www.wpt-h4pd.70-167-255-204.cprapid.com Open in urlscan Pro
70.167.255.204  Public Scan

URL: https://www.wpt-h4pd.70-167-255-204.cprapid.com/
Submission: On June 13 via api from US — Scanned from DE

Form analysis 9 forms found in the DOM

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1791195-ContributionInformation" style="border: none;">
    <legend class="at-legend">Contribution Information</legend>
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1791195-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$20">
                  <input name="SelectAmount" type="radio" value="20.00"> $20 <a></a> </label><label class="label-amount" title="$35">
                  <input name="SelectAmount" type="radio" value="35.00"> $35 <a></a> </label><label class="label-amount" title="$50">
                  <input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$100">
                  <input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$500">
                  <input name="SelectAmount" type="radio" value="500.00"> $500 <a></a> </label><label class="label-amount" title="$2,500">
                  <input name="SelectAmount" type="radio" value="2500.00"> $2,500 <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div>
      <div class="at-recurring"><label class="at-check  IsRecurring" id="NVContributionForm1791195-ContributionInformation-IsRecurring"><input type="checkbox" name="IsRecurring" aria-label="Make this recurring contribution Monthly"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1791195-ContributionInformation-IsRecurring-label">Make this recurring contribution</span></span>
        </label><label class="at-select SelectedFrequency select-collapse" id="NVContributionForm1791195-ContributionInformation-SelectedFrequency"><label for="edit-selectedfrequency"> Frequency <small>(Optional)</small></label>
          <span class="at-select SelectedFrequency select-collapse" name="SelectedFrequency" id="NVContributionForm1791195-ContributionInformation-SelectedFrequency-label"> Monthly </span>
        </label></div><label class="at-check  CoverCostsAmount" id="NVContributionForm1791195-ContributionInformation-CoverCostsAmount"><input type="checkbox" checked="" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
            class="at-checkbox-title" id="NVContributionForm1791195-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation. </span><span class="at-cover-costs-info">My total amount will be
            <strong>$20.95</strong>.</span></span>
      </label>
    </div>
  </fieldset>
  <fieldset class="at-fieldset TributeGift" id="NVContributionForm1791195-TributeGift">
    <div class="at-fields">
      <div class="at-row at-row-full EnableTributeGift">
        <label class="at-check  EnableTributeGift" id="NVContributionForm1791195-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1791195-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
        </label>
      </div>
      <div class="at-row">
        <div class="at-tribute-gift" style="display:none">
          <div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1791195-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1791195-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
              Gift?</label>
            <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1791195-TributeGift-InHonorOrInMemoryOf">
              <label title="In honor of" class="at-radio-label-2" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
            </div>
          </div><label class="at-text   HonoreeName" id="NVContributionForm1791195-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
              maxlength="100">
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1791195-RecipientInformation" style="display: none;">
    <div class="at-fields">
      <div class="at-row">
        <label class="at-check  IncludeRecipient" id="NVContributionForm1791195-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1791195-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this contribution</span></span>
        </label>
      </div>
      <div class="at-recipient-info" style="display: none;">
        <div class="at-title">Who would you like to notify?</div>
        <div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml">
          <div class="at-markup RecipientInfoHeaderHtml" id="NVContributionForm1791195-RecipientInformation-RecipientInfoHeaderHtml">
            <p>Send your special someone a personalized emailed notification.&nbsp; Chose from one of our unique Valentine's Day Cards below featuring horses from the CVHR herd.</p>
          </div>
        </div>
        <div class="at-row RecipientFirstName RecipientLastName"><label class="at-text   RecipientFirstName" id="NVContributionForm1791195-RecipientInformation-RecipientFirstName">First Name <small>(Optional)</small><input type="text"
              autocomplete="on" false="" title="First Name" name="RecipientFirstName" value="" maxlength="50">
          </label><label class="at-text   RecipientLastName" id="NVContributionForm1791195-RecipientInformation-RecipientLastName">Last Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Last Name"
              name="RecipientLastName" value="" maxlength="50">
          </label></div>
        <div class="at-row at-row-solo RecipientStreetAddress"><label class="at-text   RecipientStreetAddress" id="NVContributionForm1791195-RecipientInformation-RecipientStreetAddress">Street Address <small>(Optional)</small><input type="text"
              autocomplete="on" false="" title="Street Address" name="RecipientStreetAddress" value="" maxlength="100">
          </label></div>
        <div class="at-row RecipientCountry RecipientPostalCode RecipientCity RecipientStateProvince"><label class="at-select RecipientCountry" id="NVContributionForm1791195-RecipientInformation-RecipientCountry">Country
            <small>(Optional)</small><select autocomplete="on" title="Country" name="RecipientCountry" class="select2-hidden-accessible" id="NVContributionForm1791195-RecipientInformation-RecipientCountry-select" tabindex="-1" aria-hidden="true">
              <option value="">- Select -</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</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="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia (Plurinational State of)</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="VG">British Virgin Islands</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="CV">Cabo Verde</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo (Democratic Republic of the)</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Côte d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czechia</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="SZ">Eswatini</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="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</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran (Islamic Republic of)</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea (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">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="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="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia (Federated States of)</option>
              <option value="MD">Moldova (Republic of)</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MK">North Macedonia</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="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 the South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania (United Republic of)</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela (Bolivarian Republic of)</option>
              <option value="VN">Viet Nam</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><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" title="Country" tabindex="0" aria-labelledby="select2-NVContributionForm1791195-RecipientInformation-RecipientCountry-select-container"><span class="select2-selection__rendered"
                    id="select2-NVContributionForm1791195-RecipientInformation-RecipientCountry-select-container" title="United States">United States</span><span class="select2-selection__arrow"
                    role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
          </label><label class="at-text   RecipientPostalCode" id="NVContributionForm1791195-RecipientInformation-RecipientPostalCode">Postal Code <small>(Optional)</small><input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" false=""
              title="Postal Code" name="RecipientPostalCode" value="" maxlength="10">
          </label><label class="at-text   RecipientCity" id="NVContributionForm1791195-RecipientInformation-RecipientCity">City <small>(Optional)</small><input type="text" autocomplete="on" false="" title="City" name="RecipientCity" value=""
              maxlength="25">
          </label><label class="at-select RecipientStateProvince" id="NVContributionForm1791195-RecipientInformation-RecipientStateProvince">State/Province <small>(Optional)</small><select autocomplete="on" title="State/Province"
              name="RecipientStateProvince" class=" " id="NVContributionForm1791195-RecipientInformation-RecipientStateProvince-select">
              <option value="">- State -</option>
              <option value="AK">AK</option>
              <option value="AL">AL</option>
              <option value="AR">AR</option>
              <option value="AZ">AZ</option>
              <option value="CA">CA</option>
              <option value="CO">CO</option>
              <option value="CT">CT</option>
              <option value="DC">DC</option>
              <option value="DE">DE</option>
              <option value="FL">FL</option>
              <option value="GA">GA</option>
              <option value="HI">HI</option>
              <option value="IA">IA</option>
              <option value="ID">ID</option>
              <option value="IL">IL</option>
              <option value="IN">IN</option>
              <option value="KS">KS</option>
              <option value="KY">KY</option>
              <option value="LA">LA</option>
              <option value="MA">MA</option>
              <option value="MD">MD</option>
              <option value="ME">ME</option>
              <option value="MI">MI</option>
              <option value="MN">MN</option>
              <option value="MO">MO</option>
              <option value="MS">MS</option>
              <option value="MT">MT</option>
              <option value="NC">NC</option>
              <option value="ND">ND</option>
              <option value="NE">NE</option>
              <option value="NH">NH</option>
              <option value="NJ">NJ</option>
              <option value="NM">NM</option>
              <option value="NV">NV</option>
              <option value="NY">NY</option>
              <option value="OH">OH</option>
              <option value="OK">OK</option>
              <option value="OR">OR</option>
              <option value="PA">PA</option>
              <option value="RI">RI</option>
              <option value="SC">SC</option>
              <option value="SD">SD</option>
              <option value="TN">TN</option>
              <option value="TX">TX</option>
              <option value="UT">UT</option>
              <option value="VA">VA</option>
              <option value="VT">VT</option>
              <option value="WA">WA</option>
              <option value="WI">WI</option>
              <option value="WV">WV</option>
              <option value="WY">WY</option>
              <option value="AS">AS</option>
              <option value="FM">FM</option>
              <option value="GU">GU</option>
              <option value="MH">MH</option>
              <option value="MP">MP</option>
              <option value="PR">PR</option>
              <option value="PW">PW</option>
              <option value="VI">VI</option>
              <option value="AA">AA</option>
              <option value="AE">AE</option>
              <option value="AP">AP</option>
            </select>
          </label></div>
        <div class="at-row at-row-solo RecipientEmailAddress"><label class="at-text   RecipientEmailAddress" id="NVContributionForm1791195-RecipientInformation-RecipientEmailAddress">Email<input type="email" autocomplete="on"
              pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required=""
              title="Email (required)" name="RecipientEmailAddress" value="" maxlength="100">
          </label></div>
        <div class="at-row at-row-solo Ecard">
          <div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1791195-RecipientInformation-Ecard"></div>
        </div>
        <div class="at-row at-row-solo NotificationSendDate"><label class="at-date   notificationsenddate" id="NVContributionForm1791195-RecipientInformation-NotificationSendDate"></label></div>
        <div class="at-row at-row-solo at-row-full NotificationSendCopy"><label class="at-check  NotificationSendCopy" id="NVContributionForm1791195-RecipientInformation-NotificationSendCopy"></label></div>
        <div class="at-row at-row-solo NotificationMessage"><label class="at-area   NotificationMessage" id="NVContributionForm1791195-RecipientInformation-NotificationMessage"></label></div>
      </div>
      <div class="at-row">
        <div class="at-recipient-msg" style="display: none;">
          <div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1791195-RecipientInformation-Ecard">
            <div class="at-title"> Select an Ecard </div>
            <div class="at-ecards clearfix">
              <div class="at-ecard selected">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Soldier%20Valentine's%20Day.jpg" alt="Soldier Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Soldier%20Valentine's%20Day.jpg" checked="">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Donkey%20Valentines%20Day.jpg" alt="Donkey Valentines Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Donkey%20Valentines%20Day.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Happy%20Valentine's%20Day%20Beans.jpg" alt="Happy Valentine's Day Beans">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Happy%20Valentine's%20Day%20Beans.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Shadow%202.0%20Valentine's%20Day.jpg" alt="Shadow 2.0 Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Shadow%202.0%20Valentine's%20Day.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Benny%20Valentine's%20Day.jpg" alt="Benny Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Benny%20Valentine's%20Day.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Hatta%20Valentine's%20Day.jpg" alt="Hatta Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Hatta%20Valentine's%20Day.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Marriage%20Valentine's%20Day%20Card.jpg" alt="Marriage Valentine's Day Card">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Marriage%20Valentine's%20Day%20Card.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Sera%20Valentine's%20Day.jpg" alt="Sera Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Sera%20Valentine's%20Day.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Bear%20Valentine's%20Day.jpg" alt="Bear Valentine's Day">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Bear%20Valentine's%20Day.jpg">
