give.communityin.org Open in urlscan Pro
52.207.55.4  Public Scan

Submitted URL: https://fnd.us/ARC2022Conference/pay
Effective URL: https://give.communityin.org/campaigns/ARC2022Conference/pay
Submission: On August 24 via manual from US — Scanned from US

Form analysis 5 forms found in the DOM

<form onsubmit="return false;">
  <div id="amount-picker" class="pay-section row-fluid fade-in">
    <div class="clearfix ">
      <h4 class="without-perks">Your contribution&nbsp;<span class="not-bold">(in <span class="currency-name small-caps" title="U.S. Dollar">USD</span>)</span></h4>
      <div id="amount-input-wrapper">
        <div id="descriptive-amounts" class="clearfix">
          <div class="payment-amount clearfix validate" data-action="select-amount" data-value="50.00" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol">$</span><span class="displayed-amount">50</span>
              </span>
              <div>Current Student &amp; ARC Member</div>
            </div>
          </div>
          <div class="payment-amount clearfix validate" data-action="select-amount" data-value="75.00" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol">$</span><span class="displayed-amount">75</span>
              </span>
              <div>ARC Member (Virtual)</div>
            </div>
          </div>
          <div class="payment-amount clearfix validate" data-action="select-amount" data-value="100.00" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol">$</span><span class="displayed-amount">100</span>
              </span>
              <div>Non-member (Virtual)</div>
            </div>
          </div>
          <div class="payment-amount clearfix validate" data-action="select-amount" data-value="125.00" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol">$</span><span class="displayed-amount">125</span>
              </span>
              <div>ARC Member (In-person)</div>
            </div>
          </div>
          <div class="payment-amount clearfix validate" data-action="select-amount" data-value="300.00" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol">$</span><span class="displayed-amount">300</span>
              </span>
              <div>Non-member (In-person)</div>
            </div>
          </div>
          <div id="custom-amount" class="payment-amount validate" data-action="select-amount" data-value="NaN" tabindex="0">
            <div class="text">
              <span class="value headline-font">
                <span class="currency-symbol fade-in hide">$</span><input id="amount-input" type="text" placeholder="Other" class="headline-font text-left validate" maxlength="9" tabindex="0">
              </span>
              <div>Enter your own amount.</div>
            </div>
          </div>
        </div>
      </div>
      <span id="payment-amount-help" class="help-block hide" style="clear: both; margin-top: 5px;">Every amount helps.</span>
    </div>
  </div>
  <div id="payer-details" class="pay-section">
    <h4>Your name <span id="anon-assurance" class="body-text not-bold hide hidden-phone" style="     font-size: 15px;      line-height: 20px;      font-weight: normal;     ">(You will appear anonymous to the public)</span>
    </h4>
    <div class="row-fluid">
      <div class="span6">
        <div class="input-append" style="width: 100%;">
          <input id="payer-name" type="text" autocomplete="name" class="validate" maxlength="255" placeholder="First and last name" value="">
          <button type="button" data-action="signin-to-show-name" class="add-on" style="width: 80px;">Sign in</button>
        </div>
      </div>
      <a id="payer-use-identity" class="btn btn-link hide">Use saved identity</a>
    </div>
    <div class="checkbox">
      <input id="payer-stay-anonymous" type="checkbox">
      <label for="payer-stay-anonymous">Hide your name from the public</label> <a class="cluetip plain" rel="aboutAnonymity" style="vertical-align: middle; margin-left: .2em;"><i class="fas fa-info-circle"></i></a>
    </div>
    <div class="checkbox">
      <input id="payment-hide-amount" type="checkbox">
      <label for="payment-hide-amount">Hide your contribution amount<span class="hidden-phone"> from the public</span></label>
      <a class="cluetip plain" rel="aboutHideAmount" style="vertical-align: middle; margin-left: .2em;"><i class="fas fa-info-circle"></i></a>
    </div>
  </div>
  <div class="pay-section">
    <h4>Your email address</h4>
    <div class="row-fluid">
      <div class="span6">
        <input id="payer-email" type="email" autocomplete="email" class="validate" style="width: 100%" maxlength="255" placeholder="Your email address" value="">
      </div>
    </div>
    <div class="row-fluid">
      <div class="span12" style="min-height: 0;">
        <div class="checkbox "><input id="payer-subscribe-to-updates" type="checkbox" name="payer-subscribe-to-updates" checked="checked">
          <label for="payer-subscribe-to-updates">Send me campaign updates</label>
        </div>
        <a id="payer-use-email" class="hide">Use saved address</a>
      </div>
    </div>
  </div>
  <div class="pay-section">
    <h4>Your message</h4>
    <textarea id="payer-message" rows="2" maxlength="10000" placeholder="Add a message with your contribution" style="width: 100%"></textarea>
  </div>
</form>

