option value="Malaysia">Malaysia</option>
                          <option value="Maldives">Maldives</option>
                          <option value="Mali">Mali</option>
                          <option value="Malta">Malta</option>
                          <option value="Marshall Islands">Marshall Islands</option>
                          <option value="Martinique">Martinique</option>
                          <option value="Mauritania">Mauritania</option>
                          <option value="Mauritius">Mauritius</option>
                          <option value="Mayotte">Mayotte</option>
                          <option value="Mexico">Mexico</option>
                          <option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
                          <option value="Moldova">Moldova</option>
                          <option value="Monaco">Monaco</option>
                          <option value="Mongolia">Mongolia</option>
                          <option value="Montenegro">Montenegro</option>
                          <option value="Montserrat">Montserrat</option>
                          <option value="Morocco">Morocco</option>
                          <option value="Mozambique">Mozambique</option>
                          <option value="Myanmar">Myanmar</option>
                          <option value="Namibia">Namibia</option>
                          <option value="Nauru">Nauru</option>
                          <option value="Nepal">Nepal</option>
                          <option value="New Caledonia">New Caledonia</option>
                          <option value="New Zealand">New Zealand</option>
                          <option value="Nicaragua">Nicaragua</option>
                          <option value="Niger">Niger</option>
                          <option value="Nigeria">Nigeria</option>
                          <option value="Niue">Niue</option>
                          <option value="Norfolk Island">Norfolk Island</option>
                          <option value="North Korea">North Korea</option>
                          <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                          <option value="Norway">Norway</option>
                          <option value="Oman">Oman</option>
                          <option value="Pakistan">Pakistan</option>
                          <option value="Palau">Palau</option>
                          <option value="Palestine, State of">Palestine, State of</option>
                          <option value="Panama">Panama</option>
                          <option value="Papua New Guinea">Papua New Guinea</option>
                          <option value="Paraguay">Paraguay</option>
                          <option value="Peru">Peru</option>
                          <option value="Philippines">Philippines</option>
                          <option value="Pitcairn">Pitcairn</option>
                          <option value="Poland">Poland</option>
                          <option value="Portugal">Portugal</option>
                          <option value="Puerto Rico">Puerto Rico</option>
                          <option value="Qatar">Qatar</option>
                          <option value="Réunion">Réunion</option>
                          <option value="Romania">Romania</option>
                          <option value="Russian Federation">Russian Federation</option>
                          <option value="Rwanda">Rwanda</option>
                          <option value="Saint Barthélemy">Saint Barthélemy</option>
                          <option value="Saint Helena">Saint Helena</option>
                          <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                          <option value="Saint Lucia">Saint Lucia</option>
                          <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                          <option value="Saint-Martin (France)">Saint-Martin (France)</option>
                          <option value="Samoa">Samoa</option>
                          <option value="San Marino">San Marino</option>
                          <option value="Sao Tome and Principe">Sao Tome and Principe</option>
                          <option value="Saudi Arabia">Saudi Arabia</option>
                          <option value="Senegal">Senegal</option>
                          <option value="Serbia">Serbia</option>
                          <option value="Seychelles">Seychelles</option>
                          <option value="Sierra Leone">Sierra Leone</option>
                          <option value="Singapore">Singapore</option>
                          <option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
                          <option value="Slovakia">Slovakia</option>
                          <option value="Slovenia">Slovenia</option>
                          <option value="Solomon Islands">Solomon Islands</option>
                          <option value="Somalia">Somalia</option>
                          <option value="South Africa">South Africa</option>
                          <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
                          <option value="South Korea">South Korea</option>
                          <option value="South Sudan">South Sudan</option>
                          <option value="Spain">Spain</option>
                          <option value="Sri Lanka">Sri Lanka</option>
                          <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option>
                          <option value="Sudan">Sudan</option>
                          <option value="Suriname">Suriname</option>
                          <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
                          <option value="Swaziland">Swaziland</option>
                          <option value="Sweden">Sweden</option>
                          <option value="Switzerland">Switzerland</option>
                          <option value="Syria">Syria</option>
                          <option value="Taiwan">Taiwan</option>
                          <option value="Tajikistan">Tajikistan</option>
                          <option value="Tanzania">Tanzania</option>
                          <option value="Thailand">Thailand</option>
                          <option value="The Netherlands">The Netherlands</option>
                          <option value="Timor-Leste">Timor-Leste</option>
                          <option value="Togo">Togo</option>
                          <option value="Tokelau">Tokelau</option>
                          <option value="Tonga">Tonga</option>
                          <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                          <option value="Tunisia">Tunisia</option>
                          <option value="Turkey">Turkey</option>
                          <option value="Turkmenistan">Turkmenistan</option>
                          <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
                          <option value="Tuvalu">Tuvalu</option>
                          <option value="Uganda">Uganda</option>
                          <option value="Ukraine">Ukraine</option>
                          <option value="United Arab Emirates">United Arab Emirates</option>
                          <option value="United Kingdom">United Kingdom</option>
                          <option value="United States">United States</option>
                          <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
                          <option value="Uruguay">Uruguay</option>
                          <option value="Uzbekistan">Uzbekistan</option>
                          <option value="Vanuatu">Vanuatu</option>
                          <option value="Vatican">Vatican</option>
                          <option value="Venezuela">Venezuela</option>
                          <option value="Vietnam">Vietnam</option>
                          <option value="Virgin Islands (British)">Virgin Islands (British)</option>
                          <option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option>
                          <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
                          <option value="Western Sahara">Western Sahara</option>
                          <option value="Yemen">Yemen</option>
                          <option value="Zambia">Zambia</option>
                          <option value="Zimbabwe">Zimbabwe</option>
                          <option value="Åland Islands">Åland Islands</option>
                        </select><button type="button" tabindex="-1" class="form-control dropdown-toggle" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-1" aria-haspopup="listbox" aria-expanded="false" title="Australia"
                          data-id="d_address_country">
                          <div class="filter-option">
                            <div class="filter-option-inner">
                              <div class="filter-option-inner-inner">Australia</div>
                            </div>
                          </div>
                        </button>
                        <div class="dropdown-menu ">
                          <div class="inner show" role="listbox" id="bs-select-1" tabindex="-1">
                            <ul class="dropdown-menu inner show" role="presentation"></ul>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <input type="hidden" name="d_address_dpid" id="d_address_dpid" value="" tabindex="-1">
              <script>
                $(document).ready(function() {
                  $('#d_address_state').autocomplete({
                    source: "/funraisin/getstatesjson/",
                    minLength: 2,
                    select: function(event, ui) {
                      setTimeout(function() {
                        $("#d_address_state").val(ui.item.state_code);
                      }, 700);
                    }
                  });
                });
              </script>
              <div class="col-12 col-xs-12">
                <input type="hidden" name="form_key" value="1817FZ" tabindex="-1">
                <div class="lump-form form-horizontal" id="DIV6">
                  <div class="row">
                    <!-- 	
							<script>
								$(document).ready(function(){
																			$( ".option_34" ).rules( "add", {
									  	required: true,
									  												minlength:4,
																					maxlength:4,
																				messages: {
							                required: "This is a required field"
							            }
									});
																		