              </div>
              <button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
            </div>
          </div><label class="at-date   notificationsenddate" id="NVContributionForm1791195-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
              maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1718304509338">
          </label><label class="at-check  NotificationSendCopy" id="NVContributionForm1791195-RecipientInformation-NotificationSendCopy"><input type="checkbox" name="NotificationSendCopy"> <span class="at-checkbox-title-container"><span
                class="at-checkbox-title" id="NVContributionForm1791195-RecipientInformation-NotificationSendCopy-label">Please send me a copy of the email when the email is sent</span></span>
          </label><label class="at-area   NotificationMessage" id="NVContributionForm1791195-RecipientInformation-NotificationMessage">Message <small>(Optional)</small><textarea false="" title="Message" name="NotificationMessage"
              maxlength="4000"></textarea>
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation" id="NVContributionForm1791195-ContactInformation">
    <legend class="at-legend">Contact Information</legend>
    <div class="at-fields">
      <div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check  OrganizationToggle" id="NVContributionForm1791195-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1791195-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
        </label></div>
      <div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text   OrganizationName at-mode-org-only" id="NVContributionForm1791195-ContactInformation-OrganizationName">Organization Name<input type="text"
            autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
        </label></div>
      <div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text   OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1791195-ContactInformation-OrganizationAddressLine1">Street Address<input
            type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text   OrganizationPostalCode at-mode-org-only"
          id="NVContributionForm1791195-ContactInformation-OrganizationPostalCode">Postal Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="OrganizationPostalCode" value=""
            maxlength="10">
        </label><label class="at-text   OrganizationCity at-mode-org-only" id="NVContributionForm1791195-ContactInformation-OrganizationCity">City<input type="text" autocomplete="on" required="" title="City (required)" name="OrganizationCity"
            value="" maxlength="25">
        </label><label class="at-select OrganizationStateProvince" id="NVContributionForm1791195-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
            class=" required" id="NVContributionForm1791195-ContactInformation-OrganizationStateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
        <div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1791195-ContactInformation-OrganizationFooterHtml" style="display: block;">
          <hr>
        </div>
      </div>
      <div class="at-row FirstName LastName"><label class="at-text   FirstName" id="NVContributionForm1791195-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
            title="First Name (required)" name="FirstName" value="" maxlength="20">
        </label><label class="at-text   LastName" id="NVContributionForm1791195-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
            value="" maxlength="25">
        </label></div>
      <div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text   AddressLine1 at-mode-person-only" id="NVContributionForm1791195-ContactInformation-AddressLine1">Street Address<input type="text"
            autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text   PostalCode at-mode-person-only" id="NVContributionForm1791195-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code"
            x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City at-mode-person-only" id="NVContributionForm1791195-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
            name="City" value="" maxlength="25">
        </label><label class="at-select StateProvince" id="NVContributionForm1791195-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
            name="StateProvince" class=" required" id="NVContributionForm1791195-ContactInformation-StateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row EmailAddress HomePhone"><label class="at-text   EmailAddress" id="NVContributionForm1791195-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label><label class="at-text   HomePhone" id="NVContributionForm1791195-ContactInformation-HomePhone">Home Phone <small>(Optional)</small>
          <div class="intl-tel-input iti iti--allow-dropdown">
            <div class="iti__flag-container">
              <div class="iti__selected-flag" role="combobox" aria-controls="iti-1__country-listbox" aria-owns="iti-1__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-1__item-us-preferred">
                <div class="iti__flag iti__us"></div>
                <div class="iti__arrow"></div>
              </div>
            </div><input type="tel" class="intl-phone-HomePhone" name="HomePhone" title="Home Phone" data-intl-tel-input-id="1">
          </div>
        </label></div>
      <div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check  YesSignMeUpForUpdatesForBinder" id="NVContributionForm1791195-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
            checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1791195-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
              updates.</span></span>
        </label></div>
      <div class="at-row "><label class="at-text   PersonalUrl" id="NVContributionForm1791195-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
        </label></div>
      <div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
      <div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
      <div class="at-row ">
        <div class="at-markup TrackingPixel" id="NVContributionForm1791195-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
            src="https://secure.everyaction.com/v1/Track/0_5H25g6xUK14Vdyw1f63Q2?formSessionId=d8841164-f5eb-4abe-859e-c675dfb21af0&amp;bName=chrome&amp;dType=desktop&amp;formVersion=2/6/2024 2:52:46 PM|&amp;fUrl=aHR0cHM6Ly93d3cud3B0LWg0cGQuNzAtMTY3LTI1NS0yMDQuY3ByYXBpZC5jb20v&amp;fRef="
            style="display:none"></div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1791195-PaymentInformation">
    <legend class="at-legend">Payment Information</legend>
    <div class="at-row">
      <div class="at-payment-method-buttons" id="NVContributionForm1791195-PaymentInformation-PaymentMethod"></div>
    </div>
    <div class="at-fields">
      <div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1791195-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
            <div class="cc-type unknown"></div>
            <input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
          </div>
          <div id="vgs-Account-1791195" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&amp;placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&amp;type=card-number&amp;validations%5B0%5D=validCardNumber&amp;validations%5B1%5D=required&amp;autoComplete=cc-number&amp;formId=randomId1302455732758434459&amp;fieldId=randomId13022881809180600832&amp;createdAt=1718304510518&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=6c31c32f-b055-4c14-b430-6d3319613f48&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId13022881809180600832" form-id="randomId1302455732758434459"></iframe></div>
        </label><label class="at-text at-cc-expiration" id="NVContributionForm1791195-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
            <input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
          </div>
          <div id="vgs-ExpirationDate-1791195" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&amp;placeholder=MM%20%2F%20YY&amp;type=card-expiration-date&amp;serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&amp;validations%5B0%5D=validCardExpirationDate&amp;validations%5B1%5D=required&amp;autoComplete=cc-exp&amp;formId=randomId1302455732758434459&amp;fieldId=randomId1305026003708827125&amp;createdAt=1718304510519&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=6c31c32f-b055-4c14-b430-6d3319613f48&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId1305026003708827125" form-id="randomId1302455732758434459"></iframe></div>
        </label></div>
    </div>
  </fieldset>
  <div class="at-form-submit clearfix">
    <input type="submit" value="Contribute $20.95" class="at-submit btn-at btn-at-primary">
    <div class="at-markup secure-processing-single-step-div">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1758270-ContributionInformation" style="border: none;">
    <legend class="at-legend">Contribution Information</legend>
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1758270-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$20">
                  <input name="SelectAmount" type="radio" value="20.00"> $20 <a></a> </label><label class="label-amount" title="$35">
                  <input name="SelectAmount" type="radio" value="35.00"> $35 <a></a> </label><label class="label-amount" title="$50">
                  <input name="SelectAmount" type="radio" value="50.00"> $50 <a></a> </label><label class="label-amount" title="$100">
                  <input name="SelectAmount" type="radio" value="100.00"> $100 <a></a> </label><label class="label-amount" title="$500">
                  <input name="SelectAmount" type="radio" value="500.00"> $500 <a></a> </label><label class="label-amount" title="$2,500">
                  <input name="SelectAmount" type="radio" value="2500.00"> $2,500 <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div>
      <div class="at-recurring"><label class="at-check  IsRecurring" id="NVContributionForm1758270-ContributionInformation-IsRecurring"><input type="checkbox" name="IsRecurring" aria-label="Make this recurring contribution Monthly"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1758270-ContributionInformation-IsRecurring-label">Make this recurring contribution</span></span>
        </label><label class="at-select SelectedFrequency select-collapse" id="NVContributionForm1758270-ContributionInformation-SelectedFrequency"><label for="edit-selectedfrequency"> Frequency <small>(Optional)</small></label>
          <span class="at-select SelectedFrequency select-collapse" name="SelectedFrequency" id="NVContributionForm1758270-ContributionInformation-SelectedFrequency-label"> Monthly </span>
        </label></div><label class="at-check  CoverCostsAmount" id="NVContributionForm1758270-ContributionInformation-CoverCostsAmount"><input type="checkbox" checked="" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
            class="at-checkbox-title" id="NVContributionForm1758270-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation. </span><span class="at-cover-costs-info">My total amount will be
            <strong>$20.95</strong>.</span></span>
      </label>
    </div>
  </fieldset>
  <fieldset class="at-fieldset TributeGift" id="NVContributionForm1758270-TributeGift">
    <div class="at-fields">
      <div class="at-row at-row-full EnableTributeGift">
        <label class="at-check  EnableTributeGift" id="NVContributionForm1758270-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1758270-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
        </label>
      </div>
      <div class="at-row">
        <div class="at-tribute-gift" style="display:none">
          <div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1758270-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1758270-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
              Gift?</label>
            <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1758270-TributeGift-InHonorOrInMemoryOf">
              <label title="In honor of" class="at-radio-label-2" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
            </div>
          </div><label class="at-text   HonoreeName" id="NVContributionForm1758270-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
              maxlength="100">
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset RecipientInformation" id="NVContributionForm1758270-RecipientInformation" style="display: none;">
    <div class="at-fields">
      <div class="at-row">
        <label class="at-check  IncludeRecipient" id="NVContributionForm1758270-RecipientInformation-IncludeRecipient"><input type="checkbox" name="IncludeRecipient"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1758270-RecipientInformation-IncludeRecipient-label">I'd like to notify someone of this contribution</span></span>
        </label>
      </div>
      <div class="at-recipient-info" style="display: none;">
        <div class="at-title">Who would you like to notify?</div>
        <div class="at-row at-row-solo at-row-full RecipientInfoHeaderHtml">
          <div class="at-markup RecipientInfoHeaderHtml" id="NVContributionForm1758270-RecipientInformation-RecipientInfoHeaderHtml">A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a
            personal message.</div>
        </div>
        <div class="at-row RecipientFirstName RecipientLastName"><label class="at-text   RecipientFirstName" id="NVContributionForm1758270-RecipientInformation-RecipientFirstName">First Name <small>(Optional)</small><input type="text"
              autocomplete="on" false="" title="First Name" name="RecipientFirstName" value="" maxlength="50">
          </label><label class="at-text   RecipientLastName" id="NVContributionForm1758270-RecipientInformation-RecipientLastName">Last Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Last Name"
              name="RecipientLastName" value="" maxlength="50">
          </label></div>
        <div class="at-row at-row-solo RecipientStreetAddress"><label class="at-text   RecipientStreetAddress" id="NVContributionForm1758270-RecipientInformation-RecipientStreetAddress">Street Address <small>(Optional)</small><input type="text"
              autocomplete="on" false="" title="Street Address" name="RecipientStreetAddress" value="" maxlength="100">
          </label></div>
        <div class="at-row RecipientCountry RecipientPostalCode RecipientCity RecipientStateProvince"><label class="at-select RecipientCountry" id="NVContributionForm1758270-RecipientInformation-RecipientCountry">Country
            <small>(Optional)</small><select autocomplete="on" title="Country" name="RecipientCountry" class="select2-hidden-accessible" id="NVContributionForm1758270-RecipientInformation-RecipientCountry-select" tabindex="-1" aria-hidden="true">