<form id="payerinfo-form">
  <div class="pay-section" style="margin-top: 0">
    <div class="row-fluid">
      <div class="span12">
        <div id="payerinfo-explanation" class="clearfix " style=""> The Academic Resilience Consortium requests some further information. <div class="inline-block no-wrap">
            <a class="cluetip plain" rel="aboutDataCollection">Why?</a>
            <i class="dot-before"></i>
            <a class="plain" type="button" data-action="prefill-payerinfo" href="javascript:void(0)">Use saved details</a>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="pay-section">
    <h4>Who was the contribution from? <span class="field-adornment required" data-field="mailingAddress"></span></h4>
    <div class="row-fluid">
      <div class="span12">
        <div class="radio">
          <input type="radio" name="payertype" id="payertype-individual">
          <label for="payertype-individual">An individual</label>
        </div>
        <div class="radio">
          <input type="radio" name="payertype" id="payertype-organization">
          <label for="payertype-organization">An organization</label>
        </div>
      </div>
    </div>
  </div>
  <div class="fade-in" data-dependant-on="payertype">
    <div class="fade-in hide" data-dependant-on="payertype-organization">
      <div class="pay-section">
        <h4>Organization details <span class="field-adornment" data-field="organizationAddress"></span></h4>
        <div class="row-fluid">
          <div class="span6">
            <label for="business-name">Name of organization <span class="field-adornment" data-field="organizationAddress"></span></label>
            <input id="business-name" type="text" autocomplete="business billing organization" class="validate input-large" maxlength="200">
            <div class="checkbox">
              <input id="business-as-contributor" type="checkbox" checked="checked">
              <label for="business-as-contributor" class="inline">Show organization as contributor</label>
              <a style="margin-left: .5ex; border-bottom: none;" rel="show-org-as-contributor" class="cluetip plain"><i class="fas fa-info-circle"></i></a>
            </div>
          </div>
        </div>
        <div class="row-fluid">
          <div class="span6">
            <label for="business-contact-firstname">Contact person's first name</label>
            <input id="business-contact-firstname" type="text" autocomplete="business billing given-name" class="validate input-large" maxlength="200">
          </div>
          <div class="span6">
            <label for="business-contact-lastname">Contact person's last name</label>
            <input id="business-contact-lastname" type="text" autocomplete="business billing family-name" class="validate input-large" maxlength="200">
          </div>
        </div>
        <div class="row-fluid">
          <div class="span6">
            <label for="business-address">Organization's street address <span class="field-adornment" data-field="organizationAddress"></span></label>
            <textarea id="business-address" autocomplete="business billing street-address" class="validate input-large" rows="2"></textarea>
          </div>
          <div class="span6">
            <label for="business-city">Organization's city <span class="field-adornment" data-field="organizationAddress"></span></label>
            <input id="business-city" type="text" autocomplete="business billing address-level2" class="validate input-large" maxlength="100">
          </div>
        </div>
        <div class="row-fluid">
          <div class="span5">
            <label for="business-country">Organization's country <span class="field-adornment" data-field="organizationAddress"></span></label>
            <select id="business-country" autocomplete="business billing country" class="validate input-large">
              <option value="" disabled="disabled" selected="selected">Select a country ...</option>
              <option value="AU">Australia</option>
              <option value="CA">Canada</option>
              <option value="IE">Ireland</option>
              <option value="NZ">New Zealand</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="" disabled="disabled">—</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CV">Cape Verde</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo, Republic of the (Brazzaville)</option>
              <option value="CD">Congo, the Democratic Republic of the (Kinshasa)</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Côte d'Ivoire, Republic of</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Islas Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern and Antarctic Lands</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia, The</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="HM">Heard Island and McDonald Islands</option>
              <option value="VA">Holy See (Vatican City)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran, Islamic Republic of</option>
              <option value="IQ">Iraq</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea, Democratic People's Republic of</option>
              <option value="KR">Korea, Republic of</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Laos</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MK">Macedonia, Former Yugoslav Republic of</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia, Federated States of</option>
              <option value="MD">Moldova</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestine, State of</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PN">Pitcairn</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Réunion</option>
              <option value="RO">Romania</option>
              <option value="RU">Russian Federation</option>
              <option value="RW">Rwanda</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten (Dutch part)</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="GS">South Georgia and South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Swaziland</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan, Republic of China</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania, United Republic of</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="UO">United Kingdom Overseas Territories</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela, Bolivarian Republic of</option>
              <option value="VN">Viet Nam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia</option>
              <option value="ZW">Zimbabwe</option>
            </select>
          </div>
          <div class="span4">