								});
							</script>
 -->
                    <div class="col-md-12 ">
                      <div class="form-group">
                        <label class="col-sm-12 col-xs-12 col-12" for="input34">Postcode *</label>
                        <div class="col-sm-6">
                          <input class="form-control option_34 col-xs-12 col-12" name="option[34]" type="text" placeholder="Postcode" id="input34" value="" required="" maxlength="4" minlength="4" tabindex="-1">
                        </div>
                      </div>
                    </div>
                    <!-- 	
							<script>
								$(document).ready(function(){
																			$( "select.option_30" ).rules( "add", {
										  	required: true,
										  												messages: {
								                required: "This is a required field"
								            }
										});
																		
								});
							</script>
 -->
                    <div class="col-md-12 ">
                      <div class="form-group">
                        <label class="col-sm-12 col-xs-12 col-12" for="input30">What is your T1D connection? *</label>
                        <div class="col-sm-12 col-xs-12 col-12">
                          <div class="dropdown bootstrap-select form-control option_30"><select class="form-control selectpicker option_30" required="" name="option[30]" id="input30" tabindex="-1">
                              <option value="">- Select your T1D Connection -</option>
                              <option value="I have T1D">I have T1D</option>
                              <option value="My child has T1D">My child has T1D</option>
                              <option value="I have a relative with T1D">I have a relative with T1D</option>
                              <option value="I have a friend with T1D">I have a friend with T1D</option>
                              <option value="I have a partner with T1D">I have a partner with T1D</option>
                              <option value="I have no connection to T1D">I have no connection to T1D</option>
                            </select><button type="button" tabindex="-1" class="form-control dropdown-toggle bs-placeholder" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-2" aria-haspopup="listbox" aria-expanded="false"
                              title="- Select your T1D Connection -" data-id="input30">
                              <div class="filter-option">
                                <div class="filter-option-inner">
                                  <div class="filter-option-inner-inner">- Select your T1D Connection -</div>
                                </div>
                              </div>
                            </button>
                            <div class="dropdown-menu ">
                              <div class="inner show" role="listbox" id="bs-select-2" tabindex="-1">
                                <ul class="dropdown-menu inner show" role="presentation"></ul>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div class="clear"></div>
                  </div>
                </div>
              </div>
            </div>
            <div class="row pt10">
              <div class="vertical-align width-full buttons-block">
                <div class="text-center btn-back-block">
                  <a class="btn btn-back" tabindex="-1"><span class="material-icons">chevron_left</span></a>
                </div>
                <div class="text-center btn-action-block">
                  <button type="button" class="btn btn-primary btn-block btn-xl btn-next" rel="personaldetails" tabindex="-1"><span>Payment Options</span></button>
                </div>
              </div>
            </div>
            <div class="height-20"></div>
          </div>
        </section>
        <section class="section slick-slide" id="paymentdetails" data-slick-index="2" aria-hidden="true" style="width: 460px; position: relative; left: -920px; top: 0px; z-index: 998; opacity: 0;" tabindex="-1">
          <div class="container">
            <div class="row">
              <h3 class="text-center col-xs-12 col-12">Payment Details</h3>
              <p id="error" class="text-center error" style="display:none">
                <b></b>
              </p>
              <div class="buttons-block col-xs-12">
                <a href="javascript:void(0);" data-rel="credit card" class="btn btn-payment-element btn-pay-creditcard" id="elements_credit_card" tabindex="-1" style="display: none;"><img src="https://d1p2vuwzdwq826.cloudfront.net/cacd2a43ec8cb767ea934456b7916b4f.svg" alt="Credit Card">Credit Card</a>
              </div>
              <input type="hidden" name="payment_method" id="payment_method" value="credit card" tabindex="-1">
              <script>
                $('.btn-payment-element').on('click', function() {
                  $('#payment_method').val($(this).data('rel'));
                  $('.btn-payment-element').addClass('fadeout');
                  $(this).removeClass('fadeout');
                  if ($(this).data('rel') == 'paypal') {
                    $('.creditcard,.eft').addClass('hidden');
                    $('.paypal').removeClass('hidden');
                  } else if ($(this).data('rel') == 'eft') {
                    $('.creditcard,.paypal').addClass('hidden');
                    $('.eft').removeClass('hidden');
                  } else {
                    $('.creditcard').removeClass('hidden');
                    $('.paypal,.eft').addClass('hidden');
                  }
                });
              </script>
              <div class="height-20"></div>
              <div class="col-xs-12 col-12 creditcard">
                <div class="form-group">
                  <label class="col-sm-12" for="card_name"> Name on Card * </label>
                  <div class="col-sm-12">