              <option value="">- Select -</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</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="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia (Plurinational State of)</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="VG">British Virgin Islands</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="CV">Cabo Verde</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo (Democratic Republic of the)</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Côte d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czechia</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="SZ">Eswatini</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="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</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran (Islamic Republic of)</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea (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">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="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="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia (Federated States of)</option>
              <option value="MD">Moldova (Republic of)</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MK">North Macedonia</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="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 the South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania (United Republic of)</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela (Bolivarian Republic of)</option>
              <option value="VN">Viet Nam</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><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 100px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true"
                  aria-expanded="false" title="Country" tabindex="0" aria-labelledby="select2-NVContributionForm1758270-RecipientInformation-RecipientCountry-select-container"><span class="select2-selection__rendered"
                    id="select2-NVContributionForm1758270-RecipientInformation-RecipientCountry-select-container" title="United States">United States</span><span class="select2-selection__arrow"
                    role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
          </label><label class="at-text   RecipientPostalCode" id="NVContributionForm1758270-RecipientInformation-RecipientPostalCode">Postal Code <small>(Optional)</small><input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" false=""
              title="Postal Code" name="RecipientPostalCode" value="" maxlength="10">
          </label><label class="at-text   RecipientCity" id="NVContributionForm1758270-RecipientInformation-RecipientCity">City <small>(Optional)</small><input type="text" autocomplete="on" false="" title="City" name="RecipientCity" value=""
              maxlength="25">
          </label><label class="at-select RecipientStateProvince" id="NVContributionForm1758270-RecipientInformation-RecipientStateProvince">State/Province <small>(Optional)</small><select autocomplete="on" title="State/Province"
              name="RecipientStateProvince" class=" " id="NVContributionForm1758270-RecipientInformation-RecipientStateProvince-select">
              <option value="">- State -</option>
              <option value="AK">AK</option>
              <option value="AL">AL</option>
              <option value="AR">AR</option>
              <option value="AZ">AZ</option>
              <option value="CA">CA</option>
              <option value="CO">CO</option>
              <option value="CT">CT</option>
              <option value="DC">DC</option>
              <option value="DE">DE</option>
              <option value="FL">FL</option>
              <option value="GA">GA</option>
              <option value="HI">HI</option>
              <option value="IA">IA</option>
              <option value="ID">ID</option>
              <option value="IL">IL</option>
              <option value="IN">IN</option>
              <option value="KS">KS</option>
              <option value="KY">KY</option>
              <option value="LA">LA</option>
              <option value="MA">MA</option>
              <option value="MD">MD</option>
              <option value="ME">ME</option>
              <option value="MI">MI</option>
              <option value="MN">MN</option>
              <option value="MO">MO</option>
              <option value="MS">MS</option>
              <option value="MT">MT</option>
              <option value="NC">NC</option>
              <option value="ND">ND</option>
              <option value="NE">NE</option>
              <option value="NH">NH</option>
              <option value="NJ">NJ</option>
              <option value="NM">NM</option>
              <option value="NV">NV</option>
              <option value="NY">NY</option>
              <option value="OH">OH</option>
              <option value="OK">OK</option>
              <option value="OR">OR</option>
              <option value="PA">PA</option>
              <option value="RI">RI</option>
              <option value="SC">SC</option>
              <option value="SD">SD</option>
              <option value="TN">TN</option>
              <option value="TX">TX</option>
              <option value="UT">UT</option>
              <option value="VA">VA</option>
              <option value="VT">VT</option>
              <option value="WA">WA</option>
              <option value="WI">WI</option>
              <option value="WV">WV</option>
              <option value="WY">WY</option>
              <option value="AS">AS</option>
              <option value="FM">FM</option>
              <option value="GU">GU</option>
              <option value="MH">MH</option>
              <option value="MP">MP</option>
              <option value="PR">PR</option>
              <option value="PW">PW</option>
              <option value="VI">VI</option>
              <option value="AA">AA</option>
              <option value="AE">AE</option>
              <option value="AP">AP</option>
            </select>
          </label></div>
        <div class="at-row at-row-solo RecipientEmailAddress"><label class="at-text   RecipientEmailAddress" id="NVContributionForm1758270-RecipientInformation-RecipientEmailAddress">Email <small>(Optional)</small><input type="email"
              autocomplete="on" pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false=""
              title="Email" name="RecipientEmailAddress" value="" maxlength="100">
          </label></div>
        <div class="at-row at-row-solo Ecard">
          <div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1758270-RecipientInformation-Ecard"></div>
        </div>
        <div class="at-row at-row-solo NotificationSendDate"><label class="at-date   notificationsenddate" id="NVContributionForm1758270-RecipientInformation-NotificationSendDate"></label></div>
        <div class="at-row at-row-solo at-row-full NotificationSendCopy"><label class="at-check  NotificationSendCopy" id="NVContributionForm1758270-RecipientInformation-NotificationSendCopy"></label></div>
        <div class="at-row at-row-solo NotificationMessage"><label class="at-area   NotificationMessage" id="NVContributionForm1758270-RecipientInformation-NotificationMessage"></label></div>
      </div>
      <div class="at-row">
        <div class="at-recipient-msg" style="display: none;">
          <div class="form-unit form-unit-radio form-item-ecard" id="NVContributionForm1758270-RecipientInformation-Ecard">
            <div class="at-title"> Select an Ecard </div>
            <div class="at-ecards clearfix">
              <div class="at-ecard selected">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Christmas%20Card.jpg" alt="Christmas Card">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Christmas%20Card.jpg" checked="">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Condolences.jpg" alt="Condolences">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Condolences.jpg">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Doc%20Christmas%20Card%201.png" alt="Doc Christmas Card 1">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Doc%20Christmas%20Card%201.png">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Goggins%20Christmas%20Card%202.png" alt="Goggins Christmas Card 2">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Goggins%20Christmas%20Card%202.png">
              </div>
              <div class="at-ecard">
                <div class="at-ecard-img">
                  <img src="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Pops%20Christmas%20%204x6.jpg" alt="Pops Christmas  4x6">
                </div>
                <input name="ecard" type="radio" value="//nvlupin.blob.core.windows.net/images/van/EA/EA015/1/94381/images/Pops%20Christmas%20%204x6.jpg">
              </div>
              <button type="button" class="at-preview-ecard btn-at btn-at-link">Preview Ecard</button>
            </div>
          </div><label class="at-date   notificationsenddate" id="NVContributionForm1758270-RecipientInformation-NotificationSendDate">Send Date <small>(Optional)</small><input type="text" title="Send Date" name="NotificationSendDate" value=""
              maxlength="10" size="10" class="hasDatepicker" placeholder="MM/DD/YYYY" autocomplete="off" id="dp1718304509339">
          </label><label class="at-check  NotificationSendCopy" id="NVContributionForm1758270-RecipientInformation-NotificationSendCopy"><input type="checkbox" name="NotificationSendCopy"> <span class="at-checkbox-title-container"><span
                class="at-checkbox-title" id="NVContributionForm1758270-RecipientInformation-NotificationSendCopy-label">Please send me a copy of the email when the email is sent</span></span>
          </label><label class="at-area   NotificationMessage" id="NVContributionForm1758270-RecipientInformation-NotificationMessage">Message <small>(Optional)</small><textarea false="" title="Message" name="NotificationMessage"
              maxlength="4000"></textarea>
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation" id="NVContributionForm1758270-ContactInformation">
    <legend class="at-legend">Contact Information</legend>
    <div class="at-fields">
      <div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check  OrganizationToggle" id="NVContributionForm1758270-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1758270-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
        </label></div>
      <div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text   OrganizationName at-mode-org-only" id="NVContributionForm1758270-ContactInformation-OrganizationName">Organization Name<input type="text"
            autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
        </label></div>
      <div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text   OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1758270-ContactInformation-OrganizationAddressLine1">Street Address<input
            type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text   OrganizationPostalCode at-mode-org-only"
          id="NVContributionForm1758270-ContactInformation-OrganizationPostalCode">Postal Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="OrganizationPostalCode" value=""
            maxlength="10">
        </label><label class="at-text   OrganizationCity at-mode-org-only" id="NVContributionForm1758270-ContactInformation-OrganizationCity">City<input type="text" autocomplete="on" required="" title="City (required)" name="OrganizationCity"
            value="" maxlength="25">
        </label><label class="at-select OrganizationStateProvince" id="NVContributionForm1758270-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
            class=" required" id="NVContributionForm1758270-ContactInformation-OrganizationStateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
        <div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1758270-ContactInformation-OrganizationFooterHtml" style="display: block;">
          <hr>
        </div>
      </div>
      <div class="at-row FirstName LastName"><label class="at-text   FirstName" id="NVContributionForm1758270-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
            title="First Name (required)" name="FirstName" value="" maxlength="20">
        </label><label class="at-text   LastName" id="NVContributionForm1758270-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
            value="" maxlength="25">
        </label></div>
      <div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text   AddressLine1 at-mode-person-only" id="NVContributionForm1758270-ContactInformation-AddressLine1">Street Address<input type="text"
            autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text   PostalCode at-mode-person-only" id="NVContributionForm1758270-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code"
            x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City at-mode-person-only" id="NVContributionForm1758270-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
            name="City" value="" maxlength="25">
        </label><label class="at-select StateProvince" id="NVContributionForm1758270-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
            name="StateProvince" class=" required" id="NVContributionForm1758270-ContactInformation-StateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row EmailAddress HomePhone"><label class="at-text   EmailAddress" id="NVContributionForm1758270-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label><label class="at-text   HomePhone" id="NVContributionForm1758270-ContactInformation-HomePhone">Home Phone <small>(Optional)</small>
          <div class="intl-tel-input iti iti--allow-dropdown">
            <div class="iti__flag-container">
              <div class="iti__selected-flag" role="combobox" aria-controls="iti-3__country-listbox" aria-owns="iti-3__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-3__item-us-preferred">
                <div class="iti__flag iti__us"></div>
                <div class="iti__arrow"></div>
              </div>
            </div><input type="tel" class="intl-phone-HomePhone" name="HomePhone" title="Home Phone" data-intl-tel-input-id="3">
          </div>
        </label></div>
      <div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check  YesSignMeUpForUpdatesForBinder" id="NVContributionForm1758270-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
            checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1758270-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
              updates.</span></span>
        </label></div>
      <div class="at-row "><label class="at-text   PersonalUrl" id="NVContributionForm1758270-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
        </label></div>
      <div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
      <div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