            <label for="business-state">State or province <span class="field-adornment" data-field="organizationAddress"></span></label>
            <input type="text" id="business-state" class="validate input-large subpixelfix">
          </div>
          <div class="span3">
            <label for="mailing-zipcode">
              <span class="hidden-embed">ZIP or Post code <span class="field-adornment" data-field="organizationAddress"></span></span>
              <span class="visible-embed">ZIP/Post code <span class="field-adornment" data-field="organizationAddress"></span></span>
            </label>
            <input id="business-zipcode" type="text" autocomplete="business billing postal-code" class="validate input-large" maxlength="10">
          </div>
        </div>
      </div>
    </div>
    <div class="pay-section">
      <h4>Your details <span class="field-adornment required" data-field="individualAddress"></span></h4>
      <div class="row-fluid">
        <div class="span6">
          <label for="firstname" class="sentence-case">your first name <span class="field-adornment required" data-field="individualAddress"></span></label>
          <input id="firstname" type="text" autocomplete="billing given-name" class="validate input-large" maxlength="200">
        </div>
        <div class="span6">
          <label for="lastname" class="sentence-case">your last name <span class="field-adornment required" data-field="individualAddress"></span></label>
          <input id="lastname" type="text" autocomplete="billing family-name" class="validate input-large" maxlength="200">
        </div>
      </div>
      <div class="row-fluid">
        <div class="span6">
          <label for="mailing-address" class="sentence-case">your street address <span class="field-adornment required" data-field="individualAddress"></span></label>
          <textarea id="mailing-address" autocomplete="billing street-address" class="validate input-large" rows="2"></textarea>
        </div>
        <div class="span6">
          <label for="mailing-city" class="sentence-case">your city <span class="field-adornment required" data-field="individualAddress"></span></label>
          <input id="mailing-city" type="text" autocomplete="billing address-level2" class="validate input-large" maxlength="100">
        </div>
      </div>
      <div class="row-fluid">
        <div class="span5">
          <label for="mailing-country" class="sentence-case">your country <span class="field-adornment required" data-field="individualAddress"></span></label>
          <select id="mailing-country" autocomplete="billing country" class="validate input-large">
            <option value="" disabled="disabled" selected="selected">Select a country ...</option>
            <option value="AU">Australia</option>
            <option value="CA">Canada</option>
            <option value="IE">Ireland</option>
            <option value="NZ">New Zealand</option>
            <option value="GB">United Kingdom</option>
            <option value="US">United States</option>
            <option value="" disabled="disabled">—</option>
            <option value="AF">Afghanistan</option>
            <option value="AX">Åland Islands</option>
            <option value="AL">Albania</option>
            <option value="DZ">Algeria</option>
            <option value="AS">American Samoa</option>
            <option value="AD">Andorra</option>
            <option value="AO">Angola</option>
            <option value="AI">Anguilla</option>
            <option value="AQ">Antarctica</option>
            <option value="AG">Antigua and Barbuda</option>
            <option value="AR">Argentina</option>
            <option value="AM">Armenia</option>
            <option value="AW">Aruba</option>
            <option value="AT">Austria</option>
            <option value="AZ">Azerbaijan</option>
            <option value="BS">Bahamas</option>
            <option value="BH">Bahrain</option>
            <option value="BD">Bangladesh</option>
            <option value="BB">Barbados</option>
            <option value="BY">Belarus</option>
            <option value="BE">Belgium</option>
            <option value="BZ">Belize</option>
            <option value="BJ">Benin</option>
            <option value="BM">Bermuda</option>
            <option value="BT">Bhutan</option>
            <option value="BO">Bolivia</option>
            <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
            <option value="BA">Bosnia and Herzegovina</option>
            <option value="BW">Botswana</option>
            <option value="BV">Bouvet Island</option>
            <option value="BR">Brazil</option>
            <option value="IO">British Indian Ocean Territory</option>
            <option value="BN">Brunei Darussalam</option>
            <option value="BG">Bulgaria</option>
            <option value="BF">Burkina Faso</option>
            <option value="BI">Burundi</option>
            <option value="KH">Cambodia</option>
            <option value="CM">Cameroon</option>
            <option value="CV">Cape Verde</option>
            <option value="KY">Cayman Islands</option>
            <option value="CF">Central African Republic</option>
            <option value="TD">Chad</option>
            <option value="CL">Chile</option>
            <option value="CN">China</option>
            <option value="CX">Christmas Island</option>
            <option value="CC">Cocos (Keeling) Islands</option>
            <option value="CO">Colombia</option>
            <option value="KM">Comoros</option>
            <option value="CG">Congo, Republic of the (Brazzaville)</option>
            <option value="CD">Congo, the Democratic Republic of the (Kinshasa)</option>
            <option value="CK">Cook Islands</option>
            <option value="CR">Costa Rica</option>
            <option value="CI">Côte d'Ivoire, Republic of</option>
            <option value="HR">Croatia</option>
            <option value="CU">Cuba</option>
            <option value="CW">Curaçao</option>
            <option value="CY">Cyprus</option>
            <option value="CZ">Czech Republic</option>
            <option value="DK">Denmark</option>
            <option value="DJ">Djibouti</option>
            <option value="DM">Dominica</option>
            <option value="DO">Dominican Republic</option>
            <option value="EC">Ecuador</option>
            <option value="EG">Egypt</option>
            <option value="SV">El Salvador</option>
            <option value="GQ">Equatorial Guinea</option>
            <option value="ER">Eritrea</option>
            <option value="EE">Estonia</option>