                    <input type="text" class="form-control " name="card_name" id="card_name" value="" required="" data-stripe="name" x-autocompletetype="cc-name" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="col-xs-12 col-12 creditcard">
                <div class="form-group">
                  <label class="col-sm-12" for="card_number"> Card Number * </label>
                  <div class="col-sm-12">
                    <input type="text" class="form-control" name="card_number" id="card_number" value="" required="" data-stripe="number" data-eway-encrypt-name="EWAY_CARDNUMBER" data-braintree="number" tabindex="-1">
                  </div>
                </div>
              </div>
              <div class="clear"></div>
              <div class="col-sm-6  col-xs-12 col-12 creditcard">
                <div class="form-group">
                  <label class="col-xs-12 col-12 " for="card_expiry_month">Card Expiry *</label>
                  <div class="col-sm-6 col-xs-6 col-6">
                    <div class="dropdown bootstrap-select form-control"><select class="form-control selectpicker" id="card_expiry_month" name="card_expiry_month" data-braintree-name="expiration_month" data-stripe="exp_month" tabindex="-1">
                        <option value="">MM</option>
                        <option value="01">01</option>
                        <option value="02">02</option>
                        <option value="03">03</option>
                        <option value="04">04</option>
                        <option value="05">05</option>
                        <option value="06">06</option>
                        <option value="07">07</option>
                        <option value="08">08</option>
                        <option value="09">09</option>
                        <option value="10">10</option>
                        <option value="11">11</option>
                        <option value="12">12</option>
                      </select><button type="button" tabindex="-1" class="form-control dropdown-toggle bs-placeholder" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-3" aria-haspopup="listbox" aria-expanded="false" title="MM"
                        data-id="card_expiry_month">
                        <div class="filter-option">
                          <div class="filter-option-inner">
                            <div class="filter-option-inner-inner">MM</div>
                          </div>
                        </div>
                      </button>
                      <div class="dropdown-menu ">
                        <div class="inner show" role="listbox" id="bs-select-3" tabindex="-1">
                          <ul class="dropdown-menu inner show" role="presentation"></ul>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div class="col-sm-6 col-xs-6 col-6">
                    <div class="dropdown bootstrap-select form-control"><select class="form-control selectpicker" id="card_expiry_year" name="card_expiry_year" data-braintree-name="expiration_year" data-stripe="exp_year" aria-label="Expiry year (YY)"
                        tabindex="-1">
                        <option value="">YY</option>
                        <option value="23">2023</option>
                        <option value="24">2024</option>
                        <option value="25">2025</option>
                        <option value="26">2026</option>
                        <option value="27">2027</option>
                        <option value="28">2028</option>
                        <option value="29">2029</option>
                        <option value="30">2030</option>
                        <option value="31">2031</option>
                        <option value="32">2032</option>
                        <option value="33">2033</option>
                      </select><button type="button" tabindex="-1" class="form-control dropdown-toggle bs-placeholder" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-4" aria-haspopup="listbox" aria-expanded="false" title="YY"
                        data-id="card_expiry_year">
                        <div class="filter-option">
                          <div class="filter-option-inner">
                            <div class="filter-option-inner-inner">YY</div>
                          </div>
                        </div>
                      </button>
                      <div class="dropdown-menu ">
                        <div class="inner show" role="listbox" id="bs-select-4" tabindex="-1">
                          <ul class="dropdown-menu inner show" role="presentation"></ul>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <div class="col-sm-6  col-xs-12 col-12 creditcard">
                <div class="form-group">
                  <label class="col-xs-12 col-12 " for="card_cvv">CVV *</label>
                  <div class="col-sm-6 col-xs-6 col-6">
                    <input class="form-control" type="text" size="5" id="card_cvv" name="card_cvv" value="" maxlength="4" data-eway-encrypt-name="EWAY_CARDCVN" data-braintree-name="cvv" data-stripe="cvc" autocomplete="off" tabindex="-1">
                  </div>
                  <div class="col-sm-6 col-xs-6 col-6">
                    <img src="https://4e14afa0f2e33fe0acb7-65ce87aea9ade6f30f5e307f425e6c8a.ssl.cf5.rackcdn.com/cvv.png" style="width:55px;margin-top:-10px;">
                  </div>
                </div>
              </div>
              <div class="clearfix"></div>
              <div class="col-sm-6 col-xs-12 col-12 donation-amount-display">
                <div class="form-group">
                  <label class="col-xs-12 col-12 pt10 pb0">Donation Amount</label>
                  <div class="col-sm-4">
                    <span id="amountdonating">$0.00</span> <span id="donatingfrequency"></span>
                  </div>
                </div>
              </div>
            </div>
            <style>
              .funraisin-fee-box .tooltip {
                z-index: 999999;
                opacity: 1;
              }