      <div class="at-row ">
        <div class="at-markup TrackingPixel" id="NVContributionForm1758270-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
            src="https://secure.everyaction.com/v1/Track/DtvU11j0PUmbDxsJkzLADQ2?formSessionId=f04752a4-e2e4-4c38-b4b2-4e69bf1b19c0&amp;bName=chrome&amp;dType=desktop&amp;formVersion=1/1/2024 2:21:55 PM|&amp;fUrl=aHR0cHM6Ly93d3cud3B0LWg0cGQuNzAtMTY3LTI1NS0yMDQuY3ByYXBpZC5jb20v&amp;fRef="
            style="display:none"></div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset EmployerMatching" id="NVContributionForm1758270-EmployerMatching">
    <legend class="at-legend">Triple Your Impact with Employer Matching</legend>
    <div class="at-fields">
      <div class="at-row at-row-full EmployerMatchingHeaderHtml">
        <div class="at-markup EmployerMatchingHeaderHtml" id="NVContributionForm1758270-EmployerMatching-EmployerMatchingHeaderHtml">Enter your work email address to determine if your gift is eligible to be matched by your employer.</div>
      </div>
      <div class="at-row at-row-full MatchingWorkEmail">
        <label class="at-text   MatchingWorkEmail" id="NVContributionForm1758270-EmployerMatching-MatchingWorkEmail">Work Email <small>(Optional)</small><input type="email" autocomplete="on"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false="" title="Work Email"
            name="MatchingWorkEmail" value="" maxlength="100">
        </label>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1758270-PaymentInformation">
    <legend class="at-legend">Payment Information</legend>
    <div class="at-row">
      <div class="at-payment-method-buttons" id="NVContributionForm1758270-PaymentInformation-PaymentMethod"></div>
    </div>
    <div class="at-fields">
      <div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1758270-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
            <div class="cc-type unknown"></div>
            <input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
          </div>
          <div id="vgs-Account-1758270" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&amp;placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&amp;type=card-number&amp;validations%5B0%5D=validCardNumber&amp;validations%5B1%5D=required&amp;autoComplete=cc-number&amp;formId=randomId1305625063132207084&amp;fieldId=randomId13018183396483501135&amp;createdAt=1718304510535&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=ba933b28-f173-446f-ba9a-b22f176577e1&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId13018183396483501135" form-id="randomId1305625063132207084"></iframe></div>
        </label><label class="at-text at-cc-expiration" id="NVContributionForm1758270-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
            <input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
          </div>
          <div id="vgs-ExpirationDate-1758270" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&amp;placeholder=MM%20%2F%20YY&amp;type=card-expiration-date&amp;serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&amp;validations%5B0%5D=validCardExpirationDate&amp;validations%5B1%5D=required&amp;autoComplete=cc-exp&amp;formId=randomId1305625063132207084&amp;fieldId=randomId1304362865021953657&amp;createdAt=1718304510536&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=ba933b28-f173-446f-ba9a-b22f176577e1&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId1304362865021953657" form-id="randomId1305625063132207084"></iframe></div>
        </label></div>
    </div>
  </fieldset>
  <div class="at-form-submit clearfix">
    <input type="submit" value="Contribute $20.95" class="at-submit btn-at btn-at-primary">
    <div class="at-markup secure-processing-single-step-div">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1662045-ContributionInformation" style="border: none;">
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1662045-ContributionInformation-SelectedFrequency">
          <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1662045-ContributionInformation-SelectedFrequency">
            <label title="Monthly" class="at-radio-label-4" role="radio">
              <input type="radio" name="SelectedFrequency" checked="" value="4"> Monthly </label><label title="One-Time" class="at-radio-label-0" role="radio">
              <input type="radio" name="SelectedFrequency" value="0"> One-Time </label>
            <div class="radio-description radio-description-value-4"></div>
          </div>
        </div>
      </div>
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1662045-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$10/mo">
                  <input name="SelectAmount" type="radio" value="10.00"> $10/mo <a></a> </label><label class="label-amount" title="$15/mo">
                  <input name="SelectAmount" type="radio" value="15.00"> $15/mo <a></a> </label><label class="label-amount" title="$25/mo">
                  <input name="SelectAmount" type="radio" value="25.00"> $25/mo <a></a> </label><label class="label-amount" title="$35/mo">
                  <input name="SelectAmount" type="radio" value="35.00"> $35/mo <a></a> </label><label class="label-amount" title="$50/mo">
                  <input name="SelectAmount" type="radio" value="50.00"> $50/mo <a></a> </label><label class="label-amount long" title="$100/mo">
                  <input name="SelectAmount" type="radio" value="100.00"> $100/mo <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div><label class="at-check  CoverCostsAmount" id="NVContributionForm1662045-ContributionInformation-CoverCostsAmount"><input type="checkbox" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
            id="NVContributionForm1662045-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation</span></span>
      </label>
    </div>
  </fieldset>
  <fieldset class="at-fieldset TributeGift" id="NVContributionForm1662045-TributeGift">
    <div class="at-fields">
      <div class="at-row at-row-full EnableTributeGift">
        <label class="at-check  EnableTributeGift" id="NVContributionForm1662045-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1662045-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
        </label>
      </div>
      <div class="at-row">
        <div class="at-tribute-gift" style="display:none">
          <div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1662045-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1662045-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
              Gift?</label>
            <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1662045-TributeGift-InHonorOrInMemoryOf">
              <label title="In honor of" class="at-radio-label-2" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
            </div>
          </div><label class="at-text   HonoreeName" id="NVContributionForm1662045-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
              maxlength="100">
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation" id="NVContributionForm1662045-ContactInformation">
    <div class="at-fields">
      <div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check  OrganizationToggle" id="NVContributionForm1662045-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1662045-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
        </label></div>
      <div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text   OrganizationName at-mode-org-only" id="NVContributionForm1662045-ContactInformation-OrganizationName">Organization Name<input type="text"
            autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
        </label></div>
      <div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text   OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1662045-ContactInformation-OrganizationAddressLine1"
          style="display: inline;">Street Address<input type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text   OrganizationPostalCode at-mode-org-only" id="NVContributionForm1662045-ContactInformation-OrganizationPostalCode"
          style="display: inline;">Postal Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="OrganizationPostalCode" value="" maxlength="10">
        </label><label class="at-text   OrganizationCity at-mode-org-only" id="NVContributionForm1662045-ContactInformation-OrganizationCity" style="display: inline;">City<input type="text" autocomplete="on" required="" title="City (required)"
            name="OrganizationCity" value="" maxlength="25">
        </label><label class="at-select OrganizationStateProvince" id="NVContributionForm1662045-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
            class=" required" id="NVContributionForm1662045-ContactInformation-OrganizationStateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
        <div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1662045-ContactInformation-OrganizationFooterHtml" style="display: block;">
          <hr>
        </div>
      </div>
      <div class="at-row FirstName LastName"><label class="at-text   FirstName" id="NVContributionForm1662045-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
            title="First Name (required)" name="FirstName" value="" maxlength="20">
        </label><label class="at-text   LastName" id="NVContributionForm1662045-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
            value="" maxlength="25">
        </label></div>
      <div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text   AddressLine1 at-mode-person-only" id="NVContributionForm1662045-ContactInformation-AddressLine1">Street Address<input type="text"
            autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text   PostalCode at-mode-person-only" id="NVContributionForm1662045-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code"
            x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City at-mode-person-only" id="NVContributionForm1662045-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
            name="City" value="" maxlength="25">
        </label><label class="at-select StateProvince" id="NVContributionForm1662045-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
            name="StateProvince" class=" required" id="NVContributionForm1662045-ContactInformation-StateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row EmailAddress HomePhone"><label class="at-text   EmailAddress" id="NVContributionForm1662045-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label><label class="at-text   HomePhone" id="NVContributionForm1662045-ContactInformation-HomePhone">Home Phone <small>(Optional)</small>
          <div class="intl-tel-input iti iti--allow-dropdown">
            <div class="iti__flag-container">
              <div class="iti__selected-flag" role="combobox" aria-controls="iti-2__country-listbox" aria-owns="iti-2__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-2__item-us-preferred">
                <div class="iti__flag iti__us"></div>
                <div class="iti__arrow"></div>
              </div>
            </div><input type="tel" class="intl-phone-HomePhone" name="HomePhone" title="Home Phone" data-intl-tel-input-id="2">
          </div>
        </label></div>
      <div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check  YesSignMeUpForUpdatesForBinder" id="NVContributionForm1662045-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
            checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1662045-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
              updates.</span></span>
        </label></div>
      <div class="at-row "><label class="at-text   PersonalUrl" id="NVContributionForm1662045-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
        </label></div>
      <div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
      <div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
      <div class="at-row ">
        <div class="at-markup TrackingPixel" id="NVContributionForm1662045-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
            src="https://secure.everyaction.com/v1/Track/9XeOpsAz_U-HCXekz3gXmA2?formSessionId=618fefbb-4639-4469-9c1d-92a12104f1f1&amp;bName=chrome&amp;dType=desktop&amp;formVersion=6/3/2024 2:57:31 PM|&amp;fUrl=aHR0cHM6Ly93d3cud3B0LWg0cGQuNzAtMTY3LTI1NS0yMDQuY3ByYXBpZC5jb20v&amp;fRef="
            style="display:none"></div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset EmployerMatching" id="NVContributionForm1662045-EmployerMatching">
    <legend class="at-legend">Employer Matching</legend>
    <div class="at-fields">
      <div class="at-row at-row-full EmployerMatchingHeaderHtml">
        <div class="at-markup EmployerMatchingHeaderHtml" id="NVContributionForm1662045-EmployerMatching-EmployerMatchingHeaderHtml">
          <p>Want to DOUBLE your impact?&nbsp; Enter your work email address to find out if your employer matches donations!</p>
        </div>
      </div>
      <div class="at-row at-row-full MatchingWorkEmail">
        <label class="at-text   MatchingWorkEmail" id="NVContributionForm1662045-EmployerMatching-MatchingWorkEmail">Work Email <small>(Optional)</small><input type="email" autocomplete="on"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false="" title="Work Email"
            name="MatchingWorkEmail" value="" maxlength="100">
        </label>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1662045-PaymentInformation">
    <div class="at-row">
      <div class="at-payment-method-buttons" id="NVContributionForm1662045-PaymentInformation-PaymentMethod"></div>
    </div>
    <div class="at-fields">
      <div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1662045-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
            <div class="cc-type unknown"></div>
            <input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
          </div>
          <div id="vgs-Account-1662045" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&amp;placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&amp;type=card-number&amp;validations%5B0%5D=validCardNumber&amp;validations%5B1%5D=required&amp;autoComplete=cc-number&amp;formId=randomId1307094737212209015&amp;fieldId=randomId13043448160077203735&amp;createdAt=1718304510524&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=9a18a31c-d230-46f5-9c6b-7b5d1e9e3135&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId13043448160077203735" form-id="randomId1307094737212209015"></iframe></div>
        </label><label class="at-text at-cc-expiration" id="NVContributionForm1662045-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
            <input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
          </div>
          <div id="vgs-ExpirationDate-1662045" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&amp;placeholder=MM%20%2F%20YY&amp;type=card-expiration-date&amp;serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&amp;validations%5B0%5D=validCardExpirationDate&amp;validations%5B1%5D=required&amp;autoComplete=cc-exp&amp;formId=randomId1307094737212209015&amp;fieldId=randomId1307689907752440406&amp;createdAt=1718304510525&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=9a18a31c-d230-46f5-9c6b-7b5d1e9e3135&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId1307689907752440406" form-id="randomId1307094737212209015"></iframe></div>