            <option value="ET">Ethiopia</option>
            <option value="FK">Falkland Islands (Islas Malvinas)</option>
            <option value="FO">Faroe Islands</option>
            <option value="FJ">Fiji</option>
            <option value="FI">Finland</option>
            <option value="FR">France</option>
            <option value="GF">French Guiana</option>
            <option value="PF">French Polynesia</option>
            <option value="TF">French Southern and Antarctic Lands</option>
            <option value="GA">Gabon</option>
            <option value="GM">Gambia, The</option>
            <option value="GE">Georgia</option>
            <option value="DE">Germany</option>
            <option value="GH">Ghana</option>
            <option value="GI">Gibraltar</option>
            <option value="GR">Greece</option>
            <option value="GL">Greenland</option>
            <option value="GD">Grenada</option>
            <option value="GP">Guadeloupe</option>
            <option value="GU">Guam</option>
            <option value="GT">Guatemala</option>
            <option value="GG">Guernsey</option>
            <option value="GN">Guinea</option>
            <option value="GW">Guinea-Bissau</option>
            <option value="GY">Guyana</option>
            <option value="HT">Haiti</option>
            <option value="HM">Heard Island and McDonald Islands</option>
            <option value="VA">Holy See (Vatican City)</option>
            <option value="HN">Honduras</option>
            <option value="HK">Hong Kong</option>
            <option value="HU">Hungary</option>
            <option value="IS">Iceland</option>
            <option value="IN">India</option>
            <option value="ID">Indonesia</option>
            <option value="IR">Iran, Islamic Republic of</option>
            <option value="IQ">Iraq</option>
            <option value="IM">Isle of Man</option>
            <option value="IL">Israel</option>
            <option value="IT">Italy</option>
            <option value="JM">Jamaica</option>
            <option value="JP">Japan</option>
            <option value="JE">Jersey</option>
            <option value="JO">Jordan</option>
            <option value="KZ">Kazakhstan</option>
            <option value="KE">Kenya</option>
            <option value="KI">Kiribati</option>
            <option value="KP">Korea, Democratic People's Republic of</option>
            <option value="KR">Korea, Republic of</option>
            <option value="KW">Kuwait</option>
            <option value="KG">Kyrgyzstan</option>
            <option value="LA">Laos</option>
            <option value="LV">Latvia</option>
            <option value="LB">Lebanon</option>
            <option value="LS">Lesotho</option>
            <option value="LR">Liberia</option>
            <option value="LY">Libya</option>
            <option value="LI">Liechtenstein</option>
            <option value="LT">Lithuania</option>
            <option value="LU">Luxembourg</option>
            <option value="MO">Macao</option>
            <option value="MK">Macedonia, Former Yugoslav Republic of</option>
            <option value="MG">Madagascar</option>
            <option value="MW">Malawi</option>
            <option value="MY">Malaysia</option>
            <option value="MV">Maldives</option>
            <option value="ML">Mali</option>
            <option value="MT">Malta</option>
            <option value="MH">Marshall Islands</option>
            <option value="MQ">Martinique</option>
            <option value="MR">Mauritania</option>
            <option value="MU">Mauritius</option>
            <option value="YT">Mayotte</option>
            <option value="MX">Mexico</option>
            <option value="FM">Micronesia, Federated States of</option>
            <option value="MD">Moldova</option>
            <option value="MC">Monaco</option>
            <option value="MN">Mongolia</option>
            <option value="ME">Montenegro</option>
            <option value="MS">Montserrat</option>
            <option value="MA">Morocco</option>
            <option value="MZ">Mozambique</option>
            <option value="MM">Myanmar</option>
            <option value="NA">Namibia</option>
            <option value="NR">Nauru</option>
            <option value="NP">Nepal</option>
            <option value="NL">Netherlands</option>
            <option value="NC">New Caledonia</option>
            <option value="NI">Nicaragua</option>
            <option value="NE">Niger</option>
            <option value="NG">Nigeria</option>
            <option value="NU">Niue</option>
            <option value="NF">Norfolk Island</option>
            <option value="MP">Northern Mariana Islands</option>
            <option value="NO">Norway</option>
            <option value="OM">Oman</option>
            <option value="PK">Pakistan</option>
            <option value="PW">Palau</option>
            <option value="PS">Palestine, State of</option>
            <option value="PA">Panama</option>
            <option value="PG">Papua New Guinea</option>
            <option value="PY">Paraguay</option>
            <option value="PE">Peru</option>
            <option value="PH">Philippines</option>
            <option value="PN">Pitcairn</option>
            <option value="PL">Poland</option>
            <option value="PT">Portugal</option>
            <option value="PR">Puerto Rico</option>
            <option value="QA">Qatar</option>
            <option value="RE">Réunion</option>
            <option value="RO">Romania</option>
            <option value="RU">Russian Federation</option>
            <option value="RW">Rwanda</option>
            <option value="BL">Saint Barthélemy</option>
            <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
            <option value="KN">Saint Kitts and Nevis</option>
            <option value="LC">Saint Lucia</option>
            <option value="MF">Saint Martin (French part)</option>
            <option value="PM">Saint Pierre and Miquelon</option>
            <option value="VC">Saint Vincent and the Grenadines</option>
            <option value="WS">Samoa</option>
            <option value="SM">San Marino</option>
            <option value="ST">Sao Tome and Principe</option>
            <option value="SA">Saudi Arabia</option>
            <option value="SN">Senegal</option>
            <option value="RS">Serbia</option>
            <option value="SC">Seychelles</option>
            <option value="SL">Sierra Leone</option>
            <option value="SG">Singapore</option>
            <option value="SX">Sint Maarten (Dutch part)</option>
            <option value="SK">Slovakia</option>