              .optout-box {
                border: 2px solid #e5e5e5;
                border-radius: 5px;
                padding: 20px;
                margin-top: 20px;
                display: flex;
                align-items: center;
              }

              .funraisin-fee-box {
                padding: 5px 20px 20px;
                border-radius: 5px;
                background: #1372fb10;
              }

              .funraisin-fee-box i,
              .funraisin-fee-box .hoverlink {
                color: #1372fb;
              }

              .optout-box p {
                font-size: 0.8em;
              }

              .optout-box img {
                width: 60px;
                margin-right: 10px;
              }

              .funraisin-fee-box.funraisin-no-bg {
                background: none !important;
                padding: 0 !important;
              }

              .funraisin-fee-box p {
                font-size: 0.8em;
              }

              .funraisin-fee-box .tooltip .tooltip-inner {
                background-color: #fff;
                color: #000;
                box-shadow: 0 3px 10px rgb(0 0 0 / 15%);
                padding: 20px 30px;
                text-align: left;
                max-width: 250px;
              }

              .funraisin-fee-box .tooltip .tooltip-arrow:before {
                border-top-color: #fff;
              }
            </style>
            <input type="hidden" name="optin_fees_rate" id="optin_fees_rate" value="5.5" tabindex="-1">
            <input type="hidden" name="d_optin_fees" id="d_optin_fees" value="Y" tabindex="-1">
            <div class="row">
              <div class="col-xs-12 col-12">
                <div class="funraisin-fee-box funraisin-no-bg">
                  <p><i class="fa fa-heart" aria-hidden="true"></i> I'd like to add a little extra to help cover fees. <span class="hoverlink" data-toggle="tooltip" data-bs-container=".funraisin-fee-box" data-container=".funraisin-fee-box"
                      data-bs-toggle="tooltip" data-placement="top" data-bs-placement="top" title="" data-bs-original-title="Your contribution helps keep this technology free to our charity. ">Why?</span></p>
                  <div>
                    <div class="dropdown bootstrap-select form-control dropup"><select class="form-control selectpicker dropup" name="d_fee_multiple" id="d_fee_multiple" data-dropup-auto="false" autocomplete="off" tabindex="-1">
                        <option value="8.5" data-percentage="8.5" data-amount="">8.5%</option>
                        <option value="7.5" data-percentage="7.5" data-amount="">7.5%</option>
                        <option value="6.5" data-percentage="6.5" data-amount="">6.5%</option>
                        <option value="5.5" data-percentage="5.5" data-amount="" selected="" data-default="true">5.5%</option>
                        <option value="4.5" data-percentage="4.5" data-amount="">4.5%</option>
                        <option value="3.5" data-percentage="3.5" data-amount="">3.5%</option>
                        <option value="other">Other (or $0)</option>
                      </select><button type="button" tabindex="-1" class="form-control dropdown-toggle" data-bs-toggle="dropdown" role="combobox" aria-owns="bs-select-5" aria-haspopup="listbox" aria-expanded="false" title="5.5%"
                        data-id="d_fee_multiple">
                        <div class="filter-option">
                          <div class="filter-option-inner">
                            <div class="filter-option-inner-inner">5.5%</div>
                          </div>
                        </div>
                      </button>
                      <div class="dropdown-menu ">
                        <div class="inner show" role="listbox" id="bs-select-5" tabindex="-1">
                          <ul class="dropdown-menu inner show" role="presentation"></ul>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div class="fee-other hidden">
                    <p>Your contribution helps cover the costs of fundraising.</p>
                    <div class="input-group float-center">
                      <span class="input-group-addon border-radius-left white color-primary size-125"> $ </span>
                      <input type="number" class="form-control" name="d_fee_other" id="d_fee_other" value="1" min="0" tabindex="-1">
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <script>
              var populateFeeDropdown = function(total) {
                var amount = total;
                var maxamount = parseFloat(amount * (5.5 / 100));
                $("#d_fee_multiple option").each(function() {
                  if ($(this).attr('value') != 'other') {
                    var percentage = $(this).data('percentage');
                    var value = (amount * (percentage / 100)).toFixed(2);
                    console.log(value);
                    if (value > 0) {
                      $(this).text(percentage + '% (' + '$' + value + ')');
                    } else {
                      if (percentage > 0) {
                        $(this).text(percentage + '%');
                      } else {
                        $(this).text('$0');
                      }
                    }
                    if (maxamount > 20) {
                      value = parseFloat(20 * (percentage / 5.5)).toFixed(2);
                      $(this).text('$' + value);
                      if (percentage > 5.5) {
                        $(this).hide();
                        value = 20;
                      } else {
                        $(this).show();
                      }
                    } else {
                      $(this).show();
                    }
                    $(this).val(value);
                  }
                });
                $('select#d_fee_multiple').selectpicker('refresh');
              }
              $('select#d_fee_multiple').on('change', function() {
                if ($(this).val() == 'other') {} else {
                  $('d_fee').val($(this).find(':selected').data('amount'));
                }
                calculateDonation_8653();
              });
              $('#d_fee_other').on('input', function() {
                $('#d_fee').val($(this).val());
              });
              $(document).ready(function() {
                $('select#d_fee_multiple').on('change', function() {
                  if ($(this).val() == 'other') {
                    $('.fee-other').removeClass('hidden');
                  } else {
                    $('.fee-other').addClass('hidden');
                    if ($(this).val() > 0) {
                      $('.optout-box').addClass('hidden');
                    } else {
                      $('.optout-box').removeClass('hidden');
                    }
                  }
                });
                $('#d_fee_other').on('input', function() {
                  if ($(this).val() > 0) {
                    $('.optout-box').addClass('hidden');
                  } else {
                    $('.optout-box').removeClass('hidden');
                  }
                });
                $('select#d_fee_multiple').on('change', function() {
                  if ($(this).val() == 0) {
                    $('#d_optin_fees').val('');
                  } else {
                    $('#d_optin_fees').val('Y');
                  }
                });
                $('#d_fee_other').on('change', function() {
                  if ($(this).val() == '') {
                    $('#d_fee_other').val(0);
                  }
                  if ($(this).val() == 0) {
                    $('#d_optin_fees').val('');
                  } else {
                    $('#d_optin_fees').val('Y');
                  }
                  if ($(this).val() > 20) {
                    $(this).val('20');
                  }
                  calculateDonation_8653();
                });
                $(".hoverlink").tooltip();
                $('select#d_fee_multiple').on('change', function() {
                  console.log($('select#d_fee_multiple :selected'));
                  $('#optin_fees_rate').val($('select#d_fee_multiple :selected').data('percentage'));
                });
              });
            </script>
            <div class="height-20"></div>
            <div class="text-center row">
              <div class="vertical-align width-full buttons-block">
                <div class="text-center btn-back-block">
                  <a class="btn btn-back" tabindex="-1"><span class="material-icons">chevron_left</span></a>
                </div>
                <div class="text-center btn-action-block">
                  <button type="submit" class="btn btn-primary btn-block btn-donate-display" tabindex="-1"><span>Donate Now</span></button>
                </div>
              </div>
            </div>
            <div class="height-20"></div>
          </div>
        </section>
      </div>
    </div>
  </div>
  <script>
    $(document).ready(function() {
      $('#DonationForm_8653 .handles-layout-cardshorizontal .radio-border').matchHeight();
      $('#DonationForm_8653 .handles-layout-cardsvertical .radio').matchHeight({
        byRow: false
      });
      // $('#DonationForm_8653 .radio').matchHeight();
    });