        </label></div>
    </div>
  </fieldset>
  <div class="at-form-submit clearfix">
    <input type="submit" value="Contribute $10 Monthly" class="at-submit btn-at btn-at-primary">
    <div class="at-markup secure-processing-single-step-div" style="display: block;">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1612820-ContributionInformation" style="border: none;">
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1612820-ContributionInformation-SelectedFrequency">
          <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1612820-ContributionInformation-SelectedFrequency">
            <label title="Monthly" class="at-radio-label-4" role="radio">
              <input type="radio" name="SelectedFrequency" checked="" value="4"> Monthly </label><label title="One-Time" class="at-radio-label-0" role="radio">
              <input type="radio" name="SelectedFrequency" value="0"> One-Time </label>
            <div class="radio-description radio-description-value-4"></div>
          </div>
        </div>
      </div>
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1612820-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$10/mo">
                  <input name="SelectAmount" type="radio" value="10.00"> $10/mo <a></a> </label><label class="label-amount" title="$15/mo">
                  <input name="SelectAmount" type="radio" value="15.00"> $15/mo <a></a> </label><label class="label-amount" title="$25/mo">
                  <input name="SelectAmount" type="radio" value="25.00"> $25/mo <a></a> </label><label class="label-amount" title="$35/mo">
                  <input name="SelectAmount" type="radio" value="35.00"> $35/mo <a></a> </label><label class="label-amount" title="$50/mo">
                  <input name="SelectAmount" type="radio" value="50.00"> $50/mo <a></a> </label><label class="label-amount long" title="$100/mo">
                  <input name="SelectAmount" type="radio" value="100.00"> $100/mo <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div><label class="at-check  CoverCostsAmount" id="NVContributionForm1612820-ContributionInformation-CoverCostsAmount"><input type="checkbox" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
            id="NVContributionForm1612820-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation</span></span>
      </label>
    </div>
  </fieldset>
  <fieldset class="at-fieldset TributeGift" id="NVContributionForm1612820-TributeGift">
    <div class="at-fields">
      <div class="at-row at-row-full EnableTributeGift">
        <label class="at-check  EnableTributeGift" id="NVContributionForm1612820-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1612820-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
        </label>
      </div>
      <div class="at-row">
        <div class="at-tribute-gift" style="display:none">
          <div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1612820-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1612820-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
              Gift?</label>
            <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1612820-TributeGift-InHonorOrInMemoryOf">
              <label title="In honor of" class="at-radio-label-2" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
            </div>
          </div><label class="at-text   HonoreeName" id="NVContributionForm1612820-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
              maxlength="100">
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation" id="NVContributionForm1612820-ContactInformation">
    <div class="at-fields">
      <div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check  OrganizationToggle" id="NVContributionForm1612820-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1612820-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
        </label></div>
      <div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text   OrganizationName at-mode-org-only" id="NVContributionForm1612820-ContactInformation-OrganizationName">Organization Name<input type="text"
            autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
        </label></div>
      <div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text   OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1612820-ContactInformation-OrganizationAddressLine1"
          style="display: inline;">Street Address<input type="text" autocomplete="on" required="" title="Street Address (required)" name="OrganizationAddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text   OrganizationPostalCode at-mode-org-only" id="NVContributionForm1612820-ContactInformation-OrganizationPostalCode"
          style="display: inline;">Postal Code<input type="tel" autocomplete="on" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="OrganizationPostalCode" value="" maxlength="10">
        </label><label class="at-text   OrganizationCity at-mode-org-only" id="NVContributionForm1612820-ContactInformation-OrganizationCity" style="display: inline;">City<input type="text" autocomplete="on" required="" title="City (required)"
            name="OrganizationCity" value="" maxlength="25">
        </label><label class="at-select OrganizationStateProvince" id="NVContributionForm1612820-ContactInformation-OrganizationStateProvince">State/Province<select required="" autocomplete="on" title="State/Province" name="OrganizationStateProvince"
            class=" required" id="NVContributionForm1612820-ContactInformation-OrganizationStateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row at-row-solo at-row-full OrganizationFooterHtml at-mode-org-only">
        <div class="at-markup OrganizationFooterHtml at-mode-org-only" id="NVContributionForm1612820-ContactInformation-OrganizationFooterHtml" style="display: block;">
          <hr>
        </div>
      </div>
      <div class="at-row FirstName LastName"><label class="at-text   FirstName" id="NVContributionForm1612820-ContactInformation-FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required=""
            title="First Name (required)" name="FirstName" value="" maxlength="20">
        </label><label class="at-text   LastName" id="NVContributionForm1612820-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
            value="" maxlength="25">
        </label></div>
      <div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text   AddressLine1 at-mode-person-only" id="NVContributionForm1612820-ContactInformation-AddressLine1">Street Address<input type="text"
            autocomplete="address-line1" x-autocompletetype="address-line1" required="" title="Street Address (required)" name="AddressLine1" value="" maxlength="99">
        </label></div>
      <div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text   PostalCode at-mode-person-only" id="NVContributionForm1612820-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code"
            x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City at-mode-person-only" id="NVContributionForm1612820-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
            name="City" value="" maxlength="25">
        </label><label class="at-select StateProvince" id="NVContributionForm1612820-ContactInformation-StateProvince">State/Province<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State/Province"
            name="StateProvince" class=" required" id="NVContributionForm1612820-ContactInformation-StateProvince-select">
            <option value="" disabled="">- State -</option>
            <option value="AK">AK</option>
            <option value="AL">AL</option>
            <option value="AR">AR</option>
            <option value="AZ">AZ</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DC">DC</option>
            <option value="DE">DE</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="IA">IA</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="MA">MA</option>
            <option value="MD">MD</option>
            <option value="ME">ME</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MO">MO</option>
            <option value="MS">MS</option>
            <option value="MT">MT</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="NE">NE</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NV">NV</option>
            <option value="NY">NY</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VA">VA</option>
            <option value="VT">VT</option>
            <option value="WA">WA</option>
            <option value="WI">WI</option>
            <option value="WV">WV</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="FM">FM</option>
            <option value="GU">GU</option>
            <option value="MH">MH</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="PW">PW</option>
            <option value="VI">VI</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
          </select>
        </label></div>
      <div class="at-row EmailAddress HomePhone"><label class="at-text   EmailAddress" id="NVContributionForm1612820-ContactInformation-EmailAddress">Email<input type="email" autocomplete="email" x-autocompletetype="email"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" required="" title="Email (required)"
            name="EmailAddress" value="" maxlength="100" placeholder="email@email.com">
        </label><label class="at-text   HomePhone" id="NVContributionForm1612820-ContactInformation-HomePhone">Home Phone <small>(Optional)</small>
          <div class="intl-tel-input iti iti--allow-dropdown">
            <div class="iti__flag-container">
              <div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
                <div class="iti__flag iti__us"></div>
                <div class="iti__arrow"></div>
              </div>
            </div><input type="tel" class="intl-phone-HomePhone" name="HomePhone" title="Home Phone" data-intl-tel-input-id="0">
          </div>
        </label></div>
      <div class="at-row at-row-solo at-row-full YesSignMeUpForUpdatesForBinder"><label class="at-check  YesSignMeUpForUpdatesForBinder" id="NVContributionForm1612820-ContactInformation-YesSignMeUpForUpdatesForBinder"><input type="checkbox"
            checked="" name="YesSignMeUpForUpdatesForBinder"> <span class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1612820-ContactInformation-YesSignMeUpForUpdatesForBinder-label">Yes, sign me up for email
              updates.</span></span>
        </label></div>
      <div class="at-row "><label class="at-text   PersonalUrl" id="NVContributionForm1612820-ContactInformation-PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
        </label></div>
      <div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
      <div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
      <div class="at-row ">
        <div class="at-markup TrackingPixel" id="NVContributionForm1612820-ContactInformation-TrackingPixel" style="display: none;"><img alt=""
            src="https://secure.everyaction.com/v1/Track/fMcJwtxdEUSuy5_QYpj4WQ2?formSessionId=b27a472d-0dee-486c-b91c-266a75ce708e&amp;bName=chrome&amp;dType=desktop&amp;formVersion=7/8/2023 8:50:07 PM|&amp;fUrl=aHR0cHM6Ly93d3cud3B0LWg0cGQuNzAtMTY3LTI1NS0yMDQuY3ByYXBpZC5jb20v&amp;fRef="
            style="display:none"></div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset EmployerMatching" id="NVContributionForm1612820-EmployerMatching">
    <legend class="at-legend">Employer Matching</legend>
    <div class="at-fields">
      <div class="at-row at-row-full EmployerMatchingHeaderHtml">
        <div class="at-markup EmployerMatchingHeaderHtml" id="NVContributionForm1612820-EmployerMatching-EmployerMatchingHeaderHtml">
          <p>Double your impact!&nbsp; Enter your work email address to determine if your gift is eligible to be matched by your employer.</p>
        </div>
      </div>
      <div class="at-row at-row-full MatchingWorkEmail">
        <label class="at-text   MatchingWorkEmail" id="NVContributionForm1612820-EmployerMatching-MatchingWorkEmail">Work Email <small>(Optional)</small><input type="email" autocomplete="on"
            pattern="^([\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+\.)*[\w!#$%&amp;'*+\-\/=?\^`\{\|\}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false="" title="Work Email"
            name="MatchingWorkEmail" value="" maxlength="100">
        </label>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1612820-PaymentInformation">
    <div class="at-row">
      <div class="at-payment-method-buttons" id="NVContributionForm1612820-PaymentInformation-PaymentMethod"></div>
    </div>
    <div class="at-fields">
      <div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1612820-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
            <div class="cc-type unknown"></div>
            <input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
          </div>
          <div id="vgs-Account-1612820" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=Account&amp;placeholder=%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2%20%E2%80%A2%E2%80%A2%E2%80%A2%E2%80%A2&amp;type=card-number&amp;validations%5B0%5D=validCardNumber&amp;validations%5B1%5D=required&amp;autoComplete=cc-number&amp;formId=randomId1308904187819413871&amp;fieldId=randomId13011000412768050527&amp;createdAt=1718304510326&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=b2e48add-81c6-4c4d-9583-31e8fecf7d1b&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId13011000412768050527" form-id="randomId1308904187819413871"></iframe></div>
        </label><label class="at-text at-cc-expiration" id="NVContributionForm1612820-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
            <input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
          </div>
          <div id="vgs-ExpirationDate-1612820" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&amp;placeholder=MM%20%2F%20YY&amp;type=card-expiration-date&amp;serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&amp;validations%5B0%5D=validCardExpirationDate&amp;validations%5B1%5D=required&amp;autoComplete=cc-exp&amp;formId=randomId1308904187819413871&amp;fieldId=randomId130275527374114801&amp;createdAt=1718304510328&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=b2e48add-81c6-4c4d-9583-31e8fecf7d1b&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
              frameborder="0" scrolling="0" allowtransparency="true" id="randomId130275527374114801" form-id="randomId1308904187819413871"></iframe></div>
        </label></div>
    </div>
  </fieldset>
  <div class="at-form-submit clearfix">
    <input type="submit" value="Contribute $10 Monthly" class="at-submit btn-at btn-at-primary">
    <div class="at-markup secure-processing-single-step-div" style="display: block;">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