            <option value="SI">Slovenia</option>
            <option value="SB">Solomon Islands</option>
            <option value="SO">Somalia</option>
            <option value="ZA">South Africa</option>
            <option value="GS">South Georgia and South Sandwich Islands</option>
            <option value="SS">South Sudan</option>
            <option value="ES">Spain</option>
            <option value="LK">Sri Lanka</option>
            <option value="SD">Sudan</option>
            <option value="SR">Suriname</option>
            <option value="SJ">Svalbard and Jan Mayen</option>
            <option value="SZ">Swaziland</option>
            <option value="SE">Sweden</option>
            <option value="CH">Switzerland</option>
            <option value="SY">Syrian Arab Republic</option>
            <option value="TW">Taiwan, Republic of China</option>
            <option value="TJ">Tajikistan</option>
            <option value="TZ">Tanzania, United Republic of</option>
            <option value="TH">Thailand</option>
            <option value="TL">Timor-Leste</option>
            <option value="TG">Togo</option>
            <option value="TK">Tokelau</option>
            <option value="TO">Tonga</option>
            <option value="TT">Trinidad and Tobago</option>
            <option value="TN">Tunisia</option>
            <option value="TR">Turkey</option>
            <option value="TM">Turkmenistan</option>
            <option value="TC">Turks and Caicos Islands</option>
            <option value="TV">Tuvalu</option>
            <option value="UG">Uganda</option>
            <option value="UA">Ukraine</option>
            <option value="AE">United Arab Emirates</option>
            <option value="UO">United Kingdom Overseas Territories</option>
            <option value="UM">United States Minor Outlying Islands</option>
            <option value="UY">Uruguay</option>
            <option value="UZ">Uzbekistan</option>
            <option value="VU">Vanuatu</option>
            <option value="VE">Venezuela, Bolivarian Republic of</option>
            <option value="VN">Viet Nam</option>
            <option value="VG">Virgin Islands, British</option>
            <option value="VI">Virgin Islands, U.S.</option>
            <option value="WF">Wallis and Futuna</option>
            <option value="EH">Western Sahara</option>
            <option value="YE">Yemen</option>
            <option value="ZM">Zambia</option>
            <option value="ZW">Zimbabwe</option>
          </select>
        </div>
        <div class="span4">
          <label for="mailing-state" class="sentence-case">your state or province <span class="field-adornment required" data-field="individualAddress"></span></label>
          <input type="text" id="mailing-state" class="validate input-large subpixelfix">
        </div>
        <div class="span3">
          <label for="mailing-zipcode">
            <span class="hidden-embed">ZIP or Post code <span class="field-adornment required" data-field="individualAddress"></span></span>
            <span class="visible-embed">ZIP/Post code <span class="field-adornment required" data-field="individualAddress"></span></span>
          </label>
          <input id="mailing-zipcode" type="text" autocomplete="billing postal-code" class="validate input-large" maxlength="10">
        </div>
      </div>
    </div>
    <div class="pay-section">
      <h4>Other details requested by The Academic Resilience Consortium</h4>
      <div class="row-fluid">
        <div class="span12">
          <label for="custom-field-0"> Dietary Restrictions for In-Person Attendees Only (vegan, vegetarian, pescatarian, etc.)&nbsp;<span class="field-adornment required"></span>
          </label>
          <input id="custom-field-0" class="custom-field validate input-large" name="Diet" type="text" data-required="true" maxlength="255">
        </div>
      </div>
      <div class="row-fluid">
        <div class="span12">
          <label for="custom-field-1"> Are you an ARC member?&nbsp;<span class="field-adornment required"></span>
          </label>
          <input id="custom-field-1" class="custom-field validate input-large" name="Member" type="text" data-required="true" maxlength="255">
        </div>
      </div>
      <div class="row-fluid">
        <div class="span12">
          <label for="custom-field-2"> Academic Affiliation (if any)&nbsp;<span class="field-adornment required"></span>
          </label>
          <input id="custom-field-2" class="custom-field validate input-large" name="AcademicAffiliation" type="text" data-required="true" maxlength="255">
        </div>
      </div>
      <div class="row-fluid">
        <div class="span12">
          <label for="custom-field-3"> Are you attending virtually or in-person?&nbsp;<span class="field-adornment required"></span>
          </label>
          <input id="custom-field-3" class="custom-field validate input-large" name="Attendance" type="text" data-required="true" maxlength="255">
        </div>
      </div>
      <div class="row-fluid">
        <div id="remember-payerinfo-ui" class="checkbox inline-block dot-after fade-in hide">
          <input type="checkbox" id="remember-payerinfo" checked="checked">
          <label for="remember-payerinfo" style="margin-bottom: 0;">Update my saved details</label>
        </div>
        <a class="plain" type="button" data-action="clear-payerinfo" style="vertical-align: bottom;" href="javascript:void(0)">Clear form</a>
      </div>
    </div>
  </div>
  <div class="pay-section">
    <div class="payment-error alert alert-error" style="margin-top: 20px; display: none;"><span class="error-message"></span></div>
  </div>
  <div class="button-box pay-section clearfix fade-in hide" data-dependant-on="no-payertype">
  </div>
  <div id="payment-buttons" class="button-box pay-section clearfix">
    <div class="help-block small" style="margin-bottom: 20px;"> *Required by The Academic Resilience Consortium </div>
    <a data-action="cancel-payment" class="btn btn-hover pull-left" onclick="$FR.trackEvent('cancel', 'payment', 'select-amount');" href="javascript:void(0)">Cancel
			</a>
    <a class="btn btn-primary pull-right" style="margin-left: 0; margin-right: 0;" data-action="save-payerinfo" href="javascript:void(0)">Continue</a>
    <a class="prev btn btn-hover pull-right">Back</a>
  </div>
  <div class="lockup pay-section clearfix">
    <div class="clearfix">
      <div class="muted right"> By continuing you agree to the <a href="/terms-of-service" target="_blank" onclick="$FR.trackEvent('tos', 'payment', '');">Terms</a>. </div>
    </div>
  </div>
</form>