    function toggleBtn(ele) {
      $('#DonationForm_8653 .radio').attr('aria-pressed', 'false');
      ele.setAttribute("aria-pressed", "true");
      $(ele).trigger('click');
    }

    function handleBtnKeyDown(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();
        toggleBtn(event.target);
      }
    }
    $(document).on('focus', '.radio', function() {
      $('#DonationForm_8653 .radio').addClass('nothover');
      $(this).removeClass('nothover');
      $(this).addClass('hover');
      return false;
    });
    $('#DonationForm_8653 .radio').hover(function() {
      $('#DonationForm_8653 .radio').addClass('nothover');
      $(this).removeClass('nothover');
      $(this).addClass('hover');
      return false;
    }, function() {
      $('#DonationForm_8653 .radio').removeClass('nothover');
      $(this).removeClass('hover');
    });
    $('#DonationForm_8653 .radio').click(function() {
      $('#DonationForm_8653 #d_amount_free').val('');
      $('#DonationForm_8653 #d_amount,#initial_amount').val($(this).attr('data-amount'));
      $('#DonationForm_8653 #d_amount_sel').val($(this).attr('data-amount'));
      $('#DonationForm_8653 .radio').addClass('notselected');
      $('#DonationForm_8653 .radio').removeClass('selected');
      $(this).removeClass('notselected');
      $(this).addClass('selected');
      $('#DonationForm_8653 .radio').removeClass('selected');
      $('#DonationForm_8653 .radio').addClass('notselected');
      $(this).removeClass('notselected');
      $(this).addClass('selected');
      if ($(this).attr('data-image') != '') {
        if ($(this).find('.radio-copy').length && $(this).find('.radio-copy').html() != "") {
          $('#DonationForm_8653 .copy-text').hide().html('<div class="row vertical-align pt20 pb20"><div class="col-xs-5 col-5 col-5"><img src="' + $(this).attr('data-image') +
            '"/></div><div class="col-xs-7 col-7 col-7 text-left pl0"><span class="color-primary"></span> ' + $(this).find('.radio-copy').html() + '</div></div>').fadeIn(300);
        } else {
          $('#DonationForm_8653 .copy-text').hide().html('<div class="row vertical-align pt20 pb20"><div class="col-xs-12 col-12 pl0 pr0"><img src="' + $(this).attr('data-image') + '"/></div></div>').fadeIn(300);
        }
      } else {
        if ($(this).find('.radio-copy').length && $(this).find('.radio-copy').html() != "") {
          $('#DonationForm_8653 .copy-text').hide().html('<div class="row pt20 pb20"><span class="color-primary"></span> ' + $(this).find('.radio-copy').html() + '</div>').fadeIn(300);
        } else {
          $('#DonationForm_8653 .copy-text').hide().html('').fadeIn(300);
        }
      }
      calculateDonation_8653();
      //$('#DonationForm_8653 .donate_amount').html(' $' + $(this).attr('data-amount'));
      // $('#DonationForm_8653 button[rel="amountdetails"]').addClass('btn-pulse');
      // setTimeout(function(){$('#DonationForm_8653 button[rel="amountdetails"]').removeClass('btn-pulse')},1000);
      return false;
    });
  </script>
  <script>
    $('#DonationForm_8653 #d_lname').on('blur', function() {
      if ($('#DonationForm_8653 #d_display_name').val() == '') {
        if (document.getElementById("d_lname_prefix") && $('#DonationForm_8653 #d_lname_prefix').val() != '') {
          $('#DonationForm_8653 #d_display_name').val($('#DonationForm_8653 #d_fname').val() + ' ' + $('#DonationForm_8653 #d_lname_prefix').val() + ' ' + $('#DonationForm_8653 #d_lname').val()).trigger('change');
        } else {
          $('#DonationForm_8653 #d_display_name').val($('#DonationForm_8653 #d_fname').val() + ' ' + $('#DonationForm_8653 #d_lname').val()).trigger('change');
        }
      }
    });
    $('#DonationForm_8653 #d_display_name').on('change', function() {
      $('#DonationForm_8653 .display-name').text($(this).val());
    });
    $('#DonationForm_8653 #d_comments').on('change', function() {
      $('#DonationForm_8653 .comments-block').text($(this).val());
    });
    $(document).ready(function() {});