POST

<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
  <div data-name="undefined" data-subview="submit_view" data-subview-index="0"></div>
  <fieldset class="at-fieldset ContributionInformation" id="NVContributionForm1564651-ContributionInformation" style="border: none;">
    <legend class="at-legend">Contribute to the Conservation Project</legend>
    <div class="at-fields">
      <div class="at-row at-row-full ">
        <div class="form-unit form-unit-radio form-item-selectedfrequency" id="NVContributionForm1564651-ContributionInformation-SelectedFrequency">
          <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1564651-ContributionInformation-SelectedFrequency">
            <label title="Monthly" class="at-radio-label-4" role="radio">
              <input type="radio" name="SelectedFrequency" checked="" value="4"> Monthly </label><label title="One-Time" class="at-radio-label-0" role="radio">
              <input type="radio" name="SelectedFrequency" value="0"> One-Time </label>
            <div class="radio-description radio-description-value-4"></div>
          </div>
        </div>
      </div>
      <div class="at-row at-row-full ">
        <input id="ProcessingCurrency_Value" type="hidden" name="ProcessingCurrency.Value" value="USD">
      </div>
      <div class="at-row at-row-full ">
        <div class="form-item form-type-radios form-item-selectamount" id="NVContributionForm1564651-ContributionInformation-SelectAmount">
          <div class="at-row SelectAmount OtherAmount NonRecurringButtons">
            <div class="at-radio">
              <div class="at-radios clearfix">
                <label class="label-amount" title="$10/mo">
                  <input name="SelectAmount" type="radio" value="10.00"> $10/mo <a></a> </label><label class="label-amount" title="$15/mo">
                  <input name="SelectAmount" type="radio" value="15.00"> $15/mo <a></a> </label><label class="label-amount" title="$25/mo">
                  <input name="SelectAmount" type="radio" value="25.00"> $25/mo <a></a> </label><label class="label-amount" title="$35/mo">
                  <input name="SelectAmount" type="radio" value="35.00"> $35/mo <a></a> </label><label class="label-amount" title="$50/mo">
                  <input name="SelectAmount" type="radio" value="50.00"> $50/mo <a></a> </label><label class="label-amount long" title="$100/mo">
                  <input name="SelectAmount" type="radio" value="100.00"> $100/mo <a></a> </label><label class="label-amount label-otheramount" title="Other">
                  <input name="SelectAmount" type="radio" class="radio-other" value="other"> Other <input type="number" tabindex="-1" autocomplete="transaction-amount" class="edit-otheramount" name="OtherAmount" title="Other Amount"
                    placeholder="0.00">
                  <span class="label-otheramount-prefix">$</span>
                </label>
              </div>
            </div>
          </div>
        </div>
      </div><label class="at-check  CoverCostsAmount" id="NVContributionForm1564651-ContributionInformation-CoverCostsAmount"><input type="checkbox" checked="" name="CoverCostsAmount"> <span class="at-checkbox-title-container"><span
            class="at-checkbox-title" id="NVContributionForm1564651-ContributionInformation-CoverCostsAmount-label">I'd like to help cover the transaction fees for my donation. </span><span class="at-cover-costs-info">My total amount will be
            <strong>$10.53</strong>.</span></span>
      </label>
    </div>
  </fieldset>
  <fieldset class="at-fieldset TributeGift" id="NVContributionForm1564651-TributeGift">
    <div class="at-fields">
      <div class="at-row at-row-full EnableTributeGift">
        <label class="at-check  EnableTributeGift" id="NVContributionForm1564651-TributeGift-EnableTributeGift"><input type="checkbox" name="EnableTributeGift"> <span class="at-checkbox-title-container"><span class="at-checkbox-title"
              id="NVContributionForm1564651-TributeGift-EnableTributeGift-label">I'd like to make this contribution in honor or in memory of someone</span></span>
        </label>
      </div>
      <div class="at-row">
        <div class="at-tribute-gift" style="display:none">
          <div class="form-unit form-unit-radio form-item-inhonororinmemoryof" id="NVContributionForm1564651-TributeGift-InHonorOrInMemoryOf"><label id="NVContributionForm1564651-TributeGift-InHonorOrInMemoryOf"> Is this an Honorary or Memorial
              Gift?</label>
            <div class="radios" role="radiogroup" aria-labelledby="NVContributionForm1564651-TributeGift-InHonorOrInMemoryOf">
              <label title="In honor of" class="at-radio-label-2" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" checked="" value="2"> In honor of </label><label title="In memory of" class="at-radio-label-1" role="radio">
                <input type="radio" name="InHonorOrInMemoryOf" value="1"> In memory of </label>
            </div>
          </div><label class="at-text   HonoreeName" id="NVContributionForm1564651-TributeGift-HonoreeName">Honoree Name <small>(Optional)</small><input type="text" autocomplete="on" false="" title="Honoree Name" name="HonoreeName" value=""
              maxlength="100">
          </label>
        </div>
      </div>
    </div>
  </fieldset>
  <fieldset class="at-fieldset ContactInformation" id="NVContributionForm1564651-ContactInformation">
    <div class="at-fields">
      <div class="at-row at-row-solo at-row-full OrganizationToggle"><label class="at-check  OrganizationToggle" id="NVContributionForm1564651-ContactInformation-OrganizationToggle"><input type="checkbox" name="OrganizationToggle"> <span
            class="at-checkbox-title-container"><span class="at-checkbox-title" id="NVContributionForm1564651-ContactInformation-OrganizationToggle-label">I'm donating on behalf of a company or organization</span></span>
        </label></div>
      <div class="at-row at-row-solo OrganizationName at-mode-org-only"><label class="at-text   OrganizationName at-mode-org-only" id="NVContributionForm1564651-ContactInformation-OrganizationName">Organization Name<input type="text"
            autocomplete="on" required="" title="Organization Name (required)" name="OrganizationName" value="" maxlength="200">
        </label></div>
      <div class="at-row at-row-solo OrganizationAddressLine1 at-mode-org-only"><label class="at-text   OrganizationAddressLine1 at-mode-org-only" id="NVContributionForm1564651-ContactInformation-OrganizationAddressLine1"
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      <div class="at-row OrganizationPostalCode OrganizationCity OrganizationStateProvince at-mode-org-only"><label class="at-text   OrganizationPostalCode at-mode-org-only" id="NVContributionForm1564651-ContactInformation-OrganizationPostalCode"
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            <option value="AK">AK</option>
            <option value="AZ">AZ</option>
            <option value="AR">AR</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DE">DE</option>
            <option value="DC">DC</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="IA">IA</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="ME">ME</option>
            <option value="MD">MD</option>
            <option value="MA">MA</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MS">MS</option>
            <option value="MO">MO</option>
            <option value="MT">MT</option>
            <option value="NE">NE</option>
            <option value="NV">NV</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NY">NY</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WV">WV</option>
            <option value="WI">WI</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="GU">GU</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="VI">VI</option>
            <option value="FM">FM</option>
            <option value="MH">MH</option>
            <option value="PW">PW</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
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        </label><label class="at-text   LastName" id="NVContributionForm1564651-ContactInformation-LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName"
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      <div class="at-row at-row-solo AddressLine1 at-mode-person-only"><label class="at-text   AddressLine1 at-mode-person-only" id="NVContributionForm1564651-ContactInformation-AddressLine1">Street Address<input type="text"
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      <div class="at-row PostalCode City StateProvince at-mode-person-only"><label class="at-text   PostalCode at-mode-person-only" id="NVContributionForm1564651-ContactInformation-PostalCode">Postal Code<input type="tel" autocomplete="postal-code"
            x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)" name="PostalCode" value="" maxlength="10">
        </label><label class="at-text   City at-mode-person-only" id="NVContributionForm1564651-ContactInformation-City">City<input type="text" autocomplete="address-level2" x-autocompletetype="locality" required="" title="City (required)"
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        </label><label class="at-select StateProvince" id="NVContributionForm1564651-ContactInformation-StateProvince">State<select required="" autocomplete="address-level1" x-autocompletetype="administrative-area" title="State" name="StateProvince"
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            <option value="AL">AL</option>
            <option value="AK">AK</option>
            <option value="AZ">AZ</option>
            <option value="AR">AR</option>
            <option value="CA">CA</option>
            <option value="CO">CO</option>
            <option value="CT">CT</option>
            <option value="DE">DE</option>
            <option value="DC">DC</option>
            <option value="FL">FL</option>
            <option value="GA">GA</option>
            <option value="HI">HI</option>
            <option value="ID">ID</option>
            <option value="IL">IL</option>
            <option value="IN">IN</option>
            <option value="IA">IA</option>
            <option value="KS">KS</option>
            <option value="KY">KY</option>
            <option value="LA">LA</option>
            <option value="ME">ME</option>
            <option value="MD">MD</option>
            <option value="MA">MA</option>
            <option value="MI">MI</option>
            <option value="MN">MN</option>
            <option value="MS">MS</option>
            <option value="MO">MO</option>
            <option value="MT">MT</option>
            <option value="NE">NE</option>
            <option value="NV">NV</option>
            <option value="NH">NH</option>
            <option value="NJ">NJ</option>
            <option value="NM">NM</option>
            <option value="NY">NY</option>
            <option value="NC">NC</option>
            <option value="ND">ND</option>
            <option value="OH">OH</option>
            <option value="OK">OK</option>
            <option value="OR">OR</option>
            <option value="PA">PA</option>
            <option value="RI">RI</option>
            <option value="SC">SC</option>
            <option value="SD">SD</option>
            <option value="TN">TN</option>
            <option value="TX">TX</option>
            <option value="UT">UT</option>
            <option value="VT">VT</option>
            <option value="VA">VA</option>
            <option value="WA">WA</option>
            <option value="WV">WV</option>
            <option value="WI">WI</option>
            <option value="WY">WY</option>
            <option value="AS">AS</option>
            <option value="GU">GU</option>
            <option value="MP">MP</option>
            <option value="PR">PR</option>
            <option value="VI">VI</option>
            <option value="FM">FM</option>
            <option value="MH">MH</option>
            <option value="PW">PW</option>
            <option value="AA">AA</option>
            <option value="AE">AE</option>
            <option value="AP">AP</option>
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      <div class="at-row at-row-solo YesSignMeUpForUpdatesForBinder"><input id="YesSignMeUpForUpdatesForBinder_Value" type="hidden" name="YesSignMeUpForUpdatesForBinder.Value" value="true"></div>
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        </label></div>
      <div class="at-row "><input id="SocialNetworkTrackingId_Value" type="hidden" name="SocialNetworkTrackingId.Value"></div>
      <div class="at-row "><input id="SocialNetwork_Value" type="hidden" name="SocialNetwork.Value"></div>
      <div class="at-row ">
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  <fieldset class="at-fieldset EmployerMatching" id="NVContributionForm1564651-EmployerMatching">
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    <div class="at-fields">
      <div class="at-row at-row-full EmployerMatchingHeaderHtml">
        <div class="at-markup EmployerMatchingHeaderHtml" id="NVContributionForm1564651-EmployerMatching-EmployerMatchingHeaderHtml">
          <p>Want to double your impact?&nbsp; Enter your work email address to see if your contribution is eligible for employer matching!&nbsp; If eligible, you will receive an email with instructions on how to match your contribution.</p>
        </div>
      </div>
      <div class="at-row at-row-full MatchingWorkEmail">
        <label class="at-text   MatchingWorkEmail" id="NVContributionForm1564651-EmployerMatching-MatchingWorkEmail">Work Email <small>(Optional)</small><input type="email" autocomplete="on"
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  <fieldset class="at-fieldset PaymentInformation" id="NVContributionForm1564651-PaymentInformation">
    <div class="at-row">
      <div class="at-payment-method-buttons" id="NVContributionForm1564651-PaymentInformation-PaymentMethod"></div>
    </div>
    <div class="at-fields">
      <div class="at-row "><label class="at-text at-cc-number" id="NVContributionForm1564651-PaymentInformation-Account">Card Number<div class="cc-type-wrapper vgs-loading-placeholder" style="display: none;">
            <div class="cc-type unknown"></div>
            <input type="tel" autocomplete="cc-number" title="Credit Card Number" placeholder="•••• •••• •••• ••••" readonly="true">
          </div>
          <div id="vgs-Account-1564651" class="vgs-cc-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty" tabindex="-1"><iframe title="Secure card number input frame"
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        </label><label class="at-text at-cc-expiration" id="NVContributionForm1564651-PaymentInformation-ExpirationDate">Expiration Date<div class="vgs-loading-placeholder" style="display: none;">
            <input type="tel" autocomplete="cc-exp" title="Expiration Date (MM / YY)" placeholder="MM / YY" readonly="true">
          </div>
          <div id="vgs-ExpirationDate-1564651" class="vgs-ccexpiration-iframe-wrapper vgs-input-container vgs-collect-container__empty vgs-collect-container__invalid isEmpty"><iframe title="Secure card expiration date input frame"
              src="https://js.verygoodvault.com/vgs-collect/2.18.4/lib/index.html#name=ExpirationDate&amp;placeholder=MM%20%2F%20YY&amp;type=card-expiration-date&amp;serializers=W3sibmFtZSI6InNlcGFyYXRlIiwib3B0aW9ucyI6eyJtb250aE5hbWUiOiJFeHBpcmF0aW9uTW9udGgiLCJ5ZWFyTmFtZSI6IkV4cGlyYXRpb25ZZWFyIn19XQ%3D%3D&amp;validations%5B0%5D=validCardExpirationDate&amp;validations%5B1%5D=required&amp;autoComplete=cc-exp&amp;formId=randomId13017861407080005787&amp;fieldId=randomId130364427529333174&amp;createdAt=1718304510560&amp;tnt=dG50dzFwem5sYW0%3D&amp;env=bGl2ZQ%3D%3D&amp;logLevel=default&amp;satellitePort=&amp;vgsCollectSessionId=42754b58-2315-4999-915b-70c24c3cabbc&amp;css%5BfontSize%5D=.875rem&amp;css%5BfontFamily%5D=monospace&amp;css%5BlineHeight%5D=1&amp;css%5BbackgroundColor%5D=%23fff&amp;css%5B%26%3A%3Aplaceholder%5D%5Bcolor%5D=%23ced4da&amp;css%5B%26%3A%3Aplaceholder%5D%5BfontWeight%5D=bold"
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        </label></div>
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  <div class="at-form-submit clearfix">
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    <div class="at-markup secure-processing-single-step-div" style="display: block;">
      <label class="secure-processing-label at-text"> Your donation will be securely processed.<div class="glyphicons glyphicons-lock" aria-hidden="true"></div>
      </label>
    </div>
  </div>
</form>