<form id="creditcard-form" autocomplete="on">
  <fieldset>
    <h4 style="margin: 40px 0 20px;">Pay by credit card</h4>
    <label for="cc-name">Name on card</label>
    <input id="cc-name" type="text" autocomplete="section-creditcard cc-full-name">
    <div id="stripe-card-element" class="editable-input" style="width: 100%; margin-top: 5px;">
    </div>
    <div id="cc-supported-cards" class="text-right"></div>
    <label for="cc-country" class="sentence-case">country</label>
    <select id="cc-country" autocomplete="billing country">
      <option value="" disabled="disabled" selected="selected">Select a country ...</option>
      <option value="AU">Australia</option>
      <option value="CA">Canada</option>
      <option value="IE">Ireland</option>
      <option value="NZ">New Zealand</option>
      <option value="GB">United Kingdom</option>
      <option value="US">United States</option>
      <option value="" disabled="disabled">—</option>
      <option value="AF">Afghanistan</option>
      <option value="AX">Åland Islands</option>
      <option value="AL">Albania</option>
      <option value="DZ">Algeria</option>
      <option value="AS">American Samoa</option>
      <option value="AD">Andorra</option>
      <option value="AO">Angola</option>
      <option value="AI">Anguilla</option>
      <option value="AQ">Antarctica</option>
      <option value="AG">Antigua and Barbuda</option>
      <option value="AR">Argentina</option>
      <option value="AM">Armenia</option>
      <option value="AW">Aruba</option>
      <option value="AT">Austria</option>
      <option value="AZ">Azerbaijan</option>
      <option value="BS">Bahamas</option>
      <option value="BH">Bahrain</option>
      <option value="BD">Bangladesh</option>
      <option value="BB">Barbados</option>
      <option value="BY">Belarus</option>
      <option value="BE">Belgium</option>
      <option value="BZ">Belize</option>
      <option value="BJ">Benin</option>
      <option value="BM">Bermuda</option>
      <option value="BT">Bhutan</option>
      <option value="BO">Bolivia</option>
      <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
      <option value="BA">Bosnia and Herzegovina</option>
      <option value="BW">Botswana</option>
      <option value="BV">Bouvet Island</option>
      <option value="BR">Brazil</option>
      <option value="IO">British Indian Ocean Territory</option>
      <option value="BN">Brunei Darussalam</option>
      <option value="BG">Bulgaria</option>
      <option value="BF">Burkina Faso</option>
      <option value="BI">Burundi</option>
      <option value="KH">Cambodia</option>
      <option value="CM">Cameroon</option>
      <option value="CV">Cape Verde</option>
      <option value="KY">Cayman Islands</option>
      <option value="CF">Central African Republic</option>
      <option value="TD">Chad</option>
      <option value="CL">Chile</option>
      <option value="CN">China</option>
      <option value="CX">Christmas Island</option>
      <option value="CC">Cocos (Keeling) Islands</option>
      <option value="CO">Colombia</option>
      <option value="KM">Comoros</option>
      <option value="CG">Congo, Republic of the (Brazzaville)</option>
      <option value="CD">Congo, the Democratic Republic of the (Kinshasa)</option>
      <option value="CK">Cook Islands</option>
      <option value="CR">Costa Rica</option>
      <option value="CI">Côte d'Ivoire, Republic of</option>
      <option value="HR">Croatia</option>
      <option value="CU">Cuba</option>
      <option value="CW">Curaçao</option>
      <option value="CY">Cyprus</option>
      <option value="CZ">Czech Republic</option>
      <option value="DK">Denmark</option>
      <option value="DJ">Djibouti</option>
      <option value="DM">Dominica</option>
      <option value="DO">Dominican Republic</option>
      <option value="EC">Ecuador</option>
      <option value="EG">Egypt</option>
      <option value="SV">El Salvador</option>
      <option value="GQ">Equatorial Guinea</option>
      <option value="ER">Eritrea</option>
      <option value="EE">Estonia</option>
      <option value="ET">Ethiopia</option>
      <option value="FK">Falkland Islands (Islas Malvinas)</option>
      <option value="FO">Faroe Islands</option>
      <option value="FJ">Fiji</option>
      <option value="FI">Finland</option>
      <option value="FR">France</option>
      <option value="GF">French Guiana</option>
      <option value="PF">French Polynesia</option>
      <option value="TF">French Southern and Antarctic Lands</option>
      <option value="GA">Gabon</option>
      <option value="GM">Gambia, The</option>
      <option value="GE">Georgia</option>
      <option value="DE">Germany</option>
      <option value="GH">Ghana</option>
      <option value="GI">Gibraltar</option>
      <option value="GR">Greece</option>
      <option value="GL">Greenland</option>
      <option value="GD">Grenada</option>
      <option value="GP">Guadeloupe</option>
      <option value="GU">Guam</option>
      <option value="GT">Guatemala</option>
      <option value="GG">Guernsey</option>
      <option value="GN">Guinea</option>
      <option value="GW">Guinea-Bissau</option>
      <option value="GY">Guyana</option>
      <option value="HT">Haiti</option>
      <option value="HM">Heard Island and McDonald Islands</option>
      <option value="VA">Holy See (Vatican City)</option>
      <option value="HN">Honduras</option>
      <option value="HK">Hong Kong</option>
      <option value="HU">Hungary</option>
      <option value="IS">Iceland</option>
      <option value="IN">India</option>
      <option value="ID">Indonesia</option>
      <option value="IR">Iran, Islamic Republic of</option>
      <option value="IQ">Iraq</option>
      <option value="IM">Isle of Man</option>
      <option value="IL">Israel</option>
      <option value="IT">Italy</option>
      <option value="JM">Jamaica</option>
      <option value="JP">Japan</option>
      <option value="JE">Jersey</option>
      <option value="JO">Jordan</option>
      <option value="KZ">Kazakhstan</option>
      <option value="KE">Kenya</option>
      <option value="KI">Kiribati</option>
      <option value="KP">Korea, Democratic People's Republic of</option>
      <option value="KR">Korea, Republic of</option>
      <option value="KW">Kuwait</option>
      <option value="KG">Kyrgyzstan</option>
      <option value="LA">Laos</option>
      <option value="LV">Latvia</option>
      <option value="LB">Lebanon</option>
      <option value="LS">Lesotho</option>
      <option value="LR">Liberia</option>
      <option value="LY">Libya</option>
      <option value="LI">Liechtenstein</option>
      <option value="LT">Lithuania</option>
      <option value="LU">Luxembourg</option>
      <option value="MO">Macao</option>
      <option value="MK">Macedonia, Former Yugoslav Republic of</option>
      <option value="MG">Madagascar</option>
      <option value="MW">Malawi</option>
      <option value="MY">Malaysia</option>
      <option value="MV">Maldives</option>
      <option value="ML">Mali</option>
      <option value="MT">Malta</option>
      <option value="MH">Marshall Islands</option>
      <option value="MQ">Martinique</option>
      <option value="MR">Mauritania</option>
      <option value="MU">Mauritius</option>
      <option value="YT">Mayotte</option>
      <option value="MX">Mexico</option>
      <option value="FM">Micronesia, Federated States of</option>
      <option value="MD">Moldova</option>
      <option value="MC">Monaco</option>
      <option value="MN">Mongolia</option>
      <option value="ME">Montenegro</option>
      <option value="MS">Montserrat</option>
      <option value="MA">Morocco</option>
      <option value="MZ">Mozambique</option>
      <option value="MM">Myanmar</option>
      <option value="NA">Namibia</option>
      <option value="NR">Nauru</option>
      <option value="NP">Nepal</option>
      <option value="NL">Netherlands</option>
      <option value="NC">New Caledonia</option>
      <option value="NI">Nicaragua</option>
      <option value="NE">Niger</option>
      <option value="NG">Nigeria</option>
      <option value="NU">Niue</option>
      <option value="NF">Norfolk Island</option>
      <option value="MP">Northern Mariana Islands</option>
      <option value="NO">Norway</option>
      <option value="OM">Oman</option>
      <option value="PK">Pakistan</option>
      <option value="PW">Palau</option>
      <option value="PS">Palestine, State of</option>
      <option value="PA">Panama</option>
      <option value="PG">Papua New Guinea</option>
      <option value="PY">Paraguay</option>
      <option value="PE">Peru</option>
      <option value="PH">Philippines</option>
      <option value="PN">Pitcairn</option>
      <option value="PL">Poland</option>
      <option value="PT">Portugal</option>
      <option value="PR">Puerto Rico</option>
      <option value="QA">Qatar</option>
      <option value="RE">Réunion</option>
      <option value="RO">Romania</option>
      <option value="RU">Russian Federation</option>
      <option value="RW">Rwanda</option>
      <option value="BL">Saint Barthélemy</option>
      <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
      <option value="KN">Saint Kitts and Nevis</option>
      <option value="LC">Saint Lucia</option>
      <option value="MF">Saint Martin (French part)</option>
      <option value="PM">Saint Pierre and Miquelon</option>
      <option value="VC">Saint Vincent and the Grenadines</option>
      <option value="WS">Samoa</option>
      <option value="SM">San Marino</option>
      <option value="ST">Sao Tome and Principe</option>
      <option value="SA">Saudi Arabia</option>
      <option value="SN">Senegal</option>
      <option value="RS">Serbia</option>
      <option value="SC">Seychelles</option>
      <option value="SL">Sierra Leone</option>
      <option value="SG">Singapore</option>
      <option value="SX">Sint Maarten (Dutch part)</option>
      <option value="SK">Slovakia</option>
      <option value="SI">Slovenia</option>
      <option value="SB">Solomon Islands</option>
      <option value="SO">Somalia</option>
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 * ARC 2022 CONFERENCE
   