    function donationDetails_8653(missingFields) {
      if ($("#DonationForm_8653 #d_fname").val() == '') {
        missingFields.isMissing = true;
        $("#DonationForm_8653 #d_fname").valid();
      }
      if ($("#DonationForm_8653 #d_lname").val() == '') {
        missingFields.isMissing = true;
        $("#DonationForm_8653 #d_lname").valid();
      }
      if ($("#DonationForm_8653 #d_email").val() == '' || !validEmail($("#DonationForm_8653 #d_email").val())) {
        missingFields.isMissing = true;
        $("#DonationForm_8653 #d_email").valid();
      }
      if ($("#DonationForm_8653 #d_organisation").val() == '' && $('#DonationForm_8653 input[name=d_receipt]:checked').val() == 'business') {
        missingFields.isMissing = true;
        $("#DonationForm_8653 #d_organisation").valid();
      }
      if ($("#input34").val() == '') {
        missingFields.isMissing = true;
        $('#input34').valid();
      }
      if ($("#input30").val() == '') {
        missingFields.isMissing = true;
        $('#input30').valid();
      }
    }

    function inMemoryDetailsToolTip_8653() {
      if ($("#DonationForm_8653 #in_memory_fname").val() == '') {
        $("#DonationForm_8653 #in_memory_fname").valid();
      }
      if ($("#DonationForm_8653 #in_memory_lname").val() == '') {
        $("#DonationForm_8653 #in_memory_lname").valid();
      }
      if ($("#DonationForm_8653 input[name='in_memory_card']").is(':checked')) {
        if ($("#DonationForm_8653 #in_memory_address1").val() == '') {
          $("#DonationForm_8653 #in_memory_address1").valid();
        }
      }
    }