GET https://centralvahorserescue.org/

<form role="search" method="get" class="search-form" action="https://centralvahorserescue.org/">
  <label for="search-form-666a6e57a442e">
    <span class="screen-reader-text">Search for:</span>
  </label>
  <input type="search" id="search-form-666a6e57a442e" class="search-field" placeholder="Search …" value="" name="s">
  <button type="submit" class="search-submit"><svg class="icon icon-search" aria-hidden="true" role="img">
      <use xlink:href="#icon-search"></use>
    </svg><span class="screen-reader-text">Search</span></button>
</form>

POST https://www.paypal.com/donate

<form action="https://www.paypal.com/donate" method="post" target="_top">
  <input type="hidden" name="hosted_button_id" value="BYXUA794RL2BA">
  <input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_donate_LG.gif" border="0" name="submit" title="PayPal - The safer, easier way to pay online!" alt="Donate with PayPal button">
  <img loading="lazy" decoding="async" alt="" border="0" src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>

POST https://www.paypal.com/cgi-bin/webscr

<form action="https://www.paypal.com/cgi-bin/webscr" method="post" target="_top">
  <input type="hidden" name="cmd" value="_s-xclick">
  <input type="hidden" name="hosted_button_id" value="SMZ6VY7SW7D2E">
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      <tr>
        <td><input type="hidden" name="on0" value="Dollar Club">Dollar Club</td>
      </tr>
      <tr>
        <td><select name="os0">
            <option value="Option 1">Option 1 : $1.35 USD - monthly</option>
            <option value="Option 2">Option 2 : $5.35 USD - monthly</option>
            <option value="Option 3">Option 3 : $10.35 USD - monthly</option>
          </select> </td>
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  <img alt="" border="0" src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" height="1">
</form>

<form id="jp-carousel-comment-form">
  <label for="jp-carousel-comment-form-comment-field" class="screen-reader-text">Write a Comment...</label>
  <textarea name="comment" class="jp-carousel-comment-form-field jp-carousel-comment-form-textarea" id="jp-carousel-comment-form-comment-field" placeholder="Write a Comment..."></textarea>
  <div id="jp-carousel-comment-form-submit-and-info-wrapper">
    <div id="jp-carousel-comment-form-commenting-as">
      <fieldset>
        <label for="jp-carousel-comment-form-email-field">Email (Required)</label>
        <input type="text" name="email" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-email-field">
      </fieldset>
      <fieldset>
        <label for="jp-carousel-comment-form-author-field">Name (Required)</label>
        <input type="text" name="author" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-author-field">
      </fieldset>
      <fieldset>
        <label for="jp-carousel-comment-form-url-field">Website</label>
        <input type="text" name="url" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-url-field">
      </fieldset>
    </div>
    <input type="submit" name="submit" class="jp-carousel-comment-form-button" id="jp-carousel-comment-form-button-submit" value="Post Comment">
  </div>
</form>

Text Content

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CENTRAL VIRGINIA HORSE RESCUE

A 501c3 Non Profit Horse Rescue serving Virginia and surrounding states.

Menu
 * About CVHR
   * CVHR Board
   * Staff
 * Permanent Home Capital Campaign
 * Donate
   * Donation Form
 * Adopt
   * Adoption Policies
   * Adoption Application
   * Adoptable Horses
 * Sponsor A Horse
   * Frank and Beans
   * Gwen
   * Happy
   * Mireya
   * Shadow
   * Tallulah
 * Events
   * Fall Barn Dance
 * Shop CVHR
 * Volunteer
 * Contact
 * Get the Latest News
 * AirBNB
 * Gelding Ball

Scroll down to content


POSTS

Posted on February 6, 2024February 6, 2024


SEND A VALENTINE FROM THE CVHR HERD

Send a Valentine from the CVHR Herd


SPREAD THE LOVE WITH A CVHR VALENTINE'S DAY CARD! 💖🐴



This Valentine's Day, show your affection with a heartfelt twist! Make a
donation to Central Virginia Horse Rescue and we'll send a special Valentine's
Day card to your friend or loved one, straight from the herd at CVHR!

Choose from our selection of delightful digital cards, each featuring one of our
wonderful horses. It's a thoughtful and charming way to express your love, while
supporting the care and protection of these beautiful animals.

Celebrate love, friendship, and your passion for horses all in one sweet
gesture. Your Valentine will be touched by your thoughtfulness, and our horses
will be grateful for your support.

💕 Donate and send a card today! Your love will trot far beyond the stable.



Contribution Information
$20 $35 $50 $100 $500 $2,500 Other $
Make this recurring contribution Frequency (Optional) Monthly
I'd like to help cover the transaction fees for my donation. My total amount
will be $20.95.
I'd like to make this contribution in honor or in memory of someone
Is this an Honorary or Memorial Gift?
In honor of In memory of
Honoree Name (Optional)
I'd like to notify someone of this contribution
Who would you like to notify?

Send your special someone a personalized emailed notification.  Chose from one
of our unique Valentine's Day Cards below featuring horses from the CVHR herd.

First Name (Optional) Last Name (Optional)
Street Address (Optional)
Country (Optional)- Select -AfghanistanÅland
IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia
(Plurinational State of)Bonaire, Sint Eustatius and SabaBosnia and
HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish
Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta
RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic
People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic
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Posted on January 18, 2024January 18, 2024


“MY FIRST HORSE” PLANNER NOW AVAILABLE!

Hello, Horse Lovers and Supporters of Central Virginia Horse Rescue!

We are beyond excited to share some wonderful news with our community. Our
Executive Director, Stacy Franklin, has poured her heart and decades of
experience into creating a special resource for all aspiring horse owners. We
proudly announce the publication of “My First Horse Planner,” a comprehensive
guide designed to support you on your journey into horse ownership.

This planner is not just a collection of pages; it’s a treasure trove of wisdom,
insights, and practical advice. Whether you’re dreaming of owning a horse or are
in the process of making that dream a reality, this guide is your perfect
companion.

Why “My First Horse Planner”?

Our mission at Central Virginia Horse Rescue is not only to rescue and
rehabilitate horses but also to educate and empower the equestrian community.
“My First Horse Planner” aligns perfectly with this goal, offering guidance on
everything from selecting the right horse to understanding their daily care
needs, health management, and much more.

What’s Inside the Planner?

 * Tips on choosing the right horse for your lifestyle and goals
 * Monthly budget planning for horse care
 * Health and wellness tracking tools
 * Insights into feeding, grooming, and training
 * Checklists for horse supplies and equipment
 * And other essential horse ownership topics

Stacy Franklin’s expertise shines through every page, making complex topics
accessible and engaging. Her passion for horses and commitment to their welfare
is evident in this thorough and thoughtful guide.

Get Your Copy Today!

We’ve made “My First Horse Planner” available in two convenient formats:

 1. Digital PDF (Immediate Download): Perfect for those who prefer a digital
    copy for quick and easy access. Purchase it on Etsy for immediate download:
    https://etsy.me/3S9NXld.
 2. Physical Book Copy: For those who love the feel of a physical book, we’ve
    got you covered! You can purchase a copy on Amazon:
    https://bit.ly/myfirsthorse.

Your purchase not only equips you with invaluable knowledge but also supports
the ongoing efforts of Central Virginia Horse Rescue.

We can’t wait for you to dive into this planner and embark on your horse
ownership journey with confidence and joy. Thank you for your unwavering
support, and here’s to many more successful equine partnerships!

Posted on December 21, 2023December 21, 2023


DOUBLE YOUR IMPACT: A SPECIAL YEAR-END APPEAL FROM CENTRAL VIRGINIA HORSE RESCUE

2024 Holiday Donation Match



DOUBLE YOUR IMPACT: A SPECIAL YEAR-END APPEAL FROM CENTRAL VIRGINIA HORSE RESCUE

As we approach the end of another year, we are excited to share a remarkable
opportunity that can significantly amplify your support for the Off-Track
Thoroughbreds (OTTBs) that are a cherished part of our herd.

Thanks to the generosity of an anonymous benefactor, every dollar you donate to
CVHR will be matched, up to a staggering $40,000! This means your contribution
will have double the impact, allowing us to provide even more care,
rehabilitation, and love to these magnificent animals.

Why Your Support Matters:

 * Rescue and Rehabilitation: Your donations help us rescue OTTBs from dire
   situations and provide them with the medical care, nutrition, and
   rehabilitation they urgently need.
 * Enhanced Rehabilitation Facilities: Upgraded amenities to aid in their
   physical and mental recovery.
 * Education and Advocacy: Through your support, we continue to educate the
   public about the plight of OTTBs and advocate for their welfare.
 * Training and Rehoming Programs: Professional training to prepare them for
   new, loving homes.

How the Matching Grant Works:

 * Double Impact: For every dollar you donate, our anonymous donor will match
   it, dollar for dollar, up to $40,000.
 * Limited Time: This matching opportunity is only available for a limited time.
   Your prompt support can make a significant difference.

How to Donate:

 * Online: Donate below for your contribution to be matched!
 * Mail: Send your check to CVHR, 31262 Eagle Hill Trl, Fredericksburg, VA
   22407, with the memo 'Year-End Matching Grant'.

This matching grant is not just a donation; it's an investment in the lives of
OTTBs who have given so much and now deserve our care and compassion. Together,
we can make a substantial difference in their lives. Please consider making a
gift today and help us maximize this incredible opportunity.

Thank you for your unwavering support and for being a vital part of our CVHR
family.



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Posted on December 17, 2023December 17, 2023


CENTRAL VIRGINIA HORSE RESCUE RECEIVES GENEROUS DONATION FROM FREDERICKSBURG
NATIONALS AND AMY CHERRY TAYLOR & ASSOCIATES

Central Virginia Horse Rescue (CVHR), a non-profit organization dedicated to the
rescue and rehabilitation of equines, is excited to announce the receipt of a
significant donation from the Fredericksburg Nationals baseball team and Amy
Cherry Taylor & Associates. The generous donation of $14,852.40, presented on
December 13th, is the proceeds from the FredNats Jersey Auction, an annual
FredNats event sponsored by Amy Cherry Taylor & Associates.

During Fan Appreciation night in September, the Fredericksburg Nationals wear
special jerseys that are auctioned off to support local charities. This year,
CVHR was selected as the beneficiary of this wonderful charitable event by Amy
Cherry Taylor & Associates who sponsors the Jersey Auction annually. The funds
raised will crucially assist in purchasing hay and feed for the 34+ horses
currently in the care of CVHR, ensuring these rescued animals receive the
necessary nutrition and care.

Stacy Franklin, the Executive Director of Central Virginia Horse Rescue, warmly
expressed her thanks: “We are immensely grateful for this donation. It is a
significant contribution to our ongoing efforts in providing quality care for
our horses. The Fredericksburg Nationals, Amy Cherry Taylor & Associates, and
everyone involved in the auction have shown remarkable support for our cause,
for which we are deeply appreciative.”

About Central Virginia Horse Rescue:

Central Virginia Horse Rescue, located in Fredericksburg, VA, is a 501(c)(3)
non-profit organization committed to the rescue, rehabilitation, and rehoming of
horses in need. Established with a vision to create a safe haven for neglected,
abused, and abandoned horses, CVHR has grown into a respected rescue
organization. Through tireless efforts and community support, CVHR not only
provides immediate care for these animals but also educates the public on
responsible horse ownership and welfare. As a resource for horses and a beacon
of hope in the equine community, CVHR continues to make a meaningful impact in
the lives of horses and horse enthusiasts alike.