   ARC is hosting the 2022 Conference: A More Resilient Future on October 25-26,
   2022 in Tallahassee, FL at Florida State University. The conference will be
   offered both in-person and virtually. 
   
   
   Questions about the conference? Contact Merina Cameron at
   Hello@AcademicResilience.org or 850-645-0024.
   
    
   
   ARC’s In-Person and Virtual Annual Conference registration will include:
    
   
   In-Person
   
   ·     Plenary Sessions
   
   ·     Breakout Sessions
   
   ·     Access to recorded sessions
   
   ·     Resilience Café
   
   ·     Happier Hour
   
   ·     Door prizes
   
   ·     Breakfast (Day 2 Only)
   
   ·     Lunch (Day 1 & 2)
   
   Virtual
   
   ·     Plenary Sessions
   
   ·     Breakout Sessions
   
   ·     Access to recorded sessions
   
   
   The prices are listed below:
   
    
   
   Conference Registration Fees
   
   In-Person
   
   Virtual
   
   Current ARC Member
   
   (Not sure if your membership is current? Email hello@academicresilience.org
   to check)
   
   $125
   
   $75
   
   (Student Members)
   
   $50
   
   $50
   
   Non-Member
   
   $300
   
   $100
   
    
   
   Questions about the conference? Contact Merina Cameron at
   Hello@AcademicResilience.org or 850-645-0024.
   
    
   
   Hotel Accommodations
   
    
   
   ARC has a discounted group rate at each of the following hotels. Each
   attendee is responsible for booking their own hotel accommodations.
   
    
   
   Residence Inn
   
   Located less than one mile from Turnbull Conference Center, the Residence Inn
   offers complimentary breakfast and complimentary internet service in guest
   rooms. 
   