    function inMemoryDetails_8653(missingFields) {
      $('#DonationForm_8653 #in_memory_fname,#DonationForm_8653 #in_memory_lname,#DonationForm_8653 #in_memory_address1').parent().parent().removeClass('invalid');
      if ($("#DonationForm_8653 #in_memory_fname").val() == '') {
        missingFields.isMissing = true;
      }
      if ($("#DonationForm_8653 #in_memory_lname").val() == '') {
        missingFields.isMissing = true;
      }
      if ($("#DonationForm_8653 input[name='in_memory_card']").is(':checked')) {
        if ($("#DonationForm_8653 #in_memory_address1").val() == '') {
          missingFields.isMissing = true;
        }
      }
    }
    $(document).ready(function() {
      // const resizeObserver = new ResizeObserver(entries => {
      //   for (let entry of entries) {
      //     if(entry.contentBoxSize) {
      //       // Firefox implements `contentBoxSize` as a single content rect, rather than an array
      //       const contentBoxSize = Array.isArray(entry.contentBoxSize) ? entry.contentBoxSize[0] : entry.contentBoxSize;
      //       h1Elem.style.fontSize = Math.max(1.5, contentBoxSize.inlineSize / 200) + 'rem';
      //       pElem.style.fontSize = Math.max(1, contentBoxSize.inlineSize / 600) + 'rem';
      //     } else {
      //       h1Elem.style.fontSize = Math.max(1.5, entry.contentRect.width / 200) + 'rem';
      //       pElem.style.fontSize = Math.max(1, entry.contentRect.width / 600) + 'rem';
      //     }
      //   }
      //   console.log('Size changed');
      // });
      // resizeObserver.observe(divElem);
      new ResizeSensor($('#DonationForm_8653 #amountdetails'), function() {
        $('#DonationForm_8653 .slick-list').height($('#DonationForm_8653 .slick-active').height());
        console.log('amount content dimension changed');
      });
      $('#DonationForm_8653 .donation-steps').slick({
        arrows: false,
        dots: false,
        infinite: false,
        swipe: false,
        rows: 0,
        adaptiveHeight: true,
        fade: true,
        cssEase: 'linear',
        centerMode: false,
      });
    });
    $('#DonationForm_8653').on('keypress', function(e) {
      var keyCode = e.keyCode || e.which;
      if (keyCode === 13) {
        e.preventDefault();
        var missingFields = {
          isMissing: false
        };
        var currentSlide = $("#DonationForm_8653 .donation-steps").slick("slickCurrentSlide");
        var $slides = $("#DonationForm_8653 .donation-steps").slick("getSlick").$slides;
        var currentpanel = $slides.eq(currentSlide).get(0).id;
        if (currentpanel == '') {
          currentpanel = $('#DonationForm_8653 .slick-slide[data-slick-index=' + currentSlide + ']').find('.section').attr('id');
        }
        if (currentpanel == 'amountdetails') {
          if (($('#DonationForm_8653 #d_amount').val() == "" || $('#DonationForm_8653 #d_amount').val() < 1) && ($('#DonationForm_8653 #d_amount_free').val() == "" || $('#DonationForm_8653 #d_amount_free').val() < 1)) {
            BootstrapDialog.show({
              title: 'Oops!',
              message: 'Please choose or enter a donation amount greater than $1',
            });
            missingFields.isMissing = true;
          }
        } else if (currentpanel == 'personaldetails') {
          donationDetails_8653(missingFields);
        } else if (currentpanel == 'inmemorydetails') {
          inMemoryDetails_8653(missingFields);
          if (missingFields.isMissing) {
            inMemoryDetailsToolTip_8653();
          }
        }
        if (!missingFields.isMissing) {
          $("#DonationForm_8653 .donation-steps").slick('slickNext');
          new ResizeSensor($('#DonationForm_8653 #personaldetails'), function() {
            $('#DonationForm_8653 .slick-list').height($('#DonationForm_8653 .slick-active').height());
          });
        } else {
          if ($("#DonationForm_8653 .form-control.invalid").length > 0) {
            $('html, body').animate({
              scrollTop: $("#DonationForm_8653 .form-control.invalid").first().offset().top - 80
            }, 500);
          }
        }
        console.log(currentpanel);
        return false;
      }
    });
    $('#DonationForm_8653 .btn-next').on('click', function() {
      var missingFields = {
        isMissing: false
      };
      var currentSlide = $("#DonationForm_8653 .donation-steps").slick("slickCurrentSlide");
      var $slides = $("#DonationForm_8653 .donation-steps").slick("getSlick").$slides;
      var currentpanel = $slides.eq(currentSlide).get(0).id;
      if (currentpanel == '') {
        currentpanel = $('#DonationForm_8653 .slick-slide[data-slick-index=' + currentSlide + ']').find('.section').attr('id');
      }
      if (currentpanel == 'amountdetails') {
        if ($('#DonationForm_8653 #d_amount').val() == "" || $('#DonationForm_8653 #d_amount').val() < 1) {
          //$('#dialogue').html('<p>Please choose or enter a donation amount</p>').dialog();
          BootstrapDialog.show({
            title: 'Oops!',
            message: 'Please choose or enter a donation amount greater than $1',
          });
          missingFields.isMissing = true;
        }
      } else if (currentpanel == 'personaldetails') {
        donationDetails_8653(missingFields);
        if (missingFields.isMissing) {
          // donationDetailsTooltip_8653();
        }
      } else if (currentpanel == 'inmemorydetails') {
        inMemoryDetails_8653(missingFields);
        if (missingFields.isMissing) {
          inMemoryDetailsToolTip_8653();
        }
      }
      if (!missingFields.isMissing) {
        $("#DonationForm_8653 .donation-steps").slick('slickNext');
        new ResizeSensor($('#DonationForm_8653 #personaldetails'), function() {
          $('#DonationForm_8653 .slick-list').height($('#DonationForm_8653 .slick-active').height());
        });
        new ResizeSensor($('#DonationForm_8653 #paymentdetails'), function() {
          $('#DonationForm_8653 .slick-list').height($('#DonationForm_8653 .slick-active').height());
        });
      } else {
        if ($("#DonationForm_8653 .form-control.invalid").length > 0) {
          $('html, body').animate({
            scrollTop: $("#DonationForm_8653 .form-control.invalid").first().offset().top - 80
          }, 500);
        }
      }
    });
    $('#DonationForm_8653 .btn-back').on('click', function() {
      $("#DonationForm_8653 .donation-steps").slick('slickPrev');
    });
    $("#DonationForm_8653 .donation-steps").on('afterChange', function(event, slick, currentSlide, nextSlide) {
      var $slides = $('#DonationForm_8653 .donation-steps').slick("getSlick").$slides;
      var id = $slides.eq(currentSlide).get(0).id;
      if (id == '') {
        id = $('#DonationForm_8653 .slick-slide[data-slick-index=' + currentSlide + ']').find('.section').attr('id');
      }
      $('#DonationForm_8653 .steps-nav ul li').removeClass('color-primary border-primary active');
      if (id == 'amountdetails') {
        $('#DonationForm_8653 #amountdetailstab').addClass('active');
      } else if (id == 'personaldetails') {
        $('#personaldetailstab').addClass('active');
      } else if (id == 'paymentdetails') {
        $('#paymentdetailstab').addClass('active');
      } else if (id == 'inmemorydetails') {
        $('#memorydetailstab').addClass('active');
      } else if (id == 'formdetails') {
        $('#formdetailstab').addClass('active');
      }
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G1VE TODAY AND MAKE A D1FFERENCE


1ST JUNE 2023

00
Week(s)
:
05
Days(s)
:
21
Hour(s)
:
39
Minute(s)
:
14
Second(s)





ABOUT JDRF’S GIVING DAY

JDRF’s Annual Giving Day on 1st June
is YOUR chance to  DOUBLE  your impact!