Posted on August 27, 2023August 27, 2023


WINTER HAY FUND


Winter Hay Fund 2023


CENTRAL VIRGINIA HORSE RESCUE'S WINTER 2023 HAY FUND - A PLEA FOR HELP

As the days start to grow shorter, our thoughts turn to the rescue horses at
Central Virginia Horse Rescue (CVHR). Today, we need your help more than ever.
We're launching our Winter 2023 Hay Fund, aiming to raise $15,000, a critical
sum that will ensure the survival and well-being of these beautiful creatures
during the harsh winter months.


WHY $15,000?

This isn't just a random number; it's the cost required to provide enough hay
for all the horses at CVHR throughout the coming winter. We typically care for
between 25 to 35 horses on average each day. Each horse needs a substantial
amount of hay to maintain their health, especially during winter when pasture
grass is scarce.


THE IMPORTANCE OF HAY

Hay isn't just supplementary food; it's a vital source of nutrition and body
heat for horses, especially during the winter. It doesn't merely fill their
bellies but also provides the essential nutrients they need to stay healthy and
strong.

If you're new to our mission, Central Virginia Horse Rescue is a non-profit
organization dedicated to rescuing, rehabilitating, and rehoming horses from
various walks of life, including neglect and cruelty cases and owners who had
nowhere else to turn.


HOW YOU CAN HELP

Your contribution will make an immediate impact. Here's how your donation can
help:

 * $10 buys one square bale
 * $48 buys one alfalfa bale
 * $70 buys one round bale
 * Any amount, no matter how small, makes a difference

We anticipate needing to purchase 160 round bales this year alone!

Donations can be made through our website, by mailing a check to our physical
address, or if you live nearby, by dropping off hay. Time and love in the form
of volunteer work are also most welcome.

Every contribution does more than feed these horses; it gives them hope and the
promise of a better life. Rescued from harsh circumstances, every bale of hay
they receive, every compassionate touch and loving word, symbolizes hope, and
that hope is possible because of people like you.

Please help us meet our goal. Spread the word among your circles, and together,
let's ensure that these beautiful horses have a warm and nourishing winter.

With heartfelt gratitude,
The Team at Central Virginia Horse Rescue

Donate below, or mail your checks to:  
CVHR Hay Fund - 31262 Eagle Hill Trl, Fredericksburg VA 22407

For more information, feel free to reach out to us at
rescue@centralvahorserescue.com.

Thank you for making this winter a season of hope for our equine friends.


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Posted on June 21, 2023June 21, 2023


SUPPORT THE 25 SHENANDOAH SEIZURE HORSES

The morning of Thursday June 15th, 2023, the Central Virginia Horse Rescue team
received a phone call from the Virginia State Task Force that our team was
needed at a seizure in Shenandoah County. During the initial call, our team was
told that we were expecting there to be 130+ thoroughbreds on a breeding farm
located in Mount Jackson.

CVHR mobilized our seizure response team and pulled volunteers from across
multiple farms who were able to provide assistance to law enforcement and
veterinary teams in horse handling and horse transport. The total number of
horses examined at the farm was close to 100 making it the second largest
seizure in the state of Virginia next to Peaceable Farms in 2015.

CVHR took 25 horses from the seizure and the horses are spread out between the
CVHR rescue farm in Fredericksburg and our 3 foster farms. Item donations can be
sent to the 4 farms using the following Amazon wish lists:

Equivalent Exchange Equestrian Academy: Amazon Wish List

Secret Spring Farm, LLC: Amazon Wish List

EKG Stables: Amazon Wish List

Central Virginia Horse Rescue Farm: Amazon Wish List or Chewy Wish List

Monetary donations to go towards Veterinary and feed expenses can be made here:

Help the Shenandoah Seizure Horses



PLEASE JOIN US.


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Posted on June 4, 2023June 4, 2023


REHOMING YOUR HORSE: SOME BEST PRACTICES

Finding the perfect home for your rehomed horse is a top priority. As a
responsible horse owner, it’s crucial to take certain precautions to ensure your
beloved equine companion ends up in a safe and loving environment. By following
these recommendations, you can minimize the risk of your horse falling into the
wrong hands.

1. Request References:

When considering potential buyers, ask for references from reliable sources,
such as their vet and farrier, previous horse owners, or reputable trainers.
Contacting these references can provide valuable insights into the buyer’s
experience, knowledge, and overall suitability as a horse owner.

2. Speak with Their Vet and Farrier:

Reach out to the prospective buyer’s veterinarian and farrier to discuss the
quality of care they provide to their current horses. These professionals can
provide valuable information about the buyer’s commitment to equine health and
welfare.  If you are having difficulty getting a reference from the vet or
farrier, consider the potential reasons why.

3. Request Photos of the Horse’s New Home:

Ask the buyer to share recent photographs of the facility where your horse will
be kept. Assess the condition of the pastures, stables, fencing, and other
relevant aspects. Ensure that the environment is safe, clean, and
well-maintained, with ample space and appropriate amenities.

4. Examine their Social Media Pages:

Social media can provide useful insights into a potential buyer’s current
horse-keeping practices. Browse their social media profiles to get a glimpse of
how they care for their horses and their farm. Look for signs of responsible
horse ownership, including regular veterinary care, appropriate nutrition, and a
positive environment.  Are they posting the same photos of their horses
repeatedly but nothing current?  Search their name on Facebook and see what kind
of posts they have made.  Are they constantly searching for horses or trying to
sell them?

5. Perform a Google Search:

Conduct a thorough online search of the buyer’s name to uncover any negative
information or red flags. Look for any past disputes, complaints, or legal
issues that may suggest a potential risk for your horse’s well-being. While this
step should not be the sole basis for decision-making, it can help you gather
additional information.

Rehoming your horse is a significant decision, and ensuring their safety and
well-being in their new home is paramount. By taking these essential
precautions, such as checking references, speaking with their veterinarian and
farrier, requesting photos, examining their social media presence, and
performing a Google search, you can significantly reduce the chances of your
horse ending up in a bad home. Remember, it’s your responsibility as a caring
horse owner to take all necessary measures to secure a loving and suitable
environment for your equine friend.

Posted on May 9, 2023May 9, 2023


CVHR RECIPIENT OF AUNE STURDY ANIMAL PROTECTION FUND GRANT

In fall 2022, Central Virginia Horse Rescue aided Spotsylvania County and the
Virginia State Task Force in the seizure of eight horses from a property where
they had not had food or water for at least the two weeks prior to the seizure.
The urgency of removing the horses increased the longer they lived in the
unseasonably warmer weather, and CVHR was requested to aide in the seizure of
the horses that remained alive on the property.

It was 130 days before all the appeals were exhausted, and CVHR received
ownership of the horses from the county, 130 days of care of which most of the
cost of care fell directly on CVHR and its donors. The total cost of care
calculated using the average daily cost of care per equine for each horse
amounted to $2,484.30. This care was made possible with support from the Aune
Sturdy Animal Protection Fund of The Community Foundation.

When an investigation begins into a neglect and cruelty of an equine, most
counties do not have the facilities to house an animal of that size, and in this
case, there were numerous horses that were in varying degrees of health.

The horses were transported to the CVHR farm where they were given a full
examination by the CVHR vet, Dr. Kate Moga. The horses were found to be stressed
,malnourished and clinically dehydrated upon arrival. Three of the five mares
were later determined to be pregnant including one senior mare who was not only
underweight but at an age where foaling was high risk.

These horses were all initially saved from being sent to slaughter by unknowing
people with the best of intentions who thought they were sending the horses to a
happy retirement farm where they would be cared for and not made to suffer. It
is doubly cruel to save a horse from slaughter only to send it to an uncertain
future where it will be cruelly treated, neglected and starved.

We are grateful to those who support CVHR through donations and volunteerism in
order to make this partnership with our local animal control divisions possible.
In 2022, CVHR brought in a total of twenty-seven horses through cruelty, neglect
and abandonment. This number is up from nine of these cases the previous year.
Already in 2023, CVHR has aided local animal control divisions in the intake of
nineteen horses who were neglected and treated cruelly.

Posted on April 22, 2023April 22, 2023


CENTRAL VIRGINIA HORSE RESCUE’S SOIL AND WATER CONSERVATION PROJECT

Central Virginia Horse Rescue has been working with the team at Soil and Water
Conservation and the Virginia Department of Environmental Quality on a project
that will have a long lasting impact on the environment and the health of the
Rapidan River.

The total cost of this project is $117,672.95 making it a significantly large
project that will be partially funded by Soil and Water Conservation and the
Department of Environmental Quality.  Central Virginia Horse Rescue will need to
raise one third of the total project cost making our share a total of $39,224.

What is the CVHR Soil and Water Conservation Project?

The CVHR Soil and Water Conservation Project is comprised of three different
projects with each one having an impact on the environment allowing CVHR to be
good stewards of the land and resources available.

The first project is the stream exclusion fencing that will fence off two
streams that run through our pastures with water flowing into the Rapidan
River.  As part of this project, CVHR will be putting up 1,920 feet of fencing
that will be 50 feet from either side of the streams.  The fenced off area of
the pastures will total approximately 2 acres.

The second project will install 5 automatic waterers into our 7 pastures
providing constant clean drinking water for the horses in those fields while
providing CVHR the ability to conserve water across the farm.

The third project will provide management for pasture grazing and ensure that
the fields are maintained adequately each year through soil testing, spraying
and fertilizing.

Why is this project so important to the environment?

Historically, it has been found that the farm that CVHR now inhabits has a
history of producing large amounts of e. coli that are flowing from the streams
in our pastures to the Rapidan River.  The area of the river adjacent to our
property is a popular recreational area for kayaking and fishing enthusiasts who
travel to the area to enjoy these sports.  Additionally, the Rapidan River is a
tributary river to the Rappahannock which is a Chesapeake Bay watershed.

CVHR is one of the 104,000 farms located within the watershed area. These farms
combined are estimated to produce 42% of the Nitrogen load, 58% of the
Phosphorus load, and 58% of the sediment load in the Chesapeake Bay. Due to the
overwhelming concentration of these three materials, the Chesapeake Bay is a
hypoxic zone. More information on this can be found at the Conservation Partners
LLC website.

By fencing off the two streams running through our pasture, we will lesson the
negative impact that the CVHR farm has on the Rapidan River and thus also
lessoning the impact on the Chesapeake Bay.

The installation of the automatic water troughs will significantly reduce the
amount of water that is consumed through daily farm operations. On average, CVHR
uses approximately 1,000 – 1,500 gallons of water a day! By installing the
automatic water troughs, we anticipate that our farm’s total water consumption
will be reduced by nearly 75%. The automatic water troughs will still be cleaned
daily but will not require the dumping and cleaning of 200 gallon tanks across
our 7 pasture fields.

Your contribution to the project will provide sustainability to the Central
Virginia Horse Rescue farm and prevent further contamination of the Rapidan
River by the CVHR rescue farm.

CVHR's Soil and Water Conservation Project



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Posted on March 24, 2023March 24, 2023


JACK’S STORY: FROM STARVATION TO ADOPTION

Jack is the second of our June 2022 seizure horses to have found his home! Jack,
then a stallion, came to CVHR in June after being starved and after 238 days we
finally had authorization to geld him and find him a home. Jack had little to no
handling experience before arriving with Team CVHR and it would be months before
he was healthy enough for our trainers to do any extensive work with him


JACK AT INTAKE

While Jack’s case made it’s way through the courts, the CVHR team spent time
focused on his rehabilitation and ground training.

It was 338 days before CVHR received the news that the judge had ordered the
horses surrendered to the county and ownership was thus transferred to CVHR.
Upon hearing that news, we made the appointment to have Jack gelded in hopes
that he would find a loving home that would finish out his training and provide
him the care that he lacked in the early part of his life.

Jack found his forever home 352 days after arriving in the care of Central
Virginia Horse Rescue in June of 2022.


JACK’S TOTAL COST OF CARE: $8,514.32


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