    *  Price: $129/night for a Studio King
    *  Parking: $20/daily
    *  Deadline to Book: October 3, 2022
    *  Located 5 miles from Tallahassee International Airport
    *  Airport Shuttle available from Monday-Sunday: 8:00 AM – 10:00 PM
   
   Booking Information:
   
   Follow this link to book OR call 850-329-9080 and let them know that you are
   booking for the “ARC Conference.”
   
    
   
   Hyatt House
   
   Hyatt House is a new hotel located in between two universities, Florida State
   University and Florida A&M University. The Hyatt House offers a complimentary
   full breakfast, Wi-Fi,  business center access, and on-site guest laundry
   services. The H Bar and restaurant are open nightly and the fitness center
   and hotel pool has 24-hour access.
   
    *   Price: $159/night for a Single King
    *   Parking: $12/daily
    *   Deadline: September 23, 2022
    *   Located 6 miles from Tallahassee International Airport
   
   Booking Information:
   
    1. Follow this link to book OR call 850-222-0039 and let them know that you
       are booking with the Academic Resilience Consortium.
    2. Once you enter the website, input the dates of your stay (October 24-26,
       2022) and the group rate will be applied automatically.
   
    
   
   Hotel Indigo
   
   As a boutique hotel located steps away from FSU’s campus a one block away
   from FAMU, Hotel Indigo offers a restaurant, R&R Eatery, located on the
   ground floor.
   
    * Price: $159/night for a Double Queen or Standard King
    * Parking: $18/daily
    * Deadline to Book: September 25, 2022
    * Located 6 miles from Tallahassee International Airport
   
   Booking Information:  
   
    1. Follow this link to book OR call 850-210-0008 and let them know that you
       are booking with the ARC Conference.
    2. Once you enter the website, input the dates of your stay (October 24-26,
       2022) and the group rate will be applied automatically.
   
   
   
    
   
   Safety precautions will be utilized.
   
    
   
   Note: Refunds of conference registration fees are only available for 30 days
   after purchase. 
   
    
   
   Questions about the conference? Contact Merina Cameron at
   Hello@AcademicResilience.org or 850-645-0024.
   
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   $50
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   $100
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   $300
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 * CONTRIBUTE TO ARC 2022 CONFERENCE
   
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   ZealandUnited KingdomUnited States—AfghanistanÅland
   IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
   Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
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   RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
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   Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
   Southern and Antarctic LandsGabonGambia,
   TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
   Island and McDonald IslandsHoly See (Vatican City)HondurasHong
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   ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia,
   Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
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   ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
   CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
   IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
   GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena,
   Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
   (French part)Saint Pierre and MiquelonSaint Vincent and the
   GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch
   part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and
   South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
   MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of
   ChinaTajikistanTanzania, United Republic
   ofThailandTimor-LesteTogoTokelauTongaTrinidad and
   TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
   IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom Overseas
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   your first name
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   your street address
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   your country Select a country ...AustraliaCanadaIrelandNew ZealandUnited
   KingdomUnited States—AfghanistanÅland IslandsAlbaniaAlgeriaAmerican
   SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
   Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
   IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
   FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African
   RepublicChadChileChinaChristmas IslandCocos (Keeling)
   IslandsColombiaComorosCongo, Republic of the (Brazzaville)Congo, the
   Democratic Republic of the (Kinshasa)Cook IslandsCosta RicaCôte d'Ivoire,
   Republic ofCroatiaCubaCuraçaoCyprusCzech
   RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
   SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas
   Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
   Southern and Antarctic LandsGabonGambia,
   TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
   Island and McDonald IslandsHoly See (Vatican City)HondurasHong
   KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIsle of
   ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea,
   Democratic People's Republic ofKorea, Republic
   ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia,
   Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
   ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
   CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
   IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
   GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena,
   Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
   (French part)Saint Pierre and MiquelonSaint Vincent and the
   GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
   ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch
   part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and
   South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
   MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of
   ChinaTajikistanTanzania, United Republic
   ofThailandTimor-LesteTogoTokelauTongaTrinidad and
   TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
   IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom Overseas
   TerritoriesUnited States Minor Outlying
   IslandsUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofViet
   NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern
   SaharaYemenZambiaZimbabwe
   your state or province
   ZIP or Post code ZIP/Post code
   
   OTHER DETAILS REQUESTED BY THE ACADEMIC RESILIENCE CONSORTIUM
   
   Dietary Restrictions for In-Person Attendees Only (vegan, vegetarian,
   pescatarian, etc.) 
   Are you an ARC member? 
   Academic Affiliation (if any) 
   Are you attending virtually or in-person? 
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 * CONTRIBUTE TO ARC 2022 CONFERENCE
   
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   SamoaAndorraAngolaAnguillaAntarcticaAntigua and
   BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
   Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
   IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
   FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African
   RepublicChadChileChinaChristmas IslandCocos (Keeling)
   IslandsColombiaComorosCongo, Republic of the (Brazzaville)Congo, the
   Democratic Republic of the (Kinshasa)Cook IslandsCosta RicaCôte d'Ivoire,
   Republic ofCroatiaCubaCuraçaoCyprusCzech
   RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
   SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas
   Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
   Southern and Antarctic LandsGabonGambia,
   TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
   Island and McDonald IslandsHoly See (Vatican City)HondurasHong
   KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIsle of
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   Democratic People's Republic ofKorea, Republic
   ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia,
   Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
   IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
   ofMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
   CaledoniaNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana
   IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New
   GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
   RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena,
   Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin
   (French part)Saint Pierre and MiquelonSaint Vincent and the
   GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
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