For every $1 you donate to JDRF Australia, our generous individual partners will
match it.

As the leading funder of type 1 diabetes research in the world (learn more),
JDRF is not stopping until we create a world without T1D. To do this, we need to
make critical T1D research a reality. Unlocking the secrets of a complex,
chronic condition such as T1D is challenging, but together we can make DOUBLE
the difference.

EVERY donation will be matched by incredible businesses, philanthropists and
charitable trusts who are committed to improving lives affected by type 1
diabetes. So, what're you waiting for? 

Join JDRF on our Giving Day and show type one community that together we can all
move towards type none.  

DONATE NOW and witness first-hand just what can happen when we join forces
against type one -diabetes. 


#JDRFGIVINGDAY 


Donate
Get Involved



$25=$50

Can test blood sugar levels in a child participating in an ‘artificial pancreas’
trial.




$50=$100

Can test whether a baby or child is likely to get T1D in a world-first screening
study.




$125=$150

Can pay the daily salary of a mid-career T1D researcher to make their
ground-breaking findings.




$250=$500

Can pay for a participant in a trial to investigate a cutting-edge T1D
prevention drug.






G1VE TODAY AND MAKE A D1FFERENCE

JDRF is the largest funder of type 1 diabetes research globally and in
Australia. Join us on 1st June and watch as your gift is doubled - donate now &
help turn type one into type none! 




 * 1
 * 2
 * 3




I'D LIKE TO MAKE THIS DONATION

Once Monthly


$25
Can test blood sugar levels in a child participating in an ‘artificial pancreas’
trial.
$50
Can test whether a baby or child is likely to get T1D in a world-first screening
study.
$125
Can pay the daily salary of a mid-career T1D researcher to make their
ground-breaking findings.
$250
Can pay for a participant in a trial to investigate a cutting-edge T1D
prevention drug.
$
Donate




YOUR DETAILS

Individual Organisation

Organisation Name *


First Name *

Last Name *

Email Address *


Postal Address (enter manually)

Address Line 1

Address Line 2

Town/Suburb

Postcode

State

Country
Australia United States United Kingdom --------------------- Afghanistan Albania
Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda
Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh
Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and
Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei
Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde
Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China
Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo,
Democratic Republic of Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba
Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic
Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland
Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French
Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece
Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana
Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India
Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan
Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic
Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau
Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands
Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of
Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia
Nauru Nepal New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk
Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau
Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn
Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda
Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent
and the Grenadines Saint-Martin (France) Samoa San Marino Sao Tome and Principe
Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten
(Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South
Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka
St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland
Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Netherlands
Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan
Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United
Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan
Vanuatu Vatican Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.)
Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Åland Islands
Australia

Postcode *

What is your T1D connection? *
- Select your T1D Connection - I have T1DMy child has T1DI have a relative with
T1DI have a friend with T1DI have a partner with T1DI have no connection to T1D
- Select your T1D Connection -


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Payment Options



PAYMENT DETAILS



Credit Card

Name on Card *

Card Number *


Card Expiry *
MM 01 02 03 04 05 06 07 08 09 10 11 12
MM

YY 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033
YY

CVV *



Donation Amount
$0.00

I'd like to add a little extra to help cover fees. Why?

8.5% 7.5% 6.5% 5.5% 4.5% 3.5% Other (or $0)
5.5%


Your contribution helps cover the costs of fundraising.

$

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Donate Now



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FREQUENTLY ASKED QUESTIONS

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What is JDRF Australia’s Annual Giving Day?

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Our Annual Giving Day provides an opportunity for the type 1 diabetes community
to raise critical funding for research. We all know that research holds the key
to curing type 1 diabetes. This is your chance to make a HUGE difference in type
1 diabetes research since your donations will be matched, and doubled by our
generous partners! 


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When does it start?

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Giving Day is on the 1st of June and lasts for 24 hours. On this day, you will
be able to see donations being matched live. 


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Can I donate before 1st June?

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Yes! Donations received at https://jdrfgivingday.funraisin.com.au/ will be used
to support our Annual Giving Day. If you want to donate sooner, it will still be
counted towards our goal amount.
However, it will not appear on the page until on June 1st. You'll see your
donation as well as any messages you've left on the website.


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How are donations being matched?

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Our Giving Day platform allows gift-matching so every time someone donates at
https://givingday.jdrf.org.au/, our pool of generous corporates and individual
supporters are able to match your donation.


question_answerView all FAQs



MATCHING PARTNERS


 * 1
 * 2
 * 3
 * 4
 * 5
 * 6
 * 7
 * 8
 * 9
 * 10
 * 11
 * 12
 * 13
 * 14


G1VE TODAY TO END T1D TOMORROW!


#JDRFGIVINGDAY

Follow us on our socials for the latest news!









JDRF would like to acknowledge the Traditional Custodians of the land on which
we live and work, this land was and always will be Aboriginal Land. We pay our
respects to the Elders past and present, and recognise their continuing
connection to land, waters, and community.

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